• 가정과삶의질연구
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• 제27권5호
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• pp.77-90
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• 2009

The purpose of this study was to investigate the residents' use and occupancy-behavior in the activity areas of the senior nursing facilities, and to provide basic information to establish the appropriate physical elements for planning the activity areas. For the study, the observations in five facilities were conducted for one day, from 10 a.m. to 4 p.m by four researchers. The results of the study are summarized as follows: First, most of the using behaviors in the activity areas were the doing nothing or sleeping. The meals and program services were provided in only one activity area of the floor and it showed that the unit care system was perfunctorily conducted at those facilities. In the representative activity area, its openness was the main physical element influencing the spatial using frequency, while the accessibility and the openness in the sub-activity area were most important. The seating arrangements having comers were helpful for residents' interactions. Second, while facility programs and meals were provided in the specific activity area, there was no residents' occupancy in other activity areas at the same time. There were interactions including residents' conversations and watching/observations in non-designated activity areas such as the nursing stations and near corridors. But the residents' interactions and self-regulations were blocked by absence of territoriality, monotonous spatial compositions and furniture arrangements, insecurity of residents' privacy, wide or narrow areas, and isolated spatial type. Based on the results at the above, basic guidelines for planning the activity areas of senior nursing facilities can be proposed as follows: First, the isolated type and the sight interception should be avoided in representative activity areas. It should be partitioned with couple of areas through the appropriate furniture arrangements, and be prepared semi-private spaces in non-designated areas such as nursing station for the interactions among the residents and the staff. Second, in activity areas for small group, the isolated type is not also good for the residents' accessibility. The residents' privacy should be confirmed through the various spatial compositions, and enough areas need to be sure for the diverse furniture arrangements.

• Journal of Preventive Medicine and Public Health
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• 제40권1호
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• pp.64-70
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• 2007

Objectives : This study was conducted to investigate the current status of outsourcing in Korean hospital information systems and the factors influencing its introduction. Methods : The authors surveyed 136 hospitals located in Seoul and its surrounding vicinities from June 7 to June 23, 2006. The facilitators and inhibitors to outsourcing in hospital information systems were derived from literature and expert reviews. Multiple logistic regression analysis was applied to identify the major influencing factors on outsourcing in hospital information systems. Results : Eighty-six (63.2%) of the 136 hospitals surveyed, which were mainly tertiary hospitals, responded to using outsourcing for their hospital information systems. "Hardware and software maintenance and support," "application development," and "management of service and staff" were the major areas of outsourcing. Outsourcing had been employed for $4\sim7$ years by 45.5% of the hospitals and the proportion of the budget used for outsourcing was less than 20%. A need for an extension in outsourcing was agreed on by 76.5% of the hospitals. The multiple logistic regression analysis showed that both consumer satisfaction and security risk have an influence on hospital information system outsourcing. Conclusions : Outsourcing in hospital information systems is expected to increase just as in other industries. One primary facilitator to outsourcing in other industries is consumer satisfaction. We found that this was also a facilitator to outsourcing in hospital information systems. Security risk, which is usually considered an inhibitor to information technology outsourcing, was proven to be an inhibitor here as well. The results of this study may help hospital information systems establish a strategy and management plan for outsourcing.

• 보건행정학회지
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• 제9권2호
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• pp.21-39
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• 1999

An increasing number of hospitals are seeking for new or mixed compensation strategies to improve the productivity of their medical staff in the struggle to provide high quality medical services at low costs amid the economic hardship. To motivate physicians toward the right direction, it is necessary to effectively evaluate their performance that provides a basis for compensation. However, productivity has been historically difficult to measure, particularly for physicians in academic medical centers who are expected to engage in research, education, and patient care simultaneously. The objectives of this study were to define performance measures of physicians and clinical departments in academic medical centers. to examine correlations between the measures. and to investigate factors affecting the measures. The performance data of 212 faculty physicians in 17 clinical departments in two university teaching hospitals affiliated to one medical school during the fiscal year 1994 was used for analyses. Patient care revenue, net profit. and adjusted number of patients were defined to measure the performance in patient care. and number of articles published in academic journals and research grant were defined for research activities. Both individual physicians' performance measures and per physician measures of clinical departments were analyzed. All measures defined to evaluate individual physicians' performance were positively related to each other. Clinical department and rank of faculty position were statistically significant predictors of revenue. and hospital. clinical department. and rank were significant predictors of net profit. journal publication. and research grant. Patient care measures defined to evaluate clinical departments were related to each other. so were research measures. and no significant correlations were found between patient care measures and research measures. Also found were large differences in department. ranks when clinical departments were evaluated by absolute per physician performance measures and evaluated by annual rate of changes in performance measures. These findings suggest that departmental performance measures opposed to individual performance measures are relatively free from problems of factors affecting the performance measures that are not in control of clinical departments or individual physicians. Results from the correlation analysis of departmental performance measures indicates that measures of research performance should be included in the evaluation to promote research activities in academic medical centers.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제22권3호
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• pp.7-15
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• 2016

