사례연구 : DACUM 법에 의한 병원행정사 직무분석

유형식 ( Hyeong Sik Yoo ),김영훈 ( Young Hoon Kim ),김기훈 ( Key Hoon Kim ) 한국병원경영학회 2011 병원경영학회지 Vol.16 No.1

The purpose of this study was to analyze of hospital administrator based on the DACUM(Developing A Curriculum) method. The contents of this study were to extract the duties, tasks consisting of job of hospital administrator and to investigate levels of importance, difficulty, frequency and entry level on each task, and to make out a job model of hospital administrator. A DACUM committee was composed to analyze job of hospital administrator and the committee members were total 9, a facilitator, 7 hospital administrator and a recorder. The major findings of this study were as the followings; first, duties in job of hospital administrator were total 13, which were organization of hospital administration affairs, health insurance review & assessment, general affairs, personnel management, hospital planning & management, medical quality improvement, hospital financial affairs, logistics management, facilities management, computerized system management, education & study supports, medical consultation cooperation, public relations . And total tasks in job of hospital administrator were 97. Second, the tasks which were important, difficult, frequent and essential in entry step of occupation were receiving medical fees , managing inpatient & outpatient, reviewing & assessmenting medical fees, charging for medical service, labor-management relations, managing hospital accounts, settling hospital accounts, purchasing logistics, managing logistics, managing hospital information system, managing hospital database. Third, a job model of hospital administrator was constructed based on the results of DACUM job analysis.

병원 행정직원이 필요로 하는 학과목 조사-일개 대학부속병원 사례를 중심으로-

안재억,김귀숙 대한의료정보학회 2004 Healthcare Informatics Research Vol.10 No.1

This study was conducted to collect data on the educational needs for hospital administrations and related departments to redesign the existing hospital information management and administration programs for Bachelor and Master degree students of medical informatics in one university. We surveyed the web sites and admission brochures of all the educational facilities of hospital administration related workers in Korea. We also surveyed hospital workers in hospital administration departments at three university affiliated hospitals using a questionnaire developed by the author. The survey results showed that most hospital employees indicated a need to take very fundamental classes in their fields. In order to satisfy the needs of the students up to date, the department of medicine in one university developed a new medical informatics course specially designed for Bachelor and Master degree students in hospital administration. In addition, the Graduate School of Industrial Information Engineering of one university decided to offer basic as well as a specialized training courses for the graduate students who are hospital administrators.

보건행정 전공 대학생들의 병원실습 만족도에 영향을 미치는 요인분석

박은영,장영진,홍종필,Park, Eun-Young,Jang, Young-Jin,Hong, Jong-Pil 한국임상보건과학회 2017 한국임상보건과학회지 Vol.5 No.1

Purpose .This study aims to assess the influence factors on the level of satisfaction with hospital training and to provide basic data for more efficient hospital practice of students' public health administration . Methods . We have conducted a survey on students satisfaction with their hands on practice against 200 students in Busan, Kyeongnam and Kyungbook area, who have completed their practice in public health administration. We have identified the general characteristics of the target respondents, the current training status of the department for the hospital practice and training venue; also analyzed the characteristics composed of the apprentice student's attitude before the practice, satisfaction with the department training program and hospital for practice, as well as their practice at hospital. The general characteristics of the target respondents and clinic practice status at the hospital were measured in percentage and frequency analysis; the average and standard deviations of hospital size were also measured; and the correlations between satisfaction with the department, attitude towards the practice and satisfaction with the hospital were analyzed. Results . Most public health administration students experienced their practice at the hospital after the first semester on the $2^{nd}$year and they have received the foundation training for the practice. The survey allowed multiple responses and the results are as follows: medical terminology 49.5%, medical coordinator 36.7%, Hospital administration 26.5%, Health insurance 17.3%, and medical recording and practice 13.8% respectively. In terms of each individual student's attitude towards the practice at the hospital, the respondents answered as follows: I have completed the obligatory subjects for the practice before the practice 89.5%; I have been fully informed on the hospital for my practice. 74.5%; I responsibly practiced and worked with professionalism and sense of belonging to the hospital as a member of staff 90%; I have actively learned and adopted 95%; My knowledge and skills from the practice was relevant to the theory and practice from my course 83.5%. The findings of satisfaction by size of hospital were in order of a small clinic($3.24{\pm}0.63$), medium sized clinic($3.27{\pm}0.65$), hospital ($3.20{\pm}0.61$), and large sized comprehensive hospital ($2.93{\pm}0.74$). Consequently the satisfaction rate shows no significant difference by size of hospital. In relations between practice attitude and satisfaction with subject, the matter of acquiring information and fully understanding of the hospital for practice before practice(p=0.04), the matter of a sense of belonging and responsibility at hospital during practice(p=0.33). the matter of active adaptation attitude during practice (p=0.42), and the matter of correlations with school curriculum during practice(p=0.00) showed significant results. In relations between practice attitude and satisfaction with the hospital for practice, the matter of acquiring information and fully understanding of the hospital for practice before practice(p=0.01), the matter of a sense of belonging and responsibility at hospital during practice(p=0.04), and the matter of correlations with school curriculum during practice(p=0.00) showed significant results. Conclusion . The most essential subject for the practice in public health administration is medical terminology and there is no significance in satisfaction with the practice by size of hospital. Students were content with the hospital where they can experience as much as possible. Students content with their major show positive attitude towards the practice and so do those content with the hospital. Those with the positive attitude towards the practice show the high correlation of satisfaction with both the major and hospital. As a result, the satisfaction with the major is the significant attribute to the practice

