• Title/Summary/Keyword: Quality of Care

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A Study on Medical Service Quality affecting Value of Care and Patient Satisfaction - Focusing outpatients in a Large-size Hospital (의료 서비스품질이 진료가치와 환자만족에 미치는 영향에 관한 연구 - 대형 종합병원의 외래를 중심으로 -)

  • Kim, Yang-Kyun;Cho, Chul-Ho
    • Health Policy and Management
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    • v.16 no.1
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    • pp.117-139
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    • 2006
  • The role of medical service quality to provide patients enhances influence on the hospital performance under being severe competition among the large size hospitals and increasing the right of patients. When a large hospital perceived factors of quality that a customer expects and feels value of care and it invests its resources to improve the factors of quality, it can get successful performances. Therefore, the purpose of the study explores the factors of quality affecting the trust of care and the patient satisfaction, and tests relationship among the trust of care, patient satisfaction and revisit intention. When considering the factors, a large size hospital can increase the trust of care and the patient satisfaction, through this process the hospital can assure patients' revisit and increase its revenue. This study uses interview data on outpatients visiting clinics in about 1000 beds sized training hospital located in Seoul. This study uses casual relationship model for the analysis. This study finds that 1) the trust of care and the procedure of care significantly influence the value of care felt by patients, 2) the trust of care, quality of doctors' care, procedure of care significantly influence the patient satisfaction, 3) the trust of care increases the patient satisfaction, and 4) the value of care and the patient satisfaction increase revisit intention.

Children's Social Competence According to the Day Care Quality (보육시설의 질에 따른 유아의 사회적 능력)

  • Lee, Sook;Oh, Sun-Young
    • Journal of the Korean Home Economics Association
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    • v.36 no.4
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    • pp.189-198
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    • 1998
  • The purpose of this study was to examine the children's social competence according to not only the day care centers overall, but subordinate quality. Subiects for this study involved auditions, observations, and the use of questionnaires. By using a SAS statistic program, the average, and the standard deviation, and the One-way ANOVA/Duncan test were obtained from the study: The following results were obtained from the study: 1. For the test of the day care centers overall and subordinate quality, an average of the centers whole quality scored 2.56 and the subordinate quality ranged from 1.94 to 2.88. 2. When the children's social copetence according to the day care centers overall quality was examined, high-quality centers ranked higher social competence of children than that of low-quality centers. 3. Finally, the children's social competence according to the day care centers subordinate quality was inspected. Here, the results showed a significat difference in the 'planning and operation of curriculum' and the 'interaction between terachers and children'. not unlike the above results, high subordinate-quality day care centers scored higher social competence of children than that of low subordinate-quality day care centers.

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Influence of Family Support and Death Preparation on the Quality of Life in Home Care Hospice Patients (가정형 호스피스 환자의 가족지지와 죽음준비가 삶의 질에 미치는 영향)

  • Kim, Kyung Eun;Yoo, Myung Sook
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.28 no.3
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    • pp.307-316
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    • 2021
  • Purpose: This study aimed to examine the influence of family support and death preparation on the quality of life in home care hospice patients. Methods: The study recruited 117 patients in home care hospice in four general tertiary hospitals and three general hospitals in three cities. Data were collected using self-reported questionnaires from September 1, 2019 to March 31, 2020 and analyzed using the statistical package IBM SPSS software version 22.0. Results: The quality of life according to the participants' general characteristics of the subjects shows a statistically significant difference between patients who live with supporters and those who do not(Z=2.96, p=.003). A statistically significant correlation was found between predictors such as family support, death preparation, and quality of life. Family support and death preparation affect the quality of life in home care hospice patients and these variables could explain 33.7% of it. Conclusion: To improve the quality of life in home care hospice patients, we should develop an intervention to enhance family support and death preparation.

Survey of Home Healthcare Nursing Services to Establish Quality Assessment Standards (가정간호 서비스 질 평가기준 설정을 위한 조사연구)

  • Kim, Su-Ol;Shin, Hye-Sun;Kim, Gwang-Suk
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.17 no.2
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    • pp.85-94
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    • 2010
  • Purpose: The study aimedto provide basic data to improve the quality of home healthcare nursing services by evaluating quality of care in representative nationwide sites. Method: The current quality of home care service in 104 nationwide sites was evaluated in terms of structures, processes, and outcomes based on published standards of the Joint Commission on Accreditation of healthcare Organizations. Results: The mean score for three dimensions of quality of home care service was as follows in descending order: structures (77.6), outcomes (60.4), and processes (38.7). Additionally, by specific item compared level of quality of home care servicein each site, the highest score was 97.3 and the lowest score was 42.3 out of 100, with a mean score of 74.7. Conclusions: These findings provide a base for establishing the quality management system and to develop a tool for evaluating the quality of home healthcare nursing. The result should be continuous management and improvement of home healthcare nursing quality.

