• 제목/요약/키워드: hospital efficiency

검색결과 1,020건 처리시간 0.035초

Comparison of masticatory efficiency according to Angle's classification of malocclusion

  • Bae, Jungin;Son, Woo-Sung;Kim, Seong-Sik;Park, Soo-Byung;Kim, Yong-Il
    • 대한치과교정학회지
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    • 제47권3호
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    • pp.151-157
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    • 2017
  • Objective: The objective of this study was to investigate the differences in masticatory efficiency among patients with different Angle's classes of malocclusion and to assess the correlation between masticatory efficiency and the occlusal contact area. Methods: The mixing ability index (MAI) was calculated for measuring masticatory efficiency of 61 adult patients according to Angle's classifications of malocclusion. The study included 25, 15, and 21 patients with Angle's Class I, II, and III malocclusions, respectively. Silicone interocclusal recording material was used to measure the occlusal contact area. Results: Both the MAI and occlusal contact area showed the highest average values in the Class I malocclusion group, followed by the Class II and Class III malocclusion groups. No significant difference was observed in the MAI values between the Class I and Class II malocclusion groups (p > 0.05), whereas a significant difference was observed between the Class I and Class III malocclusion groups (p < 0.01) and between the Class II and Class III malocclusion groups (p < 0.05). A weak positive correlation was also observed between the MAI and occlusal contact area (p < 0.01, $r^2=0.13$). Conclusions: The results of this study indicated that masticatory efficiency was the highest in patients with Angle's Class I malocclusion, followed by those with Angle's Class II and Angle's Class III malocclusions. Moreover, a weak positive correlation was observed between masticatory efficiency and the occlusal contact area.

DEA모형을 활용한 한방병원의 경영효율성 분석 (Management Efficiency Evaluation of Korean Medicine Hospitals by Data Envelop Analysis(DEA) Model)

  • 박주언;최병희;임병묵
    • 대한예방한의학회지
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    • 제17권3호
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    • pp.103-114
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    • 2013
  • Objectives : This study aimed to analyze the management efficiency of Korean Medicine hospitals for recent 10 years(2001~2010) using the Data Envelop Analysis(DEA) model. Methods : We collected the management data of 23 Korean Medicine hospitals for DEA model from the Korean Oriental Medicine Hospitals' Association (KOMHA). Input variables of DEA model are numbers of beds, numbers of doctors, numbers of nurses and numbers of other staffs of each Korean Medicine hospitals. Output variables are numbers of inpatients and numbers of outpatients of each Korean Medicine hospitals. Based on the DEA model, we calculated the efficiency score of each Korean Medicine hospital and compared it by hospital's ownership, location, and size. Results : Average DEA efficiency scores of Korean Medicine hospitals by year ranged from 0.86 to 0.92. Private owned hospitals showed higher efficiency scores than the university affiliated hospitals with statistical significance (p=0.001). And Korean Medicine hospitals located in capital region of Korea(Seoul City, Incheon City, Gyeonggi-do) and the rest Korean Medicine hospitals did not show statistical difference (p=0.516). Lastly, Korean Medicine hospitals with different size did not show statistical difference in management efficiency (p=0.499). Conclusion : We have found that Korean Medicine hospitals management efficiency have not changed throughout 10 years, and that different ownership forms of Korean Medicine hospital show statistical difference in management efficiency while location, and size do not.

병원도산분석에 기초한 효율적인 병원지원방안에 관한 연구 (Policy Direction for Subsidizing Hospitals based on Technical Efficiency)

  • 정기택;이훈영
    • 한국병원경영학회지
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    • 제4권2호
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    • pp.219-241
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    • 1999
  • This study used the Data Envelopment Analysis, a mathematical linear programming method, to evaluate cost efficiency of hospitals in Korea. DEA method was applied to 244 hospitals: 31 bankrupt hospitals and 213 survived hospitals. Among the 213 sound hospitals, 11 hospitals showed efficiency score 100, but more than 40 hospitals recorded efficiency scores lower than 60. This result implies that more hospitals can be bankrupt in the restructuring process of the industry within 1-2 years. Among the 31 bankrupt hospitals, the highest technical efficiency score was 0.821 and 11 hospitals showed technical efficiency lower than 0.6. This implies that selective financial support based on cost efficiency by the government will be valuable to prevent bankruptcy of these hospitals. The logistic analysis showed statistically significant relationship between bankruptcy and efficiency of hospitals in Korea.

