• Title/Summary/Keyword: 환자 중심

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Effect of Doctor's Patient-centered communication on the Patient Satisfaction and Treatment Outcomes : focusing on mediating Patient Participation (의사의 환자중심 커뮤니케이션이 환자만족과 치료성과에 미치는 영향)

  • Lee, Jong-Hak;Kim, Chan-Jung
    • Proceedings of the Korea Contents Association Conference
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    • 2013.05a
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    • pp.121-122
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    • 2013
  • 본 연구는의사의 환자중심 커뮤니케이션이 환자만족과 치료성과에 미치는 영향을 종합병원을 진료한 339명의 환자를 대상으로 실증하였다. 연구결과 의사의 환자중심 커뮤니케이션은 환자만족과 치료성과에 유의한 영향을 미치는 것으로 나타났다. 이는 환자를 만족시키고 치료성과를 높이기 위해서는 환자 중심적인 의사소통을 해야 한다. 둘째 환자만족과 치료성과를 높이기 위해서는 진료과정에 환자를 참여시켜야 한다. 의사의 진료과정에 환자중심의 커뮤니케이션도 중요하지만 진료과정에 환자를 참여시켜야 환자만족과 치료성과를 더 높일 수 있다.

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Effect of Doctors' Patient-centered Communication on the Patient Satisfaction and Treatment Outcomes : Focusing on Mediating Effect of Patient Participation (의사의 환자중심 커뮤니케이션이 환자만족과 치료성과에 미치는 영향 : 환자참여의 매개효과를 중심으로)

  • Lee, Jong-Hak;Kim, Chan-Jung
    • The Journal of the Korea Contents Association
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    • v.13 no.11
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    • pp.249-260
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    • 2013
  • The main purpose of this study is to examine the effect of doctors' patient-centered communication on patient satisfaction and treatment outcomes, and the mediating effect of patient participation between doctors' patient-centered communication and patient satisfaction, between doctors' patient-centered communication and treatment outcomes. For the purpose of this study's goal, the 339 samples for this empirical study were collected from general hospital outpatient in C. The results of this study are as follows, First, except prohibition factor there are positive effect careful listening factor, consideration factor on patient satisfaction and treatment outcomes. Second, there are positive effects of careful listening factor, consideration factor on emotional factor and informational factor, but there are no significant effect of prohibition factor on three factors of patient. Third, There are partial mediating effects of patient participation between doctors' patient-centered communication and patient satisfaction, between doctors' patient-centered communication and treatment outcomes. Last, based on the results of this study, we suggested implications for heighten the alternatives of patient satisfaction and treatment outcomes.

Effectiveness of Patient and Family-Centered Care interventions: A Systematic Review (환자-가족중심 의료서비스의 융합적 성과: 체계적 문헌고찰)

  • Yoo, Ji-Yeon;Ahn, Sung-Hee
    • Journal of the Korea Convergence Society
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    • v.10 no.6
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    • pp.365-379
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    • 2019
  • This review aimed to analyze characteristics and performances of patient and family-centered care interventions and evaluate the convergence effectiveness. Randomized controlled trials were searched, selected, data extracted and quality-assessed using the Risk of Bias in 15 databases. Characteristics suggested from 21 studies were provision of information, education, communication and family and friend participation. There were 89 measurement variables of performances. Patient outcome was measured by mortality, length of hospitalization, etc., indicated as significantly improved in 18 studies. This review has provided evidence that patient and family-centered care improved experience and performance of diverse patients, families and health-care providers. There is need to convergence adopt patient and family-centered care and conduct evidence-based studies for improvement of quality of healthcare and patient safety in the future.

