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 제3호 (14건)

병원과 종합병원의 환자중심 의료서비스 제공 수준 평가- 환자경험평가를 중심으로

황병덕, 김윤정

보건의료산업학회 보건의료산업학회지 제12권 제3호 2018.09 pp.1-11

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Objectives: The purpose of this study is to evaluate patient experience assessment of inpatients, and to prepare measures to improve the quality level of medical services and guarante patient rights. Methods: The study was conducted among 199 patients admitted to hospitals and general hospitals in the metropolitan area. The analysis method used was crossover analysis, including a comparison of means, and logistic regression analysis. Results: The overall average score of satisfaction with healthcare service was 3.39 for nurses, 3.35 for hospitals and 3.42 for general hospitals. Age at the time of hospitalization affected satisfaction. The overall average score of healthcare service satisfaction was 3.09 for doctors, 3.14 for hospitals, and 3.04 for general hospitals. The factors affecting hospital satisfaction were gender and subjective health status. The factors affecting satisfaction in general hospitals were education, medical department, and hospitalization route. Conclusions: Hospitals should also introduce a systematic management system of general hospitals and strengthen the guarantee of the rights of patients who can improve the quality of medical care through positive communication between medical personnel and patients.



문재인 케어 정책에 대한 미디어 프레임 분석


보건의료산업학회 보건의료산업학회지 제12권 제3호 2018.09 pp.13-26

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Objectives: This study investigated how Korean daily newspapers frame the present government’s health insurance coverage expansion policy, Moon Jae-in Care. Methods: A contents analysis was conducted to construct news frames represented in the four Korean daily newspapers’ editorials and columns on Moon Jae-in Care during from April 2017 to April 2018. News text was classified into three different layers of frames: expressive element, narrative structure, and implied values. Results: The analysis revealed that the frequency of narrative frames was as follows: health system improvement (20.8%), public burden (14.6%), opposition by doctors (14.6%), and populism (12.5%). The financial sustainability accounted for 41.7% of the value frame, followed by procedural legitimation (18.8%), and coverage expansion (16.7%). The results also revealed that reported frames were different among newspapers: Chosun Ilbo tended to report in a negative tone, while Hankyoreh shinmun and Kyunghyang shinmun used a positive tone. Conclusions: This finding suggests that there are salient framings in reports on Moon Jae-in Care. Based on the results, the government needs to present a detailed financing plan on Moon Jae-in Care in detail. I discussed another implication of media frames results.



임상간호사가 인지하는 간호업무환경, 직무만족도 및 조직몰입이 재직의도에 미치는 영향

최현진, 이선옥

보건의료산업학회 보건의료산업학회지 제12권 제3호 2018.09 pp.27-39

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Objectives: The purpose of this study was to verify the relationships among nursing work environment, job satisfaction, organizational commitment, and retention intention, as well as to clarify the factors that affect nurses’ retention intention. Methods: The study included 163 nurses working in three general hospitals located in B city. Data were collected by a survey using self-administrated questionnaire and analyzed using the SPSS software. Results: The participants expressed a moderate level of retention intention. There were significant differences in retention intention by income (t=-2.13, p=.034) and intention to work (F=9.86, p=.001). The factors influencing retention intention were organizational commitment (β=.28, p=.001), job satisfaction (β=.25, p=.001), nursing work environment (β =.23, p=.004), plan to work period (β=.13, p=.027). These factors explained 55.3% of retention intention (F=41.079, p<.001). Conclusions: The findings showed that nursing administrators should develope programs that promote internal satisfaction for new nurses and strive to improve the human and physical aspects of the nursing work environment for career nurses.



