Backgrouds : This study was performed to compare the satisfaction levels for health examination programs provided by between the Korea National Health Insurance Corporation (KNHIC) and private healthcare organizations in Korea. We investigated factors associated with the satisfaction level for the KNHIC health examination. Also, factors explaining for the additional receipt of private healthcare organization's examination were identified. Methods : A self-administered questionnaire survey was conducted in June 2004 with 250 beneficiaries of the KNHIC industrial workers' program and 100 beneficiaries of the KNHIC selfemployed program. A total of 297 completed the questionnaire, including 213 (85.2%) and 84 (84.0%) for each insurance program. Ten questions measuring satisfaction levels for each examination program were rated on a scale ranging from 1 (strongly unsatisfied) to 5 (strongly satisfied). Results : Among the subjects receiving both examinations, the mean satisfaction level for the KNHIC examination (3.07) was significantly lower than that for the private healthcare organization's examination (3.50) (p<0.05). The KNHIC examination showed lower satisfaction for all of the 10 items than the counterpart. In particular, the KNHIC examination had the scores of lower than 3.0 for the items reflecting post-examination management services. According to the multiple regression analysis results, the satisfaction for the KNHIC examination was positively associated with the positive attitude toward health examination(${\bullet}$,=0.38, p<0.00). The logistic regression results showed that the likelihood of receiving the private healthcare organization's examination in addition to the KNHIC examination increases as the respondents were less healthier(OR=0.29, 95% CI = 0.10¢¶0.84), the satisfaction level for the KNHIC examination decreased(OR=0.46, 0.28¢¶0.75) or the attitude toward health examination was more positive (OR=2.56, 1.31¢¶5.12). Conclusion : The relatively low satisfaction level for both examination programs suggests that there's ample room for improvement of health examination services in Korea. The negative association between additional receipt of private healthcare organization's examination and satisfaction level for the KNHIC examination implies that the improvement of the satisfaction for the KNHIC examination would help to reduce the national expenditure spent on the additional examination.
This study was carried out to investigate what factors affect satisfaction of periodic health examination undertaken by employees. The purpose of the study was to improve quality of periodic health examination and to increase the rate of workers participation in the screening test. The content of questionnaire was designed with focus on the satisfaction and attitude on the periodic health examination. Data were analyzed with 212 males, 181 females among 393 samples who took periodic examination at a general hospital in Seoul. Korea. The results were as follows: 1. Respondents were mainly in the thirties(42.7%), married(58.5%), more than 3 years working experiences(66.7%) and employed in Sales & Customers service industry(60.1%). 2. There were significant differences in the scores of satisfaction by general characteristics among the respondents. The highly educated and the single showed higher satisfaction on the periodic health examination than other respondents. 3. The scores of satisfaction in periodic health examination showed highly influenced by level of age, work duration, level of knowledge to the health screening and income. Based on the results, this study concluded that the periodic health examination might be necessary to modify its items according to the clients characteristics and their individual demands for maintenance of healthy life.
