• Korea Journal of Hospital Management
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• v.17 no.4
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• pp.87-115
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• 2012

This research classified hospital specialization strategy types through cluster analysis, analyzed fitness of hospital specialization strategy types for external environment or organizational structure, and examined relation between hospital specialization strategy types and organizational performance. This research surveyed 1,437 hospitals which have more than 30 patient's bed and practice national health service in Korea. Specifically, this research divided into two part : external fit - analysis of relation between external environment and specialization strategy, internal fit-analysis of relation between organizational structure factors and specialization strategy. also, as the organizational performance for achieving specialization strategic purpose, not only the productivity, efficiency, profit but also the medical quality was considered. In case of external fit, many hospitals chose integration type if there are a lot of competitive hospitals and regional population. Particularly, if there are many competitive hospitals, concentration type is chosen. In contrast, if there are many doctors in the region, differentiation type is chosen. In case of internal fit, according to organization type and patient's bed number, hospitals chose different types. If it is a general hospital and has a few bed number, generalization or concentration type is chosen. Tertiary hospital or the hospital with many patient's bed chose differentiation type. According to the number of specialists, if there are a few specialists, generalization or concentration type is chosen. If there are many specialists, differentiation type has high fitness for the hospital. In relation to strategy types and organizational performance, differentiation type has best result. Differentiation type has a good result in 7 items out of 11.

• Korea Journal of Hospital Management
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• v.4 no.2
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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.

• The Journal of the Korea Contents Association
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• v.13 no.8
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• pp.314-323
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• 2013

This study analyzed the relationship between the level of hospital caseloads and length of stay for the delivery patients. The differences of hospital caseloads were measured by the Internal Herfindahl Index, which measured the concentration of delivery patient in a hospital. And the structure variables of hospitals such as the number of bed, the number of treatment, and the number of doctors and nurses per 100 beds were included as control variables. And average length of stay of delivery patients was used as the dependent variable. Concentration status of delivery patients was measured in two models: (1) first model represents the concentration level of delivery patient in all hospital patients, (2) second model represents the concentration level of delivery patient in all obstetrics and gynecology patients. In regression analysis, patient concentration index was not statistically significant in explaining the variation of average length of stay in two models. But the number of delivery patients and number of beds were statistically significant. The number of delivery patient variable showed negative regression coefficient with average length of stay and the number of beds showed positive coefficient with average length of stay. This study result indicated that the volume of delivery patients in a hospital will play a significant role in reducing the length of stay of delivery patients. Patient volume could contribute in improving the efficiency of patient care in a hospital.

• The Journal of the Convergence on Culture Technology
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• v.2 no.2
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• pp.45-49
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• 2016

It may be summarized to four kinds of innovation through global convergence, and the convergence of adjacent areas according to mega-trends in medical services market and actively introduced ICT technologies, public and private partnership. Health care is no longer a local industry, it is becoming Global Convergence. In the case of developed countries, it is increased to income levels, the development of new medical technologies, while the increase in specialized medical services and need of aging population. It increases migration of foreign medical personnel, geographical proximity and choice of the best medical technology, regardless of the cost. The increasing demand for high quality yet relatively low foreign prices of medical services. Hospitals are especially spread of international certification such as the US JCI standards. Hospital exports are being evaluated and opened the way for the export industrialization as ICT convergence hospital that can be exported to the fusion-related technologies more efficiently. Current local hospital has already reached saturation, globalization of Korean hospital is being the time necessary. Thus, unlike a strategy for each country, as well as technology transfer it is also possible, such as total exports provided the building, medical equipment procurement, local medical personnel (doctors and nurses) selection and training, PR and marketing. In the current medical law and need to be revised prospectively maintained for publicity and abroad, there is a need for further legal dragons and actively support a more flexible policy on the application of national law overseas medical services.

• Journal of the Korea Convergence Society
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• v.12 no.3
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• pp.43-52
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• 2021

This study investigated the influence of clinical physical therapist's perception of their work environment and their attitude toward professionalization on individual job satisfaction. This study is a cross-sectional survey of clinical physical therapists 356 working in hospital, and utilized a structured questionnaire. As a result of this study, in their twenties, women, physical therapist with low clinical experience, and physical therapists working at hospital level showed low job satisfaction. Most of the physical therapists said that they needed a system for professionalism, and the lower the job satisfaction was, the higher the attitude toward the necessity of introducing a professional system. The variables affecting job satisfaction were academic background and annual salary. Therefore, in order to improve the job satisfaction of physical therapists, improvement of salary and learning for professionalism played an important role in improving job satisfaction. Self-development and job specialization through the introduction of a system for equipping expertise appear to be important to improve the job satisfaction.

• The Korean Journal of Health Service Management
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• v.10 no.1
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• pp.1-11
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• 2016

Objectives : Medical service specialization could have positive effects on their profits and medical service quality. This study was to examine the relationship between medical service specializations and operational performance in hospitals. Methods : We used the National Inpatient Sample data provided by the Health Insurance Review and Assessment Service from 2010 to 2013. The hospital operational performance was determined by measuring the specialization level of the hospital based on DRGs. Results : The information theory index was 2.38 in 2010, 2.38 in 2011, 2.37 in 2012, and 2.37 in 2013. A multiple regression model was constructed which showed that if the specialization level becomes higher, it decreases the length of stay per case with an increase in medical expense. Conclusions : Differentiation and concentrated medical service specialization strategy have had a positive effect on the operational performance of hospitals.

