• Title/Summary/Keyword: 의료 서비스의 질

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A Study of the Effects upon Satisfaction, Intention to Revisit and Perceived Value by Cerebrovascular Disease Patients through the Quality of Medical Services (뇌혈관질환 환자가 인지하는 의료서비스 질이 지각하는 가치, 만족도 및 재이용 의도에 미치는 영향)

  • Ji, Kyung-Ja;Park, Chun-Man
    • The Korean Journal of Health Service Management
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    • v.7 no.2
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    • pp.53-67
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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, admission procedure, hospital image, service quality of physicians that patients perceived. For inpatients, hospital image and service quality of medical technicians have an effect on perceived value. Service quality of physicians has an effect on the patient satisfaction. For outpatients, hospital image and service quality of physicians and medical technicians have an effect on perceived value. Outdoor environment, hospital image, service quality of physicians and medical technicians, and perceived value have an effect on patient satisfaction. Perceived value and 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 specialty hospitals.

The Influencing Factors on Community Health Center Recognition and Function (보건소 업무인식도와 기능의 영향 요인)

  • Kim, Kwang-Hwan;Kim, Jee-Hee
    • Proceedings of the KAIS Fall Conference
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    • 2012.05a
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    • pp.19-21
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    • 2012
  • 세계적인 추세와 더불어 국내의 경제성장 및 민주화, 인구의 고령화, 상병구조의 변화, 지방자치시대의 개막 등으로 주민의 욕구가 다양해졌다. 따라서 중앙에서 획일적이고 하향식 대처방식은 주민의 욕구를 충족시킬 수 없다, 지방의 역할이 중시되고 지역단위별로 주민의 욕구를 파악하여 보건소의 기능을 강화할 필요성이 증대되고 있다. 이에 본 연구는 지역주민의 건강요구에 부응하는 지역 건강증진사업의 체계를 개발하여 보건소 서비스 질을 향상시키고 지역실정에 맞는 종합적인 보건의료 서비스를 제공함으로 주민의 건강 증진을 도모하고자 하였다.

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An Association Rule Mining Approach to Extract Clinical Pathways from EMR (전자의무기록으로부터 진료경로 추출을 위한 연관규칙마이닝 접근 방법)

  • Bae, In-Ho;Kim, Jin-Sang;Choe, Sang-Yeol;Kim, Yoon-Nyun
    • Proceedings of the Korea Information Processing Society Conference
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    • 2005.05a
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    • pp.577-580
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    • 2005
  • 본 논문에서는 임상의들의 진료데이터를 토대로 진료경로를 동적으로 생성하는 방법을 기술한다. 각 진료단계에서 추출된 규칙들을 토대로 진료경로를 생성하는데, 이를 위해 전자의무기록으로 구성된 임상 데이터를 기반으로 연관규칙마이닝을 이용하여 진료단계별 규칙을 추출하였다. 신뢰성 있는 진료경로의 추출이 이루어지면 의료 서비스의 질을 높이고, 병원 경영의 효율성 증대에 도움을 줄 수 있다.

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Quality of Life of Older Cancer Patients in Comparison with Older Chronic Disease Patients and Middle-Aged Cancer Patients (노인 암환자를 중심으로 노인 만성질환자 및 중년 암환자 간의 삶의 질과 그 영향 요인 비교)

  • Lim, Yeonok;Kim, Yojin;Yoon, Hyunsook
    • Korean Journal of Social Welfare
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    • v.65 no.4
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    • pp.367-393
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    • 2013
  • Quality of life(QoL) of older cancer patients have not gained enough attention from researchers even when cancer is the number one cause of death of Korean elderly. Therefore, this study aims at understanding the QoL of older cancer patients and factors related to it, applying Taylor(2012)'s Stress-Coping Process model, and by comparing with older chronic disease patients and middle-aged cancer patients. Results indicated that physical health QoL of older cancer patients was the worst and their mental health QoL was similar with middle aged cancer patients. Multi-group analysis of Structural Equation Modeling indicated that the relation between QoL and the stress coping resources was not statistically different from older cancer patients and older chronic disease group, as well older cancer patients and middle-aged cancer patients. Implications of results to improve the QoL of older cancer patients are discussed.

