• 건강소식
• /
• v.33 no.12
• /
• pp.6-7
• /
• 2009

여전히 한국사회에서 산부인과는 무섭고 수치스러운 공간으로 인식된다. 심지어 가지 말아야 할 곳이며, 부도덕한 일을 저지른 문란한 여성쯤의 억울한 오해마저 감수해야 하는 곳이다. 아무리 아프고 몸에 이상이 느껴져도 언제나 '산부인과'가 최후의 선택이 되는 이유다. 감기는 조금만 심해도 병원을 찾으면서도 여성의 자궁은 덧씌워진 편견과 오해 때문에 조기 발견과 치료의 기회를 번번이 놓치고 만다.

• Journal of Digital Convergence
• /
• v.11 no.6
• /
• pp.289-298
• /
• 2013

The objective of this study was to predict the changes in the duration of hospital stay, hospital admission fee, costs of drugs, changes in laboratory cost, material cost, total medical cost, adjusted amount of treatment and the efficacy of obstetrics and gynecology DRG system. The cost of drugs showed the greatest change and was followed by materials for medical examinations and the change in methods of medical examinations. In the analysis of the quantity of medical service the profit of medical examinations were influenced mostly by the duration of hospital stay. The results and data in this study could be used as a basis of future DRG system protocols and will be utilized so that hospitals can build a efficient medical system.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.16 no.2
• /
• pp.1189-1199
• /
• 2015

This study examined the effects of favorite music therapy on the anxiety and vital signs at each point in gynecologic surgery using the general anesthesia. The research design was a non-equivalent control group non-synchronized design. The data were collected from May 1 to July 30, 2013 and the participants were 44 patients (experimental group, 21, control group, 23) received music therapy while waiting for anesthetic induction and PACU (Post Anesthesia Care Unit). Repeated measures ANOVA was performed to analyze the data by SPSS 18.0. Music therapy reduced the anxiety level at inducing the anesthetic time, and awakening time (p=.003; p=.011). The systolic blood pressure maintained stability at discharge from the PACU (p=.023), and pulse rate was stable at the awakening time (p=.016). This findings support the use of music as a nursing intervention to reduce anxiety and maintain the vital signs for gynecologic surgery patients under general anesthesia.

• Proceedings of the KAIS Fall Conference
• /
• 2009.12a
• /
• pp.195-197
• /
• 2009

본 연구는 산부인과 내원환자에 대한 미래경영 예측하고자 한 대학병원 의무기록정보통계를 활용하여 외래환자, 입원환자 및 분만관련 자료를 분석한 결과 다음과 같다. 신환환자의 경우 평균 140.9명이었며, 각 연도가 증가함에 따라 유의하게 감소하는 경향을 보였으며(p=0.000), 최초년도(2001)에 212.6명이던 것이 최종년도(2007)에는 80.9명으로 약 140여명의 환자가 감소하였다. 입원 실인원의 경우 평균 124.6명이었며, 각 연도가 증가함에 따라 유의하게 감소하는 경향을 보였으며(p=0.000), 최초년도(2001)에 144.6명이던 것이 최종년도(2007)에는 104.8명으로 약 40여명의 환자가 감소하였다. 입원 환자 특성 및 분만관련 요인 등의 변수를 독립변수로, 입원환자수를 종속변수로 하여 다중회귀분석을 실시하였다. 그 결과, 입원환자수에 영향을 미치는 요인으로는 신환, 연인원 분만수 등이 선정되었으며 이들의 설명력은 62.8%이었다. 이상과 같은 결과 병원은 마케팅보다 환자관리라는 서비스가 우선되어야 하지만 환자 유인 효과도 현재 무시할 수 없으며 이는 환자의 병에 대해 관심을 써주는 병원의 배려가 신뢰로 연결될 수 있을 것이다.

• The Journal of the Korea Contents Association
• /
• v.8 no.8
• /
• pp.176-187
• /
• 2008

As the radiological medical instruments have been competitively developed in recent years, its utilization for the patient treatment has been expanded. The medical examination using the radiation has been gradually increased, so that it is recognized as a significant factor of increasing the radiation exposure. In this study, the recognition about the radiation exposure was analyzed for 555 gynecologic patients in 8 secondary and tertiary medical centers in Gyeongbuk from November 17 to April 19, 2007. The results are followed. There was a significant difference on the recognition for the radiation by age and education (p<0.05), There was the significant difference in the recognition about the radiological instruments by age and occupation (p<0.05), and there was the significant difference in the information identification & analysis by age and occupation (p<0.05). As the result of analyzing a correlation of the radiation's harmfulness, recognition, psychological state and exposure prevention, there was the correlation of 0.572 between the harmfulness and recognition, the correlation of 0.740 between the harmfulness and the psychological state, and the correlation of 0.477 between the harmfulness and the exposure prevention. It was statistically very significant (p<0.01). But, there was no significance with the radiological instrument and information identification (p>0.05). As the result of the study, it could be known that the mental threat factor was more included than the physical threat from the position of gynecologic patients who were sensitive to the radiation. Accordingly, radiological technologist who manages the radiation needs to let the patient or its guardians recognize the degree of physical harmfulness exactly.

