• Title/Summary/Keyword: Quality of Medical Service

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Validity and Reliability of a Measure of Patient Satisfaction with Physical Therapy (물리치료환자 만족도 도구의 타당도 및 신뢰도 분석)

  • Sohn, Ae-Ree;Kim, Mi-Won
    • Journal of Korean Physical Therapy Science
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    • v.9 no.2
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    • pp.77-85
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    • 2002
  • Patient satisfaction is an important factor in evaluating the quality of care. Patient satisfaction may be used to evaluate provider services and facilities, and used to predict the patient returns to a facility. The patients decision whether the patient returns to a facility or whether the patient recommends the facility to other people may be affected by a variety of factors of patient satisfaction. This study is to develop and test of a translated and modified Goldstein's instrument that measures patient satisfaction among physical therapists patients and clients. A self-administered questionnaire survey was conducted in Seoul, Chung-Joo and Bu-Cheon cities. Survey data was obtained from 743 patients who visited the physical therapy practice at university hospitals, general hospitals and clinics. The instrument developed by Goldstein was used and translated into Korean. Several items were added to the instrument. Patient's opinions of service in each domain measured using 5-point Likert-type scales that ranged from strongly disagree to strongly agree. Principal components analysis with varimax rotation was used to indicate which questions examined similar components of patient satisfaction. Component analysis indicated eight scales (kindness, scheduling, recommendation, convenience of parking, privacy, and waiting time). Different types of validity were established well. The coefficient of reliability (Cronbach alpha =.97) obtained for the instrument was clearly within a desired range.

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Factors Influencing the Happiness according to the Gender of the Elderly Living Alone: Using Data from 2015 Community Health Survey (남성독거노인과 여성독거노인의 행복감 영향요인: 2015 지역사회 건강조사 자료 활용)

  • Kim, Kyung Sook
    • Journal of East-West Nursing Research
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    • v.23 no.2
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    • pp.97-106
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    • 2017
  • Purpose: The purpose of this study is to identify the factors influencing the happiness according to gender of the elderly living alone. Methods: This cross-sectional study used the raw data from the 2015 Community Health Survey. The subjects of this study were 14,705 elderly people aged 65 years or older, of which 2,198 were male elderly and 12,507 were female elderly. Results: The factors influencing the happiness of both male and female elderly were household income, depression, subjective stress level, subjective health level, quality of life, and lack of required medical service experience (p<.05). In addition, the male elderly were affected by the age, and the female elderly were affected by education, sleep time, walking and breakfast practice, and health screening (p<.05). Conclusions: It is necessary to develop and apply programs that can reduce the stress to increase the happiness of the elderly living alone, and efforts should be made not to cause a blind spot in terms of the health and welfare of the elderly living alone.

Concept Analysis of Post Intensive Care Syndrome (집중치료 후 증후군에 관한 개념분석)

  • Kang, Ji yeon;Won, Youn Hui
    • Journal of Korean Critical Care Nursing
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    • v.8 no.2
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    • pp.55-65
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    • 2015
  • Purpose: The purpose of this study was to identify the attributes, antecedents, and consequences of post-intensive care syndrome. Methods: The study was conducted in accordance with Walker and Avant's conceptual analysis process. We searched the Medline, ProQuest, Google scholar, NANET (Korean National Assembly Library), and RISS (Korean Education and Research Information Service) databases resulting in 29 studies for in-depth review. Results: The attributes of post-intensive care syndrome include (1) new or worsening impairment persisting after discharge, (2) physical impairment, (3) psychological impairment, (4) cognitive impairment, and (5) symptom experience. The antecedents of the concept include a critical condition that requires intensive care, stressful events, immobility, sedation, delirium, insomnia, frailty, and invasive procedures. The consequences of post-intensive care syndrome are increased dependency in activities of daily life, decreased social interaction, delayed return to previous occupation, decreased quality of life, familial post-intensive care syndrome, and readmission/death. Conclusion: The concept of post-intensive care syndrome has multifaceted and integrative features. Further research needs to be conducted to develop a measurement tool that reflects the attributes of the concept and to develop multidisciplinary interventions to prevent post-intensive care syndrome.

