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Epidemiological, imaging, laboratory, and clinical characteristics and factors related to mortality in patients with COVID-19: a single-center study
Zohreh Azarkar, Hamid Salehiniya, Toba Kazemi, Hamid Abbaszadeh
Osong Public Health Res Perspect. 2021;12(3):169-176.   Published online May 26, 2021
DOI: https://doi.org/10.24171/j.phrp.2021.0012
  • 3,907 View
  • 107 Download
  • 5 Citations
AbstractAbstract PDF
Objectives
Coronavirus disease 2019 (COVID-19) is a novel pandemic. Considerable differences in disease severity and the mortality rate have been observed in different parts of the world. The present study investigated the characteristics and outcomes of patients hospitalized with COVID-19 in Iran.
Methods
We established a retrospective cohort to study hospitalized COVID-19 patients in Iran. Epidemiological, imaging, laboratory, and clinical characteristics and outcomes were recorded from medical documents. The chi-square test, t-test, and logistic regression models were used to analyze the data. A p<0.05 was considered to indicate statistical significance.
Results
In total, 364 cases (207 males and 157 females) were analyzed. The most common symptoms were cough, fever, and dyspnea. Multifocal bilateral ground-glass opacities with peripheral distribution were the predominant imaging finding. The mean age of patients was 54.28±18.81 years. The mean age of patients who died was 71.50±14.60 years. The mortality rate was 17.6%. The total proportion of patients with a comorbidity was 47.5%, and 84.4% of patients who died had a comorbidity. Sex, history of diabetes mellitus, and dyslipidemia were not significantly associated with mortality (p>0.05). However, mortality showed significant relationships with body mass index; age; history of hypertension, chronic kidney disease (CKD), ischemic heart disease, cerebrovascular accident (CVA), pulmonary disease, and cancer; and abnormal high-resolution computed tomography (HRCT) findings (p<0.05 for all). Cancer had the highest odds ratio.
Conclusion
Comorbidities (especially cancer, CKD, and CVA), severe obesity, old age, and abnormal HRCT findings affected the health outcomes of patients hospitalized with COVID-19.

Citations

Citations to this article as recorded by  
  • The association between stroke and COVID-19-related mortality: a systematic review and meta-analysis based on adjusted effect estimates
    Shuwen Li, Jiahao Ren, Hongjie Hou, Xueya Han, Jie Xu, Guangcai Duan, Yadong Wang, Haiyan Yang
    Neurological Sciences.2022; 43(7): 4049.     CrossRef
  • Mental health status of dentists during COVID‐19 pandemic: A systematic review and meta‐analysis
    Hamid Salehiniya, Sare Hatamian, Hamid Abbaszadeh
    Health Science Reports.2022;[Epub]     CrossRef
  • Laboratory biomarker predictors for disease progression and outcome among Egyptian COVID-19 patients
    Lamiaa A Fathalla, Lamyaa M Kamal, Omina Salaheldin, Mahmoud A Khalil, Mahmoud M Kamel, Hagar H Fahim, Youssef AS Abdel-Moneim, Jawaher A Abdulhakim, Ahmed S Abdel-Moneim, Yomna M El-Meligui
    International Journal of Immunopathology and Pharm.2022; 36: 039463202210962.     CrossRef
  • Effects of SARS-CoV-2 infections in patients with cancer on mortality, ICU admission and incidence: a systematic review with meta-analysis involving 709,908 participants and 31,732 cancer patients
    Mehmet Emin Arayici, Nazlican Kipcak, Ufuktan Kayacik, Cansu Kelbat, Deniz Keskin, Muhammed Emin Kilicarslan, Ahmet Veli Kilinc, Sumeyye Kirgoz, Anil Kirilmaz, Melih Alihan Kizilkaya, Irem Gaye Kizmaz, Enes Berkin Kocak, Enver Kochan, Begum Kocpinar, Fatm
    Journal of Cancer Research and Clinical Oncology.2022;[Epub]     CrossRef
  • Obesity and Infection: What Have We Learned From the COVID-19 Pandemic
    Emilia Vassilopoulou, Roxana Silvia Bumbacea, Aikaterini Konstantina Pappa, Athanasios N. Papadopoulos, Dragos Bumbacea
    Frontiers in Nutrition.2022;[Epub]     CrossRef
Characteristics of Inpatients Who Survive Suicide Attempts
Sang Mi Kim, Hyun-Sook Lee
Osong Public Health Res Perspect. 2019;10(1):32-38.   Published online February 28, 2019
DOI: https://doi.org/10.24171/j.phrp.2019.10.1.07
  • 3,732 View
  • 150 Download
  • 1 Citations
AbstractAbstract PDF
Objectives

The purpose of this study was to analyze the characteristics and factors affecting the survival of inpatients admitted following a suicide attempt.

