• Title/Summary/Keyword: 의료이용 만족

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Factors Influencing Perception of Hospice Palliative Care in High School Students in Korea (고등학생의 호스피스완화의료 인식 영향요인)

  • Lee, Young Eun;Kim, Mi Kyung;Choi, Eun Ah;Im, Min Suk
    • Journal of Hospice and Palliative Care
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    • v.19 no.3
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    • pp.222-232
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    • 2016
  • Purpose: This study was to investigate the relationships between spiritual well-being, attitude towards death and perception of hospice, and the factors influencing hospice perception of high school students. Methods: A survey was conducted with 229 students in four high schools in B city from May 1, 2015 through May 31, 2015. The data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, stepwise multiple regression using the SPSS 18.0 program. This study was approved by the internal review board. Results: The factors influencing hospice perception of the high school students were previous recognition of hospice (${\beta}=0.412$, P<0.001), attitude towards death preparation among sub-variables of attitude towards death (${\beta}=-0.244$, P<0.001), subjective school life satisfaction (${\beta}=-0.215$, P<0.001), and sex (${\beta}=0.191$, P<0.001). The more positive the attitude towards my body after death and that towards death preparation was, the more positive recognition for hospice was. The total explanatory power of these factors was 34.5%. Conclusion: To improve high school students' perception of hospice, it is necessary to provide them with a hospice education program to help them with their attitudes towards death preparation and their understanding of hospice.

A Comparison of the Recognition and Satisfaction for Health Care Service between Internal Customer and External Customer (수도권 소재 병원의 내 . 외부고객의 의료이용에 대한 인지도와 만족도 차이 분석)

  • 구정연;유승흠;이해종;손태용
    • Health Policy and Management
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    • v.10 no.1
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    • pp.111-125
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    • 2000
  • To compare the differences in the recognition on hospital utilization and satisfaction, 368 hospital employees and 485 patients were selected in four hospitals in Seoul and Kyung-gi do. The survey was done using a constructed form of checklist from Apr. 30 to May 10, 1999. And the results are as follows: l. Gaining knowledge of hospitals available among hospital employees differed from that of patients. When finding out about sources of information concerning hospitals, direct visit to the hospital was recognized to be the main factor for the hospital employees in contrast to the patients' recognition which were mass media, personal involvement of job related workplace and recommendations from other hospitals. There was no difference between university and general hospitals. 2. The factors that concern which hospital to choose there was a difference between hospital employees and patients. Hospital employees recommended their own hospital solely based on the reason that it was their work place. On the other hand, the patients made a choice based on the type of medical staff, transportation available and whether it was a university hospital or not. There was no difference between university and general hospitals. 3. The recognition of employees concerning hospital image of a hospital between hospital employees and patients was different. In university hospitals, the employees recognized the name value of university hospital and cooperation as most important, whereas the patients thought convenience, kindness were the main factors. Patients considered general hospitals to be more convenient. There was some difference between university and general hospitals. For university hospitals employees' recognition was higher and for the general hospital patients' recognition is higher on hospital image. 4. The recognition of employees was different from that of patients' on hospital satisfaction. The patients' satisfaction was higher than that of employees'. There was no difference between university and general hospitals. Based on the above findings, the employees' recognition on hospital utilization and satisfaction was different from that of the patients, but there was no difference between university and general hospitals. In both groups choice of hospital was associated with satisfaction. Results showing difference between employees' and patients' recognition can be applied to implement customer-oriented attitude and be used as a baseline data for internal-external marketing planning of hospital management. The study may be limited in that the results cannot be generalized due to its small sample size and not being able to reflect demographic variables and life style. Further studies to investigate the difference of hospital utilization and hospital satisfaction will be necessary to define demographic characteristics and recognition of employees which influences patients' hospital satisfaction.

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The Usefulness of Al Face Block Fabrication for Reducing Exposure Dose of Thyroid Glands in Mammography (유방촬영 시 갑상샘의 피폭선량 경감을 위한 Al Face Block 제작 및 유용성에 관한 연구)

  • Hong, Eun-Ae;Lee, In-Ja
    • Journal of radiological science and technology
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    • v.36 no.1
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    • pp.11-17
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    • 2013
  • Currently, there are many studies being conducted around the world to reduce exposure dose to radiation for patients to receive medical treatments in a safe environment. We developed and fabricated of this shield that the patients are protected from the radiation and are need of safety control during breast imaging. In this study, for breast imaging, GE Senography 2000D were used and set at SID 65cm, 28kVp, and 63mAs. The measuring instrument was Fluke's Victoreen 6000-529. And we performed Face Block on with 30 patients. The chamber on the actual thyroid glands to take CC and MLO and measure the dosage before and after wearing the Face Block. For the results, after wearing the Face Block, exposure was decreased by 53.8%-100% and 65.8% in average in CC View and by 50%-100% and 60.7% in average in MLO View. The development of the Face Block that practically decreased the exposure dose of thyroid glands, crystalline eyes during breast imaging and reduced the patients' anxiety during breast imaging. The Face Block is expected to improve patients' satisfaction and contribute to reducing patients' exposure dose, but more efforts should be made to reduce exposure dose to medical radiation.