Effect of Patient-centered Communication of Doctor on Patient Participation : Focusing on Moderating Effect of Trust (의사의 환자중심 커뮤니케이션이 환자참여에 미치는 영향 : 신뢰의 조절효과를 중심으로)

  • Lee, Jong-Hak;Kim, Chan-Jung
    • The Journal of the Korea Contents Association
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    • v.13 no.3
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    • pp.278-286
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    • 2013
  • The main purpose of this study is to examine the effect of patient-centered communication of doctor(facilitating factor, inhibition factor) on patient participation(behavioral participation, emotional participation, informational participation). Concretely, it is confirmed where there are effects of patient-centered communication of doctor to patient participation and whether there are moderating effects of trust between patient-centered communication of doctor and patient participation. In domestic general hospital, 301 samples were for this analysis collected and tested by factor analysis and moderating regression analysis. As a result of this study is as followings. First, it is confirmed that communication facilitating factor have influences on patient participation positively and communication inhibition factor have no influences on patient participation. Second, there are moderating effects of trust between facilitating factor and emotional participation, between facilitating factor and informational participation. Especially, in higher level group of trust, it is confirmed that facilitating factor more influence on emotional participation and informational participation. On the basis of these study results, I suggested theoretical and practical implication for the patient-centered communication and successful medical service.

Evaluation of image in the center line of digital radiography (DR환경에 따른 일반촬영 검사의 시스템 변화에 관한 연구)

  • Jeung, Sung-Woon;Lim, Chung-Hwan
    • Proceedings of the Korea Contents Association Conference
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    • 2014.11a
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    • pp.207-208
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    • 2014
  • 본 연구는 Film System의 경우 카세트를 사용하여 환자검사부위와 tube 중심선속, 카세트의 중심이 맞았지만 디텍터의 경우 $17^{{\prime}{\prime}}{\times}17^{{\prime}{\prime}}$ 고정형으로써 디텍터의 중심과 tube의 중심선속, 환자의 검사부위가 맞지 않은체로 검사가 이루어지는 경우가 있어, 디지털 방사선장비에서 중심선속에 따른 화질의 변화를 파악하여 Tube의 중심선속과 환자와의 중심선속 일치에 따른 중요성을 제시하고자 한다.

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Changes in patient-centered medical services: focused on improvements on communication between doctors and patients (환자 중심의 의료서비스 변화: 의사와 환자의 커뮤니케이션 개선을 중심으로)

  • Kim, Yong
    • Journal of Science and Technology Studies
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    • v.13 no.2
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    • pp.71-110
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    • 2013
  • As a patient has recently been recognized as not a passive object but a subject of medical services, various attempts are being made to strengthen the status of a patient. Medical communication which has been led by a doctor so far is being made with a focus on a patient due to sovereignty of a consumer and activation of medical information. The purpose of this paper is to investigate the process to strengthen the status of a patient as a consumer of health care service through a patient association and consumer movement as medical information becomes public. As the patient centered medical service is creating a variety of health care service market using IT technologies, it has contributed to the improvement on asymmetry of medical information. As the expansion of IT fusion health care market is bringing the fundamental change into the traditional relationship between a doctor and a patient, the medical service market is being re-organized. A patient centered medical service such as expansion of mobile health care model led by a patient is being accelerated.

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Awareness of Patient-Centeredness and Transitional Care Services for Older Patients Among Primary Care Physicians in Korea (일차진료 의사들의 환자중심성 및 노인환자 대상 전환기 돌봄서비스 인식)