Methods

A total of 3,095 cases retrieved from the Korean National Hospital Discharge In-depth Injury Survey data (from 2011 to 2015) were grouped according to survival and death and analyzed using descriptive statistics chi-square and logistic regression analysis.

Results

The following factors had statistically significant risks on reducing survival: female (OR = 2.352, p < 0.001), 40–59 years old (OR = 0.606, p = 0.014), over 60 years old (OR = 0.186, p < 0.001), poisoning (OR = 0.474, p = 0.009), hanging (OR = 0.031, p < 0.001), jumping (OR = 0.144, p < 0.001), conflicts with family (OR = 2.851, p < 0.001), physical diseases (OR = 1.687, p = 0.046), mental health problems (OR = 2.693, p < 0.001), financial problems (OR = 3.314, p = 0.002), 2014 (OR = 2.498, p = < 0.001) and 2015 (OR = 2.942, p = 0.005).

Conclusion

The survival group that had a history of attempted suicide (high-risk suicide group), should be further characterized. It is necessary to identify the suicide methods and risk factors for suicide prevention management policies and to continuously expand the management policy according to these characteristics.

Citations

Citations to this article as recorded by  
  • Loss to follow-up in a population-wide brief contact intervention to prevent suicide attempts - The VigilanS program, France
    Larissa Djembi Fossi, Christophe Debien, Anne-Laure Demarty, Guillaume Vaiva, Antoine Messiah, Xenia Gonda
    PLOS ONE.2022; 17(3): e0263379.     CrossRef
Factors Related to Healthcare Service Quality in Long-term Care Hospitals in South Korea: A Mixed-methods Study
Minsung Sohn, Mankyu Choi
Osong Public Health Res Perspect. 2017;8(5):332-341.   Published online October 31, 2017
DOI: https://doi.org/10.24171/j.phrp.2017.8.5.07
  • 2,865 View
  • 26 Download
  • 2 Citations
AbstractAbstract PDF
Objectives

The environment of long-term care hospitals (LTCHs) is critical to the management of the quality of their services and to patient safety, as highlighted by international studies. However, there is a lack of evidence on this topic in South Korea. This study aimed to examine the factors affecting healthcare quality in LTCHs and to explore the effectiveness of their quality management.

Methods

This study used a mixed methods approach with quantitative data collected in a national survey and qualitative data from semi-structured interviews with practice-based managers. The samples included 725 nationally representative LTCHs in South Korea for the quantitative analysis and 15 administrators for the in-depth interviews.

Results

A higher installation rate of patient-safety and hygiene-related facilities and staff with longer-tenures, especially nurses, were more likely to have better healthcare quality and education for both employees and patients.

Conclusion

The need for patient-safety- and hygiene-related facilities in LTCHs that serve older adults reflects their vulnerability to certain adverse events (e.g., infections). Consistent and skillful nursing care to improve the quality of LTCHs can be achieved by developing relevant educational programs for staff and patients, thereby strengthening the relationships between them.

Citations

Citations to this article as recorded by  
  • Improving Preparedness for and Response to Coronavirus Disease 19 (COVID-19) in Long-Term Care Hospitals in Korea
    Tark Kim
    Infection & Chemotherapy.2020; 52(2): 133.     CrossRef
  • Identifying Potentially Avoidable Emergency Department Visits of Long-Term Care Hospital Residents in Korea: A Multicenter Retrospective Cohort Study
    Keon Kim, Dong Hoon Lee, Ho Young Yune, Jung Hee Wee, Duk Ho Kim, Eui Chung Kim, Jee Yong Lim, Seung Pil Choi
    BioMed Research International.2019; 2019: 1.     CrossRef
Analysis of Hospital Volume and Factors Influencing Economic Outcomes in Cancer Surgery: Results from a Population-based Study in Korea
Jung-A Lee, So-Young Kim, Keeho Park, Eun-Cheol Park, Jong-Hyock Park
Osong Public Health Res Perspect. 2017;8(1):34-46.   Published online February 28, 2017
DOI: https://doi.org/10.24171/j.phrp.2017.8.1.05
  • 3,038 View
  • 29 Download
  • 6 Citations
AbstractAbstract PDF
Objectives

To evaluate associations between hospital volume, costs, and length of stay (LOS), and clinical and demographic outcome factors for five types of cancer resection. The main dependent variables were cost and LOS; the primary independent variable was volume.