간호사가 인지하는 멘토링의 기능이 직무동기와 업무성과에 미치는 영향 : 자기 효능감과 결과 기대 매개효과 중심으로

전소연, 한정원, 박경희, 이한나

보건의료산업학회 보건의료산업학회지 제12권 제3호 2018.09 pp.41-52

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Objectives: This study investigated the effect of mentoring function on job motivation and nursing performance through self-efficacy and outcome expectation. Methods: It was conducted with 226 nurses working in the 5 hospitals of B and G cities. The collected data were analyzed using SPSS Windows 18.0 and AMOS 16.0. Results: Mentoring was found to have a direct effect on outcome expectation (β = 0.314, p < 0.001), and outcome expectation had a direct effect on job motivation (β = −0.333, p < 0.001) and nursing performance (β = 0.341, p < 0.001). Job motivation was found to affect nursing performance (β = 0.268, p < 0.001). Conclusions: The results of this study suggest that mentoring function plays an important role in improving nursing performance, so it is necessary to develop and apply a mentoring program for nurses.



병원간호사의 조직냉소주의가 조직시민행동에 미치는 영향 - 코칭리더십의 조절효과를 중심으로 -

이선화, 김광점

보건의료산업학회 보건의료산업학회지 제12권 제3호 2018.09 pp.53-62

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Objectives: This study analyzed the influence of organizational cynicism among ward sisters on their organizational citizenship behavior and how coaching leadership moderated it. Methods: Survey data from 500 ward sisters at 10 general hospitals were collected, and the data of 483 ward sisters were used. The IBM SPSS AMOS Ver. 21.0 and PROCESS macro software were used for conducting regression analysis, validity analysis, and regulation effect analysis. Results: Organizational cynicism was negatively related to organizational citizenship behavior. Coaching leadership strengthened the negative influence of organizational cynicism on organizational citizenship behavior. Conclusion: This study empirically identified that organizational cynicism is an important predisposing factor affecting the organizational citizenship behavior of ward sisters. In order for coaching leadership to exert a positive influence on organizational citizenship behaviors, addressing ward nurses’ degree of organizational cynicism and psychological status should be prioritized.



상급초보간호사의 간호업무성과 구조모형

정영순, 김혜숙

보건의료산업학회 보건의료산업학회지 제12권 제3호 2018.09 pp.63-78

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Objectives: To construct a structural equation model to explain and predict nursing performance in advanced beginner-stage nurses. Methods: This study was conducted from September 1 to October 10, 2017. Participants in this study were 220 nurses recruited from general hospitals with over 300 beds in P and K cities. Confirmatory factor and path analyses were conducted using AMOS 18.0. Results: Nursing performance was affected by self-leadership and self-efficacy; self-efficacy (β=.794,p=.025) had a greater effect. Problem-solving competency was affected byself-leadership and self-efficacy ;self-efficacy(β =.712,p=.016) had a greater effect. Self-leadership was affected byself-efficacy(β = .820, p=.013). Conclusion: Based on the results of this study, it is recommended that a new program be developed and applied to improve advanced beginner-stage nurses’ self-leadership and self-efficacy to enhance nursing performance.



노인돌봄서비스 제공기관의 돌봄제공자 정서지원서비스 현황 및 영향요인

김유미, 유선주, 전경숙, 김묘경

보건의료산업학회 보건의료산업학회지 제12권 제3호 2018.09 pp.79-93

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Objectives: This study aimed to identify the current status and factors associated with emotional support services among care providers in elderly care service organizations. Methods: A total of 87 elderly care service agencies nationwide were recruited for the survey. Agencies’ characteristics and emotional capacity monitoring activities; and program-building operations among care providers were measured. The collected data were analyzed using an ANOVA and multiple regression analysis. Results: Emotional capacity monitoring activities and program building were generally low. Factors associated with emotional capacity monitoring activities were region, welfare regulations, and vacation and annual leave provisions, while those associated with emotional capacity building programs were identified as vacation and annual leave provisions. Conclusions: The agencies' vacation and welfare system seems to affect emotional support service activities among care providers. It is necessary to prevent emotional exhaustion of care providers and promote quality improvement of care through social and systematic emotional support services.



