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Objectives : The aim of this research was to develop evaluation indicators that ensure safe services and enhance the quality of small-sized dental hospitals within local communities to prepare for the dental hospital accreditation system. Methods : Materials and data from a total of 460 respondents were analyzed after quality improvement indicators were formed by surveying experts and studying documents in Korea and abroad, and by conducting a survey from August 21, 2013 to September 30, 2013 for validation purposes. Results : Based on the results of factor analysis. all measured items appeared to be statistically significant with a factor loading score of at least 0.5, and the correlation between the factors all appeared to be high as well. The goodness-of-fit for the model also appeared to be within the recommended acceptance level. Thus, the proposed evaluation indicators for dental hospital accreditation developed in this study consisted of a total of seven major category factors and a total of 91 detailed items. Conclusions : Furthermore, the results suggest that the evaluation indicators can be used to improve the quality and to ensure the safe services of dental hospitals in local communities.

Objectives : This study explored ways to identify factors that have competitive advantages and achieve high performance by investigating the influence of competence and competitive strategy on the performance and moderating effect of the business environment within special hospitals. Methods : A total of 80 specialized hospitals participated in the study. A multiple regression analysis was carried out by configuring sub-factors for each factor, and a hierarchical regression analysis was conducted with interaction terms as independent variables. Results : Among the competence factors of special hospitals, the competence of hospital staff and business management had a significantly positive (+) effect on the internal performance, and the competence of the marketing management had a significantly positive (+) effect on the external performance. Conclusions : The findings of this study suggest that in the rapidly changing health care environment, special hospitals should select and focus on competitive strategies and competency factors required to ensure competitiveness and achieve high performance, and based on this, need to seek integrated strategic management measures.

Objectives : This study was conducted to measure the effects of healthcare accreditation (HA) on the changes in infection control (IC). Methods : Questionnaires were e-mailed to 60 hospitals from 23 October to 23 December, 2011. Data were analyzed by SPSS 12.0. Results : Finally 50 hospitals (83.0%) were enrolled in the study: Seoul area (40.0%), tertiary (76.0%), and >500 beds (98.0%). Nine hospitals (18.0%) had a full time infection control nurse[ICN] with 300 beds. Among various factors, ICN (36.0%), hospital facilities (66.0%), instruments (32.0%) and supplies (88.0%) all improved. Hand hygiene increased (53.1% vs 83.2%, p<.001), but it was continued only in 34.1% of hospitals. Healthcare-associated infection (68.4%), multi drug resistant organisms (42.1%) and outbreaks (26.3%) decreased. Reasons for difficulties in satisfying the HA standards were inadequate support which included hospital facilities, instruments, budget, and a shortage of ICNs and healthcare workers (HCWs). Conclusions : HA had effects on the IC, but they were transient. Staffing in ICN and HCW staffing, hospital facilities, instruments, and supplies all need to be improved.

Objectives : Identify the factors that affect organizational citizenship behavior of hospital nurses, and to provide a basis for developing an effective nursing workforce management system. Methods : Participants of this study were 214 nurses serving at general hospitals located in B Metropolitan City. Data collection was performed from Oct.15th to 25th, 2014. The methods of analyzing data were ANOVA, Scheffe's-Test, Pearson's Correlation Coefficient Analysis and the Stepwise Multiple Regression Analysis according to the SPSS WIN 18.0 Program. Results : Emotional intelligence explained 42.1% of the subjects’ organizational citizenship behaviors. This figure increased to 48.7, 51.3 and 52.3%, respectively when other three factors of job satisfaction, age and educational background were added on a one-by-one basis. Conclusions : Considering that emotional intelligence is a critical factor in organizational citizenship behaviors, general hospitals should develop and implement education and training programs that can raise their nurses’ emotional intelligence and job satisfaction and, concomitantly, promote their organizational citizenship behaviors provided that feedbacks is provided later.

Objectives : The aim of this study was to examine how emergency medical technicians(EMT) are affected by job stress, musculoskeletal symptoms(MSSs) and depression. Methods : Data were collected from EMTs at emergency medical institutions and fire stations (n=257). With a questionnaire, the association of job stress and MSSs and depression were examined in this study. Results : When examining job stress by place of work, the level of stress in field situations was significantly higher in EMTs at fire stations than in EMTs at emergency medical institutions. The MSSs of EMTs at emergency medical institutions were significantly higher compared to EMTs at fire stations, For depression, the score was 14.09 out of 60, and MSSs were significantly more common in women. Additionally, the level of job stress for 20-24 and over 35 year olds was significantly higher than that in the other age groups. Job stress had a positive correlation with MSSs and depression of EMTs, and MSSs were associated with depression. Conclusions : To improve the work environment of EMTs, attention should be paid to job stress, MSS, and depression and the presence of positive organizational support should be provided which can prevent negative effects.