Methods

Data were obtained from claims submitted to the Korean National Health Insurance scheme. We identified patients who underwent the following surgical procedures: pneumonectomy, colectomy, mastectomy, cystectomy, and esophagectomy. Hospital volumes were divided into quartiles.

Results

Independent predictors of high costs and long LOS included old age, low health insurance contribution, non-metropolitan residents, emergency admission, Charlson score > 2, public hospital ownership, and teaching hospitals. After adjusting for relevant factors, there was an inverse relationship between volume and costs/LOS. The highest volume hospitals had the lowest procedure costs and LOS. However, this was not observed for cystectomy.

Conclusion

Our findings suggest an association between patient and clinical factors and greater costs and LOS per surgical oncologic procedure, with the exception of cystectomy. Yet, there were no clear associations between hospitals’ cost of care and risk-adjusted mortality.

Citations

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  • Volume-outcome relationships in laryngeal trauma processes of care: a retrospective cohort study
    David Forner, Christopher W. Noel, Matthew P. Guttman, Barbara Haas, Danny Enepekides, Matthew H. Rigby, S. Mark Taylor, Avery B. Nathens, Antoine Eskander
    European Journal of Trauma and Emergency Surgery.2022; 48(5): 4131.     CrossRef
  • Association between Stroke Quality Assessments and Mortality within 30 Days among Patients Who Underwent Hemorrhagic Stroke Surgeries in South Korea
    Mi-Na Lee, Wonjeong Jeong, Sung-In Jang, Sohee Park, Eun-Cheol Park
    Cerebrovascular Diseases.2022; 51(1): 82.     CrossRef
  • Impact of surgeon and hospital factors on length of stay after colorectal surgery systematic review
    Zubair Bayat, Keegan Guidolin, Basheer Elsolh, Charmaine De Castro, Erin Kennedy, Anand Govindarajan
    BJS Open.2022;[Epub]     CrossRef
  • Crucial areas of the economic analysis of public cancer care
    D. A. Andreev, K. I. Polyakova, A. A. Zavyalov, T. N. Ermolaeva, A. G. Fisun, A. D. Ermolaeva, V. A. Dubovtseva, T. E. Maksimova
    FARMAKOEKONOMIKA. Modern Pharmacoeconomic and Phar.2020; 12(4): 310.     CrossRef
  • Initial Diagnosis of Colorectal Cancer through Colonoscopy or Emergent Surgery-Clinicopathological Features that Support Early Screening
    Konstantinos A Paschos, A Chatzigeorgiadis
    Hellenic Journal of Surgery.2020; 92(2): 51.     CrossRef
  • What Matters in the Performance of a Medial Institution?
    Hae-Wol Cho, Chaeshin Chu
    Osong Public Health and Research Perspectives.2017; 8(1): 1.     CrossRef
Knowledge Management Enablers and Process in Hospital Organizations
Hyun-Sook Lee
Osong Public Health Res Perspect. 2017;8(1):26-33.   Published online February 28, 2017
DOI: https://doi.org/10.24171/j.phrp.2017.8.1.04
  • 3,559 View
  • 104 Download
  • 9 Citations
AbstractAbstract PDF
Objectives

This research aimed to investigate the effects of knowledge management enablers, such as organizational structure, leadership, learning, information technology systems, trust, and collaboration, on the knowledge management process of creation, storage, sharing, and application.

Methods

Using data from self-administered questionnaires in four Korean tertiary hospitals, this survey investigated the main organizational factors affecting the knowledge management process in these organizations. A total of 779 questionnaires were analyzed using SPSS 18.0 and AMOS 18.0.

Results

The results showed that organizational factors affect the knowledge management process differently in each hospital organization.

Conclusion

From a managerial perspective, the implications of these factors for developing organizational strategies that encourage and foster the knowledge management process are discussed.

