• Title/Summary/Keyword: Quality of Medical

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YouTube videos provide low-quality educational content about rotator cuff disease

  • Kunze, Kyle N.;Alter, Kevin H.;Cohn, Matthew R.;Vadhera, Amar S.;Verma, Nikhil N.;Yanke, Adam B.;Chahla, Jorge
    • Clinics in Shoulder and Elbow
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    • v.25 no.3
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    • pp.217-223
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    • 2022
  • Background: YouTube has become a popular source of healthcare information in orthopedic surgery. Although quality-based studies of YouTube content have been performed for information concerning many orthopedic pathologies, the quality and accuracy of information on the rotator cuff have yet to be evaluated. The purpose of the current study was to evaluate the reliability and educational content of YouTube videos concerning the rotator cuff. Methods: YouTube was queried for the term "rotator cuff." The first 50 videos from this search were evaluated. Video reliability was assessed using the Journal of the American Medical Association (JAMA) benchmark criteria (range, 0-5). Educational content was assessed using the global quality score (GQS; range, 0-4) and the rotator cuff-specific score (RCSS; range, 0-22). Results: The mean number of views was 317,500.7±538,585.3. The mean JAMA, GQS, and RCSS scores were 2.7±2.0, 3.7±1.0, and 5.6±3.6, respectively. Non-surgical intervention content was independently associated with a lower GQS (β=-2.19, p=0.019). Disease-specific video content (β=4.01, p=0.045) was the only independent predictor of RCSS. Conclusions: The overall quality and educational content of YouTube videos concerned with the rotator cuff were low. Physicians should caution patients in using such videos as resources for decision-making and should counsel them appropriately.

The Influence of New Service Means on Customer's Willingness to Buy under the Background of Artificial Intelligence Take the Marketing method of AI medical beauty APP as an example

  • Li, Xiao-Pei;Liu, Zi-Yang
    • Journal of the Korea Society of Computer and Information
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    • v.25 no.9
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    • pp.173-182
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    • 2020
  • The purpose of this paper is to study the influence of new service methods of "artificial intelligence (AI) + medical cosmetology", a new service means, on customers' purchase intentions. To AI medical beauty APP sales as an empirical study. This paper designed Likert seven scale to investigate, using SPSS 24.0 statistical analysis software and AMOS24.0 structural equation software to analyze the survey data. The analysis method uses reliability analysis, validity analysis, and construct equation model analysis. Through empirical research, the following results can be found, 1. The system quality of AI medical beauty app will have a positive impact on perceived usefulness and perceived ease of use. 2. The information quality of AI medical beauty app will have a positive impact on perceived ease of use and perceived usefulness. 3. The service quality of AI medical beauty app will have a positive impact on perceived ease of use and perceived usefulness 4. Consumers' perceived ease of use has a positive impact on perceived usefulness and purchase intention. 5. The usefulness of consumers' notification has a positive effect on purchase intention.

A Study about the Quality of Life and QALYs of Stroke Patients according to the Medical Care Utilization Behavior: Findings from the 2009-2012 Korea Health Panel Data (의료이용행태에 따른 뇌졸중 환자의 삶의 질과 QALY 비교: 2009~2012년 한국의료패널 자료를 활용한 연구)

  • Park, Seong-Bong;Uhm, Tae-Woong;Kim, Nam-Kwen
    • The Journal of Korean Medicine
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    • v.37 no.1
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    • pp.41-52
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    • 2016
  • Objectives: There are no studies which have investigated the health related quality of life(HRQOL) about stroke patients according to the medical care utilization behavior by longitudinal analysis. The purpose of this study is to analyze the quality of life(QOL) and quality adjusted life years(QALYs) of stroke patients of western and combined treatment group by longitudinal analysis. Methods: A retrospective cohort study was conducted among 37 new patients who initiated diagnosis with stroke in 2009 from Korea Health Panel Data. We analyzed the HRQOL of stroke patients and calculated the QALYs after medical use initiation for up to 3 years according to the medical care utilization behavior. Results: Overall, the quality of life of stroke patients was lowered somewhat from 0.8431 to 0.7864 in 2009~2012. Western treatment group was appeared slightly declined in from 0.8527 to 0.8231 and combined treatment group was shown to be falling from 0.8173 to 0.6875. The QALYs of total patients were calculated 2.3654 and western treatment group were 2.4436, combined treatment group were 2.1542 during the 4 year period. The difference of QALYs between two groups was 0.2894 QALYs. Conclusions: Although there was a small difference in QALYs of the two groups, it is not certain that the difference is come from medical care utilization behavior. Further studies should be needed to confirm the relation of the medical care utilization behavior and quality of life by considering severity of the stroke.

