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.

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(+).

개인병원과 의료법인병원의 재무구조와 수익성 비교

최만규(ManKyu Choi),문상식(SangSik Moon),윤창수(ChangSoo Yun),김진희(JinHee Kim) 고려대학교 보건과학연구소 2006 보건과학논집 Vol.32 No.1

  This study was performed to compare and identify factors shaping the financial structure and profitability between private hospitals and corporate hospitals in Korea. The main purpose of the study was to provide information to hospitals in maintaining sound financial structure and improving profitability.<BR>  Data used in this study were collected from 22 private and 45 corporate hospitals with complete general data of present conditions as well as financial statements(balance sheets, income statements). The cases included in the study were chosen from hospitals that passed the standardization audit undertaken by the Korean Hospital Association from 1998 to 2001 for the purpose of accrediting training hospitals.<BR>  The hospital management indicators used in this study were stability indicators, profitability indicators, activity indicators, productivity indicators, and other management indicators related to the medical utilization of patients.<BR>  Comparison analysis results on the hospital management indicators of private hospitals and corporate hospitals were that corporate hospitals had more liabilities and less liquidity than private hospitals, and the former paid more medical expenses(personnel, material, and administrative expenses) than the latter. This was the main reason why corporate hospitals had lower profitability than private hospitals especially in net profit to total assets, normal profit to gross revenues, and net profit to gross revenues.<BR>  The factors that had significant effect on liabilities to total assets of corporate hospitals were inventories turnover(negative), normal profit to total assets(negative), and net profit to gross revenues(negative). And concerning the current ratio, there were period of establishment(negative), patient receivable turnover(negative), value analysis to personal expenses(positive), admission of outpatients(positive), and net profit to gross revenues(positive). The factors that had significant effect on liabilities to total assets of private hospitals were operating bed numbers(negative), period of establishment(positive), average length of stay(positive), and net profit to gross revenues(negative). And concerning the current ratio, there was only average length of stay(negative).<BR>  The factors that had significant effect on both normal profit to total assets and net profit to gross revenues of corporate hospitals were liabilities to total assets(negative), administrative expenses per adjusted patient(negative), material costs per adjusted patient(positive). And the factors that had significant effect on both normal profit to total assets and net profit to gross revenues of private hospitals were operating bed numbers(positive), value analysis to personal expenses(positive), administrative expenses per adjusted patient(negative).

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.

양,한방협진 의료기관 이용자의 인식도 및 태도

최만규 ( Man Kyu Choi ),이준협 ( Jun Hyup Lee ),이태로 ( Tae Ro Lee ),이현실 ( Hyun Sill Rhee ),임국환 ( Kook Hwan Rhim ) 한국보건정보통계학회 (구 한국보건통계학회) 2005 한국보건정보통계학회지 Vol.30 No.1

주 40시간 근무제도 도입에 따른 의료기관 종사자들의 직종별 인식도 비교

최만규(ManKyu Choi),이준협(JunHyup Lee),이준협(TaeRo Lee),이현실(HyunSill Rhee),임국환(KookHwan Rhim) 고려대학교 보건과학연구소 2004 보건과학논집 Vol.30 No.2

