• 한국병원경영학회지
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• 제10권1호
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• pp.71-92
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• 2005

The purpose of this study is to analyze the efficiency in management of general hospitals and investigate the major factors on efficiency. Specifically, the management of each general hospital is evaluated by using Data Envelopment Analysis(DEA) technique which is a nonparametric statistical method for measurement of efficiency. Then, the influencing factors are investigated through analyses of Decision-Tree Model and Tobit Regression. The target hospitals were general hospitals in which bed sizes are between 200 and 500 among a total of 276 general hospitals. The main data of financial indicators were collected from 48 hospitals, and it was analyzed by using two statistical models. For Model I, three input and two output variables were used for efficiency evaluation. In particular, three input variables were the number of medical doctors, the number of paramedical personnel, and the bed size. And, two output variables were the numbers of inpatients and outpatients per year, adjusted by bed-size. The results of DEA analysis showed that only seven out of 48 hospitals(15%) turned out to be efficient. The decision-tree analysis also showed that there were six significant influencing factors for Model I. Six factors for Model I were Bed Occupancy Rate, Cost per Adjusted Inpatient, New Visit Ratio of Outpatients, Retired Ratio, Net Profit to Gross Revenues, Net Profit to Total Assets. In addition, the management efficiency of hospital is proved to increase as profit and patient-induced indicators increase and cost-related indicators decrease, by the Tobit regression model of independent variables derived from the decision-tree analysis. This study may be contributable to the development of analytic methodology regarding the efficiency of hospital management in that it suggests the synthetic measures by utilizing DEA model instead of suggesting simple ratio-analyzing results.

• 한국병원경영학회지
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• 제19권3호
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• pp.53-64
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• 2014

This research is designed to analyze the professionalism of administrators working in Korean hospitals as a way to make them a better expertise in the industry. For this purpose, we conducted a survey of 105 administrative professionals working in hospitals nationwide and statistical analysis was performed with the SPSS Windows version 15.0. The survey questions were developed based on the Spencer & Spencer's results of research in expertise variables. The results showed that the current Korean hospital administrator do have short of expertise required for their job position. Therefore, the curriculum reform is required for healthcare management programs in college and the Korean College of Hospital Administrators (KCHA) is required to change the contents of license exam based on the results of the study.

• 한국병원경영학회지
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• 제2권1호
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• pp.22-47
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• 1997

This paper evaluated the relative efficiency of 33 provincial medical centers using Data Envelopment Analysis(DEA) and compared the DEA efficiency results with those of the current method conducted by the management evaluation team. DEA Was selected as an alternative efficiency evaluation method since it could handle multiple inputs and multiple outputs simultaneously and identify the sources of inefficiency. To analyze the sensitivity of productivity values to the variable sets, four different sets of input and output variables were identified. Results showed that most of the medical centers are operating far away from the efficiency frontier supporting the previous results. Some centers showed 100% efficiency regardless of the selected variable sets. DEA results are compared with current management evaluation results. Some inconsistencies were found for some DMUs between the results of two methods showing the existence of methodology bias. DEA results and ratio analyses results mostly agree for 1992 data.

• 한국병원경영학회지
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• 제15권1호
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• pp.27-48
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• 2010

The purpose of this paper is to analyze the efficiency change and its determinants of the regional public hospitals. We utilize 34 regional public hospital's panel data for 6 years from 2003 to 2008. We use DEA(Data Envelopment Analysis)-CCR, BCC model, DEA/Window model, and DEA Profiling. The empirical results show the following findings. First, technical efficiency shows that approximately 3.6% of inefficiency exists on the regional public hospitals and it reveals that the cause for technical inefficiency is due to scale inefficiency. Second, DEA/Window results show that the stable dissimilarity by standard deviation, LDP of CCR. Third, the results of partial efficiency by DEA Profiling show that increase efficiency depends on the number of beds, doctors, and nurses.

• 보건의료산업학회지
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• 제6권2호
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• pp.133-140
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• 2012

This research analyzes on the difference of the management performance in public health care institution, especially between provincial medical center and national university hospital. The meaningful results of this study as follow. First of all, management performance was showed the loss in both of provincial medical center and national university hospital. but national university hospital is superior to provincial medical center in management performance. Secondly, It is noteworthy that social working expenses have influence on national university hospital. Finally, It shows that personnel expenses are the most important factor in the management performance in public health care institution. We hope that these results will be useful in the performance management of public health care institution.

