• 보건의료산업학회지
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• 제14권1호
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• pp.15-30
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• 2020

Objectives: This study investigated outpatient health care satisfaction and influential factors using data from the "2018 Health Care Experience Survey". Methods: Data on 6,705 participants in the Health Care Experience Survey were statistically examined using a t-test, ANOVA, and multiple regression analysis. Results: First, the level of satisfaction among outpatients was generally positive, and satisfaction among older people was high. Second, the significant factors of outpatient overall satisfaction were gender, consultation time, waiting time, reason for choosing institution, satisfaction with doctors, nurses, institutions, and the therapeutic result. Third, influential factors of intention to recommend were education, institution type, reason for choosing institution, satisfaction with doctors, nurses, institutions, and the therapeutic result. Conclusions: In order to improve the overall satisfaction of outpatients, the treatment method should be improved. For example, the doctor should devote more time for and engage in sufficient conversation with the patient, the nurse should be polite, and patients should be given easy-to-understand explanations.

• 노동경제논집
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• 제39권1호
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• pp.57-79
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• 2016

본 연구는 "2014 생활시간조사" 데이터를 이용하여 부부의 시간배분 결정요인에 대하여 분석하였다. 분석 결과, 대체로 남편의 육아 및 가사시간은 아내에 비하여 매우 적은 것으로 나타났으며, 아내의 임금이 높고, 어린 자녀가 있을 경우 남편의 육아 및 가사시간이 증가하였다. 아내 시간배분의 경우는 주로 배우자(남편)의 임금에 많은 영향을 받는 것으로 나타났는데, 남편의 임금이 증가할수록 아내의 노동시간은 감소하며, 가사시간은 증가하는 것으로 나타났다. 그러나 육아시간은 아내와 남편 모두의 임금에 영향을 받지 않는 것으로 나타났다. 반면 아내의 임금이 증가할 경우에 남편의 육아 가사시간이 같이 증가하는 경향이 있었다. 시간배분의 상관관계에서 아내의 노동시간과 남편의 가사시간은 보완관계에 있었으나, 아내와 남편의 가사시간은 대체관계에 있는 것으로 나타났다. 이것은 곧 아내가 일을 많이 하여 생긴 가사일의 부족분을 남편이 채우게 되지만, 집안일을 부부의 누군가가 한다면 다른 한 쪽은 안하게 된다는 것을 의미한다. 그러나 주말에는 이러한 관계가 크게 변하게 되는 것을 발견할 수 있었다.

• 대한가정학회지
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• 제27권1호
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• pp.111-126
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• 1989

The aim of the present study is to research into the household work time change and its structure in urban home makers by the choosen eleven studies and KBS's Data 1981, 1983, 1985, 1987. This study were proceeded under some limitations, it is choosen eleven studies that is different region: large city, medium and small town, and the household work's categories of original auther were changed. And KBS's Data was composed of general formation without personal character of home maker: FLC, number of childeren, family type, education, region. Although this study have a certain meaning of implementation, research into the household work time change and its's structure. The major findings of this study can be autlined as follows: (1) Total household work time did'nt so much changed through the choosen eleven studies compared with the last twenty years ago. In the change of each province household work time, time connected with meals and dwelling did not showed consistancy of change. But cloth laundering and mending time of 80's were declined compared with 70's. Family care time of 80's was increased, home management and buying time was declined untill '85, but again increasing trend '87. In choosen eleven studies, the household work time structure of urban home makers can be outlined: time connected with Meals>Family care>Cloth laundering and mending>Dwelling>Home management and Buying. (2) KBS's time-series data were analized as follows: a) Total household work time of '87 was declining gradually in weekday (34 minutes), sat. (41 minutes), sun (1 house and 2 minutes) compared with '81. b) The change of each province household work time: the time of cooking and sewing home management were declining gradually in its Mean time and its ratio of acters. The acter ratio of household worker in '81, '83, '85 was composed Cooking > Cleaning > Laundering > Home management > Buying > Child care > Sewing. In '87 was composed Cooking > Cleaning > Laundering > Buying > Home management > Child care > Sewing. c) The structure of household work time revealed some differences in each year and a day of the week.