Objectives : The aim of this study was to investigate the effect of musculoskeletal symptoms and job stress on the fatigability of 268 dental health care workers in Busan. Methods : A structured, self-administered questionnaire was given from Oct 1 through Oct 10, 2015. The collected data were analyzed with the SPSS 18.0 program. Results : The results were as follows. First, for musculoskeletal symptoms, job stress and fatigability, the highest scores were for low back pain (3.23), business stress (2.95) and physical fatigability (3.32), respectively. Second, physical fatigability increased with increasing myofascial pain syndrome, low back pain and business stress. Mental fatigability increased with increasing business stress, human relationships and social activities and decreasing age. Conclusions : Taking the above into consideration, this thesis suggests that there is definite influence from musculoskeletal symptoms and job stress factors on physical and mental fatigability.

Objectives : The purpose of this study was to examine the effects of sociodemographic characteristics on usage patterns of oral hygiene supplies of patients visiting a dental clinic. Methods : A questionnaire survey was administered to 592 patients visiting a dental clinic based in Daegu from December 2, 2013 through December 31, 2013. Statistical analysis was done with IBM SPSS Statistics 20.0. Results : For awareness of oral toothbrushes, electric toothbrushs had the highest ratio(67.6%), and for awareness of auxiliary oral hygiene devices, dental floss had the highest ratio (77.7%). For toothbrushes used, interdental brushes had the highest user ratio(34.3%), and for using auxiliary oral hygiene devices, dental floss had the highest ratio(37.7%). Age had an influence on the awareness of oral hygiene devices. Gender and Age had influence on the use of oral hygiene devices. Of the total respondents, 34.6% citied "do not need to do that" as the reason for not using oral hygiene supplies, followed by "do not know" (34%) and "it is tiresome" (30.4%). Conclusions : To effectively improve oral health status, a good motivation method necessary to promote the use of oral hygiene supplies.

Objectives : The aim of this study was to investigate the relationship among uncertainty, self-care agency and physiological index in acute myocardial infarction (AMI) patients who underwent primary percutaneous coronary intervention. Methods : A total of 196 patients who were admitted C National University Hospital from Oct 2014 to Jun 2015 participated in the study. Data were collected with a questionnaire, and the blood pressure, HgA1C, and lipid profile levels of the patients were acquired. Results : The mean age was 69.2 (±13.0) years, and 74 % of the patients were men. The mean score for uncertainty in illness was 48.7 (±8.8). The mean score for self-care agency was 73.3 (±13.4). Self-care agency showed a negative correlation with uncertainty (r=-.579, p<.001), age (r=-.732, p<.001), systolic blood pressure (r=-.265, p=.001) and HgA1C (r=-.293, p<.001). Conclusions : The results of this study can be used to develop a nursing program that prevents AMI and to improve the clinical prognosis of AMI patients.

Objectives : The aim of this study was to determine the effects of job stress on temporomandibular disorders, temporomandibular disorder habits, and xerostomia and on oral health status and to provide basic data necessary to develop oral health promotion programs. Methods : For this purpose, a survey was conducted drawing the following conclusions. Cross-analysis, correlation analysis, One-way ANOVA, data were collected using the program SPSS 18.0 statistical techniques, independent sample T- black, the Scheffe post-implementation verification. Results : Job stress positively affected temporomandibular disorders, temporomandibular disorder habits, and xerostomia: those with more job stress were more likely to have temporomandibular disorders, temporomandibular disorder habits, and xerostomia. Conclusions : It is necessary to have a good understanding of the causes of job stress and recognize and manage oral symptoms caused by job stress in the pursuit of oral health.

