• 한국병원경영학회지
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• 제6권3호
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• pp.5-24
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• 2001

The purpose of this study was to serve as a basis for providing quality medical service and mapping out consumer-centered marketing strategies to successfully cope with the rapidly changing medical environment and meet consumer needs, by examining what affected the satisfaction and revisit of health Promotion center Client. The subjects in this study were 186 of visitor to health Promotion center in a university hospital in the city of Busan. A survey was conducted with structured questionnaire from March 2 to 30, 2001. The collected data were analyzed with SPSS for Windows (ver10.0). For more statistical analysis, frequency analysis, component analysis, t-test, ANOVA and correlation analysis procedures were utilized. Results of the study can be summarized as follows: 1. Regarding demographic characteristics, 51.6% of the Client investigated were male, and 48.4% were female. The greatest number of them were in their 40s(38.9%). 86.5% were married, and 34.2% were self-employed. 44% were a high-school graduate, and the monthly mean income of 59.4% was one to three million Won. And, the residential area of 46.8%, the largest percentage, was a half-an-hour distance from health Promotion center. 2. The most common motivation of their selection of the health Promotion center was a recommendation by Staff and neighborhood(59.7%), followed by excellent facilities and services(17.2%), the tradition and reputation of the hospital(7.5%), and its publicity pamphlets(7.5%). 3. 45.9%, the largest percentage, acquired health-related information from their friends or acquaintances. 43.8%, the greatest percentage, visited there because they felt there's something wrong with their body. 53.4% worried about the possibility of being attacked by cancer, and 57.5% wanted to take a precise cancer examination. For health maintenance, 50.1% got regular exercise. Regular exercise was considered most crucial for health maintenance or promotion. 4. The largest reason they used that examination center again was the kindness of employees(52.7%), followed by the tradition and reputation of the hospital(21%) and excellent examination setting and equipment(10.8%). 5. By demographic factor, there was no significant difference between the man and women in satisfaction level with examination and expenses. The women expressed more satisfaction at facilities, and the high-school graduate group were more contented with expenses. 6. As a result of investigating their satisfaction level according to the motivation of selecting that examination center, the group that chose the center due to excellent facilities and services were more satisfied with examination and expenses. 7. As for the relationship of total examination satisfaction to revisit. intention, there was a higher correlational relationship between total health examination satisfaction and expense satisfaction. Especially, the more they were satisfied with examination, the more they were willing to revisit there for another examination.

• 한국병원경영학회지
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• 제16권3호
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• pp.115-132
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• 2011

Prior research in medical service field have mainly focused on service quality, satisfaction, and choice attributes of hospital. However, a little research has been done on "Which service quality attributes are more preferred by customer motivation(customer regulatory focus)". This study examines how regulatory focus affects the structural impact relationships of service quality and emotion(quiescence) on perceived value in medical service context. Especially, this research draws the moderating effects of regulatory focus between medical service quality, emotion, and perceived value. The Results were summarized as follows: The relative impacts of medical service quality on customer emotion are different depending upon the regulatory focus. Hospital reputation is shown to be more important factors in prevention-oriented customer, while physical environment is the case in promotion-oriented customer. The relative impacts of medical service quality and emotion on perceived value are different depending upon the regulatory focus. Hospital reputation, convenience, and accessibility are shown to be more important factors in promotion-oriented customer, while physical environment is more important in prevention-oriented customer. Also, emotion has a positive influence on perceived value in prevention-oriented customer, whereas the effect of emotion is not significant in promotion-oriented customer.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제22권4호
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• pp.413-415
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• 2019

• 대한한의학회지
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• 제19권2호
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• pp.468-484
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• 1998