In a normal x-ray examination, the cooperation of a patient in positioning greatly influences the improvement of work performance, the quality of the images and the reduction in time spent on the examination. An attempt was made to discover the connection between an examination information printout and the effects of the examination by informing the patient before the examination on the examination positions in order to increase the level of cooperation by the patient and by surveying the degree of satisfaction of the patient during the examination proceedings. An examination information printout was prepared on five positions that patients consider to be difficult while receiving normal x-ray examinations and were shown to 257 male and female patients between the ages of 30 to 79 who had visited this hospital between January 1 to February 29, 2012 or to a person who had accompanied the patients before the examination to research the degree of satisfaction regarding the printout. In addition, the examination explanation printout was given to Radiologic Technologists with over 1 year experience in this hospital to use while taking the x-rays and the degree of satisfaction was surveyed and it was examined if the increase of the degree of satisfaction had an effect on the reduction in the examination time. The patients who utilized the examination information printout revealed results of approximately a 7.8% higher degree of satisfaction among the patients who had previous experience receiving x-ray examinations compared to those were having an x-ray for the first time. In the age groups between 30 to 70 years of age, the age group in the 30's revealed the lowest level of satisfaction at approximately 69% and the group in the 50's showed the highest degree of satisfaction of 87.94%. In the survey of the Radiologic Technologists, 85% responded that they were satisfied. In the question that stated "Will the examination information printouts reduce the time involved in unnecessary conversations with the patients?," the responses showed a 95% degree of satisfaction. The degree of satisfaction was high over the examination information printout by both the patients and the Radiologic Technologists. Although the effects of examination time reduction varied based on the ages of the patients and physical conditions that they were in and could not be given measurement values, it was able to be seen through the survey that reduction of the unnecessary communication between the patient and the Radiologic Technologists contributed to the increase in the degree of satisfaction. As a result, both the patients and the Radiologic Technologists had an increased degree of satisfaction over the examination information printout and it was possible for improvements to be made in the quality of medical service provided as well. Nevertheless, it is considered that a more developed manual in terms of quality and quantity must be produced using a more systematic approach and design.
The purpose of this study was to serve as a basis for providing quality medical service and mapping out consumer-centered marketing strategies to successfully cope with the rapidly changing medical environment and meet consumer needs, by examining what affected the satisfaction and revisit of health Promotion center Client. The subjects in this study were 186 of visitor to health Promotion center in a university hospital in the city of Busan. A survey was conducted with structured questionnaire from March 2 to 30, 2001. The collected data were analyzed with SPSS for Windows (ver10.0). For more statistical analysis, frequency analysis, component analysis, t-test, ANOVA and correlation analysis procedures were utilized. Results of the study can be summarized as follows: 1. Regarding demographic characteristics, 51.6% of the Client investigated were male, and 48.4% were female. The greatest number of them were in their 40s(38.9%). 86.5% were married, and 34.2% were self-employed. 44% were a high-school graduate, and the monthly mean income of 59.4% was one to three million Won. And, the residential area of 46.8%, the largest percentage, was a half-an-hour distance from health Promotion center. 2. The most common motivation of their selection of the health Promotion center was a recommendation by Staff and neighborhood(59.7%), followed by excellent facilities and services(17.2%), the tradition and reputation of the hospital(7.5%), and its publicity pamphlets(7.5%). 3. 45.9%, the largest percentage, acquired health-related information from their friends or acquaintances. 43.8%, the greatest percentage, visited there because they felt there's something wrong with their body. 53.4% worried about the possibility of being attacked by cancer, and 57.5% wanted to take a precise cancer examination. For health maintenance, 50.1% got regular exercise. Regular exercise was considered most crucial for health maintenance or promotion. 4. The largest reason they used that examination center again was the kindness of employees(52.7%), followed by the tradition and reputation of the hospital(21%) and excellent examination setting and equipment(10.8%). 5. By demographic factor, there was no significant difference between the man and women in satisfaction level with examination and expenses. The women expressed more satisfaction at facilities, and the high-school graduate group were more contented with expenses. 6. As a result of investigating their satisfaction level according to the motivation of selecting that examination center, the group that chose the center due to excellent facilities and services were more satisfied with examination and expenses. 7. As for the relationship of total examination satisfaction to revisit. intention, there was a higher correlational relationship between total health examination satisfaction and expense satisfaction. Especially, the more they were satisfied with examination, the more they were willing to revisit there for another examination.