• 가정과삶의질연구
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• 제34권4호
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• pp.1-19
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• 2016

The present study aimed at investigating the relations between the amount of child care experienced in the first three years of life and socioemotional development of children at age 4 indicated by problem behaviors and peer competence. Using the longitudinal data of the Panel Study of Korean Children(PSKC), the information of 1,699 children were analyzed. The results indicated that any child care experience, hours in child care, full-time child care and early entry to child care were significantly related to children's externalizing behavior problem and play disruption at age 4. Some significant relations were detected between child care experience and better peer competence as well. Interestingly, the patterns of relations were different for boys and girls. Being in child care, a greater amount of child care and early entry to child care tended to be related to externalizing problem behaviors of boys and whereas they were more related to peer competence of girls indicated by play interaction, play disruption and play disconnection. Child care hours at age 3 were relative stronger predictors of children's development compared to those at age 1 or at age 2. The findings imply that the amount of child care during the first 3 years of life does not have strong harmful effects on preschoolers' socioemotional development and that there are differences in the effects of child care on boys and girls.

• 대한간호학회지
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• 제2권1호
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• pp.131-140
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• 1971

Anions a total of 1,410 women who were taken in th the Ilshin Maternity Hospital in Pusan for child-bearing front January 1 to Hay 31, 1970, review and observation were made on 653 mothers and 661 babies delivered (including twin) who had received parental care, and on 757 mothers and 773 babies delivered (including twin) who had not received parental care. The results are: 1. Out of 1,410 women 653 received parental care, The number is 46.4% 2. Most of them are between 25 and 29 years of age, and it shows the highest percentage. 3. Twenty five % of them visited the hospital care for the first time in the tenth month of pregnancy It was the highest percentage. 4. Those who visited the clinic only once for parental care during the pregnancy were 25.7%, the highest percentage. 5. Those who got parental care among primiparae were 43.7%, and among multiphase were 48.5% The rates are similar to each other. 6. Maturity rate of the babies delivered after receiving prenatal care: mature 91%, Immature- 1% and premature- 8%. 7. It was found that among primiparae were the higher frequency of prematurity. 8. Among babies delivered by mothers after receiving parental care, 8.1% were premature, while 16.1% of babies delivered by those who han't received the care were premature. 9. Mothers between 25 and 29 years of age brought birth to premature. babies most. 10. Frequency of prematurity based on the times of parental care received was: once or twice -8.7% 3 or 4 time-8.9%, 5 or times-10.3%, 7 or 8 times-4.5%, 11 or 12 times-2.7%, 13 or 14 times-3.8%. 11. Percental death rate shows 2.9% among the mothers received prenatal care, and 7.3% among those without parental care. 12. Average weight of a baby boy was 3,114 gm, and that of a baby girl was 3,021 gm. 13. Obstetric complication rate was 63,2% in the babies delivered by mothers with prenatal care, and 85.6% in those delivered by mothers without parental care.

• 가정과삶의질연구
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• 제31권5호
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• pp.143-157
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• 2013

This study used a qualitative research method to comprehensively deal with child care training in depth with the following content: the goals of child care teachers preparing for practical training; how they perform and feel about their roles throughout the training period as child care teachers; and their evaluation after the training period. A total of 10 people participated in the research and the training activities of child care teachers were qualitatively explored based on the results. The research findings are as follows. First, child care teachers have expectations for prospective teachers and take time for self-evaluation while preparing for teaching. Also, child care teachers set a goal of helping prospective teachers develop into outstanding teachers and have expectations for it. Second, child care teachers evaluate prospective teachers by treating them as colleagues while teaching them. Furthermore, child care teachers consider themselves as educators who train and produce child care professionals. Prospective teachers define their roles as assistants and learners in the actual educational scene. In addition, child care teachers feel a sense of pride by performing as hands-on training teachers. At the same time, they reflect on themselves by evaluating their duties as educators in their relationships with prospective teachers. Third, child care teachers suggested the need for changing the training system for themselves and prospective teachers after training. In addition, they argued that the gaps between school education and the actual educational scene should be reduced through solid training for acquiring new knowledge and information in both places in accordance with the rapidly-changing child care environment. Finally, the suggested the necessity of establishing a standard training curriculum and educational programs within their institution.

• 보건행정학회지
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• 제24권4호
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• pp.396-412
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• 2014

Background: As a reform plan of health care system, Accountable Care Organization (ACO) has became an object of attention in the United States after Patient Protection and Affordable Care Act was enacted. ACO is a group of various health care providers and provide coordinated care to its assigned beneficiaries. If ACOs improve the quality level and reduce the cost of care, they can get financial incentives. Under the discussion for a quite long time and demonstration projects, ACO has been established. We aimed to analysis and discuss the history, policy mechanism, contents, status and outcomes of ACO. Also, we intended to suggest political implication Korean health care system with regard to ACO. Methods: We searched the articles related ACO in PubMed and selected several available papers about ACO. Total 56 studies were reviewed and categorized three parts; demonstration projects for formation of ACO, policy mechanism and agenda, empirical results of ACO performance. Results: As a result, establishment of ACO was successful partly in the US. It seems to be due to various project and pilot test for verification in the long time. The empirical effect of ACO was also identified in a few study but it needs more evidences to judge its positive effect. Conclusion: In Korea, there are arguments for the application of ACO. However it is difficult to implement a ACO by different political conditions between Korean and US. Nevertheless ACO proposed us the necessity of paradigm shift in our health policy and could be significant to national policy orientation in the future.

