• Title/Summary/Keyword: patient focused

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Plan for Medical Space of High Touch Concept (하이 터치 개념의 의료 공간 제안)

  • Lee, Ju-Hye;Lee, Do-Hee
    • Proceedings of the Korean Institute of Interior Design Conference
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    • 2005.05a
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    • pp.279-280
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    • 2005
  • Recently, the Korean medical system changed with diversification & specialization and the field of medical service is also specialized in these days. The medical space settings are usually designed for staff needs rather than for patient needs. but The purpose of this project was to identify the design elements for the patient-focused. Main keyword of this project is 'high touch' and basic design concept is 'a sense of stability/velocity'. This medical space is located in Sanbon, and it has an area of 171m$^2$. The material scheme in the interior design of medical space is an important factor for the hospital users. Painting, stainless steel, wood veneer, fabric and p-tile were used as interior finishing material.

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A Study on the efficient Composition of a Nurse Station and Attached Spaces in General Hospitals (종합병원 병동부의 간호사 대기실 및 관련공간의 효율적인 구성에 관한 연구)

  • 정선애;김형우
    • Korean Institute of Interior Design Journal
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    • no.18
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    • pp.44-50
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    • 1999
  • The purpose of this study is to suggest reasonable composition and layout of a nurse station and attached spaces-which are central sector of patient caring in the inpatient department- in the view of funtional efficiency. The method of this study is examining other studies and case study of inpatient department in general hospitals. through this research we find out the plan type of inpatient department and layout of nurse station and attached spaces in the view of 'the efficiency of circulation' and 'the easiness of observation' . It is also found out that the nursing delivery system effects to the composition and layout of nurse station attached spaces. Therefore, the efficient design of inpatient department by this study can accomplish 'patient-focused' medical environment and aid to develop their health.

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Diagnosis of Benign Monomelic Amyotrophy (양성 국소 근위축증의 진단)

  • Byun, Justin;Bang, Meyong Hwan;Park, Jung Hyun
    • Clinical Pain
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    • v.19 no.2
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    • pp.101-105
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    • 2020
  • Benign monomelic amyotrophy (BMA) is a benign motor neuron disease in which amyotrophic change is confined to either the upper or the lower extremities. Numerous cases of BMA have been reported from Japan and India. However, only a few cases have been reported from other regions, including South Korea. Here we report a rare case of late-onset BMA in Korean male using conventional diagnostic approach with magnetic resonance imaging and electromyography. The patient received ten sessions of manual therapy, which focused on strengthening of the left ankle. At two-month follow up, weakness was still isolated to the patient's left ankle. There were no signs of disease progression.

Patient's Satisfaction with Medical Care Services in Hospital (병원 이용자의 의료서비스 만족도 조사)

  • Sung, Jung-Ae;Nam, Chul-Hyun;Kim, Soung-Woo;Kim, Gui-Suk;Koo, Hyun-Jin;Yoo, Eun-Joo
    • Journal of Society of Preventive Korean Medicine
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    • v.10 no.1
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    • pp.109-121
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    • 2006
  • 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.

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A Survey of Patient Satisfaction with Physical Therapy Servics and Physical Therapist According to General Characteristics and Medical Institution - Focused on Gimcheon City - (환자의 일반적 특성과 의료기관에 따른 물리치료 서비스 및 물리치료사에 대한 만족도 조사 - 김천지역 중심으로 -)

  • Park, Hung-Ki;Jung, Byeong-Ok;Kim, Geun-Jo;Ahn, Byung-Heon
    • Journal of Korean Physical Therapy Science
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    • v.15 no.4
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    • pp.51-60
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    • 2008
  • Background: The purpose of this study show the degree of physical therapy service and physical therapist according to medical institution by measuring and determining the factor affecting patient satisfaction in the Gimcheon city. Methods: For this study 100 questionnaires were distributed to medical institution, Gimcheon city from Jul 20 to Aug 5, 2008. The consisted of total 28 items. The contents item divided the general characteristics into nine heads, the satisfaction of physical therapy service into nine heads, and the physical therapy into ten heads. Survey data were collected by a written questionnaire. The collected date were analyzed by t-test, ANOVA. Results: There was difference with statistic value in physical therapy according to medical security and handicapped or non-handicapped(p<.05). There was difference with statistic value in physical therapy service and physical therapist according to medical institution. The score of patient satisfaction at welfare facilities was significantly lesser than other medical institution(p<.05). Conclusion: There was difference with statistic value in physical therapy service and physical therapist according to a number of patients of physical therapy a day.

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Single Case Report of a Stage IV Geriatric Gallbladder Cancer Patient treated with Korean Medicine Who Could Not Receive Conventional Therapies (항암 치료가 불가한 고령의 4기 담낭암 환자 한방치험 1례)

  • Ryu, Han Sung;Oh, Hye Kyung;Lee, Jee Young;Yoon, Seong Woo
    • Journal of Korean Traditional Oncology
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    • v.21 no.1
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    • pp.27-33
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    • 2016
  • Background : This case is to report a gallbladder cancer patient treated with Korean Medicine who could not receive conventional cancer therapies such as operation and chemotherapy due to her underlying diseases, old age and poor performance. Method and Results : An eighty-year-old female patient was diagnosed with stage IV gallbladder cancer on Feb. 2014 and she already had hypertension, diabetes and Parkinsonism. Comprehensive Korean Medicine (KM) treatments instead of operation and chemotherapy were administrated due to her poor condition and old age. KM treatments were done focused on improving symptoms and quality of life combined with best supportive care. During KM treatments her abdominal pain was generally managed and she survived for 22 months. Conclusion : Further studies should be performed in the future to clarify the survival benefit and symptom management of comprehensive KM treatments.

