• Title/Summary/Keyword: Follow-up Service

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Factors of the Quality of Dental Care Service Upon Intention to Revisit (치과 의료서비스 질이 재이용의사에 미치는 영향)

  • Park, Young-Dae;Jang, Eun-Jin
    • Journal of Technologic Dentistry
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    • v.33 no.4
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    • pp.441-452
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    • 2011
  • Purpose: Identify the factors that influence following up control and reuse intention of patient who used dental health care institution after dental heath care service and in order to prepare the method which improve the quality of dental health service which dental heath care institution service afford. Methods: Data were collected through random sampling from June 20th to August 20th 2010 (for 60 days). Once we explained the purpose of our survey to people who experienced the dental service within one year, we distributed the questionnaires to someone who volunteered to respond and they answered all questions by themselves based on the actual experience of dental health care organizations. Even if the survey was conducted for 610 people, only 585 properly answered questionnaires were analyzed because responses which had many unanswered questions and had errors in responsive way were excluded. Results: Result of multiple regression analysis, the value of dental clinic service, the following up control after dental treatment, the technique and kindness of dentist, the environment of treatment, type of dental service and the kindness of dental staff is significant main cause to intention of reuse dental clinic. Conclusion: In order to increase the rate of patient reuse, enhance the value of service with following up control after health treatment and the high quality of dental health service.

Complications after Total Ankle Replacement Arthroplasty (족관절 인공관절 치환술 후 발생한 합병증)

  • Lee, Kyung-Tai;Young, Ki-Won;Lee, Young-Koo;Kim, Jin-Su;Park, Shin-Yi;Kim, Do-Yeon
    • Journal of Korean Foot and Ankle Society
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    • v.12 no.2
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    • pp.128-134
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    • 2008
  • Purpose: We evaluated the complications and failures after total ankle arthroplasty during at least 2 years short term follow up. Materials and Methods: There were 45 cases of 42 patients of HINTEGRA$^{{R}}$ (Newdeal SA, Lyon, France) model from November 2004 to August 2006. Follow up averaged at least 2 year. We evaluated the complications and analyzed the cause of the failures. Results: There were totally 15 cases of complication, 5 cases of medial impingement syndrome, 3 cases of varus malposition, 2 cases of delayed healing of wounds, and each one case of deep peroneal nerve problem, medial malleolus fracture, post-operative deep infection, gouty arthritis pain, and Achilles tendinitis. Conclusion: Total ankle arthroplasty had higher complication rate than any other joint arthroplasty, so we need a more meticulous preoperative and peri-operative care.

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A Study on Improvement method of designation criteria for Personal Proofing Service Based on Resident Registration Number (주민등록번호 기반의 온라인 본인확인서비스 기관 지정기준 개선방안 연구)

  • Kim, Jongbae
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.16 no.3
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    • pp.13-23
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    • 2020
  • Currently, online means of replacing resident registration numbers(RRN) include I-Pin, mobile phone, credit card, MyPin, and general-purpose certificate. In order to issue alternative means based on the RRN, it must be designated through the designation review by the Korea Communications Commission(KCC) through a designation review by personal proofing agency and be subject to annual management. However, the criteria for designation and follow-up of the designation of the personal proofing agency carried out by KCC have been used in 2010 without revision, and there are problems that do not conform to the evaluation standards of various alternative means. Therefore, in this paper, we propose a method for improving the designation criteria and management system of the personal proofing service agency. The proposed method analyzes the characteristics of the alternative identification-based personal proofing service and proposes a follow-up management standard that can appropriately evaluate the analyzed characteristics and improves the designation criteria according to the emergence of new alternatives. Through the proposed method, it can be seen that it is possible to strengthen the safety of the personal proofing service based on the alternative means of RRN provided online and face-to-face and to protect the user's personal information.

