• 한국콘텐츠학회논문지
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• 제16권9호
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• pp.512-522
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• 2016

본 연구는 진료기록에 대한 일반인의 인식과 태도를 오픈노트(Open Notes)운동을 중심으로 알아보고, 우리나라 임상진료현장에서 오픈노트제도의 도입 가능성을 확인하는 것을 목적으로 한다. 연구 결과를 요약하면 다음과 같다. 일반인들은 주로 인터넷을 통해 건강정보를 얻고 있으며, 병원의 진료정보와 관련하여서는 보험회사에 제출하기 위한 진료비관련 기록을 주로 이용하였다. 또한 진료기록에 대해서는 의사나 병원이 위조 혹은 변조할 가능성이 있다고 인식하고 있었으며, 대부분의 응답자가 진료기록을 언제든 확인할 수 있다면 병원이나 의사에 대해 더 신뢰할 수 있다고 응답하였다. 한편 오픈노트 운동에 대해서는 대부분 좋은 아이디어라고 생각하고, 우리나라에서도 오픈노트제도가 시행되어야 한다는데 동의하였으며, 오픈 노트제도가 시행된다면 참여하겠다고 응답하였다. 결론적으로, 진료기록의 투명성을 추구하는 오픈노트제도의 도입은 의사-환자 간 신뢰에 기여하여, 의사-환자 간 커뮤니케이션에도 긍정적인 영향을 기대할 수 있을 것이다.

• Journal of Korean Neurosurgical Society
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• 제63권3호
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• pp.366-372
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• 2020

This article recounts the author's personal views and recollections of the history, conception of embryogenetic theories, application of intraoperative electrophysiology, and development of prospective treatment recommendations of several important spinal dysraphic malformations, including limited dorsal myeloschisis, dermal sinus tract, retained medullary cord, terminal myelocystocoele, and complex spinal cord lipomas.

• Clinical and Experimental Pediatrics
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• 제63권7호
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• pp.237-238
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• 2020

• Archives of Plastic Surgery
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• 제47권1호
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• pp.110-113
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• 2020

• 벤처혁신연구
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• 제6권4호
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• pp.133-151
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• 2023

본 연구의 목적은 요양병원의 입원결정 및 유지에 관한 영향력이 가장 큰 주보호자들이 지각하는 요양병원의 의료서비스 품질이 고객충성도에 미치는 영향을 실증적으로 분석하는 것이다. 또한 요양병원의 의료서비스품질이 고객신뢰와 고객만족에 어떠한 영향을 미치는지를 검증하고, 고객신뢰와 고객만족이 고객충성도에 미치는 영향을 검증하여 요양병원의 생존에 필요한 이론적, 실무적 시사점을 제공하는 것을 목적으로 하고 있다. 본 연구의 결과는 다음과 같다. 첫째, 요양병원 의료서비스품질의 구성요소인 유형성, 신뢰성, 반응성, 공감성의 4가지 요인이 고객신뢰에 유의한 영향을 미치고 있는 것으로 나타났다. 둘째, 요양병원 의료서비스품질의 구성요소인 유형성, 신뢰성, 확신성, 반응성, 공감성의 5가지 요인이 고객만족에 유의한 영향을 미치고 있는 것으로 나타났다. 셋째, 요양병원 의료서비스품질의 구성요소인 유형성, 신뢰성, 확신성, 반응성, 공감성의 5가지 요인 중에서 신뢰성 요인이 고객충성도에 유의한 영향을 미치고 있는 것으로 나타났다. 이는 의료서비스품질은 고객신뢰와 고객만족의 매개변수를 통하여 고객충성도에 영향을 미치고 있음을 의미한다. 넷째, 요양병원 주보호자가 지각하는 고객신뢰는 고객충성도에 유의한 영향을 미치고 있는 것으로 나타났다. 다섯째, 요양병원 주보호자가 지각하는 고객만족은 고객충성도에 유의한 영향을 미치고 있는 것으로 나타났다.

• 한국병원경영학회지
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• 제20권4호
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• pp.14-30
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• 2015

Purpose: This study was conducted to investigate the independent role of sub-dimensions of job stress, DiSC(R) type of personal behavior, and organizational social capital on job satisfaction and to identify the structural relation among them. Method: Study subjects were 317 registrated nurses employed in 4 general hospitals in a metropolitan city. Results: As the results of multiple regression analysis, the factors influenced independently on overall job satisfaction were as follows; job stress were significantly decreased job satisfaction. Regarding DiSC, job satisfaction of influence type was significantly higher than that of conscientiousness type. Of sub-dimension of OCS, the higher common value and reciprocity were, the high over all job satisfaction, but in a sub-dimension(trust), the relationship was reversed. Major findings of structural equation model analysis were as follows. Regarding DiSC, there were founded only direct effect on job satisfaction(D, i, S>C in relations with peer and others, job performance, retrospectively). Regarding common value of OCS, there were founded significant positive direct effect and indirect effect via job stress on all sub-dimensions of job satisfaction. Regarding trust of OCS, there were founded negative direct effect alone on 2 sub-dimensions of job satisfaction(work itself, job performance). Regarding trust of OCS, there were founded positive direct and indirect effect on satisfaction towards work itself, and indirect effect alone on 2 sub-dimensions(relations with peer and others, job performance). Conclusion: Summing up above finding, to manage job satisfaction of nurses, it is suggested for nursing staffs to provide behavioral training programs according to type of DiSC(R) and to introduce strategic programs fostering organizational social capital such as common vision and reciprocity.

