• 한국병원경영학회지
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• 제26권3호
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• pp.68-83
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• 2021

Background: It is widely acknowledged that single bedrooms have many potential advantages compared to multiple bedrooms. However, Korea has a reimbursement system that patients have to pay the additional fee if they will use single bedroom or pay-bed (1-3 bedroom). There is little research on patients' bed selection and relationship between patient satisfaction and bed type in the Korean setting. Methods: Using the 2017 Korea Health Panel (KHP) Survey data, we modified bed type by two dichotomous variables: single bedroom vs. multiple bedroom (2+ bedrooms) and pay-bed (1-3 bedroom) vs. reimbursed bed (4+ bedroom). Multivariate logistic regression is performed to determine the factors affecting the patient's choice of room types. Multivariate regression analysis was conducted to examine how hospital room types are affecting patient satisfaction. Results: Single room and pay-bed (1-3 bedroom) use was influenced by patient age (19- years old), male, a person at work, hospitalizing in a clinic, and birth. After controlling variables of the behavioral model of medical utilization, the association between patient satisfaction and use of single bedroom & pay-bed (1-3 bedroom). Cause of hospitalization, major treatment, and recognition of unnecessary care are statistically significant variables on patient satisfaction. Conclusion: Although the single room is about the standard for newly built hospitals in western countries, it remains unclear that single room or pay-bed (1-3 bedroom) has positive effects on patient's outcomes and satisfaction. In this empirical study, the difference in patient satisfaction by bedroom type was not noticeable. In terms of bed management by hospital staff, securing patient credibility in hospital care is an important task. Patients' perception of whether medical staffs have encouraged unnecessary treatment or tests has a significant impact on patient's satisfaction.

• 한국안전학회지
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• 제33권2호
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• pp.132-137
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• 2018

Compared with general rivers, fluctuations of the water level and the river bed are severe in the tidal river. In hydro-dynamic aspect, such fluctuation gives different river-bed data to us according to observing period. The time-dependent river-bed data and pre-estimation of the Manning's roughness coefficient which is the key factor of numerical modelling induces uncertainty of evaluating the design flood level. Thus it is necessary to pay more attention to calculate the flood level at tidal rivers than at general rivers. In this study, downstream of the Imjin River where is affected by tide of the West Sea selected as a study site. From the numerical modelling, it was shown that the unsteady simulation gave considerable mitigation of the water level from the starting point to 15 km upstream compared to the steady simulation. Either making a detention pond or optional dredging was not effective to mitigate the flood level at Gugok - Majung region where is located in the downstream of the Imjin River. Therefore, a more sophisticated approach is required to evaluate the design flood level estimation before constructive measures adopted in general rivers when establishing the flood control plan in a tidal river.

• 한국병원경영학회지
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• 제27권1호
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• pp.20-30
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• 2022

Purposes: This study purposed to evaluate the effect of a value incentive program(VIP) on the in-hospital mortality of acute stroke. Methodology: Study period was from January 2010 to December 2018. This study included 63 hospitals for acute hemorrhagic stroke that the mortality rate per month was more than one during study period. Independent variables were time variables and hospital characteristics such as hospital type, district and bed number. Interrupted time series analysis was applied to analyze the data. Findings: In case of general hospitals, the in-hospital mortality rate per month for acute hemorrhagic stroke tends to be increased by 0.03% in overall study periods but decreased by 0.32% after the implementation of the policy. On the other hand, tertiary hospital changes are not statistically meaningful. Conclusion: This study provides evidences how the VIP was effective in improving quality of acute hemorrhagic stroke care. General hospitals showed higher policy effect compare to that of tertiary hospitals.

