• Title/Summary/Keyword: doctor's quality

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A Comparative Study on Hospital Accreditation Programme -United States of America, United Kingdom, Canada, Australia, Republic of Korea (주요 국가의 의료기관 신임제도 비교연구 - 미국, 영국, 캐나다, 호주, 한국을 중심으로 -)

  • Shin, Young-Soo;Lee, Sin-Ho;Kim, Su-Kyeong;Lee, Young-Sung
    • Quality Improvement in Health Care
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    • v.1 no.1
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    • pp.66-94
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    • 1994
  • Hospital Accreditation Programme(HAP) has been introduced in many countries in the world for these recent years. This article reviews the HAP in the aspects of the organization, survey and evaluation process, evaluation criteria, and its impact to the hospital quality improvement. The nations included in this study are USA, UK, Canada, Australia, and Korea. To carry out this comparative study, the authors have reviewed articles and accreditation manuals having been issued in many countries. An expert panel of medical doctor, nurse, pharmacist, administrator, and specialist in health facilities formulated a study framework. The results of this study enhance understanding about hospital accreditation activities according to each nation's health care system. In recent years, the Korean government has launched the plan to improve the quality of health services by strengthening the hospital accreditation programme. This study results can provide useful information in development and implementation of the national hospital accreditation programme in Korea.

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Monitoring system technology of patients' lifestyles

  • Hahn, James
    • Korean Journal of Artificial Intelligence
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    • v.2 no.1
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    • pp.4-6
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    • 2014
  • These days, aging, the aged and patients rapidly increased to produce problems, for instance, rapid increase of demand on medical service, higher medical expenses, low quality of the elderly's lives, shortage of physicians and nurses, and others [1]. These days, not only IT technology but also medical technology has taken the lead in settlement of the problems. Patients see a doctor to be given medical treatment and service when they are sick to have difficulty. The study investigated lifestyle monitoring system of chronic disease patients to indicate variation depending upon time. The health care is likely to solve problems of the elderly and chronic disease patients and to satisfy desire of better life quality by living healthy life and to diagnose diseases and give medical treatment and to give solutions in accordance with changes of paradigm of medical services.

Study of Gyeongbosinpyeon, a Late Joseon Medical Records (조선 후기 의안(醫案) 『경보신편(輕寶新編)』 연구)

  • Jeon, Jongwook
    • Journal of Korean Medical classics
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    • v.30 no.1
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    • pp.185-209
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    • 2017
  • Objectives : The objective of this paper is to review the healing processes employed in the traditional age and discover the unique features found in the Korean Medicine through categorizing and analyzing the distribution of patients, and the aspects and results of treatments as recorded in Gyeongbosinpyeon, a historical text thought to have been authored by a regional doctor active in Joseon during the mid- to late-19th century. Methods : A table is created to view all of the total of 141 medical records introduced in the Gyeongbosinpyeon, and 7 categories were created to each contain 2 to 3 medical records that have special images. The paper provides their translation texts along with the original texts, and analyzed their medical and social significances by comparing each medical record. Results : The clinical competence displayed by the doctor who had worked in Joseon during the 19th century was surprisingly high, and it seems its values are worthy of dissemination when compared with Yeogsimanpil that has been introduced to the world. There is a great significance in how the principle of holistic treatments, the fundamental aspect of Joseon's medical study, was adhered. Additionally, the parts that show the historical text's author's medical activities and their unique characteristics are also worthy of attention. Conclusions : Korean medicine possesses a remarkable text called Donguibogam, but clinical behaviors' successes are not guaranteed solely with textual knowledge. It can be witnessed that such texts of authority and such medical records that have recorded actual activities complement each other in order to improve the quality of Joseon's study of medicine.

Survey on the Status of Utilization of mediate Moxibustion by Korean Medicine Doctor (한의사의 간접구 이용실태에 대한 조사 연구)

