• Title/Summary/Keyword: 상급종합병원

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Comparison of Job Stress, Hardness, and Burnout of Nurses between Advanced general Hospitals and general Hospitals (의료기관 종별 간호사의 업무스트레스, 강인성과 소진비교)

  • Choi, Jeong-Sil;Park, Seung-Mi
    • The Journal of the Korea Contents Association
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    • v.12 no.3
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    • pp.251-259
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    • 2012
  • This study was conducted to compare nurses' job stress, hardness and burnout between general hospitals and advanced general hospitals. Data were obtained through structured questionnaires from 394 nurses(general 198, upgrade general 196) in the C and S city between April and May, 2010. Data analysis was done with independent t test, ANCOVA, ANOVA, Scheffe & Eacute test and Pearson correlation coefficient with SPSS WIN v 17.0. Job stress, hardness, and burnout of nurses in general hospitals were 2.45, 2.11 and 3.70 respectively. Those in advanced general hospitals were 2.69, 2.70 and 3.70 respectively. Job stress and hardness were significantly higher in general hospitals. There was no significant difference of burnout between general and advanced general hospitals. Burnout of nurses in both hospitals was positively correlated with job stress and negatively correlated with hardness. Further studies are necessary for identify factors influencing job stress of general hospitals. Program for enhancing hardness of nurses in upgrade general hospitals should be developed.

Awareness and Consciousness Survey of Worker's for Radiation Exposure Dose Reduction from Pediatric Brain CT Examination (소아두부 컴퓨터단층촬영검사에서 방사선피폭선량 저감화를 위한 근무자의 인식도와 의식도 조사)

  • Kim, Hyeon-Jin;Lee, Hyo-Yeong;Im, In-Chul;Yu, Yun-Sik
    • Journal of the Korean Society of Radiology
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    • v.10 no.3
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    • pp.207-214
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    • 2016
  • In this study, it was an investigation of the degree of awareness and consciousness of the radiology technicians about radiation protection working in the computed tomography room in Busan when the pediatric underwent brain CT scan. It was sorted by university hospital, general hospital and hospital and compared the scores of awareness and consciousness. As a result of awareness, university hospital had the highest point of 42.29 followed by general hospital and hospital of 38.43 and 34.06 respectively. On the other hand, the average score of consciousness was the highest in hospital of 29.19 followed by general hospital and university hospital of 24.68 and 21.37 respectively. It is considered to need assistance to cultivate an awareness of the radiation through refresher training and conferences, etc in order to increase the awareness of the general hospitals and hospitals for CT workers. In addition, it is also expected to pay for efforts to increase the consciousness of CT workers in university hospitals seeking the optimization of radiation protection and dose reduction of radiation exposure for the pediatric.

Relationship Between Type of Medical Institutions According to the Equipment List and Inspection Fee Computed Tomography (의료기관 종별에 따른 전산화단층촬영장비 보유현황과 검사료간의 관계)

  • Kim, Min-Cheol;Lim, Cheong-Hwan;Joo, Yeong-Cheol
    • Journal of radiological science and technology
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    • v.37 no.4
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    • pp.315-322
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    • 2014
  • This study demonstrates holding condition of CT by medical institution classification and by season, and examination fee in Korea currently to quantitatively understand frequency of examination region by change of CT equipment, domestic growing trend and change of distribution and using rate. Recent 10 years of CT holding condition by medical institution classification (Tertiary hospital, General hospital, Hospital, Clinic, Dental hospital, Dental clinic, Hospitalized health center) and by year (2003-2012), and CT examination fee of distribution of medical institution by year is surveyed. The holding ratio of Tertiary hospital level and General hospital level is 32.7% in 2003 and 33.0% in 2012. Whereas, Hospital and Clinic level is 74.2% in 2003 and 66.8% in 2012, which takes approximately 70%. Based on data in 2012, it is 82.2% of total examination fee in Tertiary hospital and General hospital, while 17.5% in hospital and clinic. CT holding rate of Hospital level is increasing, while Clinic level is decreasing. Approximately 80% of CT examination fee is claimed by Tertiary hospital and General hospital. Therefore, there is a significant correlation between CT holding condition of medical institution classification and examination fee. Particularly, correlation between CT holding number of Tertiary hospital and examination fee is significant (p<.001). The more CT holding number, the higher the amount claimed examination fee.