Objectives : This study investigated the health care utilization patterns and length of stay (LOS) determinants of fracture patients with workers' compensation insurance (WCI) and national health insurance (NHI). Methods : The discharge summary data of 4,394 WCI fracture patients were compared to 28,874 NHI patients. Health care utilization characteristics were compared with a logistic regression analysis, and the LOS determinants were identified with linear regression analysis. Results : The average LOS of the WCI fracture patients was 2.4 times higher than that of the NHI patients. WCI patients used more small or medium sized hospitals, and were more frequently admitted through the emergency room. Females, older patients and patients admitted through emergency room had a significant positive impact on LOS. Conclusions : Healthcare utilization by the WCI fracture patients may include medically unnecessary hospital stays. Therefore, policy makers need to respond appropriately to the inefficient use of health resources by WCI patients.

Objectives : The purpose of this study was to test the influencing effects of health perception and family support on depression in elderly patients. Methods : Two-hundred forty-nine hospitalized geriatric patients were recruited in B city, South Korea. They were asked to complete a questionnaire, and 214 data sets were included in multiple regression analysis. Results : Subjects perceived a higher level of depression. Influencing factors of depression were hospitalization experience (t=3.476, p=.001), health perception (t=-3.310, p=.001), education (t=2.684, p=.008), economic satisfaction (t=2.579, p=.011), satisfaction with allowance (t=2.262, p=.025), and family support (t=-2.200, p=.029). The model was statistically significant explaining 36.3% of the variance (F=21.257, p<.001). Conclusions : In dealing with depression, nurses in elderly care facilities should be more concerned about patients with hospitalization experiences. Interventions to improve health perception should be provided to elderly patients, and educational programs on how to support patients are needed for the families of patients.

Objectives : The aim of this study was to investigate the effect of various Republic of Korea policies, including the medicine cost rationalization policy implemented By investigating the management strategy/performance changes of the industry caused by such policies. Methods : Pharmaceutical companies listed on the national stock exchange and the KOSDAQ were examined for 10 years from 2004 to 2013. Their financial statements were collected and market changes before and after drug price policy implementations were compared. Results : From the result of this research, among the medicine related policies, the drug price rationalization policy was found to have a significant effect on business management strategies in terms of safety, profitability and growth potential after its implementation. After the drug pricing transparency policy was implemented, management strategies were affected significantly in terms of safety and profitability. Conclusions : As a result, all of the medicine related policies were found to have regulatory effects. Based on these findings, implications, research limitations and future study plans are presented.

Objectives : The aim of this study was to identify the effect of employment type on health-related quality of life. Methods : This study used data from the Sixth Korea National Health and Nutrition Examination Survey. Data were analyzed with the χ² test, t-test, ANOVA and multiple regression. Results : There were significant statistical differences the health-related quality of life according to employment type. The health-related quality of life of temporary workers was lower than that of regular workers. The significant predictors of the health-related quality of life of regular workers were the subjective health status, stress, age, and education. The significant predictors of the health-related quality of life of temporary workers were the subjective health status, education, stress, sleeping time, and gender. Conclusions :　These results suggest that employment type affects the health-related quality of life. The research on social policy is recommended to resolve health inequalities.

Objectives : The purpose of this study was to analyze the factors affecting the level of subjective health recovery among injured workers. The aim in this study was to find an efficient worker’s compensation service for subjective health recovery among injured workers. Methods : From the 1st panel study of worker's compensation insurance, data for 2,000 injured workers was analyzed with SPSS 22.0 and AMOS 22.0. Results : There was a statistically significant difference in the level of self-perceived health recovery depending on socio-demographic characteristics, disability characteristics and medical care services. Factors such as gender, education level, socio-economic level, disability level, claim duration, and treatment duration appropriacy affected the level of self-perceived health recovery. Conclusions : Worker’s compensation services should take into consideration the factors that affect the health recovery of injured workers.

Objectives : This study presents comparison results of the correlations between ODA grants and health indicators among 23 countries in Asia. Methods : Data from 2005~2013 were collected through the World Development Indicator (WDI) provided by the World Bank (WB). The health-related variables used in this study included the maternal mortality ratio, infant mortality rate under five, infant mortality rate, incidence of tuberculosis, and prevalence of AIDS. Results : Based on the results, there were positive correlations between ODA grants and health indicators, which means that the overall ODA grants would drop when the health indicators improved. As for differences in the health indicators by income groups among the countries, there were differences in the maternal mortality ratio, infant mortality rate under five, infant mortality rate, and overall ODA grants. The maternal mortality ratio, infant mortality rate under five, and infant mortality rate were lower in the order of upper middle, lower middle, and poorest income countries. Conclusions : The findings raise a need for the integrated and horizontal development of Goals 4, 5 and 6 of MDGs in the ODA projects of health sector in the future.