의료기관에서 종합적 품질경영과 관련된 변인분석

탁기천,류규수 한국병원경영학회 2001 병원경영학회지 Vol.6 No.3

The study was to examine the relationship among those variables related to total quality management and to reveal those variables affecting total quality management in Health-Care Organizations. To study the relationship, a questionnaire was designed and sent to 220 hospitals of which the number of beds is over 200 beds. Out of 660 questionnaire, 263 questionnaire were collected. Data analysis were conducted by using t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression. The result were as follows : 1. TQM was significantly different according to activities of QI, department of QI, age, and position. 2. Leadership was significantly different according to activities of QI, department of QI, age, and position. 3. Significant differences in the level of satisfaction of employee were found according to activities of QI, department of QI, age, position, and duration of employ. 4. Significant differences in the level of participation of employee were found according to activities of QI, department of QI, and position. 5. Education training was significantly different according to amount of bed, activities of QI, department of QI, level of education, kind of job, and position. 6. Medical technique was significantly different according to activities of QI, department of QI, and position. 7. Quality of work was significantly different according to activities of QI, department of QI, age, and position. 8. Significant differences in the level of investigation's system in satisfaction of client were found according to activities of QI, department of QI, kind of job, and position. 9. Positive correlations were observed between TQM and those variables related to TQM. 10. TQM was significantly predicted by the level of satisfaction of employee(40.9%), participation of employee(7.0%), investigation's system in satisfaction of client(2.7%), leadership(1.4%), and medical technique(1.1%), respectively.

응급실환자의 내원 및 응급처치 소요시간에 관한 조사연구

탁기천,손명숙,정두채,Tak, Gi-Cheon,Son, Myeong-Suk,Jeong, Du-Chae 대한병원협회 1993 대한병원협회지 Vol.22 No.3

주40시간제 도입에 따른 진료행태 변화 및 개선안

탁기천,Tak, Gi-Cheon 대한병원협회 2004 대한병원협회지 Vol.33 No.5

의료보호제도의 보장효과 인식도 조사연구 <상>

탁기천,성미혜,정두채,Tak, Gi-Cheon,Seong, Mi-Hye,Jeong, Du-Chae 대한병원협회 1993 대한병원협회지 Vol.22 No.11

의료기관에서의 종합적 품질경영과 관련된 변인분석

탁기천,류규수,Tak, Ki-Chun,Yoo, Kyu-Soo 한국병원경영학회 2001 병원경영학회지 Vol.25 No.3

The study was to examine the relationships among those variables related to total quality management and to reveal those variables affecting total quality management in Health-Care Organizations. To study the relationship, a questionaire was designed and sent to 220 hospitals of which the number of beds is over 200 beds. Out of 660 questionaire, 263 questionaire were collected. Data analysis were conducted by using t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression. The result were as follows: 1. TQM was significantly different according to activities of QI, department of QI, age, and position. 2. Leadership was significantly different according to activities of QI, department of QI, age, and position. 3. Significant differences in the level of satisfaction of employee were found according to activities of QI, department of QI, age, position, and duration of employ. 4. Significant differences in the level of participation of employee were found according to activities of QI, department of QI, and position. 5. Education trainning was significantly different according to amount of bed, activities of QI, department of QI, level of education, kind of job, and position. 6. Medical technique was significantly different according to activities of QI, department of QI, and position. 7. Quality of work was significantly different according to activities of QI, department of QI, age, and position. 8. Significant differences in the level of investigation's system in satisfaction of client were found according to activities of QI, department of QI, kind of job, and position. 9. Positive correlations were observed between TQM and those variables related to TQM. 10. TQM was significantly predicted by the level of satisfaction of employee(40.9%), participation of employee(7.0%), investigation's system in satisfaction of client(2.7%), leadership(1.4%), and medical technique(1.1%), respectively.

