• The Journal of the Korea Contents Association
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• v.9 no.10
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• pp.196-205
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• 2009

This paper aims at suggesting realistic plans to vitalize the cooperative structures between hospitals by confirming effects and improvements in the cooperative relationships, as well as by identifying the current status and circumstance in the cooperative relationships between a university hospital and hospitals. The major results of this study are as follows; The cooperative relationships are mainly concluded under the highest opinion on the degree of perception and the brand value for hospitals. For details on their cooperation, the request and return on diagnosis and examination for patients were shown with the highest response. The emergency circumstances were the highest for reasons of requests on patients, and the completed cases for the necessary diagnosis and examination for reasons of return on patients were the most cases among details on their cooperation, whereas their satisfaction showed an ordinary level. Regarding the effects of cooperative relationships, responses to the increase of external image and to the possibility of effective diagnosis and examination for patients with higher risk showed an ordinary level, but other effects in the general fields showed lower levels.

• Journal of Korean Academy of Nursing
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• v.48 no.5
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• pp.554-564
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• 2018

Purpose: This study aimed to construct a management model for patient transfer in a multilevel healthcare system and to predict the effect of counseling with nurses on the patient transfer process. Methods: Data were collected from the electronic medical records of 20,400 patients using the referral system in a tertiary hospital in Seoul from May 2015 to April 2017. The data were analyzed using system dynamics methodology. Results: The rates of patients who were referred to a tertiary hospital, continued treatment, and were terminated treatment at a tertiary hospital were affected by the management fee and nursing staffing in a referral center that provided patient transfer counseling. Nursing staffing in a referral center had direct influence on the range of increase or decrease in the rates, whereas the management fee had direct influence on time. They were nonlinear relations that converged the value within a certain period. Conclusion: The management fee and nursing staffing in a referral center affect patient transfer counseling, and can improve the patient transfer process. Our findings suggest that nurses play an important role in ensuring smooth transitions between clinics and hospitals.