The purpose of this study was to analyze the structural relationship between job satisfaction levels felt during ultrasound examination of radiological technologists (RTs) using a structural equation model. The subjects were a total of 203 RTs currently working in medical institutions. The method was conducted as a survey study using a questionnaire consisting of a total of 29 questions consisting of demographic characteristics and job satisfaction levels that were self-efficacy, job competency, extrinsic compensation, and job satisfaction. The reliability was secured with the Cronbach's alpha coefficient of 0.6 or higher. For statistical analysis, a significant difference between the frequency analysis of demographic characteristics and the mean of the job satisfaction levels were performed by independent sample T-test and one-way analysis of variance (ANOVA) followed by Scheffe's post hoc test. The correlation analysis between variables was tested with Spearman's and Pearson's correlation coefficient. We analyzed the structural relationships between variables by structural equations. As a result, first, job competency and extrinsic compensation had a positive effect on job satisfaction on ultrasound examination of RTs. Second, the self-efficacy of ultrasound examination RTs showed a high correlation with job competency. Third, the job satisfaction levels showed in the order of job competency, job satisfaction, self-efficacy, and extrinsic compensation. In conclusion, this study are expected to be provided as data to identify factors that could improve job satisfaction during ultrasound examination of RTs by empirically analyzing the structural relationship of self-efficacy, job competency, and external compensation.
Purpose: This study was conducted to evaluate customer satisfaction of general health examination service and to determine how the customer satisfaction affected to revisiting intention, their change of health belief, self-efficacy, and health promoting behavior. Method: Data were collected with questionnaires from 92 customers, who took general health examination at G University Medical Hospital having symptoms of hypertension, diabetes, high blood cholesterol, and obesity. Data were analyzed by the SPSS for windows 10.0 program. Result: Level of customer satisfaction were closely related to one of revisiting intention (r=.791, p=.000). 2) Through multiple regression analysis, factors that affect the customer' revisiting intention were found to be satisfaction in consultation of results (F=126.166, p=.000), examination environment (F=77.490, p=.001), and examination process (F=55.932, p=.024). It could explain 64.4% of customers' revisiting intention. Group displaying higher level of satisfaction showed highly increase in health belief following the examination, and the difference was statistically significant (t=-2.035, p=.045). They also showed a more improved health promoting behavior following the examination, and the difference was statistically significant (t=-2.316, p=.023). Conclusion: Health belief and health promoting behavior was improved following the general health examination. In addition, these changes were more significant in customers who displayed in a higher level of customer satisfaction.
Purpose: The purpose of this study was to investigate Seoul teacher's satisfaction with and needs for health examination and health promotion programs. Methods: The participants were 3,186 teachers in Seoul. Data were collected through an on-line survey system from November 16 to December 7, 2008. Collected data were analyzed by descriptive statistics, t-test, ANOVA, and Scheffe's test using PASW 18.0 program. Results: Teacher's satisfaction with teacher health examination was low and needs for detailed tests of cancer and vocal cord disorders were high. Teacher's satisfaction with teacher health promotion programs was low and needs for stress management, exercise and vocal cord protection program were high. Conclusion: Vocal cord disorders should be included in teacher health examination and vocal cord protection program should be provided for teacher's health promotion. Stress management and exercise program should also be provided for teacher's health promotion.
This study analyzes the correlations of participation motivation, education satisfaction, and positive behavioral intention for participants in marriage enrichment programs. The survey response results for 193 participants in marriage enrichment programs were analyzed with the statistics analysis application IBM SPSS 20.0. The findings of this study are as follows. An examination of relative influence of participation motivation and education satisfaction with the positive behavioral intention of participants in marriage enrichment programs indicated that internal motivation had a positive influence on education satisfaction, external motivation had a negative influence on satisfaction for facility environment and satisfaction with employee service, and motivation had positive influence only on facility environment. An examination of the influence of participation motivation and education satisfaction with the positive behavioral intention of the participants in marriage enrichment programs indicated that internal motivation and external motivation had a high positive influence on positive behavioral intention. However, motivation did not have a significant influence on behavior after participation. In education satisfaction, satisfaction with content, satisfaction with instructor, and satisfaction with employee service had a positive influence on positive behavioral intention, however, satisfaction with facility environment had negative influence on positive behavioral intention.