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민간 권역 감염병 전문병원의 공간구성 및 동선에 관한 건축계획 연구 (A Study on the Architectural Planning of Spatial Composition and Circulation in Private Regional Infectious Disease Hospital)

  • 최광석;정다운;권순정
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제25권4호
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    • pp.81-91
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    • 2019
  • Purpose: Since infectious disease hospitals are premised on emergency operations, the operational efficiency of secured personnel, equipment, facilities, etc. is relatively low. In order to increase such normal operational efficiency, it is necessary to flexibly operate facilities and operations during normal and emergency times. The purpose of this study is to suggest the architectural planning method focusing on the space composition and circulation of the regional infectious disease hospital which can increase the operational efficiency in the private hospitals. Methods: Through literature review, functional requirements of infectious disease hospitals were identified, and related personnels inter-views and field surveys were conducted to understand the spatial composition and circulation requirements of infectious disease hospitals. Results: Through the complete separation between the negative pressure zone and the general zone, even when the negative pressure zone is completely closed, the general zone should be operated separately to achieve operational efficiency. In addition, the separation of the negative pressure zone and the general zone should simultaneously consider the optimal space configuration and movement for each function while the zone settings match in the floor plan of each department and the overall cross-sectional configuration of the hospital. Implications: Infectious disease hospitals intended to be installed in private hospitals should not apply excessive space just for safety reasons and should plan to ensure their operational efficiency.

병원건물 분산에너지시스템 도입에 따른 경제성분석 (The Basic Study on Economic Evaluation of Distributed Energy System Installed in Hospital)

  • 홍원표;김병수
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2009년도 제40회 하계학술대회
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    • pp.1136_1138
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    • 2009
  • This paper gives a basic Energy performance data of micro gas turbine and Renewable Energy(BIPV and Solar Collector System) installed in Hospital Building. The efficiency of solar collector and BIPV system was 30%, 10% individually, and lower than micro gas turbines. Micro gas turbines are small gas turbines that burn gaseous and liquid fuels to produce a high-energy exhaust gas and to generate the electrical power. Recently the size range for micro gas turbines is form 30 to 500kW and power-only generation or in combined heat and power(CHP) systems. If micro gas turbine was operated only for electric energy, the efficiency was about 30%, but for combined heat and power, the efficiency was about 90%. Finally, installed in large hospital, Micro gas turbine system was operated to CHP mode, was high-efficiency system than Solar collector and BIPV system.

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병원건물의 마이크로터빈과 신재생에너지도입에 따른 경제성평가 기초연구 (The Basic Study on Economic Evaluation of Micro-turbine and Alternative Energy system Installed in Hospital)

  • 김병수;홍원표
    • 한국조명전기설비학회:학술대회논문집
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    • 한국조명전기설비학회 2009년도 춘계학술대회 논문집
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    • pp.439-444
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    • 2009
  • This paper gives a basic Energy performance data of micro gas turbine and Renewable Energy(BIPV and Solar Collector System) installed in Hospital Building. The efficiency of. solar collector and BIPV system was 30%, 10% individually, and lower than micro gas turbines. Micro gas turbines are small gas turbines that bum gaseous and liquid fuels to produce a high-energy exhaust gas and to generate the electrical power. Recently the size range for micro gas turbines is form 30 to 500kW and power-only generation or in combined heat and power(CHP) systems. If micro gas turbine was operated only for electric energy, the efficiency was about 30%, but for combined heat and power, the efficiency was about 90%. Finally, installed in large hospital, Micro gas turbine system was operated to CHP mode, was high-efficiency system than Solar collector and BIPV system.

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지방의료원의 효율성 및 생산성변화 분석 (Analyzing Regional Public Hospitals' Efficiency and Productivity Change)

  • 전진환;김종기
    • 한국콘텐츠학회논문지
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    • 제10권5호
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    • pp.303-313
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    • 2010
  • 본 연구의 목적은 DEA(자료포락분석)의 CCR, BCC 모형과 MPI(맘퀴스트 생산성 지수)에 대한 분석을 통해 지방의료원의 효율성과 생산성 변화를 평가하는데 있다. 이는 DEA 모형이 DMU(의사결정단위)의 효율성을 평가할 수 있는 비모수적 기법이며, 또한 MPI가 특정 조직의 생산성 변화를 평가하는데 유용한 기법이기 때문이다. 이를 위해 본 연구는 2003년부터 2008년까지 34개 지방의료원의 6년간 시계열 데이터를 효율성 분석에 활용하였다. 본 연구의 결과는 다음과 같이 요약된다. 먼저, 지방의료원은 평균 3.6%의 경영 비효율성을 포함하고 있는 것으로 나타났으며, 이는 DMU의 기술 비효율성에 비해 규모 비효율성에 더 큰 원인이 있는 것으로 분석되었다. 두 번째, MPI 분석을 통해 지방의료원은 기술효율성을 증대시킴으로써 총생산성 증가를 도모해야 함을 알 수 있었으며, 이를 위해 지방의료원의 내부혁신과 정부차원의 정책지원이 필요하였다.

