• Title, Summary, Keyword: 상급종합병원

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Relationship among Resilience, family support and health promotion of hospitalized cancer patients in an advanced general hospital (일 상급종합병원에 입원한 암환자의 극복력, 가족지지 및 건강증진행위간의 관계)

  • Lee, Jeong-Ran;Lee, Gyoung-Wan;Chin, Eun-Young;Park, Boc-Nam;Son, Yun
    • Journal of the Korean Institute of Oriental Medical Informatics
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    • v.21 no.2
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    • pp.35-45
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    • 2015
  • Purpose: The aim of this study was to investigate the relationship among resilience, family support and health promotion of hospitalized cancer patients in an advanced general hospital. Methods: Data were collected from 131 hospitalized cancer patients and analyzed SPSS 18.0 program. Results: Resilience showed significant differences according to gender, education level, occupation, family income, family help. and recurrence. Family support showed significant differences according to education level, occupation, care giver, family help, progress of disease and recurrence. Resilience and family support are positive correlations. Conclusion: It is needed to develop various program including cancer patient and their family for the promoting resilience.

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Medical Care Utilization between National Health Insurance and Medical Assistance in Elderly Patients (건강보험과 의료급여 노인환자의 의료이용량 : 요양기관종별 분석)

  • Lee, Yong-Jae
    • The Journal of the Korea Contents Association
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    • v.17 no.4
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    • pp.585-595
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    • 2017
  • The purpose of this study is to analyze the difference of medical care between medical assistance and health insurance patients to evaluate the increase of medical care costs due to the moral hazard of medical care patients and to provide a basis for rational medical care policy decision. For this purpose, we compared health insurance benefit data for Seoul citizens by gender, age, and type of medical institutions. The results of the analysis are as follows. First, all of the hospitalized and outpatient use of the advanced general Hospitals, medical assistance patients were less than those of the health insurance patients, so that the medical assistance patients could not use the high cost medical services. Second, in general hospitals, patients with health insurance are often hospitalized. On the other hand, medical assistance patients use a lot of outpatient services because they are less burdened. Third, in hospitals and clinics, medical benefits patients often use inpatient and outpatient services. Therefore, medical assistance patients are likely to use unnecessary medical care of outpatient and hospitalization clinics and hospitals, outpatient of general hospitals. But, in hospitalization and outpatient use in advanced general hospitals and medical assistance patients can not use due to excessive medical burden. Therefore, the policy to reduce the burden of medical expenses for patients with severe illness will continue, and the medical care patients using clinics and hospitals should be careful not to use unnecessary medical services.

Utilization Patterns of National Health Insurance and Medical Aid Inpatients in Tertiary Hospitals (건강보험환자와 의료급여환자의 상급종합병원 입원이용 비교)

  • Park, Young-Hee
    • The Korean Journal of Health Service Management
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    • v.6 no.4
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    • pp.83-98
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    • 2012
  • The objective of this study is to analyze the utilization patterns of national health insurance and medical aid inpatients in tertiary hospitals. For the analysis, the study utilize the nationwide data on '2010 Survey of Patients' of Ministry of Health & Welfare. The statistical methodology used in the study is the logistic regression model. This study has three major findings. First, utilization rate of national health insurance inpatients was higher than medical aid inpatients in tertiary hospitals. Second, the significant affecting demographic factors in utilizing tertiary hospitals were sex, age, surgery case, treatment result, inpatients residence region and short length of stay. Third, compared to other disease groups, the inpatients on 'congenital malformation, deformity and chromosomal abnormalities', 'factors influencing health status and contact with health services' and 'neoplasm' groups are more likely to utilize tertiary hospitals. Finally, according to residence region, Seoul residence inpatients in both of national health insurance and medical aid more likely to utilize tertiary hospitals than other region inpatients.

