• 한국산학기술학회논문지
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• 제17권4호
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• pp.622-631
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• 2016

본 연구는 군 병사의 따돌림 피해와 욕구좌절의 관계에서 사회적지지의 중재효과를 파악하고자 실시한 서술적 조사 연구로 육군 병사 316명을 대상으로 하였다. 연구결과 따돌림의 평균점수는 2.23점, 사회적지지의 평균점수는 3.60점, 욕구좌절의 평균점수는 2.75점이었다. 따돌림과 사회적지지, 욕구좌절 간에는 정적 상관관계가 나타났다. 따돌림의 하위변인 모두에서 욕구좌절에 p<.05에서 유의미한 영향을 미치는 것으로 나타났으며, 영향력은 심리적괴롭힘(${\beta}=.340$), 인간관계따돌림(${\beta}=.149$), 직무따돌림(${\beta}=.130$) 순이었다. 사회적지지의 중재효과 검정에서 따돌림${\times}$사회적지지 하위변인 상호작용 항 모두에서 욕구좌절에 p<.01에서 유의미한 영향 요인으로 나타났으며, 따돌림${\times}$구성원지지(${\beta}=.456$) 상호작용 항에서 가장 높은 영향력을 보였다. 이와 같은 결과는 따돌림 피해를 인식하는 병사들을 위해 상사나 동료들의 적극적 지지가 이루어질 때 무형적 전력 확보와 구성원 간 단결이 담보될 수 있다는 것을 시사하고 있다.

• 보건행정학회지
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• 제16권1호
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• pp.54-72
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• 2006

This study was conducted as the primary work to develop a customer relationship management (CRM) system to improve the performance of health screening programs. The specific aims of the study was to identify and classify the characteristics of the people who did not receive their health screening using decision trees and to propose management strategies according to their characteristics identified. The data on a total of 5,102,761 subjects of health screening provided by the National Health Insurance Program in the year of 2002 were used. The target variable was whether they underwent their health screening. The input variables included a total of 27. The SAS 9.1 version was used for data preprocessing and statistical analyses. SAS Enterprise Miner was used to develop the decision trees model. The decision trees identified the factors greatly affecting the health screening. In the non-disease group, the highest rate of non-examinees was characterized by: no experience of receiving a health screen, household's age, non-insured episode for the last one year, and patients' age. In the disease group, the one showing the highest rate of non-examinees was characterized by: no experience of receiving a health screening, no experience of going to public health center or midwife clinic for the last one year, and examinees' age. Developing CRM systems for health screening management taking into account the individual characteristics would be considerably helpful to increase the rate of receiving health screening.

• Korean Journal of Acupuncture
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• 제19권2호
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• pp.149-165
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• 2002

Objective : We proposed fundmental rules of prospective on legal and institutional position and role of Korean medicine doctors working at public health center. Methods : By the result of this research on the current situation, the grade and allowance given to the Korean medicine doctors working at public health center were different every self-governing body. Results : The reason the Korean Medicine Doctor can't serve as a regular order of 5th grade is that the 'The Enforcement Regulation about Administrative Organization and the Standard of Pixed Number of person of Self-Governing Body(지방자치단체의 행정기구와 정원기준등에 관한 규정 시행규칙)' prescribes the number of regular order of 5th grade is regulated within 7% among the number of regular order officials. But not appointing to office as the regular order of 5th grade infringes on the Constitution, the highest law. The reason the Korean Medicine Doctors can't be appointed to office as the regular order officials by the self-governing body is that 'The Enforcement Order of the Law of Preservation of good health of Local Area(지역보건법시행령)' prescribes the Korean Medicine Doctors are not indispensable to Public Health Center. But in fact, the Korean Medicine Doctors can execute many kinds of work such as medical examination or instructing house nursing. Conclusion : The Korean Medicine Doctors working at Public Health Center serve at low positions as daily use or common use, not receiving a regular order. All laws including the Constitution(헌법), the Medical Services Law(의료법), the Law of Preservation of good health of Local Area(지역보건법), the National Public Service Law(국가공무원법), the Local Public Service Law(지방공무원법) and the Law of Higher Education Law(고등교육법) describe that the Korean Medicine Doctors and the Western Medicine Doctors are equal to their position and right.

