• 한국병원경영학회지
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• 제10권2호
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• pp.64-80
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• 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.

• 한국의료질향상학회지
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• 제12권1호
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• pp.114-123
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• 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.

• 디지털융복합연구
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• 제12권4호
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• pp.157-170
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• 2014

본 연구는 커피 전문점 물리적 환경이 충성도 및 구전의도에 영향을 미치는데 있어, 새로운 심리적 요인으로 '소비감정(Consumption emotion)'의 매개역할을 규명하고 관계성을 파악하고자 하는 연구로써 커피전문점의 점포내 물리적 환경 변화를 통한 고객만족과 구매의도를 증대시키는 마케팅전략 대안을 제시하는데 연구목적이 있다. 물리적 환경과 관련된 연구들을 종합적으로 고찰해볼 때, 크게 두 가지 관점으로 정리해 볼 수 있는데, 즉, 물리적 환경이 고객만족, 품질지각 및 기타 소비자 반응(구매의도, 재방문의도 등)에 미치는 직접적인 효과와 물리적 환경이 고객 감정 혹은 가치지각을 매개로 소비자 반응에 미치는 간접적 효과로 나누어서 볼 수 있다. 본 연구는 커피전문점 이용경험을 가진 이용객중에서 321명을 표본으로 4개의 가설을 설정하고, 실증분석 하였다. 실증분석은 SPSS 17.0 통계 패키지와 AMOS 17.0을 이용하여 공분산 구조분석을 실시하였다. 가설 검증한 결과 1개의 소가설을 제외하고 나머지 가설들을 채택되었다. 거부된 하나의 가설을 점포내환경중에서 상징성만이 긍정적 소비감정에 정(+) 영향을 미치지 않는 것으로 나타났다. 매우 의외적인 결과라고 연구자 판단되는데, 커피점을 이용하는 고객들이 콩다방, 별다방이라는 표현을 사용하여 커피전문점 심벌이나 상징을 많은 소비자들이 표현하는데 이런 표현이 실제적으로 소비자 마음속에 긍정적 소비감정에 영향을 미치지 않는 것으로 판단이 된다. 채택된 가설들을 통해서 최근 제품이나 서비스의 표준화를 통해서 제품이나 서비스 차별화가 사라지는 추세에서 소비자들에게 긍정적인 소비감정이나 충성도를 향상하기 위해서는 점포내 물리적환경과 같은 부차적인 요소에 대한 관심과 관리가 필요하다.

• 한국의류학회지
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• 제29권8호
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• pp.1196-1206
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• 2005

The purpose of this study was to identify the difference on the consumer's cognitive response, emotional and behavioral response in regard of the in-store shopping environment according to their apparel shopping orientation. The subjects of this study were consumers who finished shopping in the stores, and 300 questionnaires were completed. Data collected in this survey were analyzed by using Factor analysis, Cluster analysis, one-way ANOVA and Duncan test as a post identification. The results were as follows; 1. A significant difference was found on cognitive responses in regard of the in-store environment, such as a store atmosphere, salespeople, the assortment of products, and the fashion of products, according to types of apparel shopping orientation. The hedonic shopping type tended to have the higher evaluation toward a store atmosphere and salespeople than did other types. 2. Results showed statistically significant differences on emotional responses such as the outward/inward pleasure and outward/inward displeasure of the in-store shopping environment according to apparel shopping orientation types. The outward pleasure was found most highly in the high involvement shopping type. 3. There were significant differences on behavioral responses of the in-store shopping environment, such as the shopping satisfaction, the store revisit intention, recommending to others, and the unexpected consumption, according to apparel shopping orientation types.