• Journal of Home Health Care Nursing
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• v.26 no.2
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• pp.133-144
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• 2019

Purpose: This study was conducted to verify the effectiveness of a cost management education program, focusing on the differences between a web-based group and a mobile-based group. Method: This was a quasi-experimental study using a two-group pretest-posttest design. Participants were 74 nurses in a web-based group and 69 nurses in a mobile-based group. Data were collected between January 2 and February 10. The cost management education program was configured such that the participants studied eight modules over four weeks. The after-program post-test was conducted for one week. Results: Both the web-based group and the mobile-based group showed significantly higher values for cost management knowledge (S=5.98, p<.001 and S=2.76, p=.006, respectively). The web-based group had statistically significantly higher values for cost management knowledge (S=4,461.50, p<.001) than the mobile group. Conclusion: The cost management education program showed improvement in knowledge in both the web-based and mobile-based groups; however, the web-based approach was more effective for nurses. A cost management education program which can be implemented effectively across all range of nurses is recommended.

• Health Policy and Management
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• v.15 no.3
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• pp.1-16
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• 2005

This study was planned to investigate the relationship between development levels of learning organization and organization effectiveness in Hospital. Data were collected from 285 respondents who have participated in 'Learning Organization Project'(response rate =$50.5\%$). Structured questionnaire were applied by self administrated survey for two weeks since 2003 May. Main results were as follows; In the result of factor analysis, four factor were created and almost questionnaire items were classified into as same categories as theoretical concepts. Cronbach's a coefficient also showed over 0.7 in all categories. This result means that measurement tool to evaluate the development level of learning organization is valid and reliable. In the comparison of the development level of learning organization by participants' specialties, managerial workers perceived the lowest construction level, while medical technicians evaluated it as the highest level. In regression analysis, the perception levels of work environment, task and human aspect showed positive relationship with job competency significantly. For job satisfaction, levels of task and human aspects had positive relationship significantly. In addition, for organizational commitement, levels of organization and human aspect were positive predictors. Finally, for the satisfaction about experience of learning organization project, levels of environment, task and hmm aspects were related positively. We concluded from these result that the positive relationship between construction levels of learning organization and organization effectiveness was extended to hospital, besides industrial fields. We recommend the introduction and facilitation of learning organization project in various settings to improve the competency of knowledge management in individual and organizational levels.

• The Korean Journal of Health Service Management
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• v.6 no.3
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• pp.107-115
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• 2012

The purpose of this study is to investigate of welfare as employer's voluntary benefits and services in hospital on organizational effectiveness. This study was measured attitudes towards welfare and behavioral intentions and their relationship to welfare satisfaction, job satisfaction, turnover intention among employees. Attitudes towards welfare in hospitals and behavioral intentions were assessed using a sample of 163 employees who work in 4 hospitals in Seoul, Kyunggi, Daejeon. Data were collected by self-administered questionnaires from June 1 to 29 in 2012 and analyzed SPSS 18 by using correlation analysis, regression and SEM(structural equation modeling). The results of this study indicate that welfare satisfaction was positively related to job satisfaction, but negatively to turnover intention. Based on these findings, it can be defined that welfare satisfaction strongly influences job satisfaction, turnover intention among employees. The implications of this study are discussed and areas for future research are presented.

• Quality Improvement in Health Care
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• v.27 no.2
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• pp.83-93
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• 2021

Purpose: This study tested the effectiveness of brochure- and video-based education on managing surgical site infections by operating room health personnel. Methods: From April 20 to May 4, 2021, 34 operating room health personnel were subjected to training on surgical site infection management using brochures and educational videos. A survey was then conducted on knowledge, perception, and adherence regarding surgical site infection management. Results: After receiving training on surgical site infection management, the knowledge score increased significantly (15.15±2.09 vs.19.70±1.96, p<.001). However, the perception and adherence scores were already near perfect before the intervention and did not further increase after the intervention. Conclusion: It is necessary to develop and utilize continuous and substantive educational programs to improve perception and adherence of surgical site infection management.

• Journal of Preventive Medicine and Public Health
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• v.22 no.1 s.25
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• pp.1-7
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• 1989

This paper examines the failure to promote adequate preventive health care in the U.S. It focuses specifically on the preventive health services of screening, counseling, and immunization. It explores evidence on their effectiveness, as well as coverage under current private and public health insurance plans. It concludes with a proposal to expand health insurance coverage for preventive services and to reimburse physicians directly for preventive health services provided to patients.

• Proceedings of the KAIS Fall Conference
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• 2009.12a
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• pp.942-945
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• 2009

경제적 성장과 더불어 의료서비스에 대한 국민들의 욕구는 지속적으로 증가하고 있다. 현 상황에서 각 병원들은 의료서비스 뿐만 아니라 의료 외적인 특화서비스를 제공함으로써 다수의 충성고객을 확보하고자 한다. 따라서, 환자 충성도와 의료 외적인 특화서비스의 상관관계는 집중적인 관심이 요구 되고 있다. 이에 본 연구에서는 서울소재 일개 3차병원 한 곳의 병원을 이용하는 고객들을 대상으로 의료서비스에 대하여 설문조사를 통하여 파악하고자 하였다. 조사결과 환자들의 특화서비스에 대한 만족도 여부와 충성도는 서로 상관관계가 있는 것으로 볼 수 있었다. 특히 충성도가 낮은 집단으로부터 특화서비스에 대한 만족도가 낮은 서비스가 있었기 때문에, 충성도가 낮은 고객들에 대해 서비스를 강화하고 보다 상세하게 불만족의 요인을 파악하기 위한 연구가 이루어져야 할 것이다.

