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      • SCOPUSKCI등재
      • KCI등재

        리더십유형이 병원 조직구성원의 직무만족, 조직몰입 및 이직의도에 미치는 영향

        정용갑 ( Jeong Yong Gab ),하호욱 ( Ha Ho Ug ),손태용 ( Son Tae Yong ) 한국병원경영학회 2003 병원경영학회지 Vol.8 No.2

        It is important how the leader leads the organizational members with leadershp appropriate to environment changes as the leader has great influence on the management of hospital organization. These data were collected from the questionnaire surveyed, from February 14 through February 28, 2003, to 218 people among those in the field of doctorship, management administration, nursing, technology, medical engineering, management engineering, and general affairs, working for three hospitals under S medical foundation in Pusan. The principal findings of this research are as below : 1. Type of leadershp and job satisfaction had positive correlation in terms of both transformational and transactional leadershp, with former having more relation than the latter. 2. Type of leadership and organizational commitment had positive correlation in terms of intellectual stimulus and situational rewards, having little relation statistically. 3. Type of leadership and turnover intentions had negative correlation only in individual consideration, situational rewards, and exceptional management, showing that transactional leadership had more relation than transformational leadership. 4. In terms of leadership and its effect on the organizational performance and turnover intentions, transformational leadership had more correlation than transactional leadership. But transactional leadership also turned out to have effect on organizational performance. When transformational leadership used, turnover intentions were lower than when transactional leadership used. However, both transformational and transactional Ieadership had negative correlation to turnover intentions. 5. Effect that type of leadership according to job classification, status, age, and academic carer has on organizational performance and turnover intentions was differed by those factors; especially, in the occupation of doctor, both transformational and transactional leadership had positive correlation to turnover intentions. 6. Regression analysis on the factors of organizational performance and turnover intentions showed that higher age had positive correlation to the organizational performance in terms of socio-demographical features and that the more ieadershp was used for charismatic and situational rewards and the less leadership was used for intellectual stimuli, the higher organizational performance was likely. a decisive factor of organizational members attitude and motivation.a decisive factor of organizational members attitude and motivation.In short, hospital operators and managers should examine each manager s qualification, type, and style of leadership in the hospital organization, and they must develop lasting programs for effective education and training for developing characteristics of leadership are in needed to have managers with appropriate managerial mind to respective post and status. It should be kept in mind that manager s leadership especially has great effect on members goal-setting, goal-achievement, organizational performance, and turnover intentions as it is a decisive factor of organizational members attitude and motivation.

      • KCI등재후보

        악성 종양 환자에 사용된 중심정맥카테터의 안정성에 대한 임상 연구

        김형건(Hyung Gun Kim),손태용(Tae Yong Son),유영진(Young Jin Yuh),이상구(Sang Goo Lee),천은미(Eun Mee Cheon),송재관(Jae Kwan Song),임영혁(Young Hyuck Im),강윤구(Yoon Koo Kang),조재일(Jae Ill Zo),심영목(Young Mog Shim) 대한내과학회 1995 대한내과학회지 Vol.49 No.3

        N/A Objectives: As the central venous catheters (CVCs) have been inserted frequent,ly in patients with advanced malignant disease, it becomes necessary to investigate the safety and the complications of the CVCs and to search for the ways to improve them. Methods: The complications related with CVCs and the durations of function of them were analyzed via retrospective review of medical records of 87 patients to whom CVCs were inserted for the treatment of cancer at the departrnent. of internal medicine, Korea Cancer Center Hospital. Results: Acute complications of catheter inser1ion were pneumothorax and pain at the insertion site. Infection, thrombosis and mechanical teraring were the major long term complications. 32(36.8%) catheters were removed by development of complications. Among 87 evaluable cases, CVCs could be maintained with function for 4+to 878+days (median 401 days). There were significantly less infection (40 % vs. 72% ) and longer duration of function(median not. reached vs. 151 days) with Chemoport than with Hickman catheter(p=0.002). Conclusion. CVCs could be inserted and maintained safely for considerahle period of time in patients with advanced malignancy. Further effort should be given to prevent catheter-related complications such as infection and thrombosis and to provide the long term patency.

