• 임상간호연구
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• 제28권2호
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• pp.122-136
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• 2022

Purpose: This study attempted to recommend a revision of inpatient nursing fees based on analyzing current and appropriate staffing levels. Methods: Staffing grades and their inpatient nursing fees as of the first quarter of 2022 were analyzed. Nurse managers and staff nurses answered surveys about the current and appropriate staffing levels, working days, and monthly salary. A total of 101 nurse managers and 588 staff nurses working in general wards at tertiary hospitals and general hospitals participated in the study. Results: The results showed that grade 1 staffing was found in 73.3% of tertiary hospitals and 63.7% of general hospitals. The current staffing ratios of tertiary hospitals and general hospitals were 1:9.3 and 1:10.4, respectively. The appropriate staffing ratios according to nurse managers and staff nurses at tertiary hospitals were 1:7.6 and 1:7.0, respectively, and 1:8.7 and 1:8.8 in general hospitals, respectively. The average estimated annual working days of staff nurses were 235.2 days in tertiary hospitals and 240.0 days in general hospitals. The median monthly salary for staff nurses was 4.957 million won in tertiary hospitals and 4.140 million won in general hospitals. The new staffing grade system was suggested from 1:6 (Grade 1) to 1:12 (Grade 5). The new inpatient nursing fee schedules were recommended to be paid based on nursing hours per patient day of each grade. Conclusion: The new staffing grade and inpatient nursing fee schedules are expected to increase staffing levels, improve the quality of nursing care, and provide a better work environment for nurses.

• 한국정보통신학회논문지
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• 제9권4호
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• pp.758-763
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• 2005

현재 육상과 해상간의 통신은 Inmarsat 단말기를 이용하여 전화, 텔렉스, 팩스, 전자메일(E-mail) 및 데이터 통신을 한다. 기존 전자메일 프로그램은 비싼 통신요금과 저속의 위성통신 환경에서 최대한 통신비용을 줄이기 위한 목적으로 개발되었다. 그리고 팩스를 이용하는 경우는, 관련문서를 출력 후 송신하기 때문에 출력시간과 비용 면에서 단점을 가지고 있다. 따라서 본 논문에서는 기존의 육상과 해상간의 전자메일 시스템과 팩스 기능을 통합한 육상과 해상을 모두 지원하는 인터넷 기반의 팩스 서비스 시스템에 관한 연구이다. 이를 위하여 기존 전자메일 시스템과 공중전화망(PSTN : Public Switched Telephone Network)을 연결하는 하드웨어적인 모듈을 설계하였다.

• 한국의료질향상학회지
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• 제3권1호
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• pp.144-152
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• 1996

Background : Because of introduction of nationwide health care system in 1989 and the improvement of socioeconomic status of population the number of outpatient visiting university hospital has good facilities and manpower has increased. So the waiting time for medical service at university hospital are lengthened. Particularly outpatients complain that waiting for prescribed drugs at pharmacy depart are long. Reducing waiting time at pharmacy depart door-to-door delivery system that the patients applying for door-to-door delivery receive prescribed drug at home without waiting at pharmacy depart were studied. The objective of this study is to analysis the opinion of outpatients for door-to-door delivery system, to study the appropriateness of adopting the system and to produce ideal model for the system. Method : Outpatients waiting drug at pharmacy depart were questioned about door-to-door delivery system. to find the factors affect utilizing the system the logistic regression was used. Result : 83.3% of the patients want to utilize the system without charging, and 72.9% of the patients want to utilized system with charging. 68.3% of patients with charging want to use this system because of long waiting time at pharmacy depart. 50% of patients who do not want to use door-to-door do not use this system because of incorrect delivery. The affecting factors to utilize the system were sex, waiting time, fee. Conclusion : The model for door to door delivery system. 1. door-to-door personnel reside in hospital and the patient want to utilize the system apply for the delivery with charging. 2. The applied drugs dispense at spare time. 3. Delivery company gathers drug at appointed time and delivers. 4. The delivery fee is 2,000-3,000 won. 5. To prevent from loss and changing the drug the name of patient on packet are printed and drug packet are sealed. 6. The company submit the confirm sheet which are written that the patient received drug correctly to hospital. 7. The delivery time of drug is reserved for the convenience of receiving.

