• Title/Summary/Keyword: high quality care

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Association between Efficiency and Quality of Health Care in South Korea Long-term Care Hospitals: Using the Data Envelopment Analysis and Matrix Analysis (요양병원의 효율성과 의료서비스 질의 관련성: 자료포락분석과 매트릭스 분석)

  • Sohn, Minsung;Choi, Mankyu
    • Journal of Korean Academy of Nursing
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    • v.44 no.4
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    • pp.418-427
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    • 2014
  • Purpose: Objectives of this study were to investigate the association between efficiency and quality of health care in Long-term Care Hospitals (LTCH) and determine related factors that would enable achievement of both high efficiency and high quality at the same time. Methods: Major data sources were the "2012 Korean Assessment of Propriety by Long-term Care Hospitals" obtained from the Health Insurance Review & Assessment Service. Cost variables were supplemented by a National Tax Service accounting document. First, data envelopment analysis was performed by generating efficiency scores for each LTCH. Second, matrix analysis was conducted to ascertain association between efficiency and quality. Lastly, kruskal-wallis and mann-whitney tests were conducted to identify related factors. Results: First, efficiency and quality of care are not in a relationship of trade-offs; thus, LTCH can be confident that high efficiency-high quality can be achieved. Second, LTCH with a large number of beds, longer tenure of medical personnel, and adequate levels of investment were more likely to have improved quality as well as efficiency. Conclusion: It is essential to enforce legal standards appropriate to the facilities, reduce turnover of nursing staff, and invest properly in human resources. These consequences will help LTCH to maintain the balance of high efficiency-high quality in the long-run.

Care Stress and Quality of Life of Grandmothers Caring for Their Grandchildren in Employment Mother's Home (취업모 가정에서 손자녀를 돌보는 조모의 양육스트레스와 삶의 질)

  • Oh, Jin-A
    • Child Health Nursing Research
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    • v.12 no.3
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    • pp.368-376
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    • 2006
  • Purpose: The purpose of this research was to examine the degree of care stress and the quality of life of grandmothers caring for their grandchildren while mother was employed. Method: A convenience sample of 107 grandmothers were measured for grandmother's care stress using a revised for of the PSI/SF and the quality of life tool by Andrew and Weinert. Descriptive statistics, t-test, and Pearson correlation coeffcients were used to analyze the data using SPSS/PC 10.0 Results: The results found that grandmothers' care stress was high according to their age and religion. Their quality of life was low according to their age, their present health status, income and sleep pattern. Their subjective care stress was a sense of social isolation, burden of caring for grandchildren, health problems, and conflict with adult children. Care stress and quality of life were found to be negatively correlated. This result was statistically significant. Conclusion: In conclusion, it was found that the care stress was high and affected quality of life. From this study it is proposed that there is a need to develop programs which consider grandmother' techniques in child care and health care to improve their quality of life. Ultimately, a good care environment for children will be good for the children's growth and development.

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Evaluation of Service Quality Factors on the Nailcare Shop (네일 샵의 서비스 품질 요인에 대한 평가)

  • Kim, Soon-Sim;Rhee, Sung-Suk;Kim, Hyeon-Ju
    • Journal of the Korea Fashion and Costume Design Association
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    • v.11 no.3
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    • pp.153-162
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    • 2009
  • The purpose of this study was to examine the differences in the service quality evaluation on the skill and expert, the shop facilities and atmosphere, the time and access, and the price and benefit of a nail care shop by age, income, spendings of appearance and a nail care, and a regular nail care. The survey was performed with questionnaires and the subjects were was 240 consumers who used the nail care. The data were analyzed by frequencies, F-test, T-test, Factor Analysis, one way ANOVA. The results of the study were as follows: Service quality evaluation were classified four factors- the price and benefits, the skill and expertness, the facilities and atmosphere, the time and access. There were no statistically significant differences in the price and benefits by age, income, spendings of appearance and a nail care, and a regular nail care, but there were statistically significant differences in the skill and expertness, the facilities and atmosphere, and the time and access. The service quality on the time and access was evaluated as high by the consumer in the 30s, with more income, and with high appearance and nail care spendings. The service quality on the shop facilities and atmosphere was evaluated as high by the consumers with high nail care spending. The consumers with a regular nail care evaluated the service quality on the skill and expertness, the time and access, the shop facilities and atmosphere as high.

