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      의료프로세스 관리에 경영과학적 접근방법의 응용 = Application of Methods of Management Science in Care Process Management

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      https://www.riss.kr/link?id=A102688427

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      다국어 초록 (Multilingual Abstract)

      In a situation where competition becomes intense, health care organizations constantly strive to provide more services with given personnel and time. While not only the `quantity` of the services but also the `quality` becomes increasingly important, various problems that can occur during the `process` of service provision can be effectively managed by applying the methods of management science. In this study, we introduce the cases where the methods of management science can be applied for the management of health care organizations in Korea and abroad. There are many cases where various scenarios for improving the patients` accessibility to the services and for maximizing the efficient use of limited resources are established, and simulation or basic statistical analysis methods are used to solve the problems more systematically or to develop improvement plans. In this study, several exemplary cases, such as no-show of patients, crowding in the emergency room, prediction of the number of available beds in the intensive care units, nurse scheduling, delay of arrival of patients, and ordering of the proper amount of therapeutic materials, are introduced and discussed. From the perspective of administrators or clinicians, however, it may not be easy to master the methodology that requires considerable mathematical background or apply the theories to practice directly. Therefore, it is suggested that more practical and relatively simple analytical methods should be applied. Also, having a more positive attitude toward improving the current performance (e.g., a belief that `we can always be better than now`), and paying attention to improving the job satisfaction by addressing problems, with experimental spirit and data-driven decision management.
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      In a situation where competition becomes intense, health care organizations constantly strive to provide more services with given personnel and time. While not only the `quantity` of the services but also the `quality` becomes increasingly important, ...

      In a situation where competition becomes intense, health care organizations constantly strive to provide more services with given personnel and time. While not only the `quantity` of the services but also the `quality` becomes increasingly important, various problems that can occur during the `process` of service provision can be effectively managed by applying the methods of management science. In this study, we introduce the cases where the methods of management science can be applied for the management of health care organizations in Korea and abroad. There are many cases where various scenarios for improving the patients` accessibility to the services and for maximizing the efficient use of limited resources are established, and simulation or basic statistical analysis methods are used to solve the problems more systematically or to develop improvement plans. In this study, several exemplary cases, such as no-show of patients, crowding in the emergency room, prediction of the number of available beds in the intensive care units, nurse scheduling, delay of arrival of patients, and ordering of the proper amount of therapeutic materials, are introduced and discussed. From the perspective of administrators or clinicians, however, it may not be easy to master the methodology that requires considerable mathematical background or apply the theories to practice directly. Therefore, it is suggested that more practical and relatively simple analytical methods should be applied. Also, having a more positive attitude toward improving the current performance (e.g., a belief that `we can always be better than now`), and paying attention to improving the job satisfaction by addressing problems, with experimental spirit and data-driven decision management.

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      참고문헌 (Reference)

      1 심정화, "정신건강의학과 외래 환자들의 도착지연 관련요인 분석:일개 대학병원 사례" 한국보건정보통계학회 40 (40): 85-99, 2015

      2 권성탁, "일개 대학병원 외래환자의 예약부도(No-Show) 관련요인" 사단법인 대한보건협회 41 (41): 29-46, 2015

      3 강성홍, "의료서비스 최적화 : 현황 및 활성화 방안" 대한산업공학회 39 (39): 313-324, 2013

      4 이종기, "시뮬레이션을 이용한 치과의원의 예약정책과 스케줄링 규칙 평가" 한국병원경영학회 16 (16): 161-182, 2011

      5 McManus ML., "Variability in surgical caseload and access to intensive care services" 98 (98): 1491-1496, 2003

      6 Cima RR., "Using a data-matrix – coded sponge counting system across a surgical practice : impact after 18 months" 37 (37): 51-58, 2011

      7 Flagle CD, "Some origins of operations research in the health services" 50 (50): 52-60, 2002

      8 Green LV., "Reducing delays for medical appointments : A queueing approach" 56 (56): 1526-1538, 2008

      9 Teow KL, "Practical operations research applications for healthcare managers" 38 (38): 564-573, 2009

      10 Baker SJ., "Partnering Effectively With Inpatient Leaders for Improved Emergency Department Throughput" 37 (37): 65-71, 2015

