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        • KCI등재

          병원의 사회적 책임 활동과 성과: 직원 인식조사를 바탕으로

          강신희 ( Shin Hee Kang ), 김주나 ( Joo Na Kim ), 서영준 ( Young Joon Seo ) 대한보건협회 2015 대한보건연구 Vol.41 No.3

          연구목적 : 본 연구는 최근 사회적 이슈이면서 경영의 한 패러다임으로 주목받고 있는 기업의 사회적 책임을 병원의 현실에 맞게 응용하여, 병원의 사회적 책임 활동의 수준과 병원성과와의 관계를 알아보고자 수행되었다. 연구방법 : 본 연구에서는 병원의 사회적 책임경영 활동이 병원 경영성과와 관계가 있을 것이라는 가설을 설정하고 병원을 분석단위로 하여 다음과 같은 연구모형을 설정하였다. 모형에서는 독립변수로 인권, 근로환경, 환경적 책임, 환자보호, 지역사회공헌의 5개 변수를 선정하고, 종속변수로는 직원만족도, 내부커뮤니케이션, 환자만족도, 병원이미지, 병원평판의 5개 변수를 설정하여 독립변수들이 (+) 또는 (-)의 영향을 미치는 것으로 설정하였다. 분석에 이용된 병원은 수련병원 55개소와 지방의료원33개소였다. 자료는 자기기입식 설문조사를 통해 수집하였고, t-test와 회귀분석을 실시하였다. 연구결과 : 병원성과에 유의한 영향을 미치는 요인은 근로환경과 환자보호활동, 지역사회 공헌활동인 것으로 나타났다. 즉,근로환경이 좋을수록, 환자보호활동이 활발할수록, 지역사회 공헌활동 수준이 높을수록 병원성과가 높아졌다. 이는 사회적 책임경영활동이 활발할수록 기업이나 제품의 이미지, 고객만족도가 높아진다는 기존의 연구결과를 지지해 주는 것이다. 결론 : 우리나라 병원의 사회적 책임경영활동은 아직 활발한 수준으로 이루어지지 않고 있음을 확인할 수 있었으며, 직장내 인권과 지역사회 환경에 대한 책임을 더욱 강화할 필요가 있는 것으로 나타났다. 또한 병원 외부에 대한 사회적 책임활동과 병원 내부의 직원들을 대상으로 한 사회적 책임활동이 동시에 병행되어야만 그 효과가 더욱 커질 수 있음을 보여주고 있다. Objective: The purpose of this study is to investigate the status quo of Social Responsibility (SR) activities of Korean hospitals and to examine the relationship between SR activities and Social Performance (SP). Methods: SR activities of hospitals, the independent variables of the study, consist of three components; workplace responsibility, environmental responsibility, and socio-economic responsibility. SP, the dependent variables of the study, contains five variables; employee satisfaction, internal communication, patient satisfaction, hospital image, and hospital reputation. The sample used in this study consisted of 55 private teaching hospitals and 33 municipal public hospitals. Data were collected with self-administered questionnaires and analyzed using t-test and regression analysis. Results: The main results of the study were as follows. First, the level of SR activities was significantly different in terms of the bed size and hospital type. Second, SR activities have significant positive correlation with SP. Third, the two variables of the workplace responsibility and working condition have significant effect on three dependent variables of the study; employee satisfaction, internal communication, and hospital image. Conclusion: The results of the study imply that hospitals need to enhance internal SR activities first prior to trying to conduct external SR activities for the community.

        • KCI등재

          영국과 한국의 건강도시 사업 평가방법 비교 연구

          강신희(Shin Hee Kang), 남은우(Eun Woo Nam), 문지영(Ji Young Moon) 한국보건교육건강증진학회 2013 보건교육건강증진학회지 Vol.30 No.2

          Objectives: This study was to compare two healthy cities, Liverpool in England and Wonju in Korea, which evaluated healthy city projects and to reorient evaluation strategy which fits into Korean Healthy cities. Methods: Comparatives analysis was used by reviewing documents, healthy city plan and evaluation report, of two cities. Results: Healthy city projects in two cities, fifteen programs were identical items among twenty-seven but there were differences in seven items for Liverpool and five items for Wonju. In Liverpool evaluation was done by a stakeholder group called Liverpool Local Involvement Network(LINK), while in Wonju by Yonsei Healthy City Research Center. The evaluation tool was two types; quantitative and qualitative analysis. Liverpool mostly used qualitative and added quantitative, vice versa in Wonju. Conclusions: Evaluation plan for Healthy city projects need to be made in the first phase of the projects, instead of in the end. Moreover, it is important to include stakeholder in conducting qualitative analysis for unquantifiable evidence of effectiveness, as well as quantitative analysis.