국가직무능력표준을 활용한 병원행정 전문인력 교육과정 개선방안 연구

박남수 ( Nam Soo Park ) 한국병원경영학회 2014 병원경영학회지 Vol.19 No.2

The purpose of this study was to support for quality improvement of educational curriculum on hospital administrator through the comparison of competence of new employee and need of field experts based on NCS. The participants of this study were implemented the self-report survey about competency and need on job skills of hospital administrator. According to the comparison, it is defined the point that is needed curriculum improvement and the competency gap between hospital and university hospital. This is support to be establish the base for the qualified education and training program for hospital administrators. NCS is useful as standardized tool for identify the gap between need and competency and as suggestion for education improvement of hospital administrator.

행정법적 관점에서 본 비자의입원의 법적 성격과 절차

박현정 행정법이론실무학회(行政法理論實務學會) 2019 행정법연구 Vol.- No.56

Mental Health and Welfare Act provides 3 types of involuntary hospitalization: hospitalization upon request from family members(Type 1), hospitalization by mayor(Type 2), and emergency hospitalization. The former two have 3 stages each: hospitalization for diagnosis, hospitalization for treatment, and renewal of hospitalization. One of the 5 Screening Committees for Hospital Admission reviews the regularity and necessity of hospitalization. Mayors are responsible for the renewal of hospitalization, but it is not until a preliminary examination is carried out by a Mental Health Examination Committee that the decisions are made. Admission of patients by medical institution(Type 1) or by mayor(Type 2) and renewal of each hospitalization are deemed administrative decisions subject to the Administrative Procedure Act. They are also deemed compulsory measures subject to the warrant requirement principle stipulated in the Art. 12 of the Constitution, or at least, the procedural guarantees equivalent to the requirement. The review of the Screening Committee and the decision on the renewal of the Type 1 hospitalization are not compulsory measures but, as they fall into the category of administrative decisions, they also are subject to the Administrative Procedure Act. Although Mental Health and Welfare Act provides some procedural guarantees to the patients, at some stages they fall short of the standard set up by the Administrative Procedure Act and the Constitution. This is even more the case with the following: There should be an advance