• 한국경영과학회지
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• 제37권4호
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• pp.211-223
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• 2012

This study purposed to evaluate the influences of rival hospitals on the number of patients who visited the a study territory hospital. Spatial analysis technique was used to measure the impact of rival hospitals in study region. Selected hospitals were all medical school affiliated hospitals which were located in Daejeon metropolitan city and Chungchungnamdo. Patient data was collected from the claims data of the study hospital, and the number of inpatient and outpatients who visited the study hospital between January and June in 2008 were calculated on the smallest administrative district, Eup, Myeon, and Dong, in study region. To control the differences of regional characteristics among Eup, Myeon, Dong, socio-economic variables (total population, number of people aged over 65, number of basic livelihood security recipients, distance from the study hospital to the centroid point of each Eup, Myeon, Dong, number of business, and number of employees) were included in analysis model. These variables were collected from the annual year book of city as well as county located in study region. Cluster analysis classified the study region into three groups by using the difference of between th actual number of inpatient/outpatient and the predicted number of inpatient/outpatient in Eup, Myeon, and Dong. Most areas around the rivalry hospitals were categorized into same group. Multiple regression analysis indicated that areas around rivalry hospitals had statistically significantly negative relationship with the number of inpatients and outpatients who visited the study hospital. As the buffer size was increased from 5Km to 10Km, the standardized regression coefficients were decreased. These study results confirmed that rivalry hospitals in region had negative impacts on the performance of hospitals. It suggests that hospitals will require not only to select their location to minimize the effects of rivalry hospitals, but also to establish their strategy to cope with the rivalry's threats in their region.

• 한국병원경영학회지
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• 제15권2호
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• pp.84-106
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• 2010

Ensuring the confidentiality of patient records is critical requirement for quality of care and in fulfilling legal obligation of healthcare organizations. This study analyzed the behavior of hospital employees who are dealing with confidential patient information in a hospital. Theory of Planned Behavior(TPB) model and TPB expanded models that add habit concept to TPB are tested for the validity in explaining the predisposing factors that affect the behavior of hospital employee in ensuring the confidentiality of patient records. Data were collected by administrating a survey to the 350 employee of a tertiary care hospital. Of the 350 questionaries distributed, 321 were responded resulting 92% of response rate. The mean differences among the groups classified by age, years of experience, gender, and occupation were analysis using ANOVA. The relationships among the concepts suggested in the models were analysed by applying the Structural Equations Modeling method. The results of ANOVA indicated significant mean differences in the frequency of confidentiality ensuing behavior. Administrative staff and medical technicians show higher frequency of ensuing behavior compared to the physicians and the nurses. And more experienced employee show more confidentiality ensuring behavior. The results of Structural Equations analysis showed that the strong effect of habit and attitude in predicting the behavior. However, the effect of perceived behavioral control was not significant. Based on the results the theoretical and practical implications are discussed.

• 한국병원경영학회지
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• 제4권2호
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• pp.85-105
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• 1999

The main purpose of this article is to analyze the managerial performance of small and medium-size hospitals that are specialized in certain areas of medical services. Data of 189 hospitals were obtained from the data file of Korea Institute of Health Services Management The items include general characteristics of the hospitals, fianancial reports, and utilization records. Degree of specialization is measured by concentration(Herfindahl) index, and the sample hospitals are accordingly classified into specialized and unspecialized groups, by means of cluster analysis. These groups are compared in terms of various measures of managerial performance, which include several profitability indices such as operating margin, return on assets(ROA), and return on equity(ROE). To examine the relationship between specialization and managerial performance, we estimate the regression model, where the profitability indices are used as the dependent variables and the concentration index as the independent variable, controlling for the hospital characteristics such as size, type and location. Also, we perform 'Du Pont' analysis, to investigate the basic elements that can explain the differences in profitability between specialized and unspecialized hospitals. Major findings are as follows: 1. Managerial performance is better for the specilized hospitals than the unspecilized, in all aspects of profitability(operating margin, ROA, ROE). 2. Regression analysis suggests that there is a positive, statistically significant relationship beween the degree of specialization(i.e. concentration) and hospital profitability. 3. Main reason for the higher profitability of specialized hospitals lies in lower expenses rather than higher revenue. 4. In particular, personnel and material expenses are significantly smaller for the specialized hospitals, and this result seems to stem from the efficiency of operating fewer lines of business.(some kind of 'economies of scale') 5. Specialized hospitals also have fewer employees compared with the unspecialized, especially in administrative departments, which implies their efficient personnel management.

