• Title/Summary/Keyword: Patient consultation

Search Result 261, Processing Time 0.023 seconds

Factor Structure of a Korean-Language Version of the Patient Satisfaction with Procedural Aspects of Physical Therapy Instrument

  • Lee, Hae-Jung;Adams, Roger;Oh, Tae-Young
    • The Journal of Korean Physical Therapy
    • /
    • v.25 no.3
    • /
    • pp.160-166
    • /
    • 2013
  • Purpose: The aim of the study was to survey satisfaction with physical therapy. Methods: After the physical therapy consultation, patients filled in a Korean-language version of the 20-tiem version of the MedRisk Instrument developed for measuring Patient Satisfaction with physical therapy. Items are scored on a five-point Likert scale ranging from strongly disagree to strongly agree. The last two items are general satisfaction and future return to the clinic. Age and gender information was also collected anonymously. Exploratory factor analysis based on principal components analysis with varimax rotation was performed on the first 18 items of the MedRisk Instrument using SPSS v.20. Results: Four factors emerged with eigenvalues greater than 1, and these cumulatively explained 55% of the total variance in item scores. The factors were labelled: Internal, External Positives, External Negatives, and Clinic Presentation. Correlations of the factor scores with the two global items ranged from 0.29 to 0.70 (both p<0.001). Gender differences were only found on the last factor, with male Korean patients rating Clinic Presentation significantly higher than females (p=0.001). Conclusion: Using factor analysis, the proposed factor structure was revealed using the positive and negative components of the external aspects of the physical therapy and by identifying a clinic presentation which contributes to patients' satisfaction. The largest proportion of the variance in Patient Satisfaction was related to clinicians' attention and behaviour. The results of the analysis provide guidelines as to the dimensions of professional physical therapy care and the implications for service delivery and patient experience.

Body-Images and Visualization Technologies in the Field of Plastic Surgery: Making Scientific Objects, Making Scientific Disciplines (성형외과의 몸-이미지와 시각화 기술: 과학적 대상 만들기, 과학적 분과 만들기)

  • Leem, So-Yeon
    • Journal of Science and Technology Studies
    • /
    • v.11 no.1
    • /
    • pp.89-121
    • /
    • 2011
  • The majority of previous researchers on body management practices including plastic surgery has agreed that there is a strong connection between social demands of plastic surgery and public exposures of beautiful body-images, which this research intends to analyze further. This study, on the one hand, discovers how body-images are produced and consumed through clinical practices of plastic surgery, particularly, surgeon-patient consultation processes based on the researcher's participant observation on a plastic surgery clinic in Korea, and shows how visualization technologies are mobilized to reconstruct not only boundaries of patients' bodies but also those of medical disciplines by viewing plastic surgery practices as knowledge production activities, on the other hand. While revealing that surgeon-patient consultation is the process to transform patient's bodies to "scientific" objects and visualization technologies have been made to help plastic surgeons to make their disciplines "scientific" ones, this article also pays attention to complicated effects of new imaging technology beyond a mere means of "scientification" of plastic surgery.

  • PDF

Job Analysis for Role Identification of Clinical Nurses with Expanded Role - Clinical Nurse with Education and Clinical Nurse with Coordination - (진료협력간호사의 역할규명을 위한 직무분석 - 교육상담간호사와 진료코디네이터간호사 중심 -)

  • Sung, Young Hee;Lim, Nan Young;Park, Kwang Ok;Jung, Jung Hee;Kwon, In Gak;Kim, Ul Soon;Hwang, Moon Sook
    • Journal of Korean Clinical Nursing Research
    • /
    • v.15 no.2
    • /
    • pp.139-155
    • /
    • 2009
  • Purpose: The purpose of this study was to identify role through job analysis (duties and tasks) of nurses who work as clinical nurses with education and clinical nurse with patient coordination within the hospital. Methods: The DACUM committee was organized with 8 nurses each, clinical nurses with education and clinical nurses with coordination. The committee derived the duties and tasks of the two groups of clinical nurses from their actual work in the hospital through a DACUM workshop. Validity of the derived duties and tasks was tested by 12 nurses at each of 3 hospital. Results: For clinical nurse with education, 8 duties and 45 tasks were identified, which included patient education and consultation, patient advocacy, management of the therapeutic process, direct nursing care, activities work directed at improvement, management of health promotion events, administration work, and self-improvement. For clinical nurse with coordination, 10 duties and 54 tasks were identified, and included client consultation, client education, direct nursing care, coordination of therapeutic flow, employee education, public relations with the community, planning and operation of meetings, administration work, work directed at improvement, and self-improvement. Conclusion: The results of this study contribute to not only the work of the participants but also basic data for human resource management in the hospital.