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Evaluation of Service Quality in Aged Care Facilities : A Focus Group Study (노인장기요양시설 서비스의 질 평가 탐색 : 포커스 그룹 연구)

  • Lee, JungSuk;Lee, Yong-Mi;Hwang, RahIl
    • Journal of Korean Public Health Nursing
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    • v.31 no.1
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    • pp.19-33
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    • 2017
  • Purpose: This study was conducted to explore the meaning and contents of high-quality aged care facilities and provide basic data for evaluation of service quality in such facilities. Methods: The focus group interviews and participants consisted of two user groups, for a total of 16 family caregivers of the elderly living in facilities and four service provider groups, for a total of 26 chief managers and caregivers working in aged care facilities. All interviews were recorded and transcribed as they occurred. Content analysis was used and debriefing notes were referred to in order to analyze the data. Results: Four themes of a high-quality aged care facility emerged from the analysis; 1) a place to rest for comfortable later years; 2) systematic value-based management; 3) providing professional care; 4) comprehensive service provision in response to diverse needs. Conclusion: The findings of the study showed the importance of client centered care and ethical mindset of providers, which had not been included in the existing quality evaluation programs. Based on these results, medical treatments, end-of-life care and more comprehensive and extended services including family care need to be provided in facilities to ensure good quality aged care.

Children's Social Competence According to the Day Care Quality (보육시설의 질에 따른 유아의 사회적 능력)

  • Lee, Sook;Oh, Sun-Young
    • Journal of the Korean Home Economics Association
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    • v.36 no.4
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    • pp.189-198
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    • 1998
  • The purpose of this study was to examine the children's social competence according to not only the day care centers overall, but subordinate quality. Subiects for this study involved auditions, observations, and the use of questionnaires. By using a SAS statistic program, the average, and the standard deviation, and the One-way ANOVA/Duncan test were obtained from the study: The following results were obtained from the study: 1. For the test of the day care centers overall and subordinate quality, an average of the centers whole quality scored 2.56 and the subordinate quality ranged from 1.94 to 2.88. 2. When the children's social copetence according to the day care centers overall quality was examined, high-quality centers ranked higher social competence of children than that of low-quality centers. 3. Finally, the children's social competence according to the day care centers subordinate quality was inspected. Here, the results showed a significat difference in the 'planning and operation of curriculum' and the 'interaction between terachers and children'. not unlike the above results, high subordinate-quality day care centers scored higher social competence of children than that of low subordinate-quality day care centers.

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Evaluation of Early Childhood Programs in Korean Day Care Centers (보육시설의 유아기 프로그램 평가 연구)

  • Yi, Soon Hyung;Lee, Ok Kyung
    • Korean Journal of Child Studies
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    • v.20 no.2
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    • pp.151-169
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    • 1999
  • The purpose of this study was to investigate and evaluate quality of early childhood programs in day care centers. The subjects were 283 day care centers in Korea. Quality of early childhood programs was evaluated by observation and interview, using questionnaire. The results showed that the quality of early childhood programs was moderate. There were significant differences in quality of early childhood programs by type of day care center ; the level of early childhood programs in national and private centers was high than in family day care. Future directions were presented for quality day care.