The purpose of this study was to explore the development of oriental health promotion project in korea. The study was performed from June 10, 1998 though June 30, 1998 by using questionnaires and the subjects were 208 in Taegu and Kyung-san city. The analysis methods were frequency, percentage, $x^2-test$ and ANOVA. The SAS/pc Program was used for the statistic analysis. The major findings are as followings; 1. The self-confidence of health was higher among male(2.59) than female(2.94). On the whole, the subjects studied have good health. Activity of daily life was medium. 2. As the subjects grow old, satisfaction level on health counselling with oriental doctors was high. Hospital and clinic covered 60-80% of the health assessment institutes and oriental hospital & clinic covered 10-18% of them. 3. As the subjects grow old was high the level of health promotion practice. On the whole, the level of health promotion practice was low. The physical exercise was highest covering 40% in the types of health promotion. 4. On the whole, the demand of oriental health promotion program was considerably high (male 2.06, female 2.49). The reason why the health promotion programs were necessary was necessary was the effectiveness of health promotion and the difficulty of self-practice. In the effectiveness of health promotion programs, the subjects were higher in oriental medicine than medicine. 5. In the validity level of physical constitution in the oriental medicine. the subject were high(3.48-3.80). But the necessity of the physical constitution change was medium.

• 한국산학기술학회논문지
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• 제11권6호
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• pp.2185-2189
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• 2010

본 연구는 병원 직원들의 건강증진 실천과 관련된 요인들을 규명하기 위해 시도하였다. 자료는 2010년 1월 11일부터 2월 11일까지 서울에 소재한 2개의 종합병원에 근무하고 있는 병원 직원 204명을 대상으로 설문조사를 실시하였다. 연구결과 첫째, 건강증진의 실천정도에 따른 자기효능감은 스트레스정도가 낮은 그룹 3.71점에서의 자기효능감이 높은 그룹 2.64점보다 유의하게 높게 나타났다(F=3.802, p=0.026). 둘째, 건강증진 실천에 따른 사회적 지지는 운동을 하는 그룹에서 인지하는 사회적 지지의 정도가 운동을 하지 않는 그룹에서의 사회적 지지보다 유의하게 높았다(F=3.496, p=0.048). 셋째, 자기효능감과 사회적 지지는 유의한 양의 상관관계를 보였다(r=0.591, p<0.001). 결론적으로 병원 직원들의 건강증진실천 향상을 위한 적극적인 자가관리 프로그램 개발 및 적용이 필요하다.

• Nutrition Research and Practice
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• 제8권1호
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• pp.103-111
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• 2014

This study aims to determine the effect of a trained dedicated dietitian on clinical outcomes among Lebanese hemodialysis (HD) patients: and thus demonstrate a viable developing country model. This paper describes the study protocol and baseline data. The study was a multicenter randomized controlled trial with parallel-group design involving 12 HD units: assigned to cluster A (n = 6) or B (n = 6). A total of 570 patients met the inclusion criteria. Patients in cluster A were randomly assigned as per dialysis shift to the following: Dedicated Dietitian (DD) (n = 133) and Existing Practice (EP) (n = 138) protocols. Cluster B patients (n = 299) received Trained Hospital Dietitian (THD) protocol. Dietitians of the DD and THD groups were trained by the research team on Kidney Disease Outcomes Quality Initiative nutrition guidelines. DD protocol included: individualized nutrition education for 2 hours/month/HD patient for 6 months focusing on renal osteodystrophy and using the Trans-theoretical theory for behavioral change. EP protocol included nutrition education given to patients by hospital dietitians who were blinded to the study. The THD protocol included nutrition education to patients given by hospital dietitian as per the training received but within hospital responsibilities, with no set educational protocol or tools. Baseline data revealed that 40% of patients were hyperphosphatemics (> 5.5 mg/dl) with low dietary adherence and knowledge of dietary P restriction in addition to inadequate daily protein intake ($58.86%{\pm}33.87%$ of needs) yet adequate dietary P intake ($795.52{\pm}366.94$ mg/day). Quality of life (QOL) ranged from 48-75% of full health. Baseline differences between the 3 groups revealed significant differences in serum P, malnutrition status, adherence to diet and P chelators and in 2 factors of the QOL: physical and social functioning. The data show room for improvement in the nutritional status of the patients. The NEMO trial may be able to demonstrate a better nutritional management of HD patients.

