• 한국의료질향상학회지
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• 제21권1호
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• pp.52-61
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• 2015

Objectives: Because recently hospital had to faced with financial hardship, we have to have more effective hospital management. The purpose of this study was to reduce loss costs of the hospital through the systematic management of medical supplies and increase operational efficiency. Methods: The team was composed of outpatient nursing staff, medical record administrator, nurses in medical insurance, medical computer center, dermatologists for this study. We surveyed for 114 people including outpatient nursing staff, nurse aids, medical assistant, physician assistant. Pre-survey period was 2013.03.11 ~ 03.30(2 weeks), and post-survey period was 2013.09.03 ~ 09.17(2 weeks). Result: We improved this way through the computational improvement, conservation campaigns, inventory management, staff training, replaced by low-cost medical supplies. The finding of this study were as follows: Comparing before and after the activity of outpatient nursing staff's degree of knowledge, performance, economic consciousness, the degree of knowledge, performance was increased, but there was no significant change in economic consciousness. Performance of Married person is higher than the unmarried, In addition, the high-position people were more the degree of knowleage, economic consciousness. After activity, correlation of goods and treatment, examinations is increasing, but statistically there was no mean. Conclusion: This study revealed that knowledge in a short period of activity, but also can improve, perform the same change in behavior is not easy. This one shows the intensive training required to sustained and systematic behavioral changes, such as changes in behavior, perform rituals to help the economy. Expensive medical supplies to replace a similar effect as the cost of materials just to have a lot of cost savings. Therefore, more medical supplies change is necessary to develop alternative treatment and cost cutting.

• 한국병원경영학회지
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• 제4권2호
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• pp.41-59
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• 1999

Objectives: This study was done to compare patient satisfaction and hospital charges of surgery performed in an outpatient basis(ambulatory surgical procedures). Methods : This retrospective study was performed in 20(vitrectomy 11, tonsillectomy 9) randomly selected ambulatory surgical procedures patients and 50(vitrectomy 26, tonsillectomy 24) inpatients who. received the same procedure at a general hospital in Seoul since January 1, 1998 to October 31, 1998. The operative procedures were vitrectomy and tonsilletomy which could be performed on a ambulatory surgical procedures basis or on an inpatient basis. Results: The results of this study shows that the patients thought the expenses and the surgical operative time was an important factor in a ambulatory surgical procedures but there were no differences in the patient satisfaction by the method of surgery. The charges of vitrectomy and tonsilletomy were reduced up to 495,000 won and 380,000 won from l,589,000 won 842,000 won inpatient surgery respectively. Conclusions: This study focused only on the charges of the surgical procedures and did not include the cost of patient helper, the lost salary due to missing days of work to care for a member of the family, transportation costs, and other indirect costs. Therefore, if those fees were included, ambulatory surgical procedures would be more economical. Therefore, by giving incentives at the fee schedule, the government health policies it would reduce the total hospital charges.

• 한국건설관리학회논문집
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• 제21권1호
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• pp.3-11
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• 2020

다년간 수행해야 하는 일정규모이상의 대형 공공건설공사에서 발주기관은 건설사업관리자의 건설사업관리업무를 위해 예산을 확보해야 한다. 발주기관이 확보하는 사업관리예산과 발주기관이 집행하는 사업관리예산이 동일할 경우 문제가 없지만, 그렇지 않을 경우 다양한 문제가 발생하게 된다. 실제로 건설기술진흥법에는 건설기술선진화를 위해 책임감리를 없애고 건설사업관리를 명시하였으나 기획재정부의 총사업비관리지침에는 책임감리라는 용어를 사용하고, 이에 따라 발주기관이 예산을 청구하도록 하고 있다. 따라서 발주기관의 예산확보와 예산집행사이에 괴리가 발생함으로 인해 건설사업관리업무를 수행해야 하는 현장에서는 많은 어려움을 호소하고 있다. 이에 본 연구에서는 건설사업관리가 효율적으로 운용될 수 있도록 다음과 같은 제도적 개선방안을 제시하였다. 첫째, 법령과 정부기관의 지침 등에 명시된 건설사업관리 용어와 업무를 단일화해야 하며 대가산정기준을 통일해야 한다. 이에 본 연구에서는 건설사업관리가 효율적으로 운용될 수 있도록 다음과 같은 제도 개선방안을 제시하였다. 첫째, 법령과 정부기관의 지침 등에 명시된 건설사업관리 용어와 업무를 단일화해야 하며 대가산정기준을 통일해야 한다. 둘째, 탈락한 건설사업관리자가 기술제안서 보상비를 지급받을 수 있도록 총사업비관리지침에 명시해야 한다. 셋째, 장기계속공사에서 사업비가 변경될 경우 그에 따라 건설 사업관리비가 조정될 수 있어야 한다. 넷째, 발주기관에서 건설사업관리업무가 필요하다면 전문기관에 위탁할 수 있는 근거를 총사업비관리지침에 명시해야 한다.

• Journal of Preventive Medicine and Public Health
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• 제29권1호
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• pp.51-65
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• 1996

The purpose of this study was to examine the trends of length of hospital stay (LOS), which is most likely to be a major attribute to hospital performance. From 1984 to 1994, an average LOS of each hospital was analyzed by factors such as medical departments, bed size, occupancy rate, region and ownership. This study was analyzed changing rate of LOS during 11 years. This rate was calculated by simple regression, which was used only with hospital without missing data during 11 years. This study findings are as follows. 1. The results indicated that the average LOS was steadily increased until 1990 but it was slightly decreased after 1990. 2. This trend could be found in all hospital scale and all group of occupancy rate. Specifically this trends of LOS were found in internal medicine, corporate owned hospitals, and hospitals in major city. But LOS of individual owned hospital was continuously increased until 1994. 3. Means of changing rates of LOS were calculated from 1984 to 1994. If we devided it into two parts, before 1990 and after 1990, most changing rates of LOS before 1990 except individual owned hospital were found positive sign. The changing rates after 1990 were negative sign but small hospital(lesser then 200 bed), individual owned hospital, national & public hospital and hospital in small urban have little change of LOS after 1990. Finally from this results we thought that most hospitals in Korea began to be concerned with LOS. Nevertheless LOS of several hospital such as small hospital or individual owned hospital was increased. And this trend may be caused by a few patients, low occupancy rate, or low profit. This trend of LOS is different from that of other countries. Perhaps this phenomenon is resulted from the reimbursement method. Because of fee for service reimbursement system in Korea the hospitals didn't need to shorten LOS in order to save the cost and increase the profit. Therefore reform of hospital cost reimbursement method will be needed to reduce hospital cost in Korea. We thought that the Korean health authority should consider the reimbursement method by unit of bundle of services, for example DRG and prepayment in the United States. This study presents some limitations such as no insight of severity of disease, case-mix measurement of hospital, and other clinical characteristics that can. possibly affect LOS. However, this study reports an important trend in LOS from 1984 to 1994.