• 디지털융복합연구
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• 제13권7호
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• pp.259-268
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• 2015

본 연구는 일당진료비와 삭감율의 차이와 변동요인을 파악하고 이를 중심으로 요양급여비 관리대책 수립에 필요한 기초자료를 제공할 목적으로 수행되었다. 전국 종합병원 50개소의 감염성 장염(A09.0) 질환의 1년 동안 평균 일당진료비와 평균 삭감율을 입원과 외래로 구분 조사하였고 결과는 다음과 같다. 입원 일당진료비는 의료기관의 총인원, 외래 일당진료비는 병상수, 입원 삭감율은 병상수와 총인원에 상관이 있는 것으로 나타났다. 의료기관 정보가 일당진료비에 미치는 영향은 입원과 외래 동일하게 의료기관의 총인원에 정적(+) 영향을 미치는 것으로 나타났다. 이러한 삭감율과 일당진료비에 대한 연구는 의료기관의 효율적이고 합리적인 의사결정을 돕고, 요양급여비 정책의 우선순위를 결정하는데 중요한 근거가 될 것이다.

• 여성건강간호학회지
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• 제1권1호
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• pp.119-137
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• 1995

Maternity nurses' roles are to find out women's various responses related to the health problems during pregnancy, to intervene adequate nursing and supports, and to help them adapt satisfactorily to new situation, such as hospitalization. The purposes of this study are : firstly, to inquire about women's emotional status, feeling of discomfort, and the nursing need during hospitalization because of discomfort, and the nursing needs during hospitalization because of the possibility of abortion by threatened and habitual abortion : secondly, to provide fundamental data for developing adequate nursing intervention and improving hospital management. The subjects of this study were 62 women who were hospitalized, visited out-patient clinic for follow-up, and stayed at home after discharge since August, 1993 from one hospital located in Seoul, from March 23 to April 13, 1994. The questionnaire was consisted of 21 items of emotion(Reliability Cronbach's alpa, .77), 19 items of feeling of discomfort(.79), and 21 items of nursing needs (.89), and nurses' performance according to nursing needs,(.90). These were measured by using Likert Scale and analyzed by using SPSS / $PC^+$ with the descriptive statistics, $X^2$-test, and ANOVA. Research findings are as follows : 1) The subjects' average age, hospitalized days, and gestational age are 32.2, 15.7, 12.9 by respectively. 2) 88.7% of the subjects are getting antepatal care, 66.1% are experiencing 1.75 times of spontaneous abortion, and 82.3% are nuclear family. 3) The Emotions were mainly comprized negative and subjective state of minds such as uneasiness, anxiety, and discomfort. The domains of emotions were related to 'fetus', 'herself', 'hospitalization', and 'husband's 'families', in rank. The highest scored item was "I, above anyone else, am mostly stressed from abortion." 4) The feelings of discomforts were firstly related to 'personal discomfort arising from absolute bed rest', 'meals provided', Usage of hospital, perse', 'health team', in rank. 5) The nursing needs frequently pointed out were 'Nurses kindly explain of me the purpose, method, and results of the lab. test', 'Nurses sincerely pay attention to my word in communication'. The least nursing needs were 'Nurses observe my feces and whether I have constipation or not'. 'When I can't move, nurses help me by holding my arms or pulling my bed'. 6) The highest performed items were 'Nurses observe whether I bleed or not', and 'Nurses give me drug with exact dose in time'. The least performed items was about hospital environment, such as 'Temperature, ventilation & humidity in the room should be controlled'. 7) Besides religion that is related to nursing need with statistically significant difference, none of general characteristics were related to emotion, feeling of discomfort, and nursing needs.

