• Title/Summary/Keyword: 의료이용 만족

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Development of Monitor Chamber Prototype and Basic Performance Testing (모니터 전리함 시작품 개발과 기초 성능 평가)

  • Lee, Mujin;Lim, Heuijin;Lee, Manwoo;Yi, Jungyu;Rhee, Dong Joo;Kang, Sang Koo;Jeong, Dong Hyeok
    • Progress in Medical Physics
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    • v.26 no.2
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    • pp.99-105
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    • 2015
  • The monitor chamber is a real time dosimetry device for the measurement and the control of radiation beam intensity of the linac system. The monitor chamber prototype was developed for monitoring and controlling radiation beam from the linac based radiation generator. The thin flexible printed circuit boards were used for electrodes of the two independent plane-parallel ionization chambers to minimize the attenuation of radiation beam. The dosimetric characteristics, saturation and linearity of the measured charge, were experimentally evaluated with the Co-60 gamma rays. The performance of the developed monitor chamber prototype was in an acceptable range and this study shows the possibility of the further development of the chamber with additional functions.

The Effects of Service-Orientation Perceived by Customers(Patients) of Small & Medium-Sized Hospitals on Relationship Commitment and Prosocial Behavior (중소병원 고객(환자)이 지각하는 서비스 지향성이 관계결속과 친사회적 행동에 미치는 영향)

  • Ji, Hee-Jin
    • Journal of Convergence for Information Technology
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    • v.7 no.4
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    • pp.61-67
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    • 2017
  • The objective of this study is to understand the effects of service-orientation perceived by customers(patients) on relationship commitment and prosocial behavior, in order to suggest the direction necessary to establish the management strategies of small & medium-sized hospitals. The elements of service-orientation were composed of customer treatment, service failure recovery, and service standard suitable for the characteristics of small & medium-sized hospitals. In order to verify if the effects of three sub-factors of service-orientation on relationship commitment would cause prosocial behavior, the path analysis through AMOS was conducted. In the results of study, all the sub-factors of service orientation showed significant results, and also the relationship commitment and prosocial behavior showed significant effects. Based on such results, the implications and future research were suggested.

Comparison of Effectiveness on Hospital-based Skill Training in Level 2 Emergency Medical Technician (2급 응급구조사 병원임상실습교육 효과 비교)

  • Kim, Dong-Ok
    • Fire Science and Engineering
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    • v.28 no.5
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    • pp.104-109
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    • 2014
  • This study is analysis of the effectiveness and satisfaction index of hospital-based skill training (HST) in level 2 emergency medical technicians. The purpose of this study is to provide basic data for the effective operation. The survey carried out to 70 level 2 emergency medical technicians who participate in HST from July 29 to August 22 in 2013. From the study, self evaluated operation skills scale were 3.09 before training and 3.80 after training. It showed statistically significant enhancements. satisfaction index were 3.80. appopriate education periods were (1~2) weeks (64.3%). the longer the time had been since their training completion, the higher education satisfaction. The multilateral studies on problems and needs of HST and development of training programs that includes hospital training monitoring are necessary.

The Causal Relationship of Hospital Inpatient's Perceived Quality, Satisfaction, Service Value, and Intention to Revisit (병원입원환자가 인지하는 의료서비스 질, 만족도, 서비스가치, 병원 재이용 의사간의 인과관계분석)

  • Park, Jae-San
    • Korea Journal of Hospital Management
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    • v.7 no.4
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    • pp.123-151
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    • 2002
  • The objective of this study is to analyze the causal relationship of hospital inpatient's perceived quality, overall satisfaction, service value, and future intention to revisit. To carry out this objective, first we analyzed the dimensions of inpatient care service quality using SERVQUAL scale. The SERVQUAL scale is based on the gap theory, that is, the difference of patients' expectations and the actually received medical care service in hospital. On the basis of this theory, we measured the inpatient's perceived service quality and overall patient satisfaction. Data was gathered from a self-administered questionnaire at a 980 bed university hospital in Inchon City. These questionnaire measuring the service quality were distributed to 250 inpatients. The response rate was 66.4%. A total of 166 questionnaires was finally analyzed. To categorize medical service quality, the factor analysis was performed on 42 items. The reliability and validity of these items was evaluated. Finally to test 6 hypotheses, we analyzed the causal relationship of service quality, overall satisfaction, service value, and intention to revisit through the structural equation modeling(SEM). The major results of this study are as follows. First, the dimension of inpatient service quality was categorized into 7 dimensions, that is, personal caring, communication, access, physical environment, facilities and equipment, cleanliness, appropriateness and health status. Second, the reliability and validity of inpatient service quality items was satisfied. Third, as a result of structural equation modeling, the effect of inpatient's perceived service quality on overall satisfaction, service value, and intention to revisit was statistically significant. And total effect on intention to revisit as the core endogenous variable was perceived service quality(1.100), patient satisfaction(0.006), and service value(0.605).

