환자 급식서비스의 질 향상 사례 연구 - 메뉴 만족도와 차별화 중심으로 -

A Case Study on Quality Improvement of the Food Services for Patients - Focused on Satisfaction Offered Menu and Differentiated Service -

  • 이승림 (포천중문의과대학교 차병원 영양실) ;
  • 장유경 (한양대학교 식품영양학과)
  • 발행 : 2004.04.01

초록

The objective of this study is to investigate how patients satisfaction are affected by satisfaction with the patient menu and differentiated service resulting from QI activities and to evaluate the efficiency of QI activities. In order to improve satisfaction with menus through QI activities, this study strengthened meal round, examined the quantity of food waste produced by patients, diversified one-dish menus and used seasonal food as much as possible to reflect patients ′tastes to the maximum. With regard to cooking, additionally, it strengthened sampling and standardized recipes to maintain the constancy of taste and cooking/seasoning. From July 2003, dining time was changed from 08 : 00 to 07 : 30 for breakfast and from 17 : 30 to 18 : 00 for dinner. Statistical data analyses were completed using the SPSS 11.0 program. The results can be summarized as follows: The goal of QI was to improve food service by raising the score of "Satisfaction with Offered Menus" from 3.49 before QI to 3.55 after QI and differentiating nutrition service at the VIP ward. The score of "Satisfaction with offered menus" after QI was 3.56, and services related to the VIP ward were 7 dishes per meal, meal round once per day and the use of a napkin for a spoon in setting the table. In addition a variety of dishes were used in order to heighten the visual effect. Among the 10 items included on the patient satisfaction questionnaire, 8 items showed higher scores before QI. "Taste of meals" (p < 0.05), "Satisfaction with offered menus" (p < 0.05), "Kindness of meal serving assistants" (p < 0.05) and "Cleanliness of clothes & features" (p <0.05) of VIP ward were significantly higher than those of a general ward.

키워드

참고문헌

  1. Alverez RJ (1994): Management total quality in food service. Food technol 48(9): 140-143
  2. Brotherton B (1999): Towards a definitive view of the nature of hospi-tality and hospitality management. International Journal of Con-temporary Hospitality Management 11(4): 165-173
  3. DeLuco D, Cremer M (1990): Consumer's perceptions of hospital food and dietary service. J Am Diet Assoc 90(12): 1711-1715
  4. Donabedian A (1996): Quality Improvement Through Monitoring Health Care. J Korea Society of Quality Assurance in Health Care 3(10): 28-39
  5. Dube L, Trudeau E, Belanger MC (1994): Determining the complexity of patient satisfaction with foodservices. J Am Diet Assoc 94(4): 394-401 https://doi.org/10.1016/0002-8223(94)90093-0
  6. Flanel DF, Fairchild MM (1995): Continuous quality improvement in inpatient clinical nutrition services. Continuous quality improvement in impatient clinical nutrition service. J Am Diet Assoc 95(1): 65-74
  7. Gregoire MB (1994): Quality of patient meal service in hospitals: deli-very of meals by dietary employees vs delivery by nursing emplo-yees. J Am Diet Assoc 94(10): 1129-1134
  8. Han BK (1999): Strategies for enhancing patients satisfaction with hospital foodservice, Conference of Korea Hospital Association, pp.123-143
  9. Joint Commission on Accreditation of Healthcare Organization (1996): Commission Accreditation Manual for Hospitals. Joint Commission on Accreditation of Healthcare Organization
  10. Kim BK (1997): Q. I of the nutrition service for patients. Nutrition and Dietetics 97(12): 2-8
  11. Kim DY, Lee YT, Kim JW, Jang YA, Seo HJ, Kim YC, Yun SW (2002): Hospital nutrition services I: Organization, personnel and producti-vity of nutrition department. Korea J Nutr 34(4): 458-471
  12. Kim HJ, Jang UJ, Hong WS (1996): A Case Study of Food Quality in a Hospital Foodservice System-With Special Reference to Patient Satisfaction. Korea J Nutr 29(3): 348-356
  13. Kim JI (2002): The ten step of quality assurance in health care. http: //10.10.1. 12/hbin/hloginf
  14. Kim JR (1995): Quality Improvement of the Nutrition & Food Services part. Nutrition and Dietetics 95(7. 8): 24-33
  15. Lee HS (1997): The case study of patient satisfaction with hospital foodservice. Nutrition and Dietetics 97(12): 9-12
  16. Lee JJ, Choi MH, Lee SG, Lee DB (1997): Patients' Evaluation on Foodservice in University and General Hospitals. Korea J Comm-unity Nutrition 2(4): 616-623
  17. Lee MJ, Lee YK (2000): Analysis of Patient Satisfaction with Hospital Foodservice Quality. Korea J Nutrition 33(4): 464-476
  18. Lee SL (A), Chang YK (2003): A Case Study on Quality Improvement of the Food Services for Patients: Focused on back-up order. Korea J Community Nutrition 8(5): 755-762
  19. Lee SL (B), Chang YK (2003): The Case Study of the Nutrition Services for Patients; as a Result of the Changes in Food Services Manage-ment. Korea J Community Nutrition 8(1): 83-90
  20. Lee SM (1999): A Study on CQI activity to Supply Exact Meals deli-verly for Patients. Conference of Korea Hospital Association, pp.299-307
  21. Letort LR, Boudraux J (1994): Incorporation of continuous Quality Improvement, hospital diatary department management program. J Am Diet Assoc 94(12): 1404-1408 https://doi.org/10.1016/0002-8223(94)92543-7
  22. Lim HS, Kim HM, Kim JS, Lee JM, Cho YL, Park HJ (2002): A Case Study of Food Quality in a Hospital Foodservice System. Con-ference of korean Dietetic Association, pp.104-104
  23. Lyu ES (1994): Hospitalized patient's perceptions of hospital food-service. I. Emphasis on the food characteristics. Korea J Dietary culture 9(1): 95-103
  24. Maller O, Dubose CN, Cardello AV (1980): Consumer opinions of hospital food and foodservise. J Am Diet Assoc 76: 236-242
  25. Na MY (1996): QA of patient satisfaction with hospital foodservices, Hospital part workshop of Korean Dietetic Association, pp.20-32
  26. Pack JS (1998): Cases of executing management strategies for feeding in hospitals through new management techniques; Paper collections from comprehensive academic conferences on hospital management, pp.221-241.
  27. Sawyer CA, Richards R (1994): Continuous quality improvement in hospital foodservice. Food Technol 94(9): 154-194
  28. Shin LS (2001): Quality Improvement. QI paper of CHA general hos-pital, pp.2-15
  29. The Korea Society of Quality Assurance in health care (1995): The ten step of quality assurance in health care
  30. Thosmas D. Ricca (2002): Where are we?(II). Nutrition and Dietetics 2(12): 12-30