Usability Evaluation of Gel Pad Materials for Superficial Structures used in Musculoskeletal Ultrasonography (근골격계 초음파검사에 사용되는 표재성 검사용 젤 패드 물질의 유용성 평가)

  • Han, Mi-Ran;Kwak, Jong-Gil;Song, Jong-Nam;Jang, Seong-Ju;Han, Jae-Bok
    • Journal of the Korean Society of Radiology
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    • v.15 no.6
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    • pp.899-909
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    • 2021
  • In Musculoskeletal ultrasound examination, a linear transducer (12-5 MHz) with a contact surface length of 6 cm, which is commonly distributed in medical institutions, does not contact with bent fingers and wrist depressions only by using a conventional liquid ultrasound gel, which causes image loss. In order to solve this image loss, the use of commercially available Water gel pad is increasing. However, it is a disposable medical product. Repeated use is prohibited and expensive. In this study, in order to reduce the economic burden caused by the use of the commercialized Water gel Pad, we searched for water-soluble food thickener powder that can be easily purchased around our lives and manufactured Gel pads. Among them, kappa-Carrageenan Gel Pad, iota-Carrageenan Gel Pad, and Agar-Agar Gel Pad satisfied the evaluation criteria without artifacts in image evaluation using the N-365 Multipurpose Phantom. Also, the price to purchase the food thickener powder was about 38 times cheaper than the existing commercialized Water gel pad. As a result, if you use the food thickener powder such as kappa-Carrageenan, iota-Carrageenan and Agar-Agar to make solidified elastic Gel pad without a cover instead of the commercially available expensive disposable Water gel pad, the convenience and usefulness of use are improved. It is judged that the manufactured Gel pads can contribute well to the role of efficient ultrasound propagation medium.

A STUDY ON THE SATISFACTION FACTORS OF THE DISABLED WHEN USING DENTAL CARE SERVICES (장애인의 치과의료서비스 이용 시 만족 요인에 관한 연구)

  • Cho, Hye Lim;Kim, Yung Jae;Yoon, Tai Young
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.10 no.1
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    • pp.9-21
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    • 2014
  • This study aims to help utilize the dental treatment institutions for the disabled and provide high quality of medical services in the future by identifying the satisfaction factors for the patients of the dental clinics for the disabled. As a study method, surveys were completed 200 patients who visited the dental hospital for the disabled. Among these, the surveys from 187 patients were statistically analyzed. The main findings of this study are as follow. Since the study showed that there were differences in the satisfaction factors between the disabled and non-disabled people, subsequent studies needs to be done to develop measuring tools to accurately accommodate the satisfaction factors of the disabled. In addition, as the low spatial accessibility in terms of distance and location was found in this study, more dental treatment institutions for the disabled are required. In the meantime, the survey results found that the most satisfactory aspect was the lower treatment cost compared to other clinics, and that the most important factor when choosing a clinic was also treatment. In addition, given the fact that the group that took a prosthetic treatment, which was non-insured treatment, showed higher satisfaction compared to the group that did not, it suggests that the economic burden plays an important role for the dental treatment of the disabled.

Work reality of dental assistant (치과에 근무하는 치과보조인력의 업무실태)

  • Lee, Sook-Jeong;Cho, Hye-Yeon
    • Journal of the Korea Convergence Society
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    • v.6 no.4
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    • pp.153-159
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    • 2015
  • Dental assistant in South Korea, The work is overlapped considerably between dental hygienist and dental practical nurse. Moreover, dental technician, hospital coordinator work in dentistry consultation deeply. It cause friction among work scope of occupation's type. Accordingly It is purpose to get basic data which is necessary to deduce division of work training and utilization of human resources in oral health distinguish clearly between business occupations. Also compared and analyzed via analysis of frequency and ANOVA above 10 works around something legal work of dental hygienist regarding work reality of dental assistant in dental clinic and hospital. Compare with scaling, representative item about 10 works center on legal work of dental hygienist, is implementing dental technician 9(75%), practical nurse 64(87.67%), etc. 11(64.71%). Dental assistant except dental hygienist is implementing indigenous legal work of dental hygienist. Dental institution secure enough man power, It is suggested necessity for policy means regarding role and work scope of dental assistant.

Terminal Care Stress, Job Satisfaction and Terminal Care Performance for Nurses in Internal Medicine Wards (내과병동 간호사의 임종간호 스트레스, 직무만족도 및 임종간호수행)

  • Baek, Eu Kyoung;Choi, Eun Joung
    • Journal of Hospice and Palliative Care
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    • v.18 no.4
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    • pp.267-275
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    • 2015
  • Purpose: This study is aimed to investigate the relationship among terminal care stress, job satisfaction and terminal care performance nurses in internal medicine wards and to provide a basis to improve terminal care performance. Methods: This is a descriptive study performed with 201 nurses who have at least one year of experience and are stationed at the internal medicine department of three general hospitals and three university hospitals in P city of a metropolitan city B. The nurses also had an experience with a dying patient. Data were collected from March 1 through March 31, 2014. The study was approved by the Institutional Review Board of Kosin University. Results: Job satisfaction was negatively correlated with stress in end-of-life care (r=-212, P=0.003) and positively correlated with terminal care performance (r=0.383, P<0.001). There was no correlation between terminal care stress and terminal care performance. Conclusion: Appropriate programs are needed to improve job satisfaction for high quality terminal care performance.