The purpose of this study was to determine factors influencing patient satisfaction with medical services in hospital, which is classified into environmental aspect, human services and procedural services. Based on the results of literature review, the study focused on effects of social-demographical factors on patient satisfaction. The environmental aspect of medical care services included medical equipment and facilities, hygiene, ventilation, heating and air-conditioning, waiting and resting space, ward space and parking facilities. Procedural service included registration process, bill payment, waiting time after registration, examination and prescription as well as appointment process. Human services consisted of physicians listening to stories of patients, examination duration, physicians' explanation and physicians' service. As for nurses, explanation about disease, examination procedure and results, kindness and nursing care were evaluated. Services provided by other staff members were also evaluated. Patient satisfaction, defined as individual attitude toward medical service as a whole, was measured using a questionnaire. A total of 700 in-or out-patients were surveyed in 6 hospitals with more than 300 beds in North Gyeongbuk Province. 1. The level of patient satisfaction varied with characteristics of patients. Male patients and those in their 30s had a low level of satisfaction. Dissatisfaction level was positively related to education level but negatively related to economic condition. 2. As for patient satisfaction with medical service providers and other employees in hospital, satisfaction level with physician's explanation about treatment was higher. But dissatisfaction levels with treatment duration and the lack of explanation about examination procedures were high, calling for improvement. Dissatisfaction level with nursing care was high, calling for training of nurses for better service. Given the low level of satisfaction with human services, hospital employees need to be trained to improve their service. 3. It Was found that administrative service was also a significant factor influencing patient satisfaction in addition to medical service. It is therefore important for hospitals to provide patients with prompt and convenient procedural service. 4. Environmental factors such as medical equipment and amenity facilities also affected patient satisfaction. Thus environmental condition, procedural service and human service are all important to improve medical service in hospital. In summary, procedural service was the most significant factor for patient satisfaction. The level of satisfaction in patients was also affected by human service and environmental condition. It is therefore necessary to take patient-oriented approach in providing medical service in an effort to improve patient satisfaction. The finding of a lower level of satisfaction with human service signifies the need for training of healthcare providers and other hospital employees for better services. The introduction of advanced management programs is also needed to improve procedures that patients go through in hospitals.
목적: 이 연구의 목적은 성매매종사자들이 현행 성병검진서비스에 대해 어떻게 인식하는지를 파악하고, 이러한 인식이 성매매종사자들의 성병검진서비스 이용의도에 어떻게 관련되어 있는가를 살펴보는 데 있다. 방법: 이 연구의 자료는 보건소에서 제공하는 성병검진서비스를 이용한 경험이 있는 성매매종사자들을 대상으로 실시한 설문조사를 통해 수집되었다. 성병검진서비스에 대한 성매매종사자의 인식과 이용의도는 웨어와 그의 동료(Ware and his colleagues)들이 개발한 '환자만족도설문지(PSQ)'의 문항들로 측정하였다. 결과: 대부분의 성매매종사자들은 현재 보건소가 제공하는 성병검진서비스에 대해 만족하고 있으며, 이러한 서비스를 이용하려는 강한 의사를 지니고 있다. 성병검진서비스에 대한 일반적인 만족도와 이용의도를 예측하는 데 있어 사회경제적 변수들은 별다른 영향을 미치지 않았다. 성병검진서비스에 대한 구체적 차원들에서는 기술적인 질과 서비스에 대한 접근성이 일반적인 만족도와 이용의도에 긍정적인 방향으로 영향을 주었다. 성병검진서비스 이용의도의 가장 중요한 결정요인은 성병검진서비스에 대한 일반적인 만족도였다. 결론: 성매매특별법 시행 이후에 성매매종사자를 대상으로 하는 보건소의 성병검진사업은 크게 위축되고 있다. 이번 연구결과에서 나타난 것처럼 성매매종사자들은 보건소의 성병검진사업이 활성화되기를 희망하고 있었다. 따라서 국민의 건강 유지, 증진, 보호를 목적으로 하는 보건소는 성매매특별법의 시행과는 별도로 성병관리 사업을 계속해서 수행할 필요성이 제기된다.
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