• 한국구조물진단유지관리공학회 논문집
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• 제21권5호
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• pp.101-107
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• 2017

터널공사의 발파공법의 특성상 여굴 발생은 필연적이라고 할 수 있다. 국내 터널 여굴 관련 설계기준에 의하면 공동구 바닥부의 여굴처리는 채움 10 cm로 되어 있으나 설계 여굴량 이상의 깊이를 모두 콘크리트로 채우게 되면 공사비가 크게 증가한다. 철도터널은 항구적인 콘크리트 궤도를 적용 중에 있다. 그러나 철도터널에서 바닥 여굴이 발생할 경우 압축강도 18 MPa의 콘크리트 채움 시공(T=100 mm)을 하고 있고, 상부에 150 mm ~ 237 mm의 보조도상 콘크리트층, 240 mm 콘크리트 궤도(TCL층)를 시공하는 등의 레일 하부와 터널 암반 사이에 약 600 mm 두께의 콘크리트로 시공하고 있어 경제성이 매우 떨어지는 실정이다. 이 연구에서는 기존터널단면과 변경터널단면에 대해 각각 여굴 깊이에 따라 콘크리트 균열 수치해석 및 콘크리트 균열 위험도 분석, 콘크리트 균열 안정성 확보를 위한 터널 바닥콘크리트 소요 두께에 대한 적정성을 평가하였다.

• Child Health Nursing Research
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• 제12권4호
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• pp.486-494
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• 2006

Purpose: This study was done to analyze children's play during hospitalization. Method: Data were collected from 36 play situations of hospitalized children, ages 2 to 6, hospitalized at 4 general hospitals, one in each city, Seoul, Suwon, Daejeon and Daegu. All observations were made in pediatric units during free-play periods. Each child was observed for 5 minutes at each observation and observed three times at each play session. Results: Of the children, 83.3% played on the bed. Play partners were mainly mothers. While 75.0% of children actively took part in play activity and 70.0% played with joy, 63.9% of play partners were more passive in the play. The most frequent play material was a small toy. The level of play was early stage of social and cognitive play, and dramatic play was observed in a few children over the age of 3 years. The play activities were conversional play, reflections of therapeutic procedures, imagination, and exploratory play. In the conversional play, children converted hospital equipments into play materials. Conclusion: It is recommended that health care team members should pay attention and actively participate in play of hospitalized children in order to help them have some control over the stress of the situation.

• 대한물리치료과학회지
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• 제16권3호
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• pp.55-66
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• 2009

Background: The purpose of this research was to investigate the factors affecting the low back pain of workers in hospital. 214 subjects waking at two general hospitals in Yosu city participated in this survey. Subjects consisted of doctors, nurses, medical engineers, officers and general laborers. The survey data were collected by a written questionnaire which made out by themselves for 25 days, from fourth August to 29th August, 2008. Methods: The questionnaire consisted of four categories, general, occupational, working habitual and the daily living characteristics. The collected data were analyzed by Chi-square test based on the present or absent of low back pain. Results: 1. In the general characteristics, low back pain had no significant relationship to all factors, sex, ago, body mass index, weight and height. 2. In the occupational characteristics, the phase of distribution of low back pain had statistical significant differences in the working hours a week, satisfaction of pay, satisfaction of occupation(p<0.05). However low back pain did not significantly related to the kind of occupation, period of work and degree of stress. 3. In the habitual characteristics, low back pain was significantly influenced by working posture, frequency of using lumbar and heavy material lifting, monotonous repetition of working operation and noise(p<0.05). No significant difference was shown in the factor of convenience of chair. 4. In the daily living characteristics, low back pain shown the significant differences in walking time a day, status of health and smoking pattern(p<0.05). there were, however, no significant differences in the aspect of the kind of house and bed, sleeping attitude, driving, riding time on the vehicle, exercising, frequency of cultural life and drinking alcohol. Conclusion: when I see above resultants totally, it appears a higher incidence caused by working environment rather than living habit and then consequently compared to hospital workers, they also have high incidence like others. In order to reduce incidence of low back pain and enjoy the our life we need to educate ourselves preventing program for low back pain and try to effort for preventing of low back pain on each department and individual.