The clinical success of ART restorations and Hall technique in primary molars: a randomized 18-month follow-up study

  • Esra Oz;Zuhal Kirzioglu;Canan Kale
    • Restorative Dentistry and Endodontics
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    • v.48 no.2
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    • pp.19.1-19.12
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    • 2023
  • Objectives: The aim of the study was to evaluate the clinical and radiographic success of the Hall technique (HT) and atraumatic restorative treatment (ART) restorations using high-viscosity glass-ionomer cement for the management of occlusal carious lesions in primary molars. Materials and Methods: This randomized clinical study observed 40 children (aged 5-6 years). For each child, one tooth was treated with HT and one with ART. The primary outcome measures for HT restorations were successful, minor, and major failure rates. Clinical evaluations of ART restorations were performed according to the modified United States Public Health Service criteria during 18-month follow-up. McNemar test was used for statistical analysis. Results: Thirty of 40 (75%) participants returned for 18 months of follow-up. In the clinical evaluations of teeth that were treated with HT, the patients did not have complaints of pain or other symptoms, all crowns remained in the oral cavity, the gums were healthy, and the teeth were functional in all evaluations. At the end of the 18-month follow-up, the surface texture and marginal integrity criteria of ART restorations were recorded as 26.7% and 33.3%, respectively. In the radiographic evaluation of 30 patients treated with ART and HT, all restorations were considered successful. Conclusions: The 18-month clinical and radiographic results after treatments applied to single-surface cavities in anxious children showed that both treatment methods were successful.

Regenerative procedure using rotary titanium brush for surface decontamination of peri-implantitis: 3 cases with a 2-year follow-up (회전형 타이타늄 브러쉬를 이용한 임플란트 주위염 재생술식: 2년 추적결과 증례 보고)

  • Baek, Min-Woo;Yu, Jeoung-A;Choi, Seong-Ho;Lee, Dong-Woon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.37 no.4
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    • pp.259-267
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    • 2021
  • Peri-implantitis, in which inflammation caused by plaque and biofilm on the implant surface spreads to the hard tissue, can be treated by decontamination of the implant surface and reconstruction of the lost hard tissue through surgical methods. We have described the management of 3 peri-implantitis cases by decontamination of the implant surface using a round titanium brush and regenerative therapy. All cases showed clinical improvements, and no further radiographic bone loss was observed during a 2-year follow-up. This treatment method can be effective for clinical improvement and bone regeneration. However, a longer follow-up period is necessary to support these outcomes.

Does the Use of Asthma-Controller Medication in Accordance with Guidelines Reduce the Incidence of Acute Exacerbations and Healthcare Costs?

  • Lee, Suh-Young;Kim, Kyungjoo;Park, Yong Bum;Yoo, Kwang Ha
    • Tuberculosis and Respiratory Diseases
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    • v.85 no.1
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    • pp.11-17
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    • 2022
  • Background: In asthma, consistent control of chronic airway inflammation is crucial, and the use of asthma-controller medication has been emphasized. Our purpose in this study is to compare the incidence of acute exacerbation and healthcare costs related to the use of asthma-controller medication. Methods: By using data collected by the National Health Insurance Review and Assessment Service, we compared one-year clinical outcomes and medical costs from July 2014 to June 2015 (follow-up period) between two groups of patients with asthma who received different prescriptions for recommended asthma-controller medication (inhaled corticosteroids or leukotriene receptor antagonists) at least once from July 2013 to June 2014 (assessment period). Results: There were 51,757 patients who satisfied our inclusion criteria. Among them, 13,702 patients (26.5%) were prescribed a recommended asthma-controller medication during the assessment period. In patients using a recommended asthma-controller medication, the frequency of acute exacerbations decreased in the follow-up period, from 2.7% to 1.1%. The total medical costs of the controller group decreased during the follow-up period compared to the assessment period, from $3,772,692 to $1,985,475. Only 50.9% of patients in the controller group used healthcare services in the follow-up period, and the use of asthma-controller medication decreased in the follow-up period. Conclusion: Overall, patients using a recommended asthma-controller medication showed decreased acute exacerbation and reduced total healthcare cost by half.

