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한국병원경영학회지 update

KOREAN JOURNAL OF HOSPITAL MANAGEMENT

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수록정보
수록범위 : 1권1호(1996)~26권1호(2021) |수록논문 수 : 627
한국병원경영학회지
26권1호(2021년 03월) 수록논문
최근 권호 논문
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KCI등재

1병원 모바일 앱 서비스 품질이 소비자 만족, 관여도, 재이용 의도에 미치는 영향

저자 : 박선영 ( Sunyoung Pak ) , 조나은 ( Na-eun Cho )

발행기관 : 한국병원경영학회 간행물 : 한국병원경영학회지 26권 1호 발행 연도 : 2021 페이지 : pp. 1-16 (16 pages)

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Purpose: The purpose of the study is to identify the influence of the hospital mobile app service quality on consumer satisfaction, involvement, and re-use intention of consumers who have experience in hospital mobile app service.
Methodology: The survey was conducted on 230 users. The collected data were analyzed using correlation analysis, multiple regression analysis, and the Process Model in Hayes(2013).
Findings: (1)The usability, reliability, and medical information provision among the service quality factors of hospital mobile apps had an effect on reuse intention, and consumer satisfaction partially mediated. (2)The usability and the provision of medical information were partially mediated by the involvement, which also affected the intention to reuse. (3)Only reliability showed an age-moderated effect. In reliability and re-use intent, age was a moderated mediating effect that controlled the effect of consumer satisfaction.
Practical Implications: The results of this study provide initial data of mobile app services centered on hospitals and prove the type of consumer usage. It suggests that it can be used to attract potential consumers of hospitals and strategies to increase the use of mobile apps.

KCI등재

2환자안전사고에 의한 손상환자의 병원내 사망 관련 요인 : 2013-2017 퇴원손상심층조사자료 활용

저자 : 김상미 ( Sang Mi Kim ) , 이현숙 ( Hyun Sook Lee )

발행기관 : 한국병원경영학회 간행물 : 한국병원경영학회지 26권 1호 발행 연도 : 2021 페이지 : pp. 17-25 (9 pages)

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This study aimed to analysis factors related to in-hospital death of injured patients by patient safety accident. A total of 1,529 inpatients were selected from Korea Centers for Disease Control and Prevention database(2013-2017). Frequency, Fisher's exact test, t-test, ANOVA, logistic regression analyses by using STATA 12.0 were performed.
Analysis results show that the mortality rate was lower for female than male but the mortality rate was higher for the older age, the higher the CCI, head (or neck), multiple, systemic damage sites, internal and others, metropolitan cities based on Seoul and 300-499 based on the bed size of 100-299.
Based on these findings, the possibility of using the in-depth investigation of discharge damage from the Korea Centers for Disease Control and Prevention as a data source for the patient safety survey conducted to understand the actual status of patient safety accident types, frequency, and trends should be reviewed. Also, it is necessary to prevent injury and minimize death by identifying factors that affect death after injury by patient safety accident.

KCI등재

3기혼간호사의 사회적 지지와 일-가정 갈등, 일-가정 향상과의 관계

저자 : 이인영 ( Inyoung Lee ) , 고유경 ( Yukyung Ko )

발행기관 : 한국병원경영학회 간행물 : 한국병원경영학회지 26권 1호 발행 연도 : 2021 페이지 : pp. 26-41 (16 pages)

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Purpose: This study is to identify the relationship among married nurses' social support, work-family conflict and work-family enrichment and to examine the influence of social support on work-family conflict and work-family enrichment.
Methods: Data were collected from married nurses working at three hospitals with more than 100 beds in J Province and analyzed by descriptive statistics, t-test, ANOVA, Mann-Whitney U test, Kruskal-Wallis H test, Pearson's correlation analysis and hierarchical regression analysis using SPSS 21 program.
Findings: In the correlation analysis only social support and work-family enrichment showed positive correlation. As a result of hierarchical multiple regression analysis, social support still acted as a significant influence factor on work-family conflict and work-family enrichment even in the state of considering the effect of control variables.
Conclusion: In order to lower work-family conflict and to enhance work-family enrichment of married nurses, it is necessary to introduce and implement welfare policies for work-family reconciliation at the workplace level and at home level it is necessary to provide concrete measures so that married nurses can find the value of life as workers while house working and nurturing.