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Use of Single Bedrooms versus Multiple Bedrooms: Selection Factors and Comparison of Patient Satisfaction (1인실과 다인실 입원 병상 이용에 관한 병상 선택 요인과 환자 만족도 분석)

  • Lee, Geun-Chan
    • Korea Journal of Hospital Management
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    • v.26 no.3
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    • pp.68-83
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    • 2021
  • Background: It is widely acknowledged that single bedrooms have many potential advantages compared to multiple bedrooms. However, Korea has a reimbursement system that patients have to pay the additional fee if they will use single bedroom or pay-bed (1-3 bedroom). There is little research on patients' bed selection and relationship between patient satisfaction and bed type in the Korean setting. Methods: Using the 2017 Korea Health Panel (KHP) Survey data, we modified bed type by two dichotomous variables: single bedroom vs. multiple bedroom (2+ bedrooms) and pay-bed (1-3 bedroom) vs. reimbursed bed (4+ bedroom). Multivariate logistic regression is performed to determine the factors affecting the patient's choice of room types. Multivariate regression analysis was conducted to examine how hospital room types are affecting patient satisfaction. Results: Single room and pay-bed (1-3 bedroom) use was influenced by patient age (19- years old), male, a person at work, hospitalizing in a clinic, and birth. After controlling variables of the behavioral model of medical utilization, the association between patient satisfaction and use of single bedroom & pay-bed (1-3 bedroom). Cause of hospitalization, major treatment, and recognition of unnecessary care are statistically significant variables on patient satisfaction. Conclusion: Although the single room is about the standard for newly built hospitals in western countries, it remains unclear that single room or pay-bed (1-3 bedroom) has positive effects on patient's outcomes and satisfaction. In this empirical study, the difference in patient satisfaction by bedroom type was not noticeable. In terms of bed management by hospital staff, securing patient credibility in hospital care is an important task. Patients' perception of whether medical staffs have encouraged unnecessary treatment or tests has a significant impact on patient's satisfaction.

Quality Improvement Priorities for Cosmetic Medical Service Using Kano Model and Potential Customer Satisfaction Improvement Index (Kano 모델 및 잠재적 고객만족 개선 지수를 이용한 미용성형의료서비스 품질 개선 우선순위)

  • Park, Youyoung;Jung, Hunsik
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.42 no.3
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    • pp.176-183
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    • 2019
  • The environmental changes in the Korean cosmetic medical service industry in the $21^{st}$ century are forming intense competition among medical institutions due to the quantitative expansion of its market. For stable growth of the cosmetic medical service industry, continuous quality improvement is necessary based on empirical research on the quality of cosmetic medical services rather than external expansion. The purpose of this study is to classify the quality attributes of cosmetic medical service using Kano model and to derive the degree of satisfaction and dissatisfaction of each quality attributes through Customer Satisfaction Coefficient (CSC). Through this, the study identified strategic priorities and suggested specific step-by-step approaches and quality improvement priorities that can increase customer satisfaction using the Potential Customer Satisfaction Improvement Index (PCSI Index). Based on SERVPERF, this study used measurement tools consisting of five dimensions : tangibles, reliability, responsiveness, assurance, and empathy. In addition, it was used of measurement items reconstructed into positive, negative, and satisfaction questions for Kano model analysis, CSC analysis, and PCSI Index analysis. A total of 300 medical consumers who experienced cosmetic medical services for the past one year in medical institutions such as plastic surgery and dermatology were collected with convenient sampling. As a result, urgent items for improving the quality of service using the PCSI Index, 'Consideration for customer benefits' in empathy category was followed by 'Immediate help' and 'Sincere response' in responsiveness category, and 'Understanding customer needs' in empathy category, respectively. That is, it is required to improve human service quality attributes such as empathy and responsiveness rather than physical service quality attributes. This study contributes practically in that it provides specific and discriminatory approaches to improve customer satisfaction on cosmetic medical service quality and suggests improvement priorities.

