• 대한의생명과학회지
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• 제19권2호
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• pp.132-141
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• 2013

Mycobacterium isolates were retrospectively identified, antibiotics susceptibility test results and basic clinical data were analyzed for the 715, excepted 308 in 1,023 specimens, from a mycobacterial laboratory at a tertiary care hospital from September 2002 to December 2008. Their male to female ratio was 1.12 to 1 (379 male, 336 female). The median age of study population was 47 years (range from 10 to 93 years). Distribution of Mycobacterium species was 90.1% of total were isolates Mycobacterium tuberculosis, and 9.9% of the total non-tuberculosis Mycobacterium isolated, and Among nontuberculosis Mycobacterium isolates, 60.6% were Mycobacterium avium complex, 14.1% were isolates Mycobacterium abscessus, and 12.7% were isolates Mycobacterium intracellulare. Among 526 Mycobacterium tuberculosis isolates, 81.7% isolates were susceptible to first line antibiotics, 18.3% were resistant to one or more antibiotics. Non-tuberculosis Mycobacterium isolates, all were resistant to two or more antibiotics. Multi-antibiotic resistant tuberculosis rate was show 10.2% of total specimens. Isolated Mycobacterium species, 19.2% were multi-antibiotic resistant tuberculosis, and the rate of nontuberculosis Mycobacterium resistant to isoniazid and rifampin was very highly 84.5%. Thus among acid fast bacilli culture positive cases, Mycobacterium tuberculosis and non-tuberculosis Mycobacterium were must exactly identification and antibiotic sensitivity test. It was considered to help to select of the antibiotic in preventive medicine.

• 보건의료산업학회지
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• 제11권2호
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• pp.17-27
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• 2017

Objectives : The rapidly changing consumer-centric and customer-oriented nature of the medical environment results in significant cognitive load. We aimed to clarify the situation of emotional labor and job stress among hospital employees and seek policies and hospital management for employees' emotions. Methods : The study was conducted through a questionnaire about emotional labor and job stress among 554 individuals working in Seoul, in 9 national, public, and private hospitals. Results : The results of the emotional labor and job stress questionnaire showed statistically significant differences in surface behavior and job stress; both had higher values in employees from the private hospitals than employees from public hospitals. Conclusions : This study found that the stress of emotional labor is a serious problem in government medical institutions. In addition, these institutions need to provide internal customer satisfaction through the hospital ombudsman and harmonize work and healing programs by including plans for improvement.

• 대한치과교정학회지
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• 제46권1호
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• pp.55-61
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• 2016

Skeletal anchorage-assisted upper molar distalization has become one of the standard treatment modalities for the correction of Class II malocclusion. The purpose of this study was to analyze maxillary molar movement patterns according to appliance design, with the simultaneous use of buccal fixed orthodontic appliances. The authors devised two distinct types of midpalatal miniscrew-assisted maxillary molar distalizers, a lingual arch type and a pendulum type. Fourteen patients treated with one of the two types of distalizers were enrolled in the study, and the patterns of tooth movement associated with each type were compared. Pre- and post-treatment lateral cephalograms were analyzed. The lingual arch type was associated with relatively bodily upper molar distalization, while the pendulum type was associated with distal tipping with intrusion of the upper molar. Clinicians should be aware of the expected tooth movement associated with each appliance design. Further well designed studies with larger sample sizes are required.

• 대한전기학회논문지:시스템및제어부문D
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• 제54권12호
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• pp.732-736
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• 2005

ln general, hospital information system should provide interoperability hat usually and operate independence of other HIS. This study proposes a new HIS paradigm that can be implemented within standard HL7 Interface engine and clinical data repository (CDR). We have developed an alternative architecture relying on agent solutions with distributed queries to heterogeneous databases. This architecture creates a very fine and flexible repository that can handle queries with the bases of standard HL7 messaging structure. Deploying Agent solutions to manipulate autonomy of storage management and sociality for communication with open world is another issue that keeps this system from reinventing existing wheels in medical informatics. This study the first attempt to construct CDR based private clinic. We used the information stored in the clinical patient record system of the internal medicine private hospital which is used rational database. We were searched increasing the 1,000 data entry from 1,000 to 10,000. By the result, experimental CDR showed highly efficient performance more than 6,000. In the future, the CDR can be further extended for clinical information among private hospitals estranged from EHR (Electronic Health Records).

• 한국콘텐츠학회논문지
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• 제9권6호
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• pp.196-206
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• 2009

병원의 수익성이란 병원이 회계년도 기간동안 환자 진료 및 기타 경영활동을 통해 달성한 경영성과를 말한다. 본 연구는 병원의 수익성 측정 지표로 병원을 운영하여 얻은 의료수익에서 의료비용을 뺀 순수한 의료이익인 의료수익의료이익율을 사용하였다. 이를 통해 수익성에 영향을 미치는 다양한 지표를 대상으로 병원 수익성 관련 요인을 도출하였다. 이 결과를 토대로 병원의 수익성 제고 방안을 강구할 수 있는 보다 유용한 기초자료를 산출하고자 하였다. 분석결과 공공병원이 민간병원보다 수익성이 낮았다. 각 지표의 수익성을 적자병원군과 흑자병원군으로 구분하여 분석한 결과 인건비 비율, 관리비 비율, 전문의 1인당 수술건수, 의료장비 회전율와 관련한 지표에서 유의한 차이를 보였다. 관련 지표가 수익성에 미치는 영향을 보면 모형에 따라 설명력은 25%-74.5%였다.