Structural Relationship between Working Environment, Manager's Trust, and Service Quality of Workers in Elderly Medical Welfare Facilities (노인의료복지시설 종사자들의 근무환경과 관리자 신뢰, 서비스 질과의 구조적 관계)

  • Kim, Mi-Suk;Jeong, Heaeng-Jun
    • Journal of Convergence for Information Technology
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    • v.11 no.2
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    • pp.163-172
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    • 2021
  • This study aims to establish a research model to analyze the structural relationship between the working environment of the elderly medical welfare facility workers, the trust of the manager, and the quality of service. As a result, first, it was found that there was a significant causal relationship among service quality in the working environment of the elderly medical welfare facility workers. Second, it was found that there was a significant causal relationship between the working environment and the trust of managers of the elderly medical welfare facility workers. Therefore, in order to achieve the goal of the elderly medical welfare facility and improve the quality of service, it is necessary to create a working environment and establish a trust relationship among members. In addition, in order to cultivate competency and provide high-quality services for the elderly medical welfare facility workers, managers need to understand the individual characteristics of members, and to assign duties according to roles, accurate division of duties and personnel management are required.

A Study on Strategy for Improving Health Care Service through Quality Function Deployment (QFD방법을 이용한 의료 서비스 개선전략에 관한 연구)

  • Kim, Soon-Yi;Choi, Jae-Ha
    • Journal of Korean Society for Quality Management
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    • v.27 no.2
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    • pp.1-19
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    • 1999
  • It is truism to say that today's customers demand high quality products and services; nevertheless, nowhere is this more prevalent than in the medical industry. Korea's globalization has increased it's citizen's awareness of greater life expectancies and medical improvements in other regions of the globe. Therefore, it is universally essential that in order to be successful in the medical industry, vendors must meet the ever increasing demands of better educated customers. The purpose of this study was twofold: 1) The first objective was discover what health care services are in demand and the quality factors related to these services. 2) The second objective was to determine a strategy for improving health care service through quality function deployment(QFD). One hundred and ninety-five respondents were randomly selected and asked to fill out a questionnaire after having undergone treatment at a medical clinic, located in Daejon, South Korea. The questionnaire was designed to obtain information about both he clients' satisfaction with, and their sense of the value of the medical treatment they received. Penalty-reward analysis and QFD were used to interpret the survey results and to deploy the collective voices of the customers. The results of the penalty-reward analysis illustrated that the 'communication' service quality factor was classified into an excitement factor that incurs no penalty if not achieved but adds value if the requirement is exceeded. As a result of the QFD analysis on the 'communication' service quality factor, eleven strategic alternatives were prioritized, and isolated a vital service quality characteristic. This characteristic can be implemented to bring value-added changes for the improvement of health care services.

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Quality of the pharmaceutical advertisement claims in five medical journals in Korea (우리나라 일부 의학 학술지에 게재된 의약품 광고의 과학적 근거에 대한 평가)

  • Ahn, Song Vogue;Choi, Won;Kim, Chul Joon;Choe, Seong Choon;Lee, Kang Hee;Ha, Kyoungsoo;Kim, Hyeon Chang
    • Quality Improvement in Health Care
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    • v.12 no.1
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    • pp.52-61
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    • 2006
  • Background : The promotion and advertisement of pharmaceuticals should be based on evidence from clinical trials. We conducted this study to assess whether the pharmaceutical advertisement claims in Korean medical journals had relevant references, and whether the claims were supported by the references. Methods : We reviewed pharmaceutical advertisements in five Korean medical journals issued during the first half of 1999 and during the first half of 2004. Three investigators independently reviewed the advertisements to see whether the studies quoted to endorse the advertising messages supported the corresponding claims. Using multiple logistic regression analyses, we investigated which factors were associated with the quality of the advertisement claims. Results : From the 550 advertisements in the five journals, we identified 157 different advertisements and 475 different promotional claims. Only 149 claims had at least one reference, and 105 claims had references of published article. We could find supporting evidences in the 90 claims. The factors which were associated with the quality of advertisement claims were category of drugs, category of claims, and the manufacturer characteristics. Claims for cardiovascular and endocrine drugs, and claims on efficacy, and claims of multinational company were more evidence-based. Conclusion : Majority of the pharmaceutical advertisement claims in Korea did not have appropriate references. Drug category, claim category, and the manufacturer characteristics were associated with the quality of advertisement claims, and the manufacturer characteristics was the most important determinants.

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A Strategic Quality Initiative and Its Opportunities to Improve Healthcare Environment (진료환경개선을 위한 우선적 전략과제 설정 및 그 적용)

