• The Journal of Korean Physical Therapy
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• 제1권1호
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• pp.73-82
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• 1989

The purpose of this study was to contribute to the relatively neglected area of out -patient satisfaction with physical therapy service by measuring and determining the factors affecting patient satisfaction in the Andong region. One hundred and forty-five subjects (81 males and 64 females) at 11 facilities with a mean age of 39.2 years (SD=16.2) responded to the satisfaction questionnaire. Each questionnaire contained a set of demographic questions and 19 patient satisfaction items. Cronbach's alpha test of reliability was used as the measure of internal consistency . The satisfaction scale had a good reliability coefficient : Cronbach's alpha=.8688. The average satisfaction score (minimum score=19, maximum score=95) was 75.4 ranging from 38 to 90. Respondent variables including sex, education, marital status, religion, medical security, average monthly income, and number of physical therapy out-patient department treatment visits were analyzed by t-test, ANOVA, and ANCOVA. Satisfaction with the service was largely unrelated to mallets of sex, education, occupation, or other demographic variables. However, marital status, age, average monthly income, and number of treatment visits in the out-patient department were significantly related to patient satisfaction. The analysis presented here could be replicatied with a larger sample in other areas. Other factors such as physical therapist availability, physical therapist competence, accessibility, waiting time, and atmosphere of the treatment area should be considered in further studies.

• 디지털융복합연구
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• 제12권8호
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• pp.377-387
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• 2014

본 연구는 시뮬레이션을 이용하여 외래프로세스를 개선하여 기관 운영의 효율성을 높이고자 수행되었다. 3가지의 시나리오를 설정하여 시뮬레이션 분석을 수행하였으며 외래환자 전체 체류시간, 대기시간, 이동시간, 진료시간, 직원 활용도 지표를 비교하여 시나리오에 따른 외래프로세스의 효율성을 평가하였다. 병원의 진료자료를 수집하여 통계도구와 프로세스 마이닝 도구를 이용하여 분석하였다. 그리고 시뮬레이션 툴인 PIOS를 이용하여 모형의 타당성은 t-test로 검증하였다. 시뮬레이션 분석 결과, 센터제로 운영하는 경우의 외래프로세스가 가장 효율성이 높은 것으로 나타났다. 이를 볼 때 외래환자에 대해서는 센터제 형태로 운영되는 것이 기관의 효율성을 높이는 방안이라는 것을 확인할 수 있었다. 본 연구를 통하여 시뮬레이션이 최적의 외래프로세스를 선정하는데 활용될 수 있는 방법이라는 것을 확인할 수 있었다. 시뮬레이션을 이용하면 과거 경험, 감정, 직관에 의존하는 기존의 보건의료 관리 기법에 비해 효율적인 의사 결정을 지원하는 방법이라는 것을 알 수 있다. 따라서 본 연구에서 제시한 연구 모델은 보건 의료 시스템 상에 다양한 활용이 가능할 것으로 보인다.

• International Journal of Quality Innovation
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• 제9권3호
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• pp.1-14
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• 2008

Patient satisfaction with the Emergency Department(ED) in a hospital is related to the length of stay, and especially to the amount of waiting time for medical treatments. ED overcrowding decreases quality and efficiency, therefore affecting hospitals' profitability. This paper presents a forecasting and simulation model for resource management of the ED at Moses H. Cone Memorial Hospital. A linear regression forecasting model is proposed to predict the number of ED patient arrivals, and then a simulation model is provided to estimate the length of stay of ED patients, system throughput, and the utilization of resources such as triage nurses, patient beds, registered nurses, and medical doctors. The near future load level of each resource is presented using the proposed models.

• The Journal of Korean Physical Therapy
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• 제15권2호
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• pp.1-11
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• 2003

Patients satisfaction continues to receive attention as a measure of the outcome of physical therapy intervention. This study measures patient satisfaction among physical therapists' patients and clients and to identify factors of patient satisfaction that will affect patients decision. The instrument developed by Goldstein et. al(2000) was used. PAtients' opinions of service in each domain were measured using 5-point Likert-type scales. A 20-item instrument designed to measure the domains of patient satisfaction and 8 additional items were included. Data were collected at 8 hospital in Kwang-ju city Descriptive statistics, reliability, ANOVA, cross-tabs and regression analysis were computed. A total 365 individuals completed the instrument. Waiting time, treatment and cost domain predicted the satisfaction of physical therapy

• 보건행정학회지
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• 제5권2호
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• pp.127-154
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• 1995

The Korean hospital industry is rapidly changing along with the competition among hospitals. Until recently it was easy for hospitals to profit even without efficient management and competitive strategies. However, the increasingly intensive competition endanger their profits but also their survivals. Hospital managers have no choice but to seriously consider competitive management and marketing strategies to remain alive and prosper. This study introduces a useful methodology--perception map drawn using multidimensional scaling--for developing competitive strategies, and illustrates its application to developing a perception map of 9 Seoul-based general hospitals. We also suggest the concepts and examples of positioning strategies and patient satisfaction management system. One of the interesting findings is that the Samsung medical center which opened less than a year ago is ranked first in most aspects such as kindness, facilities, waiting time, and parking, and the second in clinical performance just after the Seoul National University Hospital.