      • 포스터 전시 : 간 ; 만성 염증성 탈수초성 신경병증 환자에서 스테로이드 치료후 간경병증 발생

        양승호 ( Seung Ho Yang ),주임관 ( Im Kwan Jhu ),구철 ( Cheol Koo ),손태용 ( Tae Yong Son ),지황룡 ( Hwang Yong Ji ),신기춘 ( Gi Chun Sin ) 대한소화기학회 2002 대한소화기학회 춘계학술대회 Vol.2002 No.-

        <증례> 24세 남자가 2주 전부터 시작된 사지마비와 이상감각을 주소로 내원하였다. 과거력상 B형 간염 보균자였으나 특이한 증세는 없었다. 내원시 혈압 120/80 mmHg, 맥박 76회/분, 호흡수 20회/분, 체온 36.7℃ 이었다. 의식은 명료하였으나 결막 창백이나 공막 황달은 없었다. 호흡음은 정상이었고 호흡곤란이나 심잡음은 없었다. 복부에서 간장이나 비장은 촉지되지 않았다. 입원 당시 시행한 일반혈액검사에서 백혈구 3,500/㎣, 혈색소 13.

      • KCI등재

        지역사회 노인의 치매와 우울증의 관련요인

        윤수진(Soo Jin Yoon),이윤환(Yun Hwan Lee),손태용(Tae Yong Son),오현주(Hyun Joo Oh),한근식(Geun Shik Han),김경희(Kyung Hee Kim) 한국노년학회 2002 한국노년학 Vol.21 No.3

        본 연구는 노인에서 치매 또는 우울증의 관련요인에 대하여 알아보기 위한 것으로 부천시 재가노인을 대상으로 설문조사를 실시하였다. 부천시 원미구에 거주하는 65세 이상 노인을 연령군과 성에 따라 이원층화 무작위 추출을 실시한 후, 최종응답자 1,015명을 대상으로 2000년 2월 23일부터 3월 31일까지 38일 동안 가구 방문하여 직접 면접 조사하였다. 치매와 우울에 대한 선별검사도구로는 Mini-Mental State Exam(MMSE-K)과 Center for Epidemiolgic Studies Depression Scale(CES-D)을 각각 사용하였다. 연구결과 조사대상자들은 치매(11.5%), 우울(13.3%), 치매ㆍ우울(5.2%), 정상(70.0%)의 분포를 보였다. 치매와 우울의 이환에 영향을 주는 요인들을 파악하기 위하여 정상군을 기준으로 다항분포 로지스틱 회귀분석을 실시한 결과, 고령이고 여성인 경우, 수입이 낮고, 도구적 일상생활 수행능력 장애가 많고, 자기 건강인식 수준이 나쁘며, 친구ㆍ이웃 만남이 적은 경우, 상대적으로 치매군의 비차비가 유의하게 높았다. 한편, 우울군에 있어서는 요통, 직업, 도구적 일상생활 수행능력 장애, 부정적 자기건강수준 인식이 유의한 관련이 있었다. 치매와 우울에 복합적으로 이환된 노인의 경우는 배우자가 없고 도구적 일상생활의 지장이 많으며, 요통이 있을 확률이 유의하게 높았다. 치매 또는 우울증 노인환자의 평가 및 관리에 있어 본 연구 결과 유의한 변수들을 고려할 필요가 있으며, 사회경제적으로 취약하고 신체기능이 저하된 노인환자들이 치매와 우울증과의 관련성이 높은 것으로 드러남에 따라 이에 대한 대책이 요망된다. The purpose of this study was to identify factors associated with dementia and depression among the community-dwelling elderly. This study was based on the survey of elderly residents of Buchon City that was conducted from February 23 to March 31, 2000. A total of 1,015 older persons responded to the in-person household interviews. We used the Mini-Mental State Examination, Korean version(MMSE-K) and the Center for the Epidemiologic Studies Depression Scale (CES-D) to assess the person's level of cognitive and depressive states. The respondents were identified as having dementia only (11.5%), depression only (13.3%), dementia and depression combined (5.2%), or none (70.0%). Multinomial logistic regression analyses were carried out, using those without any mental conditions as the reference category. Older age, females, low income, higher number of IADL limitations, poor self-rated health, rarely meeting friends were significantly associated with dementia. For depression, back pain, occupation, IADL disability, poor self-rated health were found to be significant factors. Having bark pain, not married, higher number of IADL disability were independently associated with comorbid mental conditions. It is important to consider diverse factors associated with depression and dementia among older adults to enhance and promote their mental health and well-being. The findings of low socioeconomic status and poor physical health being associated with mental health states, especially raise attention to the need for targeting these vulnerable segments within the older community.

