• Title/Summary/Keyword: Quality of Medical

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A study on care, infection management and education for quality management of dental care of elderly patients by dental hygienists (치과위생사의 노인환자 치과치료 질 관리를 위한 케어, 감염 관리 및 교육에 관한 연구)

  • Hye-Mi, Lee;Seol-Hee, Kim
    • Journal of Korean Academy of Dental Administration
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    • v.10 no.1
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    • pp.22-32
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    • 2022
  • This study investigated factors affecting care for elderly patients, management of systemic disease, infection management, improvement of medical care quality, and educational requirements, and provide basic data for quality care for elderly patients with systemic diseases. An online survey was conducted among dental hygienists working at dental institutions and data of 172 individuals were analyzed using the SPSS 21.0 program. Descriptive statistics was performed for general characteristics. For factor analysis by general characteristics, t-test and ANOVA were performed. For differences between groups Scheffe verification was performed. A correlation analysis between factors was performed using Pearson's correlation analysis, and a factor analysis affecting the improvement of healthcare quality was performed using multiple linear regression analysis. Care for elderly patients was 52.33/75, management of systemic disease was 12.65/17, and infection management was 96.92/130. Improvement of medical quality (institutional effort) was 22.87/35, and improvement of medical quality (personal effort) was 22.72/35. The most common educational needs were "necessary". Analysis revealed a positive correlation between factors.. Factors affecting improvement of medical quality (personal effort) were age, final academic background, place of work, and the presence or absence of annual medical examinations. The findings of this study indicate that there is a significant correlation between factors. For the qualitative care of elderly patients, education programs related to elderly characteristics, systemic diseases, and infection management should be actively conducted by dental hygienists, and interest and research on geriatric dental hygiene is needed, centering on associations and educational institutions.

Deducing Improvement Schemes for Public Medical Centers through Annual Progress Analysis (공공의료기관의 효율성 개선방안에 대한 연도별 추이분석)

  • Kim, Yong-Tea;Kim, Yang-Kyun
    • Journal of Korean Society for Quality Management
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    • v.37 no.3
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    • pp.123-139
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    • 2009
  • This study examines the relative efficiency of 34 local public medical centers in Korea. In order to concretely grasp the causes of inefficiency and suggest improvement solutions, the desirable set point was established based on the actual value which needs to be improved. As a result of analysis, we determined that output must be increased while input is held constant in order to improve effectiveness through the actual value and set point. Efficiency cannot be achieved if input is augmented solely to increase output. Also, to increase output, the medical centers need to improve their quality without increasing any input for customer visits and hospitalizations. Further, in order to strategically promote effectiveness and efficiency of local public medical centers, these medical centers must focus on input resource and patient interchange through the mutual cooperation with local private hospitals and university medical centers.

The Effects of International Medical Tourism Service Quality on Perceived Value (국제의료관광 서비스 품질이 지각된 가치에 미치는 영향에 관한 연구)

  • Lee, Chang-Nam;Kim, Hyun-Ju;Hwang, Il-Young
    • International Commerce and Information Review
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    • v.15 no.4
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    • pp.3-25
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    • 2013
  • With the ever-changing medical tourist environment, the study has delved into issues ranging from judged value on medical tourist service quality and its effect on the service level and recurring rate of return visit through the quantitative analysis with the survey for a group of tourists from Japan, China, USA and the interview survey on medical specialist on tourists. Verifying the Hypothesis 1 reveals the assertion that quality of medical service for tourists has effected upon the functional value has proven to be true except the cases on responsiveness and accessibility. And the assumption that the quality of medical service for tourists has effected upon the emotional value has proven to be true except the case on accessibility. The paper has its limitation in that it is confined to medical tourists of small numbers of target countries, relatively short survey period. The study shall be followed by the further analysis on the factors for medical tourists' personal and societal effect

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Factors Affecting International Patient's Satisfaction with Korea Medical Services, Revisit and Recommendation Intention (외국인 환자의 의료서비스 만족도, 재방문 의사, 추천 의사에 영향을 미치는 요인)

