• The Journal of the Korea Contents Association
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• v.16 no.12
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• pp.761-771
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• 2016

This study is significant for its proposed health care quality improvement methods to study the relationship between the medical service quality and customer loyalty in the regional hub public hospital. The subjects were selected 604 people who visited the regional hub public hospital to customers from June 9 to June 30, 2014 as the final survey. The analysis was conducted hierarchical regression analysis to identify factors affecting the reliability factor analysis and customer loyalty. In conclusion showed that accessibility factors affecting customer loyalty, awareness hospital, the perceived value of cost-effectiveness, human services on a significant impact. The regional hub public hospitals by focusing efforts I have a continuity of customer care through constant management in order to provide quality health care, increase the frequency of use and loyalty are needed.

• Korea Journal of Hospital Management
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• v.23 no.1
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• pp.87-106
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• 2018

Objective: The objective of this study is to examine the association between process quality of inpatient care and risk-adjusted, thirty-day potentially preventable hospital readmission (PPR) rates. Data Sources/Study Setting: This was an observational cross-sectional study of nonfederal acute-care hospitals located in two states California and Florida, discharging Medicare patients with a principal discharge diagnosis of heart failure, acute myocardial infarction, or pneumonia January through December 31, 2007. Data were obtained from the Healthcare Cost and Utilization Project State Inpatient Database of the Agency for Healthcare Research and Quality, Centers for Medicare and Medicaid Services Hospital Compare database, and the American Hospital Association Annual Survey of Hospitals. Study Design: The dependent variable of this study is condition-specific, risk-adjusted, thirty-day potentially preventable hospital readmission (PPR). 3M's PPR software was utilized to determine whether a readmission was potentially preventable. The independent variable of this study is hospital performance for process quality of inpatient care, measured by hospital adherence to recommended processes of care. We used multivariate hierarchical logistic models, clustered by hospitals, to examine the relationship between condition-specific, risk-adjusted, thirty-day PPR rates and process quality of inpatient care, after taking clinical and socio-demographic characteristics of patients and structural and operational characteristics of hospitals into account. Findings: Better performance on the process quality metrics was associated with better patient outcome (i.e., low thirty-day PPR rates) in pneumonia, but not generally in two cardiovascular conditions (i.e., heart failure and acute myocardial infarction). Practical Implication: Adherence to the process quality metrics currently in use by CMS is associated with risk-adjusted, thirty-day PPR rates for patients with pneumonia, but not with cardiovascular conditions. More evidence-based process quality metrics closely linked to 30-day PPR rates, particularly for cardiovascular conditions, need to be developed to serve as a guideline to reduce potentially preventable readmissions.

• Journal of the Korean Applied Science and Technology
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• v.38 no.3
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• pp.689-699
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• 2021

The spread of the COVID-19 pandemic has been increasing non-face-to-face activities; as a result, this has resulted in the number of individuals obtaining medical information from the websites and mobile contents of medical institutions increasing. The study conducted the structural equation modeling to test hypotheses; as a result, all sub-factors of e-service quality of small medical clinic websites and mobile contents, usability, security, responsiveness, design, and information, had a significant positive effect on relationship quality, and relationship quality had a significant positive effect on e-Loyalty. Moreover, the structural equation model showed a good model fit, χ²/df of 2.021, NFI of .954, TLI of .969, CFI of .976, RMSEA of .046. Future research is suggested to study relationship quality by developing a system able to quickly and accurately respond to websites and mobile contents users; furthermore, improving e-service quality and relationship quality is likely to strengthen e-loyalty.

• Proceedings of the Safety Management and Science Conference
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• 2005.11a
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• pp.450-462
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• 2005

우리나라 종합병원의 의료서비스의 질을 향상시킬 수 있는 방안을 모색하기 위해 K대학병원의 소아과와 처방전 서비스를 대상으로 연구를 수행하였다. 연구방법은 시뮬레이션을 수행하여 분석였다. 시뮬레이션을 수행하기 위해서는 네트워크 모델링 방식인 SLAM II를 사용하였다. 분석결과를 요약하면 소아과보다는 처방전의 서비스를 향상시키기 위한 대안적 방법을 고려할 필요가 있는 것으로 분석되었다.

• Health Policy and Management
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• v.8 no.1
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• pp.266-282
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• 1998

We model that separation is a rational decision to resolve the inherent uncertainty about quality form the matching process. In health insurance markets, quality of services is revealed to consumers only after enrollment. Discrepancies between the expected and realizeed quality lead utility-maximizing enrollees to disenroll if they find a better alternative. Accordingly, factors that reduce this discrepancy will decrease disenrollment. The firm-level empirical analysis shows that disenrollment is relatively small in markets where the reputation effect works efficiently becuse consumers can predict the expected quality accurately.