notice and hearing procedure for hospitalizations for treatment and for renewal of hospitalization, but neither the Mental Health and Welfare Act provides such a procedure nor is the relevant provision of the Administrative Procedure Act applied in administrative practices. Screening Committees for Hospital Admission work as reviewing bodies and mayors, with the help of Mental Health Examination Committees, play a role of deciding bodies concerning the renewal of hospitalization, but they do not guarantee the kind of fairness and promptness that is the essence of the warrant requirement. In short, the present involuntary hospitalization system still needs procedural improvement as some parts of the system do not take into account the fact that each stage of the procedure can be analysed as an administrative decision or a compulsory measure or both. We need to be aware of the fact that the procedural guarantees of the patients under involuntary hospitalization are not just for enhancing social welfare to the people with disabilities; it is to ensure that they exercise their constitutional and legal rights on an equal basis. 정신건강복지법은 정신질환자의 자의에 의하지 아니한 입원을 ‘보호입원’, ‘행정입원’ 등의 유형으로 나누고 각각 진단입원, 치료입원, 입원기간의 연장 등의 단계별로 대상자를 입원치료하도록 규정하고 있다. 한편 입원적합성심사위원회라는 제3의 기관이 의료기관장이나 지자체장이 행한 치료입원의 적합성 여부를 심사・결정하며, 입원기간 연장에 앞서 지자체장 소속의 정신건강심사위원회가 그 필요성을 심사하고 심사 결과에 따라 지자체장이 기간 연장을 결정한 때에만 의료기관장이 기간을 연장하여 대상자의 입원을 유지할 수 있도록 하고 있다. 의료기관장이나 지자체장이 대상자를 응급입원, 진단입원, 치료입원시키거나 입원기간을 연장하여 입원시키는 조치는 행정절차법이 적용되는 처분인 동시에 권력적 사실행위로서 즉시강제에 해당한다. 입원적합성심사위원회의 입원 적합성에 대한 결정과 지자체장이 의료기관장의 청구에 따라 행하는 기간연장 또는 퇴원명령 등의 결정은 즉시강제에 해당하지는 않으나 처분성은 당연히 인정된다. 비자의입원 각 단계별 처분에는 행정절차법에 따른 절차적 보장이 이루어져야 한다. 정신건강복지법에는 치료입원과 입원기간 연장에 앞서 그 내용을 대상자에게 통지하고 대상자에게 의견진술기회를 부여하는 절차가 없으며 실무상으로도 그러한 절차적 보장이 이루어지지 않는 것으로 보인다. 그러나 치료입원과 입원기간 연장은 대상자의 권리를 제한하는 침익적 처분으로서 행정절차법상 사전통지 및 의견청취 절차의 적용이 제외되는 예외에 해당하지 않으며, 일반적인 신분이나 자격 박탈 처분보다도 더욱 중대하게 당사자의 권익을 침해하는 것임에도, 대상자에게 청문의 기회를 부여하지 않는 것은 문제가 있다. 행정절차법과의 관계를 고려하여 비자의입원의 각 단계별로 사전통지 및 의견청취 절차를 개선하여야 하며, 처분의 고지 상대방이나 불복절차 고지 등에 관한 규정도 행정절차법에 부합하게 정비할 필요가 있다. 대상자는 이미 신체의 자유를 제한당하는 상태에 있고, 정신질환으로 인하여 처분의 내용을 이해하거나 타인에게 자신을 이해시키는 데 상당한 어려움을 겪을 가능성이 높다. 따라서 대상자가 행정절차법상의 절차를 거쳤다는 것만으로는 실질적으로 절차적 권리를 향유하였다고 판단하기 어렵다. 이 점을 고려하여 행정절차법 및 헌법상 영장주의 원칙에 따라 요구되는 변호사 또는 절차보조인 등의 조력을 받을 권리가 초기단계에서부터 실질적으로 보장되는 제도를 구상할 필요가 있다. 또한 진단입원기간과 입원적합성심사에 걸리는 기간을 단축하고 입원적합성심사와 입원기간연장 심사가 법원의 영장에 준하는 정도의 신속성과 공정성을 갖출 수 있도록 하거나 독립성・공정성・전문성을 갖춘 기관이 입원 여부를 직접 결정하거나 실효성 있는 감독권을 행사할 수 있도록 제도를 개선할 필요가 있다.

