• 보건행정학회지
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• 제8권2호
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• pp.58-75
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• 1998

The hospital is characterized by it's remarkable labor industry and human resources input by unit. Recently, the administrative personnel are recognized as important staff to provide a hospital guidance to consumer and also easiness for consumer's visit to hospital. The objectives of this study is to find the performance of the administrative personnel in hospitals. The unit of analysis is the hospitals and data was collected form 144 staffs in 5 hospitals. Self administered questionnaire was given to analyze the general characteristics of staft such as age, sex, education, experience, and performance level in terms of frequency, ability, necessity of tasks. The major findings are as follows: 1. The 5 major tasks such as general affairs, insurance related affairs, hospital statistics, admission/discharge, and analysis of treatment cost were analyzed. Performance level of these tasks were not showed consistent level. It means that the same task was showed both high level performance and low level one. 2. The higher rates of performance level, ability and necessity were found, below 29 years of age, junior college graduates and university hospital than that of general one. 3. Factors mostly affected to performances were found as characteristics of hospital, age and education. 4. Concerning the various manpower management, On the job training, incentive mechanism and colose relationship among units were somewhat lack. In conclusion, most responded administrative personnel have performed actively in dealing with their tasks. however, the performance level and ability of the same task were showed differently, it means that such routine works were not standardized. Therefore, standardization and specification of tasks should be developed to strength the performance. Finally, this study is the first attempt to find out the performance of the administrative staffs and the study results imply that further study could be neeed to promote the performance of administrative personnel efficiently and effectively.

• 디지털융복합연구
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• 제10권1호
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• pp.407-412
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• 2012

본 연구는 행정전담인력의 유무에 따라 의원급 의료기관 경영에 미치는 요인을 파악하고자 2009년 1월1일부터 3월31일까지 건강보험심사평가원에 신규 개설을 신고한 전국의 의원급 의료기관 295개를 조사대상으로 선정하였다. 의료기관에 행정인력이 있을 때와 없을 때에 따른 횟수 별 조정건수에 따라서는 모든 항목에서 행정인력이 있을 때가 없을 때보다 많았으며, 1회를 제외하고 통계적으로 유의하게 나타났다(p<0.01). 연구결과 행정인력이 있고 없음은 삭감에 중요한 영향을 미치는 것으로 나타나, 의료기관에 병원행정 전문가 배치가 매우 중요할 것으로 사료된다.

• 산업경영시스템학회지
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• 제24권66호
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• pp.47-57
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• 2001

This thesis introduce the organization system and office regulation of standardization administrative organization for the change of times, also suggest improvement plan for its effective management. The main improvement plan refer to the standardization administrative organization\`s work, this thesis suggest, 1. Readjustment of national standardization system and effective reorganization for standards information organization. 2. For industrial standards system, the korea industrial standards should be maintained uniform system, So decentralized korea industrial standard at government ,must be unified and maintained to unique policy for its effective improvement. 3. To strengthen with international standards organization, a institutional device, budget funds, and expert should be backed up. 4. For training and education of expert, Refer to the performance of one\`s duty, the proper expert should be chosen and posted. Also, systematic training and education system for expert must be developed, So they can be on duty continuously, Finally, this thesis suggest that the necessity of systematic and unique policy must be established for high position at international area. Since the limitation of data, the future research will be performed for budget funds and personnel setup.

• 보건행정학회지
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• 제22권4호
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• pp.703-710
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• 2012

Purpose : The aim of this study is to review the current status of healthcare provision and its human resources administrative management and propose a coordinated human resource management plan for the more efficient operations of healthcare organizations. Methods : We reviewed the literature and held discussions with officials from the United States Department of Health and Human Services to survey United States Public Health Service Commissioned Corps operations. In addition, we surveyed the literature to analyze the current structure and responsibilities of governing bodies involved in public healthcare in Korea. Results : In Korea, there are several administrative offices involved in public health: the Ministry of Health and Welfare, the Ministry of Defense, the Environment Ministry and others. Since these diverse agencies don't integrate their operations, it is difficult to grasp their management of both public healthcare services and their personnel. A potential model is the United States Public Health Service Commissioned Corps, a sub-group of the Department of Health and Human Services and an elite team of highly qualified, public health professionals, which coordinates and manages the overall work and personnel of diverse healthcare organizations. Conclusion : We suggest the establishment of a federal level, public health administrative department of human resource management to centralize and coordinate the existing, disparate healthcare administrative agencies.

• 보건행정학회지
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• 제18권1호
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• pp.1-20
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• 2008

How health care providers compete and how competition among them affects their behavior are crucial questions in theory and health policy. In ordinary markets, competition improves social welfare, However in health care markets facing uncertainty and information asymmetry, competition can take the form of wasteful quality competition and result in cost increase. The purpose of this study is to examine the characteristics of hospital service markets and examine the impact of hospital competition on hospital behavior, more specifically hospital cost and the size of personnel. Based on patient discharge data of 2002 by the Ministry of Health and Welfare and Korea Institute for Health and Social Affairs, and health insurance EDI claims data of 2002, this study measures the degree of competition in the inpatient service market of hospitals, using variable radius method and Herfindahl index. The result of the study shows that the hospital service market consists of on average 3.13 government administrative units(shi, gun, or gu). Compared with hospitals, general or general specialized hospitals cover larger markets and operate in more competitive markets. Nearly 60% of patients use hospitals, which are not located in their government administrative units, meaning that market definition based on variable radius is better than the conventional method of market definition based on government administrative units. The results of multivariate analysis show that competition is not associated with high cost index of hospitals. But hospitals in more competitive markets employ larger(more intensive) input of personnel per 100 beds, implying that hospital competition in Korea can have the form of quality and cost-increasing competition.

