본 논문은 노인의료복지시설 간호 인력의 경쟁가치기반 간호인력 조직문화와 직무몰입이 조직시민행동 에 미치는 영향력을 밝히는데 목적을 두고 연구하였다. 연구대상은 노인의료복지시설 간호 인력 523명을 대상으로 설문조사를 실시하여 수집된 자료는 상관관계 분석과 다중회귀분석을 통해 분석하였다. 연구의 주요 결과는 조직문화와 직무몰입이 조직시민행동에 긍정적인 영향을 미치는 것으로 나타났다. 조직시민 행동 중 자발적 참여에 대한 기대를 높이기 위해서는 관계 지향적, 혁신 지향적 조직문화를 조성하고 직 무수행능력을 높일수록 자발적 조직시민의 참여행동이 증가하는 것으로 나타났으며, 조직시민행동 중 이 타적 행동을 높이기 위해서는 관계 지향적, 위계 지향적 조직문화를 조성하고 직무의 중요성과 수행능력, 영향력을 높여야 할 것으로 나타났다. 또한 조직시민행동 중 상호촉진작용을 증가시키기 위해서 위계 지 향적, 혁신 지향적, 과업 지향적 조직문화를 조성하고 직무 중요성과 직무 수행력, 자기결정력을 높여야 할 것으로 나타났다. 따라서 노인요양시설 간호 인력에서 조직 공동목표를 추구하면서 동시에 조직 내 관 계적, 혁신적, 위계적, 과업적 분위기를 조성하고, 이와 더불어 이들 경쟁 가치기반의 조직문화가 정착될 때 직무몰입과 동시조직 시민 행동의 긍정적인 영향력을 높일 수 있는 기제임을 시사해주었다.

The purpose of this study is to search Mattie Ingold’s life, the first lady missionary doctor served in Jeonla province. She is known as a founder of the Jesus Hospital in Jeon Ju, 108years old teaching hospital with 600 beds. But her contribution and limitation as a lady doctor was not properly evaluated. She was very well prepared medical missionary graduating Women’s Medical College in Baltimore with the first prize. She had passion for mission to Korean so much that she would not return home for this people. The Rock Hill First Presbyterian Church as a sending church was also very mission oriented enough to take care of her medical education for 5 years before sending her to Korea. However her ministry period as a medical missionary was only from 1898 to 1904. It seems not so long as to raise question if there were any reasons to quit medical ministry while serving in Jeon Ju until 1925. This study traced the Mattie Ingold’s life and circumstances she had faced at the end of 19th century and early 20th century during the Japanese colonialism. As other medical missionaries did in many area of mission fields she played an important role in introducing the Christianity by bridging the gap with the traditional worldview or with the Confucianism. Her warm hearted medical care was definitely contributed to get rid of xenophobia prevailing in those days just few years after the Donghak farmer’s revolutionary movement. Even though, as a lady doctor, her medical work was restricted to caring ladies and children, her zeal for evangelism made her translate the Christian Cathechism Primer into Korean which has been used by all missionaries in Jeonla area. She rather used her limitation as a merit by involving more actively in home visiting and providing medical care for ladies and children which was not easily available to men. She must have struggled with xenophobia, male superiority complex and the health issue of herself which could have shrink her back from active medical work. But most depressing factor might have been the mission policy based on dualistic view on the Christian mission that medical ministry was just subordinate to the evangelistic ministry and that the medical care was just a bait for evangelism. This policy could have resulted in restriction in allocating resources for medical ministry. Moreover, at that time, even mission agency had male dominating atmosphere that ladies could not have a voice in decision making. This study may provide a lesson which is worth in helping individual missionaries of today’s mission by revealing that how the policy of a mission society and the contemporary worldview affects on the individual missionary’s ministry.

Purpose - With the worldwide aging problem and the development of globalization, customers prefer to seek affordable medical services with the higher quality overseas. This new trend has urged some destination countries to improve their services for the more competitive advantages over other countries. Literature research indicate that medical quality and cost may be the key factors influencing global patients’ decisions. In the international environment, however, medical tourism destinations are selected due to cultural similarity between the hosting country and the customers’ own country. The more similarity perceived between the two countries leads foreign patients to choose the considering country as the destination for medical tourism. However, little research has been conducted on this topic. Thus, we empirically investigate how cultural similarity influences Chinese medical customers’ choice of the destinations. We also consider the factors related to medical competency and travel attribute which might affect customers’ decisions along with some moderating roles of disease types. Research design, data, and methodology – We proposed a research model in order to confirm the relations among different variables of cultural similarity, medical competency, travel attractiveness, disease types, and destination choice. The questionnaire survey is processed in the more economically developed regions of China such as Beijing, Shanghai, and Jiangsu. Conditional logit regression is applied to analyze the data of 881. Results - Results indicate that cultural similarity is the important predictor of Chinese customers’ decision to select a medical country. However, the effects of cultural similarity vary according to the disease types. We also find that medical competency and travel attractiveness influence their decisions with the moderating role of disease types. Conclusions – Cultural similarity is the important factor that influences Chinese potential medical tourists’ decisions to select a destination. Marketing managers should consider the effects of cultural similarity when developing strategies for attracting Chinese medical tourists. Since medical competency and travel attractiveness are still the critical key elements for them to evaluate the destination countries, it is necessary to continuously improve medical service quality and facilities. The results also recommend that medical managers should sharpen their marketing strategies by segmenting Chinese potential customers in terms of disease types.