The Relationships in Emotional Intelligence, Job Satisfaction, and Quality of Nursing Service in Hospital Nurses (병원 간호사의 감성지능, 직무만족, 간호서비스 질의 관계)

  • Jang, Ra-jin;Kang, Young-Sil;Kim, Yu-mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.6
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    • pp.326-337
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    • 2016
  • This study was conducted to identify the relationships between emotional intelligence, job satisfaction, and quality of nursing service for hospital nurses, and to serve as a basis for improvement of nursing service and nursing resources management. All data were collected and conducted with the cooperation of the nursing service department in a tertiary general hospital and two general hospitals located in G province. Questionnaires were completed by 195 nurses who consented to participation in the study from 7 to 28 April 2014. Data were analyzed using SPSS 18.0. A highly positive relationship (r=0.624, p<0.001, r=0.612, p<0.001) was observed between emotional intelligence and quality of nursing service in the superior general hospitals and the general hospitals. Based on this study, quality of nursing service could be improved by a positive relationship between emotional intelligence and job satisfaction in the superior general hospitals and general hospitals (r=0.430, p<0.001). Therefore, it is important to provide a good occupational environment and develop educational programs to enhance the emotional intelligence of nurses, and a positive measure focused on less experienced and young nurses to improve emotional intelligence.

Factors associated with the choice of tertiary hospitals in patients with diabetes or hypertension (당뇨 또는 고혈압 환자의 상급종합병원 이용에 미치는 요인)

  • Choi, Jae Woo;Park, So Hee;Choi, Yun Su;Kim, Tae Kyung;Yun, Hyo Jung;Kim, Tae Hyun
    • Korea Journal of Hospital Management
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    • v.21 no.4
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    • pp.13-22
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    • 2016
  • 목적: 이 연구는 당뇨와 고혈압 환자의 상급종합병원 이용에 미치는 요인을 관찰하였다. 방법: 이 연구는 한국보건사회연구원과 국민건강보험공단이 공동으로 조사하는 한국의료패널 자료를 사용하였다(2008년, 2010년, 2012년). 연구대상은 20세 이상 성인이었으며 각 2008년에 2409명, 2010년에 2424명, 2012년에 2429명을 관찰하였다. 당뇨와 고혈압에 대한 외래방문 건수는 총 64,438건이었으며 당뇨 또는 고혈압 환자의 3차 의료기관 선택에 영향을 주는 요인을 관찰하기 위해 다수준 로지스틱 회귀분석을 활용하였다. 결과: 교육수준이 높은 환자가 낮은 환자에 비해 상급종합병원을 이용할 확률이 각각 2008년에 2.04배, 2010년에 1.83배, 그리고 2012년에 1.65배 더 높았다. 또한 고소득 환자가 저소득 환자에 비해 3차 의료기관을 이용할 확률이 2008년에 1.77배, 2010년 1.91배 그리고 2012년 1.94배 더 높았다. 결론: 정책입안자들은 의료전달 시스템과 관련하여 정책을 실행할 때 이러한 환자의 특징을 고려할 필요가 있다.

A Study of Category Standardization according to Non-benefit Medical Expense in Tertiary Hospitals (상급종합병원 비급여 진료비 변이에 따른 항목 표준화에 관한 연구)

  • Roh, Ock-Hee;Ahn, Sang-Yoon;Kim, Yong-Ha;Lee, Chong Hyung;Park, Arma;Kim, Kwang-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.5
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    • pp.274-280
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    • 2020
  • The purpose of this study was to identify the average cost and present status of non-benefit medical expenses by using the data of tertiary hospitals released by the Health Insurance Review and Assessment Service(HIRA), and to compare the data to find cost variations. The target of analysis was the present status of the non-benefit medical expenses reported by 41 tertiary hospitals among the 44 previously designated hospitals (three were excluded due to revocation or new designation) for 2015, 2016, 2017, and 2018 (until April). This study was conducted after approval of using the released data of the HIRA's data opening system. This study was analyzed by its general characteristics, annual non-benefit medical expenses by frequency analysis, and annual understanding of variation by designating Coefficient of Variation (C.V.). The research found out that the number of details of non-benefit medical expense was gradually increased: the numbers of categories were 51 in 2015, 53 in 2016, and 98 in 2017, but there was a rapid increase in 2018 by 193. As a result, to standardize non-benefit medical expense items across tertiary hospitals due to their variations in the expenses, the government should expand standardized non-benefit medical expenses and make it mandatory for medical institutions to use the standardized items or names of such expenses.