• 한국병원경영학회지
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• 제6권2호
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• pp.86-114
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• 2001

As the environment related to hospital operation has changed very competitively in recent years, a need to reform the hospital management is ever growing. For that reason, it has become more urgent and strategically important for us to diagnose the organizational culture of the hospitals and to make efforts to change them towards more performance- and customers-oriented one. So far, there have been many studies done on the hospital organizations. However, this research distinctively attempts to base itself on the competing values approach in studying the organizational culture and empirically examine how different profiles of the organizational culture may have an impact on the organizational performances in hospital organizations. The results of this study has showed several interesting findings and posed the discussions to be dealt with. First, most hospitals selected for this research are characterized by the inner-oriented culture with more focused on 'hierarchy' and 'relationship-oriented' culture rather than on 'reform' and 'work-oriented' one. And the strong 'hierarchy-oriented' culture is a very general phenomenon in the sample hospitals. From these findings, we can inference that despite the recent efforts of most Korean hospitals for organizational change and innovation they still have long distance way to go. In addition, another important implications of this research has come from the analysis of the relationships between the cultural profiles and organizational performances. For this purpose, this research has conducted a series of cluster analysis and identified four distinct cultural profiles from the sample organizations. Several major findings are as follows. First, with respect to the dependent variable of 'job satisfaction' perceived by the nurses working in the sample hospitals, we found that the balance of competing organizational values had more positive impact on the job satisfaction. This result confirms the hypothesis of competing values model on the organizational performances. However, such result was not replicated on the other dependent variable, 'patients' satisfaction'. The reasons for these results and other discussions including the limitations of this study are suggested.

• 한국병원경영학회지
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• 제9권2호
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• pp.128-148
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• 2004

Both undergraduate and graduate programs in health services management(HSM) are recently established in colleges and universities in Korea, and the programs train their students for diverse sectors within the field of healthcare management, including hospitals, nursing facilities, consulting firms, health industries such as pharmaceutical, insurance companies, etc. This study investigates many of the managerial roles expected to graduates from academic curricula in HSM, and required competencies to be successful in their positions. The information of roles and competencies for HSM graduates were collected, and their importances were evaluated by healthcare management experts through a Delphi method. As the result, 11 items for present roles and 13 items for future roles were derived, and 15 and 16 items were derived for present and future competencies respectively. Utilizing the classification of work roles by Timmreck and that of managerial competencies by Robbins, the importance of roles and competencies of healthcare managers was analyzed and interpreted. The major domains of roles at present turned out to be 'organizer', 'planner', 'problem solver', and 'coordinator' in order according to importance. On the other hand, as graduates develop their careers, the domains of future roles would be changed to 'director' and 'planner'. For competencies, the most important domain at present was 'technical skill', but the future important domain was 'interpersonal and emotional intelligence'. The result of this study can be seen as an initial step toward improving the academic curricula of HSM in college and universities and promoting collaborative efforts between academic programs and on-site practices in healthcare industries.

• Safety and Health at Work
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• 제5권3호
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• pp.131-135
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• 2014

Background: Cassava and corn milling is a growing small-scale enterprise in Africa. We aimed to determine the incidence of hand-arm musculoskeletal complaints among vibration-exposed Congolese cassava and corn millers in the previous 12 months. Methods: A cross-sectional study was conducted, prior to a follow-up study, from March to May 2013 among cassava/corn millers in Lubumbashi, Democratic Republic of Congo, in which 365 millers age-matched to 365 civil workers anonymously answered a questionnaire. Results: Overall incidence of hand-arm musculoskeletal complaints was 25.8% in millers (vs. 5.2% in civil workers; p < 0.001). The risk of experiencing musculoskeletal symptoms was seven times higher in millers [vs. civil workers; odds ratio (OR) = 7.10; 95% confidence interval (CI): 4.03-12.50; p < 0.0001]; 2.4 times higher in smoking millers (vs. smoking civil office workers; OR = 2.36; 95% CI: 1.42-3.88; p < 0.001); 3.6 times higher in millers with longer daily exposure (> 8 hours; vs. those working ${\leq}8$ hours; OR = 3.56; 95% CI: 1.93-3.61; p = 0.026); and 7.4 times higher in young millers (vs. older millers, OR = 7.39; 95% CI: 1.29-75.52; p < 0.001). Smoking, number of cigarettes, and daily exposure duration were positively correlated with musculoskeletal complaints. Conclusion: This study revealed a relatively high incidence of musculoskeletal complaints among African cassava and corn millers. The use of anti-vibration protective equipment and the regulation of this hazardous occupation may reduce the burden of musculoskeletal disorders in millers.

