• 한국콘텐츠학회논문지
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• 제20권9호
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• pp.308-317
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• 2020

본 연구는 대학 행정직원이 직무에 대한 사전 기대와 만족의 차이인 기대 불일치가 직원 만족에 미치는 영향을 조사하여 기대 불일치가 행정직원의 만족도에 미치는 영향을 밝히는 데 있다. 이를 위해 2018년 12월17일부터 2018년 12월24일까지 8일 동안 서울지역 S 대학교에 재직 중인 행정직원을 대상으로 설문조사를 진행하였다. 분석결과는 첫째, 행정직원의 입사전 직무기대와 입사후 직무만족 사이의 차이를 분석한 결과 15개 모든 측정변수에 대해서 유의미한 부(-)의 차이가 발생하였다. 둘째, 근무대가 요인과 인사제도 요인이 직원만족에 유의미한 부(-)의 영향을 미치는 것으로 나타났다. 근무대가와 인사제도의 기대 불일치가 1 늘어나면 직원만족은 각각 0.35, 0.24만큼 낮아진다. 셋째, 근무대가와 인사제도의 하위 항목 중에서도 부서배정과 업무분장, 적절한 보수지급, 보수결정과정의 합리성, 좋은 복지제도 등이 유의한 상관관계가 있는 것으로 나타났다. 기대 불일치와 직원 만족의 유의한 상관관계를 분석하여 재정적인 부담이 낮으면서 직원 만족을 높일 수 있는 항목에 집중하여 행정직원의 기대 불일치 폭을 좁혀나간다면 직원의 만족이 높아지고 결국 교육서비스 품질이 제고될 것이다.

• 한국콘텐츠학회논문지
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• 제14권10호
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• pp.639-648
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• 2014

본 연구는 의료 환경이 공급자 중심에서 소비자 중심으로 변화함에 따라 행정직원에게 동기를 부여하여 직무만족도를 향상시킴으로써 경영의 효율성을 높이고자 하였다. 연구대상은 수도권 대학병원 행정직원 총 305명으로 설문된 데이터를 이용하였다. 분석방법은 AMOS 21 Ver.을 사용하여 구조모형방정식(SEM)으로 통계적 검증을 실시하였다. 첫째, 모형의 적합도 검증결과 $X^2=206.776$, df=77, Q=2.685, P<.001, GFI=.915, TLI=.927, CFI=.946, RMSEA=.074로 분석 되었으며, 본 연구를 검증하는데 타당한 것으로 나타났다. 둘째, 성과보상과 근무환경은 동기부여에 통계적으로 정(+)의 방향으로 영향을 미친다는 점이 나타났다. 셋째, 동기부여는 직무만족에 통계적으로 정(+)방향으로 유의하게 나타났다. 넷째, 의사소통이 직무만족에 정(+) 방향으로 영향을 미친다는 점이 통계적으로 유의하게 나타났다. 다섯째, 매개효과 검증 결과, 성과보상과 직무만족의 관계에 있어 동기부여는 완전매개로 나타났고, 근무환경과 직무만족의 관계에 있어 동기부여는 부분매개로 나타났다. 공정하고 합리적인 성과보상과 직장 안정성, 복리후생 등의 근무환경, 조직내외의 원활한 의사소통은 직무만족도를 높인다. 이를 위해서는 경영자의 관심과 의지가 필요하며, 다양한 교육훈련과 프로그램개발이 필요하다. 본 연구를 통하여 병원 행정 직원의 만족도 향상을 위한 제도적 개선 방안을 모색하는 기초적인 자료를 제공하고자 한다.

• 의료법학
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• 제19권1호
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• pp.165-206
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• 2018

연구와 관련하여 다중적 이해관계(multiple interests)를 가지고 있는 연구자, 기관생명윤리위원회 및 임상시험심사위원회 위원, 연구기관 등은 전문적인 판단(professional judgment)을 내림에 있어 이해상충(Conflicts of Interest)의 문제가 발생하지 않도록, 즉 자신이 수행해야 하는 역할이나 이행해야 하는 의무에 의하면 반드시 고려되어야만 하거나 보다 우선시되어야하는 1차적 이해(primary interest)가 그렇지 않은 2차적 이해(secondary interest)로 인해 영향을 받지 않도록 하여야 한다. 그러므로 이해상충의 문제의 발생을 예방하거나 발생된 이해상충의 문제를 해결할 수 있도록 하기 위해 기준과 방법이 마련되어 있어야 하고, 이와 관련한 기본적인 사항은 모든 당사자가 이해하고 따를 수 있도록 하기 위해 법정책적으로 명확하게 제시될 필요가 있다. 보다 현실성 있는 법정책의 마련을 위해서는 현황 파악이 전제되어야 할 것이므로 연구 관련 주요 실무자인 기관생명윤리위원회 및 임상시험심사위원회의 운영지원인력(행정간사)을 대상으로 하여 수행된 설문조사 및 인터뷰의 결과를 살펴봄으로써 이해상충과 관련한 법정책적 쟁점과 이의 해결을 위한 대응방안에 관한 의견을 확인해보았다. 그리고 향후 이해상충에 대한 국내 법정책의 마련에 도움을 주고자 미국 보건부에서 발표한 이해상충 관련 지침의 주요 내용을 살펴보았다. 마지막으로, 이해상충과 관련한 국내 법정책의 현황을 연구자의 이해상충, 기관생명윤리위원회 및임상시험심사위원회위원의 이해상충, 기관의 이해상충으로 구분하여 파악해보고 그 개선방안을 제시하였다.