  Many foreign countries have made attempts to enhance working conditions for employees by reducing working hours, but it is true that Korea has focused more on economic growth rather than on the welfare of employees. However in the last few years, with increasing concern about quality of one"s life, the issue of working time reduction has become a controversial one. In July 2004 a law on working time reduction was made, and has been enforced in most work places, dependant upon the number of employees from which medical institutions should not be exempted.<BR>  This study was conducted to investigate the differences of opinion by job classification amongst employees of medical institutions. For the purpose of this study, a self-administerd questionnaire was conducted with 140 employees of 10 medical institutions located in Seoul andGyeonggi-Do province from August 1 to 7, 2004. The sample subjects  of this study consisted of 128(91.4%) employees who faithfully responded to the questionnaire and the major statistical methods included frequency, and chi-square test.<BR>  The major results of this study are as follows:<BR>  Firstly, about 90% of the respondents had knowledge of related contents of the 40 hours a week working time reduction. And the ratio of the respondents supporting introduction of working time reduction was 68.8%, and by job classification, more than half of medical doctors showed a contrary opinion, and about half of other groups such as nurses, medical technicians, administrative staffs were for it.<BR>  Secondly, the results of analyzing various factors that influence the quality of medical services and business performance is as follows: Medical doctors thought that the working time reduction would have a bad effect on the quality of medical services and business performance as a result of decreased patients. But other groups such as nurses, medical technicians, administrative staff presumed that the quality of medical services and business performance would not be changed but rather improved if strategies for operation were appropriately considered and performed.<BR>  Finally, the medical institutions preparing working time reduction need to make extra efforts to implement the system successfully such as making manpower operation more efficient, strengthening care capacity and function of emergency care centers, providing incentives for workers on Saturdays, improving the process of the working system and environment, fortifying weekday care, developing a weekend care program, and so on.

우리나라 중소병원의 도산실태와 경쟁력 제고 방안

최만규(ManKyu Choi) 고려대학교 보건과학연구소 2005 보건과학논집 Vol.31 No.1

  The internal and external environment of the hospital has unfavorably changed in the last several years. That is, there has been a separation of dispensary, review reinforcement on health insurance claim, increase of fixed costs such as personnel cost and managerial cost, increase of medical specialists resigning a present position to open own clinic, lower health insurance fee as compared with consumer price index, institutional inertia of inter-hospital collaboration under medical care delivery system, a excessive tax burden, unification of medical diagnosis fee and prescription fee, credit card payment of medical expenses, and so on.<BR>  In such difficult situation, many small and medium hospitals which have not properly coped with request of the change have been bankrupted. The rate of bankruptcy has showed over 10% on an average in these seven years.<BR>  As the reasons mentioned above, most of small and medium hospitals are going through financial difficulty. The function and roles of small and medium hospitals are closely related to the medical welfare of residents as well as the economic effect in small and medium cities. Therefore small and medium hospitals should set up managerial strategies for strengthening their competitiveness in the given situation in order to survive and develop in community.<BR>  In that respect, this study aims to grasp bankruptcy situations of small and medium hospitals and to suggest managerial strategies for strengthening their competitiveness. This study makes a suggestion the following nine strategies for existence and development of small and medium hospitals. Those suggestions are as follows ; This is, the establishment of the customer(patient)-oriented circumstance ; curtailment of expenditure such as personal(labor) and managerial expenses ; TQM(total quality management) of medical services ; introduction of business renovation techniques such as business re-engineering, the construction of the medical information system, benchmarking, out-sourcing, and so on ; reorganization of the existing hospital setups ; introduction of remuneration system depending on the performance ; an active and aggressive marketing and improvement of hospital image ; the activation of inter-hospital collaboration systems ; the establishment of transparency in hospital business such as decision making processes and operating behaviors especially related to money ; vision business in the long-term viewpoint.<BR>  Small and medium hospitals must realize that they may not be able to survive unless they implement the above suggestions. For a successful application and practice of above suggestions, it is important for CEO of small and medium hospitals to have a innovative business mind. And the government have to support for activation of medium and small hospitals.

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.

원저: 치료의료기관별 환자의 이용실태 및 만족도 연구

최만규(Man Kyu Choi),이준협(Jun Hyup Lee),박기태(Ki Tae Park),임국환(Kook Hwan Rhim) 대한보건협회 2003 대한보건연구 Vol.29 No.3

經濟發展過程에 있어서 地域產業構造의 隔差와 그 移行過程에 關한 硏究

崔萬圭(Choi Man Kyu) 대한국토·도시계획학회 1977 國土計劃 Vol.12 No.1