Citations

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  • Knowledge management effects and performance in health care: a systematic literature review
    Ritva Kosklin, Johanna Lammintakanen, Tuula Kivinen
    Knowledge Management Research & Practice.2022; : 1.     CrossRef
  • Leadership, healthcare and knowledge management
    Guilherme Agnolin, Lúcia Worma, Édis Mafra Lapolli, Cristiano José Castro de Almeida Cunha
    International Journal for Innovation Education and.2022; 10(10): 61.     CrossRef
  • Alignment of knowledge management process with clinical process to support evidence based decision in healthcare improvements: The case of selected Ethiopian hospitals
    Mniyichel Belay, Amare Desta, Steve Smithson, Million Meshesha
    Knowledge and Process Management.2021; 28(1): 3.     CrossRef
  • Knowledge management enablers affecting patient care: The perspective of registered nurses in South West Nigeria
    Olateju J. Ajanaku, Stephen Mutula
    SA Journal of Information Management.2021;[Epub]     CrossRef
  • A gestão do conhecimento em contexto hospitalar: uma scoping review
    Andreia Mesquita, Diana Santos, Vítor Raposo
    Revista de Investigação & Inovação em Saúde.2021;[Epub]     CrossRef
  • Structural Equation Modeling to Explore the Relationship Between Organizational Culture Dimensions and Implementation of Knowledge Management in Teaching Hospitals
    Ahmad Rahbar, Amir Ashkan Nasiripour, Mahmood Mahmoodi-Majdabadi
    Health Scope.2020;[Epub]     CrossRef
  • Improvement of Innovation Ability of Hospital Managers and Construction of Competitive Strategy
    Li Han, Jing Li, Wenfeng Chen
    International Journal of Circuits, Systems and Sig.2020; 14: 751.     CrossRef
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    Ion Popa, Simona Ștefan
    International Journal of Environmental Research an.2019; 16(7): 1114.     CrossRef
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    Qiao-yuan Yan, Fei Xiang, Xiao-xu Shi, Qin Zhu
    Current Medical Science.2018; 38(2): 372.     CrossRef
Evaluating Service Quality from Patients' Perceptions: Application of Importance–performance Analysis Method
Rafat Mohebifar, Hana Hasani, Ameneh Barikani, Sima Rafiei
Osong Public Health Res Perspect. 2016;7(4):233-238.   Published online August 31, 2016
DOI: https://doi.org/10.1016/j.phrp.2016.05.002
  • 2,326 View
  • 18 Download
  • 37 Citations
AbstractAbstract PDF
Objectives
Providing high service quality is one of the main functions of health systems. Measuring service quality is the basic prerequisite for improving quality. The aim of this study was to evaluate the quality of service in teaching hospitals using importance–performance analysis matrix.
Methods
A descriptive–analytic study was conducted through a cross-sectional method in six academic hospitals of Qazvin, Iran, in 2012. A total of 360 patients contributed to the study. The sampling technique was stratified random sampling. Required data were collected based on a standard questionnaire (SERVQUAL). Data analysis was done through SPSS version 18 statistical software and importance–performance analysis matrix.
Results
The results showed a significant gap between importance and performance in all five dimensions of service quality (p < 0.05). In reviewing the gap, “reliability” (2.36) and “assurance” (2.24) dimensions had the highest quality gap and “responsiveness” had the lowest gap (1.97). Also, according to findings, reliability and assurance were in Quadrant (I), empathy was in Quadrant (II), and tangibles and responsiveness were in Quadrant (IV) of the importance–performance matrix.
Conclusion
The negative gap in all dimensions of quality shows that quality improvement is necessary in all dimensions. Using quality and diagnosis measurement instruments such as importance–performance analysis will help hospital managers with planning of service quality improvement and achieving long-term goals.

