• Quality Improvement in Health Care
• /
• v.12 no.1
• /
• pp.114-123
• /
• 2006

Background : Patients who were discharged from the emergency department(ED) may revisit. These patients are divided into two groups; one is expected scheduled condition, the other is unexpected condition. These patients of inappropriate revisits to the ED would be unsatisfied, difficult to make rapport and take legal action as a result of additional medical charges. The purpose of this study was to reduce inappropriate revisits to the ED with a new method which was developed by analyzing inappropriate revisits in 2002. Methods : This study was conducted in a tertiary hospital consisting of 1,278 beds. The most common cause of inappropriate revisits was the medical team's lack of explanation about a disease. Thus we decided that the effective method was to offer full explanations to patients to understand the clinical pathway of a disease. We made four types of stickers to explain most common 4 diseases in 2003. An emergency physician completed 'discharge explanation report' and explained it to patients in 2004. Results : In 2002 inappropriate revisited patients were 164, patients with four diseases were 79. During the same period of 2003, inappropriate revisited patients were 56 (-65.9%), four disease patients were 6 (-92.4%) and in 2004 inappropriate revisited patients were 52, four disease patients were 19. Causes of revisits were lack of explanation about a disease in 35 patients (44.3%) in 2003, and 5 patients (83.3%) in 2003, and 16 patients (84.2%). Conclusions : Application of 'explanation stickers' at discharge reduced inappropriate revisits from 34.5% in 2002 to 15.9% in 2003. Application of 'Discharge explanation report' by emergency physician reduced inappropriate revisits from 15.9% in 2003 to 13.5% in 2004. Reduction of inappropriate revisits elevated the quality of medical treatment, and decreased patients' dissatisfaction in ED.

• Korean journal of food and cookery science
• /
• v.23 no.5
• /
• pp.677-684
• /
• 2007

This study analyzed the influence service quality has on customers satisfaction and revisits to foodservice enterprises located in the Jeonju area. The result are as followings. First, factor analysis was performed with 25 variables, drawing out five accessibility, materiality, assurance, speciality, and correspondence. Second, study model analysis showed that the service quality of foodservice operations located in the Jeonju area had an influence on customers satisfaction. This was especially significant for the factors of accessibility and materiality. Third, when considering customer satisfaction with restaurants, satisfaction with the area's image, and satisfaction with the area's sightseeing, we found that satisfaction with the restaurants and satisfaction with the area's image influenced revisits. This suggests that the higher a customer's satisfaction the more foodservice businesses they want to visit. Thus the foodservice businesses located in the Jeonju area must promote service quality so that customers are satisfied and repeatedly visit the restaurants.

• Journal of dental hygiene science
• /
• v.15 no.3
• /
• pp.318-324
• /
• 2015

The purpose of this study is to provide the basic date which is increase the number of revisits for scaling after analyzing factors that influence trend of dental revisits for 7 years. Research data was about 1,471 patients who visited S dental clinic in Seoul at 2007 for scaling. Data from January 2007 to December 2013 was collected. The subjects were divided into 3 groups by their trend in number of dental revisits for scaling: once, 2 times, 3~7 times. The data were analyzed using the chi-squire, independent-samples t-test and one-way ANOVA, binary logistic regression analysis. As a result, the trend of dental revisit for scaling is significantly decreased from first time to second time, and after 3rd time dental revisits were steadily continued. Factors affecting dental revisits for scaling are distance, family hospital, systemic disease, presence or absence of periodontal therapy. According to the results of the study, providing dental service in accordance with the patients' characteristics and increasing the dental revisits for scaling could give a positive influence to improvement of oral health.

• Language and Information
• /
• v.10 no.2
• /
• pp.67-94
• /
• 2006

This paper revisits some old issues of irony, i.e., situational vs. verbal irony, and irony vs. paradox, in order to further clarify the issues. Although these issues seem to have been fully discussed, there are still unresolved and/or vague aspects that need to be accounted for. This paper also revisits the issue of theorizing the phenomenon of verbal irony, which has long been scrutinized by many philosophers and linguists including Aristotle, Grice, Sperber and Wilson, and recently, Utsumi and Attardo.

• Culinary science and hospitality research
• /
• v.15 no.2
• /
• pp.188-204
• /
• 2009

The important factors of a food festival are divided into hardware and software programs. In this respect, this research aims to study the relationships among the composites of the food festival and its relationship with the visitors' revisit intention. Since the visitors' evaluation is a presumption of their satisfaction, it lies in a constant relationship with satisfaction and the reason why they revisited the festival. Thus, this research examined the influence of the composite factors on visitors' evaluation (operation, experience) and the relationship between operation evaluation and experience evaluation. In addition, it examined the relationship between evaluation factors and the intent of revisits. In conclusion, visitors' evaluation showed a positive effect on the survey about whether they would consider revisiting the food festival. In this context of continuative relationship, the research suggests that it would be necessary to examine the relationship between composite factors, visitors' evaluation, satisfaction and intent of revisits in future research.