Analysis of the Spatial Configuration of Lobby in General Hospital (종합병원 로비의 기능요소에 따른 공간구조 분석)

  • Choi, Inyoung;Park, Heykyung
    • Korean Institute of Interior Design Journal
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    • v.26 no.1
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    • pp.134-141
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    • 2017
  • General hospitals in Korea have increased more in size since 2000, and as not only medical service but the quality of the environment also got important, the considerable changes have appeared revolving around the lobbies. This study is a basic research to find a direction of a plan for general hospital lobbies in response to the demands that change. It was examined the current condition of lobbies so as to derive the idea of types of lobbies and of functional elements, and based on the research, it was compared and analyzed in terms of the spatial configuration to draw the characteristics by type. The result of the research is as follows. (1) The lobbies were explored after being classified into four types; the plan(central type/street type) and the elevation(eclectic type/double-story type). (2) The hall and corridor were ranked high in order of importance in the whole spatial configuration, and it has been utilized in various ways. (3) Also, each type differed with the others in its main functional area, regarding traffic line efficiency and spatial intelligibility.

Medication Prescribing Status in Pediatric Patients with Migraine (소아청소년에서 편두통 치료 약물 처방 현황)

  • Rhew, Kiyon
    • Korean Journal of Clinical Pharmacy
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    • v.32 no.3
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    • pp.178-184
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    • 2022
  • Background: Migraine is one of the leading causes of poor quality of life and disability, and migraine incidences in pediatrics are increasing. Proper medication is important for the preventive and acute treatment of migraine. This study aimed to identify the current status of prescribed medication in pediatric patients with migraine. Methods: We used data from a sample of pediatric patients from the Health Insurance Review and Assessment Service (HIRA-PPS-2018) and analyzed the status of prescription drugs and frequency of visits to medical institutions with migraine diagnoses in pediatric patients. Results: A total of 12,228 pediatric patients diagnosed with migraine during 2018 were analyzed. Among these patients, 7,170 (58.64%) were girls and 9,510 (77.77%) were adolescents. Additionally, 9,157 patients (74.89%) received acute treatment, and 592 patients (4.84%) received combination therapy with analgesics and triptans. Acetaminophen for acute treatment and flunarizine for preventive treatment were the most commonly prescribed. In most children and adolescents, acute treatment drugs were prescribed for less than 14 days. Conclusion: Analgesics, such as acetaminophen or non-steroidal anti-inflammatory drugs, were prescribed frequently for acute treatment in pediatric patients with migraine. The drug prescription duration was within the recommended range, indicating a low risk of overdose. For preventive treatment, clinically studied medication for pediatric patients with migraine was used.

A Privacy-aware Graph-based Access Control System for the Healthcare Domain

  • Tian, Yuan;Song, Biao;Hassan, M.Mehedi.;Huh, Eui-Nam
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.6 no.10
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    • pp.2708-2730
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    • 2012
  • The growing concern for the protection of personal information has made it critical to implement effective technologies for privacy and data management. By observing the limitations of existing approaches, we found that there is an urgent need for a flexible, privacy-aware system that is able to meet the privacy preservation needs at both the role levels and the personal levels. We proposed a conceptual system that considered these two requirements: a graph-based, access control model to safeguard patient privacy. We present a case study of the healthcare field in this paper. While our model was tested in the field of healthcare, it is generic and can be adapted to use in other fields. The proof-of-concept demos were also provided with the aim of valuating the efficacy of our system. In the end, based on the hospital scenarios, we present the experimental results to demonstrate the performance of our system, and we also compared those results to existing privacy-aware systems. As a result, we ensured a high quality of medical care service by preserving patient privacy.

A Study on the Improvement of Patients' Privacy in General Hospitals - The Case of the Seoul Asan Hospital Renovation Project - (종합병원의 환자 프라이버시 개선에 관한 연구 - 서울아산병원 레노베이션 사례를 중심으로 -)

  • Park, Won Bae;Lim, Jin Woo;Moon, Jin Ho
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.9 no.1
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    • pp.17-23
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    • 2003
  • Among the countless elements for healing environment in healthcare facility, 'privacy' has been rather neglected in general hospital designs in Korea. The fact may be due either to present situation of excessively crowded patients or to cultural origin which more stresses on the mass than on individuals. However, as patient amenity has increasingly become important, privacy should be viewed as one of the key elements in the general hospital design, in order to improve the quality of patient service as well as to compete with other hospitals. Also it is very important that those methods for privacy improvement should be not only theoretically correct but also practical enough to be compatible with medical efficiency, space availability or construction cost within a particular hospital. The purpose of this case study is to present an actual examples to improve patients' privacy adopted in the schematic design of the Seoul Asan Hospital renovation project, along with comparisons with other hospital cases.