A Study of Occupational Satisfaction, Stress and Customer Orientation of Upper-scale General Hospital Nurses (일개 상급종합병원 간호사의 직무만족, 직무스트레스 및 고객지향성에 관한 연구)

  • Kang, Hyun-Lim
    • Korean Journal of Occupational Health Nursing
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    • v.19 no.2
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    • pp.268-277
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    • 2010
  • Purpose: To examine the relations among occupational satisfaction, stress, and customer orientation of upper-scale general hospital nurses. Method: We studied with structured questionnaires with total 66 questions for 218 nurses working at university hospitals in Gangwon-do from February 2 to 22, 2010. Result: Occupational satisfaction and customer-oriented character increased when nurses' ages and career experiences were higher, married, working in daytime without shift and in higher positions. Occupational stress increased when nurses were younger, not married, with three shifts, and when they were general nurses. However, there was no statistical difference. Customer-oriented character had positive correlation with occupational satisfaction and stress while occupational satisfaction had negative correlation(r=-0.358) with occupational stress. Conclusion: As occupational stress and satisfaction of nurses in university hospitals showed significant relations with customer-oriented character, t is necessary to reduce occupational stress of nurses, and strengthen occupational satisfaction of them.

A study of inpatient satisfaction levels at general hospitals (일 지역 상급종합병원 입원환자의 만족도 연구)

  • Jung, Sang-Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.7
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    • pp.3094-3101
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    • 2012
  • This study provides fundamental data in order to obtain improved medical services and competitiveness by analyzing the satisfaction level of patients receiving inpatient services at general hospitals. Data from self-administered surveys distributed to inpatient subjects at local general hospitals was collected from 09/19/2011 to 09/30/2011. Firstly, the results of 320 surveys show that the average level of satisfaction from inpatient services was 3.25 (maximum 4.0). Secondly, the results from general characteristics and satisfaction from medical care provider services showed that there is a statistical significance regarding medical treatment, health condition, the number of times admitted to the hospital, and hospital environment including hospital admittance/release proceeders. Also the satisfaction with other services is statistically significant with regards to age, medical treatment, health condition, and the number of times admitted to the hospital. Thirdly, there is a statistically significant positive correlation between inpatient services and levels of satisfaction. Finally, from the analysis of factors influencing inpatient satisfaction showed that physician services and other services significantly affect satisfaction. In conclusion, in order to increase inpatient levels of satisfaction the workforce involved medical treatment of patients need to be retained and a variety of programs need to be in operation that will satisfy patients while they stay in the hospital. Further research is expected.

A Convergence Study about the Performance of Healthcare-Associated Infection Control Guidelines of Hospital Nurses-based on the Theory of Planned Behavior (병원간호사의 의료관련감염 관리지침 수행에 관한 융합연구-계획된 행위이론(TPB) 기반)

  • Moon, Jeong-Eun;Song, Mi-Ok
    • Journal of the Korea Convergence Society
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    • v.8 no.5
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    • pp.117-125
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    • 2017
  • This is a convergence study to present strategies for performance enhancement by verifying the causal relationship between the influencing factor on the performance of the healthcare-associated infection control guidelines in hospital nurses. Participants were 388 nurses recruited from 16 different tertiary and general hospitals in Korea. Data collection was conducted using self-report questionnaires and analyzed using SPSS 21.0 and AMOS 21.0 programs. The overall fitness was ${\chi}^2=99.64$ (df=14, p<.01), GFI=.94, RMSEA=.10, NFI=.84, CFI=.90. The explanatory power of predictive variables on intention were 23.8%, and those on behavior were 17.7%. As a result of this study, it was found that TPB is an appropriate theory to explain the performance of healthcare-associated infection control guidelines, and repeated studies including multi-level modeling of career experience and organizational influences on behavior with strong social characteristics are needed.

Nurses' Perceptions regarding Evidence-Based Practice Facilitators in a Tertiary Hospital (일개 상급종합병원 간호사의 근거기반실무(Evidence-Based Practice) 촉진요인에 대한 인식)

  • Cho, Myung-Sook;Song, Mi-Ra;Cha, Sun-Kyung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.18 no.3
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    • pp.300-309
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    • 2011
  • Purpose: The purpose of this study was to investigate facilitators of evidence-based practice (EBP) in Clinical Nurses. Method: The instruments used in study were the EBP facilitator scale developed by Nagy et al. and a questionnaire on EBP-related characteristics. Data were collected from 230 nurses at a tertiary hospital and analyzed by descriptive statistics. Results: Compared to previous studies, this study showed that nurses had more experience related to research courses and clinical research. However, the proportion of nurses who reviewed relevant articles still remained low. The respondents had positive perceptions of organizational supports for EBP and belief in the value of EBP, whereas they had negative perceptions of skills in locating and evaluating research reports, knowledge of research terms and statistics, and time to devote to EBP. Conclusion: The findings of the study provide important basic data to develop and implement an EBP programs. In future, EBP programs should cover the nurses' skills to search and review research literature as well as their knowledge of research terms and statistics. Furthermore, nurses will require help to ensure that there is adequate time to devote to EBP.