        • KCI등재
        • KCI등재

          한방의료서비스 이용과 만족도의 영향요인에 대한 계통적 고찰

          서영준(Young-Joon Seo), 강신희(Shin-Hee Kang), 김연희(Yeon-Hee Kim), 최대봉(Dae-Bong Choi), 신현규(Hyun-Kyu Shin) 대한한의학회 2010 대한한의학회지 Vol.31 No.1

          Objectives : This study aimed to find determinants of customers' use of and satisfaction with oriental medical services in Korea. Methods : A total of 33 articles which consist of 9 articles published in academic journals, 20 master's theses, and 4 doctoral dissertations were included in the systematic review. Among the articles used in the study, 29 used primary survey data, while 4 used secondary data produced by the Korean National Health and Nutrition Evaluation Survey. Results : First, it was found that people who prefer to use oriental medical services usually have one or more of the following diseases: musculoskeletal disorders, paralysis, or diseases or injuries without clear diagnosis. Other variables of gender, age, expectation of treatment outcome, and kindness of doctor and other staff were found to be significant determinants of using the oriental medical services. Second, the determinants of customers' satisfaction with oriental medical services were found to be age, gender, level of education, chronic disease with long length of stay, kindness of staff, medical cost, clinical environment, doctor's reputation, and public image of the institutions. Conclusion : The results of this study can be used to develop marketing strategies for oriental medical institutions in Korea.

        • KCI등재

          한의원 환자들의 한방의료 이용 행태 및 만족도 실태

          서영준(Youngjoon Seo), 강신희(Shin-Hee Kang), 김연희(Yeon-Hee Kim), 최대봉(Dae-Bong Choi), 신현규(Hyun-Kyu Shin) 대한한의학회 2010 대한한의학회지 Vol.31 No.2

          Objective : This study aimed to examine the customers" utilization of and satisfaction with oriental medical clinics in South Korea. Method : The data for this study were collected from 1,208 patients of 391 oriental medical clinics through a mail questionnaire survey from September to December 2008. The collected data were analyzed by the frequency analysis and x<SUP>2</SUP>-test. Results : The results of the study were as follows. First, the most important reason that patients used oriental medical services was to get both oriental and western medical services simultaneously, because they thought such approach would be more effective for treating their diseases. Second, two important reasons that patients visited oriental medical clinics were “the reputation of and trust in the oriental medical clinics” and “the recommendation of their family and friends”. Third, many patients of the oriental medical clinics have concerns about the “high prices and the outcome of oriental medical services”. Fourth, the most preferred oriental medical service was “acupuncture”. Fifth, it was found that 75% of the respondents were satisfied with the services they had received. They told that the outcome of the care and the kindness of the clinics' staff were very important factors that have an impact on their satisfaction. Conclusion : The study results imply that oriental medical clinics have to make an effort to strengthen their reputation and trust in the community through the scientific validation of oriental medicine, differentiated services mixed with traditional value, customer relationship management, reasonable and acceptable price of the services, staff education, and continuous quality improvement.

        • KCI등재
        • 한국인에서 빛간섭단층촬영기로 측정한 시신경 유두주위 망막신경섬유층 두께의 연령에 따른 변화

          권용대(Yong Dae Kwon), 강신희(Shin Hee Kang) 대한검안학회 2012 Annals of optometry and contact lens Vol.11 No.1

          '스콜라' 이용 시 소속기관이 구독 중이 아닌 경우, 오후 4시부터 익일 오전 7시까지 원문보기가 가능합니다.

          목적: 정상 한국인에서 빛간섭단층촬영기로 측정한 시신경 유두주위 망막신경섬유층 두께의 연령과 위치에 따른 변화를 알아보고자 하였다. 대상과 방법: 13세에서 82세까지의 정상인 자원자 237명 470안을 대상으로 빛간섭단층촬영기를 이용하여 시신경 유두주위 망막신경섬유층 두께를 측정하고, 측정 지점 각각에서의 연령 변화에 따른 두께의 변화를 분석하였다. 결과: 평균연령은 43.0세이고, 전체 대상의 망막신경섬유층의 평균 두께는 106.5±10.5μm였으며, 연령이 증가함에 따라 유의하게 감소하였다. 측정 위치별로 하이측에 해당하는 226∼246 지점이 연령증가와 가장 큰 음의 상관관계를 보였고, 연령대별 망막신경섬유층 두께의 감소는 30대의 8시 방향에서 가장 급격하게 감소하였다. 결론: 빛간섭단층촬영기로 측정한 한국인의 망막신경섬유층의 두께는 연령증가에 따라 하이측에서 상이측보다 급격한 감소를 보였고, 30대 연령대에서 가장 빠르게 망막신경섬유층의 두께가 감소되어, 녹내장을 포함하는 시신경 질환을 진단하거나 진행여부를 판단할 때 연령증가와 위치에 따른 의한 망막신경섬유층의 감소를 고려하여야 할 것으로 판단된다. Purpose: To investigate the relationship between peripapillary retinal nerve fiber layer (RNFL) thickness measurements by time domain optical coherence tomography (TD-OCT) in a normal Korean population and aging. Methods: 470 eyes of 237 healthy Korean volunteers (age range 13∼82 years, mean age 43.0 years old) were enrolled in this clininical cross-sectional study. The peripapillary RNFL was measured by TD-OCT (Stratus OCT). The thickness of the peripallary RNFL was obtained at the 256 points of circular edge around the optic disc with diameter 3.4 mm. The relationship between peripapillary RNFL thickness and age was analyzed. Results: The mean age was 42.95 years. The mean RNFL thickness of the healthy Korean people was 106.5±10.5μm. There was a significant negative correlation in average RNFL thickness with increasing age. In the nasal quadrant, there was no significant negative correlation with increasing age. At the scan points from 226 to 246 (8 o clock direction), the RNFL thickness was decreased with age significantly. Among age groups, thirties group was disclosed most decreasing rate at 8 o clock direction. Conclusions: The RNFL thickness of normal Korean population appeared to decrease with increasing age especially in the inferotemporal and superotemporal portions. The property of RNFL thickness with a decreasing tendency of different degrees according to the area over time should be considered in diagnosis and follow up of glaucoma patient.