• Health Policy and Management
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• v.20 no.3
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• pp.21-35
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• 2010

This study examined the changes in the service mix of Korean hospitals in 6 metropolitan cities between 2003 and 2005, and assessed whether the sample hospitals exhibit consistent trend or chance variation in multiple years. Three measures of hospital service mix, focusing on the specialization of services, were applied: information theory index, internal Herfindahl index, and number of distinct diagnosis-related groups (DRGs) treated. National Health Insurance claims were used to calculate the indexes. Specialization indexes were calculated in each year, and then examined to identify the pattern over time. Kappa analysis was applied to assess the agreements of specialization score between two years after hospitals were categorized into 4 groups with quartiles. Kappa score showed that the service mix of hospitals were changed during the study years. Specialization scores were increased given the market structure for three years. Hospitals which showed higher or lower specialization scores than the average of the scores consistently classified into the same group. Specialization indexes showed relatively consistent pattern over 3 years, and such consistencies were evident for hospitals regardless of the specialization status. Policy makers can identify the degree of specialization with the indexes, and it could provide a picture of how hospital services were mixed and changed over time.

• Proceedings of the Korean Society of Computer Information Conference
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• 2023.07a
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• pp.413-414
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• 2023

최근 비대면 서비스의 발전으로 서빙 로봇의 역할이 중요해졌다. 호텔, 리조트 등 높은 품질의 서비스를 요구하는 곳에서 서비스 질 향상을 위해 전문화된 인력을 필요로 하지만 개개인의 능력과 인력 부족으로 인해 소비자에게 제공되는 서비스의 질이 균일하지 못하거나 만족스럽지 못하다. 본 논문은 균일화된 높은 서비스를 제공하고 새로운 서비스를 경험할 수 있게 하는 '주문이 가능한 스마트 서빙 시스템 로봇'을 제안한다. 단순한 음식 운반이 아닌 소비자를 맞이하고 앱 인벤터를 통해 주문을 직접 받아 서버에 전송하여 카운터 및 주방에서 주문 목록을 확인할 수 있다. 또한 완성된 음식을 받아 운반하여 소비자의 테이블에 직접 제공하여 기존 서빙 로봇의 불편함을 보완하였다. 초음파 센서를 이용하여 장애물 발견 시 정지하여 안전한 구동이 가능하다. 스마트 서빙 시스템 로봇을 통해 인력 부족 문제를 해결할 수 있고, 인력을 고부가 가치 업무에 집중할 수 있어 서비스 로봇의 발전을 선도하고 식당뿐만 아니라 병원, 물류센터 등 다양한 분야에 적용 할 수 있을 것이다.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.30 no.6D
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• pp.685-695
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• 2010

This is the study on the current status and system of the elderly medical and welfare facilities with the subjects in Busan. I investigated the problems related to those by analysing the current status and implementing a survey and then suggested a new facility system as a salvation. At present, the elderly medical and welfare facilities can not receive variety of inmates and also they are operated separatedly so the elderly is not able to receive special treatment and nursing at the same time in one facility. Some nursing facilities can give special treatment by connecting specific hospital when it is necessary, but the connection is not activated than our expectancy at the present. On the base of these problems, this study suggested 'one-stop service system' that can afford to give nursing and special treatment in a place ranging wider areas as the solution. The five types of facility system by integrating the results of survey are as followings. 1) Free special nursing facility + The geriatric hospital. 2) The profit special nursing facility + The geriatric hospital. 3) The geriatric hospital + The hospital rooms with silver town residence type. 4) The actual expense special nursing facility + The geriatric hospital + The hospital rooms with silver town residence type. 5) The geriatric hospital + The residential welfare service. It seems that the preparation for the elderly is urgent when considering the facilities related to those are not special any more because every one is supposed to use them some day. The kinds and the degree of elderly's diseases will be more duplicated and significant afterwards. Therefore it is expected that more various and specialized facilities are to be required.

• Journal of the Korea Society of Computer and Information
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• v.28 no.10
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• pp.187-195
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• 2023

In this paper aims to identify the effects of professional identity, role conflict and job stress on job satisfaction of nurses in general hospital wards. The subjects of this study were 193 nurses who worked in general hospitals in K district. Data were analyzed using frequency, percentage, mean, standard deviation, t-test, one-way ANOVA, Scheffe test, Pearson's correlation coefficient, and multiple stepwise regression. The results of the study are as follows. First, among the general characteristics, working years in general hospital wards showed a statistically significant difference in professional identity the less the working years in general hospital, the higher the professional identity. Second, professional identity showed a positive correlation with job satisfaction and role conflict, and a negative correlation with job stress. The higher the professional identity, the higher the job satisfaction and role conflict, but the lower the job stress. Role conflict showed a positive correlation with job stress the higher the role conflict, the higher the job stress. Job stress and job satisfaction showed a negative correlation the higher the job stress, the lower the job satisfaction. Third, the factors that affected the job satisfaction of nurses working in general hospital wards were job stress and professional identity, which had an influence of 38%. Thus, to improve the job satisfaction of nurses, it is necessary to develop programs that develop a positive professional identity. In addition, it is necessary to recognize the necessity of relieving job stress caused at work and to secure diverse human and material support resources.