Development of an Amplifier for Electronic Stethoscope System and Heart Sound Analysis (전자청진 시스템을 위한 증폭기의 개발 및 심음 신호 분석)

  • Kim, Dong-Jun;Kang, Dong-Kee
    • The Transactions of the Korean Institute of Electrical Engineers D
    • /
    • v.50 no.5
    • /
    • pp.241-246
    • /
    • 2001
  • The conventional stethoscope can not store its stethoscopic sounds. Therefor a doctor diagnoses a patient with instantaneous stethoscopic sounds at that time, and he can not remember the state of the patient's stethoscopic sounds on the next. This prevent accurate and objective diagnosis. If the electronic stethoscope, which can store the stethoscopic sound, is developed, the auscultation will be greatly improved. This study describes an amplifier for electronic stethoscope system that can extract heart sounds of fetus as well as adult and alow us hear and record the sounds. Using the developed stethoscopic amplifier, clean heart sounds of fetus and adult can be heard in noisy environment, such as a consultation room of a university hospital, a laboratory of a university. Surprisingly, the heart sound of a 22-week fetus was heard through the developed electronic stethoscope. Pitch detection experiments using the detected heart sounds showed that the signal represents distinct periodicity. It can be expected that the developed electronic stethoscope can substitute for conventional stethoscopes and if proper analysis method for the stethoscopic signal is developed, a good electronic stethoscope system can be produced.

  • PDF

Development of a Computer-assisted Cost Accounting System Prototype for Hospital Dietetics (병원 영양과의 재무관리 시스템 전산화 모델에 관한 연구)

  • 최성경
    • Journal of Nutrition and Health
    • /
    • v.20 no.6
    • /
    • pp.442-455
    • /
    • 1987
  • The purpose of the study were to assist foodservice managers in complex decision making by utilizing computerized cost accounting system and to relieve managers from repetitive and routine tasks so that more adequate patient care and consultation can be provided. The scope of the computer-assisted cost accounting system consists of budget, menu planning, purchasing, inventory, cost control and financial reporting. The content of the computerized system are summarized as follows ; 1) For budgeting monthly income was estimated by calculating unit cost of each meal and forecasting serving numbers. The actual serving numbers for patients and employees were totaled everyday, and utilized as the basic data base for estimating income and planning menu. The monthly lists of meal sensus were generated. 2) for menu planning concersion factors were computed based on the standarized recipe for 50 servings. Daily menus for patients and employees which include total amounts of each ingredient and cost analyzed information were generated. 3) Daily and monthly purchasing report for each food item classified by patient and employee meals were generated. 4) Inventory transactions such as recipts and issues were totalized daily for each stocked item, and monthly inventory reports were generated. 5) Cost analysis reports for each menu item were generated into two ways based on the budget coat as well as the purchasing cost. 6) Editing new recipes and updating food costs change to the data base were carried out. 7) Financial reports were generated monthly, first-half and second-half of the year, and yearly basis.

  • PDF

(Efficient object control for remote medical examination of mutual participation type) (상호참여형 원격진료를 위한 효율적인 객체관리)

  • 김석수
    • Journal of the Korea Computer Industry Society
    • /
    • v.3 no.9
    • /
    • pp.1245-1250
    • /
    • 2002
  • This paper is an intelligence type of remote medical examination system for both on-line and off-line mode to transcend time and space on web where anyone can participate ;on-line consultation among patient, doctor, Korean medical doctor, medical examination in off-line mode, transmission of prescription to the pharmacist designated by patient and preparation of medicine, and semi-eternal storage of medical examination data by storage and check of medical examination data ; and database is composed by using intelligence type of object control which enables effect of treatment for heredity including check and mutual holding of medical examination data among family, fast treatment effect pursuant to situation of past medical examination through control of private disease history, cooperated medical examination among doctors, and so on.

