• Title/Summary/Keyword: Quality of Medical

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Pilot Study of Measuring Daily Quality of Life in Breast Cancer Patients Through Mobile Application (모바일 응용프로그램을 이용한 유방암 환자의 삶의 질 측정 초기연구)

  • Youn, So Young;Lee, Jong Won;Jung, Kyung Hae;Kim, Jeong Eun;Lee, Jae-Ho;Lee, Guna;Ahn, Sei Hyun;Shin, Yong-Wook
    • Anxiety and mood
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    • v.9 no.2
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    • pp.128-134
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    • 2013
  • Objective : As treatments for breast cancer require long period of time, the patients need continuous monitoring and management of their health related quality of life. The purpose of this preliminary study is to explore the utility of monitoring quality of life using a mobile phone based application, which was developed to enable the patients to report daily quality of life more efficiently. Methods : Department of psychiatry, breast cancer center and U-health team of Asan Medical Center collaborated in developing a mobile application titled 'DugunDugun'. Through the application, patients with breast cancer receiving neo-adjuvant chemotherapy could report on various questions about their daily quality of life. We extracted and explored the daily basis of the data of sleep duration, number of awake, sleep satisfaction, mood and anxiety from nine patients who reported on the questionnaire for more than a month. Results : The longitudinal data collected using our mobile application well represented the characteristics of individual sleep patterns and daily emotional changes. Most of the patients showed high daily variations in the scores of their quality of life while their averaged scores were similar among patients. The patient with highest daily variations in the subjective sleep quality and daily emotional change had highest score corresponding to moderate depression in Beck Depression Inventory (BDI). Conclusion : The results suggest that mobile application could be a useful tool for monitoring and collecting the daily quality of life in the patients with breast cancer. We expect that mobile application could facilitate early detection and proper intervention for the cancer patients at psychological crisis.

Quality Improvements of Breast Specimen Fixation for Histopathology Test (병리검사를 위한 유방검체 고정의 질 향상 활동)

  • Cho, Seong-Il;Choi, Myung-Sup;Bae, Moon-Hwan;Lee, Moon-Jung;Woo, Hee-Suck;Park, Soon-Chae;Cho, Eun-Yoon
    • Korean Journal of Clinical Laboratory Science
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    • v.42 no.3
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    • pp.149-154
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    • 2010
  • To improve accuracy of the immunohistochemical testing and fluorescence in situ hybridization (FISH) study as well as a routine histology diagnosis in breast cancer, quality improvement for optimal tissue handling is mandatory. We evaluate fraction defective of 7107 blocks from 349 breast cancer patients, who underwent surgical treatment at Samsung Medical Center Seoul, Korea from January 1, 2009 to March 31, 2010. We decided pre-improvement period from January, 2009 to June, 2009. In the first quality improvement period (July, 2009 to September, 2009) we made improvements in protocol of gross examination. In the second quality improvement period (October, 2009 to December, 2009) we attempted more effective formalin fixation such as frequent exchange of formalin and use of separate fixation container for each case. In the third quality improvement period (January, 2010 to March, 2010) improvement of tissue processor was performed. We achieved a marked reduction of fraction defective (9-16%) through efforts to improve quality of formalin-fixed, paraffin-embedded blocks when compared to pre-improvement period.

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A Study of Nursing Services Quality, General Satisfaction of Medical Services, and Revisiting Intent of Hospital (간호서비스 질, 의료서비스에 대한 전반적인 만족과 병원 재이용 의도에 관한 연구)