        • KCI등재
        • 현역 군인에게 발생한 동양안충 감염 1예

          박주현(Joo Hyun Park), 문찬식(Chan Shik Moon), 홍승우(Seung Woo Hong), 임성규(Seoung Kyu Im), 이상협(Sang Hyup Lee), 강신희(Shin Hee Kang) 대한검안학회 2009 Annals of optometry and contact lens Vol.8 No.1

          '스콜라' 이용 시 소속기관이 구독 중이 아닌 경우, 오후 4시부터 익일 오전 7시까지 원문보기가 가능합니다.

          목적: 군복무 중인 젊은 성인남자에서 동양안충의 감염을 경험하여 보고하고자 한다. 대상과 방법: 약 1주 전 시작된 좌안의 충혈과 자극증상을 보이던 21세 남자환자가 눈을 비비던 중 흰색의 선충을 발견하여 국군수도병원 안과외래에 내원하여 안과적 검사를 시행하였다. 결과: 검사 결과 결막충혈과 유두비대증상을 보였으며 총 2개체의 기생충이 발견되었고 혈액검사 및 안와, 두부자기공명영상 촬영 결과 이상소견은 없었으며 충체를 동정한 결과 동양안충 감염으로 확진 되었다. 결론: 동양안충의 인체 감염은 국내에서도 약 30예가 보고되어 있으나 임상적으로 드문 질환으로서 현역군인에서의 감염사례를 경험하여 보고하는 바이다. Purpose: To report the case with Thelazia callipaeda infection in young Korean male. Methods: A 21-year-old male patient visited Korean Armed Forces Capital hospital with chief complaints of conjunctival irritating symptoms and white colored tape warms in his left conjunctival sac. Results: The image study, hematologic and serologic test was within normal limit. The parasite was identified as Thelazia callipaeda. Conclusions: The Thelazia callipaeda infection of human eye is not common disease. We experience one case to report.

        • KCI등재

          홍씨 앞방각측정법의 임상적 유용성

          강신희,박기호,홍철,김동명,Shin,Hee,Kang,M,D,Ki,Ho,Park,M,D,Chul,Hong,M,D,Dong,Myoung,Kim,M,D 대한안과학회 2007 대한안과학회지 Vol.48 No.3

          '스콜라' 이용 시 소속기관이 구독 중이 아닌 경우, 오후 4시부터 익일 오전 7시까지 원문보기가 가능합니다.

          Purpose: To compare the Hong`s grading method, utilized for slit-lamp grading of the mid-peripheral angle, with other conventional grading methods. Actual angle was measured by ultrasound biomicroscopy (UBM) for comparison. Methods: Fifteen eyes with narrow angles and eighteen eyes with wide angles were studied. The average age of thirty-three subjects was 46.8±19.2, and the male to female ratio was 1:3.7. The mid-peripheral angle was graded by Hong`s, van Herick`s and Spaeth`s grading system. The actual anterior chamber angle was evaluated by UBM and the correlation between each grading system and actual angle was investigated. Results: The results from the Hong`s grading (r=0.802, R2=0.643, p<0.01), Spaeth`s grading (r=0.728, R2=0.530, p<0.01) and van Herick`s grading (r=0.618, R2=0.382, p<0.01) methods correlated significantly with the actual angles. Conclusions: The Hong`s grading method was an easy and effective tool to evaluate anterior chamber angle. In addition, the results of the Hong`s grading method were closer to the actual angle than the other methods.

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