  • Kim, Myo-Gyeong;Choi, Yun-Kyoung;Ahn, Jung-Won;Kim, Keum Soon
    • Health Policy and Management
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    • v.27 no.1
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    • pp.63-74
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    • 2017
  • Background: This study aims to analyze quality of and satisfaction with Korea medical services and identify factors affecting medical service satisfaction, revisit, and recommendation intention among international patients. Methods: Secondary analysis of survey data conducted by Korea Health Industry Development Institute from June 10th to July 17th in 2013 was done using multiple regression and logistic regression analysis. The 191 international patients from 9 medical institutions in Seoul were enrolled. Results: The results showed that international patients were satisfied with 85.6 points out of 100.0 points. International patients appraised higher in staff service rather than other services. Factors influencing medical service satisfaction were gender, religion, medical specialty, length of stay, and quality of medical services. Quality of medical service explained 29.8% of medical service satisfaction and especially, 'doctor's care' and 'communication and patient respect' were significantly related to medical service satisfaction. Medical specialty had a significant influence on revisit intention. There were no statistically significant influencing factors of recommendation intention. Additionally, more satisfied patients were associated with higher revisit and recommendation intention. Conclusion: This study implies that quality of medical services is a critical factor for patient satisfaction and that satisfaction with medical services is an important factor for increasing revisit and recommendation intention among international patients. In addition, health care providers should consider cultural differences to enhance satisfaction with medical services for international patients. Therefore, multidimensional strategy is required to strengthen the cultural competency of healthcare providers.

The Effect of Medical Service Quality and Hospital's Reputation on Customer Satisfaction, Repurchase Intention, and Negative Word of Mouth as to Disease Severity (질병의 중증도에 따른 의료서비스 품질과 병원의 명성이 고객만족과 재구매의도, 그리고 부정적 구전에 미치는 영향)

  • Yoo, Dong-Keun;Suh, Seung-Won
    • Korea Journal of Hospital Management
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    • v.14 no.4
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    • pp.25-51
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    • 2009
  • This model was empirically developed to test the effect of medical service quality and hospital's reputation on customer satisfaction, repurchase intention, and negative word of mouth as to disease severity. The model was tested in the context of the hospital industry. The findings are as follows. First, medical service provider's functional quality and technical service quality have significant effect on customer satisfaction. Second, hospital's reputation has positive(+) effect on customer satisfaction and significant negative effect on negative word of mouth. Third, customer satisfaction with medical service quality has significantly positive effect on customer's repurchase intention and has negative(-) effect on customer's negative word of mouth. Furthermore, customer's negative word of mouth has negative effect on their repurchase intention. Fourth, as to different disease severity, medical service quality and hospital's reputation have different effect on customer satisfaction, repurchase intention, and negative word of mouth. When patients get slightly ill, functional service quality and technical service quality have direct influence on customer satisfaction which has positive influence on repurchase intention and negative influence on negative word of mouth. Finally, negative word of mouth has negative effect on customer's repurchase intention. However, while hospital's reputation doesn't have effect on customer satisfaction, the reputation has significantly negative effect on negative word of mouth. When patients get seriously ill, only functional service quality has positive effect on customer satisfaction which influences on customer's repurchase intention and negatively influences on negative word of mouth. On the contrary, negative word of mouth doesn't influence on customer's repurchase intention as patients want to treat serious diseases in the large general hospitals even though negative word of mouth is known to them.

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A Study on the Influential Factors Affecting Korean Medical Tourism - Focusing on Chinese K-Medical Tourists (한국의료관광에 영향을 미치는 요인에 대한 연구 - 중국인 의료관광객을 중심으로)

  • Kim, Yu-Mi;Kim, Sang-Sook
    • Journal of Convergence for Information Technology
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    • v.9 no.8
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    • pp.102-109
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    • 2019
  • Despite of advanced plans from Korean government to encourage Korean medical tourism, the medical tourism in Korea is still under competitive compared to the countries including Thailand, Singapore, and India, in which the government has been driving the development in industries of medical tourism, Moreover, the studies identifying the factors affecting tourists' satisfaction has not been actively performed up to date. Therefore, this study attempts to investigate the influences of quality of medical service, accessibility, cost adequacy, and quality of tourism of Korean medical tourism on Chinese tourists' satisfaction and revisit intention. For the purpose of empirical study, a survey has been conducted to Chinese medical tourists. Findings are as follows. First, the factors of medical tourism attributes including quality of medical service, cost adequacy, and quality of tourism have turned out to have positive effects on medical tourists' satisfaction. Second, tourists' satisfaction has a positive effect on revisit intention.