  • Lee, Mi-Aie
    • Journal of Korean Academy of Nursing Administration
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    • v.13 no.3
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    • pp.362-372
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    • 2007
  • Purpose: This study was performed to identify the perception gaps of nursing services quality between consumers and providers, and identify the perceived influences of nursing services quality on general satisfaction of medical services and revisiting intent of hospital by consumers. Method: The Joo's questionnaire founded on SERVQUAL was modified and distributed to 300 patients and nurses at 6 general hospitals in 5 provincial cities, Korea. Result: It is identified that the perception gaps between consumer and providers exist, and consumers perceive nursing services quality has a influences on general satisfaction of medical services and revisiting intent of hospital. And it is also identified that consumers also perceive general satisfaction of medical services has a powerful influences on revisiting intent of hospital. Conclusion: It is concluded that the marketing strategies being based on the perception gaps between consumers and providers should be specifically planned and applied to improve the perceived nursing services quality by consumers. And it is needed to accurately identify the impact attributes and factors of nursing services quality on general satisfaction of medical services and revisiting intent of hospital that consumers perceive.

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A Method for Evaluation of the Quality of DNA Microarray Spots

  • Zhang, Bao;Ma, Wen-Li;Hu, Zi-You;Shi, Rong;Song, Yan-Bin;Zheng, Wen-Ling
    • BMB Reports
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    • v.35 no.5
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    • pp.532-535
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    • 2002
  • To establish a method to evaluate the quality of the printed microarray and DNA fragments' immobilization. The target gene fragments that were made with the restriction display PCR (RD-PCR) technique were printed on a superamine modified glass slide, then immobilized with UV cross-linking and heat. This chip was hybridized with universal primers that were labeled with cy3-dUTP, as well as cDNA that was labeled with cy3-dCTP, as the conventional protocol. Most of the target gene fragments on the chip showed positive signals, but the negative control showed no signal, and vice versa. We established a method that enables an effective evaluation of the quality of the microarrays.

The Effects of Perceived Medical Service Quality on Patient Satisfaction, Hospital's Reputation and Loyalty

  • Choi, Un-Kyong
    • Journal of the Korea Society of Computer and Information
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    • v.25 no.1
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    • pp.177-185
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    • 2020
  • The purpose of this study is to analyze the effect of patient's perceived medical quality of service on satisfaction, hospital reputation, and loyalty to provide a strategic way to increase profitability and competitiveness of hospitals by preventing the departure of existing customers and promoting reuse. AMOS 20.0 was used for structural model analysis and identification factor analysis and SPSS 21.0 program was used for empirical analysis. As a result, the quality of medical service had a significant effect on satisfaction and reputation, and the quality of medical service had the greatest effect on satisfaction. Satisfaction has a positive effect on reputation and loyalty and is an important factor in determining loyalty. Recognizing the importance of improving quality of service and building relationships with patients should be prepared for strengthening relationships.

Correlations Between Serum IL33 and Tumor Development: a Meta-analysis

  • Chen, Xiang-Jun;Huang, Ying-De;Li, Nian;Chen, Min;Liu, Fang;Pu, Dan;Zhou, Tao-You
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.8
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    • pp.3503-3505
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    • 2014
  • Background: Interleukin-33 (IL-33) has recently been implicated in tumor development. Methods: Data was obtained from PubMed, EMBASE, Clinical trial, Cochrane Library, Web of Science, CNKI and Wanfang databases. After quality assessment and data extraction, a meta-analysis was performed using Review Manager 5.2 software. Results: There were eight documents included in this meta-analysis. The results showed IL33 levels to be higher in tumor patients than that in health people, but no correlations tumor stage, metastasis and survival time of tumor patients were evident. Conclusion: IL33 may be useful as an alarm factor in tumor detection and prognosis.

