간행물

한국병원경영학회> 한국병원경영학회지

한국병원경영학회지 update

KOREAN JOURNAL OF HOSPITAL MANAGEMENT

  • : 한국병원경영학회
  • : 사회과학분야  >  경영학
  • : KCI등재
  • :
  • : 연속간행물
  • : 계간
  • : 1226-6299
  • :
  • :

수록정보
27권1호(2022) |수록논문 수 : 5
간행물 제목
27권2호(2022년 06월) 수록논문
최근 권호 논문
| | | |

KCI등재

1한국병원 의료서비스품질에 있어 지각된위험이 고객만족 및 재방문의도에 미치는 영향 - 카자흐스탄 고객 중심으로-

저자 : 김슬아 ( Seulah Kim ) , 이창원 ( Chang Won Lee )

발행기관 : 한국병원경영학회 간행물 : 한국병원경영학회지 27권 2호 발행 연도 : 2022 페이지 : pp. 1-15 (15 pages)

다운로드

(기관인증 필요)

초록보기

연구목적: 본 연구는 한국병원의 의료서비스품질과 지각된위험에 따라 카자흐스탄의 고객만족과 재방문의도에 미치는 영향을 실증분석 하였고, 의료서비스를 제공하는 의료서비스제공집단과 의료서비스를 제공받는 의료서비스소비집단으로 나누어 그 중 카자흐스탄 의료서비스소비집단의 의료서비스품질 및 지각된위험의 특성이 고객만족에 미치는 영향을 연구하여 시사점을 제언하였다.
연구방법: 의료서비스품질, 지각된위험, 고객만족, 재방문의도에 대한 국내외 문헌을 검토한 후, 연구모형 및 가설을 수립하였다. 카자흐스탄 의료서비스소비집단의 의료서비스품질 및 지각된위험의 특성이 고객만족 및 재방문의도에 미치는 영향에 대한 설문조사를 실시하였으며, 자료의 신뢰도 및 타당도를 검토 후 회귀분석으로 연구가설을 검정하였다.
결과: 첫째, 한국병원의 의료서비스품질 특성과 고객만족과의 관계에 관한 가설에서 유형성, 신뢰성, 응답성, 확신성, 공감성 총 5가지가 정(+)의 영향을 미치는 것을 확인 할 수 있었다. 둘째, 한국병원의 지각된위험의 3가지 하위가설인 신체적위험, 사회적위험, 시간손실위험 총 3가지가 음(-)의 영향을 미치는 것으로 확인되었다. 셋째, 고객만족이 재방문의도에 정(+)의 영향을 미치는 것으로 확인되었다.
함의: 카자흐스탄 고객들에게 유의한 영향을 주는 의료서비스품질 특성과 지각된 위험에 대해 중요하게 여기는 특성이 있으며 한국병원들이 카자흐스탄 고객의 특성에 맞는 마케팅 전략을 수립해야 하는 점을 확인하였다.


Purposes: The purpose of this study is to examine the effects of health service quality and perceived risks of Korean hospitals on the satisfaction and revisit of Kazakhstan's customers. Among two classified groups: health service providers and health service receivers, this study aims to identify the effects of health service receivers in Kazakhstan's health service quality and perceived risks on customer satisfaction.
Methodology: Hypotheses were developed upon the explanations on health service quality, perceived risks, customer satisfaction, and revisit, advanced by prior literature. A survey was conducted on the effects of health service receivers in Kazakhstan's health service quality and perceived risks on customer satisfaction and revisit. The proposed hypotheses were confirmed by examining validity and reliability of the collected data, followed by regression analysis.
Findings: First, the five dimensions: reliability, responsiveness, assurance, empathy, and tangibles showed a positive correlation between the impacts of health service quality and customer satisfaction of Korean hospitals. Second, the physical risk, social risk, time-loss risk showed a negative correlation. Lastly, the relation between customer satisfaction and revisit showed a positive correlation.
Practical Implication: Health service quality and perceived risks were identified to impose significant effects on Kazakhstan customers. The identified results suggest that Korean hospitals should implement management strategies based on the customers' satisfaction factor.