• The Journal of Advanced Prosthodontics
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• 제4권3호
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• pp.174-178
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• 2012

When performing a tooth extraction, imminent collapse of the tissue by resorption and remodeling of the socket is a natural occurrence. The procedure for the preservation of the alveolar ridge has been widely described in the dental literatures and aims to maintain hard and soft tissues in the extraction site for optimal rehabilitation either with conventional fixed or removable prosthetics or implant-supported prosthesis.

• The Journal of Asian Finance, Economics and Business
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• 제9권1호
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• pp.93-103
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• 2022

The main purpose of this study was to gauge the patient satisfaction index and subsequently discuss the Importance-Performance (IP) matrix analysis of the inpatient services in the context of the private hospital setting. The Malaysian Customer Satisfaction Index Model was employed as the theoretical framework for the above purposes. This study involving 242 patients in Malaysian's private healthcare sector used a Web-based survey as the main method of data collection. Partial least square structural equation modeling (PLS-SEM) was utilized for data analysis. Using Fornell et al. (1996)'s formula, the resulting patient satisfaction index was slightly lower than the "very satisfied" category, the target level required for positioning as one of the world's premier medical tourism players. The IP matrix showed that medical quality is the main competitive advantage of the private hospitals that can propel their growth in the global healthcare marketplace. The results also indicate that outcome quality, patient rights, and privacy, and service quality are the three quality domains that need to be prioritized for further improvement. On the other hand, the servicescape quality domain needs to be strategized as the unique selling proposition as the performance of the private hospitals in this regard is already extremely good.

• 복식
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• 제52권3호
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• pp.139-147
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• 2002

This study was carried out to survey the contentment of the oriental medical doctors to the present gown which they wear. The objects were the oriental medical doctors who work for the university hospitals and the private clinics. The subjects were mainly the evaluation of the relation to the image of oriental hospital and the gown, the evaluation of the present their gowns and the evaluation on the improvement of their gowns. The collected data were analysed by the frequency, cross-table and $\chi^2$ using SPSS program. The results showed that the oriental medical doctors who work for the university hospital evaluated the difference of the image more important than those who work for the private clinics. Also the former was more than the latter on the necessity of the difference in the gowns between the western and oriental medical doctors. The oriental doctors regarded the tradition as of great importance in the improvement of their gown. More than 70% of them wanted to separate their gown for the spring-summer from that for the autumn-winter.

• 대한디지털의료영상학회논문지
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• 제13권3호
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• pp.127-132
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• 2011

This is to improve the complicate process of the existing CD copy flow in Department of Radiology. It is also to improve the medical service of the hospital to secure private information of patients. Survey: The patients who ask for CD copies in the Department of Radiology of this hospital(for 6 months in 2010). Time: Comparing the total amount of time of the previous and the modified CD copy flow. Using the SPSS 12.0 program for testing significance of independent two-samples t-test. Private information: Introducing the identification-system based on the medical law to supplement the security of personal information of patients. There was manifold complaints due to receipt and issuing the prescription in Admission and Discharging office and outpatient department. The time has been approximately 50% reduced from 70 mistunes to 32 mistunes due to simplifying the routes. The security of the personal information has been supplemented by let patients submit documentary evidence based on the medical law. The service in the hospital has been improved as a result of simplifying the whole process of the routes and receipt process. Therefore, the each stage of waiting time has been decreased. In addition, the personal information of the patients has been more secured.

• Journal of Trauma and Injury
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• 제26권3호
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• pp.99-103
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• 2013

Purpose: This hospital has operated a trauma system of the inclusive trauma system under the sponsorship of this hospital and with financial support from the government from 2011, and it has been designated as a specialized trauma center (candidate) since November 2008. Therefore, this emergency medical center evaluated the influence of the inclusive trauma system on the course of healing and on the results for trauma patients within the region. Methods: The medical records of all patients who were registered as trauma patients from among those who visited the emergency medical center of this hospital from April 2009 to May 2012 were retrospectively reviewed. The monthly and the annual averages of important indices, such as the time in the emergency room and preventable mortalities, were calculated, and patterns of change were sought. The preventable mortality rate was calculated by using the Trauma Injury Severity Score (TRISS) for each patient. Results: The total number of patients registered from April 2009 to May 2012 was 601, and male patients accounted for a larger proportion(432 males(71.88%) vs. 169 females(28.12%)). Their average age was 46.2 years, the average Revised Trauma Score (RTS) was 5.74 points, and the average Injury Severity Score (ISS) was 26.99 points. The preventable mortality rate during the entire period, which was calculated using the TRISS, appeared lower than the preventable mortality rates reported in past studies in the Republic of Korea. Conclusion: These results for the operation of a new trauma system are limited in that they are only for a local private university hospital. However, results show greater changes and developments in and out of the hospital due to multilateral endeavors by the trauma team and the hospital. These endeavors include increased communications among the departments and development of a complementary patient registration system.