보건의료산업학회지 [The Korean Journal of Health Service Management]

간행물 정보
  • 자료유형
  • 발행기관
    보건의료산업학회 [The Korean Society of Health Service Management]
  • ISSN
  • 간기
  • 수록기간
  • 등재여부
    KCI 등재
  • 주제분류
    의약학 > 기타의약학
  • 십진분류
    KDC 517.105 DDC 613.05
제12권 제2호 (13건)

의료기관의 복리후생제도가 여성근로자의 직무만족 및 조직몰입에 미치는 영향

박초열, 서영우, 임복희

보건의료산업학회 보건의료산업학회지 제12권 제2호 2018.06 pp.1-14

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Objectives : The purpose of this study was to analyze the effect of welfare system of medical institutions on job satisfaction and organizational commitment of female workers. Methods : A survey was performed with 556 female workers of 11 general hospital and 7 acute period hospital in Busan. Data were collected from October to November 2017 with a self-report questionnaire and analyzed using SPSS 24.0. Results : Among those aged over 40 years, high awareness of obligatory welfare, job education, free use of the annual leave, and flexible working system was a positive factor in job satisfaction. Among managers, free use of the annual leave, job education, flexible working system and child-care facilities was a positive factor in organizational commitment. Conclusions : In medical institutions with a relatively high proportion of married women, although interest in welfare for childbirth and child rearing is high, execution is sluggish, hence, policy support of government and medical institutions in this field is necessary.



당뇨병 환자의 무자격자 치과시술 경험 관련요인 : 2013 지역사회건강조사

오지혜, 이영훈

보건의료산업학회 보건의료산업학회지 제12권 제2호 2018.06 pp.15-26

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Objectives : This study aimed to evaluate the factors related to the experience of unqualified dental practice. Methods : We interviewed 19,961 adults aged 30 years and over using the 2013 Community Health Survey data. To determine the independent factors related to experience of unqualified dental practice, odds ratios and 95% confidence intervals were calculated using multiple logistic regression analysis. Results : The experience of dental treatment by unqualified dentists was significantly higher in women, older people, families with less than 1 million won household income. It was lower scores in diabetes health education while The worse the subjective oral health and the required dental care was significantly higher in those who did not experience dental treatment. Conclusions : The likelihood of experiencing unqualified dental practice was higher in diabetes patients from vulnerable classes, such as women, the elderly, and those with poor educational background or low income.



간호조직의 지적자본과 조직유효성 : 공공병원과 민간병원의 비교

오정은, 전경숙, 장광심

보건의료산업학회 보건의료산업학회지 제12권 제2호 2018.06 pp.27-37

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Objectives : This study was conducted to examine the differences in the association of intellectual capital with organizational effectiveness of nursing organizations between public and private hospitals. Methods : A total of 166 nurses (82 of public hospital and 84 of private hospital) were recruited for the survey. Nurses' job satisfaction, organizational commitment, intellectual capital, sociodemographics, work-related factors, and health status were measured. Results : Nurses of public hospitals reported significantly higher scores in human capital, customer capital, job satisfaction, emotional engagement, and transactional commitments than did those of the private hospital. Human capital private and structural capital were significantly associated with nurses' job satisfaction in both public and private hospitals. Customer capital was positively associated with the emotional and transactional commitment in the public hospital, while, structural capital was associated with transactional and normative commitment in the private hospital. Conclusions : We could confirm that the nurses' intellectual capital is important the effectiveness of nursing organizations in both public and private hospitals.



가구 구성원에 따른 미충족 의료 관련요인

김윤정, 최성지, 황병덕

보건의료산업학회 보건의료산업학회지 제12권 제2호 2018.06 pp.39-49

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Objectives : In this study, we used the data of the 2015 National Health and Nutrition Survey in its 6th Phase, and the total number of subjects included was 4,884. Methods : Frequency analysis, crosstab and logistic regression analysis were conducted to investigate unmet medical factors related to family members. Results : The subjects of the study were 10.3% single-person households and 89.7% non-single-person households. There were statistically significant differences in age, education level, marital status, income level, private health insurance, and subjective health status. Factors associated with unmet healthcare needs according to single-person households was subjective health status. Age, gender, marital status and subjective health status were the factors associated with unmet healthcare needs according to non-single-person households. Conclusions : It is necessary to establish health care policies that can expand the health education necessary for providing appropriate information on medical care and improving awareness of social illnesses and improving affordability and convenience.