Purpose: As medicare services have gotten spreaded, clinical laboratory has been dominant position. So, it has been acted for quality control and clinical pathology accreditation. But there has been quite deficient information to evaluate working space and technical standards of medical laboratory for accreditation. This study goals to figure out accreditation standard and design guideline for clinical laboratory, and to give safe and efficient design information. Methods: This study has been searched by literature for accreditation standards and design guidelines of clinical pathology in USA, UK, and Germany. Results: Three countries have accredited based on working lab space, staff space, storage space, patient space and health and safety equipment. Design guidelines of three countries commonly have focused on worktable layout, worktable distance and module, and specific laboratory biosafety level. And USA guidelines stress on the architectural design such as design process and passage distance for escape, UK stress on the efficiency as functional work flow and construction cost, lastly Germany design guidelines stress on the operator's safety distance and workstation. Three countries have not only accreditation standards but also design guidelines for more specific quality management, separating from accrediting institute. Implications: In korea, it has been needed to make clinical laboratory design guideline for the safe and efficient environment and reliable and competitive medical service.

• 정보관리학회지
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• 제20권1호
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• pp.5-29
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• 2003

우리나라 대학도서관에서는 디지털 패러다임에 적합한 디지털 정보자원을 구축하여 서비스를 제공하고 있으며 이를 위하여 디지털 보존에 힘써왔지만, 아직까지 본격적으로 연구되고 논의되지 않고 있다. 디지털 보존은 인쇄매체 보존 방법과 상이하게 다르므로 디지털 정보자원의 안정성과 기능성을 최대한 확보, 유지할 수 있도록 보존전략을 강구해야 할 필요가 있다. 본 연구는 대표적인 디지털 정보자원의 보존기술인 매체재생, 매체변환, 포맷변환, 정보전환, 에뮬레이션 기술의 대학도서관에서의 사용정도와 대학도서관의 디지털 정보관리 담당자들이 생각하는 각각의 보존 기술에 대한 위험가능성과 위험영향력을 조사하여 위험관리 분석을 하였다. 그 결과, 가장 빈번히 사용하되 있는 기법은 포맷변환이고 전혀 사용하지 않고 있는 기법은 에뮬레이션임을 알 수 있었다. 또한 위험이 발생할 확률과 데이터 손실 영향력이 가장 낮은 방법은 매체재생인 것으로 판명되었고 가장 높은 것은 에뮬레이션 기법과 정보전환으로 나타났고 사서들은 디지털 보존활동을 전문적으로 수행할 전담 담당자가 없는 경우 위험발생 확률이 제일 높을 것으로 보았다.

• 보건행정학회지
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• 제18권3호
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• pp.1-17
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• 2008

The measurement and management of patient satisfaction has become one of the key issues in the last two decades. Hospitals must thoroughly understand the needs of their customers and design products and health services that meet and exceed their expectations. The importance-performance analysis(IPA) is a widely used analytical technique that yields strategies for managing customer satisfaction in a variety of applications. IP A is a two-dimensional grid based on customer-perceived importance of quality attributes and attribute performance. Depending on the interplay of these two dimensions, four strategies can be derived. The aim of this study is to develop the management strategies for improving patient satisfaction in university hospitals using the I-P analysis. The attributes on inpatient service quality in 4 university hospitals was investigated using the Martilla and James(l977)' s a mean adjusted I-P grid where the axes of the grid cross at the average rating point of all items. The patient satisfaction questionnaires were completed by 600 hospital inpatients. The main statistical methods are path analysis and IPA with SPSS 12.0 and AMOS 4.0 statistical softwares. The two attributes, physician and medical service, administrative staff kindness attributes position in first quadrant(Keep Up the Good domain). The nurse and nursing service attributes position in second quadrant(Possible Overkill domain). The two attributes, convenience of check-in service, facilities and physical environment position in third quadrant(Low Priority domain). Finally the quality of inpatient service(food etc.) attributes position in fourth quadrant(Concentrate Here domain). These findings show various implications on the development of strategies in university hospitals in the future. It was determined that quality of inpatient service(food etc.) need to concentrate more on investments. These investments include a taste, price, proper provision of food service and quick response of pain management. A low priority was given to investment in streamlining the check-in process of inpatient and hospital facilities and physical environment in the long run.