성인 비만의 건강특성에 관한 분석적 연구

탁기천,류규수 韓國保健敎育.健康增進學會 2001 보건교육건강증진학회지 Vol.18 No.2

This study was carried out to offer the basic data for more qualitative lives of the adulthood obesity through their health maintenance and control. So, the researcher reviewed and analyzed the health problems of the subjects according to sex, age, and positive rate on the screening tests. The subjects were 91 obese persons in K university hospital in Seoul from December 1,2000 to January 31, 2001. A Questionnaire developed by researcher to obtain subject's general characteristics, main symptoms, medic피 examination, diagnosed disease was used as the tool for the study. The results of this study are as follows : 1.For the distribution of diagnosis in subjects, liver disease was most frequent and hypertension was second. 2.The most common complaints were indigestion in the digestive system, throat pain in the respiratory system, dyspnea in cardiovascular system, thirsty in endocrine system, frequent urine in the urinary system, vertigo in the hematologic system. 3.The main symptoms according to sex were for females, a statistically significant higher rate of complaints in the digestive system, musculoskeletal system as compared to males. 4.The main symptoms according to age were that in the fourth decade there were higher rate of complaints in the musculoskeletal system. 5.In screening tests according to sex, males showed a higher positive rate for Alk-Phosphatase and females, in FBS, urine-micro, VDRL. 6.In screening tests according to age, higher positive rates of BP, Chest X-ray, mammography, ESR, CRP were seen in the fourth decades. 7.Obesity was positively related to cardiovascular system, endocrine system, urinary system, musculoskeletal system, mental and nervous system in main symptoms. 8.Obesity was positively related to BP, Sonography, FBS, SG7T, SGPT in screening tests.

의료기관에서 종합적 품질경영과 관련된 변인분석

탁기천(Ki Chun Tak),류규수(Kyu Soo Yoo) 한국병원경영학회 2001 병원경영학회지 Vol.6 No.3

The study was to examine the relationship among those variables related to total quality management and to reveal those variables affecting total quality management in Health-Care Organizations. To study the relationship, a questionnaire was designed and sent to 220 hospitals of which the number of beds is over 200 beds. Out of 660 questionnaire, 263 questionnaire were collected. Data analysis were conducted by using t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression. The result were as follows : 1. TQM was significantly different according to activities of QI, department of QI, age, and position. 2. Leadership was significantly different according to activities of QI, department of QI, age, and position. 3. Significant differences in the level of satisfaction of employee were found according to activities of QI, department of QI, age, position, and duration of employ. 4. Significant differences in the level of participation of employee were found according to activities of QI, department of QI, and position. 5. Education training was significantly different according to amount of bed, activities of QI, department of QI, level of education, kind of job, and position. 6. Medical technique was significantly different according to activities of QI, department of QI, and position. 7. Quality of work was significantly different according to activities of QI, department of QI, age, and position. 8. Significant differences in the level of investigation`s system in satisfaction of client were found according to activities of QI, department of QI, kind of job, and position. 9. Positive correlations were observed between TQM and those variables related to TQM. 10. TQM was significantly predicted by the level of satisfaction of employee(40.9%), participation of employee(7.0%), investigation`s system in satisfaction of client(2.7%), leadership(1.4%), and medical technique(1.1%), respectively.

응급실 환자의 내원 및 응급처치 소요에 관한 조사연구

탁기천,배대경,고영관,손명숙,정두채 대한응급의학회 1993 대한응급의학회지 Vol.4 No.1

This study consists of time consuming of arrival and emergency treatment of the 495 patients, who were admitted to the emergency rooms of 3 university hospitals in Seoul from July 6, 1992 to July 29, 1992. These results were obtained by investigating and analysing the questionaires through the patients, or/and their accompanist by the emergency room nurses. 1. Distribution of time consuming. 1) Consumed time from development of the symptom to visiting emergency room was 31.5 hours. 2) Male patients visited much earlier than female patients.(statistically significant) 3) The patients of under the age of 6 visited earlier than any other age group.(Nearly 30% of them came within 60 minutes.(Statistically significant) 4) The patients visted most early when a symptom developed on road.(42.9%: significant) 5) A taxi was the most frequently used transportation.(45.9%) In case of visiting by walking, patients arrived within 60 minutes(48.4%: significant) 6) Fourty three % of injured patients arrived within 60 minutes and they visited much earlier than diseased patients. 7) Orthopedic patients visited within 60 minutes, which was earlier than other department patients and occupied 45.3%.(significant) 8) Non-first-aided patients at home visited earlier than first aided ones at home. (nonsignificant) 2. Time interval from arrival to initial emergency care. 1) Seventy % of the patients were initially cared within 30 minutes. 2) Time to initial care according to the symptoms and signs was not statistically significant. 3) Fifty nine % OB/GYN patients were cared within 10 minutes and earlier than other department patients, however, statistcally nonsignificant. 3. Time interval from initial care to completion. 1) Emergency care was completed within 180 minutes in sixty three % of the patients. 2) Although, a distribution of the time to completion of emergency care was statistically nonsignificant, diseased patients were completed a little bit earlier than injured patients. 3) Pediatric patients were completed earlier than any other department patients and 37.3% of them were completed within 60 minutes.