임상 간호사의 감성지능, 셀프리더십, 직무착근도가 간호업무수행에 미치는 영향


보건의료산업학회 보건의료산업학회지 제12권 제2호 2018.06 pp.51-58

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Objectives : This study investigated the influences of emotional intelligence, self-leadership, and job embeddedness on the work performance of clinical nurses. Methods : A survey was conducted with 258 hospital nurses. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation coefficients, and multiple regression with SPSS/WIN 23.0. Results : The mean scores were 4.64±0.66 for emotional intelligence, 3.41±0.42 for self-leadership, 3.11±0.52 for job embeddedness, and 3.49±0.51 for nursing work performance respectively. Nursing work performance was positively correlated with emotional intelligence, self-leadership, and job embeddedness. Multiple regression analysis showed that the factors affecting nursing work performance were self-expectation, fit, understanding of self-emotion, links, self-compensation, and age. Conclusions : The results indicate that self-expectation, fit, and understanding of self-emotion are very important factors in nursing work performance. Therefore, nurse managers should enhance nurses self-expectation, fit, and understanding of self-emotion by developing various emotional sensitivity and support programs.



성인의 대상포진 예방접종 시행의 영향 요인

정선락, 김유미, 김경희, 남행미, 이원기

보건의료산업학회 보건의료산업학회지 제12권 제2호 2018.06 pp.63-73

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Objectives : This study aimed investigate general characteristics, vaccination status and health beliefs related to vaccination for herpes zoster and to identify variables. Methods : The structured questionnaire was conducted from March 31, 2016 to April 20, 2016 with 312 outpatients who visited a university hospital. The data were analyzed by frequency analysis, t-test, χ²-test, correlation analysis and logistic regression analysis via SPSS statistics 22.0. Results : The vaccination rate of the herpes zoster was 16.0% and the vaccination cost was the most common reason for rejecting inoculation. More highly educated people with more than a university degree(OR=4.28, p=.002), those with higher susceptibility to herpes zoster(OR=1.56, p=.000), those more aware of the benefits of vaccination(OR=1.51, p=.009) and those with lower disability for vaccination(OR=0.74, p=.003) were more likely to be vaccinated. Conclusions : Therefore, to increase the vaccination rate of herpes zoster in adults over 50 years old, continuous publicity and education are needed to emphasize the susceptibility of herpes zoster and the benefit of vaccination. In addition, it is necessary to develop policies at the national level for the expensive vaccination cost that obstructs vaccination.



다수준 분석을 이용한 청소년의 다문화 수용성에 영향을 미치는 요인

최연희, 구민정, 최문지, 김영미

보건의료산업학회 보건의료산업학회지 제12권 제2호 2018.06 pp.75-87

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Objectives : This study aimed to investigate factors affecting multicultural acceptability of adolescents at individual and environmental levels. Methods : Participants were 2,032 first-year high school students who participated in the 4th-year Korean Children and Youth Panel Survey in 2013. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson’s correlation, and multilevel analysis. Results : Individual factors affecting multicultural acceptability of adolescents were health status, ego-resilience, and experience of visiting foreign countries. Learning activity, school regulation, relationship with teachers, and community spirit were significant factors at environmental level. Conclusions : Findings suggest that it is necessary to consider health status, improve positive resilience, activate a multicultural experience program, establish friendly relations with teachers, adhere to social norms, and strengthen community spirit for multicultural acceptability.



아프리카 국가 간 보편적 의료보장(UHC) 지표 비교


보건의료산업학회 보건의료산업학회지 제12권 제2호 2018.06 pp.89-99

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Objectives : To compare the degree of achievement of Universal Health Coverage (UHC) among 39 developing countries in Africa and to investigate the correlation between health care financing and the UHC index. Methods : For data, 14 UHC indexes were used in 2015 supplied by the World Health Organization (WHO). In addition, this study used a 10% of threshold point corresponding to the catastrophic health expenditures and a 25% of threshold points as a health care financing index. Results : It was found that there were significant difference among Least Low Developed Countries (LLDCs), Other Low Income Countries (Other LICs), Lower Middle Income Countiies (LMICs), Upper Middle Income Countires (UMICs) to compare the average value by nation on the UHC index. This study showed that the UHC index of LLDCs was lowest, but the average value was higher as it moved towards LMICs and UMICs. In addition, it was found that there was an average value difference among the groups like LLDCs, Other LICs, LMICs and UMICs. As a result of comparison, it was found that the spending of household health expenditure increased as LLDCs moved towards UMICs when the burden of household health expenditure was 25%. Conclusions : This study aimed to compare the UHC indexes of African nations and to investigate the correlation between the degree of spending of total expenditure on health and burden of household health expenditure and UHC, and its effect.



청소년의 건강관련 특성 및 구강건강관련 특성이 치아우식에 미치는 영향

이미옥, 이은주

보건의료산업학회 보건의료산업학회지 제12권 제2호 2018.06 pp.101-112

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Objectives : This study examined the influence of socio-demographic, health-related, and oral health-related characteristics on adolescent DMFTs. Methods : The subjects in this study were 1,129 adolescents selected from the 6th national health and nutrition examination survey data. To determine the factors influencing dental caries, a regression analysis using a complex-sample generalized linear model was conducted after adjusting for confounding factors. Results : DMFTs were smaller among boys than girls, and smaller in the “13-15 age group” than in the “16-18 age group.” In terms of household income, DMFTs were larger in the “lower,” “lower-middle,” and “upper-middle” income brackets than in the “upper” income bracket. DMFTs were smaller among adolescents with a history of smoking than those who had never smoked. Conclusions : In order to improve the oral health of adolescents, oral health-promotion programs should be provided for girls, high school students, students from low-income families, smokers, and those who consider themselves to have poor oral health.



