The present study aimed to survey doctors working in five university hospitals about internal customer satisfaction and organization commitment level in order to identify casual relationships through structure equations. According to the analysis, organization management had the biggest impact on internal customer satisfaction level, and the sooner the factor was named personnel, leadership, job, and compensation, the bigger the impact it had on the level. The research model was generally found to be good in terms of goodness of fit, considering the value of $x^2$ calculated as 103.314, the degrees of freedom of 38, GFI 0.924, AGFT 0.868, NFI 0.888, CFI 0.925, and RMSEA 0.086. In conclusion, the internal customer satisfaction level of doctors was significantly proportionate to organization commitment by means of their general satisfaction level, while also being directly proportionate to organization commitment (p<0.05). Meanwhile, statistical significance could not be found when measuring the effects of the doctors' basic characteristics on the levels of internal customer satisfaction and general satisfaction in hospitals.

This research was performed to investigate the characteristics and determination factors on tertiary hospital inpatients. The used data was the four waves of Korea Health Panel(2008, 2009, 2010, 2011), and the number of subjects was 4,430 cases of tertiary and general hospital admission. The statistical methodology used in the study is the logistic regression model. The significant affecting factors in utilizing tertiary hospital admission were gender, marital status, education, household income, residence region and ICD-10 classification. Man, graduating college/university, married, high-income were socio-economic affecting factors in tertiary hospital admission. Medical need factor of ICD-10 classification and residence region of inpatients was also significant affecting factors in tertiary hospital admission. The 81.4% of inpatients at tertiary hospital had chronic disease and the 12.9% of inpatients readmitted, the 68.2% had a selecting doctor and the only 26.7% of inpatients reinforced by private medical insurance. This study recommended the Korean government to provide proper rule for tertiary hospital admission in order to improve the equity and efficiency of health care system.

The purpose of this study is proving the effects of the internal customer satisfaction management on worker's job satisfaction at general hospital. In the relationship between the management and the satisfaction, the study also finds the moderating effect of the organizational support awareness and the organizational justice. For this study, it was surveyed targeting 270 employees who work in seven general hospitals in Busan. As the result, 246 questionnaires returned. All of these questionnaires were used in the final analysis. The method of analysis is descriptive statistics using SPSS VER. 18.0, correlation analysis, regression analysis, factor analysis and reliability analysis. The main results of empirical analysis were as follows: First, in the effect of the internal customer satisfaction management to worker's job satisfaction, it has positive effect to internal communication and the commission of authority and it has positive effect to worker's job satisfaction. Second, the organizational support awareness & the organizational justice have moderating effect on the relationship between the internal customer satisfaction management and worker's job satisfaction. Third, the study proves that supporting management hierarchy shows positive effects for all socio-demographic characteristics in the organizational support awareness and the organizational justice.

The purpose of this study was to examine customer relationship management service provided for customers of dental clinics and their relationship commitment in an effort to offer some information on customer relationship management by dental clinics. The subjects in this study were 206 adult residents in North Jeolla Province, on whom a self-administered survey was conducted. Customer relationship management service, satisfaction with customer relationship management service and relationship commitment were linked to one another, and the variables that affected relationship commitment were differentiated management and satisfaction with relationship management. Given the findings of the study, more research efforts should be directed into the customer relationship management of dental clinics to improve the effectiveness of it.

Due to the rapid population's aging, the life span's expansion and social & cultural characteristics, the standards of age classes in senescence are changed. Thus, this study aimed to identify the influential factors on health care utilization in the elderly by age class, and targeted 2,937 adults in their ages over 55 years old from the Korea Health Panel's 2009 Yearly Integrated Data. This study investigated the target health care utilization in the elderly in relation with the gender, the education level, the health-care insurance type, the income, the current job state, the chronic disease. In order to analyze the influential factors on health care utilization in the elderly, the multiple linear regression analysis was conducted to the data. As the results from this study, Concerning the influential factors on the health care utilization, the income, the subjective health state, the chronic disease and the regularly meals for the young-old influenced. Concerning the influential factors on the health care utilization, the subjective health state for the old. Concerning the influential factors on the health care utilization, the subjective health state, the income for the older-old influenced. Concerning the influential factors on the health care utilization, the education level, the spouse, the economic activity and the drinking oldest-old influenced. Therefore, it will need to provide systemic health-care & medical services, to develop health-care & medical programs and the health-care & medical policies and to execute them according to the age classes in senescence.