• 한국산학기술학회논문지
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• 제15권6호
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• pp.3534-3547
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• 2014

행위별 지불보상제도는 의료적 관점의 장점에도 불구하고 건강보험 진료비가 급증하는 문제점이 지적되고 있어 이에 대한 합리적인 통제의 필요성이 강하게 제기되고 있다. 본 연구에서는 자료수집이 가능한 27개 상급종합병원을 대상으로 SGR 모형과 DEA모형을 결합해 진료비목표예산 수립과 배분제도를 제안하였다. SGR모형은 거시적 측면에서 누적진료비 목표예산과 당해연도 진료비 목표예산에 따라 차년도의 진료비목표를 제시하는데 사용하였고 DEA모형은 개별병원에 원가의식과 관리 효율성 목표를 제시함으로써 전체적인 예산관리를 가능하게 한다. 즉 예산제도를 성과평가도구의 하나인 DEA모형과 결합함으로써 효율성 그룹에 따른 개별병원 예산을 설계할 수 있었다. 이를 통해 거시적 수준에서 국민소득 수준을 고려한 SGR 모형에서 구해진 예산총액을 배분하고 관리할 수 있는 기전을 확보해 건강보험제도에서 실무적으로도 적용가능한 모형을 설계할 수 있었다.

• 보건행정학회지
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• 제20권2호
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• pp.17-39
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• 2010

This study explored the impact on the DRG(Diagnosis-Related Groups)-based prospective payment system(PPS) operated by voluntarily participation providers. We analyzed whether the provides in the DRG-based PPS and in traditional fee-for-service(FFS) systems showed different the degree of variation in length of stay(LOS), and the providers' behaviors depending on the differences according to the varied participation periods. The study sample included all data 2,061 institutions participated in DRG-PPS in 2007 and all cases 473 FFS institutions which reported fee-for-service claims were reviewed same diagnosized diseases at least 10cases claims during three months We compared the differences of the LOS among health care institutions according to their type, region, and size. For DRGs showing significant differences in LOS, multiple regression analyses were performed to find out factors associated with LOS and interaction effect participation and hospital types or participation periods. The result provide the evidence that the DRG payment system operated by volunteering health care institutions had impact on resources use, which can reduce the institutions' the length of stay. While some DRGs had no correlation between participation periods and LOS, other DRGs, DRG participation period reversely linear relationship with LOS. That is to say, the longer participation year, the less reducing the LOS. These results support the future expansion of the DRG-based PPS plan to all health care services in Korea.

• 한국콘텐츠학회논문지
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• 제13권3호
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• pp.370-380
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• 2013

본 연구는 고유한 특성이 강해 초기 관광객의 재방문을 유도하기가 용이하지 않은 관광지인 청남대를 대상으로 재방문 행태를 분석하기 위한 시도이다. 분석기법으로는 다변량 통계분석인 시차변수를 활용하였으며, 분석방법은 청남대 관광객의 재방문 행태를 입장료나 소득수준과 같은 경제적 요인을 바탕으로 하였다. 청남대 관광객의 재방문 의도를 결정하는 장기적인 분석결과에 의하면 단기분석과는 달리 청남대 관광객의 재방문은 전국을 대상으로 하고 있으며 충청권 및 충북지역의 재방문 관광객은 오히려 감소하는 것으로 나타났다. 한편, 청남대 재방문 의도의 결정 요인을 살펴보면 입장료에 의한 영향은 초기 방문을 통해 민감하게 반응하는 것으로 나타났다. 그러나 소득수준에 의한 영향은 시차가 길어질수록 그 영향력이 큰 것으로 분석되었다. 따라서 청남대 재방문의 기회를 확대하기 위해서는 청남대 입장료의 요금체계 개선뿐만 아니라 이에 부합하는 시설 확충, 이미지 제고, 서비스개선 및 프로그램 개발 등의 노력이 수반되어야 할 것이다. 그리고 장기적으로는 잠재된 관광지 가치의 개발이나 주변의 유사 관광지와의 연계개발 등도 고려해야 할 것이다.

• 간호행정학회지
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• 제19권4호
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• pp.449-461
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• 2013

Purpose: The purpose of this study was to explore the relationship between cost and revenue for inpatient nursing activities in general wards. Methods: Data were collected from 12 medical-surgical wards in one general hospital from January 1 to December 31, 2010. The nursing activities were categorized into 2 groups according to nursing service payment type in terms of the Korea health insurance system. Descriptive statistics were used to identify nursing activities and nursing activity costs. Results: Of 140 nursing activities identified as performed in general wards, payment for 69 items was included in nursing management fees. The percentage of each cost for the nursing units was 90% for labor, 4% for materials, and 6% for operating expenses. The cost for medical support nursing service accounted for 38% of costs and nursing management fees, 62%. The average profit and loss was -237,257,000 won. The cost recovery rate for nursing service was only 44%. Conclusion: The results indicate a need to measure the economic value of nursing activities performed in general wards and use it as a basis for establishing an adequate reimbursement system for nursing service.