• The Journal of the Korea institute of electronic communication sciences
• /
• v.12 no.2
• /
• pp.401-410
• /
• 2017

This study aimed to identify appropriateness and efficiency in the DRG payment system by analysing the hospital length of stay and changes in fees before and after the application of DRG payment system. The subjects of the study were a total of 398 patients consisting of 204 for the fee for service system and 194 for the DRG payment system. They received surgery in the Obstetrics and Gynecology (OBGY) department of a general hospital in G metropolitan city between January and December 2013. The mean hospital length of stay was significantly decreased after application of the DRG payment system(p=0.013). Total fees, insurance charges, and deductions increased significantly(p<0.001), and non-payment charges and total deductions decreased significantly(p<0.001). Application of the DRG payment system reduced length of stay, non-payment charges and total patient's cost sharing and increased out-of-pocket, insurance charges, and total fees.

• KOREAN ASSOCIATION OF OCCUPATIONAL HEALTH NURSES
• /
• v.20 no.1
• /
• pp.42-42
• /
• 2013

• Journal of Korean Academy of Nursing Administration
• /
• v.11 no.1
• /
• pp.59-66
• /
• 2005

Purpose: The purpose of this study was to identify the effects images about medical organizations and the quality of service on customer satisfaction of obs and gyn patients. Method: The subjects of this study were selected conveniently 220 women among obstetrics and gynecology outpatients( who visited H- doctor's office of the first medical organ, P- hospital of the second medical organization, Chospital of the third medical organization). The data were collected from August, 20th 2004 using structured questionaires which included modified form of SERVPERF and customer's satisfaction scale by oliver & swan(1989), and modified form of image scale by kang(1997). Results: Image of hospital(45.3%), visiting frequencies(9.3%), service provider (3.9%) and convenient use(1.2%) of the quality of medical service were significant predictors to explain customer's satisfaction. Conclusion: To increase customer's satisfaction of obs and gyn patients, it is required to developed strategies that improve image of hospital and the quality of service to service provider and convenient use of hospital.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.10 no.10
• /
• pp.2959-2965
• /
• 2009

This research is based on the medical information record of a university hospital on analysis of outpatients, inpatients and delivery related information in gynecology area. The result of application having analysis of patients as basic material for hospital management is as follows. The number of new patients in average was 140.9, and as the year passes by, it seemed to decrease noticeably(p=0.000). In the first year (2001) the number was only 212.6, but increased to 140 by the year of 2007, showing increase of 80.9. The actual number of patients in the hospital was 124.6 in average and it showed noticeable decrease after each year (p=0.000), from 144.6 patients on the first year 2001, to 104.8 patients in 2007, showing approximately 40 patients decreased. Multiple regression analysis was performed having independent variables as characteristics of patients and cause of delivery related factors, and dependent variables as the number of patients in the hospital. According to analysis, the cause of affecting the number of patients in the hospital was selected as the number of new patients, the number of delivery per year. The reliability rate was recorded as 62.8%. Therefore, apart from the services on marketing and patient management which must come first, the effect of inviting them cannot be avoided, which directly links to trust resulting from the consideration to patients.

• Clinical and Experimental Reproductive Medicine
• /
• v.12 no.1
• /
• pp.15-29
• /
• 1985

최근 몇년전부터 한국에서도 In Vitro Fertilization - Embryo Transfer Program(IVF-ET)에 대한 논의가 있어왔다. 현재 몇몇 종합병원 및 개인 산부인과 의원에서 수십명의 난관 유착환자를 위한 IVF가 시도되었으나 아직까지, 한건도 성공되었다는 보고는 없다. 몇 십명이 실험적 모델로 제공되었으나 한 건의 성공사례도 없었다는 것은 문제점이 있는 것이 분명하며 이러한 한국에서의 문제점을 시설 문제와 전문가 또 IVF 과정에서의 technical problem들을 종합해서 다루어 보고져 하는 것이 본 논의의 주제임을 먼저 밝혀둔다.