  • Lee, Eunkyoung;Han, Seungjun;Chong, Myongsoo
    • Journal of Society of Preventive Korean Medicine
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    • v.17 no.2
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    • pp.105-127
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    • 2013
  • Objectives : We examined the use of the moxibustion through survey on Korean Medicine Doctors (KMDs) on preparation of universal moxa product standard by fully reflecting opinions of practitioners and the industry. Methods : The questionnaire is composed of 25 questions including use of indirect moxa, side effects, complaints and improvements, general characteristics and so on, and were responded by 1,588 KMDs. For statistics, frequency analysis, chi-square analysis, T-test and ANOVA were conducted using SPSS 12.0 for windows, and the significance level was 0.05. Results : In this research, 91% of the responded KMDs was using moxibustion, and the proportion of using mediate moxibustion was shown as 63.2%. They used mediate moxibustion for side effects of direct moxa method such as risk of burn, ease of use, control of stimulation and so on. And it was mostly being conducted to women and 40 ages. Most respondents gave moxibustion treatments for the purpose of thermal stimulation on acupoint to musculoskeletal diseases. Most respondents were treating 1~2 pieces of moxibustion to patients by moxibustion points to those of 1~2 regions every time within 10 minutes. Regarding the frequency of side effects of mediate moxibustion, within 3% of respondents had experienced side effects, and the types were burn, flare and itchiness, odor and smoke. The dissatisfaction of mediate moxibustion products was moderate(2.00 out of 5 point scale), and went up public health doctors, the younger ages and the shorter clinical experience. Complaints on mediate moxibustion products were serious odor, poor attachment, risk of burn etc. Regarding ways to improve mediate moxibustion, the expansion of moxibustion's insurance cost carne out highest, followed by preparation of manual on efficacy, strengthening of training, acquiring evidence on efficacy, diversification of specifications, safety improvement, quality improvement of mediate moxibustion products. Conclusions: Many KMDs use for ease of use and give moxibustion treatments for thermal stimulation but they complain about safety, efficacy and quality of mediate moxibustion. After this it is considered that we have to elevate therapeutic effect through the improvement of mediate moxibustion products.

A Study on the Hyeol Rac Ron(血絡論) of the YoungChu(靈樞) (${\ll}$영추(靈樞).혈락론(血絡論)${\gg}$에 대(對)한 연구(硏究))

  • Lee, Heui-Byeong;Yuk, Sang-Won
    • Journal of Korean Medical classics
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    • v.11 no.1
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    • pp.396-413
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    • 1998
  • The HyeolRacRon(血絡論) of the YoungChu(靈樞) is one of the section associate with the study of bloodletting(depletion of blood) by acupunture. The bloodletting therapy, one of the treatment of Oriental Medicine, has been advanced in civilization. By studying of this section, I could find some conculution as follows: 1. It is the superficial venules(血絡) that has been included blood stasis which has been interrupted by pathogenic factor(邪氣), and still could not enter into the meridian's line. 2. When bloodletting therapy, we should carefully study of patient's health condition, because doctor's missed acupuncure leads to very serious side effects. 3. External shape of HyeolRac(血絡) is like acu-niddle or muscle, so its thickness and location were not fixed position, its color is redish, and its quality is hard. 4. It is reason of heating that fixation of acu-niddle and muscle fiber.

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A Clinical Trial to Verity the Quality of Life Improvement Efficacy of Dangguijakyak-san and Gyejibongnyeong-hwan Granulation in Postmenopausal Women. (한방 과립제의 폐경 후 삶의 질 개선 효과에 관한 연구 - 당귀작약산 및 계지복령환 과립제의 폐경후 삶의 질 개선에 대한 임상연구)

  • Park, Jea-Min;Yang, Jeong-Min;Kim, Dong-Il
    • The Journal of Korean Obstetrics and Gynecology
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    • v.20 no.3
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    • pp.213-228
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    • 2007
  • Purpose: This master‘s thesis to evaluate the grade of life after medication a Dangguijakyak-san(pasabu) and Gyejibongnyeong-hwan(cheongwal) with in postmenopausal women get lowering quality of life caused by vasomotor symptoms with hot flush. Methods: A subject who signing on the clinical trial written consent by self-will is registered this clinical trial after decided suitable by selection and exception standard, after take a medical experiment and checkup according to clinical trial plan. Registered subject should valuated by settled schedule after take the testing medicine 1,2 during thirty-day. In this period, a subject allocated at relatively better suited experimental group by oriental doctor after consideration of general efficacy and nature of a medicine at second visiting. Results: The result of comparison in the remedial value with sixteen patients who ended the experiment is like next list. 1. There's no regarded difference of comparison in general conditions between two patient groups. 2. There's no regarded difference during observation period before take medicine. 3. By period of measurement, there's something regarded differences most of patients of two parts after taking medicine. 4. There's no regarded difference at alteration phase of each standard according to kind of medicine. 5. There's no abnormal views reflected at allergy, Laboratory and Physical Examination during experiment. Conclusion: This experiment evidence a Dangguijakyak-san and Gyejibongnyeong-hwan can help for improvement generally life quality of postmenopausal women and certify safety of herbs.