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A Study of Care Burden, Burnout, and Quality of Life among Family Caregivers for the Elderly (노인 주 부양자의 부양부담감, 소진감 및 삶의 질에 대한 연구)

  • Joo, Kyung-Bock;Kim, Kwuy-Bun
    • Women's Health Nursing
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    • v.14 no.4
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    • pp.278-289
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    • 2008
  • Purpose: This study was a survey to provide basic data about nursing interventions for improving the quality of life among family caregivers for the elderly by examining their care burden, burnout, and quality of life, and by confirming the correlation between each of them. Method: The subjects were 215 people in Seoul and Gyeonggi Province who understood the purpose of this study and participated voluntarily from April 1 to June 4, 2007. Data was analyzed by the SAS program. Result: 1. Concerning primary caregivers of the elderly, it was found that their care burden was slightly high, burnout was high and quality of life was good on the whole. 2. When it comes to the correlation among care burden, burnout, and quality of life among family caregivers, it was found that burnout increases in proportion to care burden, quality of life decreases as care burden increases, and bigger burnout leads to a lower quality of life. Conclusion: The quality of life among primary caregivers should be improved by reducing their care burden and burnout. Thereby, a priority might be considered for admission to nearby, comfortable nursing homes or failing that, home visiting services, rather than family support in the home.

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Quality of School-Age Child Care and Related Variables (방과후 아동지도의 질적 수준과 관련 변인간의 관계에 대한 연구)

  • Rho, Sung Hyang;Chung, Ock Boon
    • Korean Journal of Child Studies
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    • v.23 no.3
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    • pp.217-231
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    • 2002
  • The present study investigated quality of school-age child care in 142 centers (42 child care centers, 54 social welfare centers, 35 local child center, and 11 elementary schools) located in Seoul. Overall, the quality of school-age child care was not up to standards : 7% were very well managed, 44.4% were well managed and 48.6% were poorly managed. Financial support from the government was the most important factor affecting the quality of school-age child care. The child care centers receiving financial support from the government showed high quality care.

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An Exploratory Study on Quality of Care-Giving Service with Use of SERVQUAL -Targeting Inpatients of Long-Term Care Hospitals in Daejeon Region- (SERVQUAL을 이용한 간병서비스 질에 대한 탐색적 연구 - 대전지역 요양병원 입원환자를 대상으로 -)

  • Kim, Chang-Suk
    • The Korean Journal of Health Service Management
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    • v.5 no.1
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    • pp.45-60
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    • 2011
  • The purpose of this study is ultimately to contribute to enhancing quality of patients' life, by grasping quality level of care-giving service that is recognized by inpatients of long-term care hospital, and by pursuing a plan for improving quality of care-giving service based on this. For this, targeting 500 patients who entered 40 long-term care hospitals in Daejeon Metropolitan City, the quality of service was multi-dimensionally grasped by using SERVQUAL scale. As a result of research, the quality of care-giving service, which is recognized by patients as survey subjects, tended to be relatively high with about 4 points as a whole out of 5-point perfection. By item, reliability was indicated to be the highest with 4.56 points. The next was surveyed to be in order of tangibility, empathy, responsiveness, and assurance.

Social Network, Self-Care Agency and Quality of Life of High-risk Beneficiaries in Case Management of Medicaid (의료급여 사례관리 고위험군의 사회적 관계망, 자가간호역량과 삶의 질)

  • Park, Ju Young;Son, Jung Tae
    • Research in Community and Public Health Nursing
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    • v.28 no.4
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    • pp.421-430
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    • 2017
  • Purpose: This study investigates the social network, self-care agency, and quality of life of high-risk beneficiaries in case management of Medicaid and the correlations between these variables. It also identifies influencing factors on their quality of life. Methods: The subjects included 187 individuals chosen from the high-risk beneficiaries in case management of Medicaid in D Metropolitan City. Data was collected through direct interviews based on a structured questionnaire on home visits. Results: The perceived health status was the most influential factor in their quality of life, followed by self-care agency, mutual support network, and natural support network in order. These factors explained 40.6% of their quality of life. Conclusion: These findings raise a need to develop a nursing intervention program to increase the self-care agency of the high-risk beneficiaries in case management of Medicaid.