병원 위탁급식 품질관리를 위한 품질평가도구 개발

The Development of a Quality Measurement Tool for a Contract-Managed Hospital Foodservice

  • 양일선 (연세대학교 생활과학대학 식품영양학과) ;
  • 김현아 (연세대학교 생활과학대학 식품영양학과) ;
  • 이영은 (연세대학교 식품영양과학 연구소) ;
  • 박문경 (연세대학교 생활과학대학 식품영양학과) ;
  • 박수연 (연세대학교 생활과학대학 식품영양학과)
  • 발행 : 2003.06.01

초록

The purposes of this study were: a) to develop the a quality measurement tool for the contract-managed hospital foodservice, and b) to evaluate their performance with the developed quality measurement tool, and c) to verify the reliability and validity of the quality measurement tool. The developed quality measurement tool comprised two parts, which were foodservice management and medical nutrition care service. The foodservice management part was classified into six functional categories which were Menu, Procurement and Storage, Production and Distribution, Facility and Utility, Sanitation and Safety, and Management and Evaluation. The medical nutrition care service part indicated the medical nutrition care provided. Quality measurement tool had 91 standards and 324 indicators. The quality measurement tools were distributed to the hospital foodservice manager employed by the foodservice company. The 324 indicators were measured by foodservice manager on the 5-Likert-type scales, and then adapted to a 100 point scale. The SPSS Ver. 11.0 was used for statistical analysis. The categories whose scores were evaluated as being high were Procurement', General Sanitation', Personal sanitation' and Waste' and the categories whose scores were evaluated as being low were Diet Order Manual', Standard Recipe', Appropriateness (Facility and Utility)', Check (Facility and Utility)'and Information Management'. All the categories of medical nutrition service were evaluated as having seriously low scores. Therefore, it was necessary for the contract-managed hospital foodservice to improve its performance in the area of medical nutrition care service. For the verification of the developed quality measurement tool, the reliability obtained by calculating Cronbach's α was 0.8747, and the content validity was also proved by scrutiny of the modification of the Professional group's techniques. (Korean J Community Nutrition 8(3) : 319∼326, 2003)

키워드

참고문헌

  1. Alexander JW. MacMillan NG (1983): Beneficial effects of aggressive protein feeding in severely in burned children. Annual Surgery 192: 505
  2. ASHFSA (1980): Hospital food service management review
  3. Brown NE, Dana JT. Gilmore SA. Brooks AD (1995): Food quality ev-aluation and assurance manual for school foodservice. hattiesburg, Ms: National Food Service Management Institute
  4. Byers BA, Shanklin CW, Hoover LC (1994): Food service manual. American Dietetic Association
  5. Deming RH (1983): Improved survival after massive burns. Journal of Trauma 23: 179
  6. Donabedian A (1987): Commentary on come studies of the quality of care. Health care financing review-annual supplement: 75-85
  7. Joint Commission on Accreditation of Healthcare Organizations (1996): Comprehensive Accreditation Manual for Hospitals. Joint Commi-ssion on Accreditation of Healthcare Organizations
  8. Kim DY (2000): The evaluation of health care service. Nutrition and Dietetics 5: 8-12
  9. Kim HJ (1997): Development of a quality assessment model for hospi-tal food and nutrition services with a manual for the adoption of total quality management. The Dongduk Women's University Ph.D Thesis
  10. Kim JR (1995): Quality improvement of the food and nutrition services. Nutrition and Dietetics 7, 8: 24-33
  11. Kim JS (2002): The analysis of management of contracted hospital fo-odservices and perspectives of each party involved. Yonsei University Master Thesis
  12. Lee SJ (2000): The Development of Quality Management Standards and Tool for the Quality Improvement of Hospital Food and Nutri-tion Services. Yonsei University Ph.D Thesis
  13. Medicare Medical Nutrition Therapy Act of 1999 (1999): http://thomas.loc.gov
  14. Nam SY (1997a) : Healthcare Institution and hospital management in Japan (1) . Korean Hospital Association Research
  15. Nam SY (1997b): Healthcare Institution and hospital management in Japan (2) . Korean Hospital Association Research
  16. National Association College and University Food Services (1991): Professional standards manual. 2nd Ed. National Association College and University Food Services
  17. Roinson G, Goldstein M (1987): Impact of nutritional status on DRG length of stay. Journal of Parentral and Enteral Nutrition 11: 49 https://doi.org/10.1177/014860718701100149
  18. Rusch PH (1997): Foodservice policies and procedures for residential and intermediate care facilities. The American Dietetic Association
  19. Spears MC (2000): Foodservice organization: A managerial and systems approach. 4th ed. Prentice Hall
  20. The Korean Dietetic Association (1997): The present condition of Ho-spital foodservice
  21. Yang IS (1996): Evaluating Yonsei University foodservice management and Planning for the efficient foodservice system. Final Report funded by Korea Consumers' Cooperative Federation of Yonsei University
  22. Yang IS (1997): The development of TQM standards and the mana-gerial strategy for the contract-managed foodservice companies
  23. Yang IS, Jang YJ, Kim DH (1998): Measuring attitude and satisfaction of Yonsei University students towards contracted vs. rented univers-ity foodservices. Korean Journal of Dietary Culture 13 (5) : 423-430