• 보건행정학회지
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• 제11권4호
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• pp.54-69
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• 2001

This study was conducted to assess factors associated with the degree of performance of qualify improvement(QI) activities. A mailed questionnaire survey was conducted between September 15 and October 30, 2000, with the staffs being charge of QI at each of the hospitals with 400 beds or greater. Of the 108 hospitals eligible for inclusion in our study, 79 participated, yielding a response rate of 73.1%. After excluding 12 hospitals that did not perform any QI activities, 117 responses from 67 hospitals were used for the analysis. Using the Malcolm Baldrige National Quality Award Criteria(MBNQAC), perceived performance of QI was measured in terms of the improvement of the quality of clinical practice, clinical supporting department, administrative procedure of receiving care, customer satisfaction, efficiency and standardization of work process. Factors evaluated for the association were the extent of QI implementation, compliance to 5 QI principles, participation of hospital CEOs, budget allocation, history of QI, and bed size. Path analysis was performed to assess the relationship between QI performance and these factors. Major findings of this study are as follows. Hospitals showing higher degree of QI implementation (path coefficient=0.5967, p<0.001)) and better compliance with the basic principes of QI(0.5736, p<0.05) tended to achieve better performance. Path analysis results showed that interest and participation of hospital CEOs(0.1954, p<0.05) and compliance with the basic principes of QI(0.4028, p<0.0001) indirectly affected the outcomes of QI by influencing the intermediate variable of the level of QI implementation. This study results suggest that having employees have a good orientation of the basic concept and principes of QI through relevant training be the most important requirement to achieve better outcomes from QI activities. In addition, to educate leaders of hospitals the need of active implementation of QI is important to encourage their participation and draw strong support for QI programs.

• 한국콘텐츠학회논문지
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• 제9권6호
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• pp.275-288
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• 2009

본 연구는 응급의료정보센터 직원의 직무인식 및 만족도를 조사하여 직원들의 직무만족을 향상시키고, 나아가 응급의료정보센터의 발전에 대한 긍정적인 제안을 위하여 조사되었다. 본 연구의 결과 직원들은 응급환자의 안내 및 상담업무를 가장 중요하고, 잘 수행하고 있다고 응답하였다. 또한 이송중인 응급환자에 대한 응급처치의 지도 및 이송병원의 안내 업무의 난이도가 높다고 조사되었다. 근무 시 업무에 대한 사명감과 직무 만족도는 보통 이상인 편이나, 전체적인 근무조건, 급여만족도는 만족하지 않게 나타났다. 환자 상담시 모두 스트레스를 느끼고 있었고, 특히 환자를 직접 볼 수 없는 상태에서 제한된 정보로 응급실 내원이나 지속관찰 등을 결정해야 하는 면과 근무인력부족에서 스트레스가 많았다. 또한 정보센터의 위상에 대해서는 정보센터의 정체성에 대해 문제가 크다고 생각하고 있었고, 그로 인해 행정기관과 응급의료기관, 119 구급대와의 응급처치지도, 이송정보 제공 및 병원안내와 같은 유기적인 업무 협조체계를 구축하는 것이 어렵다고 느끼고 있었다.

• 한국산업보건학회지
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• 제29권1호
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• pp.27-33
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• 2019

Objective: This study analyzed the status of the application of trade secrets in MSDSs according to size and type of industry. The contents of the MSDS non-public approval policy are summarized. We suggest proactive improvement requirements related to the operation of the MSDS non-public approval policy. Methods: To review this subject, we selected 153 manufacturers and six importers in such fields as organic chemical production. The trade secrets application status and ratio (%) of MSDSs by industry size and industry classification were investigated. Improvements toward a proactive system related to the operation of the MSDS non-public approval policy under the Occupational Safety and Health Act(OSHA) were summarized. Results and Conclusions: According to the results, the trade secret ratio in MSDSs by industry size was 33% in workplaces with less than 50 employees, 23.1% in workplaces with more than 50 but less than 100 workers, 73% in workplaces with more than 100 workers, and 83.4% in workplaces with 300 or more workers. For the trade secret writing rate for MSDSs by industry, the highest was MOCCP (Manufacture of ink, paint, coating and similar products) at 80.9%. MOC (Manufacture of other chemicals) was the lowest at 16.2%. We propose four proactive efforts to minimize the administrative burden of implementation of the MSDS non-public approval policy. The results of this study can be used as basic data for policy improvements to make more effective use of MSDS.

• 한국콘텐츠학회논문지
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• 제15권2호
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• pp.242-251
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• 2015

본 연구는 미국의 '쉬운 언어 정책'을 대상으로 정책의 제도화 과정에서의 법령과 추진체계를 분석하고 결론을 도출하여 한국의 쉬운 공공언어 프로젝트에 유의미한 시사점을 제시하는데 목적이 있다. 분석결과를 요약하면 다음과 같다. 첫째, 미국의 쉬운 언어 정책이 제도로 정착되기까지 행정부의 수반인 대통령의 지속적인 관심과 연방기관들의 솔선수범이 중요한 역할을 하였다. 둘째, 미국의 쉬운 언어 정책집행에 있어서 시대별로 마련된 법령들은 연방기관들의 의무적 준수를 끌어낼 수 있도록 기여했다. 셋째, 쉬운 언어 정책의 추진주체는 PLAIN(Plain Language Action and Information Network, 쉬운 언어 활동 정보 네트워크)이라는 행정부처가 아닌 연방공무원과 전문가로 이뤄진 커뮤니티이다. 넷째, 쉬운 언어정책은 공교롭게도 개혁성향의 민주당 출신 대통령들과 행정부로부터 전폭적인 지지와 지원을 받았다. 다섯째, 2000년대 이후 대부분의 연방부처와 기관들은 쉬운 언어 웹사이트를 운영하고 자체적으로 쉬운 언어 프로그램을 보유하고 있다. 결론적으로 현행 미국의 쉬운 언어 정책은 국민과 정부 간 명실상부한 의사소통을 향상시키는 메커니즘이자 신뢰사다리로서의 역할을 수행한다.