건강정보이해능력ㆍ정신건강정보이해능력 국내연구경향분석 : 2007년-2017년

백정원, 이희윤, 남희은

보건의료산업학회 보건의료산업학회지 제12권 제3호 2018.09 pp.95-106

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Objectives: The purpose of this study was to analyze the recent research trends in health and mental health literacy and suggest their implications for future research. Methods: Ninety six articles on the topics of health literacy and mental health literacy that were published in journals in Korea during the last 10 years analyzed. Results: The majority of articles were published in medical journals, whereas the articles published in social and natural sciences journals were conducted by multidisciplinary research teams and seemed to be increasing generally. The participants studied in the selected articles were mostly older adults followed by adults aged 18 and over, and other various groups including health professionals and immigrant groups. More than 97% of the articles used quantitative research methods. Conclusions: Health literacy mirrors other health inequalities. To increase the level of understanding of health information, studies should be conducted using various variables. It is also necessary to develop a community education program that can be implemented in the community. Futher, the results highlighted the importance of interdisciplinary research. It is hoped that this effort will help solve t health inequality.



의치사용노인의 구강건강위험요인과 의치관리행태가 삶의 만족도에 미치는 영향


보건의료산업학회 보건의료산업학회지 제12권 제3호 2018.09 pp.107-118

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Objectives: The purpose of this study was to investigate the general characteristics, oral health risk factors, and denture management behaviors of the elderly and improve their oral health and life satisfaction. Methods: This study was conducted on 386 individuals from elderly welfare facilities in Gyeonggi-do selected by convenience sampling. Results: The female participants were more satisfied with their family relationship than the male participants. Among the risk factors for oral health, life satisfaction was higher among the participants who had no psychological inconvenience and bad breath symptoms. Among the factors for denture management behavior, the participants who did not receive dental checkups regularly expressed greater life satisfaction than those who had not received denture care education. Conclusions: The practical and theoretical implications for elderly welfare programs and oral health management education for denture-wearing elderly were discussed.



청소년의 건강위험요인과 구강질환증상 경험과의 관련성

김예황, 이정화

보건의료산업학회 보건의료산업학회지 제12권 제3호 2018.09 pp.119-129

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Objectives: The purpose of this study was to provide basic data for the improvement of healthy habits and development of an oral health promotion program among Korean youth. Therefore, this study investigated adolescent health risk factors, oral health risk factors, and oral disease symptoms. Methods: This study used data from the Korea youth web-based survey, 2016. The subjects selected for the study were 61,086 persons who did not exhibit health risk factors, oral health risk factors, and oral disease symptoms. The statistical analyses were conducted by applying a complex sample analysis technique. Results: Those who drank carbonated beverages at least once a day were 1.15 times more likely to experience oral disease symptoms. The more sweet drinks they drank, the higher the risk of experiencing oral disease symptoms. Subjects who consumed alcohol had a 1.30 times greater risk of experiencing oral disease symptoms while subjects with smoking experience had a 1.13 times greater risk of experiencing oral disease symptoms. Conclusions: As a result, in order to maintain the physical and mental health of Korean adolescents, it is necessary to develop an oral health program for the prevention of unhealthy eating habits and oral diseases.



중년남성의 가족기능성, 자기효능감이 은퇴불안에 미치는 영향

임경민, 박정훈, 오창석

보건의료산업학회 보건의료산업학회지 제12권 제3호 2018.09 pp.131-141

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Objectives: This study was designed to determine the effects of middle-aged men’s family functionality and self-efficacy on their retirement anxiety, in order to produce methods to alleviate this anxiety, including providing basic information for devising programs that help middle-aged men get better adjusted to and increase their awareness about retirement. Methods: For data collection, the study surveyed 364 middle-aged men who were residing in B Metropolitan City from February. 10 to 25, 2017. Results: This study found that the primary factor influencing middle-aged men’s retirement anxiety is self-efficacy, for which the explanatory power for the surveyed men’s retirement anxiety was 52.0%. In contrast, family functionality had no effect on retirement anxiety. Conclusions: To make middle-aged men less anxious about retirement, a variety of programs must be created and implemented that help them improve their self-efficacy prior to retirement. Furthermore, these men should be provided with educational and intervention programs that facilitate their adjustment to retirement and increase their awareness about retirement.