Relationship among e-Service Quality, Relationship Quality, and e-Loyalty of Small Medical Clinic (소형병원의 e-서비스품질, 관계의 질, e-충성도의 영향관계)

  • Kim, JI-Young
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.3
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    • pp.689-699
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    • 2021
  • The spread of the COVID-19 pandemic has been increasing non-face-to-face activities; as a result, this has resulted in the number of individuals obtaining medical information from the websites and mobile contents of medical institutions increasing. The study conducted the structural equation modeling to test hypotheses; as a result, all sub-factors of e-service quality of small medical clinic websites and mobile contents, usability, security, responsiveness, design, and information, had a significant positive effect on relationship quality, and relationship quality had a significant positive effect on e-Loyalty. Moreover, the structural equation model showed a good model fit, χ2/df of 2.021, NFI of .954, TLI of .969, CFI of .976, RMSEA of .046. Future research is suggested to study relationship quality by developing a system able to quickly and accurately respond to websites and mobile contents users; furthermore, improving e-service quality and relationship quality is likely to strengthen e-loyalty.

Influence of Personal Character on Quality of Life of Patients with Esophageal Cancer in North Henan Province and Influencing Factors

  • Lin, Jian-Ying;Wang, Ming-Sheng;Dong, Liang-Peng;Xu, Da-Wei;Wang, Ying;Li, Xue-Liang;Li, Xiu-Min
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.11
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    • pp.5415-5420
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    • 2012
  • The aim of this study was to investigate QoL (quality of life) of patients with esophageal cancer in northern Henan province, China, and to accurate evaluate and reflect the relationship between patient characteristics and QoL. In the high risk area of esophageal cancer in the north of Henan province, 735 patients with esophageal cancer were investigated. The Eysenck personality questionnaire (EPQ) and QoL were analyzed by using the questionnaire of general situation, EPQ, QLQ-C30 and QLQ-OES18. The effects of personal character on the QoL of esophageal carcinoma patients were analyzed by SPSS 11.0 software. The QoL of esophageal cancer patients in Northern Henan region was significantly affected by character. The difference between choleric and type of melancholic temperament types was significant (P<0.01), also in OESEAT, OESTA, OESCO and OESSP (P<0.05). Differences in personal character can thus influence the quality of esophageal cancer patient lives.

An Analysis of Emergency Care Based on Prehospital Care Reports (일부 구급대의 응급처치활동 분석 - 구급활동일지를 중심으로 -)

  • Uhm, Tai-Hwan
    • The Korean Journal of Emergency Medical Services
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    • v.9 no.1
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    • pp.101-109
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    • 2005
  • The purpose of this study which was done by 250 Prehospital Care Reports(PCRs) survey of some squads in Seoul Metropolitan Fire & Disaster Management Department was to improve prehospital emergency care by means of quality management. The data were collected in 3 squads from Jun. 21 to Jul. 18, 2004 and analyzed by using SPSS Win 12.0 Version. The conclusions from this study were summarized as follows. The mean time of Event to treatment interval was $4.6{\pm}4.3$ minutes and 49.2% arrived at patient within 4 minutes. Platinum minute was observed 61.1% of verbal response, 73.3% of painful response, 77.8% of unresponsive. The great majority of patients couldn't receive advanced life support on account of limited scope of practice and strict direct medical control in the Emergency Medical Services Act. Data from quality improvement activity will be useful to expand indirect medical control which is able to activate prehospital care. To utilize PCR for quality improvement. It has to have data elements, run data, patient data, check boxes, narrative including US DOT's minimum data set.

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