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      • KCI등재

        병원에 근무하는 물리치료사의 직장애착에 영향을 미치는 요인

        최만규,이석민,Choi, Man-Kyu,Lee, Suk-Min 대한물리치료과학회 2000 대한물리치료과학회지 Vol.7 No.2

        This study was carried out to find out factors affecting on organizational commitment of hospital physical therapists in Korea. The sample used in this study consisted of 135 physical therapists who were working in hospitals located in Seoul. The data for analysis were collected by questionnaire survey. The major statistical methods used for the analysis were factor analysis and multiple regression analysis. The dependent variable of the study was organizational commitment (responsibility of organization and propensity to stay), and the independent variables were general characteristic of respondents and components of job satisfaction - "task", "organizational operation system", "opportunity of development", "interpersonal relationship" - of hospital physical therapists. Important factors affecting the responsibility of organizational commitment were religion, work period, task satisfaction, opportunity of development. And propensity to stay was significantly affected by religion, work period, and four components of job satisfaction. In considering above findings, for improving factors affecting on organizational commitment of physical therapists, hospitals need to develop strategies for enhancing job satisfaction by providing the adequate job environment.

      • KCI등재

        미국 영리병원과 비영리병원의 의료이용도와 재무성과 비교

        최만규 ( Man Kyu Choi ),이건형 ( Keon Hyung Lee ),이보혜 ( Bo Hye Lee ) 한국보건행정학회 2008 보건행정학회지 Vol.18 No.4

        As the Korean Government began to perceive healthcare as one of foundational industries for national dynamics, there has been mounting advocacy for the introduction of for-profit hospitals with a view to bringing efficiency in healthcare services industries and improvement of their international competitiveness. The Government is now considering the issue from all angles in favor of permitting for-profit hospitals. However, There have been few precedent studies on this subject to provide helpful data for the discussion and in the health policy making. This study used private hospitals -for-profit and nonprofit - in Florida, USA as study subjects to accumulate basic data that may be utilized for those involved in debates and health policy making relating to the introduction of for-profit hospitals in Korea. Among all the private general hospitals in Florida, those surveyed by AHA(American Hospital Association) for four consecutive years from 2001 and 2004 and others reported about to MCR(Medicare Cost Report) included in the collected data for analysis. In total 139 private general hospitals consisting of 73 for-profit hospitals and 66 nonprofit hospitals were included in the collected analysis data. Results of analysis revealed no significant difference between for-profit hospitals and nonprofit hospitals in the usage aspects of healthcare services including the average length of stay and the ratio of Medicare vs Medicaid patients. However, financial performances indicated by such factors as the pre-tax return on assets and the pre-tax operating margin showed to be significantly higher in for-profit hospitals compared with nonprofit hospitals. And the ratio of personnel expenses and the turn period of total assets showed to be significantly lower in for-profit hospitals. Based on the hypothesis that arguments about the introduction of for-profit hospitals have considerably different viewpoints depending on the size of hospitals represented by the number of bed, these two hospital types were compared again using the number of beds as a controlled factor, but the results were similar. We, therefore, could conclude that the for-profit hospitals in Florida included in this study could, in their for-profit operation, improve their financial performance by pursuing cost reduction and effectively utilizing their assets without limiting the amount and the range of their services or avoiding less medically protected groups such as Medicare and Medicaid patients.

      • KCI등재

        한방병원 입원환자의 진료비 특성분석

        최만규(Man Kyu Choi),이석민(Suk Min Lee) 한국노년학회 2001 한국노년학 Vol.21 No.1

        이 연구는 한방병원 입원환자의 진료과별ㆍ재원일별 일평균진료비 발생양상과 그 분포적 특성을 규명함을 목표로 자료입수가 가능했던 한방병원 2개소를 대상으로 2000년 1월 1일에서 6월 30일까지 6개월 동안 내원한 입원환자의 일일진료비 명세서를 이용하여 분석하였다. 분석대상 진료과는 한방내과, 한방침구과, 한방신경정신과, 한방물리요법과, 한방안ㆍ이비인후과, 한방소아과, 한방부인과였으며, 분석대상 입원환자는 각각 1,174명(60.6%), 410명(21.3%), 135명(7.0%), 119명(6.3%), 32명(1.7%), 42명(2.3%), 16명(0.8%)으로 총1,928명이었다. 연구결과 한방병원 입원환자들의 재원일별 일평균진료비 발생양상은 양방병원의 그것 즉, 입원 2-3일째 각종 검사ㆍ처치ㆍ수술 등이 수행되고 그 후의 입원기간은 회복기인 요양기간에 해당됨으로 인해 일평균진료비가 4일째부터는 급격히 감소하여 낮은 수준에서 일정한 변화양상을 유지하는 것과 달리 재원 초반에서 후반에 이르기까지 큰 특징없이 진료과별 일평균진료비를 기준으로 높고 낮음의 약간의 편차를 보이면서 일정하게 변화하는 특성을 보였다. 재원기간 후반기 시점에서 재원일별 진료비 편차가 다소 심했고, 입원 첫날의 진료비가 다소 높기는 하였으나 양방병원과는 달리 재원기간에 의해 큰 영향을 받지 않는 것으로 나타났다. Recently the demand to oriental medicine has been continuously increased because of the rise of the numbers of chronic disease and the elderly and widening enforcement of medical insurance in addition to the ardent desire for health. This study was accomplished for the purpose of making the basic data which would be used in developing diagnosis and treatment charge system and calculating the rational fee for oriental medicine, as the result of examination of occurrence aspect and distributive characteristics of daily average medical charge of the in-patients of two oriental medical hospitals. In this study, the data of daily diagnosis and treatment charge of 1,928 in-patients admitted in 7 clinical departments of two Oriental Hospitals from January 1 to June 30, 2000 was analysed through the Excel and SPSS after the coding of them. The result of this study would be summarized as followings. 1. The average length of stay by clinical department was 17.5 in dept. of internal medicine, 18.0 in dept. of acupuncture, 11.8 in dept. of neurology and psychiatry, 22.4 in dept. of physical therapy, 16.0 in dept. of ophthalmology and otorhinolaryngology, 7.5 in dept. of pediatrics, and 4.6 in dept. of gynecology. And average medical charge by clinical department was 63,621, 58,534, 72,821, 55,383, 65,695, 48,354, and 78,034 respectively. 2. We found distinct characteristic differences between the studies on western medicine hospital and this study in the figures showing the occurrence track of diagnosis and treatment charge of the in-patients. The occurrence aspect and distributive characteristics of daily average medical charge of the in-patients of an oriental medical hospital showed the pattern exposing the constant variations around horizontal line without a great particularity through length of stay, compared to that of western hospital. And it showed widening variations of medical charge in late of admission, and the character of the higher medical charge in the first day of admission than the second or third day.