• Asian Pacific Journal of Cancer Prevention
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• 제16권15호
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• pp.6557-6559
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• 2015

Background: Cervical human papillomavirus (HPV) infection among young women (20-25 years of age) is common and normally transient. There are growing concerns that referral to a colposcopy clinic may lead to unnecessary treatment with an increased risk of obstetric complications. Therefore, the purpose of this study was to determine the level of intervention for cervical abnormalities in this age group of the Northern Ireland population. Materials and Methods: A review of all serial new patients under 25 years of age, who were referred to colposcopy clinics in Northern Ireland between January 1, 2009 to June 30, 2009 formed the basis of this study. Results: During the study period, a total of 4,767 women under 25 years of age were screened. Two-hundred-and-thirty-four (4.9%) cases were referred to the colposcopy clinics. The cervical cytology results were: high-grade abnormality in 35%, and low-grade abnormality in 31% of these cases. One-hundred-and-seventy-eight (76%) of the referred women received at least one treatment. One-hundred-and-twenty-one of 234 (51.5%) women underwent an excisional treatment with histology showing the presence of high-grade abnormalities (CIN2-3) in 52%, CIN1 in 28%, and Koilocytosis or normal tissue in 20% of this sub-group of cases. Conclusions: Screening women under the age of 25 years cause unnecessary referral for colposcopy. This may also result in considerable anxiety and psychosexual morbidity. It leads to an over-treatment with a potential of negative impact on the future pregnancy outcomes (including pre-term delivery, low birth weight, and pre-term premature rupture of membranes).

• 디지털융복합연구
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• 제14권4호
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• pp.315-324
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• 2016

본 연구에서는 공공병원 직원의 직종별 의사소통, 동기부여, 상호신뢰감, 근무환경, 공정한 보상, 직무성과 만족의 차이점을 살펴 본 후 조직성과에 영향을 미치는 요인을 파악하고자 한다. 이를 통해 공공병원 직원들의 조직성과를 극대화 할 수 있는 대안을 제시 하였다. 조사기간은 2014년 10월 05일부터 10월 31일까지 하였으며, 공공병원에서 근무하고 있는 232명으로부터 자료를 수집하여 분석대상으로 하였다. 분석방법은 ANOVA분석, 회귀분석을 실시하였으며, 결론을 보면 직종별로 의사소통, 동기부여, 상호신뢰감, 근무환경, 공정한 보상, 직무성과 만족에서 p<0.05이상에서 유의한 차이가 나타났다. 또한 조직성과에 영향을 미치는 요인으로 간호직은 의사소통, 공정한 보상(p<0.001)이 진료지원직은 연령, 고용형태(p<0.05), 공정한 보상(p<0.001), 행정직은 동기부여, 공정한 보상(p<0.05)이 조직성과에 영향을 미치는 요인으로 나타났다. 앞으로 병원 직원의 직종별에 대한 효율적인 인적자원관리 시스템이 필요하며, 조직구성들이 소속감을 고취시킬 수 있는 인적자원관리 개선 노력이 선행되어져야 할 것이다.

• 보건의료산업학회지
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• 제4권2호
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• pp.97-106
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• 2010

Recently hospitals are trying to meet requests of patients by reflecting regular survey results of patients into hospital's management in order to increase patients' satisfaction and the rate of return visit. In this paper, degree of patients' satisfaction and the rate of return visit were analyzed using surveys of hospital selection factors and the characteristics of aesthetic plastic surgery. This analysis results can be used as data for setting up efficient management direction of aesthetic plastic surgery hospitals. In the main results, facilities and medical trust factor was the primary cause for aesthetic plastic surgery patients to select hospitals and the results showed that hospitals have to consider carefully not only aesthetic plastic surgery patients but also guardians such as parents or friends because patients are acquiring surgery information from them. The results also showed approachableness to hospitals was not important factor to select a hospital.

• Child Health Nursing Research
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• 제28권3호
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• pp.197-207
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• 2022

Purpose: The purpose of this study was to investigate how pediatric intensive care unit (PICU) nurses and the mothers of hospitalized children perceived their partnership and identify the detailed differences in the common domains of partnership between them. Methods: A qualitative descriptive design with semi-structured and open-ended interviews was used. Interviews with mothers of hospitalized children and nurses in the PICU were conducted at a national university hospital in South Korea. Results: Five integrated categories were identified concerning nurses' and mothers' perceptions of partnership. Five common domains were derived by merging the partnership categories perceived by each PICU mother and nurse: expectation of trust, sharing and communication, participation in care, equality in the relationship, and coordination of opinion However, there were significant differences in the composition of the categories of these common domains. Conclusion: These results may facilitate more effective partnerships between parents and PICU nurses. Efforts should be taken to promote the formation of trust between nurses and parents and create an environment that is conductive to regular open communication in particular, steps should be taken to reduce gaps in awareness concerning this partnership and information sharing, nursing methods, and decision-making.