• Title/Summary/Keyword: Quality of Health Care

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A Study on Service Process Modeling for the Performance of the Non-face-to-face Call Center (비대면 접점 콜센터의 성과 제고를 위한 서비스 프로세스 모델링에 관한 연구)

  • Cho, Seong-Ho;Park, Kwang-Ho
    • Journal of Digital Convergence
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    • v.12 no.1
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    • pp.149-161
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    • 2014
  • According to the economic advancement, the position of service industry in GDP has increased. Development of service industry has solved the employment issue and derived the activation of the internal market. It has contributed to demand creation in health care, education, and culture, enhancing competition of the manufacturing industry and entire economic development. By the development of information communication technologies, improvement of the quality of life from those, and changes in the competitive environment, customers, from businesses and public agencies, or the customer's needs are increasing. In these circumstances, companies are operating non-face-to-face contact call center for the purpose to communicate with customers, handle customer complaints, attract and retain new customers. In this study, to improve the performance of the non-face-to-face contact call center, this study tried to derive the call center's 'Service Process Modeling' and future policy assignment by analyzing the problem from the research of the service and process summary, performance evaluation, call center evaluation and etc.

Optimal Bronchodilation for COPD Patients: Are All Long-Acting β2-Agonist/Long-Acting Muscarinic Antagonists the Same?

  • Miravitlles, Marc;Baek, Seungjae;Vithlani, Vatsal;Lad, Rahul
    • Tuberculosis and Respiratory Diseases
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    • v.81 no.3
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    • pp.198-215
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    • 2018
  • Bronchodilators provide improvements in lung function and reductions in symptoms and exacerbations, and are the mainstay of pharmacological management of chronic obstructive pulmonary disease (COPD). The Global Initiative for Chronic Obstructive Lung Disease strategy recommends the use of a combination of long-acting ${\beta}_2-agonist$/long-acting muscarinic antagonists (LABA/LAMA) as the first-line treatment option in the majority of symptomatic patients with COPD. This review provides an indirect comparison of available LABA/LAMA fixed-dose combinations (FDCs) through discussion of important efficacy and safety data from the key literature, with the objective of providing physicians with a framework for informed decision-making. LABA/LAMA FDCs provided greater benefits compared with placebo and similar or greater benefits compared with tiotropium and salmeterol/fluticasone in improving lung function, dyspnea, health-related quality of life, reducing rescue medication use and preventing exacerbations, although with some variability in efficacy between individual FDCs; further, tolerability profiles were comparable among LABA/LAMA FDCs. However, there is a disparity in the amount of evidence generated for different LABA/LAMA FDCs. Thus, this review shows that all LABA/LAMA FDCs may not be the same and that care should be taken when extrapolating individual treatment outcomes to the entire drug class. It is important that physicians consider the efficacy gradient that exists among LABA/LAMA FDCs, and factors such as inhaler devices and potential biomarkers, when choosing the optimal bronchodilator treatment for long-term management of patients with COPD.

A Study on How to Provide Support to Poor Single Families based on Case Studies (저소득 한부모가정, 사례에 비추어 본 지원방안 연구 : 건강가정지원센터 활용을 중심으로)

  • Lee Seung-Mie;Kim Seon-Mi
    • Journal of Family Resource Management and Policy Review
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    • v.9 no.4
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    • pp.95-112
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    • 2005
  • The purpose of this study is to identify the characteristics and the limits of, as well as, Propose an improvement of, the government based policies that support poor single families. For this purpose, this study has analyzed the government based supporting policies for poor single families into four different aspects; income support, dwelling support, medical support, and child-caring support. Also, in order to analyze the situation of the poor single family as well as the limits of the government based supporting policies, an in-depth interview has been conducted with 8 personnel (including 7 single parents and 1 social worker). In the final analysis, a total of 5 case studies have been used to identify the characteristics of the government based supporting policies for various poor single families. As a result, it turned out that the economic situation of the poor single families were extremely unfavorable, and the quality of life was extremely low in the aspects of dwelling, nutrition, health child nurturing and education. Therefore, we are proposing the following supporting policies for the improvement of these families' living conditions: increasing income levels, providing job opportunities, securing dwelling places, providing medical support, and implementing child care benefit policies. Furthermore, we are proposing an expansion of the human services provided by the healthy family support center to these poor single families.