A Study on Medical Service Quality affecting percieved value, Satisfaction and Intention of Revisit in Middle Hospitals (중소병원 환자가 인지하는 의료서비스 품질이 서비스 가치, 고객만족, 재이용 의도에 미치는 영향)

  • Ji, Kyung-Ja
    • Korea Journal of Hospital Management
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    • v.18 no.4
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    • pp.18-38
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    • 2013
  • This study aims to analyze the effect of quality of health care on perceived value, patient satisfaction and revisit intention. Especially, it was focused on outdoor environment, indoor environment, admission procedure, hospital image, service quality of physicians nurses medical technicians medical staff that patients perceived. Inpatients and outpatients were selected from three hospital in D city Questionnaire survey was employed to collect data from the subjects. For inpatients, indoor environment, admission procedure, hospital image and service quality of physicians have an effect on perceived value. Admission procedure, hospital image and service quality of physicians nurses medical technicians has an effect on the patient satisfaction. Hospital image and service quality of physicians nurses medical technicians have an effect on revisit intention. Perceived value have an effect on the patient satisfaction. Perceived value have an effect on revisit intention. Patient satisfaction have an effect on revisit intention. For outpatients, Admission procedure, hospital image and service quality of physicians medical technicians have an effect on perceived value. Indoor environment, hospital image and service quality of physicians medical technicians medical staff has an effect on the patient satisfaction. Indoor environment, hospital image and service quality of physicians medical technicians have an effect on revisit intention. Perceived value have an effect on the patient satisfaction. Perceived value have an effect on revisit intention. Patient satisfaction have an effect on revisit intention. They should evaluate customer satisfaction on their services and analyze various factors that affect on it to improve middle hospitals.

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Customers' Utilization and Satisfaction in Oriental Medical Clinics (한의원 환자들의 한방의료 이용 행태 및 만족도 실태)

  • Seo, Young-Joon;Kang, Shin-Hee;Kim, Yeon-Hee;Choi, Dae-Bong;Shin, Hyun-Kyu
    • The Journal of Korean Medicine
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    • v.31 no.2
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    • pp.124-136
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    • 2010
  • Objective:: This study aimed to examine the customers' utilization of and satisfaction with oriental medical clinics in South Korea. Method: The data for this study were collected from 1,208 patients of 391 oriental medical clinics through a mail questionnaire survey from September to December 2008. The collected data were analyzed by the frequency analysis and $X^2$-test. Results: The results of the study were as follows. First, the most important reason that patients used oriental medical services was to get both oriental and western medical services simultaneously, because they thought such approach would be more effective for treating their diseases. Second, two important reasons that patients visited oriental medical clinics were "the reputation of and trust in the oriental medical clinics" and "the recommendation of their family and friends". Third, many patients of the oriental medical clinics have concerns about the "high prices and the outcome of oriental medical services". Fourth, the most preferred oriental medical service was "acupuncture". Fifth, it was found that 75% of the respondents were satisfied with the services they had received. They told that the outcome of the care and the kindness of the clinics' staff were very important factors that have an impact on their satisfaction. Conclusion: The study results imply that oriental medical clinics have to make an effort to strengthen their reputation and trust in the community through the scientific validation of oriental medicine, differentiated services mixed with traditional value, customer relationship management, reasonable and acceptable price of the services, staff education, and continuous quality improvement.

Optimal design of a concave annular array transducer to generate high intensity focused ultrasound (고강도 집속 초음파 발생용 오목한 환상형 배열 트랜스듀서의 최적설계)

  • Choi, Euna;Roh, Yongrae
    • The Journal of the Acoustical Society of Korea
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    • v.35 no.6
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    • pp.452-465
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    • 2016
  • In this study, the structure of a concave annular array transducer was optimized to generate high intensity focused ultrasound for medical therapeutic application. The transducer has a phased array structure composed of several concentric channels that have 40 mm as the radius of curvature. We derived theoretical equations to analyze the sound field of the transducer and verified the validity of the equations by comparing the results calculated by the equations with those from finite element analyses. We also checked the possibility of dynamic focusing at around the geometric focal point. Further, the level of a grating lobe occurring at an unwanted position in the transducer sound field was confirmed to be reducible through the relation between the number of channels and the frequency of the transducer. Hence, the structure of the transducer was optimized to place the main lobe within a specific range from the zenith while systematically reducing the level of the maximum sidelobe including the grating lobe. The designed structure showed the performance better than that targeted at all the focal points.