의료기관의 종합적 품질경영(TQM)에 관한 연구

탁기천 ( Tag Gi Cheon ) 한국병원경영학회 2003 병원경영학회지 Vol.8 No.4

This research first finds out the resources, activities, and effectiveness of quality management effort and the resulting customer satisfaction when the total quality management is lacking in most Korean medical agencies today. Then, it analyzes the relationship among the factors mentioned earlier. This paper utilizes actual data and presents a theoretical model which explains that the resources of quality management affect the activities and that the fruit of the quality management effort benefits the customers in the end. In addition, this study conducts a corroborative analysis through executing a survey, getting a descriptive statistical result on the subjects Characteristics and the research variables using SPSS 9.0 WIN PROGRAM, and the model is approved through analyzing its make-up using LISREL 8.12 WIN PROGRAM. The study s finding is the following: First, the management leadership affects the worker`s, educational training, the quality of medical service, and the survey of customer satisfaction positively. However, it does not affect the quality of work positively. Second, the internal customer satisfaction affects the worker s participation, educational training, the quality of medical service, and the survey of customer satisfaction positively. Third, the quality of medical service and the survey of customer satisfaction affects the result of quality management positively, but the worker s participation, educational training, and the quality of work do not affect the result of quality management positively. Fourth, the management leadership does not appear to affect the result of quality management positively. Fifth, the internal quality management appears to affect the result of quality management positively. Sixth, the external customer satisfaction appears to affect the result of quality management positively. In conclusion, the findings in this study indicate that medical agencies need to utilize the active variables of quality management in order to successfully establish a total quality management.

입원환아 어머니의 스트레스와 대처양식

성미혜 ( Mi-hae Sung ),이숙희 ( Sook-hee Lee ),탁기천 ( Ki-chun Tak ) 한국모자보건학회 2003 한국모자보건학회지 Vol.7 No.2