The Effect of Case Management Program for Hypertensive Patient (보건소 등록 고혈압 환자에게 실시한 사례관리 프로그램의 효과)

  • Chung, Jung-Soon;Lee, Sun-Ock
    • The Journal of Korean Academic Society of Nursing Education
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    • v.20 no.2
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    • pp.321-331
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    • 2014
  • Purpose: The purpose of this study was to investigate the effects of case management service for hypertensive elderly patients through the customized visiting home health care program. Method: Non-equivalent control group pretest-posttest design was employed. Data were collected from April 2007 to January 2009. Among a total of fifty subjects, 25 subjects were belonged to the case management group and the others were belonged to the general management group. Results: 1) In experimental group, significant increasing rate of number of people within normal blood pressure by time, but no significant increasing rate of number of people within normal blood neutral fat, total cholesterol, HDL, & LDL. 2) In experimental group, the score of knowledge about disease and healthy life practice were increased on 8 week period but decreased on follow up period. Number of people within normal blood HDL and mean score of healthy life practice were significantly higher than control group on follow up period. Conclusion: Case management service was effective on controlling blood pressure but partly effective on blood lipid, knowledge about disease, and healthy life practice in hypertensive patients. Further study is needed to conduct a periodic re-evaluation of the effect of case management and to verify an optimal interval to provide the case management service.

A study on the improvement of post-certification family friendly consulting service (가족친화 인증후 컨설팅사업의 개선을 위한 기초연구)

  • Lee, Yu Ri;Jeong, Young Keum;Choi, Na Ri;Kang, Bog Jeong;Park, Kyung Eun
    • Journal of Family Resource Management and Policy Review
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    • v.22 no.1
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    • pp.1-21
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    • 2018
  • The aim of this study was to suggest an improvement plan for the post-certification family friendly consulting service based on consulting reports from 2015-2016 and focus group interviews analysis. Focus group interviews were conducted with consultants with the Family Friendly Support Center and managers with family friendly certification companies. The results of this study were as follows. First, objective outcome indicators for the measurement of consulting performance should be created. Second, a checklist managers can use to choose the consulting type based on self-assessments should be developed. Third, a follow-up consulting system should be in place to complement the ABC module. Fourth, a consulting case database should be built to facilitate customized consulting by industry and size.

What kind of specialized services attract patients? (환자유치를 위한 특화서비스에 대한 연구)

  • Lee, Yong-Woong;Jeong, Yeong-Sik;Kim, Yun-Ji;Baek, Eun-Hae;Rhee, Hyun-Sill
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.12
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    • pp.4954-4961
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    • 2010
  • Background: Competition among hospitals has intensified, because hospitals and beds are oversupplying and the global medical market has opened in Korea. Method: we developed questionnaires of the patient's satisfaction about 20 items. We surveyed 297 out-patients and 302 in-patients. We analyzed the descriptive statistics and regression by SPSS(Version 17) and Excel. Results: The relations with the patient's loyalty and the specialized hospital service are 1) Recommend to other person: FHR use and the assistant for follow-up treatment were related positively for out-patient and PHR and FHR use were related positively for out-patient. 2) Revisiting: PHR use and the need of an assistant for follow-up patients were related for them and the PayTV were negatively related. Conclusion: FHR, PHR and assistant system for follow-up patient's condition were very useful factors to increase patient's loyalty.

The Effect of Timing of Primary Surgery on Outcomes of Lumbar Herniated Intervertebral Disc (요추 추간판탈출증 환자의 초기 수술시점이 진료결과에 미치는 영향)

  • Choi, Bo-Ram;Ji, Young-Geon;Shin, Dong-Ah;Om, Young-Jin;Rhie, Dong-Mo;Kang, Hyung-Gon
    • The Korean Journal of Health Service Management
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    • v.8 no.1
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    • pp.151-164
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    • 2014
  • This study was conducted to investigate the effect of timing of surgery on outcomes of spine operated patients for lumbar herniated intervertebral disc. The research design was cohort study and based on the data of claims for the medical expenses of health insurance. 21,475 cases who had primary spine surgery between January 1, and December 31, 2003, observed to conservative treatment period in the past two years from preoperative primary diagnosis to timing of primary surgery. According to one and five year follow up monitoring, the probability of occurrence of reoperation was not statistically significant with preoperative duration of symptom. Also one year follow up, the probability of occurrence of complication, was not statistically significant with preoperative duration of symptom. But five year follow up, groups who had one to two month preoperative duration of symptom decreased complication rate than less than a month(95%CI:0.594-0.927). Thus, from the onset of symptoms of back pain before primary surgery with enough and adequate time observation is required. Also, medical consumers or providers to choose surgery in determining prudence is required.