      • 포스터 전시 : 위장관 ; 장결핵과 구별하기 어려운 Crohn병 1례

        주임관 ( Im Kwan Jhu ),양승호 ( Seung Ho Yang ),지황룡 ( Hwang Yong Ji ),손태용 ( Tae Yong Son ),구철 ( Cheol Koo ),윤지영 ( Ji Young Yoon ),정종길 ( Jong Gil Jeong ) 대한소화기학회 2002 대한소화기학회 춘계학술대회 Vol.2002 No.-

        <증례> 52세 남자환자가 1주일동안 지속된 우하복부 동통을 주소로 내원하였다. 환자는 8개월 전에도 동일한 증상으로 본원에 내원하여 복강경하 담낭절제술, 충수절제술, 회장말단부 조직검사를 시행하였다. 조직검사에서 만성담낭염이 있었고, 충수돌기는 정상이었다. 회장말단부는 형태가 불분명한 육아종, 염증반응, 그리고 광범위한 섬유화가 보였다. 환자는 추적 관찰하던 중 상태가 좋아져 자의로 추적관찰을 중단하였으며, 증상이 재발하여 내원하였다. 내원당시 신체검

      • KCI등재

        의료이용 전,후 기대와 만족수준 비교

        박장순 ( Park Jang Sun ),유승흠 ( Yu Seung Heum ),손태용 ( Son Tae Yong ),박은철 ( Park Eun Cheol ) 한국병원경영학회 2003 병원경영학회지 Vol.8 No.1

        The purpose of this study is to analyze the consumer`s expectation before the gealth care service and the consumer`s satisfaction after it. The participants of the study are inpatients in a general hospital located in Seoul. The resources were collected from the self-administration questionnaire survey run paralled with face to face interview. In order to measure the degree of the consumer`s expectation, 349 samples were collected from the first questionnaire survey on the date of admission to the hospital. The second questionnaire survey was camed out on the date of discharge to the hospital with the participants responding to the first questionnaire survey. There are 154 samples collected from this survey. The results from the analysis of these resources are as follow. First, the survey shows that one of the highest consumers` expectations was about the generosity, kindliness and sincerity from the staff at the hospital, specially from doctors. Second, according to the analysis of the factor affecting the expectations of the consumers, with regard to path of admission to a hospital relating to patient`s features, outpatient who gets into a hospital expected good medical care much more than the other patients. In regard of doctor`s features, patients usually and highly expect good medical care from doctors who have good carrier and much experience. Third, according to the second questionnaire survey, what patiens are satisfied most with is about the generosity and sincerity from staff at a hospital, especially from doctors and their good attitudes. The results from survey show that the differences among the degree of consumers` satisfaction are very variable, depending on surrounding environments and facilities. The only fact that expectation didn`t meet with satisfaction appered to the case about technology and skill of medical care and the case about updated medical skills and equipments. Fourth, comparing the degree of expectation with the degree of satisfaction of consumers, correlative analysis was concerned significantly and specifically ablut the part of overall cleaniness relating to facilities and surrounding environments, the items about medical examination and test plan procedure, and the items about satisfying explanations and concern about patients from doctors relating to staff`s generosity and sincerity. Fifth, the analysis of the factors affecting the degree of how much patients are satisfied with shows that relating to sociodemographical features, patients are not satisfied with the case when the time and process of medical treatment are getting longer. It is surveyed that consumer were satisfied with the motivation to visit a hospital and the insurance type in patient`s feature and so were the medical department and the factor of the degree of the expectation in disease`s frature. Sixth, according to analysis based on the survey, patients would join again a hospital when they get satisfaction from the medical care and also they want to come again regarding to doctor`s capability. For example, when doctors are old, have a good carrier and much experience, patients would come again. As seen from the above, consumers are susally satisfied with the medical treatment more than that they expected before. They would intend to use again when they get satisfaction from the medical care provided at a hospital. Patients and consumers highly expect good attitude as well as capacity from medical doctors and they are also generally satisfied with those things. Therefore, in order to increase the degree of consumer`s satisfaction and their intention to come again, the hospital staff would have to mommit themselves to achieve high quality service continuously and would have to make an effort to offer the finest quality service.