  • PDF

A Study on the Civil Liability of Telemedicine and Some Legislative Proposals (원격의료의 법률관계 및 법제개선방안)

  • Jeong, Yong-Yeub
    • The Korean Society of Law and Medicine
    • /
    • v.7 no.1
    • /
    • pp.323-386
    • /
    • 2006
  • A combination of information technology and medical care has given rise to a new type of medicine, i.e., telemedicine. Broadly defined, telemedicine is the transfer of electronic medical data from one location to another. Both at home and abroad, telemedicine has come to success in establishing appropriate equipment and solutions for such non-conventional medicine. Sooner or later, telemedicine is believed to find itself as one of the universal treatments. In order to facilitate the full-fledged development of telemedicine, a number of legal and institutional problems have to be settled. In Korea, the Medical Act was amended to include such provisions as telemedicine, electronic medical records, electronic prescriptions, etc. and the Act came into force on March 31, 2002. Telemedicine is in common with the conventional medicine in that a physician treats a patient. However, telemedicine is basically differentiated in the followings: - The offer and acceptance of treatment and medication are usually made on-line; - Telemedicine is inherently dangerous because a physician cannot meet face-to-face with a patient; and - Joint and several liability is borne by all the physicians involved in a telemedical consultation. As a result, telemedicine is vulnerable in nature to medical malpractice. Accordingly, there must be some new theories and arguments in the formation of contract and torts. The discussion on the civil liability covers the above-mentioned issues, and would give an insight or guidelines in the concerted operation of provisions with respect to telemedicine. This study delves into the civil liability of physicians involved in telemedical consultations and treatments based upon the conventional malpractice theory.

  • PDF

Management of the complications occurred in/after dental treatment of the medically compromised patient (임상가를 위한 특집 3 - 전신질환자의 치과 치료 중/후 발생 가능한 합병증과 대처법)

  • Kim, Change-Hyen;Shin, Hee-Jin;Kwon, Young-Wook;Park, Je-Uk
    • The Journal of the Korean dental association
    • /
    • v.48 no.1
    • /
    • pp.38-44
    • /
    • 2010
  • Nowadays, medically compromised patients who could not receive dental treatments in the past are able to go through minor oral surgeries with adequate preoperative measures. Thorough understanding of the systemic disease and its complications is needed as well as the management them. Frequent complications of surgical procedures are bleeding, infection, delayed healing, systemic reactions by stress and they can be aggravated due to the patients' systemic conditions. Therefore, understanding of the systemic disease of patient visiting dental office and treatment modification according to the systemic status is needed. Also consultation to the medical doctor is imperative, through which perioperative risk and complications can be reduced. Among the high frequency complications of dental treatment of medically compromised patients, bleeding, infection, delayed healing, systemic reactions by stress will be discussed with the management of each one.

Design and implementation of data processing system for global medical examination in cyber Korean medical examination system (사이버 한방진료시스템에서의 글로벌 진료를 지향하는 자료처리시스템 설계 및 구현)

  • 김석수
    • The Journal of the Korea Contents Association
    • /
    • v.2 no.4
    • /
    • pp.17-22
    • /
    • 2002
  • This enable system integration for efficient data processing by interconnecting ASP and SQL, on-line consultation between patient and Korean medicine doctor, and semi-eternal use of medical examination data owing to storage and check of medical examination data(accurate medical examination and description using this medical examination data between patient and Korean medicine doctor). This is a Korean medicine remote examination system which converts from existing Korean medicine hospital system being maintained as existing off-line only to medical examination type of both on-line and off-line mode transcending time and space on web in which anyone can participate.

  • PDF

A rare case of implant displacement to the contralateral side after gluteal augmentation

  • Rueda, Juan Dario Alviar;Miranda-Diaz, Audrey Jose;Cely, Adriana Gonzalez;Leon, Diana Carolina Navarro
    • Archives of Plastic Surgery
    • /
    • v.47 no.4
    • /
    • pp.360-364
    • /
    • 2020
  • In this report, we present a rare case of solid silicone implant displacement to the contralateral side after aesthetic gluteal augmentation, a phenomenon that has never been reported before in the literature. A 29-year-old woman with a history of gluteal augmentation 9 months previously and soft tissue infection presented for a consultation due to 3 days of sudden progressive pain in the right gluteus with erythema and edema, without a history of trauma. Displacement of the left gluteal implant to the right gluteal pocket was shown by magnetic resonance imaging. Because the patient refused implant removal, the decision was made to perform capsulotomy, to reconstruct the gluteal pockets, and to preserve the implants. The patient showed a satisfactory early and late postoperative course. Possible causes of this complication include poor surgical technique, with insufficient tissue preservation to keep the pockets apart, and the presence of seroma or hematoma that favored an infectious process, thereby leading to deterioration of the dissected soft tissues with dehiscence of the wound favoring the displacement of the implant.