• 대한치과의사협회지
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• 제51권4호
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• pp.204-209
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• 2013

Implant-supported restorations were connected to commercially pure titanium endosteal implants 3 months in mandible and 6 months in maxilla after the implants were inserted into patient jaws. Modifications of titanium implant surfaces have reduced the waiting time for osseointegration, resulting in the development of the early loading concept, which is defined at present as a restoration in contact with the opposing dentition and placed at least 1 week after implant placement, but no later than 2 months afterward. Nowadays, immediate loading protocols have also been introduced, using the implants that are designed to enhance initial stability. Immediate loading eliminates the edentulous period of a patient. Although dentists widely accept these concepts of early and immediate loading, they agree the conventional loading concept is still necessary, which describes loading protocols later than 2 months after implant insertion. The timing of loading is determined mainly by the factors of a patient. This paper considers for what dental clinicians should be careful in implant-supported restoration procedures, considering the implant late failure.

• 산업경영시스템학회지
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• 제32권4호
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• pp.17-24
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• 2009

The purpose of this research is to find the reasons of overcrowding in the emergency department of an hospital, then to shorten the total stay time of patients. The fact that main causes of the overcrowding exist in the process of the emergency department was discovered by analysis of the data. In order to improve these process, simulation model was developed by ARENA 7.0. Staff's service time, staff's organization, process ratio, and patient's waiting time were estimated in the simulation model in consideration of the decision of the patient's course of action. Several scenarios such as the simplification of the process, the setup of dedicated pathology lab, and mixed method were suggested and evaluated. Total stay time of the patients would be reduced up to 28.45%.

• International Journal of Quality Innovation
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• 제10권1호
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• pp.77-87
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• 2009

The main aim of the paper is to provide an empirical analysis on patient satisfaction as an indicator of service quality in Malaysian public hospitals. Self-administered questionnaires were administered to patients by convenience sampling. Two sets of questionnaires were used, one for inpatient and another one set for outpatient. Selection of hospitals was made according to states in Peninsular Malaysia. 23 hospitals covering all state level hospitals, the National Referral Centre and selected district hospitals were chosen as respondent hospitals. Two dimensions of service quality emerged, namely clinical and physical dimension of service. Both outpatient and inpatient were found to be more satisfied with clinical dimension of service than physical dimension. For outpatient satisfaction, there was positive correlation between waiting time and patient satisfaction. Patient satisfaction was also found to be higher in the smaller district hospitals than in the larger state hospitals. For clinical dimension of service, patients were satisfied with the services of doctors and nurses, while for physical dimension of service, patients were satisfied with the cleanliness of the facilities. The ability of the research to be conducted by random sampling was inhibited by the reluctance of patients to cooperate, which led to the use of convenience sampling. Studies have also shown that patients are reluctant to express their feelings on services provided by their caregivers. The study provides primary data for a nationwide study on patient satisfaction in Malaysian public hospitals, for both inpatient and outpatient.

• 대한예방한의학회지
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• 제10권1호
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• pp.109-121
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• 2006

The purpose of this study was to determine factors influencing patient satisfaction with medical services in hospital, which is classified into environmental aspect, human services and procedural services. Based on the results of literature review, the study focused on effects of social-demographical factors on patient satisfaction. The environmental aspect of medical care services included medical equipment and facilities, hygiene, ventilation, heating and air-conditioning, waiting and resting space, ward space and parking facilities. Procedural service included registration process, bill payment, waiting time after registration, examination and prescription as well as appointment process. Human services consisted of physicians listening to stories of patients, examination duration, physicians' explanation and physicians' service. As for nurses, explanation about disease, examination procedure and results, kindness and nursing care were evaluated. Services provided by other staff members were also evaluated. Patient satisfaction, defined as individual attitude toward medical service as a whole, was measured using a questionnaire. A total of 700 in-or out-patients were surveyed in 6 hospitals with more than 300 beds in North Gyeongbuk Province. 1. The level of patient satisfaction varied with characteristics of patients. Male patients and those in their 30s had a low level of satisfaction. Dissatisfaction level was positively related to education level but negatively related to economic condition. 2. As for patient satisfaction with medical service providers and other employees in hospital, satisfaction level with physician's explanation about treatment was higher. But dissatisfaction levels with treatment duration and the lack of explanation about examination procedures were high, calling for improvement. Dissatisfaction level with nursing care was high, calling for training of nurses for better service. Given the low level of satisfaction with human services, hospital employees need to be trained to improve their service. 3. It Was found that administrative service was also a significant factor influencing patient satisfaction in addition to medical service. It is therefore important for hospitals to provide patients with prompt and convenient procedural service. 4. Environmental factors such as medical equipment and amenity facilities also affected patient satisfaction. Thus environmental condition, procedural service and human service are all important to improve medical service in hospital. In summary, procedural service was the most significant factor for patient satisfaction. The level of satisfaction in patients was also affected by human service and environmental condition. It is therefore necessary to take patient-oriented approach in providing medical service in an effort to improve patient satisfaction. The finding of a lower level of satisfaction with human service signifies the need for training of healthcare providers and other hospital employees for better services. The introduction of advanced management programs is also needed to improve procedures that patients go through in hospitals.

• 대한치과의료관리학회지
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• 제10권1호
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• pp.1-8
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• 2022

This study introduces research on the quality of medical services, optimization of medical services, dental medical services, implant medical services, and time schedules, as well as the effective process of dental implant medical services, which is expensive and requires a long treatment period. For improvement, it is suggested to evaluate using a time schedule. In this method, a time schedule is prepared in which each step, starting from the patients appointment until the completion of the treatment process, is allotted a certain time. This schedule was finalized in consultation with the employees. When performing all implant operations, the starting time of each item was checked to evaluate the degree of compliance and to understand any reasons for delay in each step. After identifying the causes for delay at each step, suitable steps to rectify the drawbacks were developed, and an optimal plan for patient management was determined. Changes in waiting time and human resource utilization were shown as concrete data, suggesting that such a schedule is meaningful as a decision-making support tool.