      • KCI등재후보

        국소적으로 진행된 식도암 환자에서 Cisplatin , Etoposide 및 5 - Fluorouracil ( PEF ) 선행화학요법의 효과 ; A Pilot Study

        정상훈(Sang Hoon Jeong),임영혁(Young Hyuck Im),강윤구(Yoon Koo Kang),손태용(Tae Yong Son),곽영임(Young Im Kwak),천영국(Young Kug Cheon),김현각(Hyun Kag Kim),류백렬(Baek Yeol Ryoo),김유철(You Cheoul Kim),이춘택(Choon Taek Lee),김창민( 대한내과학회 1996 대한내과학회지 Vol.51 No.4

        N/A The prognosis of esophageal cancer is very poor. Even for those with localized disease who are potentially curable, 5-year survival rates are under 20% in almost all series. We conducted a pilot study to evaluate the safety and possibility of efficacy of neoadjuvant chemotherapy followed by surgery in patients with locally advanced esophageal cancer. Two or three cycles of neoadjuvant combination chemotherapy with cisplatin (20㎎/㎡/day i.v., D1-5), etoposide (100㎎/㎡/day i.v., D1,3,5), and 5-fluorouracil (800㎎/㎡/day continuous i.v., D1-5) were planned to be given before surgery. Total 21 patients entered this trial. Three patients were lost to follow-up after 1 cycle of chemotherapy to make eighteen patients evaluable. Thirteen out of eighteen patients (72%) had objective improvement after neoadjuvant chemotherapy and four (22%) had no change and one (6%) had progression. Among 18 evaluable patients, surgery was performed in 11 patients. Surgery could not be done in 7 patients because of patient's refusal (5), progression of disease (1), and development of lung abscess (1). In 13 patients who were candidates for surgery, curative resection was done in 10 patients to make curative resection rate 10/13 (77%). One of eleven patients having surgical resection had no pathologic evidence of tumor (pathologic complete remission 9%). Postoperative complications of wound dehiscence and anastomotic site fistula developed in 2 patients. Three courses of postoperative adjuvant chemotherapy with PEF regimen were administered to 9 patients. The median survival time for all 18 patients was 60 weeks. Toxicities of PEF neoadjuvant chemotherapy were leukopenia, nausea/vomiting and alopecia, but they were mild and reversible. There was no treatment-related deaths. In conclusion, neoadjuvant chemotherapy with PEF regimen were tolerable, safe and possibly effective in locally advanced esophageal cancer. Based on this study, we will perform phase 2 or 3 study to assess the efficacy of PEF neoadjuvant chemotherapy for locally advanced esophageal cancer.

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