      • KCI등재
      • KCI등재
      • KCI우수등재
      • KCI등재

        우리나라 민간병원의 자본조달결정에 관한 연구

        최만규 ( Man Kyu Choi ) 한국병원경영학회 2002 병원경영학회지 Vol.7 No.3

        This study focuses on the factors that make the financing decision of private hospitals in Korea. Data used in this study were collected from 98 hospitals with complete general data of current status as well as financial statements. They were chosen from the 138 hospitals that passed the accredtation process by the Korean Hospital Association from 1996 to ZOO0 for the purpose of accrediting training hospitals. The dependent variables in this study consist of total liabilities to total assets, borrowings to total assets. The independent variables are ownership, hospital type, teaching status, location, bed size, period of establishment, asset structure, profitability, growth, tax shields, volatility of profit, competition(market concentration), and other factors. The major findmgs of ths study are as follows. The factors found to have significant effect on liabilities to total assets are teaching status (-), asset structure( - ), profitability( - ), tax shield( + ), and business risk( - ). University hospitals have less liabilities than the non-university hospitals. It was also confirmed that high profitability, high fixed asset, high volatility of profit and low tax shields results in decrease in liabilities. The factors that significantly affect on borrowings to total assets are teaching status(-), period of establishment(-), volatility of profit(-) and competition(+).

      • KCI등재

        병원에 근무하는 물리치료사의 직무특성과 이직의도와의 관련성 연구

        이석민,최만규,Lee, Suk-Min,Choi, Man-Kyu 대한물리치료과학회 2003 대한물리치료과학회지 Vol.10 No.2

        Recruiting and maintaining capable physical therapists in hospitals is crucial to provide patients with better quality's physical therapy and to achieve hospital business objectives. This study is to provide basic data for effective personnel management of physical therapists in the hospital. For this, this study was conducted to confirm the relationship between turnover intention and job characteristics(task importance, job autonomy, job feedback, task identity, skill diversity), and to find out factors affecting the turnover intention of hospital physical therapists in Korea. The sample used in this study consisted of 173 physical therapists who were working in hospitals located in Seoul from June 18 to 29. The data for analysis were collected by questionnaire survey. The dependent variable of this study was turnover intention and the independent variables were job characteristics(task importance, job autonomy, job feedback, task identity, skill diversity), demographic characteristics of respondents(sex, age, education level, marital status, working hospital, working career). The major statistical methods used for the analysis were factor analysis, t-test, ANOVA, correlation, and hierarchical multiple regression analysis. Turnover intention according to demographic characteristics of respondents was significantly high in the graduate school above group. As the result of hierarchical multiple regression analysis of turnover intention, R2 of job characteristics was much more powerful than demographic characteristics. The factors had significant negative effect on turnover intention were job autonomy, task identity, and skill diversity. And in demographic characteristics factors, there were not significant factors on turnover intention. In considering above findings, for decreasing turnover intention of physical therapists, hospitals need to develop strategies for enhancing job satisfaction by improving job autonomy, task identity, and skill diversity from the adequate job environment.

      • SCOPUSKCI등재

        북한예방의학회지 ($1997{\sim}2006$) 게재논문의 핵심어 네트워크 분석

        정민수,정동준,최만규,Jung, Min-Soo,Chung, Dong-Jun,Choi, Man-Kyu 대한예방의학회 2008 예방의학회지 Vol.41 No.6

        Objectives : There are very few researches on North Korea's academic activities. Furthermore, it is doubtful that the available data are reliable. This study investigated research activities and knowledge structure in the field of Preventive Medicine in North Korea with a network analysis using co-authors and keywords. Methods : The data was composed of the North Korean Journal of preventive medicine ranged from Vol. 1 of 1997 to Vol. 4 of 2006. It was the matrix of 1,172 articles by 1,567 co-authors. We applied R procedure for keywords abstraction, and then sought for the outcome of network forms by spring-KK and shrinking network. Results : To comprehend the whole networks explicitly demonstrated that the academic activities in North Korea s preventive medicine were predisposed to centralization as similar as South Korea's, but on the other aspect they were prone to one-off intermittent segmentation. The principal co-author networks were formulated around some outstanding medical universities seemingly in addition to possible intervention by major researchers. The knowledge structure of network was based on experimentation judging from keywords such as drug, immunity, virus detection, infection, bacteria, anti-inflammation, etc. Conclusions : Though North Korea is a socialist regime, there were network of academic activities, which were deemed the existence of inducive mechanism affordable for free research. Article keywords has laid greater emphasis on experiment-based bacterial defection, sustainable immune system and prevention of infection. The kind of trend was a consistent characteristic in preventive medicine of North Korea haying close correlation with Koryo medical science.

      • KCI등재

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