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A Study on the Development of Satisfaction Index in the Medical Tourism of Foreign Tourist (외국인관광객의 의료관광 만족지표와 척도개발 연구)

  • Kim, Sa-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.4
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    • pp.1663-1674
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    • 2013
  • The purpose of this study was a methodological research to develop an instrument to assess the medical tourism satisfaction of foreign tourist. A primary instrument with 63 questions was developed based on literature review. A group of experts revised individual questions and removed 9 irrelevant questions. This secondary instrument, then, was distriuted from Jury 1, 2012 to October 20, 2012. It was tested with 589 members of foreign tourist. After factor analysis on the final 42 questions, 7 factors were identified; quality of medical service, correspondance, tourism connection, sympathy, convenience, believability, and economical efficiency. The total variance explained was 60.9%. This instrument was statistically reliable and valid to measure medical tourism satisfaction of foreign tourist.

Ontology Knowledge-Driven Context-awere U-Healthcare Service Application Service Framework using Secure Health Information Exchange (보안 헬스 정보 교환을 이용한 온톨로지 지식기반 상황인식 U-헬스케어 어플리케이션 서비스 프레임워크 설계)

  • Kim, Donghyun;Kim, Seoksoo;Choi, E-Jung
    • Convergence Security Journal
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    • v.14 no.7
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    • pp.75-84
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    • 2014
  • The advancement in ubiquitous healthcare specifically in preventive healthcare can lead to longer life expectancy especially for the elderly patients. To aid in preventing premature loss of lives as well as lengthening life span, this research aims to implement the use of mobile and wireless sensor technology to improve the quality of life and lengthen life expectancy. The threats to privacy and security have received increasing attention as ubiquitous healthcare applications over the Internet become more prevalent, mobile and universal. Therefore, we propose Context-aware Service of U-Healthcare Application based Knowledge using Ontology in secure health information exchange. This research also applies ontology in secure information exchange to support knowledge base, context modeling, and context reasoning by applying the general application areas for ontologies to the domain of context in ubiquitous computing environments. This paper also demonstrates how knowledge base, context technologies, and mobile web services can help enhance the quality of services in preventive ubiquitous healthcare to elderly patients.

A Convergence Study on the Effect of Chronic Diseases and Quality of Life on Subjective Health Cognition in Single-Household Women Aged 60 or over (60세 이상 1인 가구 여성의 만성질환과 삶의 질이 주관적 건강인지에 미치는 영향에 대한 융합적 연구)

  • Ryu, In-Hwa;Kwon, Su-Jin;Ham, Ji-Soo;Jung, Deuk;Lee, Jongseok
    • Journal of the Korea Convergence Society
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    • v.12 no.9
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    • pp.49-56
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    • 2021
  • The purpose of this study was to provide a convergence suggestion of health care and social welfare services by empirically analyzing the effects of chronic diseases and quality of life on subjective health cognition in single-household women aged 60 or over. This study was based on the 2016-2019 Korea National Health and Nutrition Examination Survey, and 1,111 women who had been divorced or bereaved in single-household aged 60 or over were selected. As a result, it was arthritis that showed the largest average difference in subjective health cognition according to the prevalence of chronic diseases. And in the multiple regression analysis that was controlled for demographic characteristics, chronic disease had a negative (-) effect on subjective health cognition, and quality of life had a positive (+) effect on subjective health cognition. The negative (-) factor that had the greatest effect on subjective health cognition was diabetes(-0.084) among chronic diseases, and the positive (+) factor was mobility(+0.173) among the quality of life. Therefore, it suggests that health care services for chronic diseases should be strengthened in order to improve the subjective health cognition of single-person households over 60 years old, and social welfare policies to improve the quality of life should be considered together in a convergence.

The Analysis of affection on electromagnetic wave for U-healthcare Remote Diagnosis System (최적의 U-헬스케어용 원격진료서비스 시스템에 대한 전자파적합성 분석)

  • Jeoung, Eui-Bung;Lee, You-Yub;Song, Je-Ho
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.11
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    • pp.5442-5446
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    • 2012
  • A u-healthcare remote diagnosis system is proposed for chronic disease and medical vulnerable groups check the health systematically and support for the most optimal environment to improve the quality of life. The u-healthcare remote diagnosis system using wireless measure the thoracic sound in the chest. And this is demonstrated that the system using radio frequency is not be affected by the electromagnetic wave with the use of an experiment and by confirming that this u-healthcare remote diagnosis system can not affect the doctors and the patients.