• 보건의료산업학회지
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• 제6권1호
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• pp.117-128
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• 2012

This study purports to investigate the difference between upward and downward feedback and to find out the strategy to enhance the validity and reliability of the multi-source feedback system. Data were collected from 88 middle-level managers working at divisions of nursing, administration, and clinical technology at a university hospital located in north-eastern part of South Korea. Data about multi-source feedback of the year 2008 and 2009 were obtained from the department of personnel management under the permission of hospital top management. The collected data were analyzed using t-test, and correlation analysis. The major findings of the study were as follows: First, the scores of downward feedback were always higher than those of the upward feedback. Second, the scores of downward feedback were always higher than those of the upward feedback in both nursing and administrative staff, while no significant difference was found in technological staff. Third, the upward and downward feedback scores were significantly different in terms of the evaluation factors. Fourth, there were significant correlations between total scores of downward and upward feedback, and evaluation factor scores. In conclusion, the composition and weight of measurement items of multi-source feedback needs to be designed differently in terms of each job characteristics.

• 융합정보논문지
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• 제10권10호
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• pp.259-267
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• 2020

본 연구는 대학병원에 근무하는 종사자를 대상으로 그릿과 잡 크래프팅이 직무몰입과 직무만족의 조직효과성 결과에 영향을 미치는 요인을 예측하고 관계를 검증하기 위한 구조모형 연구이다. 본 연구를 위해 일개 대학 부속병원에 근무하는 의사, 간호사, 행정직원, 기술보건직원 등 450명을 대상으로 2020년 6월 1일부터 6월 15일까지 자료를 수집하였으며, 수집된 자료는 SPSS 26.0과 AMOS 26.0을 이용하여 분석하였다. 본 연구에서 대상자의 그릿이 높을수록 잡 크래프팅 활동이 더 활발하였으며(β=.751, p<.001), 잡 크래프팅은 조직몰입(β=.297, p=.005)과 직무만족(β=.353, p<.001)에 긍정적 영향을 미치는 것으로 나타났다. 본 연구에서 병원종사자의 그릿은 조직효과성 지표인 조직몰입과 직무만족에 직접적인 영향을 미치지 못하는 것으로 나타났으나, 구성원의 잡 크래프팅이 그릿과 조직효과성 간의 관계에 완전 매개역할을 하는 것으로 나타났다. 이러한 결과는 대학병원 종사자의 인적자원관리 방안 설정에 유용한 정보로 활용될 것으로 기대된다.

• 한국병원경영학회지
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• 제5권1호
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• pp.1-23
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• 2000

This study was undertaken to develop performance measurement indicators in S Hospital, which is the largest component of Y Medical Center which implemented the Responsible Management System in 1993. To begin, strategic initiatives for S Hospital were reestablished based on Y Medical Center's goals and objectives. The BSC(Balanced Scorecard) was used to develop performance measurement indicators after validity checks by specialists. The results were that total 16 indicators were developed to measure performance for strategic initiatives. Those included the growth rate of patient revenues, operating profit to gross revenues, reduction rate in administrative expenses from a financial perspective; average medical expenses per adjusted patient, patient satisfaction survey for inpatients and outpatients and emergency room patients, return rate for treatment results from the customer's perspective; reduction rate in average length of hospital stay, expenses for lost cases of medical disputes, rate for contracted employees, the number of published reports per faculty member from an internal perspective; educational expenses for training medical staff and full time employees, adjusted patient per medical staff, and the number of cases implemented which were proposed by employees. Any organization needs to have its own explicit objectives to grow and develop and it is absolutely necessary to measure performance to accomplish them. The performance measurement indicators developed by this study are expected to be used as a tool to attain the objectives of S Hospital.