This research seeks opinions and development plan in forceful measures of qualifying examinations analyzing awareness of people in charge of medical tour about the qualifying examination system of international medical tour coordinator. The result of research shows the relatively positive awareness towards the qualifying examination and its system of international medical tour coordinator. Regarding the examination subjects, score about the necessity of subject where medical professionalism is considered marked high(4.01). About whether they would take the test or not, there was careful difference in the awareness of examination system(0.019) and operation method(0.004.). For the qualifying examination to be settled and thus to reinforce the professionalism, it is considered essential to have improvement in the problems of treatment towards acquisitors of certificate and awareness of field regarding the certificate, and review of supplementary subject aimed at the reinforcement of medical professionalism in terms of examination subjects.

The purpose of this study was to identify job satisfaction and organizational commitment depends on their organizational cultures. A survey, including the Organizational Culture Scale, Job Satisfaction Scale and Organizational Commitment Scale, was administered to 276 nurses working at 4 small to medium sized hospitals in B city. The dominant organizational culture of nursing organization was relation-oriented culture. The mean score of job satisfaction and organizational commitment was 2.68 and 4.25 respectively. Job satisfaction and organizational commitment were positively correlated with innovation-oriented, task-oriented and relation-oriented culture. Organizational commitment was negatively correlated with rank-oriented culture. Innovation-oriented, clinical career, relation-oriented and rank-oriented culture were variables influencing on job satisfaction and innovation-oriented and rank-oriented culture were major variables influencing organizational commitment. In conclusion, innovation-oriented and rank-oriented culture had a significant influence on nurses' job satisfaction and organizational commitment. Therefore, we have to develop strategies to enhancing the innovation-oriented culture and to reducing the rank-oriented culture.

This study was aimed to investigate the effects of Organizational Socialization Education Program on new nurse's job satisfaction, organizational commitment and turnover intention. This study was utilized a non equvalent control group post only design. The subjects of this study were total 76 nurses in total. Data were collected from 1st to 31th July, 2012. For the experimental group, 16 hours lectures on Organizational Socialization Education Program was given. Data were analyzed by Frequency, $X^2$, Fisher's Exact test & t-test. The findings of this study were as the followings: As proposed in the hypothesis, the subjects in the experimental group experienced more job satisfaction(t= -2.10, p=.039), more organization commitment(t= -2.68, p=.009), less perceived turnover intention(t= 4.65, p=.000), than those in the control group. The results of this study shows that Organizational Socialization Education Program is considered an effective program to improve job satisfaction, organizational commitment and to lessen turnover intention for new nurses. The Organizational Socialization Education program would be continually necessary to contribute to development of professional nursing occupation.

The purpose of this study is to explore and classify the types of the attitude on a good death of nurses in long-term care hospitals. Q-methodology, which is effective in scientifically measuring individual subjectivity, was used. 151 Q-population were selected through the processes of review of research articles, newspaper articles and interviews. 34 Q-sample were selected from the 151 Q-population and 27 nurses in long-term care hospitals were invited as the P sample. The result of the Q-sort was analyzed using PC QUANL Program. The types of attitude on a good death of nurses in long-term care hospitals was categorized into three. 1) Death in supportive environment 2) a comfortable death in real life 3) Dignity guaranteed death By identifying 3 attitude patterns toward a good death of long-term hospital nurses, this study provides an opportunity for their reflection and recognition toward a good death based on this result and suggests to think about ways to improve the quality of nursing in the current increasing long-term hospitals.

This study was the development of job-based curriculum present the basic data for the 207 people surveyed dental hygienists in clinical analysis. The data was analysed with frequency, t-test and one-way anova using the spss 20.0 windows. Person of preventive dental treatment in main duty was significantly highest than among others. In conclusion, the dental hygienist will perform the most medical support services, However the main duties of dental hygienists to perform preventive dental treatment for major help when the highest degree. Among oral hygiene management duty-related subjects showed the most helpful. Therefore dental hygiene curriculum to train dental hygienist should be organized to help with job performance in the field of clinical activities.

