원저 : 대형병원과의 협력관계를 맺고 있는 병·의원 경영자의 협력만족도에 영향을 미치는 요인에 관한 연구 -수도권소재 3개 대학과 협력관계를 맺고 있는 병의원을 중심으로-
분야
의약학 > 예방의학및보건학
저자
김양균 ( Yang Kyun Kim ) , 조철호 ( Chul Ho Cho ) , 고인호 ( In Ho Goh )
발행기관
한국보건행정학회
간행물정보
보건행정학회지 2006년, 제16권 제3호, 86~106페이지(총21페이지)
파일형식
2c300139.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    The purpose of the study is 1) to explore clinic and hospital CEOs` satisfaction and expectation level on the affiliation with the larger size teaching hospitals, 2) to find the factors influencing the satisfaction and expectation level on the affiliation with the large hospitals. Data for analysis was collected to use self-administrative structured questionnaire on 335 CEOs of small or middle sized clinics and hospitals affiliated with large sized teaching hospitals located in Seoul and Kyung Ki Province. For the study, the researchers develop the constructs for questions on the satisfaction and the expectation of the affiliation, the attitude, knowledge on the affiliation, previous relationship of the affiliation, and selection guideline of the affiliation with exploratory factor analysis and reliability test. Through the confirmative factor analysis using AMOS 4, the researchers develop constructs based on exact relationship between constructs and questions. CEOs` expressive and unexpressive satisfaction level are 2.54 of 5 point(38.5 of 100) and 2.78 of 5 point(44.5 of 100), and the expressive and unexpressive expectation level are 2.77 of 5 point(44.3) and 3.16 of 5 point(54.0). These levels are relatively row for importance of affiliation. Expectation levels do not influence satisfaction levels. Attitude of affiliation influences expressive expectation and unexpressive satisfaction, reason for affiliation unexpressive satisfaction, and previous relationship to affiliated hospitals influence both of expressive and unexpressive satisfaction. The expressive expectation level and the expressive satisfaction level influence unexpressive expectation and unexpressive satisfaction, respectively. There is cognitive dissonance between expectation and satisfaction, therefore numbers of affiliation might be smaller or weaker in the future than present time. Many CEOs feel environmental press such as competition and the press of health insurance, but they might not think affiliation is best solution. Therefore, large hospitals try to give affiliated clinics and hospitals practical benefits to increase satisfaction and expectation levels, and they need to new affiliation form such as joint venture and joint ownership. The expectation and the satisfaction level was influenced by CEOs` gender, type of health service facilities, distances between the affiliated facility and the large mother hospital, and reason for affiliation.
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