• 의료법학
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• 제11권2호
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• pp.309-335
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• 2010

This study is a paper reviewed legal status of medical personnel and issues of law on recently discovered medical records. As the increase of medical personnel who have gone through the administrative disposal in regards to the medical records, it is needed to examine the legal issue or dispute on the medical records under the current law. Medical records are the statement on patient's medical conditions made by the medical personnel. This records are used as important source for patient's further treatment. This becomes the communication route between the patients and the other medical personnel, and it provides the patients a right to find out their medical information. According to the Medical Service Act (Article 21), a medical personnel shall prepare respectively a record book of medical examination and treatment. And medical personnel shall make a signature. Furthermore, the medical personnel or the opener of the medical institutions must preserve the record book (including an electronic medical record). Meanwhile, the issues of a ban on false entry, additional record, revision or manipulation on the medical record have been recently on the rise. This paper briefly examined the major issues in regards to the medical records. It especially clarified the legal duty on medical records and its major-contentious-issues. At the same time, it pointed out the problems of the unreasonable over interpretation of the law. Furthermore, this suggested the guidelines for the further discussion and review.

• 한국문헌정보학회지
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• 제41권2호
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• pp.31-54
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• 2007

이 연구는 $\ulcorner$도서관법$\lrcorner$ 개정에 따른 정책 환경의 변화를 공공도서관의 현주소와 연계 분석한 다음에 공통의 현안과 과제를 제시하는데 목적이 있다. 이를 위하여 도서관발전종합계획의 수정 보완, 도서관 행정체계의 정비, 지방 도서관 정보정책시스템의 제도화, 직무분석과 사서직제의 개선, 인프라 확충과 각종 기준의 개정, 경영평가 및 통계시스템의 표준화, 도서관 유관기관과의 연계성 강화를 정책적 과제로 설정하고 추진방향과 개선안을 제시하였다.

• 보건행정학회지
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• 제13권3호
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• pp.129-147
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• 2003

This study is to grasp a trend of profitability classified by characteristics of hospitals and to analyze related factors. Subjects are 145 hospitals which have gotten the standardization audit by Korean Hospital Association during 1998-200l. Profitability was measured in the aspect of operation profit rate with operating margin to gross revenue as proxy variables. Independent variables were classified by general factors (ownership, number of beds, period of establishment, competition), financial factors (liabilities to total assets, current ratio, fixed ratio, total asset turnover, inventories turnover), and factors related to patient treatment (average length of stay, bed occupancy rate, new outpatient ratio, admission ratio of outpatients, number of patients per specialist, personnel costs per adjusted inpatient, administrative costs per adjusted inpatient). Hierarchical multiple regression analysis model was used in this study. As a result of hierarchical multiple regression analyzation of operating margin to gross revenue, adjustive $R^2$ of general factors was relatively more powerful. The factors had significant effect on operating margin to gross revenue were ownership(+), number of beds(+), competition(+), current ratio(+), fixed ratio(+), total asset turnover(+), personnel costs per adjusted inpatient(-).

• 한국문헌정보학회지
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• 제43권3호
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• pp.5-29
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• 2009

이 연구는 국내 공공도서관 행정체계의 변천과정과 난맥상, 그에 따른 폐해를 진단하고 종래의 개선논의와 쟁점을 분석한 다음에 바람직한 개편방안과 후속조치를 제안하는데 목적이 있다. 이를 위하여 도서관 행정체계의 일원화(통합) 모형, 도서관의 지방행정기구화 방안, 자치단체의 도서관 운영 관리 방안을 제안하였다. 그리고 일원화를 위한 후속조치로 재산권 이관, 재정부담의 해소, 신분변동에 따른 불이익 차단, 관장직급의 조정, 사서직제의 개편, 관계법령의 개정 등을 제시하였다.

• 한국문헌정보학회지
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• 제48권4호
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• pp.241-266
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• 2014

본 연구는 제1, 2차 도서관발전종합계획상의 '도서관 행정체계 일원화' 과제의 추진성과 분석과 정책 평가를 통해 해당 정책과제의 중요도, 타당성 등을 고찰하고, 일원화 추진방안의 쟁점사항에 대한 검토를 통해 도서관 행정체계 일원화에 대한 추진전략을 모색하고자 시도되었다. 제1차 도서관발전종합계획에서의 성과 분석에서는 구체적이고 실질적인 실적이 전무한 거의 선언적인 정책과제로 밝혀졌고, 도서관전문가 집단을 대상으로 수행한 제2차 도서관발전종합계획상의 정책 평가에서는 실현가능성이나 구체성이 떨어지는 정책과제로 평가되었다. 선행연구 조사, 전문가 정책 평가, 현장 실무자에 대한 심층 면접조사 결과 지자체로 일원화하는 일원화 주체에 대한 정책방향은 타당한 것으로 나타났다. 하지만 일원화 방식, 조직구성, 인력 이관 및 직급 조정, 재산 이관 등에서 상당한 쟁점이 있음이 분석되어, 도서관 행정체계 일원화를 위해서는 거시환경 차원의 구호성 정책이 아니라 과업환경 차원의 실현가능한 실질적이고도 구체적인 실천 전략이 필요함이 판단되어졌다.