The purpose of this study was to investigate the factors related to high school students' fear of dental treatment and distrust for dentists, analyze the relation between these factors and dental health services utilization, and then apply basis data for providing individualized dental health service. The period of the data collection was from November 1st to November 22th 2013, and the subjects were 300 of the first-year high school students in Daugu, and the final analysis data were total 280. using frequency, T-test, correlation and multiple regression analysis, the results of this study were as follows. The higher the distrust for dentist(${\beta}=0.322$) and the burden of dental visit(${\beta}=0.161$), fear of Dental treatment was increased. The larger the fear of Dental treatment and Past experienced pain level, distrust for dentist was increased. therefore, In order to decrease patients' distrust for dentists, good communication between patients and doctors, and efficient treat plans were needed. As a result, patients should have positive attitude on treat. Through early detection and early treatment of oral disease, effective dental health care services with decreasing the fear of dental care system should be provided.

The objective of this study was to analyze the risk of preterm birth (PTB) and low birth weight (LBW) in extramarital birth by analyzing 2008-2012 birth certificated data (2,328,719 births) from Korea Statistics. Odds ratio and 95% confidence intervals (95% CI) were calculated from logistic regression analyses to describe the associations between PTB & LBW and extramarital birth adjusted for maternal age, maternal occupation & education, infantile sex, birth order and number of child birth (singleton & multiple birth). The rate of extramarital birth was 1.8 percent and 2.1 percent in 2010-11. The incidence of LBW was 8.1 percent in extramarital birth and 5.0 percent in marital birth. The incidence of PTB in extramarital birth were 8.2 percent and 5.8 percent in marital birth. Compared with marital birth, the odds ratio (OR) for PTB were 1.48 (95% CI: 1.43-1.54) for extramarital birth. Risk of LBW was higher in extramarital birth (OR: 1.70, 95% CI: 1.64-1.76) than that of marital birth. Among mothers younger than 20 years, the odds ratio of PTB among extramarital birth, relative to married birth was 1.69 (1.49-1.91). Among unmarried mothers, those at a higher risk of LBW was aged 20-29 years (1.69: 1.59-1.79). Maternal unmarried status was associated with increased risk of PTB and LBW.

The objective of the study was to analyze the regional variance of late preterm birth (LPT: 34-36 weeks) by analyzing 2008-2012 birth certificated data of seven metropolitan cities (536,984 births: primiparous singleton birth) from Korea Statistics. The odds ratio and 95% confidence intervals were calculated from multinominal logistic regression analyses to describe the regional variance of LPT adjusted for maternal and infantile variables. The highest incidence of LPT rate by region were observed in Ulsan metropolitan city (3.7 percent), and the lowest in Deajon metropolitan city (3.1 percent). After adjustment by logistic regression for infantile sex, maternal variables, there was a significant increase in the risk of late preterm birth in Ulsan metropolitan city (odds ratio: 1.21) as compared with the incidence of LPT in Deajon metropolitan city. The odds ratio of LPT by region were 1.17 in Daegu metropolitan city, 1.13 Busan metropolitan city, and 1.12 in Incheon metropolitan city. More research is required to understand the risk factors for late preterm birth in this area including socio-demographic factors, medical factors, and regional and environmental factors.

The purpose of this study was to examine the effects of the Mindfulness Meditation program on sleep, depression and quality of life in the institutionalized elderly women. The study was a nonequivalent control group pretest-posttest design. The data was collected from March 7 to April 25 of 2014. Participants in the study were 56 elderly women, 30 institutionalized elderly for the experimental group and 26 institutionalized elderly for the control group. The experimental group received the Mindfulness Meditation program for 90 minutes/session/week for 8 weeks. Data were analyzed using x2-test and t-test for subject homogeneity verification, and paired t-test to examine the hypotheses. Mindfulness Meditation program experimental group showed significant differences in sleep score(t=-4.406, p=<.001), quality of life score(t=-8.799, p=<.001). However no significant differences were found between 2 groups for the scores on depression. According to the results the Mindfulness Meditation program was useful for improving on sleep and quality of life in the institutionalized elderly women.