• 임상간호연구
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• 제19권1호
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• pp.152-167
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• 2013

Purpose: The purpose of this study was to develop a website-based patient safety culture promotion program that could be implemented by nurses in real work scenarios. Methods: This study was a methodological study. A patient safety culture promotion program, called 'Safe Culture, Save Patients' was developed, based on structuration theory and performance engineering approaches. Results: This program was delivered in the form of a website containing contents about changes in the work environment, information about accidents and the improvement process details, as well as a program for motivation. The program was tested about the validity on contents and usability - a panel of 14 experts confirmed its validity using the contents validity index (CVI), with a resulting S-CVI of .980. Usability was evaluated by 11 nurses, which allowed finalize the program. Conclusion: The 'Safe Culture, Save Patients' program was a valid program that could be applied in clinical practice immediately. The results of this study warrant further studies to evaluate the effects of this patient safety culture promotion program.

• 생물정신의학
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• 제22권1호
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• pp.1-6
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• 2015

Suicide, the fourth leading cause of death in Korea, is a serious national problem. The Korea National Suicide Survey (KNSS) is the result of the first legislation to address this issue, "Article 11 of THE ACT FOR THE PREVENTION OF SUICIDE AND THE CREATION OF A CULTURE OF RESPECT FOR LIFE" (the "Act for the Prevention of Suicide"). To overcome the limitations of previous studies, the KNSS was designed by collaborators from a variety of fields : psychology, epidemiology, social welfare, and psychiatry. The KNSS was composed of four substudies that addressed the multifaceted process involved in suicide-related behavior over time, exploring general attitudes toward suicide and suicidal ideation, suicide planning, suicide attempts, and completed suicides. Study 1 examined the risk factors for suicide based on data regarding completed suicides ; Study 2 adopted the approach of a psychological autopsy ; Study 3 focused on suicide attempters ; and Study 4 explored attitudes toward suicide in the general population. The KNSS was designed to provide a comprehensive understanding of suicide from a longitudinal, multifaceted perspective to serve as a basis for policies aimed at suicide prevention.

• 한국콘텐츠학회논문지
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• 제15권6호
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• pp.314-325
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• 2015

본 연구의 목적은 간호사의 대사증후군 위험 요인과 건강 증진 행위와의 관계를 알아보고자 하였다. 자료는 경기도에 있는 일 종합병원의 450명 간호사들이 구조화된 설문지를 이용하였다. 자료수집 기간은 2014년 10 월 6 일부터 10 월 31일까지였으며 분석은 SPSS/WIN 21.0 통계검증을 하였다. 병원에 근무하는 간호사의 대사증후군 유병률은 8.0%이었으며 건강증진행위 점수는 평균2.53점(범위 1.22~3.44)이었다. 대사증후군의 유병률이 높은 위험그룹은 나이가 26세~30세, 중환자실근무간호사, 음주를 주 1~2회하는 그룹이었다. 병원관리자는 대사증후군 유병률의 위험 개선과 예방을 위한 간호사들의 직업환경, 특히 대사증후군 유병률이 높은 위험군으로 분류된 그룹의 간호사들에게 집중관리가 이루어져야할 것으로 사료된다.

• 한국병원경영학회지
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• 제15권2호
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• pp.44-60
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• 2010

This research, which is designed to introduce the concept of the WHO's health promoting hospital project to Korea, was conducted in a total of 34 local hospitals across the nation. To evaluate the level of health promotion at hospitals, an evaluation index for health promoting hospital environments was made using the Analytic Hierarchy Process Decision-Making Method, from which a total of 20 questions were developed in the five areas of no-smoking, moderation in drink, exercise, nutrition and rest in Korea. Through this analysis, it was found that local hospitals across the nation were on average excellent in terms of their no-smoking environments, but poor in their rest and moderation in drink environments. A comparison of local public hospital environments by region showed that Busan, Daegu, and South Gyeongsang Province were good, while South Chungcheng Province, Jeju Province and Gwangwon Province were poor. In terms of the number of beds, mid-size local hospitals (200-299 beds) came first. This research revealed that local hospitals across the nation had different health promotion environments according to area and size, and in particular, their environments for rest and moderation in drink turned out to be lacking, which vividly showed that these areas desperately needed to be supplemented in order to introduce the concept of health promotion at hospitals in Korea.