치과병원 근무 치과위생사의 직급체계와 직무유형 조사

이정숙 ( Jeong-suk Lee ),조영식 ( Young-sik Cho ) 한국병원경영학회 2017 병원경영학회지 Vol.22 No.4

Purpose: This study is to provide basic data for establishing successful organization management strategies of organizations by understanding rank systems and duty types of dental hygienists who work in dental hospitals. Methodology/Approach: The study conducted a survey and an interview survey two times targeting the entire dental hospitals. The first survey secured the response results of 113 hospitals in the result that conducted the survey targeting 190 dental hospitals in the whole country except 24 ones including dental college hospitals, dental hospitals affiliated with medical colleges or general hospitals, military dental hospitals, and dental hospitals for the disabled among the 214 ones which were registered in the Health Insurance Review & Assessment Service as of December 2015. The second survey conducted the interview survey targeting persons in charge of personnel management by selecting 34 dental hospitals with rank systems of 4 rank systems and above. Finding: The dental hospital has found that dental hygienists-centered human resources were composed. The number of ranks has found that 1 to 6 levels are shown and level 3 is highest. Titles of staff levels have found that 32 places are highest in order of 'employees<team leaders<chiefs' and 21 ones are highest in order of 'employees<team leaders<chiefs< department heads'. The titles applicable to the highest level has found to be the four dental hospitals which used those of chief executive officers except directors of hospitals including vice directors and directors. Duty of dental hygienists were largely classified into the treatment and administration sectors. The dental hygienists worked as administrators despite that there were administration departments. Therefore, organizations of dental hospitals were classified into the organizations that treatment is separated from administration and the organizations that treatment is combined with administration. The organizations that treatment is combined with administration have found to be more. Practical Implications: This study confirmed the detailed structural characteristics of the dental hospitals in the whole country were checked. This can be utilized as the basic data to build the future-oriented developmental organizational structure

기업체 보건관리자의 근로자 건강검진 병원 선정 요인에 관한 연구

이병기(Lee, Byeong-Gi),전달영(Chun, Dal-Young),임종혁(Lim, Jong-Hyeok) 글로벌경영학회 2015 글로벌경영학회지 Vol.12 No.4

최근의 의료 환경은 수많은 사회적, 환경적 변화에 직면하며 다양한 어려움에 부딪히고 있다. 병원에서는 이러한 어려움을 극복하기 위하여 다양한 노력을 하고 있으며, 본 연구에서는 건강검진에 관해 연구하고자 한다. 본 연구의 목적은 최근 급속히 증가하는 기업체 근로자의 건강검진 병원의 선정과 관련하여 기업체의 보건관리자를 통하여 건강검진 병원 선정 시 가장 중요하게 여기는 요인이 무엇인가에 대하여 검증하는 것이다. 이를 위하여 병원규모, 구전, 의료서비스 품질(시설, 의료장비, 의료진), 검진비용, 이용편리성(출장검진)에 따라 선호하는 병원의 형태(대형병원 vs. 중․소형 병원)를 기업체 보건관리자 134명을 대상으로 설문지를 이용하여 조사하였다. 제안된 연구모형과 가설들은 확증 요인분석, 로짓(logit) 분석 등을 이용하여 검증되었다. 연구결과 병원규모 및 이용편리성(출장검진)의 중요성은 대형병원을, 구전 및 검진비용의 중요 성은 중․소형 병원을 선호하게 만드는 것으로 나타났다. 반면 의료서비스 품질의 경우 대형병원과 중․소형 병원의 유의적인 차이가 없는 것으로 나타났다. 이러한 결과를 바탕으로 대형병원의 경우 업무의 운영적인 부분이 강조되는 것이 필요하며, 중․소형 병원의 경우에는 질적인 부분이 중요시되는 것으로 확인되었다. 따라서 병원의 형태(대 형병원 vs. 중․소형 병원)에 따라 차별화된 전략 수립이 필요할 것이다. 또한 기업체에서 건강검 진병원 결정은 검진담당 실무자 또는 관련부서 책임자 선에서 주로 결정되므로 이들을 주 타깃으로 영업활동을 전개하는 것이 필요할 것임을 알 수 있다. Against dynamic changes in the medical sector, medical institutions make lots of efforts to survive under harsh circumstances to tide over such difficulties. For example, they direct their energy into their own reform and the establishment of specialized hospitals. Also, they try to extend convenience facilities and to stir up health checkups among people in general. Especially, there is a rapid increase in the number of people who undergo health checkups, on which this study paid attention. The purpose of this study is to examine the top priority of corporate health administrators who were responsible for hospital selection for employee health checkups. It s also meant to investigate their awareness of large hospitals and small or mid-sized hospitals and their view of the importance of these hospitals in an effort to suggest some of the right directions for customized health checkups for each type of business. Hypotheses were formulated in relation to the preference of corporate health administrators for large and small or mid-sized hospitals as medical institutions for employee health checkups and the impact of hospital size, word of mouth, medical quality(facilities, medical equipment, medical personnels), health checkup cost and user convenience(out-of- hospital health checkups). The final sample of 134 people collected by a questionnaire were analyzed by using confirmatory factor analysis and logit. The findings of the study were as follows. Large hospitals were preferred in terms of hospital size and user convenience(out-of-hospital health checkups). On the other hand, small and mid-sized hospitals were preferred in terms of cost, word of mouth and medical quality, which imply that they gave more weight to quality. There are some implications based on the empirical findings. Small and mid-sized hospitals should make a lot of investment in facilities and personnels to improve their operation. When companies mostly have their employees undergo both general and special health checkups, they have a preference for out-of-hospital health checkups. On the other hand, large hospitals should try to enhance their medical quality by taking more flexible attitudes to cost and making the best use of word of mouth. Finally, it s required to deal with working-level employees or department managers concerned as main targets, because these people mostly have an option to choose a hospital for employee health checkups.

