다수준 분석을 이용한 요양병원 서비스 질에 영향을 미치는 요인 분석

• Published in: Journal of Korean Academy of Nursing Vol. 39; no. 3; pp. 409 - 421
• Main Author: 이선희(Lee, Seon-heui)
• Format: Journal Article
• Language: Korean
• Published: 한국간호과학회 2009
• Subjects: Multi-level analysis; 다수준 분석; Quality of health care; 서비스질; Long term care hospital; Health manpower; 요양병원; 간호인력
• ISSN: 2005-3673; 2093-758X

Purpose: In this research multi-level analysis was done to identify factors related to quality of services. Patient characteristics and organizational factors were considered. Methods: The data were collected from the Health Insurance Review and Assessment Service(HIRA) data base. The sample was selected from 17,234 patients who had been admitted between January 2007 and May 2008 to one of 253 long-term care hospitals located in Seoul, six other metropolitan cities or nine provinces The data were analyzed with SAS 9.1 using multi-level analysis. Results: The results indicated that individual level variables related to quality of service were age, cognitive ability, patient classification, and initial quality scores. The organizational level variables related to quality of service were ownership, number of beds, and turnover rate. The explanatory power of variables related to organizational level variances in quality of service was 23.72%. Conclusion: The results of this study indicate that differences in the quality of services were related to organizational factors. It is necessary to consider not only individual factors but also higher-level organizational factors such as nurse' welfare and facility standards if quality of service in long term care hospitals is to be improved.