The aim of this study was to understand the factors related to depression according to gender in vulnerable elderly. We conducted a cross-sectional study with 1,709 elderly beneficiaries of the visiting health care program in Seoul. Depression was measured using the Geriatric Depression Scale Short Form Korea Version(GDSSF-K) questionnaire. Depression score was mild level in vulnerable elderly. There was no gender difference in depression level. Factors related to depression differ by gender. In the elderly men, higher depression showed significant correlation with a lower level of health-related quality of life(HRQOL) and self-rated health(SRH). In addition, higher depression was observed for elderly men living alone than for those living with family. These factors explained depression by 23.1%. In the elderly women, higher depression showed significant correlation with a lower level of HRQOL, SRH and a higher dependence of instrumental activities of daily living. In addition, higher depression was observed for elderly women who has fall experience. These factors explained depression by 22.8%. Gender-specific nursing strategies may be required for prevention of depression in vulnerable elderly.

The purpose of this study was to evaluate the effect of a sex education program on the aged's sex perception and the life satisfaction. It was the non-equivalent control group pre-post test design, the number of subjects was 65 people as the experimental group and 70 people as the control group over 65 the aged. The program was conducted for 80 minutes a time for 6times of the N settlement house in P city from August 25 to September 16 in 2011. The study tool which was developed by Lee(1999) and revised by Jeong(2007), was used to measure the sex perception. The life satisfaction was measured by Naugarten(1961) and modified by Kim(2002). The date were analyzed as SPSS Win 17.0, the percentage, t-test, and the hypothesis was analyzed as t-test. The experimental group got higher scores on the sexual percetion(t=3.816, p<.001) and the life satisfaction(t=4.594, p<.001). This program is for generalized that must be performed in a repeat and comprehensive study with the many aged.

The purpose of this study is to find out the effects of the socio-demographic characteristics, self-recognition factors, and health behavior factors of Korean adolescents on suicide dimension, and grasp the effects of suicide thinking of adolescents on attempting suicide. This study used the eighth primitive data of the "Web-based Survey on Adolescents Health Behavior(2012)", and targeted 72,228 actual test respondent(93.8%). In conclusion, risk factors that greatly influence the suicide dimension of adolescents can be summarized into level of happiness, level of stress, depression, experience drinking, experience smoking, experience with drugs, suicide thinking, etc. and considering these risk factors, a preparation for preventing adolescents' suicide should be established, and along with a regular education, developing and expanding a treatment program for preventing recurrence afterwards of adolescents who have experience attempting suicide are necessary.

This study was to compare the recognition of future career and nurse's characteristics according to nursing school system. This study was based on cross sectional descriptive method. The data were analyzed by $x^2$-test, t-test, and ANOVA using PASW WIN 18.0 program. The data represented that students who were doing associated degrees or bachelor degrees, showed the similar level recognition of future career and nurse's characteristics. However they showed differences in recognition of the career where they could create and new things(t=2.933, p=.004) and working part time(t=2.328, p=.021). In regards to recognition of nurse's characteristics bachelor degrees students had higher professional ethics($4.59{\pm}.44$). This study proposed that these research results could be used for improving methodology of nursing education.

The purpose of this study was to provide a basic data for the establishment of attitude on death, perception on hospice and attitude of DNR by nursing students. The survey was performed with 214 nursing students in Busan. The data was collected by questionnaires and were analyzed using SPSS/win 21.0 program. The period of data collection was from June 1, 2013 to June 15, 2013. The mean scores of attitude on death, perception on hospice and attitude of DNR were 2.63, 3.30 and 3.83 point. The attitude of DNR of the nursing students was significantly different according to the grade and satisfaction of major. The attitude of DNR showed the significant positive relationship with attitude on death and perception on hospice. Attitude on death and perception on hospice accounted for 16.8% of variance in attitude of DNR. Finding of this study is necessary to develop nursing understanding for the attitude of DNR by considering attitude on death and perception on hospice.