Citations

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    Sustainability.2023; 15(2): 1114.     CrossRef
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    Robert Dorsey, David Claudio, María A. Velázquez, Polly Petersen
    BMC Health Services Research.2022;[Epub]     CrossRef
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    Mehdi Rahimi, Fateme Solymani
    Modern Care Journal.2022;[Epub]     CrossRef
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    BMC Geriatrics.2022;[Epub]     CrossRef
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    Shiraz E-Medical Journal.2022;[Epub]     CrossRef
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    Sheng-Yao Hsu, Tsair-Wei Chien, Yu-Tsen Yeh, Willy Chou
    Medicine.2022; 101(37): e30648.     CrossRef
  • Evaluation of outpatient service quality: What do patients and providers think?
    Pouria Farrokhi, Aidin Aryankhesal, Rafat Bagherzadeh, Asgar Aghaei Hashjin
    International Journal of Healthcare Management.2022; : 1.     CrossRef
  • Patient satisfaction with quality of care in public hospitals in Albania
    Rezarta Kalaja, Marsida Krasniqi
    Frontiers in Public Health.2022;[Epub]     CrossRef
  • A Crisis in the Health System and Quality of Healthcare in Economically Developed Countries
    Magdalena Biel, Katarzyna Grondys, Ane-Mari Androniceanu
    International Journal of Environmental Research an.2022; 20(1): 469.     CrossRef
  • An integrated approach for evaluating hospital service quality with linguistic preferences
    Xiaobing Li, Zhen He
    International Journal of Production Research.2021; 59(6): 1776.     CrossRef
  • Rethinking health services operations to embrace patient experience of healthcare journey
    Mahdi Mahdavi, Leila Doshmangir, Ebrahim Jaafaripooyan
    The International Journal of Health Planning and M.2021; 36(6): 2020.     CrossRef
  • A STUDY ON QUALITY OF SERVICES IN THE OUTPATIENT DEPARTMENT OF A MULTISPECIALTY TEACHING HOSPITAL
    Nirmala Kumari, Keerthana Maria Pinto
    GLOBAL JOURNAL FOR RESEARCH ANALYSIS.2021; : 117.     CrossRef
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    Saeed Asefzadeh, Sima Rafiei, Masoomeh Karimi
    International Journal of Healthcare Management.2020; 13(sup1): 12.     CrossRef
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    Zahra Hashemi Dehaghi, Soad Mahfoozpour, Mahmoud Modiri, Fateme Alipour
    Iranian Red Crescent Medical Journal.2020;[Epub]     CrossRef
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    Myeong Gyu Kim, Na Eun Lee, Hyun Soon Sohn
    International Journal of Clinical Pharmacy.2020; 42(2): 677.     CrossRef
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    Mohammed Shaker Ibrahim
    Journal of Information & Knowledge Management.2020; 19(01): 2040021.     CrossRef
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    Kuen-Suan Chen, Kuo-Ping Lin, Li-Ju Lin
    Expert Systems with Applications.2020; 156: 113483.     CrossRef
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    Sajjakaj Jomnonkwao, Thanapong Champahom, Vatanavongs Ratanavaraha
    Sustainability.2020; 12(10): 4259.     CrossRef
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    Adryan Fristiohady, La Ode Muhammad Fitrawan, Yusniati Dwi Pemudi, Ruslin Ruslin, Sunandar Ihsan, Ruslan Ruslan, La Ode Muhammad Julian Purnama
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    asgar Aghaei Hashjin, Pouria Farrokhi, Aidin Aryankhesal
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    Wei-Chuan Chen, Wen-Kuo Chen, Chien-Wen Chen, Chien-Cheng Lo
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    Swapnarag Swain
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    D M Buamona
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    Tiara Turay
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Assessment of Service Quality in Teaching Hospitals of Yazd University of Medical Sciences: Using Multi-criteria Decision Making Techniques
Milad Shafii, Sima Rafiei, Fatemeh Abooee, Mohammad Amin Bahrami, Mojtaba Nouhi, Farhad Lotfi, Khatere Khanjankhani
Osong Public Health Res Perspect. 2016;7(4):239-247.   Published online August 31, 2016
DOI: https://doi.org/10.1016/j.phrp.2016.05.001
  • 2,334 View
  • 18 Download
  • 23 Citations
AbstractAbstract PDF
Objectives
Hospitals as integrated parts of the wide-ranging health care systems have dominant focus on health care provision to meet, maintain and promote people's health needs of a community. This study aimed to assess the service quality of teaching hospitals of Yazd University of Medical Sciences using Fuzzy Analytical Hierarchy Process (FAHP) and Technique for Order Preference by Similarity to Ideal Solution (TOPSIS).
Methods
A literature review and a qualitative method were used to obtain experts' viewpoints about the quality dimensions of hospital services to design a questionnaire. Then, using a self-made questionnaire, perceptions of 300 patients about the quality of delivered services were gathered. Finally, FAHP was applied to weigh each quality dimension and TOPSIS method to rank hospital wards.
Results
Six dimensions including responsiveness, assurance, security, tangibles, health communication and Patient orientation were identified as affecting aspects of hospital services quality among which, security and tangibles got the highest and lowest importance respectively (0.25406, 0.06883). Findings also revealed that in hospital A, orthopedics and ophthalmology wards obtained the highest score in terms of quality while cardiology department got the lowest ranking (0.954, 0.323). In hospital B, the highest and the lowest ranking was belonged to cardiology and surgical wards (0.895, 0.00) while in hospital C, surgical units were rated higher than internal wards (0.959, 0.851).
Conclusion
Findings emphasized that the security dimension got the lowest ranking among SERVQUAL facets in studied hospitals. This requires hospital executives to pay special attention to the issue of patients’ security and plan effectively for its promotion.

