• The Korean Journal of Health Service Management
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• v.8 no.4
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• pp.149-161
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• 2014

The purpose of this study was to identify the association of factors related to clinical practice training for clinical competence among nursing students, and to analyze those factors influencing clinical competence, providing recommendations for improving their clinical competence and clinical learning environment. This descriptive correlative study completed organized questionnaires from 557 nursing students. The data was analyzed by SPSS 19.0. The most important factor affecting the clinical competence among nursing students was teaching effectiveness (${\beta}=.22$). followed by critical thinking (${\beta}=.19$). and the professional self-concept (${\beta}=.19$). The explained variable for clinical competence was 45.2% in nursing students. Thus, the development of an effective clinical internship program is important for strengthening nursing students' clinical competence. We suggest that the capability of nursing students should be strengthened and effective clinical internship programs should be developed to improve the clinical competence of nursing students.

• The Korean Journal of Health Service Management
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• v.8 no.4
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• pp.163-173
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• 2014

This study was performed to investigate the current status of isolation precautions of multidrug resistant organisms(MDROs) in general hospitals with more than 200bed. The questionnaires were mailed from 3rd, April 2013 to 30th, April 2013. Methicillin resistant Staphylococcus aureus:(MRSA), vancomycin resistant Staphylococcus aureus:(VRSA), vancomycin resistant Enterococcus(VRE), multidrug-resistant Acinetobacter baumannii, carbapenem-resistant Enterobacteriaceae multidrug-resistant Pseudomonas aeruginosa were enrolled. MRSA(100.0%) and VRE(98.7%) were isolated respectively. VRE(97.3%) and MRSA(64.0%) were regulated strictly respectively. VRE(91.5%) and VRSA(50.7%) were isolated in a single room respectively. Hospital being located in Seoul(p<0.001), and beds(${\geq}600$)(p=0.008) were different significantly. The isolation space limitation(71.1%) was the highest difficulty. The development of refunding the costs of the extra supplies and other hygienic materials for infection control was discovered as the most urgent strategy.

• The Korean Journal of Health Service Management
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• v.11 no.4
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• pp.67-76
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• 2017

Objectives : This study compared Value added to personnel expenses between 12 private general hospitals and 12 regional public hospitals, based on location and size, to examine industry competitiveness in terms of management. Methods : From 2011 to 2015, the value added and value added to personnel expenses were calculated by year. and a SPSS statistical program was used to determine and influential factors between private general hospitals and regional public hospitals. Results : The total value added to personnel expenses was 26.85 percent lower than general hospitals compared to regional public hospitals. The product category most influenced by the value added to personnel expenses was Stationeries & expendables at general hospitals and Outsourcing at regional public hospitals. Conclusions : Regional public hospitals have relatively low value added to personnel expenses compared to the general hospitals. Therefore, it is necessary for hospital management to reexamine gross revenue relative to total manpower.

• The Korean Journal of Health Service Management
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• v.11 no.4
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• pp.17-28
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• 2017

Objectives : This study analyzed job performance in local area general hospitals to look for measurable effects from educational training and/or organizational communication. Methods : For the purposes of this study, a survey was conducted of general hospital employees from 29 hospitals in Gwangju and Jeonnam. The survey period was August 22 - September 30, 2016, and 1,004 responses were used in the final analysis. Results : This study revealed that certain aspects of communication (upward,downward,vertical,orinformal) had significant effects on job satisfaction, learning transfer, and general performance. Conclusions : To improve job performance in general hospitals, employers must improve overall satisfaction by improving upon job training and internal communication. Specifically, training should be better connected to learning transfer and organizational design must encourage active communication between employees.

• The Korean Journal of Health Service Management
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• v.11 no.4
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• pp.105-114
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• 2017

Objectives : The purpose of this study was to investigate the relationship between dietary pattern and the Community Periodontal Index in elderly people who live alone in rural areas and to provide necessary data to strengthen nutrition education about the oral health of elderly people who live alone. Methods : Dental examinations and questionnaires were conducted with 380 elderly people who live alone in rural areas of Gyeonggi-do. Results : The Community Periodontal Index was higher when the elderly people who live alone had a low intake of vegetables and fruits, a high intake of sugars, a low number of breakfasts, a high frequency of overeating and a high frequency of instant ingestion. Conclusions : It is necessary to provide nutritional management services for the elderly people who live alone in rural areas and to provide preventive centered comprehensive oral care.