The Effect of Perceived Medical Services Quality by Outpatient on the Hospital Image, Satisfaction and Re-use Intention (외래환자가 지각한 의료 서비스의 질이 병원 이미지, 만족도 및 재이용 의도에 미치는 영향)

  • Cho, Yun-Hee;Park, Yeon-Suk
    • The Journal of the Korea Contents Association
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    • v.18 no.4
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    • pp.516-529
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    • 2018
  • The purpose of this study is to investigate the effect of perceived medical service quality by outpatient on hospital image, satisfaction, and re-use intention in a general hospital. A total of 176 questionnaires were administered to outpatients who presented to a S general hospital in Daejeon. The results of this study are as follows. First, medical service quality had significant effects on re-use intention, satisfaction, and hospital image. Second, the mediating effect of satisfaction on the relationship between medical service quality and re-use intention was not significant but the mediating effect of hospital image on the relationship was significant. Third, satisfaction and hospital image had significant effects on re-use intention. Consequently, this study verified the influence of perceived medical service quality by outpatient on hospital image, satisfaction, and re-use intention in a general hospital. Further, considering that hospital image, rather than satisfaction, mediates the relationship between perceived medical service quality and re-use intention, it suggests that much more general satisfaction is required in the marketing activities of hospitals.

Quality Improvement Activities to Reduce the Neonatal Infection in a Hospital (일 병원에서의 신생아 감염 감소를 위한 활동사례)

  • Sung, Mi Hae;Baik, Seung Nam;Hong, Hae Sung;Wee, Hyun Joo;An, Ji Won;Kim, Soon Hee;Kim, Hyo Mi
    • Quality Improvement in Health Care
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    • v.6 no.1_2
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    • pp.120-134
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    • 1999
  • Background : This study was conducted to reduce the neonatal infection rate in nursery. Methods : 50 items, structural problems in NICU were selected by open questionnaire and categorized into 11 similar items. 38 items were picked out among them and then categorized into 6 similar items. We carried out quality improvement focusing around 6 items. Results : The high achievement of goal in CQI Activities was shown in hand washing for reducing infection of NICU after July. The local infection in IV site was not found and hand washing and gowning of protectors were achieved by 100%. Conclusion : Neonatal infection rate was reduced through the quality improvement activities, but structural problem of Hospital still remained.

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A Study on Improvement of Large-size Hospital's Emergency Medical Service According to Patient's Viewpoint (환자관점에 따른 대형병원의 응급의료서비스 개선연구)

  • Cho, Chul-Ho;Lee, Eun-Ji
    • Journal of Korean Society for Quality Management
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    • v.41 no.4
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    • pp.541-553
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    • 2013
  • Purpose: This study intends to offer strategic implications that can be used in emergency medical service of large-size hospital through analysis of causal relationship among factors such as emergency medical service, patient value, patient satisfaction and reuse intention. Methods: Differential model was introduced to test causal relationship. Questionnaire was developed, and data was collected and analyzed with Structural Equation Modeling. Results: As a result of empirical analysis, we found that emergency medical service qualities of general hospital could be six components. Image of hospital, medical facilities, and attitude of medical staff are positively related to patient satisfaction and reuse intention. Conclusion: This study offers practical implications to relevant managers, at the same time it has limitations to be solved through additional study in future.

A Study on the Structural Relationship among Service Quality, Service Value, Reputation, Emotional Response, Customer Satisfaction and Repurchase Intention : Focused on The Moderating Effect of Service Relationship in Healthcare Services (서비스품질, 서비스가치, 명성, 감정반응, 고객만족과 재이용의도의 구조적 관계 : 의료서비스에서 서비스관계의 조절효과를 중심으로)

  • Kim, Sung-Soo
    • Korean Management Science Review
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    • v.29 no.2
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    • pp.105-125
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    • 2012
  • As medical service industry is transformed into the market centered on consumers, medical service quality patients recognize is emphasized as the powerful means to ensure competitive advantage among hospitals in the fierce medical markets. Many researches have been done on the definition of medical service quality, developing a scale to measure it, patient satisfaction, hospital repurchase and oral transmission intention, but integrated studies have not been done sufficiently on the patient' cognitive emotional aspects. For these research purposes, based on service relation, service quality, physical surroundings, human services, corporate reputation, service value, emotional response, customer satisfaction and repurchase intention, this paper suggests a theoretical modeling composed of hypotheses on the relations of each theoretical variable. In addition, the moderating effect of service relationships is investigated based on the structural equation model.