Market Segmentation of Patient-Utilization in Oriental Medical Care and Western Medical Care (양.한방 의료서비스 이용환자의 시장 세분화에 관한 연구)

  • 이선희;조희숙;최은영;최귀선;채유미
    • Health Policy and Management
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    • v.12 no.1
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    • pp.125-143
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    • 2002
  • The objectives of this study were analysis of patient\`s characteristics and market segmentation in oriental medical care and western medical care. This study focused on medical utilization using Anderson's health utilization model. The source of data was 1998 National Health and Nutrition Survey which Korean Institute For Health and Social Affairs carried out. A stratified multistage probability sampling design was used in this survey. The analysis was conducted using the statistical software package SPSS version 10.0 and Answer Tree 2.1 which is one of data mining methodology. The results were as follows ; 1) 44.9% of respondents reported visiting oriental medical center within recent two weeks. 3.4% of them used oriental medical care. The group of age, kind of disease and medical expenditure are associated with the difference western and oriental medical utilization rate. 2) There were several factors related to utilization of oriental medical care according to decision tree. Especially, important factors that patient chose his medical center were kinds of disease, kinds of common medical use, and expenditure. 3) in the results of CART analysis, market of oriental medical care were classified by seven categories. The major groups who have a preference for oriental medicine were those musculo-skeletal, cerebra-vascular disease, or chronic headache patients, and they had a preference fur oriental medical care in common use. These results show that oriental and western medical market were divided into various areas by market segmentation.

GENIAL ADVANCEMENT, INFRAHYOID MYOTOMY AND SUSPENSION IN TREATMENT OF OBSTRUCTIVE SLEEP APNEA SYNDROME (이부전방이동술, 하설골근절개술 및 설골현수법을 이용한 폐쇄성 수면 무호흡증 환자의 치료:증례보고)

  • Kim, Jae-Jin;Kim, Eun-Seok;Kim, Tae-Sup
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.27 no.2
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    • pp.162-166
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    • 2001
  • Obstructive sleep apnea syndrome(OSAS) is a complex sleep disorder characterized by intermittent apnea secondary to sleep-induced obstruction of the upper airway. It occurs because of an airway obstruction anywhere between the trachea and the oronasal apparatus. The hallmark of OSAS is snoring, which is caused by vibration of the tissues of the pharynx as the airway narrows. The consequences of OSAS have focused on excessive daytime sleepiness resulting from sleep fragmentation and the cardiovascular derangements producing hypertension and arrhythmias. The primary method of controlling OSAS has been surgery. The current surgical procedures used for OSAS are tracheostomy, tonsillectomy, nasal septoplasty, uvulopalatopharyngoplasty, anterior mandibular osteotomy with hyoid myotomy and suspension, and maxillary, mandibular and hyoid advancement. We report a case of OSAS that was improved by genial advancement with infrahyoid myotomy and suspension. The patient was objectively documented by polysomnography, cephalometric analysis, and physical examination before the surgical procedure. The patient underwent genial advancement with infrahyoid myotomy and suspension. Patient had a good response from surgery.

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The Effects of Pitch Increasing Training (PIT) on Voice and Speech of a Patient with Parkinson's Disease: A Pilot Study

  • Lee, Ok-Bun;Jeong, Ok-Ran;Shim, Hong-Im;Jeong, Han-Jin
    • Speech Sciences
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    • v.13 no.1
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    • pp.95-105
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    • 2006
  • The primary goal of therapeutic intervention in dysarthric speakers is to increase the speech intelligibility. Decision of critical features to increase the intelligibility is very important in speech therapy. The purpose of this study is to know the effects of pitch increasing training (PIT) on speech of a subject with Parkinson's disease (PD). The PIT program is focused on increasing pitch while a vowel is sustained with the same loudness. The loudness level is somewhat higher than that of the habitual loudness. A 67-year-old female with PD participated in the study. Speech therapy was conducted for 4 sessions (200 minutes) for one week. Before and after the treatment, acoustic, perceptual and speech naturalness evaluation was peformed for data analysis. Speech and voice satisfaction index (SVSI) was obtained after the treatment. Results showed Improvements in voice quality and speech naturalness. In addition, the patient's satisfaction ratings (SVSI) indicated a positive relationship between improved speech production and their (the patient and care-givers) satisfaction.

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Clinical Case Report on the Gait disturbance Patient with Osteoporosis and Lower Limb Fracture Surgery Treated by Chuna Therapy (골다공증을 동반한 하지부골절 수술 후 보행불리 환자 재활에 단순추나요법을 적용한 치험 1례)

  • Lee, Yun-Jin;Park, Na-Ri;Yang, Doo-Hwa;Ahn, Hee-Duk
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.14 no.2
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    • pp.77-88
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    • 2019
  • Objectives : The purpose of this study was to show the effectiveness of Chuna Manual Therapy applied to a osteoporosis patient with gait disturbance due to lower limb fracture surgery. Method : We focused on Chuna therapy accompanied with acupuncture, herbal medicine, moxibustion, cupping treatment and rehabilitation exercise. This case was assessed using the Visual Analogue Scale (VAS), Pain Free Walking Distance (PFWD), Berg Balance Scale (BBS), and Modified Barthel Index (MBI). Result : This patient showed improvement on the VAS from 6 to 3, PFWD from 0 m to 2000 m using a walker and 50 m by self-walking, BBS from 2 to 28, and MBI from 56 to 89. Moreover the walking state improved from gait disturbance to self-walking. Conclusion : This study suggests that Chuna therapy could be used to improve gait disturbance in patients with osteoporosis and lower limb fracture surgery.