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      • 지역사회 청소년 금연지도 활동 효과

        이주열 남서울대학교보건의료개발연구소 2004 보건복지 연구 논집 Vol.1 No.1

        The first objective of this study is to develop school-based comprehensive smoking prevention program and the second is to test its effectiveness. For the purpose, a model for others program was implemented in middle school. The contents of activities were anti- smoking guide, anti-smoking campaign, smoking prevention education for middle school student. Although the anti-smoking campaign was conducted twice a week around the middle school, adolescent smoking was increased. In order to help anti-smoking, support from family and friends as well as a smoke-free environment, are needed. Where adolescent smoking is concerned, it is particularly advisable for teenagers to let them fully understand the need to stop smoking though consultation and receiving moral support during the entire process, since quitting the habit is not easily accomplished alone. The most important factor in the smoking cessation program is the lesson that emphasizes a supportive and continuous plan to keep a user smoke-free.

      • 군병원 간호장교 근무의욕 향상 요인 분석 연구

        정두채,정용남 남서울대학교보건의료개발연구소 2004 보건복지 연구 논집 Vol.1 No.1

        The purpose of this study is to analyze the morale of military nurse officers by finding out the level of their job satisfaction and organizational commitment. The level of morale and its affecting factors were measured with structured questionnaire. The difference in the level of morale by personal characteristics variables and by job related variables was analyzed with statistical methods such as T=test, F-test, X^(2)-test, and ANOVA. The result of this study can be used improve nurse officer'spersonnel management and to improve the quality of nursing care inmilitary hospitals. Data were collected by questionaries of 287 nurseofficers work in the military hospital in March, 2003. The main results of this research are follows; First. The morale of military nurse officers was high in general. The level of job satisfaction was measured as high in job itself and human relationship factors. The level of morale was measured as high in high rank group, corps-supporting hospital, high school career and married group of nurse officers. While the level of morale was measured as low in the lieutenant rank and in the field army-supporting hospital. Second. The major factors influencing the morale are as follows · Increasing factors ; inner compensation level, human relationship, outer compensation level. · Decreasing factors ; human relationship, outer compensation level, leadership The frequencies of increasing factors and decreasing factors are not different at 5% significant level by the level of morale. Third. The degree of the morale, job satisfaction, organizational commitment are significantly inter-related(+). The factors such as rank, marriage status and service period are significantly related. As a result of this study, we would rather concern about of the morale of low rank nurse officers whose morale level is especially lower than other groups, and also we would rather improve the service condition of the army-supporting hospital by facility modernization. The limitation of this research are the subjective answers of the respondents and the differences of sample size of hospitals in which generalizing of the conclusion may be reserved in some aspects. Accordingly we need mord in-depth studies on human relationship factors influencing the morale of military nurse officers ar required.

      • 중국 의료서비스산업의 현황 분석 연구

        문용,탁동일 남서울대학교보건의료개발연구소 2004 보건복지 연구 논집 Vol.1 No.1

        The purpose of this study was to basically review of the chinese hospital industry. China affiliate World Trade Organization(WTO) in 2001. In accordance with the provisions of WTO, China have to open the medical industry from 2003. To do this, the contents of this article is chinese medical service industry, investment circumstance of capital, medical market-open plan of outbound-base, and national medical market policy in now and future.

      • 종합병원의 대형화 전략이 경영성과에 미치는 영향

        류정걸 남서울대학교보건의료개발연구소 2008 보건복지 연구 논집 Vol.5 No.1

        Setting the number of medicals pecialistper 100 sickbeds as independent variable and the index of hospital treatment performance as dependent variable, this research implemented regression analysis . Dividing sickbeds scaleinto 5 groups, 100-299 sickbeds, 300-599 sickbeds, 600-899 sickbeds, 900- 1199 sickbeds and over 1200 sickbeds, the research compared and analyzed hospital group by us ing dummy variable . For the part used as index of hospital treatment performance, medicalre venue index is used for revenue, the number of outpatient and hospitalized patient index is used for growth and the index of ave rage length of stay in the hospital is used for activity. For this research, data was collected from 18 1 hospitals including 28 public hospitals among general hospitals with more than 100 sickbeds, 73 medical corporation hospitals, 64 school corporati on hospitals and 16 private hospitals. They are geographically distributed in large cities(87 hospitals) and in small and medium cities (94 hospitals). The data of 2004 among those used for examining hospitals tandardization of Korea Hospital Association we re utilized to analyze the hospitals . The result of analysis is summarized as follows. First, in hypothesis 1, the number of medical specialist per 100 sickbeds supports the hypothesis that the number of medical specialist will have negative(-) relation to the number of outpatient, showing statistical significance. In comparing group for sickbeds scale, all comparative group shows negative(-) causal influence than standard group, 100 sickbeds - 299 sickbeds, implying that if the number of outpatient per medical specialist reduces when sickbeds scale is larger and number of medical specialist per 100 sickbeds increases. Second, hypothesis 2 supports that the number of medical specialist per 100 sickbeds will have negative(-) relation with number of hospitalized patient, showing statistical significance . Comparing the number of hospitalized patient per medical specialist for sickbeds scale, it is found that th e group of 300 sickbeds-599 sickbeds has negative(-) causal influence than standard group, 100 sickbeds - 299 sickbeds , implying that number of hospitalized patient is less than medical specialist. Third, the hypothesis 3 that the number of medical specialist per 100 sickbeds will have negative(-) relation with medical revenue per medical specialist is found to beins ignificant. If analyzing in the division of sickbeds scale, medical revenue per medical specialist of hospital group with 600 sickbeds-899 sickbeds, 900 sickbeds-1199 sickbeds and over 1200 sickbeds increases more than medical revenue of medical specialist of standard group with 100 sickbeds-299 sickbeds. Fourth, in hypothesis 4, the number of medical specialist per 100 sickbeds has negative(-) influence on the average length of stay in the hospital, showing statistical significance. Comparing hospital group for sickbe dsscale, the hospital group with 300 sickbeds-599 sickbeds has positive(+) causal influence than hospital group with 100 sickbeds-299 sickbeds, showing that the average length of stay in the hospital is longer than that of standard group. As investigated above, the result of this research is to corroboratively identify that the hospital managerial performance is largely affected by number of medical specialist per 100 sickbeds . Especially, it was found that number of patients per medical specialist decreases if sickbeds scale is larger and the re are more medical specialist, but medical revenue per medical specialist increases. This means that the enlargement strategy of expanding sickbeds to keep stable revenue and to continue efficient managerial performance is effective . That is to say, it is result that coincides with the tendency of enlargement of hospital.

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