Factors Affecting the Self-Esteem of Single Households from Low-Income Families Aged 50-60 years: Structural Equation Model Analysis (50-60대 저소득층 1인 가구의 자존감에 미치는 영향요인 : 구조방정식모형 분석)

  • Yu, Young-Seol;Lee, Doh-Hee;Kim, Seon-Rye
    • Journal of the Korea Convergence Society
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    • v.12 no.8
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    • pp.67-75
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    • 2021
  • This study was conducted to verify the factors affecting self-esteem of the 50-69 aged with low income in single person households. The subjects were 233 single households in the 50-69 aged low income from the 2019 welfare panel data provided by the Ministry of Health and Welfare. The dependent variable was defined as self-esteem, and independent variables were relationship satisfaction and life satisfaction. Data analysis was carried out by using SEM analysis, As a result, relationship satisfaction did not have a direct effect on self-esteem, with a low value (path coefficient =0.24). However, relationship satisfaction positively influenced life satisfaction (path coefficient =0.71), and life satisfaction positively influenced the self-esteem (path coefficient =0.46). Thus life satisfaction between relationship satisfaction and self-esteem had a mediator effect on self-esteem with 0.32 value. Therefore, establishing the strategy which supports poor single person households, policy makers should consider methods improving relationship satisfaction and life satisfaction.

Analysis of Factors Affecting Medication Adherence to Improve Life Care in Patients with Hypertension (고혈압 환자의 라이프케어 증진을 위한 약물 순응도 영향요인 분석)

  • Gil, Eun-Ha
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.2
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    • pp.213-224
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    • 2020
  • Purpose: This study is a descriptive and secondary analytical study that uses panel data to identify the factors of medication adherence to improve life care of hypertensive patients. Methods: The subjects of this study were 2,484 patients who were taking medication after hypertension using Korea Medical Panel 2015 data (β-version 1.0). Data analysis was performed using Chi-Square, Scheffe's test, and logistic regression using SPSS/win 22.0. Results: The level of medication adherence in patients with hypertension was 94.2%. The factors of medication adherence were gender and age in Model I of demographic factors, and the presence of disability, smoking, and drinking in Model II. Model III, which added drug use factors, was identified as drinking, drug duration, side effects, drug satisfaction, and payment of drug costs. Conclusion: In order to improve life care for hypertension patients, education and interventions on the importance of take medication and side effects of medications and how to take them will be needed in the early stages of diagnosis.

Development of a Smartphone-based Total Bilirubin Measuring System for Screening of Jaundice (황달 선별검사를 위한 스마트폰 기반의 총빌리루빈 측정시스템의 개발)

  • Kim, Won-Jung;Song, Eunji;Rhee, Joowon
    • Journal of Appropriate Technology
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    • v.7 no.2
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    • pp.206-210
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    • 2021
  • Hyperbilirubinemia is the most common neonatal disease and is observed in about 80% of newborns worldwide in neonatal period within a week after birth. Untreated infant hyperbilirubinemia may lead to brain damage and even death, so it is very important to diagnose it quickly and accurately. In this study, a total bilirubin measurement system was developed that is portable and easy to use without pre-processing using a commercial smartphone. This system measures using the LED and camera of the smartphone without the need for additional devices, and because a small amount of blood is injected without pre-treatment, anyone can easily measure it in the field. In a comparative study with Cobas c111 results, accuracy meets CLIA guidelines with 94% (17/18) within ±0.4 mg/dL below 3 mg/dL and 98% within ±20% above 3 mg/dL (276/282). This system offers a simple, fast and accurate diagnosis for jaundice in infants and young children in low-resource settings.

A Review of Recent Digital Technology-Based Language Rehabilitation For Aphasia: Focusing on VR, AR, and Mobile Application (실어증 환자 대상 디지털 기술 기반 언어재활에 관한 최근 문헌 고찰: VR, AR, 모바일 애플리케이션을 중심으로)

  • Chung, Chae Youn;Hong, You Jeong;Kong, Seong Hyeon;Choi, You Jin;Lee, Kyogu
    • The Journal of the Korea Contents Association
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    • v.22 no.9
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    • pp.46-63
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    • 2022
  • With the rapid development of digital technology and the growing trend to integrate it into the medical field, recent studies suggest language rehabilitation for people with aphasia using virtual reality (VR), augmented reality (AR) and mobile applications. This study conducted a scoping review to summarize the features of digital technology-based language rehabilitation for aphasia in the last four years (2018-2021) and draw implications for future research. A total of 20 papers met the selection criteria among the documents retrieved from the Web of Science, CINAHL, and RISS. This review demonstrates that digital technology could offer unique treatment content by gamification, individualization, and creating a realistic communication environment, and by utilizing them in various ways. Therefore, we expect digital technology-based language rehabilitation for aphasia could supplement the limitations of conventional language rehabilitation and provide a novel perspective on development of treatment content.