KCI등재

2코로나 19 동선 관리를 위한 적정 앱 서비스와 도입: 고위험 지역 설문 연구

저자 : 노미정 ( Mi Jung Rho )

발행기관 : 한국병원경영학회 간행물 : 한국병원경영학회지 27권 2호 발행 연도 : 2022 페이지 : pp. 16-33 (18 pages)

다운로드

(기관인증 필요)

초록보기

연구목적: 적절한 동선 파악과 동선 추적은 코로나19 역학조사를 위해서 매우 중요하다.
동선 추적 앱 도입을 활발히 하기 위해서는 사용자들의 앱에 대한 기대, 선호 그리고 우려하는 부분에 대한 이해가 필요하다. 본 연구는 동선 추적 앱의 사용률을 높이고, 데이터 공유를 원활히 할 수 있게 해주는 자발적 앱 서비스에 대한 기본적 특징과 적절한 서비스를 찾고자 하였다. 또한 사람들이 왜 동선 추적 앱을 사용하려고 하는지에 대한 주요요인을 확인하였다.
연구방법: 이 연구는 2020년 11월 11일부터 12월 6일까지 온라인 서베이를 실시하였고, 통 1,048명의 응답 데이터를 수집하였다. 응답 데이터 중 2020년 가장 많은 코로나19 확진자가 나온 지역의 883명의 응답자 데이터를 분석에 사용하였다.
결과: 코로나 19 관련 앱을 사용해본 경험자들은 동선 추적 앱에 대한 높은 사용의도를 가지고 있는 것으로 나타났다. 응답자들은 보건소와 같은 공공기관에서(74%), 무료(93.88%)로 앱을 제공해주기를 원했다. 동선 추적 앱 사용의도에 영향을 미치는 요인으로는 예방적 가치, 기대성과, 인지된 위험, 촉진기능, 노력기대 등으로 나타났다. 또한 개인정보 보호 및 개인정보 노출에 대한 사용자들의 우려를 해결하고 자발적 앱 사용이 필요한 것으로 분석되었다.
함의: 본 연구 결과는 동선 추적 개발에 있어, 적절한 서비스와 사용자들의 니즈를 파악하는데 유용할 것이다. 사람들의 앱 참여율과 데이터 공유를 높일 수 있는 자발적 앱 개발을 위한 기반을 제공해준다. 또한 본 연구는 역학조사에 협조가 가능한 신뢰 가능한 동선 추적 앱 개발의 근간을 마련할 수 있다.


Purposes: Prompt evaluation of routes and contact tracing are very important for epidemiological investigations of coronavirus disease 2019 (COVID-19). To ensure better adoption of contact tracing apps, it is necessary to understand users' expectations, preferences, and concerns. This study aimed to identify main reasons why people use the apps, appropriate services, and basis for voluntary app services that can improve app participation rates and data sharing.
Methodology/Approach: This study conducted an online survey from November 11 to December 6, 2020, and received a total of 1,048 survey responses. This study analyzed the questionnaire survey findings of 883 respondents in areas with many confirmed cases of COVID-19. This study used a multiple regression analysis.
Findings: Respondents who had experience of using related apps showed a high intention to use contact-tracing apps. Participants wished for the contact tracking apps to be provided by the government or public health centers (74%) and preferred free apps (93.88%). The factors affecting the participants' intention to use these apps were their preventive value, performance expectancy, perceived risk, facilitative ability, and effort expectancy. The results highlighted the need to ensure voluntary participation to address participants' concerns regarding privacy protection and personal information exposure.
Practical Implications: The results can be used to accurately identify user needs and appropriate services and thereby improve the development of contact tracking apps. The findings provide the basis for voluntary app that can enhance app participation rates and data sharing. The results will also serve as the basis for developing trusted apps that can facilitate epidemiological investigations.

KCI등재

3군 격오지 원격의료서비스 질이 고객충성도에 미치는 영향: 이용만족도의 매개효과

저자 : 김동환 ( Dong-hwan Kim ) , 남진영 ( Jin-young Nam )

발행기관 : 한국병원경영학회 간행물 : 한국병원경영학회지 27권 2호 발행 연도 : 2022 페이지 : pp. 34-43 (10 pages)

다운로드

(기관인증 필요)

초록보기

Objective: Telemedicine service is gaining importance in remote military areas. This study aimed to explore the mediating effect of user satisfaction on the association between military telemedicine service's quality and customer loyalty.
Methods: The research data comprised the results of a satisfaction survey on 1,116 military telemedicine satisfaction surveys conducted from November 1 to November 31, 2021. T-tests and ANOVA were analyzed to confirm the difference in satisfaction and loyalty according to the general characteristics of the study subjects. User satisfaction, customer loyalty, and mediating effects were analyzed using multiple linear regression analysis.
Results: Among the study subjects, 458 were affiliated with the Army, 68 with the Navy, and 36 with the Air Force. Among the quality of telemedicine service, tangibility, reliability, and empathy affected user satisfaction while reliability and empathy affected customer loyalty. Since the standardized coefficient beta of empathy was 0.150 (P=0.018), it was confirmed that it significantly affected customer loyalty by mediating user satisfaction.
Conclusion: The telemedicine service's quality affects users' satisfaction and customer loyalty. Moreover, there was the mediating effect of user satisfaction on the association between telemedicine service and customer loyalty. Therefore, the reliability and reliability of the current telemedicine service can be improved through the replacement of outdated equipment and performance improvement, expansion of medicines in telemedicine units, and improvement of medical services through periodic CS education to increase the customers' satisfaction and loyalty.