일차의료기관 병원코디네이터 업무역할 연구 (A Study on the Role of Hospital Coordinator in Primary Health Clinics)

  • 정연화;임복희;김혜숙
    • 보건의료산업학회지
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    • 제4권1호
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    • pp.71-86
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    • 2010
  • The purpose of this study is to promote efficiency of hospital management with customer satisfaction by understanding qualitative system about more systemic hospital service coordinator's job under analyzing the satisfactory degree and coherence of hospital service coordinator's job because of increase of customer need level by medical environment improvement and the variety of offering method of medical service. I allocated a questionnaire per each hospital around dentistry, Oriental medicine clinic, plastic surgery in medical examination department and withdrew questionnaire on total 662 hospitals. According to the study results stated above, generally necessity on employment of a hospital service coordinator appeared high and To the necessity, I considered that a hospital service coordinator's job must strengthen the role for going still more to customer with discriminated mind and service not simple kind service to medical consumer, with establishing more systematic and realistic educational culture in qualification and educational department of a hospital service coordinator. Also a hospital service coordinator must be changed to promote customer satisfaction and efficiency of hospital management by more systematic business assignment and role establishment.

DEA분석을 통한 국내 수도권 주요 대학병원의 효율성 분석 (An Analysis of Efficiency in Major University Hospitals in Domestically Capital Area Through DEA Analysis)

  • 박병태;이동현
    • 한국병원경영학회지
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    • 제16권4호
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    • pp.35-66
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    • 2011
  • This study analyzed efficiency by utilizing DEA analytical technique centering on materials for 2009 of 20 major university hospitals in capital area. Input variables were utilized professor & full-time doctor, resident, nurse & number of bed hospitals. Output variables were analyzed by dividing number of annual outpatients & number of annual inpatients, and annually total outpatient profit & inpatient profit into a model of the standard for number of patients and the standard for medical profit. DEA analysis was elicited efficiency score by applying CCR, BCC, BFG, scale profit, and SE model. Through t-test after eliciting efficiency score, the implications were suggested by comparing efficiency between DMU in Seoul and DMU in capital area, by comparing between high-class general hospitals and general hospitals, and by comparing between high-class general hospitals in Seoul and 5 big hospitals. As a result of analysis, the major university hospitals in capital area showed high efficiency as a whole close to "1," but indicated low efficiency relatively in CCR field. Thus, the expansion in scale within capital area was indicated to reach the limit. Second, in a model of analyzing the standard for number of patients, the medical institutions, which are being operated efficiently, were indicated to be 10 DMUs. In the standard for medical profit, 12 DMUs were analyzed to be operated efficiently. Third, the efficiency in general hospital was higher than high-class general hospital. Thus, the efficiency of operation was indicated to be more important than scale. Also, large high-class hospitals(big 5) where are located in downtown Seoul showed the higher efficiency than other general high-class general hospitals, but were indicating very low efficiency in some DMUs. Fourth, as a result of generalizing and evaluating the number of patients and the medical profit, the efficient DMU was indicated to be more when analyzing on the basis of medical profit than the standard for number of patients. Thus, major university hospitals in capital area were indicated to make more effort for section in medical profit. Based on the analytical results of efficiency, a strategy for reinforcing efficiency in inefficient DMU was indicated to be needed a strategy of creating customers for promoting number of patients and a strategy for making operation efficient for increasing profitability.

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의료기관의 인건비투자효율과 의료이익률 간의 관계 (The Relationship of Value Added to Personnel Expenses and Operating Margin in Hospitals)

  • 정용모
    • 보건의료산업학회지
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    • 제5권1호
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    • pp.77-85
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    • 2011
  • The study intends to conduct an analysis of relations between efficiency of investment to human resources and the operating margin in hospitals. The analyzed results are as follows: First, it is found out that an index related to labor productivity(the monthly value added per bed, the value added ratio to gross revenue), and an index for efficiency of human resources(value added to personnel expenses), do not have a significant difference by years. Second, labor productivity, indicating the efficiency of human resources, does not have a significant difference between regions and between hospital types. But there is a significant difference according to types of establishment: private hospitals have higher labor productivity(efficiency of human resources) than corporate hospitals. The hospital size is small have significantly higher labor productivity. As a result of a follow-up check, it is found out that there is separation between a group with more than 200 beds and a group with less than 200 beds. Third, at the relations between the indices related to value-added productivity and the operating margin that the higher the value added ratio to gross revenue and the higher labor productivity, the higher the operating margin. Especially, labor productivity(value added to personnel expenses), an index for the efficiency of human resources, out of all the indices related value added productivity, has the most significant influence on the operating margin.