• Korea Journal of Hospital Management
• /
• v.10 no.2
• /
• pp.64-80
• /
• 2005

The objectives of this study were to identify factors associated with unexpected revisit to an emergency medical center (EMC) located in Seoul and to examine reasons for revisit. During March, June, September and December, 2002, a total of 168 patients had unexpected revisits to the EMC within 48 hours of a previous discharge. As a 1:1 matched control, we included 136 patients who: discharged from the EMC during the same time period: did not return to the EMC; had the same diagnosis and age(${\pm}5$) with the case. In this study, factors associated with unexpected revisits were defined as characteristics of a previous discharge, which were classified into three: sociodemographic, EMC visit-related, and discharge management factors. Reasons for revisit were categorized into disease, physician, patients, and system-related factors. Data were collected by medical chart review with assistance from clinicians of the EMC. Logistic regression results showed that patients who headed home after discharge without follow-up schedule had a 27.6 times higher risk of revisiting EMC than those who were hospitalized following EMC visit. Patients discharged on his own will had a 5.9 times higher risk of revisiting than those discharged following physician's advice. Patients requiring continual observation at the time of discharge were more likely to revisit by 8.7 times than those discharged with improved condition. About 69.13% of the revisits were due to disease-related factors, followed by 13.90% due to patient-related factors, 8.64% due to system-related factors, and 8.34% due to physician-related factors. It appears that the most significant factors influencing revisits are discharge management factors such as patient's condition at discharge, whether the discharge was accorded with physician's advice, and whether returning home without follow-up schedule. Therefore, appropriate discharge management is necessary to prevent EMC revisit.

• Journal of Korean Society of Rural Planning
• /
• v.15 no.2
• /
• pp.111-120
• /
• 2009

The purpose of this study was to analyze the lifestyles of tourists visiting rural experience tourist destinations and the influential relations of the attributes to affect rural experience tourism. The research findings show that the lifestyles of tourists had significant impacts on their preference for rural experience programs(0.2502/3.0l2). Second, their lifestyles had also significant impacts on the need for rural experience tourist destinations(5.039/3.363). Third, their preference for rural experience programs had significant influences on their intentions for revisits(0.386/3.l60). Fourth, their preference for rural experience programs had significant influences on their intentions for word of mouth(1.448/8.073). Fifth, their need for rural experience tourist destinations had significant impacts on their intentions for revisits(1.940/5.594). And finally, their need for rural experience tourist destinations had no significant influences on their intentions for word of mouth(-1.0611-1.421). According to the analysis results of the regression coefficient of the measuring model, enjoying leisure(1.130/6.775) and pursuing health(1.110/9.001) were large influential factors in lifestyle; pursuing learning(1.47317.946) was the biggest influential factor in preference for rural experience programs; and a natural environment(1.220/8.990) was the biggest influential factor in the need for rural experience tourist destinations.

• Management Science and Financial Engineering
• /
• v.18 no.1
• /
• pp.27-37
• /
• 2012

This paper is motivated by a military cargo-plane routing problem which is a pickup-and-delivery problem in which load splits and node revisits are allowed (PDPLS). Although this recent evolution of a VRP-model enhances the efficiency of routing, a solution method is more of a challenge since the node revisits entail closed walks in modeling vehicle routes. For such a case, even a compact IP-formulation is not available and an effective method had been lacking until Nowak et al. (2008b) proposed a heuristic based on a tabu search. Their method provides very reasonable solu-tions as demonstrated by the experiments not only in their paper (Nowak et al., 2008b) but also in ours. However, the computation time seems intensive especially for the class of problems with dynamic transportation requests, including the military cargo-plane routing problem. This paper proposes a more scalable algorithm hybridizing a tabu search for pricing subproblem paused as a single-vehicle routing problem, with a column generation approach based on Dantzig-Wolfe decomposition. As tested on a wide variety of instances, our algorithm produces, in average, a solution of an equiva-lent quality in 10~20% of the computation time of the previous method.

• Ocean Systems Engineering
• /
• v.1 no.2
• /
• pp.121-130
• /
• 2011

One of the prevailing models that describe the stress corrosion is represented by an exponential dependence between rate of corrosion and stress, suggested by Gutman, Zainullin and Zuripov. This study revisits the exponential model and derives analytical expressions for the structures' durability which is postulated as the time for stress level to reach its yield value. Comparison is conducted with other possible models, namely with linear, quadratic or cubic cases.

• Asian Pacific Journal of Cancer Prevention
• /
• v.13 no.4
• /
• pp.1711-1712
• /
• 2012

Variation in diet and the rates of colorectal cancers have confounded researchers in recent years. Comparisons of populations in different geographic locations and of different ethnic origins have shown considerable differences in disease frequency, location and relation to diet. This paper revisits an earlier comparison of Maori rates of disease and diet based on data from 20 years ago with surprising changes in disease rates today.