KCI등재

4환자만족도에 영향을 주는 환자경험 변인 탐색: 중회귀 및 수정된 ISA를 통하여

저자 : 서효정 ( Hyojeong Seo )

발행기관 : 한국병원경영학회 간행물 : 한국병원경영학회지 27권 2호 발행 연도 : 2022 페이지 : pp. 44-52 (9 pages)

다운로드

(기관인증 필요)

초록보기

Purposes: This study tried to extract variables affecting patient-experience satisfaction level in hospital situation, using a multiple-regression analysis and ISA(Revised Importance-Satisfaction Analysis), and to explore variables needed to be improved.
Methodology: A mobile-based online patient-experience survey was conducted in eleven general hospitals in A city. To test the validity of this test, this data was compared with the data from Health-Insturance Review and Assessment Service. Then, the standardized regression coefficients extracted from a multiple-regression analysis were used as the importance scale to be used in ISA.
Finding: Taken together, the areas with the highest contribution for the in-hospital patient-experience satisfaction level were medication and treatment process and hospital environment. In conclusion, the revised ISA which can show satisfaction and importance both with simultaneously and multi-axis way would be useful in hospital improvement activities.
Practical Implications: This study tried to develop a mobile-based patient-experience survey, and to extract the major variables affecting patient-satisfaction level and to identify variables need to be improved. Finally, this should help hostipals to prepare the assessment process with various improvement activities.

KCI등재

5장애인 의무고용제도와 건강상태 간의 연관성

저자 : 유진하 ( Jin Ha You ) , 김예원 ( Ye Won Kim ) , 양정민 ( Jeong Min Yang ) , 김재현 ( Jae Hyun Kim )

발행기관 : 한국병원경영학회 간행물 : 한국병원경영학회지 27권 2호 발행 연도 : 2022 페이지 : pp. 53-66 (14 pages)

다운로드

(기관인증 필요)

초록보기

목적 : 본 연구는 장애인 의무고용제도의 인지정도와 그에 따른 고용증대 도움정도가 장애인의 건강상태에 미치는 영향력을 파악하고, 이를 바탕으로 장애인 의무고용제도에 대한 인지를 높여 장애인들의 건강을 증진시킬 수 있는 방안을 제시하는 데에 목적이 있다.
방법 : 본 연구에서는 장애인의 경제활동 참여에 대해 분석하기 위하여 2016-2018년 장애인고용패널조사 2차웨이브를 활용하였다. 총 1,648명을 대상으로 카이제곱 검정과 일반화추정방정식(GEE, Generalized estimating equation)을 이용하여 분석하였다.
결과 : 장애인 의무고용제도를 알고 있는 집단에 비해 전혀 모르는 집단인 경우 인지정도가 주관적 건강상태 (Odds Ratio [OR] : 1.573, 95% Confidence Interval [CI] : 1.252-1.977)와 만성질환(OR: 1.407, 95%CI: 1.091-1.816)에 유의하게 영향을 미쳤고, 장애인 의무고용제도가 고용증대에 도움이 된다는 집단에 비해 전혀 도움이 안 된다는 집단의 경우 우울감 (OR: 2.330, 95% CI: 1.219-4.452)과 주관적 건강상태 (OR: 2.052, 95% CI: 1.232-3.416) 에 유의하게 영향을 미쳤다.
결론 : 장애인의 의무고용제도 인지정도와 도움정도가 낮을수록 건강상태에 부정적인 영향을 미치는 것으로 나타났다. 따라서 장애인에 대한 고용제도 인지정도를 높여 고용증대를 촉진해야 한다. 나아가 장애인의 건강을 증진시키기 위하여 제도에 대한 장애인의 이해도를 제고할 수 있는 홍보방안과 고용접근의 어려움으로 인해 취업의지를 상실하는 장애인들을 보호할 수 있는 정책 등이 발안되어, 장애인이 고용활동에 참여할 수 있도록 장애친화적인 노동환경으로의 변화가 활성화되어야 한다.