재가노인복지서비스 발전방안

  • Jeon, Chae-Geun
    • 한국사회복지학회:학술대회논문집
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    • 2002.04a
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    • pp.573-604
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    • 2002
  • 우리나라도 2000년 들어 65세 이상의 노인인구는 7.2%를 넘어서서 본격적으로 고령화사회(aging society)에 들어섰다. "21세기는 고령자의 세기"가 된다고 해도 과언이 아니며, 2019년에는 14%가 넘어 고령사회(aged society)로 진입할 전망이다. 그러나 우리나라는 "고령자의 세기"라고 불릴 만큼 사회구조가 변화하고 있는 시점에서 노인 인구의 0.3%만이 시설에서 보호를 받고 있으며, 나머지 99.7%는 일반가정에서 생활하고 있다. 유교사회의 전통규범에 의해 99.7%의 노인들이 가족에 의해서 그들의 노년을 보내고 있으나, 핵가족화와 산업화에 따라 윤리규범이 깨어지고 있는 탈윤리시대에서, 더 이상 요보호 노인(와상노인, 중풍노인, 치매노인), 장애노인 등의 수발 및 보호는 윤리적 규범이나 가족, 가정에 의해서 충족되기는 점차 어렵게 되어 가고 있으며 극명한 한계를 보이고 있다. 이러한 사회적 상황과 가족부양체계의 변화는, 고령자를 대상으로 하는 각종 복지 시책 개발, 특히 재가노인 복지서비스의 필요성이 제기되고 있으나 우리나라는 아직 미미한 수준에 머물러 있다. 우리나라 재가노인을 위한 정책의 활성화와 서비스의 양적 확대 질적 고도화를 위해서는 첫째, 보편적으로 이용할 수 있도록 대상 범위를 확대해야 한다. 둘째, 의료서비스의 확충과 같은 전문적 서비스의 확대 실시가 요청된다. 셋째, 동일한 서비스내용에 대해서는 전달체계를 일원화할 필요가 있으며, 사업주체별로 역할을 분담하고 담당 인력별로 업무를 분담해서 전문성을 강화해야 한다. 넷째, 재가복지 서비스는 중앙과 지방의 분담에 의한 무료 서비스인 만큼 지원을 획기적으로 개선 나가며, 보편적 이용의 정도가 큰 서비스는 점차 정부지원의 서비스로 확대하되 저소득층에 대하여는 무료서비스를 제공하고 저소득층 이상에 대해서는 소득 수준에 따른 차등적 서비스 요금을 부과하는 것이 바람직하다. 그리고 보다 질 높은 서비스를 원하는 중산층 이상에 대하여는 시장 경제원리에 의한 실버산업이 활성화되어야 하며 일본에서 시행하고 있는 개호보험제의 도입방안도 적극적으로 검토되어야 할 것이다.

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Public welfare services and the needs of the Haenyeo and a comparative analysis (해녀의 공공복지서비스 실태와 욕구 비교 분석)

  • Kim, Sang-Mi;Hwang, Kyung-Soo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.10
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    • pp.4557-4563
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    • 2012
  • The purpose of this study is to suggest the criteria to public welfare service support for improving life quality of the haenyeo (female divers) through analyzing public welfare services and desires of the haenyeo in Jeju, Busan, and Tongyeong. Accordingly, research period was set from May 11 to June 21, 2010. The haenyeo in each region of Jeju, Yeongdo-gu (Busan), Tongyeong-si were selected as subjects. Recording of interviewing methods was used to recognize current status of public welfare. We analyzed by comparing desires of the haenyeo to public welfare services by dividing them economically, medically, educationally, and culturally. As a result of researching public welfare services to the haenyeo in each region, supports for protection of diving, growing area, public welfare service for aged diving haenyeo, and medical service were conducted. Tewak protecting net, Seonjinji visiting, and welfare facilities are supported in Busan-si but there is no support in Tongyeong-si. Therefore, desires of the haenyeo to such public welfare services are as followings: First, the desires of the haenyeo in Jeju to economic supports are indicated as supports for haenyeo experience spot, diving suit, and overseas visiting. To educational supports, it is indicated as supports for identity education, diving disease prevention education, and foreign language education. To cultural supports, it is indicated as supports for installation of welfare hall and exchange visit to foreign haenyeo culture. Second, in Busan, there were desires to establish changing room and fishery sales lot and to support diving suit as for economic supports, desires to support diving disease and medical benefits as for medical supports, desires to education of diving skill as for educational supports, and desires to establish welfare hall and haenyeo museum as for cultural supports. Third, in Tongyeong where public welfare services to the haenyeo are very poor, there were desires to support diving suit and to support changing room as for economic supports, as same as in Busan, desires to support diving disease and medical benefits as for medical supports.