• Nuclear Engineering and Technology
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• 제44권7호
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• pp.825-830
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• 2012

Radiation and its various industrial applications have been growing at approximately 10 percent per year for the past decade in Korea. As a result, the importance of the Education and Training (E&T) in radiation protection is of upmost importance. This paper is intended to investigate the present status of the E&T on radiation protection and safety in Korea and to draw up the improvements of the E&T courses required for building the national radiation safety infrastructure. For these purposes, the E&T data from the six major domestic organizations providing radiation protection training courses were investigated and analyzed. Each of the organizations is offering several kinds of E&T courses based on their own specific functions. These organizations have administrative facilities equipped with the latest technology for E&T in radiation protection. The E&T courses mainly cover the training courses for radiation workers, radiological emergency staff, license applicants, license holders, and regulatory staff. In 2010, a total of 58 E&T courses were carried out across six organizations. The conclusions make a number of observations highlighting challenges such as: establishing a formal feedback mechanism, introducing more practical training sessions, developing training courses tailored to the job categories and target audiences, and designing education and training courses in radiation protection that comply with current obligations as well as future requirements.

• Journal of Korean Neurosurgical Society
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• 제29권12호
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• pp.1620-1627
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• 2000

Objectives : DAMA cases were analyzed to examine what the main casual factors of DAMA were and how to deal with these cases effectively in hospital with the DAMA interdisciplinary team including medical social worker whose role is to perform psycho-social assessment, family counsel, to evaluate family's DAMA need. Patients and Methods : The content analysis of medical record and social work record were reviewed in 37 cases referred by medical doctor to DAMA team. These cases were reported by patients' self discharge request or family's request for discharge from September 1998 to February 2000. The DAMA team consists of Assistant Director of Hospital as team leader, medical staff in-charge, social worker, QI nurse, other staff members who are not involved in direct treatment for patient, and administrative clerk. Results : The results of content analysis are as follows : 1) The most causal factors of DAMA consist of combination of more than 2 factors. 2) The major decision-maker is revealed to be son and daughter of patient. 3) In 59.4% of cases, family was not informed of patients' prognosis, alternatives, the consequence of DAMA at all. 4) In cases of DAMA report, the rapid intervention of social worker is carried out. Conclusion : In this study, we propose the interdisciplinary team approach to make decision legitimately and ethically for DAMA. The suggestions from this study are as follows : 1) To deal with DAMA case properly, the interdisciplinary team approach should be considered. 2) The criteria for DAMA case should be formed carefully. For the explicit selection of DAMA case, preliminary system for high-risk patient screening is recommended. 3) The medical social worker is available for the psycho-social problems of the patient once family members. For the effective family counselling, discharge planning and nursing home placement, the participation of medical social worker should be mandatory.

• 농촌의학ㆍ지역보건
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• 제49권3호
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• pp.216-234
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• 2024

Background: Hapcheon-gun, Gyeongsangnam-do, is designated as an emergency medical vulnerable area, facing significant challenges in transporting and treating emergency patients. A detailed analysis of the regional emergency medical system is required to identify effective solutions. Methods: This study employed a mixed-methods approach, combining quantitative data from the National Emergency Medical Information System and emergency activity logs with qualitative data from focus group interviews involving 24 stakeholders, including medical staff, paramedics, civil servants, and local residents. Results: Quantitative findings indicated an aging population in Hapcheon-gun, with a growing number of elderly emergency room users. Despite the utilization of local emergency medical institutions, a lack of trust and preference for urban hospitals led even patients with mild conditions to seek care at higher-level facilities. Following the COVID-19 pandemic, transport distances and times for patients using 119 emergency services increased. Qualitative analysis identified several issues: limited capacity of local institutions, challenges in patient transport due to misaligned emergency medical zones, an increase in severely ill patients, and the absence of a coordinated emergency medical consultative body. Recommendations include strengthening local institutions through government support, realignment of emergency zones, legal reforms, the establishment of a continuous consultative body, and enhancing the capacity of medical staff, paramedics, and residents. Conclusion: Improving the emergency medical system in Hapcheon-gun will require targeted efforts in institutional strengthening, legal and administrative support, and capacity-building initiatives.

• 보건의료산업학회지
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• 제11권2호
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• pp.29-42
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• 2017

Objectives : This study aimed to identify the impact of social responsibility(CSR) activities by the hospital on the organizational commitment and value of the hospital by the internal members, to recognize the importance of staff carry out social responsibility activities effectively in the relevant departments, and use planning as a vital element or establishing a long-term hospital management strategy. Methods : Data were collected from 800 the administrative practioners of the hospitals in 200 hospitals nationwide. A structured questionnaire was used to measure the research variables using a 5-point Likert scale. The final sample consisting of 230 was analyzed using SPSS. Results : It was found that economic, legal, and charitable CSR have a statistically significant effect on organizational commitment and value of hospital Conclusions : The results suggest that hospitals should a fulfilling the obligation to abide by the norms and rules to be strictly observed, social services and charitable activities for the community are a strategy to increase the organizational commitment and hospital value in the long run. These activities should be actively pursued in a way that is sustainable and long-term so that they can improve to management performance.