• 보건행정학회지
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• 제17권2호
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• pp.68-90
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• 2007

Nurse staffing level is an important factor that influences the quality of health service and patient outcomes. This study was carried out to examine the current state of acute hospital nurse staffing and find out factors that affect the nurse staffing level. Nurse staffing of individual hospitals was measured using the number of registered nurses per 100 beds. Descriptive and multiple regression analyses were conducted using 592 acute care hospitals' data. Regression model included structure factors such as referral level, ownership, medical and general staffing, and financial outcome factors such as occupancy rate, inpatient and outpatient revenues. Market characteristics included strength of competition, supply of nurses, and income and health status level of consumers. The average number of nurses per 100 beds was 28 and showed a great variation according to the referral level. Regression model explained this variation as much as 76.87%. Hospital structure variables which affecting the hospital nurse staffing level positively were ICU bed ratio, the staffing level of specialist, training doctor and employees except doctor and nursing personnel, while the negative factor was nurse aid staffing level. General hospitals employed more nurses than hospitals. Among outcome characteristics, occupancy rate and the amount of health insurance inpatient revenue affected positively on the hospital nurse staffing level. The more supply of the new nurse and the higher consumer income and health status in the medical service markets, the more nurses were employed by the medical institutes. According to the study result, hospitals employed more nurses when they had more financial incentive by increasing nurses. This means appropriate hospital incentive policy and regulation policy, which hospital violate nurse staffing level have to pay penality, should be needed. Clarifying job description between nurses and nurse aids and the reentry program for unemployed experienced nurses will be helpful to increase nurse staffing level.

• 자원ㆍ환경경제연구
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• 제27권1호
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• pp.105-138
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• 2018

도시녹지공간은 정주공간에서 요구되는 다양한 생태계서비스를 제공하고 있으나 그 가치에 대한 연구는 제한적이다. 본 연구에서는 서울 녹지공간에 대한 조망과 접근성을 중심으로 주택 유형과 거주 유형을 일반화하여 대부분의 거주민이 향유하는 가치를 평가할 수 있도록 선택실험 연구를 진행하였다. 응답자의 주택 유형은 아파트형(n = 500)과 단독형(n = 500)으로 구분하고 거주 유형은 소유형과 임대형으로 구분하였다. 분석 결과에 의하면 다른 모든 조건이 같을 경우 녹지 조망이 있는 아파트는 앞 동의 아파트를 거실조망으로 가지는 아파트에 비해서 현재 거주하고 있는 주택비용(소유 또는 임대) 대비 산림의 경우 가구당 평균 28%(5.0백만 원/년) 더 지불할 의향이 있었고, 그 다음으로 하천 22%(4.0백만 원/년), 공원 10%(1.8백만 원/년) 순으로 추정되었다. 또한, 도보 10분 이내에 녹지가 있을 경우는 그렇지 않은 거주지 대비 아파트형의 경우 각각의 녹지 유형에 따라 가구당 평균 16%(2.9백만 원/년), 20%(3.6백만 원/년), 18%(3.2백만 원/년), 단독형의 경우 각각 18%(4.7백만 원/년), 16%(4.1백만 원/년), 22%(5.6백만 원/년) 더 높은 가치가 있는 것으로 밝혀졌다. 단독형 주택의 경우에는 정원/마당 유무에 따라 가구당 평균 35%(8.9백만 원/년) 지불의사액 차이가 있었다. 전통적으로 주택가격을 결정하는 것으로 알려진 요인들(예, 역세권, 학군 등)의 선호도 크기와 비교했을 때 도시녹지 프리미엄이 서울의 정주여건에 매우 중요한 요소라는 것을 규명하였다. 특히, 도시녹지 프리미엄은 단독형 주택의 경우 강남3구를 중심으로 강한 영향력을 보여주는 반면, 아파트형 주택의 경우 최근에 급부상 하고 있는 부동산 신흥지역을 중심으로 주택 선호도를 견인하는 것으로 밝혀졌다. 이러한 결과는 정주공간의 주변 여건에 따라서 그리고 주택 유형에 따라서 거주자들의 도시녹지 선호도가 민감하게 반응한다는 것을 보여주고 있어서 차별화된 관리정책의 필요를 강조한다.