  • Dronina, Yuliya;Kim, Su Kyoung;Jo, Heui Sug
    • Journal of agricultural medicine and community health
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    • v.47 no.3
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    • pp.143-153
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    • 2022
  • 목적: 병원에서 재가 및 시설로 퇴원한 환자가 지역사회에서 건강을 유지하기 위해서는 전환기 돌봄서비스(Transitional care services)가 필요하다. 이를 위해 지역사회 내 의료서비스와 자원을 연계하는 주치의의 역할이 중요시된다. 본 연구에서는 선행연구를 바탕으로 일차진료 의사들의 환자중심성에 대한 인식을 파악하여 환자중심 기반의 서비스 제공을 위해 필요한 정책을 제시하였다. 또한 Transitional Care Service에 대한 일차진료 의사들의 인식을 확인하고 인구사회학적 요인과의 관계를 확인함으로써 서비스 우선순위를 도출하고자 하였다. 방법: 본 연구는 전국의 가정의학과, 내과, 신경과 등 노인 질환과 관련 있는 과의 전문의 자격증이 있으며 자발적으로 온라인 설문조사에 참여할 의사를 표현한 일차진료 의사 259명을 대상으로 수행되었다. 환자중심성 및 전환기 돌봄서비스에 대한 인식을 살펴보기 위해 구조화된 설문지를 개발하였으며, 조사전문업체를 통해 2019년 10월 28일부터 2019년 11월 22일까지 온라인으로 설문조사를 수행하였다. 결과: 본 연구에 대한 주요 결과는 다음과 같다. 첫째, 일차진료 의사들을 대상으로 9가지 전환기 돌봄서비스 인식에 대해 살펴본 결과 "입원 시 진단, 건강상태, 치료계획 및 결과 에 대한 설명(4.4)"과 "퇴원 후 자가 건강관리를 위한 정보 및 훈련 (4.2)"에 대한 필요성이 높게 나타났다. 둘째, 35세 이상 일차진료 의사가 34세 이하 일차진료 의사보다 전환기 돌봄서비스에 대한 인식이 높게 나타났다(F=7.3, p<0.01). 또한, 환자중심성에 대한 인식이 높을수록, 연령이 높을수록, 서울 외 지역에서 근무할수록 전환기 돌봄서비스에 대한 인식이 높게 나타났다. 결론: 본 연구에서는 일차의료를 제공하는 의료진들을 위한 교육프로그램과 지역사회에서 일차의료 의사들을 중심으로 하는 지역 연계 방안을 제시하였다는 점에서 의의가 있다.

Overview and Prospects of Patient Centered-Smart Hospitals (환자중심 스마트병원의 개요와 전망)

  • Park, Hyunyoung;Cho, Yong Jin
    • Journal of Digital Convergence
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    • v.19 no.7
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    • pp.419-426
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    • 2021
  • With the development of the information and communication technology, the smart hospital has become a new trend in a healthcare industry. This study reviewed the concept, key technologies, applications, and future challenges of a smart hospital, and the user-centered strategies for designing a smart hospital. In smart hospitals, digitally enabled clinical staff will be able to produce better patient outcomes by delivering a more integrated patient-centered care with an efficient manner in connected facilities systems. However, to promote a successful patient-centered smart hospital environment in the future, various obstacles regarding cost, technology, security, and standards should be overcome. It is also necessary for patients and medical personnel to be involved as service users.

Development and Evaluation of the Web-based Evidence-based Practice Guideline for the Operation Patients (수술환자를 위한 웹 기반 근거중심 실무 가이드라인의 개발 및 평가)

  • Hong, Sung-Jung;Chang, Jae-Sik;Jeon, Young-Hoon;Lee, Eun-Joo;Kim, Hwa-Sun
    • Journal of Internet Computing and Services
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    • v.12 no.1
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    • pp.131-139
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    • 2011
  • The purpose of this research is to evaluate patient's satisfaction and clinician' knowledge level about pain, nausea, vomiting, and temperature management of patients after operation by develop an web-based evidence-based practice guideline about pain, nausea, vomiting, and temperature control after operation in order to apply the guideline operation patients. The collected data was analyzed through real number, average, standard deviation, t-test and repeated ANOVA by using SPSS/WIN 17.0 program. The study subjects showed a significant difference in the level of knowledge about pain, nausea/vomiting, and temperature control after operation and patient's satisfaction, before and after applying the web-based evidence-based practice guideline.

Occlusal Change as a Sequela of Anterior Disc Displacement without Reduction of Temporomandibular Joint: Case Reports (관절원판전위와 갑작스런 교합변화가 발생한 환자의 임상증례 및 원인에 관한 보고)

  • Hur, Yun-Kyung;Jung, Jae-Kwang;Choi, Jae-Kap
    • Journal of Oral Medicine and Pain
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    • v.36 no.2
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    • pp.107-115
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    • 2011
  • We report 4 patients who developed change of occlusion which seemed to be related to anterior disc dislocation without reduction, but there was no distinct evidence of condylar destruction or collapse. They experienced sudden occurrence of occlusal change, anterior open bite in 2 patients, lateral CR-CO discrepancy in 1 patient, and anteroposterior CR-CO discrepancy in 1 patient. Also, this report is to find out if there is a relation between sudden occurrence of occlusal change and anterior disc dislocation without reduction.