KCI등재

4ICT를 활용한 만성질환관리 시범사업 참여자의 공복혈당수치 변화에 영향을 미치는 요인

저자 : 하유희 ( Yu-hee Ha ) , 진기남 ( Ki-nam Jin ) , 정재연 ( Jae-yeon Jeong ) , 최화영 ( Hwa-young Choi )

발행기관 : 한국병원경영학회 간행물 : 한국병원경영학회지 26권 1호 발행 연도 : 2021 페이지 : pp. 42-54 (13 pages)

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The purpose of this study is to analyze that ICT-based primary health care affects clinical changes of participants in the primary care chronic disease management pilot project using ICT medical care. Customized health information data, provided by National Health Insurance Service, was used for the analysis. The study targeted a total of 676 people that participated in primary care chronic disease management pilot project using ICT medical care from 2017 to 2018. Hierarchical regression was used to test three model. First, there were many subjects who used face-to-face consultation and non-face-to-face consultation(messaging), but less than half of patients using non-face-to-face consultation(telephone). Second, after participating in the pilot project, the fasting blood sugar level decreased. Third, the clinical condition of the subjects appeared to be an important factor in controlling blood sugar levels. Finally, patients using the non-face-to-face consultation(messaging) had reduced blood sugar levels after participating in the project. This results imply that non-face-to-face consultation is effective in reducing fasting blood sugar level with hospital intervention, and there are effects of the primary care chronic disease management project using ICT.

KCI등재

5질적 연구를 통한 대형병원 환자집중의 영향 요인 분석 : 대형병원 의료이용자와 관리자 관점에서

저자 : 이근정 ( Keun Jung Lee ) , 엄혜은 ( Hye Eun Eom ) , 고정애 ( Jung Ae Ko ) , 박다혜 ( Da Hye Park )

발행기관 : 한국병원경영학회 간행물 : 한국병원경영학회지 26권 1호 발행 연도 : 2021 페이지 : pp. 55-70 (16 pages)

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Purpose: The purpose of this study was to examine the influencing factors of the patient leaning phenomenon in tertiary hospitals. Based on the results of this study, we intended to find implications for improving the problems of the delivery system imbalance in tertiary hospitals caused by patient leaning phenomenon.
Methodology/Approach: Qualitative studies were conducted, using focus group interviews and in-depth interviews. The focus group interviews were conducted for 12 users of tertiary hospitals by 2 groups. And in-depth interviews were conducted for 6 tertiary hospital managers. This was considered to be the most effective approach to gather diverse and in-depth information about the influencing factor of patient leaning phenomenon in tertiary hospitals.
Findings: In focus group interviews, the reason for choosing tertiary hospitals was the reliability of the hospital(physician, reputation, etc.). And the effect of the policy to strengthen coverage of National Health Insurance and private medical insurance was relatively small. In other words, we found that the individual's desire to receive medical services suitable for one's health status and disease condition was the biggest factor, rather than the cost and policy factors.
Practical Implications: We suggested that the appropriate medical care provision should be strengthened according to the role and function of medical institutions. In addition, the education system needs to be reorganized to activate the referral program, expand community medical capabilities, and foster quality primary medical care.

KCI등재

6이차자료원을 활용한 의원 의료서비스 수입 및 비용 산출

저자 : 김선제 ( Sun Jea Kim ) , 임민경 ( Min Kyoung Lim )

발행기관 : 한국병원경영학회 간행물 : 한국병원경영학회지 26권 1호 발행 연도 : 2021 페이지 : pp. 71-82 (12 pages)

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Purpose: The purpose of this study is to estimate incomes and costs of the medical clinics by using secondary data.
Methodology: The medical incomes and costs were estimated from 405 clinics operated by sole practitioner providing out-patient services among all clinics subject to the Medical Cost Survey on National Health Insurance Patients in 2017, excluding dental clinics and oriental medical clinics. The incomes and costs of the medical clinics were reflected with incomes and costs of health insurance benefits and were calculated by types of medical services (i.e., basic care, surgery, general treatment, functional test, specimen test and imaging test). The costs were classified as follows: labor costs, equipment costs, material costs and overhead costs. Secondary data was used to estimate the incomes and costs of the medical clinics. For allocation bases for costs for each type of the medical service, the ratio of revenue from health insurance benefits by types of medical services was applied. However, labor costs were calculated with the activity ratio by types of medical services and occupations, using clinical expert panel data.
Finding: The percentage of health insurance income for all medical income was 73.1%. The health insurance cost per clinic was 401,864 thousand won. Labor cost accounted for the largest portion of the health insurance income was 191,229 thousand won (47.6%), followed by management cost was 170,018 thousand won (42.3%), materials cost was 35,434 thousand won (8.8%), and equipment costs was 5,183 thousand won (1.3%).
Practical Implications: This study suggests a method of estimating incomes and costs of medical clinic services by using secondary data. It could efficiently provide incomes and costs to assess an appropriate level of the health insurance fee to the clinics.

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