• 한국콘텐츠학회논문지
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• 제13권10호
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• pp.533-546
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• 2013

본 연구는 온라인상에 남겨진 호텔이용후기에 대해 질적내용분석을 실시하여, 호텔이용자들이 지각한 고객가치의 차원에 대해 살펴보았다. 한국관광공사의 우수 호텔 브랜드인 베니키아 호텔가운데 의도적 표집방법에 의해 행정구역을 기준으로 하여 온라인 후기가 남겨진 10개소를 선정, 연구를 진행했다. 그 결과, 베니키아 호텔이용자들이 지각한 주된 고객가치로는 기능적 가치, 정서적 가치, 가격대비 가치, 인식적 가치, 조건적 가치가 있음을 확인했고 사회적 가치인식은 전혀 발현되지 않았다. 기능적 가치는 호텔이 응당 갖추어야할 기본적인 기능에 대한 평가였고 정서적 가치는 주로 이에 맞물려 생성되었다. 가격대비 가치는 고객이 지불한 비용대비 전체적인 경험의 질에 따른 가치인식이었다. 기존의 호텔고객가치 연구와는 달리, 본 연구는 식당 음식품질의 중요성, 호텔 주변 환경의 매력성도 호텔이용자의 경험에 관여하는 주요 요소임을 확인할 수 있었고, 질적내용분석방법을 통해 실제 고객들의 호텔이용경험에 대한 그 내면을 살필 수 있음을 알 수 있었다.

• 보건행정학회지
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• 제15권3호
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• pp.60-78
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• 2005

The main objective of this study is to define the nature of the patient service quality of Health Centers, and based on that, to examine the causal relationship of Health Center visitor's perceived service quality with overall satisfaction, intention to revisit and intention to recommend. Data are collected on the basis of the second field survey of '3rd Regional Health Care Planning' operated by the Ministry of Health and Welfare(MOHW). In this study, the 24 patient satisfaction questions are used as outcome indicators. The samples are 3,091 patients who visited 68 Health Centers. The reliability and validity of patient service quality items was evaluated. Finally, the Structural Equation Modeling(SEM) analysis was conducted to find a causal relationship of service quality, patient satisfaction, intention to revisit and intention to recommend. This study shows firstly, the dimension of patient service quality was categorized into 3 dimensions, that is, facilities and environment, staff kindness, and convenience of utilization process. Secondly, the reliability and validity of patient service quality items was satisfied. Lastly, the total effect of convenience of utilization process factor on satisfaction(path coefficients=1.721), intention to revisit(0.843) and intention to recommend(0.696) is more higher than other variables. These findings imply that the quality of various services concerning convenience of utilization process at Health Centers should be improved to satisfy the health need of community people and improve the service quality of Health Centers.

• 한국문헌정보학회지
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• 제54권3호
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• pp.97-114
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• 2020

본 연구는 국내 대학도서관진흥종합계획 수립을 위한 기초자료로 활용될 수 있는 주요 정책과제 개발을 목적으로 하였다. 이를 위해 국내외 대학도서관 발전계획 관련 선행연구 분석을 통해 대학도서관의 비전 및 역할, 정보자원, 연구지원, 교수학습 및 서비스 등의 기본 요인을 도출하였다. 이러한 요인을 기반으로 14개 대학 도서관 사서를 대상으로 인터뷰를 실시한 결과 1계층 4개 분야, 2계층 12개 추진과제, 3계층 24개 세부과제가 도출되었다. 인터뷰에서 도출된 정책과제에 대한 중요도 및 우선순위를 파악하기 위하여 학계 및 현장 전문가 6명을 대상으로 계층적 분석 방법(AHP)을 실시하였다. 그 결과 중요도가 높은 분야 및 추진과제를 중심으로 '학술정보자원 확충 및 공동 활용', '학습·연구지원 큐레이션 서비스 확대', '이용자 중심의 스마트 도서관 서비스 강화', '법·제도적 기반 고도화' 등 4대 분야 및 대학도서관 진흥 및 가치 제고를 위한 분야별 11개 추진과제, 23개 세부과제가 도출되었다.

• 한국기록관리학회지
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• 제18권1호
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• pp.177-202
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• 2018

본 연구는 헌법기관으로 지정된 선거관리위원회의 특수한 가치에 주목하여 선거관리위원회에서 생산되는 기록물의 특성을 연구하였고, 기록관리 현황을 분석을 통해 문제점을 도출하였다. 나아가 이를 바탕으로 선거관리위원회의 기록관리 개선방안을 제안하고자 했다. 이를 위해 먼저 선거관리위원회의 단위업무를 분석하여 생산기록물을 조사하고 그 특성을 파악하였다. 선거 상황별 기록관리 현황 분석하여 문제점을 도출했으며 처리과 직원과 기록관리 담당자 면담을 통하여 실무와 법제간의 차이를 분석하였다. 개선방안은 제도와 시설, 인력과 활용 및 서비스 측면으로 나누어 제시하였고, 이를 통해 선거관리위원회에서 생산되는 기록물의 고유한 특성을 규명하고 효과적인 기록관리 방안에 대하여 제언하였다.