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Schizophrenic Patients Impact on Quality of Life (조현병환자의 삶의 질에 미치는 영향요인 연구)

  • Kim, Jeong-Suk
    • Journal of Convergence for Information Technology
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    • v.8 no.1
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    • pp.53-58
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    • 2018
  • The study was done to compare quality of life by family therapy, self-esteem f teem insight factors which explain quality of life in individuals with schizophrenic patients. A questionnaire survey was conducted with 125 schizophrenia people in C region. The data were analyzed by SPSSWIN 21.0, t-test, ANOVA and Pearson correlation coefficient calculation and multiple regression analysis. The results were as follows. Impact quality of life of clients showed significant difference by religion, support team(p<.05). Quality of life were positively correleated with self-esteem and family support. Multiple regression analysis showed that 49.5% of the self esteem, insight, family support showed the quality of life. Development of programs for strengthening family support and self esteem is required for proper quality of life.

The Satisfaction Analysis for Patient Care Service in National University Hospitals (국립대학병원의 환자 만족도 분석 - 7개 국립대학병원의 입원.외래간 비교 -)

  • Lee, Kyu-Sik;Lee, Hae-Jong;Cho, Kyung-Sook;Seol, Dong-Jin
    • Korea Journal of Hospital Management
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    • v.3 no.1
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    • pp.165-191
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    • 1998
  • The objectives of this research are 1) to identify different motivation of choice for each National University hospitals 2) to examine the factors influencing the patients' satisfaction, 3) and to investigate that the patients' satisfaction effects the hospital re-choice and recommendation on seven National University's hospitals. The data for this analysis were collected by questionnaire survey. Totally 852 interviews were conducted. The major statistical methods used for the analysis are paired t-test, factor analysis, x2-test, and multiple regression. We find that satisfaction level is a function of not only the quality of medical service but also non-medical service. The main results of research are follows: 1) The most important factor of hospital choices is 'the trust and fame as National University hospitals'; 2) Overall satisfaction of inpatients is turned to be influenced by the doctor's services, nurse's services, environment, and convenience. And overall satisfaction of outpatients is also found to be influenced by the waiting time for lab test; 3) Highly satisfied patients preferred to revisit and to recommend to others.

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Impact of Medical Service Quality by Attribute on Overall Satisfaction -Focused on Out-patient and In-patient in High-level general Hospital- (의료서비스 속성에 따른 품질이 전체만족도에 미치는 영향 -일개 상급종합병원의 외래 및 입원환자를 중심으로-)

  • Kim, Jung-Hee;Ji, Kyung-Ja;Park, Chun-Man
    • Korea Journal of Hospital Management
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    • v.18 no.1
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    • pp.18-41
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    • 2013
  • This study was aimed to identify the current status of medical service quality of medical institutes; propose improvements; and find out the impact of medical service quality by its attribute on overall customer satisfaction. The research was conducted on the out-patients and in-patients in a high-level general hospital located in A city. To examine the research, the IPA was utilized to identify the priority requirements for improving the medical service quality. The study also applied an extended theory to the analysis on mismatch between the level of satisfaction and importance recognized by the clients, to examine the impact of the above mentioned factors on the overall satisfaction and intention to revisit and recommend the hospital. For out-patients, the result showed that "hospital hygiene" had a positive and negative impact on the clients' intention to revisit the hospital in priority improvements. In terms of the sustainable improvements, "doctor's skill" had a negative impact on the overall service satisfaction, whereas "state-of-the-art facility" and "nurse's instruction" had a positive impact on the intention to revisit the hospital. In long-term improvements,"complaint remedy" had a positive impact on the intention to recommend the hospital but there were no relevant factors in excessive investment. On the other hand, for in-patients, the result demonstrated that there were no relevant factors in priority improvements and sustainable improvements. The factor of"service procedure speed"had a positive as well as negative impact on the intention to revisit the hospital. In excessive investment,"nurse's empathy"had a positive impact on the intention to recommend the hospital.

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A Study on Mosaic Pattern in Modern Costume (현대복식에 나타난 모자이크풍 패턴에 관한 연구)

  • 남윤숙;김복희
    • Journal of the Korean Society of Costume
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    • v.51 no.2
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    • pp.43-52
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    • 2001
  • The purpose of this research is to study the aesthetic character of a mosaic which is expressed in the Modern Costume. The methods of the research were by literature and it was mainly done with reference to master's theses, doctor's theses, separate volumes, periodicals, domestic and overseas fashion magazines and internet on the subject. The result of the research appears as rhythm, exoticism, abstraction, mystery, recreation by disintegration. First, rhythm appears in a sense of free rhythm with the method of arranging motives and the kinds of materials varying. Second, exoticism gives impression with such motives as Oriental designs, African designs and the geometric designs of nature occupying the surface. Third, abstraction displays motives such as unrealistic fashion. Fourth, mystery gives a cyber-related impression with the help of such scientific materials as fluorescent plastics, metal and glass. Fifth, recreation pelves an aesthetic impression by reorganizing the costume with the disintegration and transformation of Industrial materials such as plastics, metal and glass, etc. based on their unique colors and quality.

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