Earticle

Objectives: This study was conducted to analyze the effect of hospital social responsibility(HSR) activities on organizational health and customer orientation. Methods: We conducted an online survey with hospital employees and analyzed the questionnaires of 206 selected respondents. A regression analysis was performed to determine the relationship between independent and dependent variables. Results: First, 'consumer issues', 'community involvement and development', and 'fair operating practice' factors in HSR influenced 'medical environment suitability' in organizational health. The 'fair operating practice' factor in HSR affected 'management environment suitability' and 'community orientation' in organizational health. The 'labor practices' factor in HSR affected 'practices suitability' and 'vitality' in organizational health. Second, the activities on 'consumer issues' and 'environment' in HSR have influenced 'Reliability', 'Reactivity' and 'Tangibility' in Customer Orientation. The activities on 'consumer issues' have affected 'Empathy'. Conclusions: The results of this study provide a positive direction for medical institutions as they conduct HSR activities and provide a basis for establishing effective HSR strategies.

Objectives: Guardians of patients have a great deal of influence on decision-making in the course of care in Korea. The purpose of this study was to explore the effect of nursing service satisfaction on hospital re-use intention in the guardians of patients admitted to comprehensive nursing care units. Methods: The survey was conducted on 151 guardians of patients hospitalized in comprehensive nursing care units of two general hospitals for four months beginning in September 2017. The data were analyzed with descriptive statistics, t-tests, Pearson’s correlation coefficient, and multiple regression analyses using SPSS/Win 21 software. Results: Nineteen percent of variance in hospital re-use intention was accounted for by reliability (t=3.31, p=.001), empathy (t=2.49, p=.014), and recommendations from others (t=2.49, p=.014). The explanatory power was significant (F=13.06, p<.001). Conclusions: To promote hospital reuse, nurses need to improve the quality of their nursing services. Emphasis should be on reliability and empathy among nursing service components. It is also necessary to consider ways to encourage guardians who used hospitals to recommend them to their acquaintances.

Objectives: The purpose of this study was to investigate the relationship between medical service quality, emotional attachment, customer satisfaction, and customer behavioral intention of small and medium hospitals. Methods: 228 patients who have used small and medium hospitals’ medical services were selected. The analysis methods used were confirmatory factor analysis, validation of discrimination, path analysis, and bootstrapping using SPSS 23 and AMOS 23. Results: As a result of the hypothesis test, reliability, responsiveness, and assurance were found to have a positive (+) influence on emotional attachment and customer satisfaction, while empathy had a positive (+) influence on emotional attachment only. Emotional attachment had a positive (+) influence on customer satisfaction and behavioral intention, and customer satisfaction had a positive (+) influence on behavioral intention. Conclusions: Medical service providers in small and medium hospitals should recognize that increasing customer satisfaction based on emotional attachment is a pathway to customer acquisition and, ultimately, a way to promote effective management.

Objectives: This study was performed to investigate selection factors for specialized hospital and to find out the impact of hospital selection factors on satisfaction, revisiting invention and recommendations. Methods: A survey was performed with 398 inpatients of 4 specialized joint hospital in Busan. Data were collected from August to October 2016 with questionnaires and analyzed using SPSS 24.0. Results: First, inpatients know that it was a specialized hospital were highly satisfied and willing to revisit and recommend. Second, in hospital satisfaction, influence size was shown in order of specialty factors, service quality factors, physical factors, and accessibility factors. Third, the intention to revisit hospitals was higher in the awareness of a specialized hospital and high satisfied inpatients, and recommendation intend were affected by the higher revisitation intention, the high satisfaction level, and the high professionality level. Conclusions: All the hospital selection 4 factors for joint specialized hospitals affects satisfaction level which is linked to revisit and recommend. Specialized Hospitals will have to strengthen qualitative management of hospital selection factors to enhance patient satisfaction.

Objectives: The objective of the present study was to investigate whether gender mederates the mediating effect of job burnout on the relationship between role stress and depression among medical doctors in Local clinics in South Korea. Methods: Questionnaires that assess role stress, job burnout, and depression were administered to. 265 medical doctors who worke in local clinics in Seoul, Busan, Daejeon, and Gyeonggi provinces. Data analysis was conducted using the PROCESS macro in Statistical Package for the Social Sciences(SPSS). Results: Job burnout mediated the relationship between role stress and depression. Further, gender moderated the relationship between role stress and job burnout. Finally, gender moderated the mediating effect of job burnout on the relationship between role stress and depression. Conclusions: On the basis of the emergent findings, effective coping strategies that can alleviate role stress are articulated. However, the findings also suggest that the selection of a suitable intervention must be based on the gender of the medical doctor.