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A Study of Correlation Among Binocular Dysfunctions and Academic Achievement (초등학생들의 양안시이상과 학업성취도와의 상관성 연구)

  • Lee, Sun Haeng;Cho, Hyun Gug;Park, Chun Man
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.4
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    • pp.481-487
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    • 2013
  • Purpose: The purpose of this study was to investigate the correlation between non-strabismic binocular dysfunctions and academic achievement for primary school children. Methods: A total of 1,123 parents and their children aged 8-13 years responded to the College of Optometrists in Vision Development Quality of Life (COVD-QOL) questionnaire. Among the all participants, 123 children who have ${\geq}20$ of visual symptom scores, no amblyopia, no strabismus, no any ocular and systemic pathology, and no contact lenses wearing were chosen for this study finally. Binocular functions were evaluated for final subjects. Results: Of 123 primary school children who have criteria-eligible symptoms 93 had non-strabismic binocular dysfunctions. Accommodative dysfunction was significantly correlated to subjects of science and English, and vergence dysfunction was also significantly correlated to Korean, mathematics, social science, science and English in the final subjects. Conclusions: Correlations between academic achievement and accommodative/vergence dysfunctions were statistically significant. Therefore, accommodative/vergence dysfunctions may be factors to affect academic achievement.

Simulation Analysis for a Partial Appointment System of Outpatients in a Private Clinic (개인 병원의 부분 예약제 도입을 위한 시뮬레이션 분석 사례)

  • La, Soonyoung;Jeong, Byung Ho;You, Taiwoo
    • Journal of the Korea Society for Simulation
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    • v.21 no.4
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    • pp.57-64
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    • 2012
  • The waiting time of patients is an important factor related with service quality of a hospital system. An appointment system of patients is not popular, in special, in a private hospital. An appointment system is expected to diversify patients in time and to reduce patient's waiting time. Three appointment rules are suggested and analyzed to compare the waiting time of appointment and walk-in patients using simulation analysis. The results of two way ANOVA show that the time slot of 30 minutes for allocating appointment patients is better than the time slot of 60 minites in view of patient's waiting time. The results of the appointment level 1 also show that the constant pattern rule and the zigzag pattern rule give shorter waiting time for walk-in patient and for appointment patient, respectively.

A Study on Satisfaction Factors with Dental Implant Patients (치과용 임플란트 보철물적용환자의 만족요인)

  • Lee, Sung-Uck;Kim, Ji-Hwan
    • Journal of Technologic Dentistry
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    • v.28 no.1
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    • pp.67-81
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    • 2006
  • This research has been attempt to examine closely factors that high cost and value to overall satisfaction state for dental implant prosthesis, re-utilization intention, inducement intention of the general hospital dental service user and provide basis data necessary to establish competitive general hospital dentistry management strategy. Collected data using own recording way questionnaire from April 17, 2004 to May 15, 2004 choosing 142 people that agree on this research and question of 361 people that dental implant prosthetic treatment finished from March 1, 1999 to March 1, 2004 for this. Major analyzation consequences are as follows : First, general satisfaction, re-utilization intention, inducement intention for implant prosthesis that highly correlation variables are kindness, explanation, medical treatment level and appreciation of the aesthetic. Second, correlation is high relatively between re-utilization intention, inducement intention in the 3 variables such as general satisfaction re-utilization intention, inducement intention. Third, the result of multiple regression analysis showed that most significant effective factors are satisfaction with explanation of dental implant prosthesis between the 3 dependant variables such as general satisfaction, re-utilization intention, inducement intention. In looking into these consequence, how to improve that raise satisfaction about dental implant prosthetic treatment and to establish patient focused care service system for dental implant prosthesis, it is consider that explain enough about implant prosthesis and raise quality of medical examination and treatment level, including satisfied with fabrication of good esthetic dental implant prosthesis.

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Factors Influencing Treatment Result and Early Complication in Inpatients with Psychiatric Comorbidity (정신질환 동반 입원 환자의 치료결과와 조기합병증에 영향을 미치는 요인)

  • Kim, Sang-Mi;Lee, Hyun-Sook
    • Korea Journal of Hospital Management
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    • v.22 no.4
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    • pp.113-122
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    • 2017
  • The purpose of the study was to investigate the patient, disease and hospital characteristics which affect treatment result and early complication for inpatients with psychiatric comorbidity. We analyzed data on 19,806 patients of the Korea Centers for Disease Control and Prevention from 2012 to 2014, Korea National Hospital discharge in-depth data. Frequency, chi-square and logistic regression analysis was performed, using STATA 12.0. According to logistic regression analysis, gender(Odds ratio(OR)=0.776, 95% confidence interval(CI)=0.686-0.878), insurance type(OR=0.853, CI=0.731-0.995), operation(OR=0.424, CI=0.350-0.513), disposition(OR= 39.307, CI=34.394-44.923), beds(300-499, OR=0.470, CI=0.377-0.585; 500-999, OR=0.462, CI=0.395-0.541; 1000 over, OR=0.598, CI=0.480-0.745) were significant predictors of treatment result. And insurance type(OR=1.527, CI=1.241-1.879), CCI(3 over, OR=1.865, CI=1.534-2.266), operation(OR=5.399, CI=4.562-6.389), disposition(OR=1.279, CI=1.013-1.614), district(Metropolitan city, OR=0.519, CI=0.407-0.661; Non-metropolitan OR=0.469, CI=0.383-0.574), beds(500-999, OR=2.799, CI=1.986-3.944; 1000 over, OR=2.109, CI=1.429-3.113) were significant predictors of early complication. This research would be used as a basic data of high quality of medical care and efficient resource utilization in order to detect and minimize the negative medical treatment results of inpatients with psychiatric comorbidity.