삼사십대 성인에서 대사증후군 관련 영향 요인

이현미, 감신, 진수희

보건의료산업학회 보건의료산업학회지 제12권 제3호 2018.09 pp.143-156

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Objectives: The aim of this study was to determine the affecting factors of metabolic syndrome (MetS) and it’s components in Korean adults in their 30s and 40s. Methods: The present study assessed 1,215 subjects who participated in the Korea National Health and Nutrition Examination Survey in 2014. We analyzed the prevalence rate of MetS and it’s components and their affecting factors. Results: The prevalence rate of MetS was 16%. Family history of diabetes mellitus and, low or high saturated fat intake were associated with MetS in males. Low income, low education, excessive sleep, excessive carbohydrate and low saturated fat intake were associated with MetS in females. Triglycerides showed the highest prevalence in males and were related to white collar socioeconomic status, smoking, and obesity. Triglycerides and high-density lipoprotein cholesterol were high in females, and triglycerides were affected by excessive sleep, family history, low saturated fat intake, and obesity. High-density lipoprotein cholesterol was affected by obesity. Conclusions: Because sex differences exist in MetS, it is necessary to intervene through diverse approaches. In particular, a continuous management and preventive intervention for obesity is needed.



초등교사의 결핵 예방행위와 영향요인


보건의료산업학회 보건의료산업학회지 제12권 제3호 2018.09 pp.157-168

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Objectives: The purpose of this study was to explore and describe the influencing factors in preventive behavior of tuberculosis among elementary school teachers. Methods: Participants were 151 teachers working at 3 elementary schools in Kimhae City, 3 in Changwon City and 2 in Miryang City. Data were collected with structured questionnaires from May. 8. to Jun. 1. in 2018. Data were analyzed by SPSS/WIN 21.0 program for descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and stepwise multiple regression. Results: The preventive behavior of tuberculosis among elementary school teachers were significantly positive correlated with knowledge(r=.275, p=.001), attitude(r=.493, p<.001) and self-efficacy(r=.280, p=.001). Moreover, The significant factors of the preventive behavior of tuberculosis were attitude(β=.341, p<.001), gender(β=.407, p<.001), smoking status(β=.210, p=.004), self-efficacy(β=.187, p=.005) and knowledge(β=.145, p=.026). Conclusions: In this study, in order to promote the preventive behavior of tuberculosis among elementary school teachers, it is necessary to find ways to increase knowledge, attitude, and self-efficacy of tuberculosis, which are significant influencing factors. In addition it would be possible to develop more effective and efficient nursing intervention program if the individual characteristics of the subjects such as gender and smoking status are considered.



간호대학생의 셀프리더십과 공동체의식이 조직사회화에 미치는 영향

권성복, 곽명희

보건의료산업학회 보건의료산업학회지 제12권 제3호 2018.09 pp.169-180

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Objectives: The purpose of this study was to investigate the self-leadership, sense of community, and organizational socialization in nursing students. Methods: The subjects were 215 four-year nursing students in one province. Data were collected from May 4 to 25, 2018 through a self-report questionnaire. Data were analyzed using descriptive statistics, t-tests, analysis of variance, Scheffe's Test, Pearson's correlation coefficients, and multiple regression analysis. Results: Organizational socialization was positively connected to self-leadership and sense of community the higher the self-leadership and sense of community, the higher the organizational socialization. In the independent variables, communal consciousness produced greater ramifications on organizational associations. Conclusions: Nurse educators can use our findings to consider the individual needs of the nursing student in order to increase their self-leadership and sense of community by developing and implementing suitable and appropriate academic curriculum where proper research can be conducted in order to acquire successful, organizational socialization within the nursing community. Further research in this area is warranted.


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