Aim : The purpose of this study is to investigate the influence of the awareness level of the mandatory employment system for the disabled and the help of the employment increase on the health status of the disabled. Based on this, the purpose of this study is to raise awareness of the compulsory employment system for the disabled and to suggest a way to improve the health of the disabled.
Methods : In this study, the first data of the second wave of the 2016-2018 Employment Panel Survey for the Disabled was used to analyze the participation of the disabled in economic activities. a total of 1,648 subjects were analyzed using the chi-square test and generalized estimating equation (GEE).
Results : Compared to the group knowing about the compulsory employment system for the disabled, in the group who did not know about the compulsory employment system, the cognitive level was significantly higher for subjective health status (Odds Ratio [OR]: 1.573, 95% Confidence Interval [CI]: 1.252-1.977) and chronic diseases (OR: 1.407, 95% CI: 1.091-1.816), Compared to the group that the compulsory employment system for the disabled is helpful in increasing employment, the group that said it was not helpful at all had depression feel (OR: 2.330, 95% CI: 1.219-4.452) and subjective health status (OR: 2.052, 95% CI: 1.232. -3.416) significantly affected.
Conclusion : It was found that the lower the level of awareness and help of the compulsory employment system for the disabled, the negative impact on their health status. Therefore, it is necessary to promote employment growth by raising awareness of the employment system for the disabled. Furthermore, in order to improve the health of the disabled, public relations plans to increase the understanding of the disabled on the system and policies to protect the disabled people who lose their will to work due to difficulties in accessing employment were enacted, and Changes to a disability-friendly working environment should be activated so that participants can participate.

1
권호별 보기
같은 권호 수록 논문
| | | | 다운로드

KCI등재

1건강보험빅데이터의 고혈압 입원율 분석을 통한 장애인의 의료접근성 실증 분석

저자 : 전희원 ( Huiwon Jeon ) , 홍민정 ( Minjung Hong ) , 정재연 ( Jaeyeon Jeong ) , 김예순 ( Yesoon Kim ) , 이창우 ( Changwoo Lee ) , 이해종 ( Haejong Lee ) , 신의철 ( Eulchul Shin )

발행기관 : 한국병원경영학회 간행물 : 한국병원경영학회지 27권 1호 발행 연도 : 2022 페이지 : pp. 1-10 (10 pages)

다운로드

(기관인증 필요)

초록보기

Background: This study aims to empirically compare and evaluate the current status of medical accessibility and health inequality between people with disabilities and without. We calculated the ACSC hospitalization rate, which is a medical accessibility index, for hypertension, a major risk factor for cardiovascular disease that accounts for more than 20% of deaths among people with disabilities using the 2016 National Health Insurance Big Data.
Methods: The subjects of the study were a total of 601,520, including 64,018 people with disabilities and 537,501 people without. Logistic regression was performed to analyze the differences in hypertension hospitalization rates adjusted for demographic and sociological characteristics and disease characteristics using SAS 9.4 program.
Results: Before adjusting for the characteristics, the hypertension hospitalization rate of people with disabilities was 1.55%, and the people without disabilities were 0.49%. After adjusting, it was found that people with disabilities were 2.11 times higher than people without disabilities, and it was statistically significant.
Conclusion: The preventable hospitalization rate of people with disabilities is higher than that of people without, suggesting that the disabled have problems with access to medical care and health inequality. Therefore, the government's policy improvement is required to close the medical gap for the disabled.

KCI등재

2의료소비자의 비급여 진료에 대한 자기결정권 행사와 관련 요인

저자 : 김지은 ( Ji Eun Kim ) , 함명일 ( Myung-il Hahm ) , 이혜원 ( Hyewon Lee ) , 김선정 ( Sun Jung Kim )

발행기관 : 한국병원경영학회 간행물 : 한국병원경영학회지 27권 1호 발행 연도 : 2022 페이지 : pp. 11-19 (9 pages)

다운로드

(기관인증 필요)

초록보기

Purposes: This study was to investigate intention to exercise the patient's right of self-determination on adopting the non-benefit medical services and was to identify factors associated with intention to self-determined decision.
Methodology: A total of 1,000 adult respondents aged 20 to 65 years were recruited using stratified random sampling and surveyed by online. Multivariate logistic regression analysis was performed to identify factors associated with intention to self-determined decision using SAS 9.4(SAS Institute Inc. Cary, NC, USA).
Findings: 61.9% of total participants(n=592) had intention to exercise patient's right of self-determination on adopting the non-benefit medical services. Significant differences were observed in the exercise of self-determination in relation to prior explanation and opportunity for self-determination.
Practical Implications: This study suggested that explanation duty of provider might influence on increasing intention to exercise the patient's right of self-determination. Considering appropriate use of non-benefit services, it is important to enhance explanation duty of provider.