Factors Associated with Injuries after Inpatient Falls in a Tertiary Hospital (상급종합병원 입원환자의 낙상 후 상해 실태 및 상해에 영향을 미치는 요인)

  • Cho, Moon Suk;Lee, Hyang Yuol
    • Journal of Korean Clinical Nursing Research
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    • v.23 no.2
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    • pp.202-210
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    • 2017
  • Purpose: In this study an investigation was done of injuries from inpatient falls and diagnostic tests and treatment after falls to identify what factors affect the occurrence of injury from inpatient falls in a tertiary hospital. Methods: Data for this cross-sectional study were retrieved for 428 fall events from data reported between January 1 and December 31, 2015 and were retrieved from the patient-safety reporting system in the hospital's electronic health records. A multivariate logistic regression model was developed with STATA 13.0. Results: Of the patients, 197 (46.0%) had physical injuries due to falls, 119 (27.8%) were given further diagnostic tests, and 358 (83.6%) received treatment including close observation after inpatient falls. Logistic-regression results identified that age, department, and risk factors had significant impact on injuries from falls. Conclusion: Findings indicate that to reduce the severity of injury after inpatient falls, each hospital should regularly evaluate identified factors, design fall-prevention practices specialized for elders and vulnerable patients, and initiate environmental and equipment innovations.

Nurses' Perception and Willingness to Pay for Nursing Career Ladder System in General Hospital (상급종합병원 간호사의 임상경력개발시스템에 대한 인식과 지불의사)

  • Lee, Mi-Joon
    • Korea Journal of Hospital Management
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    • v.24 no.3
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    • pp.61-71
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    • 2019
  • Purposes: The purpose of this study is to analyze nurses' perception on the clinical career ladder system which was introduced to enhance the nursing capabilities in general hospital. Methods: Research data has been collected for approximately 30 days since March 28, 2017 from 171 nurses who had been involved in the clinical career ladder system, 177 nurses who had not participated, and a total of 348. Finding: The study results showed that nurses' perception on the cost effectiveness of clinical career ladder system is significantly different depending on the sex, age, program experience, personal stage in the clinical career ladder system and the individual's health condition. In addition, the nurses' willingness to pay for the clinical career ladder system was significantly associated with their department and the needs for the system. With adjusted age, gender, position, education and marital status, nursing competency was 8.71(95% Confidence Interval; 4.79 to 12.63) in the presence of system experience, but the perception on clinical career ladder system was 4.34(95% Confidence Interval; -6.84 to -1.84). Practical Implications: Based on the study results, we expect that more hospitals introduce the clinical career ladder system and also use these study results as basic data for securing excellent nurses.

Mediating Effects of Empathy and Resilience on the Relationship between Terminal Care Stress and Performance for Nurses in a Tertiary Hospital (일 상급종합병원 간호사의 임종간호스트레스와 임종간호수행 간의 관계에 미치는 공감역량과 극복력의 매개효과)

  • Kim, Heui Yeoung;Nam, Keum Hee;Kwon, Su Hye
    • Journal of Hospice and Palliative Care
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    • v.20 no.4
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    • pp.253-263
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    • 2017
  • Purpose: To develop end-of-life care training programs for nurses who provide in a tertiary hospital, we examined the mediating effects of empathy and resilience on the relationship between their stress and job performance. Methods: This study was conducted with 218 participants at a hospital in B city in South Korea from August 15 through August 30, 2017. Data collected from the participants were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression using the IBM SPSS/WIN 21.0 software. Results: Terminal care stress was found to be negatively correlated with empathy competence (r=-0.345, P<0.001), resilience (r=-0.223, P=0.001) and terminal care performance (r=-0.260, P<0.001), whereas empathy (r=0.467, P<0.001) and resilience (r=0.358, P<0.001) were positively correlated with terminal care performance. Empathy had a complete mediating effect (${\beta}=0.409$, P<0.001) on the relationship between terminal care stress and performance, and resilience a partial mediating effect (${\beta}=0.294$, P<0.001). Conclusion: Based on the findings of this study, development of training programs with a focus on empathy and resilience are highly recommended to improve job performance of nurses who provide terminal care in a tertiary hospital.