Citations

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  • A multicriteria decision‐making framework for assessing the performance of gynecobstetrics departments: a case study
    Miguel Ortíz‐Barrios, Edward Gutiérrez‐Severiche, Dayana Cómbita‐Niño, Genett Jiménez‐Delgado, Alessio Ishizaka, Maria Barbati, Zulmeira Herrera‐Fontalvo
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    Ali Karasan, Melike Erdogan, Melih Cinar
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The Mediating Role of Organizational Learning in the Relationship of Organizational Intelligence and Organizational Agility
Mohammad Amin Bahrami, Mohammad Mehdi Kiani, Raziye Montazeralfaraj, Hossein Fallah Zadeh, Morteza Mohammad Zadeh
Osong Public Health Res Perspect. 2016;7(3):190-196.   Published online June 30, 2016
DOI: https://doi.org/10.1016/j.phrp.2016.04.007
  • 2,490 View
  • 23 Download
  • 27 Citations
AbstractAbstract PDF
Objectives
Organizational learning is defined as creating, absorbing, retaining, transferring, and application of knowledge within an organization. This article aims to examine the mediating role of organizational learning in the relationship of organizational intelligence and organizational agility.
Methods
This analytical and cross-sectional study was conducted in 2015 at four teaching hospitals of Yazd city, Iran. A total of 370 administrative and medical staff contributed to the study. We used stratified-random method for sampling. Required data were gathered using three valid questionnaires including Alberkht (2003) organizational intelligence, Neefe (2001) organizational learning, and Sharifi and Zhang (1999) organizational agility questionnaires. Data analysis was done through R and SPSS 18 statistical software.
Results
The results showed that organizational learning acts as a mediator in the relationship of organizational intelligence and organizational agility (path coefficient = 0.943). Also, organizational learning has a statistical relationship with organizational agility (path coefficient = 0.382).
Conclusion
Our findings suggest that the improvement of organizational learning abilities can affect an organization's agility which is crucial for its survival.

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    Alperen Ekrem ÇELİKDİN
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Competitive Strategy for Successful National University Hospital Management in the Republic of Korea
Munjae Lee
Osong Public Health Res Perspect. 2016;7(3):149-156.   Published online June 30, 2016
DOI: https://doi.org/10.1016/j.phrp.2016.02.002
  • 2,007 View
  • 17 Download
  • 2 Citations
AbstractAbstract PDF
Objectives
This study provides information to aid decision making for managers and the staff of national university hospitals through analyzing their financial statements.
Methods
In order to analyze the finances of national university hospitals, this study used the report of final accounts announced by each hospital from 2009 to 2012 as baseline data. The research participants were 10 national university hospitals.
Results
According to the results of the analysis, most hospitals (except for a few) had medical expenses exceeding their medical revenues, resulting in a net deficit; however, there were significant differences amongst the hospitals. The result of adjustments based on a standard size of 100 beds showed that most hospitals had medical revenue deficits, and there were significant differences between hospitals in terms of medical revenues and medical costs.
Conclusion
It is not clear whether an expansion of national university hospitals is always beneficial for increasing net revenues, and it is necessary to establish a differentiation strategy to increase profitability by securing financial soundness instead of externally-oriented growth.