• Safety and Health at Work
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• 제11권2호
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• pp.136-142
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• 2020

Background: Rheumatoid arthritis (RA) is an autoimmune disease with systemic inflammatory arthritis. This meta-analysis was conducted to examine the association between occupational exposure to silica and the risk of developing RA among different workers. Methods: In this meta-analysis, we searched relevant published studies using major electronic databases including Scopus, PubMed, ISI Web of Science, and Google Scholar search engine up to October 2019, and the references of retrieved articles were also checked for further possible sources. A random-effects model was used to account for heterogeneity among the results of the studies using the pooled odds ratios (ORs) and their 95% confidence intervals (CIs). The Q-statistic and I² tests were calculated to assess heterogeneity between the studies. Results: The pooled calculation of OR indicated a significant association between occupational exposure to silica and risk of developing RA among different workers (OR = 2.59, 95% CI = 1.73 to 3.45). In addition, the pooled estimates of OR in smokers were statistically significant (OR = 2.49, 95% CI = 1.13 to 3.86). Conclusions: The findings of the present study reveal that occupational exposure to silica may be associated with increased risk of developing RA.

• 문화기술의 융합
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• 제6권2호
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• pp.145-152
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• 2020

본 연구는 응급실 간호사의 직무스트레스 정도와 음주 수준을 조사하고 이들 변수간의 관계를 알아보기 위해 시행되었다. 3개 도시에 위치한 병원 응급실에 근무하는 간호사 106명을 대상으로 자가 보고식 설문지를 이용하여 자료를 수집하였으며 수집된 자료는 SPSS 21.0 프로그램을 이용하여 분석하였다. 연구결과 응급실 간호사의 직무스트레스 평균은 45.93±6.81점이었으며, 음주사용장애군은 18.9%로 나타났다. 음주수준은 간호사 경력에 따라 차이가 있었고(χ²=8.249, p=.041), 직무스트레스는 결혼 유무(t=-2.72, p=.008)와 지속적인 근무 희망 여부(t=-2.272, p=.025)에 따라 유의한 차이가 있었다. 직무스트레스와 음주사이에는 유의한 상관관계(r=-.147, p= .000)가 나타났다. 연구 결과에 따라 응급실간호사의 직무스트레스를 낮출 수 있는 방안이 필요하며 이는 음주수준을 낮추는 것에도 기여하리라 예상된다. 따라서 직무스트레스와 음주수준을 감소시키기 위해 응급실간호사 배치인력관리 정책이나 교육 및 상담 프로그램이 필요한 것으로 생각되어진다.

• 디지털융복합연구
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• 제18권1호
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• pp.249-255
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• 2020

본 연구는 공공의료기관의 경영성과와 공공성의 관계를 분석하기 위해 2015-2017년의 13개 국립대병원의 결산서와 연보를 통하여 자료를 수집하였다. 연구결과 공익성지수는 의료수익순이익율, 의료수익의료이익율에 유의한 음(-)의 관계로 나타났다. 의료사회사업비는 의료수익경상이익율, 의료수익순이익율에 유의한 양(+)의 영향력이 있는 것으로 나타났다. 그리고 국립대학교병원은 지역에 따라 의료수익경상이익율에 유의한 영향력을 미치는 것으로 나타났다. 본 연구 대상인 국립대학교병원이 의료의 공공성 분야에서 민간의료기관 대비 어떤 차별화된 사업을 수행하고 있는지 객관적인 평가와 총체적 점검이 필요하다. 그리고 이를 바탕으로 국립대학교병원의 설립 목적에 맞는 역할의 재정립이 필요하다.

• 디지털융복합연구
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• 제18권9호
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• pp.307-315
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• 2020

본 연구의 목적은 현상학적 방법을 통해 말기 암 환자를 돌보는 호스피스 병동 간호사의 경험의 의미 가 무엇인지 이해하여 본질을 추구하고 그 현상의 의미를 심층적으로 기술하고자 함이다. 본 연구의 대상자는 C시에 위치한 일종합병원의 호스피스 병동에서 1년 이상 근무하고 있는 간호사 9명을 선정하였다. 연구 방법은 심층 인터뷰로 2019년 7월부터 2019년 9월까지 자료를 수집하였다. 인터뷰 자료는 Giorgi의 현상학적 방법으로 분석하였다. 분석 결과는 '업무의 부담감' '성숙해짐', '밀착된 관계형성', '호스피스에 대한 지원 부족'으로 나타났다. 결론적으로 말기 암 환자를 돌보는 호스피스병동 간호사의 경험에 대하여 그들의 입장에서 포괄적이고 총체적인 이해를 제공함으로써 말기 암 환자 돌봄에 대한 통찰력을 제공 할 것이며, 그들의 경험에 근거하여 효과적인 지지체계 및 행정적 지원체계의 개발에 기여할 수 있으리라 생각된다.