KCI등재

3가감지급사업 실행 후 급성기 출혈성 뇌졸중의 원내 사망률 변화 분석

저자 : 설진주 ( Jin-ju Seol ) , 유기봉 ( Ki-bong Yoo ) , 이광수 ( Kwang-soo Lee )

발행기관 : 한국병원경영학회 간행물 : 한국병원경영학회지 27권 1호 발행 연도 : 2022 페이지 : pp. 20-30 (11 pages)

다운로드

(기관인증 필요)

초록보기

Purposes: This study purposed to evaluate the effect of a value incentive program(VIP) on the in-hospital mortality of acute stroke.
Methodology: Study period was from January 2010 to December 2018. This study included 63 hospitals for acute hemorrhagic stroke that the mortality rate per month was more than one during study period. Independent variables were time variables and hospital characteristics such as hospital type, district and bed number. Interrupted time series analysis was applied to analyze the data.
Findings: In case of general hospitals, the in-hospital mortality rate per month for acute hemorrhagic stroke tends to be increased by 0.03% in overall study periods but decreased by 0.32% after the implementation of the policy. On the other hand, tertiary hospital changes are not statistically meaningful.
Conclusion: This study provides evidences how the VIP was effective in improving quality of acute hemorrhagic stroke care. General hospitals showed higher policy effect compare to that of tertiary hospitals.

KCI등재

4노인 환자 및 보호자에 의한 입원서비스 결정 여부가 재원일수와 진료비에 미치는 영향

저자 : 손예리 ( Yehrhee Son ) , 김규나 ( Kyuna Kim ) , 서영준 ( Youngjoon Seo )

발행기관 : 한국병원경영학회 간행물 : 한국병원경영학회지 27권 1호 발행 연도 : 2022 페이지 : pp. 31-42 (12 pages)

다운로드

(기관인증 필요)

초록보기

Purposes: This study aims to investigate the changes in the length of stay and medical expenses by the impact of the admission decided by patients or their family.
Methodology: The analysis was conducted using data from elder patients aged 65 or older who have used admission services more than once from year 6(2012) to year 12(2017) of the Korean Medical Panel Data(KOWEPS). The statistical analysis was performed through the Chi-square test, mean difference analysis, and generalized estimation equation analysis.
Findings: Compared to the patients who used admission services decided by doctors, those who used admission services decided by patients or their family had a longer length of stay and a lower daily medical expense.
Practical Implications: Inappropriate admission decided by patients or their family can increase the risk of hospital-acquired infections, impairing the health of elderly patients, and has a negative impact on the efficiency of health resources. Therefore, it is necessary to prevent and properly manage inappropriate admission decided by patients or their family.

KCI등재

5회피가능한 사망에 미치는 지역 영향요인 분석: 2010~2019

저자 : 이현지 ( Hyun-ji Lee ) , 이광수 ( Kwang-soo Lee )

발행기관 : 한국병원경영학회 간행물 : 한국병원경영학회지 27권 1호 발행 연도 : 2022 페이지 : pp. 43-57 (15 pages)

다운로드

(기관인증 필요)

초록보기

Background: Avoidable mortality rate has been widely used as an indicator of the quality of health care and the degree of inequality in health levels. The purpose of this study was to identify the factors affecting the avoidable mortality rate in the region.
Methods: The data was MDIS(Microdata Integrated Service) Causes of Death Statistics, and the analysis period was from 2010 to 2019. Panel analysis was performed to identify the influencing factors on the avoidable mortality rate.
Findings: Result showed that the current smoking rate had a significant positive effects on the avoidable mortality rate of both men and women. And the smoking cessation trial rate, low salt diet rate, weight control trial rate, annual vaccination rate had a significant negative effect. In the social environment, the divorce rate had a significant positive effect. In the economy environment, financial independence and social welfare budget rate had a significant negative effect. In the physical environment, the factory area rate had a significant positive effect.
Practical Implication: Practical implication in order to lower the local avoidable mortality rate, various social determinants of health as well as health care resources should be considered together.

1

내가 찾은 최근 검색어

최근 열람 자료

맞춤 논문

보관함

내 보관함
공유한 보관함

1:1문의

닫기