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A study of the EQ-5D index according to the dental prostheses status of the elderly in Korea (한국 노인의 치과보철 상태에 따른 건강 관련 삶의 질에 관한 연구)

  • Hwang, Hong-Gu;Lee, Jong-Hwa
    • Journal of Technologic Dentistry
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    • v.43 no.1
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    • pp.19-28
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    • 2021
  • Purpose: This study aimed to obtain basic data on oral health improvement by investigating the EQ-5D index according to the oral prosthesis status of elderly persons aged 65 years or older in Korea using the Seventh Korea National Health and Nutrition Examination Survey. Methods: In this study, 3,426 elderly persons aged 65 years or older were included to analyze the relationship between the dental prostheses status and EQ-5D index in the collected data. Results: Compared to the "complete denture" in oral prosthesis, EQ in case of no dental prostheses or fixed dental prostheses is comparable to removable prosthetics such as "no dental prostheses," "one fixed bridge," and "two or more fixed bridges." Removable partial denture and complete denture required for the maxillary and mandibular EQ-5D index were significantly higher in "not necessary" than in "complete denture necessary" in all the elderly persons. Conclusion: The condition of the dental prosthesis and the need for a removable partial denture and complete denture for the elderly's EQ-5D index were confirmed, and it was found that the fixed dental prostheses were more effective than the removable dental prostheses. Therefore, oral health education programs for the elderly should be developed to promote dental function and oral health maintenance.

A Beacon-based Space Partition Scheme for Patient Location Tracking (환자 위치 확인을 위한 비콘 기반 공간 분할 기법)

  • Yoon, Yeo-Dong;Jang, Yeong-Hwan;Pi, Kyung-Joon;Jo, Kwangsoo;An, Junhyuk;Min, Hong
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.18 no.2
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    • pp.157-162
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    • 2018
  • Tracking the location of patients in medical facilities is important to guarantee the patients' safety and to improve the service quality. Previous studies related to location tracking systems based on Bluetooth communication need numerous prerequisite information and multiple devices to improve the accuracy. In this paper, we propose a beacon-based space partition scheme that assigns different arrangement patterns of beacons to different spaces and composes groups with the similar value of RSSI to minimize prerequisite information and the number of beacons. The proposed scheme considers a pattern arrangement scheme to minimize intereference between neighbor patterns. We also verified the applicability of our scheme to monitor the patient location by using experimental results.

A New Cross-Layer QoS-Provisioning Architecture in Wireless Multimedia Sensor Networks

  • Sohn, Kyungho;Kim, Young Yong;Saxena, Navrati
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.10 no.12
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    • pp.5286-5306
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    • 2016
  • Emerging applications in automation, medical imaging, traffic monitoring and surveillance need real-time data transmission over Wireless Sensor Networks (WSNs). Guaranteeing Quality of Service (QoS) for real-time traffic over WSNs creates new challenges. Rapid penetration of smart devices, standardization of Machine Type Communications (MTC) in next generation 5G wireless networks have added new dimensions in these challenges. In order to satisfy such precise QoS constraints, in this paper, we propose a new cross-layer QoS-provisioning strategy in Wireless Multimedia Sensor Networks (WMSNs). The network layer performs statistical estimation of sensory QoS parameters. Identifying QoS-routing problem with multiple objectives as NP-complete, it discovers near-optimal QoS-routes by using evolutionary genetic algorithms. Subsequently, the Medium Access Control (MAC) layer classifies the packets, automatically adapts the contention window, based on QoS requirements and transmits the data by using routing information obtained by the network layer. Performance analysis is carried out to get an estimate of the overall system. Through the simulation results, it is manifested that the proposed strategy is able to achieve better throughput and significant lower delay, at the expense of negligible energy consumption, in comparison to existing WMSN QoS protocols.