Review of Smart Hospital Services in Real Healthcare Environments

권혁태,안선희,이호영,차원철,김성완,조민우,공현중 대한의료정보학회 2022 Healthcare Informatics Research Vol.28 No.1

Objectives: Smart hospitals involve the application of recent information and communications technology (ICT) innovationsto medical services; however, the concept of a smart hospital has not been rigorously defined. In this study, we aimedto derive the definition and service types of smart hospitals and investigate cases of each type. Methods: A literature reviewwas conducted regarding the background and technical characteristics of smart hospitals. On this basis, we conducted a focusgroup interview with experts in hospital information systems, and ultimately derived eight smart hospital service types. Results: Smart hospital services can be classified into the following types: services based on location recognition and trackingtechnology that measures and monitors the location information of an object based on short-range communicationtechnology; high-speed communication network-based services based on new wireless communication technology; Internetof Things-based services that connect objects embedded with sensors and communication functions to the internet; mobilehealth services such as mobile phones, tablets, and wearables; artificial intelligence-based services for the diagnosis and predictionof diseases; robot services provided on behalf of humans in various medical fields; extended reality services that applyhyper-realistic immersive technology to medical practice; and telehealth using ICT. Conclusions: Smart hospitals can influencehealth and medical policies and create new medical value by defining and quantitatively measuring detailed indicatorsbased on data collected from existing hospitals. Simultaneously, appropriate government incentives, consolidated interdisciplinaryresearch, and active participation by industry are required to foster and facilitate smart hospitals.

병원행정사 국가자격증화 및 지속을 위한 자격증 만족도에 대한 연구

양옥렬(Ok-Yul YANG) 한국의료정보교육협회 2014 보건의료생명과학논문지 Vol.2 No.1

This study is a survey for the National Hospital Administrator license change of qualifications. In addition, the institution with more than 10 years of experience to the continuing development of diplomas and qualifications satisfaction management experts, and Health Administration, or design a questionnaire and through a literature review and interview survey of medical Professor of Business Administration. Based on these general requirements, curriculum, certification issues, and the phase of the hospital administration professionals, professional level, and derive a survey of departments and certification. Questionnaire used was the expert group was composed of 19 items intended for 105 people. Professor group was composed of 21 questions targeted 69 people.

한방병원 유형화 분석

김경성,박상준 한국항공경영학회 2009 한국항공경영학회지 Vol.7 No.3

Almost all of the oriental hospital have a hard time recently because medical market has entered into ultimate competition period in Korea. Since suffering from long run of financial crisis after the currency devaluation, the exponential increase of oriental hospital have made administration of oriental hospital are getting worse. Although there are some hospitals which are interested in differentiation of strategy and characterization of treatment field in this circumstance, only a few of them have conduct it. In this study, we figured out the present situation and current state of oriental hospital by analyzing of medical market in this country. And according to the financial data of oriental hospital, we classified them into several groups which has same strategy. By comparing and analyzing data, we presented the implications on the administration strategy of oriental hospital. We believe that this study help to increase competitive power of oriental hospital for those who administer the oriental hospital in such a intense medical market.