• 대한치과기공학회지
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• 제33권2호
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• pp.159-170
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• 2011

Purpose: This study were to analyze satisfaction with job ability development training among Dental Technicians', examine the degree of their actual satisfaction with training courses and their status, and provide some basic data to help improve the quality level, satisfaction, and effective operation of job ability development training in the future. Methods: This study carried out self-administered questionnaire survey from January 15, 2011 to March 10 by having research subjects as 180 dental technicians who participated in the course of employees' Job Ability Development Training by 'Gil Occupational Training Institute,' which is being conducted as part of dental technicians' job ability development in Seoul region. Among these things, 160(88.8%) copies were collected. Except 19 copies with incomplete response, 141(78.3%) copies were used as the materials of final analysis. Results: First of all, as a result of grasping the whole satisfaction with training according to general characteristics, the significant difference was indicated in the whole satisfaction with training depending on gender & age, and voluntary participatory intention. Second, the satisfaction with contents of Job Ability Development Training was in order of helpful level in ability development with 4.10(${\pm}.70$), co-worker's recommendation and a plan for reparticipation with 4.08(${\pm}.77$), consistence with the content goal with 4.07(${\pm}.71$), and reflection of demand with 4.01(${\pm}.70$). Third, examining satisfaction with instructors of Job Ability Development Training, it is being indicated with a little higher score compared to the satisfaction with other items. Fourth, satisfaction with service of supporting learners in job ability development training was shown to be slightly low in all the items. Especially, the convenience of administrative procedure was indicated to be the lowest with 3.52(${\pm}.92$) Fifth, satisfaction with the facility of job ability development training was showing very low satisfaction compared to other satisfaction items. Conclusion: A continuous effort will be needed in order to be possibly strengthened dental laboratory technicians' professionalism and reinforced qualitative level in major ability through offering more educational opportunities and education in good quality.

• 사물인터넷융복합논문지
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• 제5권1호
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• pp.1-6
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• 2019

본 연구는 청소년수련시설 종사자의 서비스 질에 미치는 영향을 검증하고자 하였다. 이를 통해서 청소년수련시설 종사자의 서비스 질에 미치는 영향 요인을 분석하여 서비스 질 향상을 위한 기초자료 제공을 목적으로 하였다. 자료수집은 부산광역시 소재 청소년수련시설 종사자 110명을 대상으로 하였다. 그 결과 사회적지지와 감정노동, 자기효능감이 서비스 질에 정적인 영향이 있는 것으로 나타났다. 본 연구결과를 바탕으로 다음과 같이 제언하였다. 첫째, 사회적지지를 높이기 위해 다른 기관 종사자와의 정기적인 네트워크 구축과 중간관리자와 면담, 상담을 강화해야 할 것이다. 둘째, 감정노동을 높이기 위해 청소년지도사로서의 사명감 각인이 필요하다. 또한 심리·정서적인 프로그램을 개발하여 시행해야 한다. 셋째, 자기효능감을 높이기 위해 행정적 슈퍼비전 강화와 함께 이미지 메이킹 등 관련 교육 등을 강화해야 한다.

• 한국비블리아학회지
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• 제23권3호
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• pp.211-230
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• 2012

본 연구의 목적은 공무원 총액인건비제가 시행되는 시기에 새로 공공도서관을 개관한 기초자치단체의 사서직 공무원 정원 변화를 분석하는데 있다. 연구방법으로 2008년에서 2010년 사이에 공공도서관을 2개관 이상 개관한 전국의 15개 기초자치단체를 선정하여, 이들 기초자치단체의 공무원 정원과 사서직 정원을 "자치법규정보시스템"과 해당 기초자치단체 홈페이지에서 데이터를 수집하여 분석하였다. 연구결과 총액인건비제가 실시된 시기에 조사대상의 15개 기초자치단체의 공무원 정원은 증가하였으나, 사서직 정원의 증가는 극히 미약하였다. 또한 복수직렬을 이용하여 행정직원 수를 증가시킨 결과를 보여주고 있었다. 결과적으로 총액인건비제 때문에 사서직 정원을 증가시킬 수 없다는 것은 사실이 아니다는 것이 밝혀졌다.