만성질환 유무별 노인의 사회활동 참여가 주관적 건강만족도에 미치는 영향 비교

박순미, 문수열

보건의료산업학회 보건의료산업학회지 제12권 제2호 2018.06 pp.113-123

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Objectives : The purpose of this study was to investigate the effect of participation in social activities on the subjective health satisfaction of the elderly in groups with and without chronic diseases. Methods : Data were used from the "2014 the Korean Elderly Survey" and the subjects were 10,451 persons aged 65 years or older. Data analysis was conducted using SPSS 18.0 statistical package. Results : The results of this study were as follows. In the case of the elderly without chronic diseases, only the employment status (β=.135, p<.01) had a significant effect on the health of the elderly. In the case of elderly people with chronic illness, participation in lifelong education (β=.183, p<.001), participation in social group (β=.277, p<.001), volunteer work experience (β=.060, p<.05), and employment status (β=.342, p<.001) had a significant effect on health. Conclusions : Policies and systems are needed to actively encourage and support the social activities of the elderly. Additionly, care and attention are needed to provide social jobs for the elderly and build a sustainable network.



급성 허혈성 뇌졸중 환자의 퇴원시 기능 상태와 관련된 다차원적 요인 분석 – 강원도 소재 일개 병원의 환자를 대상으로

송현주, 박주현, 동재용, 이광수

보건의료산업학회 보건의료산업학회지 제12권 제2호 2018.06 pp.125-134

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Objectives : The purpose of this study was to analyze factors related to the functional state of stroke patients after discharge from hospital. Methods : The data was provided from a hospital in Wonju, Gangwon-do. The subjects of the analysis were those who were admitted to the emergency room due to stroke from July to December 2016. The dependent variable was the patient’s functional status as measured by the modified Rankin Scale(mRS). Independent variables were demographic factors (age, sex, and marriage status), transportation and distance factors (transportation, travel distance), inpatient factors (lengths of stay, Charlson Comorbidity Index (CCI), Tissue plasminogen activator, National Institute of Health Stroke Scale (NIHSS). Hierarchial regression analysis was applied for the analysis. Results : In the hierarchical regression analysis, Model 3, including socio-demographic factors, transportation, distance factors, and inpatient factors, was the best fitted model. It showed that functional status of stroke patients was positively associated with age, length of stay, CCI, NIHSS, and negatively associated with unmarried status. Conclusions : Results indicated that management of stroke requires care from the pre-disease stage, and a customized education program policy is needed for high-risk stroke patients who are older and have comorbid illness.



흡연자의 사회경제적 요인이 금연계획에 미치는 영향

공미진, 심용우

보건의료산업학회 보건의료산업학회지 제12권 제2호 2018.06 pp.135-147

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Objectives : This study was to investigate the effect of socioeconomic factors of smokers on their smoking cessation plans, using Korean Welfare Panel data. Methods : Of the 16,664 subjects who responded to the 10th Korean Welfare Panel Survey, 2,246 respondents who answered that they were currently smoking were included in this study. Results : The variables that affected smoking cessation plans were female, low education level, low level of smoking per day, and more than 24 hours of smoking cessation experience. Conclusions : Expanding the smoking cessation program for women, preventing smoking in schools and providing smoking cessation education will likely have a positive effect on smoking cessation plans. In addition, it would be helpful to increase the amount of smoking cessation support aimed at reducing the amount of cigarettes smoked per day and continuing smoking cessation for more than 24 hours.



의료기관 사회적 책임활동 측정 도구개발 및 타당화

조경원, 사공미, 조민제

보건의료산업학회 보건의료산업학회지 제12권 제2호 2018.06 pp.149-162

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Objectives : This study aimed to develop tools to measure the social responsibility activities of hospitals using ISO 26000 and to verify the validity and reliability of the developed tools. We verified the content and structural validity, as well as the internal consistency of the proposed measurement tool for hospitals’ social responsibility. Methods : We conducted an online survey on hospitals/ employees from Feb 26 to Mar 12, 2018, and analyzed selected 197 respondents from the survey by removing incomplete responses. Results : The developed hospitals’ CSR (HSR) measurement tool consists of 36 items with 5 factors: “consumer issues”, “labor practices”, “community involvement & development”, “fair operating practice”, and “environment”. Analysis revealed high reliability with Cronbach’ alpha of 0.981. Conclusions : It was verified that the developed HSR tool fully reflected hospital characteristics. This tool can be used to diagnose hospitals’ social responsibility and to support strategic decision on social responsibility.


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