• 한국항행학회논문지
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• 제15권6호
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• pp.939-945
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• 2011

GMDSS 적용 선박들에 의무적으로 탑재되는 통신장비들의 기능적 한계를 개선하기 위하여 통신 매체별 통신비용, 처리율, 통신 속도, 처리 가능한 서비스, 통신 가능 범위 등에 대한 성능 분석 및 평가를 통하여 e-Navigation 수행에 적합한 데이터통신 시스템의 설계와 구현을 하였다. 제안한 시스템의 실험 결과를 통해, 해상에서 사용할 수 있는 MF/HF 대역은 3600bps 정도의 단문 메시지 송 수신이 유용하고, VHF 대역에서는 9600bps 정도의 이메일 정도의 서비스가 가능하며, 해사위성통신의 Fleet Broadband 서비스의 경우는 수Mbps의 멀티미디어 서비스가 가능함을 확인하였다.

• 보건행정학회지
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• 제27권1호
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• pp.39-46
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• 2017

Background: We evaluated new patient's satisfactory consultation time (SCT) and their willingness to pay additional costs (WPAC) for their SCT. Methods: We surveyed medical service satisfaction, SCT, WPAC for their SCT, and payable amount to 612 new patients of single general hospital and measured their real consultation time (RCT). To compare WPAC and payable amount, we divided RCT into 4 groups (${\leq}3$ minutes, 3-5 minutes, 5-10 minutes, and > 10 minutes), and SCT into 3 groups (${\leq}5$ minutes, 5-10 minutes, and > 10 minutes). On the basis of WPAC, we estimated new patient's SCT. Results: RCT was 6.2 minutes, SCT was 8.9 minutes, and medical service satisfaction score was 4.3 (out of 5). The number of patients having WPAC (payable group) was 381 (62.3%) and the amount was 5,853 Korean won. Their RCT and SCT were longer than non-payable group (6.4 minutes vs. 5.7 minutes, 9.3 minutes vs. 8.2 minutes). From multiple logistic regression analysis, WPAC of RCT 5-10 minutes was higher than that RCT ${\leq}3$ minutes (odds ratio= 1.78). Payable amount was highest in RCT > 10 minutes (6,950 Korea won) and SCT > 10 minutes (7,458 Korean won). Intuitively we suggest 10 minutes as SCT, based on payable group's SCT (9.3 minutes) and cut-off time differentiating payable group with non-payable group (10 minutes). Conclusion: We found that new patient had WPAC for their SCT and the longer the SCT, the greater the amount. From this, we hope that current simplified new patient consultation fee calculating system should be modified combining the consultation time factor.

• 한국병원경영학회지
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• 제14권4호
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• pp.149-162
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• 2009

The purpose of this study is to design strategic hospital service based on each hospital's features. For this study, an assessment was conducted by 398 in-patents of one university hospital located in Seoul. The self-questionnaires, which were investigated from Oct. 15th to 29th in 2008, compared central reception desk with ward reception desk in satisfaction and re-use rate of patients. The major results of this study are as follow. First, according to each reception desk user, they have different satisfaction of it. As for the staff kindness, admission procedure, discharge procedure and manner of staff, those made patients be gratified as well. Second, when it comes to the intention of re-use, there were no significant features between them. Only convenience in admission and discharge procedure, however, was an attractive factor for the recommendation. Third, this study found out the reasons for higher re-use rate of central reception desk users. Regarding service, they were contented with the time for test and treatment. As for the hospital service, they would like to re-use this hospital because of convenient steps of paying interim fee and getting certificates. Forth, this study found out the reasons for higher re-use rate of ward reception desk users. As a point of hospital service view, they responded that respected privacy, hospital facility and general service were good for staying. As for the manner of staff, they mentioned nurses and staff in charge and whole staff members were kind. When it comes to the procedures of patient management, steps of discharge and paying interim fee were convenience. In conclusion, the results of this study suggest that providing a ward reception desk service can boost the satisfaction and re-use rate of in-patients. Furthermore, this strategic management method would be good for not only cutting the moving line but also efficient in-patient care system. These results can be used for the strategic hospital marketing field, as well. Even though this study has a limitation of the targeted populations which were only in a ward reception desk running hospital, it can say that having competitiveness in satisfaction of hospital service is good for promoting and differencing each hospital. Consequently, whole general management system would be adjusted first for differencing each hospital; however, this sort of additional factor should be concerned as well. I expect that this study would give meaningful data for designing strategic and differencing marketing method to lots of hospitals.