• 한국병원경영학회지
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• 제25권3호
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• pp.14-28
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• 2020

Purpose: The purpose of this study was to calculate the total daily nursing workload and the optimum number of nurses per intensive care unit (ICU) based on the nursing intensity and the direct nursing time per inpatient using the patient classification. Methods: Two ICUs at one general hospital were investigated. To calculate the nursing intensity, patient classification according to the nursing needs was conducted for 10 days in each unit during September 2018. We performed patient classifications for a total of 167 patient-days in the Medical Intensive Care Unit (MICU) and 86 patient-days in the Surgical Intensive Care Unit (SICU). The total number of person-days for nurses who responded to the Nursing Time survey was 151 for MICU and 85 for SICU. In each unit, direct and non-direct nursing hours, nursing intensity score, and direct nursing hours were analyzed using descriptive statistics such as frequency, percentage, and average calculated using Microsoft Excel. The amount of nursing workload and the optimum number of nurses were calculated according to the formula developed by the authors. Findings: For the MICU, the average direct nursing time per patient was 5.59 hours for Group 1, 6.98 hours for Group 2, and 9.28 hours for Group 3. For the SICU, the average direct nursing time per patient was 5.43 hours for Group 1, 7.21 hours for Group 2, 9.75 hours for Group 3, and 12.82 hours for Group 4. Practical Implications: This study confirmed that the appropriate number of nurses was not secured in the nursing unit of this study, and that leisure time such as meal time during nursing work hours was not properly guaranteed. The findings suggest that to create working environments where nurses can serve for extended periods of time without compromising their professional standards, hospitals should secure an appropriate number of nurses.

• 한국보육지원학회지
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• 제14권3호
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• pp.1-19
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• 2018

Objective: The goal of this study were (1) to examine the type of parental time, (2) to investigate the family's characteristics that affect the parental time types. (3), to identify the differences in time satisfaction and time deficit according to the types of parental time of mothers with preschool children. Methods: The data source for this research was the 2014 Time Use Survey conducted by the Korea National Statistical Office(391 time diaries). Data were analyzed using K-means cluster analysis, multinominal regression, and ANOVA. Results: The results can be summarized as follows. First, parental time was classified into four groups; non-participation, play-centered, physical care-centered, unspecified group. Second, the characteristics of each type depended on children's age, mother's education level, mother's income, and dual earner families. Third, time deficit showed significant differences between play-centered and non-participation type. Conclusion/Implications: Based on the results, implications for policy regarding child care and labor were suggested.

• 한국의료질향상학회지
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• 제8권1호
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• pp.56-72
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• 2001

Background : To shorten processing time for variety of medical affairs of the patient at the outpatient clinic of a big hospital is very important to qualify medical care of the patient. Therefore, patient's waiting time for medical examination is often utilized as a strong tool to evaluate patient satisfaction with a medical care provided. We performed this study to investigate factors delaying related with waiting time for medical examination. Methods : The data were collected from June 26 to July 30, 1999. A total 275 case of medical treatment and 5,634 patients who visited outpatient clinics of a tertiary hospital were subjected to evaluate the waiting time. The data were analyzed using frequency, t-test, ANOVA, $X^2$-test by SPSS Windows 7.5 program. Results : The mean patient's waiting time objectively evaluated ($30.9{\pm}33.9$ min) was longer than that subjectively by patient evaluated ($25.1{\pm}26.2$ min). Patient waiting time objectively evaluated was influenced by the starting time of medical examination, consultation hours, patients arriving time etc, as expected. The time discrepancy between two evaluations was influenced by several causative factors. Regarding the degree of patients accepted waiting time with the medical examination is 20 min. Conclusion : The results show that, besides the starting time of medical examination, consultation hours and patients arriving time, influence the patient's subjective evaluation of waiting time for medical examination and his satisfaction related with the service in the big hospital. In order to improve patient satisfaction related with waiting time for medical examination, it will be effective examination rather than to shorten the real processing time within the consultation room.