      1 심정화, "정신건강의학과 외래 환자들의 도착지연 관련요인 분석:일개 대학병원 사례" 한국보건정보통계학회 40 (40): 85-99, 2015

      2 권성탁, "일개 대학병원 외래환자의 예약부도(No-Show) 관련요인" 사단법인 대한보건협회 41 (41): 29-46, 2015

      3 강성홍, "의료서비스 최적화 : 현황 및 활성화 방안" 대한산업공학회 39 (39): 313-324, 2013

      4 이종기, "시뮬레이션을 이용한 치과의원의 예약정책과 스케줄링 규칙 평가" 한국병원경영학회 16 (16): 161-182, 2011

      5 McManus ML., "Variability in surgical caseload and access to intensive care services" 98 (98): 1491-1496, 2003

      6 Cima RR., "Using a data-matrix – coded sponge counting system across a surgical practice : impact after 18 months" 37 (37): 51-58, 2011

      7 Flagle CD, "Some origins of operations research in the health services" 50 (50): 52-60, 2002

      8 Green LV., "Reducing delays for medical appointments : A queueing approach" 56 (56): 1526-1538, 2008

      9 Teow KL, "Practical operations research applications for healthcare managers" 38 (38): 564-573, 2009

      10 Baker SJ., "Partnering Effectively With Inpatient Leaders for Improved Emergency Department Throughput" 37 (37): 65-71, 2015

      11 Brailsford S, "Overcoming the barriers to implementation of operations research simulation models in healthcare" 28 (28): 312-315, 2005

      12 Shmueli A., "Optimizing admissions to an intensive care unit" 6 (6): 131-136, 2003

      13 Proudlove N., "OR and the challenge to improve the NHS : modelling for insight and improvement in in-patient flows" 58 (58): 145-158, 2007

      14 Harper PR., "Modelling for the planning and management of bed capacities in hospitals" 53 (53): 11-18, 2002

      15 Dankbar GC., "Highlights of the 2011Mayo Clinic systems engineering and operations research conference" 1 (1): 16-19, 2012

      16 Kamath JR, "Highlights from the third annual mayo clinic conference on systems engineering and operations research in health care" Elsevier 2011

      17 Denton BT., "Handbook of healthcare operations management" 2013

      18 Chan CW., "Handbook of Healthcare Operations Management" Springer 1-18, 2013

      19 Green RA., "ED walkout rate correlated with ED length of stay but not with ED volume or hospital census" 9 (9): 514-, 2002

      20 Liu N., "Dynamic scheduling of outpatient appointments under patient no-shows and cancellations" 12 (12): 347-364, 2010

      21 Hamrock E., "Discrete event simulation for healthcare organizations : a tool for decision making" 58 (58): 110-, 2013

      22 Beli ë n J., "Building cyclic master surgery schedules with leveled resulting bed occupancy" 176 (176): 1185-1204, 2007

      23 Cure L., "A systematic approach for the location of hand sanitizer dispensers in hospitals" 17 (17): 245-258, 2014

      24 Ministry of Health and Welfare., "2014Yearbook of Health and Welfare Statistics" Ministry of Health and Welfare 2015

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2022 평가예정 재인증평가 신청대상 (재인증)
      2019-01-01 평가 등재학술지 유지 (계속평가) KCI등재
      2016-01-01 평가 등재학술지 선정 (계속평가) KCI등재
      2015-01-01 평가 등재후보학술지 유지 (계속평가) KCI등재후보
      2013-01-01 평가 등재후보학술지 유지 (기타) KCI등재후보
      2012-01-01 평가 등재후보학술지 유지 (기타) KCI등재후보
      2011-01-01 평가 등재후보 1차 PASS (등재후보1차) KCI등재후보
      2010-01-01 평가 신청제한 (등재후보1차) KCI등재후보
      2009-01-01 평가 등재후보 1차 FAIL (등재후보2차) KCI등재후보
      2008-01-01 평가 등재후보 1차 PASS (등재후보1차) KCI등재후보
      2007-01-01 평가 등재후보학술지 유지 (등재후보1차) KCI등재후보
      2006-01-01 평가 등재후보 1차 FAIL (등재후보2차) KCI등재후보
      2005-01-01 평가 등재후보 1차 PASS (등재후보1차) KCI등재후보
      2003-07-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      학술지 인용정보

      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.76 0.76 0.66
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.55 0.55 1.13 0.1
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