Citations

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  • Internal Quality Process Management Evaluation in Higher Education by Students
    Lucie Vnoučková, Hana Urbancová, Helena Smolová
    Danube.2018; 9(2): 63.     CrossRef
  • What Would Be a Better Strategy for National University Hospital Management?
    Hae-Wol Cho, Chaeshin Chu
    Osong Public Health and Research Perspectives.2016; 7(3): 139.     CrossRef
Role of Organizational Climate in Organizational Commitment: The Case of Teaching Hospitals
Mohammad Amin Bahrami, Omid Barati, Malake-sadat Ghoroghchian, Razieh Montazer-alfaraj, Mohammad Ranjbar Ezzatabadi
Osong Public Health Res Perspect. 2016;7(2):96-100.   Published online April 30, 2016
DOI: https://doi.org/10.1016/j.phrp.2015.11.009
  • 2,471 View
  • 16 Download
  • 17 Citations
AbstractAbstract PDF
Objective The commitment of employees is affected by several factors, including factors related to the organizational climate. The aim of this study was to investigate the relationship between organizational commitment of nurses and the organizational climate in hospital settings.
Methods
A cross-sectional study was conducted in 2014 at two teaching hospitals in Yazd, Iran. A total of 90 nurses in these hospitals participated. We used stratified random sampling of the nursing population. The required data were gathered using two valid questionnaires: Allen and Meyer's organizational commitment standard questionnaire and Halpin and Croft's Organizational Climate Description Questionnaire. Data analysis was done through SPSS 20 statistical software (IBM Corp., Armonk, NY, USA). We used descriptive statistics and Pearson's correlation coefficient for the data analysis.
Results
The findings indicated a positive and significant correlation between organizational commitment and organizational climate (r = 0.269, p = 0.01). There is also a significant positive relationship between avoidance of organizational climate and affective commitment (r = 0.208, p = 0.049) and between focus on production and normative and continuance commitment (r = 0.308, p = 0.003).
Conclusion
Improving the organizational climate could be a valuable strategy for improving organizational commitment.

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Financial Analysis of National University Hospitals in Korea
Munjae Lee
Osong Public Health Res Perspect. 2015;6(5):310-317.   Published online October 31, 2015
DOI: https://doi.org/10.1016/j.phrp.2015.10.007
  • 2,057 View
  • 19 Download
  • 10 Citations
AbstractAbstract PDF
Objectives
This paper provides information for decision making of the managers and the staff of national university hospitals.
Methods
In order to conduct a financial analysis of national university hospitals, this study uses reports on the final accounts of 10 university hospitals from 2008 to 2011.
Results
The results of comparing 2008 and 2011 showed that there was a general decrease in total assets, an increase in liabilities, and a decrease in total medical revenues, with a continuous deficit in many hospitals. Moreover, as national university hospitals have low debt dependence, their management conditions generally seem satisfactory. However, some individual hospitals suffer severe financial difficulties and thus depend on short-term debts, which generally aggravate the profit and loss structure. Various indicators show that the financial state and business performance of national university hospitals have been deteriorating.
Conclusion
These research findings will be used as important basic data for managers who make direct decisions in this uncertain business environment or by researchers who analyze the medical industry to enable informed decision-making and optimized execution. Furthermore, this study is expected to contribute to raising government awareness of the need to foster and support the national university hospital industry.

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Assessment of Intensive Vaccination and Antiviral Treatment in 2009 Influenza Pandemic in Korea
Chaeshin Chu, Sunmi Lee
Osong Public Health Res Perspect. 2015;6(1):47-51.   Published online February 28, 2015
DOI: https://doi.org/10.1016/j.phrp.2014.11.007
  • 1,960 View
  • 16 Download
  • 2 Citations
AbstractAbstract PDF
Objectives
We characterized and assessed public health measures, including intensive vaccination and antiviral treatment, implemented during the 2009 influenza pandemic in the Republic of Korea.
Methods
A mathematical model for the 2009 influenza pandemic is formulated. The transmission rate, the vaccination rate, the antiviral treatment rate, and the hospitalized rate are estimated using the least-squares method for the 2009 data of the incidence curves of the infected, vaccinated, treated, and hospitalized.
Results
The cumulative number of infected cases has reduced significantly following the implementation of the intensive vaccination and antiviral treatment. In particular, the intensive vaccination was the most critical factor that prevented severe outbreak.
Conclusion
We have found that the total infected proportion would increase by approximately six times under the half of vaccination rates.