• 보건의료산업학회지
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• 제9권2호
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• pp.81-88
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• 2015

The purpose of this study was to compare the risk-adjusted in-hospital mortality for craniotomies between logistic regression and multilevel analysis. By using patient sample data from the Health Insurance Review & Assessment Service, in-patients with a craniotomy were selected as the survey target. The sample data were collected from a total number of 2,335 patients from 90 hospitals. The sample data were analyzed with SAS 9.3. From the results of the existing logistic regression analysis and multilevel analysis, the values from the multilevel analysis represented a better model than that of logistic regression. The intra-class correlation (ICC) was 18.0%. It was found that risk-adjusted in-hospital mortality for craniotomies may vary in every hospital. The agreement by kappa coefficient between the two methods was good for the risk-adjusted in-hospital mortality for craniotomies, but the factors influencing the outcome for that were different.

• 한국융합학회논문지
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• 제12권5호
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• pp.79-84
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• 2021

이 논문의 목적은 병원고객관계관리(HCRM)시스템의 성능에 영향을 미치는 요인를 찾고 또한 이러한 요인 간의 관계를 분석하는데 있다. HCRM 시스템의 성능을 분석하기 위해 여러 KPI (핵심성과지표)의 분석을 수행했다. HCRM 시스템 성능에 영향을 미치는 요인 분석을 위해 다중회귀분석과 카이제곱검정을 수행하였다. 이 연구에서는 HCRM 시스템 성능의 선행요인과 결과요인 사이의 관계를 분석하기 위해 몇 가지 가설을 도출하였다. 이러한 가설들은 SEM (Structural Equation Model)을 사용하여 테스트되었다. 조사 결과 본 연구의 결과로서 HCRM-Infrastructure가 HCRM-Performance에 긍정적인 영향을 미친다는 사실을 발견했다. 그리고 HCRM-Performance는 병원의 경영관리성과에도 긍정적인 영향을 미치는 것으로 확인되었다. 본 연구 결과를 바탕으로 HCRM시스템의 성공적인 구축과 성공적인 구현 및 개선을 위한 몇 가지 제안과 지침을 제안했다.

• 임상간호연구
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• 제25권2호
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• pp.198-207
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• 2019

Purpose: The purpose of this study was to provide data to establish an efficient manpower management plan so that the organization can identify the influence of organizational silence and professionalism on job embeddedness among nurses in hospital management. Methods: Self-report questionnaires were distributed to 150 nurses in hospital management who were working in general hospitals with less than 900 beds but more than 300 beds in the districts of Seoul and Gyunggi, Gangwon province. Of the questionnaires, 127 out of 150 copies were collected and 120 copies were used for final analysis. Seven were not considered sincere in the responses. Data were analyzed using SPSS ver. 22.0 statistic program, t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficients and multiple regression. Results: Organizational silence and professionalism had significant influence on job embeddedness, which explained 43.4% of job embeddedness. Conclusion: The results indicate that in order to raise job embeddedness, it is necessary to provide various programs to change communication patterns in the nurses in hospital management, and to create environments in which nurses in hospital management can present various opinions.

• 한국병원경영학회지
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• 제16권4호
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• pp.111-130
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• 2011

The purpose of this study is to find moderating effects of re-use intention by trust factors between patients satisfaction and hospital images. Survey a general hospital in Seoul was performed, and a total of 202 questionnaires has been analyzed. Result of multiple regression analysis are verified moderating effects by trust factors with hospital image and re-use intention(F=8.223**). And patient satisfaction and re-use intention are verified moderating effects by trust factors(F=4.255*). In addition, classify them into high trust group and low trust group by median split method, even if there are felt the equal level of satisfaction or image that high trust group will be re-visit the hospital better than low trust group. As a result, trust factors must consider different level from satisfaction or image, it is necessary that hospitals will be prepare to improve the trust.

• 한국병원경영학회지
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• 제24권2호
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• pp.23-37
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• 2019

The purpose of this study was to investigate the effect of fairness, culture, and service points on organizational management to maximize the ability of organizational members. The subjects of the survey were selected from major hospitals, small and medium hospitals. A total of 500 questionnaires were distributed, but 404 (80.8%) were used for the final analysis. The SPSS WIN 20 program was used to analyze the collected data. The following conclusions were obtained. First, in this study, organizational fairness did not show any general difference, and fairness was obtained with relatively high scores. In terms of improving organizational culture, size of hospital there is a statistically significant difference. the larger the organization, the more the organizational culture needs to be improved. Organizational fairness were significant differences in service encounter points and size of hospital. Second, the correlation between fairness, organizational culture improvement, service contact point and management performance showed a very positive correlation. Third, fairness has no effect on business performance. However, in this study, organizational culture improvement and service contact points are statistically significant and positive (+) influence on dependent variable management performance. Therefore, in order to improve the organizational culture of the hospital, it is necessary for the CEO to the vision, core, to discuss and make a reasonable plan. In order to actively cope with rapidly changing hospital environment, it will be necessary to positively support the of new medical market and the increase of market share.