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정헌재 ( Heon Jae Jeong ),조희숙 ( Heui Sug Jo ),배상수 ( Sang Soo Bae ) 한국보건행정학회 2004 보건행정학회지 Vol.14 No.1
본 연구는 보건사업전담 공중보건의사의 직무 실태를 조사하고 직무에 대한 만족도를 파악하여 이에 대한 개선방안을 강구하기 위하여 수행되었다. 설문조사 대상은 각 시·군 보건소에 근무하는 보건사업전담 공중보건의사로서 지역보건사업 중앙지원단에 등록되어 있던 138명의 보건사업전담 의사들이었고, 2003년 3월부터 4월까지 2개월간 e-mail을 통하여 조사가 이루어졌다. 조사 결과 총 96명이 응답하여 70%의 응답률을 나타내었다. 본 연구에서 얻어진 연구 결과는 다음과 같다. 보건사업전담 공중보건의사들의 근무 경력은 1년차인 경우가 61.6%로 가장 많았고, 전문의 자격을 가진 경우가 63.0%였다. 배치 과정에서 50.0%가 전혀 본인의사가 반영되지 않은 것으로 나타났다. 본인이 평가하는 보건사업 참여 정도는 응답자의 60.0%가 거의 없거나 낮다고 응답하였다. 제도의 필요성에 대하여는 66.7%에서 필요하지만 개선이 요구된다고 응답하였다. 본인의 직무에 대하여 70%에서 불만족하고 있었고 사업에 대한 계획수립과 활동에 참여가 용이할 수록, 배치 과정에서 본인의 의사가 잘 반영될수록 만족도가 유의하게 높았다(p<0.05). 전문의 경력을 가진 경우에서 직무 수행도가 높게 나타났고 제도 수행을 위한 지원에 있어서는 배치과정에서의 의사반영, 제도의 교육과 홍보, 행정적 권한 강화, 예산지원 등이 공히 직무 만족도와 직무 수행점수에 유의한 차이를 나타내었다. 업무 수행 동기 향상을 위한 대안에 관하여는 사업에 대한 행정적·재정적 권한의 강화, 사업 항목의 구체적 명시, 진료의 완전 배제 등이 높게 나타났다. 보건사업전담의사가 수행하기 적당한 보건사업으로는 방문보건사업의 시행, 지역사회진단, 건강증진 교육 프로그램의 개발 순으로 나타났다. 이상의 결과에서 보면 보건사업전담의사 제도에 대한 당위성과 필요성은 높게 제시되고 있으나 제도 운영에 대한 개선이 필요하며 실질적인 사업 참여를 가능하게 하기 위한 역량 강화와 동기부여 방안, 구체적인 사업 제시 등이 필요함을 알 수 있다. This study was carried out to investigate the activities and job satisfaction of public health doctors in charge of community health programmes. Subjects were 138 public health doctors charged with community health project, registered in the roll of public health doctors, made out by Central Supporting Team for the District Health Work in 2002. Data was obtained from Ninety-six public health doctors. The response rate was 70%. The survey was conducted from March to April in 2003 by e-mail. The items of the questionnaire consisted of general characteristics of participants, understanding of their activities, support system, job satisfaction, and suggestions to improve the system. Collected data was analyzed using PC-SPSS 10.1. Descriptive analysis, t-test, and ANOVA test were used. The results are as follows: Most of the respondents showed a low participation rate in community health services, but they agreed to the importance of their activities and the necessity to modify and improve the system. 70% of the respondents were dissatisfied with their jobs. The participation in health planning and programmes of health center, and the degree of acceptance of their opinion from health center workers were significantly related to their job satisfaction. The participation rate of the public health doctors having specialty, in community health services is higher than that of the others. In terms of the supports for system operation, the reflection of one`s intention in job arrangement process, education and public relation of this system, and the administrative and financial supports made significant differences in the job satisfaction and the accomplishment of their duty. The respondents hoped that the administrative and financial supports for public health doctors in charge of community health programmes should be reinforced to motivate them. They also wanted that they could keep from being overloaded with clinical services. They favored to conduct home visit, community diagnosis, health planning, and health promotion programs as their appropriate activities. From these results, we suggest some strategies to motivate and empower the public health doctors in charge of community health programmes.
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의료 지속성에 대한 일반인들의 태도 및 관련요인 - 사무직 직원들을 대상으로 -
조희숙 ( Heui Sug Jo ),정헌재 ( Heon Jae Jeong ),이선희 ( Sun Hee Lee ) 한국병원경영학회 2004 병원경영학회지 Vol.9 No.3
This study is aimed to assess the general population`s attitude toward the continuity of medical care and its related factors. Self administered questionnaire was performed on the 1,120 office workers in the C city, Gang-won province. The questionnaire included the attitude of the continuity of medical institute, the intention of medical service use on a given case, and the variables of the related factors. 58.8% of the total respondents agreed to sustaining treatment without changing medical institutes; on the other hand, 41.2% showed negative attitude. In case that a patient would gain a recommendation of a surgery, hospitalization, or a specific examination, the total respondents` 84.9%, 61.8%, and 50.8% of each recommended situation said that they would visit another doctor and gain a diagnosis. As a result of multiple logistic analysis of determinant factor on continuity, reliability of doctors was statistically significant factor. In order to reduce wastefully used medical resources and offer well-qualified medical service, a system of second opinion among peer group or beforehand agreement could be possibly adopted. In addition, improving the image and reliability of a doctor could be an important factor to make better the behavior of medical service shopping; therefore, an effort to improve the relationship between a doctor and a patient, and restore the reliability of doctors should be paralleled.
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환자안전문화 측정을 위한 설문조사 수행 및 결과 활용 기법
이경실,박미진,나해란,정헌재,Lee, Gyeong-sil,Park, Mi-jin,Na, Hae-ran,Jeong, Heon-jae 한국의료질향상학회 2015 한국의료질향상학회지 Vol.21 No.1
Objectives : A safety culture is the bedrock for all patient safety improvement initiatives; thus, many resources have been invested in measuring hospital culture. However, many of these endeavors have failed to yield meaningful results. This article proposes a practical checklist to ensure successful administration of a safety culture survey and describes current methodologies for analyzing survey results to develop safety improvement programs. Methods : We reviewed currently used safety culture surveys and summarized their strengths and weaknesses. We also reviewed studies using safety culture surveys and found several pitfalls leading to failure in survey administration. With this information, we developed a checklist that covers critical items in the survey process. We also reviewed newly developed methodologies for survey results analysis and application and described them using the Korean version of the Safety Attitudes Questionnaire as an example. Results : The checklist consists of three steps: survey preparation, administration, and analysis and application. Each step contains clear action items. The content even describes how to get buy-in from hospital executives and manage communication channels with them. Also, common misunderstandings regarding survey scores are described and possible solutions are suggested. In the analysis section, we demonstrate new methods for obtaining more accurate survey results and how to utilize these methods to develop and implement hospital-wide safety improvement programs. Conclusion : A successful safety culture survey is the foundation of all future safety improvement projects. This review is intended to guide hospitals in enhancing safety.
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