Analysis of the propensity of medical expenses for auto insurance patients by type of medical institution (의료기관 종류별 자동차보험 환자의 진료비 성향 분석)

  • Ha, Au-Hyun
    • Journal of Convergence for Information Technology
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    • v.12 no.2
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    • pp.184-191
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    • 2022
  • This study aims to provide basic information necessary to find an efficient management plan for patients using auto insurance. The analysis was conducted on the five-year auto insurance medical expenses review data registered in the health care bigdata Hub from 2016 to 2020. As a result of the analysis, the number one composition ratio of auto insurance inpatient treatment expenses was treatment and surgery fees for Certified tertiary hospitals, hospitalization fees for general hospitals, hospitals and clinics, and treatment and surgery fees for oriental medical institutions and dental hospitals. outpatient treatment expenses was doctor's fee for medical institution, treatment and surgery fees for oriental medical institutions and dental hospitals. The ratio of medication, anesthesia, and special equipment significantly affected the cost of inpatient. And the ratio of physical therapy significantly affected the cost of outpatient.

Factors Influencing on Hospital Nurses' Performance of COVID-19 Infection Prevention Activities (병원간호사의 코로나바이러스감염증-19 감염예방행위 수행도 영향요인)

  • Choi, Ji-Yu;Jung, Heeja
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.2
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    • pp.131-138
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    • 2022
  • This study is a descriptive study to investigate factors affecting the level of performance of COVID-19 infection prevention activities among nurses. The participants were 190 nurses at a tertiary hospital located in Daejeon city and data collection was performed during March, 2021. The results showed that the factors affecting the level of performance of infection prevention activities were age(β=.25, p=.008), working unit(β=.15, p=.046), and hospital safety climate(β=.17, p=.025). Therefore, in order to improve the level of performance of infection prevention activities among hospital nurses, education and policy to establish a hospital safety climate should be implemented.

Shift Work Female Nurse Turnover Intention Structural Equation Modelling: Focused on Tertiary Hospitals (교대근무 여자간호사 이직의도 구조모형: 상급종합병원을 중심으로)

  • Cho, Hang Nan;So, Hyang Sook;Jang, Aeri
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.3
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    • pp.181-189
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    • 2021
  • This study uses a structural equation model for the turnover intention of female nurses performing shift work at a tertiary hospital. Data collection was conducted from November 11 to December 20, 2015, and 283 samples were included in the final analysis. As a result, 12 of the 19 hypotheses of the final model were supported. It was confirmed that external employment opportunities, nursing professional value, nursing organizational culture, job stress, job satisfaction, organizational commitment, and burn out accounted for 47.8% of the turnover intention. Burn out(+) and organizational commitment(-)had direct effects on turnover intentions, and nursing professional, relationship-oriented nursing organizational culture, and job stress showed indirect effects. Therefore, in order to reduce the turnover intention of female nurses working in shifts at tertiary hospitals, it is necessary to prevent burnout, increase organizational commitment, and job satisfaction. For this purpose, measures to strengthen relation-oriented nursing organizational culture and nursing professional intuition are required. In terms of hospital manpower management, the institutional arrangements of hospitals that enable flexible working hours adjustment, mutually respectful relationship-centered organizational culture, education, and policy support to reinforce nursing professional intuition, and the institutional system of hospitals to work with pride should be implemented.

Status and Characteristics of Applying Medical Use Analysis of intervertebral Disc Disorder Patients - Focusing on cervical spinal disease (추간판 장애 환자의 의료이용 현황 및 특성 -경추질환을 중심으로-)

  • Seo, Young-Woo;Park, Cho-Yeal
    • Journal of the Health Care and Life Science
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    • v.9 no.1
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    • pp.103-115
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    • 2021
  • The purpose of this study is to understand the annual trend of patients with cervical vertebrae disability and improve their health service utilization in the general description (200 TABLE) of patients with cervical vertebrae disability.The main results of this study are as follows. All patients with cervical vertebrae disability were women aged 50 to 59. Compared to 2010, the proportion of patients with disease increased year by year in all subjects in 2018, with men under 30-39 years of age and women under 19 years of age increasing the highest.