• 한국방재학회:학술대회논문집
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• 2011.02a
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• pp.112-112
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• 2011

오늘날 우리 사회의 생활과 문화의 질이 향상됨에 따라 공공 및 개인의 안전과 건강에 대한 관심이 증대되고 있다. 특히, 재난과 비상사태는 생명에 대한 희생뿐만 아니라 훨씬 더 심각한 경제적인 결과를 초래한다. 이러한 응급사태에 개비하여 적절히 준비되지 않았거나 재난의 예방 및 완화시킬 방법을 가지고 있지 못한다면 도시의 발전적인 프로젝트는 예고 없이 도시를 강타하는 재난 및 비상사태에 의해 무산되고 만다. 이러한 여건 하에 재난과 응급사고를 효율적으로 대처하는 응급처치와 서비스에 대한 급격한 관심과 함께 일정한 결정적 대응시간 내에 각종사고와 재해로부터 방어할 수 있는 공공서비스에 대한 필요성이 크게 증가되었다. 본 연구에서는 신고, 응급구조, 환자이송 등 도시의 병원 전 단계 의료환경에 대해서 조사하였다. 본 연구의 목적은 반응시간과 출동거리를 분석함으로써, 응급사고에 즉시 응급구조서비스를 제공하기 위해 안전센터(119센터)의 최적 입지를 확인하는 것이다. 이를 위해서 사고발생, 반응시간, 출동거리 등을 응급의료 활동과 관련된 연구논문, 대상지 전역의 소방기록물과 출동일지 등의 통계자료를 활용하여 신속한 응급의료 서비스를 위한 패턴을 분석 하였다. 또한 응급구조대의 조직과 활동의 분석을 통해 응급의료시설의 최적 입지설정을 위한 제도적 개선대안을 마련해 보았다. 대상지 연구를 위해, 구조활동 및 소방서비스의 최근 통계자료의 조사를 통해 진주시의 모든 119센터의 입지와 응급의료서비스 및 사고발생 현황을 나타내었다. 자료 분석을 위해서 SPSS14.0을 사용하였으며, 지역의 특성 분포, 안전센터별 대응시간, 이송시간 등을 소방 GPS시스템과 입지할당모형 중 Center Point Model(CPM)을 적용하였다. 결과적으로 본 연구를 통해 대상지역의 119안전센터의 서비스 질이 나쁜 지역을 지리학적인 관점에서 최적 입지/배분 패턴의 설정을 통해 확인할 수 있었으며, 이를 통해 미래 응급의료서비스의 효율적인 입지/배분을 통해 공공 및 개인의 안전과 건강에 기여할 수 있을 것으로 기대된다.

• Journal of Korea Entertainment Industry Association
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• v.14 no.7
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• pp.559-570
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• 2020

The purpose of this study was to classify the internal members of nursing hospitals and Western hospitals that received the certification system of medical institutions, and to examine the effect of certification on member satisfaction, job stress, hospital operation effect, and improvement of medical services. In nursing hospitals, the certification system was higher in member satisfaction, hospital operation effect, and medical service effect than in Western hospitals, and members of Western hospitals were higher in job stress. In both nursing hospitals and Western hospitals, the satisfaction of members, hospital operation effect, and medical service effect according to certification showed positive (+) results. It is believed that the effect of the certification system has been empirically high in nursing hospitals as mandatory certification from 2013. Therefore, this study aims to contribute to the efficiency of hospital management and improvement of patient satisfaction through continuous quality management of medical care by analyzing the effect of certification system on medical service improvement.

• Journal of Internet of Things and Convergence
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• v.10 no.1
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• pp.47-52
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• 2024

The efficiency and quality of healthcare services rely heavily on the secure protection and transparent management of individuals' medical information, which is becoming increasingly important in the digital age. To address this issue, we propose a distributed identity management (DID) and electronic medical record (EMR) integration system based on Hyperledger Indy, which aims to ensure the ownership of medical information to individuals and increase the accessibility and utilization of medical information. The system will allow individuals to manage their own medical information and share it transparently when necessary, which will improve the efficiency of healthcare services. In addition, the system will securely protect and transparently manage medical information, increasing the transparency of medical services and strengthening individuals' control over their medical information. Thus, the system will contribute significantly to improving the quality of medical services, protecting individuals' medical information, and improving the efficiency of medical services.

• Proceedings of the Korean Institute of Navigation and Port Research Conference
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• 2018.11a
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• pp.222-224
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• 2018

본 연구는 해양원격의료서비스의 특성이 선원의 만족도 및 충성도에 미치는 영향을 규명하기 위해 서비스를 받은 선원 103명을 대상으로 설문조사를 실시하여 자료를 분석하였다. 본 연구의 주요 결과는 다음과 같다.ⅰ) 서비스 질이 높을수록 만족도는 높았다, ⅱ) 만족도가 높을수록 충성도는 높았다, ⅲ) 연령에서 30세미만 보다 40미만의 선원들이 만족도가 낮았다. ⅳ) 총 승선경력이 5-10년 미만인 선원이 5년 미만인 선원보다 만족도가 높았다, ⅴ) 승선경력이 10-15년 미만인 선원이 5년 미만인 선원보다 만족도가 높았다, ⅵ) 승선경력이 25년 이상인 선원이 5년 미만인 선원보다 만족도가 높았다.

• Journal of dental hygiene science
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• v.8 no.4
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• pp.215-224
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• 2008

In order to meet the medical demand according to the changing medical environment and to provide patients with quality dental treatment and improve treating environment by establishing reasonable management plan, with 149 patients for whom continuous dental health program has been applied, the degree of satisfaction with the dental treatment, and the influence factors on the satisfaction were investigated. Using the SPSS Ver. 13.0, mean value analysis were performed on the satisfactions with dental care service and the quality of dental care service according to general characteristics, and regression analysis were performed on the influence of general characteristics and the degree of satisfaction with dental care service on the satisfaction of dental treatment. The result of the multiple regression analysis revealed the human (staff), environment, and the procedure of treatment as the influence factors of the satisfaction with dental treatment. Systematic management and training should be implemented to improve the quality of dental care service and enhance the satisfaction.