본 연구는 소아과 병동에 입원한 환아를 돌보고 있는 어머니를 대상으로 환아 어머니의 스트레스 및 대처유형에 대한 반응을 파악함으로써 입원한 환아는 물론 그들 어머니를 돕기 위한 간호중재 프로그램개발을 위한 기초자료를 제공하기 위해 시도되었다. 본 연구의 대상은 경기도 소재 일개 대학병원 소아병동에 입원한 환아 어머니 중 연구에 참여하기로 적극 동의한 84명을 대상으로 하였다. 본 연구의 도구는 Miles와 Carter(1983)가 고안한 신생아 중환자실에서의 스트레스 요인 측정도구(Parental stress scale: NICU)를 임지영(1996)과 최성희(1998)의 연구에서 번안하여 사용한 도구를 기초로 하여 수정, 보완한 도구를 사용하였다. 이 도구는 환아의 외모 6문항, 치료 및 간호절차 12문항, 질병상태 및 예후 13문항, 부모역할 5문항, 의료진과의 의사소통 7문항, 대인관계 3문항, 병동의 환경 4문항 등 7개 영역의 총 50문항으로 구성되어 있다. 본 연구에서의 Cronbach’s α=0.91이었다. 환아 어머니가 사용하는 대처양식을 측정하기 위하여 McCubbin(1979)이 개발한 총 41개의 대처 행동양식을 측정하는 도구를 사용하였으며, 본 연구에서는 본 연구의 대상자에게 맞지 않는 가족의 통합 및 행동사건에 대한 낙천적 정의영역의 3문항, 사회적 지지 및 자아존중감, 심리적 안정영역의 4문항과 같은 상황의 부모와 의사소통, 전문가와의 의논영역의 1문항 등 8개 문항을 제외한 총 33문항을 이용하였다. 본 연구에서의 도구의 신뢰도는 Cronbach’s α=0.92였다. 수집된 자료는 SPSS WIN 10.0을 이용하여 전산통계처리하였고, 대상자의 제 특성은 실수,백분율, 평균, 표준편차로 산출하였으며, 대상자의 지각된 스트레스 정도 및 대처행동양식은 평균과 표준편차로 산출하였다. 대상자의 스트레스와 관련 변인과의 유의성 검정은 t-test, ANOVA를 사용하였다. 본 연구의 결과를 요약하면 다음과 같다. 1. 대상자의 총 지각된 스트레스 정도는 평균 3.48(±0.81)로 최저 1점, 최고 5점이었으며, 영역별 스트레스 정도를 보면 ’질병상태 및 예후’(4.30±0.73) 가 가장 높았으며, 그 다음으로는 ’환아의 외모’(4.02±0.76), ’치료 및 간호절차’(3.80±0.64)이며, ’의료진과의 의사소통’(3.58±0.88) 의 순이었다. 2. 대상자의 제 변인에 따른 스트레스 정도의 유의성 검증한 유의한 차이를 보인 변인은 없었다. 스트레스 영역별 정도에서 치료 및 간호절차의 경우 환아 연령(F=3.05, p<0.05) 에서 유의한 차이를 보였다. 이를 Duncan test로 사후검증한 결과 환아의 연령이 1~3세인 경우 7세 이상보다 스트레스 정도가 높은 것으로 나타났다. 질병상태 및 예후의 경우 성별(t=2.06, p<0.05)에서 유의한 차이를 보였다. 대인관계에서는 월수입(F=3.67, p<0.05) 에서 유의한 차이를 보였다. 그 이외의 환아의 외모, 부모역할, 의료진과의 의사소통 및 병동의 환경 영역에서는 유의한 차이를 보이지 않았다. 3. 대상자의 총 대응점수는 평균 2.70(±0.43)으로 평균 이하를 나타냈으며, 대처유형별 평점을 보면 ‘같은 상황의 부모와 의사소통, 전문가외의 의논’(2.72±3.36)이 가장 높게 나타났다. 4. 대처유형을 문항별로 보면, 대처유형 점수가 가장 높은 항목은 '모든 일이 잘 될 것이라고 믿는다'(3.49±1.19)로 나타났다. 이상의 연구결과를 통하여 본 연구의 대상인 환아어머니는 아동의 입원으로 인해 지각하는 스트레스가 상당히 높음을 알 수 있으며, 환아 어머니가 가장 스트레스를 높게 나타낸 요인은 환아의 질병상태 및 예후로 나타났으므로, 환아를 돌보는 의료진 특히 간호사들은 환아 어머니에게 그들 환아에 대한 질병상태와 예후에 대해 자세한 설명을 해주어야 할 것은 물론 이들의 스트레스를 감소시키기 위한 간호중재의 제공이 절실히 필요함을 알 수 있었다. Objectives : The purpose of this study is to identify the level of stress and the coping patterns of the mothers with hospitalized child and to discuss the roles of nurses in helping such families. Methods : Research design is a descriptive survey. The subjects for the study were 84 mothers who have hospitalized child at a pediatric ward one of the general hospital attached to a university in Seoul. The data was collected by researchers using a structured questionnaire. The questionnaires were Likert type 5 point scale, composed of 7 categories with 50 items and composed of 3 categories with 33 items. The data was analyzed by SPSS WIN 10.0. Results : The total perceived stress level score of mothers of hospitalized child was slightly high(3.48 0.81). The highest scored dimension was 'condition of disease and prognosis'(4.30 0.73), and next was 'appearance of child’(4.02 0.76). By categories, the perceived stress level score was a significant difference with age of child(f=3.05, p<0.05) in treatment and nursing process. In condition of disease and prognosis, the perceived stress level score was a significant difference with sex(t=2.06, p< 0.05). And the perceived stress level score was a significant difference with income in interpersonal relationship. The total coping patterns level score of mothers of hospitalized child was slightly low (2.70 0.43). The highest scored dimension was 'communication with parents who have experienced together and discussion with expert'(2.72 0.43). Conclusions : The above result indicated that stress level of mothers with hospitalized child were above average. So nurses have to focus on information about the patient's state of disease, treatment, test and procedure, and in efficiently giving direct nursing care to implement more effective care for the hospitalized child and their mothers.