Objectives: The purpose of this study was to analyze the factors affecting the utilization of emergency medical services and characteristics of emergency medical services according to age group among elderly individuals. Methods: This study conducted t-test and linear regression analysis on data of 1,960,575 participants to achieve the objective. Results: Analysis of the factors affecting the use of emergency medical services showed statistically significant correlation in all age groups. As the age of elderly people increased, the use of emergency medical service increased. Conclusions: Emergency medical policies are needed, such as coordinators with expert knowledge of medical and health administration and specialist emergency room operations that can provide specialized medical service for older patients

Objectives: The purpose of this study was to discuss the overall and oral health conditions that affect obesity in middle-aged women in Jeju and to help them operate the effective obesity program in the future. Methods: Participants of this study were 171 middle-aged women living in Seogwipo City, Jeju Special Self - Governing Province. Data were collected through the convenience sampling method. Body mass index and waist circumference of each participant were measured, and a self-report questionnaire was applied. Results: The overall health status of obesity comprised depression, stress, diabetes, and menopause. The oral health conditions affecting obesity were bad breath and chewing. Hypertension was the main factor affecting body mass index and depression was the main factor influencing waist circumference. Obesity was more influenced by overall health status factors than by oral health status factors. Conclusions: The results of this study are expected to be useful as basic data for efficient health care services in the prevention of obesity.

Objectives: The purpose of this study is to investigate the factors related to mental health and oral health awareness that affect the tendency to search for happiness. Methods: In this study, we conducted a self - report questionnaire survey with 197 participants belonging to the Myself Generation in Jeju Island. Results: There was a significantly greater tendency to seek overall happiness in individuals with lower age, good subjective physical health low levels of depression and stress high self-esteem good subjective mental health and good subjective health status. The most influential factors were self - esteem and mental health awareness followed by general characteristics and oral health awareness. Conclusions: This study provides useful data for mental health and oral health care, and for the development of health care service programs aimed at the satisfaction and happiness of people living alone.

Objectives: This study is a descriptive research to investigate the predictors of intention to quit smoking in patients with acute coronary syndrome(ACS). Methods: A total of 192 ACS patients hospitalized for an angiogram during symptom management were conveniently recruited from a university hospital cardiovascular care unit. Data were collected from January to December in 2018 and were analyzed using binominal logistic regression. Results: The predictors of intention to quit smoking in patients with ACS were drinking(odds ratio[OR]=0.315, p=.006), experience of smoking cessation education(OR=0.325, p=.007), depression(OR=0.739, p<.001), and smoking-related self-efficacy(OR=1.091 p=.006). Conclusion: The findings suggest that the alleviation of depression and enhancement of smoking-related self-efficacy can prevent recurrence and enhance the treatment of ACS.

Objectives: The purpose of this study was to determine the effectiveness of hand acupressure in relieving shoulder pain among male manufacturing workers. Methods: A nonequivalent control group was employed using a nonsynchronized design. Data were collected from two manufacturing plants located in metropolitan area U. The data were analyzed with a χ2-test and an independent t-test to perform a homogeneity test, and with repeated ANOVA measures to perform an hypothesis test using the SPSS 21.0 program. Results: Hypothesis 1 that “the experimental group provided with hand moxibustion would score lower for low shoulder pain than the control group” was supported (F=306.05, p<.001). Hypothesis 2, that “the experimental group provided with hand moxibustion would have a wider range of motion than the control group” was also supported with increased flexion(F=7.73, p<.001), extension(F=7.89, p=.001), abduction(F=21.23, p<.001), and horizontal abduction(F=20.89, p=.028). Hypothesis 3, that “the experimental group provided with hand moxibustion would score lower for quality of sleep than the control group” was not supported (F=56.10, p=.091). Conclusions: Hand moxibustion is effective in relieving shoulder pain for male manufacturing workers, in relieving low shoulder pain and increasing the range of motion.

Objectives: 도라지 추출액을 이용하여 구강미생물에 대한 Platycodon grandiflorum 추출물의 항균 효 과를 실험하고자 한다. Methods: 항균 활성 및 최소 저해 농도는 한천 희석법을 사용하여 측정하였다. 추 출물 (Platycodon grandiflorum 추출물과 껍질이 없는 Platycodon grandiflorum 추출물)을 준비하고 0.0625 mg/ml, 0.125 mg/ml, 0.25 mg/ml, 0.5 mg/ml, 1 mg/ml의 농도로 한천 플레이트를 만들었다. Results: 치아우식균보다 치은염을 유발시키는 A. naeslundii, A. odontolyticus, A. viscosus 세 균주에서 더 우수한 항균효과를 나타내었으며, 껍질이 없는 도라지 추출물 보다 사포닌 함량이 더 많은 껍질이 있는 도라지 추 출물에서 우수한 항균효과를 나타낸 것을 확인하였다. Conclusions: 도라지 추출물 결과에서 보듯이 천연 추출물이 구강질환을 유발시키는 치아우식균 및 잇몸질환균에 대해 항균효과가 있을 수 있음을 시사한다.

Objectives: The objective of this study was to assess the antimicrobial effect of Platycodon grandiflorum extracts against oral microorganisms. Methods: The anti-microbial activity and minimal inhibitory concentration were measured the agar dilution method. Results: Platycodon grandiflorum extracts grew in the free agar plates all of the oral microorganisms. In the bark-free Platycodon grandiflorum extracts all the oral microorganisms grew in the free agar plates. Growth was inhibited at a concentration of 0.5 mg/ml. Oral microorganisms showed an absence of growth at a concentration of 1 mg/ml. Conclusions: It was confirmed that the extracts of Platycodon grandiflorum having a higher saponin content than the bark – free Platycodon grandiflorum extract showed excellent antimicrobial effect.