• The Korean Journal of Health Service Management
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• v.10 no.1
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• pp.117-129
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• 2016

Objectives : This study investigated the prevalence of unmet health care needs among Korean adults and related factors. Methods : The study participants were adults over the age of 20 mental health experience from the Korea Health Panel in 2012(n=4,730). Statistical analysis methods used in this study were the ${\chi}^2$-test, Logistic Regression Analysis and other basic statistics such frequency-and percentage using SPSS version 22.0. Results : (1)Significant variables of stress: Factors were age, economic activity, subjective health status, and activity limitation. (2)Significant variables of depression: Factors were age, income class(low) and activity limitation. (3)Significant variables of suicidal impulse: Factors were age, chronic diseases, income class, and activity limitation. Conclusions : Stress, depression, and suicidal impulse can be unmet medical factors; therefore improvement measures and mental health counseling programs in response to suicide impulses, should be developed. Thus there is a need for a health sciences approach.

• The Korean Journal of Health Service Management
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• v.10 no.1
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• pp.53-66
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• 2016

Objectives : The aim of this study was to identify the effects of nursing performance and innovative behavior on the self-leadership of geriatric hospital nurses. Methods : The participants in this study were 206 nurses working in geriatric hospitals in Busan, Ulsan and Yangsan City. Data were collected from October to November, 2015. A structured questionnaire was used for the data collection, and the data were analyzed with the SPSS/WIN program. Results : Nursing performance and innovative behavior positively correlated with self-leadership. The most significant predictors of self-leadership were nursing performance and innovative behavior. Conclusions : These findings suggest that nursing performance and innovative behavior were linked to self-leadership. The results of this study can be used to help develop self-leadership programs.

• The Korean Journal of Health Service Management
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• v.10 no.1
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• pp.39-51
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• 2016

Objectives : This study investigated the health care utilization patterns of workers' compensation insurance(WCI) pneumoconiosis patients with excessively long hospital stays. Methods : The discharge summary data of 3,094 WCI pneumoconiosis patients were analyzed. The study sample was divided into 3 groups based on the length of stay(LOS). Health care utilization patterns were compared among the groups with logistic regression analysis, and the LOS determinants were identified with linear regression analysis. Results : The average LOS of the 222 long stay group patients was 1,448 days. Patients in this group tended to use private general hospitals, were admitted through the emergency room and discharged without the consent of a doctor. Conclusions : Many of the long LOS patients will maintain their inpatient status for the rest of their lives. For quality of life and efficient use of health care resources, policy makers need to establish a policy that enables patients to receive outpatient care in appropriate living conditions outside the hospital.

• The Korean Journal of Health Service Management
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• v.7 no.4
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• pp.191-204
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• 2013

This study is intended to identify relationship between stress, self-esteem and mental health in nursing students. The data were collected from 448 nursing students using self-report questionnaire. The data were analyzed by frequencies, t-test, ANOVA, Pearson's correlation coefficients and Stepwise multiple regression using the SPSS 19.0 program. The result are as followed; First, the average of stress, self-esteem, and mental health was $1.25{\pm}0.55$, $3.33{\pm}0.42$, and $2.79{\pm}1.20$ point. Second, mental health was correlated with stress positively and self-esteem negatively. Third, the influencing factor in mental health of the participant were interpersonal relationship and clinical based stress, $R^2=.561$. Thus, development of guidance program to improve mental health of nursing students is recommended.

• The Korean Journal of Health Service Management
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• v.7 no.4
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• pp.153-165
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• 2013

This study aims to analyze how the competencies of specialized hospitals affect the customer behavior intentions. The research involved 14 specialized hospitals among 42 nationwide, which are selected by the Ministry of Health and Welfare in 2007. The results of the study are below. First, the competencies of specialized hospitals are emotional attachment and customer satisfaction proved to have the significant relationship. Second, the competencies of human resources and technology-related resources has a moderating effect with accessibility while the ability of material effect doesn't have such relation. Third, it was verified that the emotional attachment formed the customer satisfaction. Fourth, it turned out that the emotional attachment and customer satisfaction has the significant influence on customer behavior intentions. In conclusion, the competencies of specialized hospitals influences on the customer behavior intentions through the mediating effects of emotional attachment and customer satisfaction.