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The Relationship between Practice in Lymphedema Self-care Management and Health-related Quality of Life in Breast Cancer Patients with Mastectomy (림프부종 자가 관리 실천 정도와 유방절제술 환자의 삶의 질과의 관계)

  • Choi, Eun Nyer;Choi, Hye Ran
    • Journal of Korean Critical Care Nursing
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    • v.6 no.1
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    • pp.21-33
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    • 2013
  • Purpose: The purpose of this study was to examine the relationship between lymphedema self-care management and quality of life in breast cancer patients with mastectomy and lymphedema. Methods: One hundred and eighty-six breast cancer patients with mastectomy and lymphedema (n=186) were recruited at a medical center located in Seoul. The levels of lymphedema self-care management and quality of life were measured by the scale for measurement of practice in lymphedema self-care management, European Organization for Research and Treatment of Cancer-Quality of Life Core 30 (EORTC QLQ-C30) and European Organization for Research and Treatment of Cancer-Quality of Life Questionnaire Breast Cancer Module (EORTC QLQ BR23), respectively. Data were analyzed with SPSS 18.0 program. Results: There were statistically significant correlations between lymphedema self-care management and general health status/quality of life in mastectomy patients with lymphedema (r=.30, p<.001). The physical function score of cancer related function scale (r=-.15, p=.033), fatigue score of cancer related symptom scale (r=.15, p=.036), systemic side effect score of breast cancer related symptom scale (r=.45, p=.034), and upset by hair loss (r=.27, p=.004) were significantly correlated with quality of life. Conclusion: The findings suggest that these significant factors should be considered when caring for lymphedema patients.

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Effect of Home Care Service on the Quality of Life in Patients with Gynecological Cancer

  • Aktas, Demet;Terzioglu, Fusun
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.9
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    • pp.4089-4094
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    • 2015
  • The purpose of the research was to determine the effect of home care service on the quality of life in patients with gynecological cancer. This randomized case control study was carried out in a womans hospital between September 2011 and February 2012. Women undergoing gynecological cancer treatment were separated into intervention and control groups, of 35 patients each. The intervention group was provided with nursing care service through hospital and home visits ($1^{st}$, $12^{th}$ weeks) within the framework of a specifically developed nursing care plan. The control group was monitored without any intervention through the hospital routine protocols ($1^{st}$, $12^{th}$ weeks). Data were collected using An Interview Form, Home Visit Monitoring Form and Quality of Life Scale/Cancer Survivors. Effects of home care service on the quality of life in gynecological cancer patients were investigated using chi-square tests, McNemar's test, independent t-test and ANOVA. This study found that the intervention group receiving home care service had a moderately high quality of life (average mean: $6.01{\pm}0.64$), while the control group had comparatively lower quality (average mean: $4.35{\pm}0.79$) within the 12 week post-discharge period (p<0.05). This study found home care services to be efficient in improving the quality of life in patients with gynecological cancer.

The Relations of Child Care Quality and Teachers' Participation in Children's Play (어린이집의 질적 수준 및 교사의 놀이참여와 아동의 놀이행동 간의 관계)

  • Song, Hye-Rin;Rhee, Unhai
    • Korean Journal of Child Studies
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    • v.25 no.6
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    • pp.225-240
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    • 2004
  • Subjects were 15 teachers and 143 children at 15 child-care centers in Seoul that varied by quality of care. The Child Care Program Observation Scale(Rhee et at., 2003) was employed to observe the quality of the centers. Information on teachers' participation in play was collected by 20 units of observation for each teacher using a rating scale developed by the author. Children's behaviors were observed with time sampling method in 12 categories of play behaviors based on Social and Cognitive Play Scales(Rubin et al., 1978). Children's play behaviors varied by quality of child-care centers and teachers' participation in play. When child-care quality was high, teachers' participated actively in children's play and children showed developmentally appropriate play behaviors.

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The Mediating Effects of Care Work Appraisals Held by Care Workers in Elderly Care Facilities on the Relationship between Job Environment and Service Quality (시설요양보호사의 근무환경과 서비스 질과의 관계에서 돌봄노동 평가의 매개효과)

  • Kim, Su-Jeong
    • The Journal of the Korea Contents Association
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    • v.18 no.5
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    • pp.58-70
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    • 2018
  • This study aimed to investigate the positive and negative appraisals of care work held by care workers in elderly care facilities and to analyze the mediating effect of care worker's appraisals of care work on the relationship between job environment and service quality. For the purpose of the study, the data were collected from 298 care workers by using non-random and purpose sampling method. The results of the study showed job environment was a significant predictor in explaining in the variances of care work appraisal and service quality. In addition, care worker's positive and negative appraisals of care work were statistically significant mediators in the association of between job environment and service quality. Finding of the study indicated that service quality could be improved by not only improving job environment but also strengthening care worker's positive appraisal of care work. Finally, based on the findings of the study, implications and limitations of the study were discussed.