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    Yunhwan Kim, Ana Vivas Barber, Sunmi Lee, Roberto Barrio
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    Hae-Wol Cho, Chaeshin Chu
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Articles
Improving Service Quality in Long-term Care Hospitals: National Evaluation on Long-term Care Hospitals and Employees Perception of Quality Dimensions
Jinkyung Kim, Woosok Han
Osong Public Health Res Perspect. 2012;3(2):94-99.   Published online June 30, 2012
DOI: https://doi.org/10.1016/j.phrp.2012.04.005
  • 1,863 View
  • 15 Download
  • 9 Citations
AbstractAbstract PDF
Objectives
To investigate predictors for specific dimensions of service quality perceived by hospital employees in long-term care hospitals.
Methods
Data collected from a survey of 298 hospital employees in 18 long-term care hospitals were analysed. Multivariate ordinary least squares regression analysis with hospital fixed effects was used to determine the predictors of service quality using respondents’ and organizational characteristics.
Results
The most significant predictors of employee-perceived service quality were job satisfaction and degree of consent on national evaluation criteria. National evaluation results on long-term care hospitals and work environment also had positive effects on service quality.
Conclusion
The findings of the study show that organizational characteristics are significant determinants of service quality in long-term care hospitals. Assessment of the extent to which hospitals address factors related to employeeperceived quality of services could be the first step in quality improvement activities. Results have implications for efforts to improve service quality in longterm care hospitals and designing more comprehensive national evaluation criteria.

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Original Article
Estimation of HIV Seroprevalence in Colorectal Hospitals by Questionnaire Survey in Korea, 2002–2007
Mee-Kyung Kee, Do Yeon Hwang, Jong Kyun Lee, Seung Hyun Kim, Chaeshin Chu, Jin-Hee Lee, Sung Soon Kim
Osong Public Health Res Perspect. 2011;2(2):104-108.   Published online June 30, 2011
DOI: https://doi.org/10.1016/j.phrp.2011.08.002
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AbstractAbstract PDF
Objectives
The incidence of anal disease is higher among persons with human immunodeficiency virus (HIV) infection than among the general population. We surveyed the status of seroprevalence in colorectal hospitals in Korea.
Methods
The survey was conducted in colorectal hospitals in Korea from November to December 2008. The questionnaire was comprised of six topics about the status of HIV testing in colorectal hospitals. We gathered the data by website (http://hivqa.nih.go.kr/risk) or fax.
Results
Among 774 colorectal hospitals contacted, 109 (14%) hospitals participated in the survey. Among these, 48 hospitals (44%) performed HIV tests in their own hospitals and 11 (23%) took HIV testing by rapid method. The main reason for recommending an HIV test was surgical operation (54%) followed by endoscope (11%) and health checkup (9%). The annual number of HIV tests increased from 58,647 (at 21 hospitals) in 2002 to 246,709 (at 58 hospitals) in 2007. HIV seroprevalence was >3.0 per 10,000 individuals during 2002–2005, decreased to 2.2 per 10,000 individuals in 2006 and rose to 2.8 per 10,000 individuals in 2007.
Conclusions
HIV seroprevalence of colorectal hospitals was more than twice that of general hospitals in Korea. HIV surveillance systems based on colorectal hospitals for HIV/AIDS transmission prevention by early HIV diagnosis are needed.

Citations

Citations to this article as recorded by  
  • Discrimination and Stigma
    Hae-Wol Cho, Chaeshin Chu
    Osong Public Health and Research Perspectives.2015; 6(3): 141.     CrossRef
  • Hospital-based HIV/HSV-2 seroprevalence among male patients with anal disease in Korea: cross sectional study
    Jin-Sook Wang, Do Yeon Hwang, Hye-Kyung Yu, Sung Soon Kim, Jong Kyun Lee, Mee-Kyung Kee
    BMC Infectious Diseases.2014;[Epub]     CrossRef
  • Years of Epidemics (2009–2011): Pandemic Influenza and Foot-and-Mouth Disease Epidemic in Korea
    Hae-Wol Cho, Chaeshin Chu
    Osong Public Health and Research Perspectives.2013; 4(3): 125.     CrossRef
  • What is Next for HIV/AIDS in Korea?
    Hae-Wol Cho, Chaeshin Chu
    Osong Public Health and Research Perspectives.2013; 4(6): 291.     CrossRef

PHRP : Osong Public Health and Research Perspectives