A study on preceptor's core competencies for junior 119 paramedics in prehospital field (후임구급대원을 위한 구급현장 프리셉터의 핵심역량에 대한 연구)

  • Kim, Eun-Ae;Yang, Jin-Cheol;Lee, Jeong-Hyeok;Jung, Sang-Woo;Cho, Keun-Ja
    • The Korean Journal of Emergency Medical Services
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    • v.25 no.3
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    • pp.17-35
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    • 2021
  • Purpose: This study aimed to investigate basic data on preceptor's core competencies required for junior 119 paramedics to improve the quality of emergency care in the prehospital field. Methods: From February 23 to March 10, 2021, data were collected through structured mobile questionnaires from 163 paramedics working in Sejong, Daejeon, and Chung Nam fire stations. The data were analyzed using SPSS version 25.0. Results: The average score of core competencies for junior 119 paramedics accounted for the importance of core competency (3.92 points), level of competence (3.43 points), educational needs (3.65 points). Among them, the importance of a role model accounted for 4.02 points, the highest among the sub-areas. Additionally, there was a significant correlation (r=.686), which was the highest, between the importance and educational needs of core competency; therefore, higher the importance of core competency, higher are the educational needs. Conclusion: Preceptor's core competencies concern three domains: role model, socialization facilitation, and instructional design. It would be more effective for those with higher professionalism and professional self-development needs to be trained as a prehospital preceptor.

A Design of Growth Measurement System Considering the Cultivation Environment of Aquaponics (아쿠아포닉스의 생육 환경을 고려한 성장 측정 시스템의 설계)

  • Hyoun-Sup, Lee;Jin-deog, Kim
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.27 no.1
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    • pp.27-33
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    • 2023
  • Demands for eco-friendly food materials are increasing rapidly because of increased interest in well-being and health care, deterioration of air quality due to fine dust, and various soil and water pollution. Aquaponics is a system that can solve various problems such as economic activities, environmental problems, and safe food provision of the elderly population. However, techniques for deriving the optimal growth environment should be preceded. In this paper, we intend to design an intelligent plant growth measurement system that considers the characteristics of existing aquaponics. In particular, we would like to propose a module configuration plan for learning data and judgment systems when providing a uniform growth environment, focusing on designing systems suitable for production sites that do not have high-performance processing resources among intelligent aquaponics production management modules. It is believed that the proposed system can effectively perform deep learning with small analysis resources.

Off-hours Surgery and Mortality in Patients With Type A Aortic Dissection Repair: A Systematic Review and Meta-Analysis

  • Peter Pin-Sung Liu;Jui-Chih Chang;Jin-Yi Hsu;Huei-Kai Huang;Ching-Hui Loh;Jih-I Yeh
    • Korean Circulation Journal
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    • v.54 no.3
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    • pp.126-137
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    • 2024
  • Background and Objectives: The impact of off-hours admission (such as weekends, nighttime, and non-working hours) vs. regular hours (weekdays and daytime working hours) on the mortality risk of patients undergoing surgery for type A aortic dissection (TAAD) repair is still uncertain. To address this uncertainty, we undertook a comprehensive systematic review and meta-analysis. We aimed to assess the potential link between off-hours admission and the risk of mortality in patients undergoing TAAD repair surgery. Methods: We conducted a thorough search of the PubMed, Embase, and Cochrane Library databases, covering the period from their inception to May 20, 2023. Our inclusion criteria encompassed all studies that examined the potential relationship between off-hour admission and mortality in individuals who had undergone surgery for TAAD repair. The odds ratios (ORs) were extracted and combined utilizing a random effects model for our synthesis. Results: Nine studies with 16,501 patients undergoing TAAD repair surgery were included in the meta-analysis. Overall, patients who underwent surgery during the weekend had higher in-hospital mortality (pooled OR, 1.41; 95% confidence interval [CI], 1.14-1.75; p=0.002) than those treated on weekdays. However, the mortality risks among patients who underwent TAAD surgery during nighttime and non-working hours were not significantly elevated compared to daytime and working hours admission. Conclusions: Weekend surgery for TAAD was associated with a higher in-hospital mortality risk than weekday surgery. However, further studies are warranted to identify and develop strategies to improve the quality of round-the-clock care for patients with TAAD.