  • Tark, Kwan-Chul;Park, Hyun-Ju;Park, Chang-Il;Kang, Jin-Kyung
    • Quality Improvement in Health Care
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    • v.5 no.2
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    • pp.324-334
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    • 1998
  • Background : Strategic planning is an organizationwide or systemwide, ongoing look into the future usually of 2~3 years, based on objective analysis of the current environment and trends, but it can incorporate both short-term and long-term goals. The strategic planning process includes external analysis, internal analysis, issue analysis, development of mission, vision and values, and lastly development of organizational goals and objectives. As a part of the strategic quality planning process, certain service lines, important organizationwide functions, or key processes supporting these functions can be prioritized to expedite and roll out certain strategic goals. This is called strategic quality initiatives. Methods : We organized a quality improvement team, a subgroup of 21st century vision planning corps of our medical center, and pursued QI activities for improvement of healthcare environment, particularly in the admission setting. We developed a strategic quality initiative based on the results of patient satisfaction surveys, and carried out functions of self-directed work team. Results : The strategic goal was to be the benchmark for peer group hospitals in Korea for providing cost-effective best-practice. The QI team included 3 medical doctors, 1 nurse, 1 social worker, and 1 QI consultant as well as many operational members to support services and quality initiatives met every Tuesday for 18 weeks. Outcome objectives were to improve patient satisfaction score. The issues included in the objectives were comfort, temperature, noise, cleanliness of the admission wards, quality and education of patient meals, matters regarding the admission process, and an appurtenant facility such as restaurant or convenience store. Every issue was discussed and recommendations, conclusions and opportunities were implemented. Conclusions : By developing a strategic quality initiative as a part of the strategic quality planning process, and pursuing a self-directed work team, certain sen/ice lines, important organizationwide functions, or key processes supporting these functions can be improved effectively within a short period. Strategic quality initiatives serve to support, or roll out, certain strategic goals that are relevant to performance improvement and development of specific measurable outcome objectives, and associated performance measure for each initiative. Each strategic quality initiative should include a statement of intent outcome objectives, and performance measures. We will come back with follow up of the strategic quality initiative, for improvement of healthcare environment, and results of patient satisfaction re-survey.

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Study for Improvement of the Doctor's Satisfaction and Completeness of the Medical Record in the EMR System (전자의무기록(EMR) 시스템하에서 의사의 만족도와 의무기록정보의 기재 충실도 향상 방안)

  • Park, Un-Je
    • Korea Journal of Hospital Management
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    • v.16 no.2
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    • pp.19-30
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    • 2011
  • This study aims to present ways to enhance the stabilization of electronic medical records, ensure the commitment to filling in information of the medical record and improve the overall quality Electronic Medical Record(EMR) information. For that purpose, the present state of the incomplete record rate and the doctor's satisfaction in Electronic Medical Record(EMR) have been surveyed by comparing and analyzing Paper-based Medical Record(PMR) and Electronic Medical Record(EMR). The survey was conducted on 31 doctors in charge of EMR system and each PMR and EMR inpatients were collected for a period of 5 months and analyzed. The results showed that the doctor's satisfaction level was higher for EMR, and the rate of incomplete record appeared to be lower in EMR in departments of both internal and external medicine. In this context, it can be said that the higher efficiency of EMR helped accomplish the increase in commitment to completing medical record information and improve the quality of the data.

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The Effect of General Hospital Inpatient's Perceived Service Quality on Satisfaction and Customer Loyalty (종합병원 입원환자가 인지하는 의료서비스 품질이 고객만족도 및 충성도에 미치는 영향)

  • Kang, Cheon-Kook
    • The Journal of the Korea Contents Association
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    • v.17 no.12
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    • pp.617-627
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    • 2017
  • The purpose of this study was to investigate the effect of medical service quality perceived by general hospital inpatients on satisfaction and loyalty. Data were collected and analyzed through questionnaires of 310 hospitalized patients in general hospital in Gyeonggi-do. The main results of this study are as follows. First, the effect of medical service quality on satisfaction was statistically significant in procedural procedure, hospital life (doctor, nurse), employee friendliness, hospital environment and service satisfaction(p <.001). Second, the effect of medical service quality on loyalty was statistically significant in hospitalization (nurse), hospitalization (doctor), hospital environment and service loyalty(p <.05). Finally, the effect of inpatient satisfaction on loyalty was found to have a significant effect on satisfaction(p <.001). The higher satisfaction with medical service quality affects the loyalty, and it is an important factor in future re-hospitalization and recommendation of hospital to others. Therefore, management should establish policies on quality of medical service to improve the satisfaction and loyalty of hospitalized patients. It should be reflected.

Assessment of Covid-19 Response of the Medical Institutions Based on ISO Public Service Quality Management Framework (ISO 기반 공공서비스 품질관리 프레임워크를 바탕으로 한 의료기관의 COVID-19 대응 현황 평가)

  • Pyun, Jebum;Kim, Seungbeom
    • Journal of Korea Society of Industrial Information Systems
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    • v.25 no.6
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    • pp.69-84
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    • 2020
  • This study is conducted to improve the quality of healthcare services responding to COVID-19 by applying the public service quality management framework that is developed from ISO18091:2019 by the Ministry of the Interior and Safety of South Korea. The COVID-19 pandemic has been impacting the world since early 2020, and now in November 2020, it still has not been eliminated. The Korean medical institutions were able to prevent the spread of COVID-19 by agile test and strict cohort isolation. As a result, the so-called K-medical defense has achieved a positive reputation from around the world. In this study, we check and evaluate the current status of the COVID-19 response targeting some Korean hospitals by applying a quality control checklist based on the public service quality management framework. Status of 7 categories are analyzed based on the interview with 3 medical institutions. We also suggest improvements for better medical service quality in case of COVID-19 being prolonged.