• Journal of the Korea Safety Management & Science
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• v.25 no.2
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• pp.9-15
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• 2023

The Severe Disaster Punishment Act had recently been established in order to promote safety and health (OSH) management system for severe accident prevention. OSH management system is primarily designed based on risk assessments; however, companies in industries have been experiencing difficulties in hazard identification and selecting proper measures for risk assessments and accident prevention. This study intended to introduce an accident analysis method based on epidemiological model in finding hazard and preventive measures. The accident analysis method employed in this study was proposed by the U.S. Department of Energy. To demonstrate the effectiveness of the accident analysis method, this study applied it to two accident cases occurred in construction and manufacturing industries. The application process and results of this study can be utilized in improving OSH management system and preventing severe accidents.

• Korean Journal of Health Education and Promotion
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• v.27 no.5
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• pp.41-50
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• 2010

Objectives: This study aims to evaluate effectiveness of hypertension prevention and management programs (HPMPs) in rural Korea. Methods: A questionnaire survey was conducted with 700 community health practitioners working at primary health care posts (PHCPs). The questionnaire had four domains, which were hypertension management, hypertension prevention, the PHCP environment, and evaluation system, each with different maximum weighted values (WVs). Weighted values of 100 indicate the best effectiveness for the HPMP in all four domains. Results: The average WVs and percent effectiveness of all four domains combined was 61.65 (62%); the hypertension management domain was 28.81 (72%); the hypertension prevention domain was 23.44 (67%); the PHCP environment was4.29(43%); and the evaluation system was5.10(34%). Conclusion: The HPMPs were generally effective, and hypertension management was the most effective. The environment of PHCPs and the evaluation system of HPMPs should be improved to increase the effectiveness of the HPMPs.

• Journal of the Korean Society of School Health
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• v.26 no.3
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• pp.158-168
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• 2013

Purpose: Elementary schools are regarded as the best community setting for implementing obesity prevention programs and health teachers (HTs) are the main health professionals who can provide obesity prevention services. However, there is insufficient information on the actual conditions of school-based obesity prevention/ management programs in Korean elementary schools. The purpose of the study was to investigate the actual conditions of school-based obesity prevention/management programs, perceived and experienced by elementary school HTs, which may provide basic data for developing effective and sustainable programs for early childhood. We investigated (1) HTs' ratings on the program's importance, the confidence in the program's implementation, and the factors associated with the program's success (2), the correlates of the importance and confidence levels (3), the program's effectiveness and the factors associated with its sustainability, which were evaluated by HTs, and (4) the correlates of the effectiveness levels. Methods: The participants, 147 HTs working for elementary schools in Seoul were asked to fill out self-administrated questionnaires through mail. Results: The participants' rate on the program's importance was 7.1 on average (0~10 scale) and that on the confidence in the program's implementation was 6.2 (0~10 scale). Moreover, > 25% of the participants reported student and parent participation as a factor associated with the program's success. Of the total participants, 45.6% reported they had actually experienced the program, giving 4.8 points (0~10 scale), on average, in the evaluation of the program's effectiveness and > 22.0% of the participants regarded student and parent participation as a factor associated with the program's sustainability. The HTs' confidence in the program's implementation was a strong correlate of the effectiveness evaluated by HTs. Conclusion: School-based obesity prevention/management programs tend to be highly prioritized by HTs in elementary schools. To implement an effective obesity program in elementary schools, educational support for HTs is needed in order to enhance their confidence levels on the program's implementation.

• Journal of Korean Academy of Nursing Administration
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• v.2 no.2
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• pp.59-71
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• 1996

Today, quality management is appearing as a critical issue in the field of health care service, partly because of increasing cost of health care. And qualified health care is also accepted as the right of clients, and the responsibility of health professions. So nursing profession can survive and develop only through the quality management of nursing practice like other health professions. Recently, Consumers of nursing service require the effectiveness and the efficiency of nursing practice. Effectiveness and efficiency of nursing practice can be accomplished by outcome evaluation. The focus of outcome evaluation in nurisng practice is on the change which occures in patient's health status with nurisng intervention. Evaluation of outcome is difficult because of some related problems which should be solved, or managed. These problems could be classified as problems of measurement, and attribution. To solve the problems and to evaluate the outcome in nursing practice more accurately, following tasks were suggested. 1) Outcome indicators, and outcome measurement tools should be developed. For these purpose, outcome variables that nursing interventions can contribute primarily should be found out. Also, outcome variables which are driven from nursing theories should be developed. 2) Outcome researches which can explain the effect of nursing care to patient outcomes should be performed. The outcome researches are the methods which can increase the power of nursing profession. 3) Models which can be used for the systematic and scientific quality management in nursing practice should be developed. The models should include outcome variables, and be able to explain the relationship between structure, process, and outcome aspects of quality management. 4) The method which can make patients participate in the evaluation process of quality of nursing practice should be devised. Because outcome evaluation is client-focused evaluation, the perspectives of patients should be emphasized, and reflected in the process of evaluation.