Journal of the Korean Dietetic Association (대한영양사협회학술지)

The Korean Dietetic Association (대한영양사협회)
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Clinical Nutrition Service in Korean Tertiary Hospitals and General Hospitals: Result of Nationwide Cross-Sectional Survey

국내 상급종합병원과 전국 분포 종합병원의 임상영양서비스 실태 조사 연구: 전국 규모 설문조사를 통하여

  • Um, Mi Hyang (Dept. of Food & Nutrition, Kyunghee National University) ;
  • Park, Yoo Kyung (Dept. of Food & Nutrition, Kyunghee National University) ;
  • Lee, Song Mi (Dept. of Nutrition Service, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Lee, Seung Min (Dept. of Food & Nutrition, Sungshin Women's University) ;
  • Lee, Eun (Dept. of Health Care Center, Konkuk University Medical Center) ;
  • Cha, Jin A (Dept. of Korean Cuisine, Jeonju University) ;
  • Park, Mi Sun (Dept. of Food & Nutritional Care, Seoul National University Hospital) ;
  • Lee, Ho Sun (Dept. of Nutrition and Dietetics, Severance Hospital) ;
  • Rha, Mi Yong (Dept. of Dietetics, Samsung Medical Center) ;
  • Lyu, Eun Soon (Division of Food Science & Biotechnology, Pukyong National University)
  • 엄미향 (경희대학교 의학영양학과) ;
  • 박유경 (경희대학교 의학영양학과) ;
  • 이송미 (강남세브란스병원 영양팀) ;
  • 이승민 (성신여자대학교 식품영양학과) ;
  • 이은 (건국대학교병원 헬스케어센터) ;
  • 차진아 (전주대학교 한식조리학과) ;
  • 박미선 (서울대학교병원 급식영양과) ;
  • 이호선 (세브란스병원 영양팀) ;
  • 라미용 (삼성서울병원 영양팀) ;
  • 류은순 (부경대학교 식품영양학과)
  • Received : 2014.06.23
  • Accepted : 2014.07.23
  • Published : 2014.08.02
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Abstract

The purpose of this study was to investigate the status of clinical nutrition services provided at tertiary hospitals and general hospitals in Korea. In total, 157 questionnaires were distributed to the departments of nutrition at hospitals on September 2013. The results of this study are as follows. The median number of beds was 607 and average length of stay was 8 days. 63.1% of dietitians had over 5 years of career experience. Nutritional screening rate was 97% in tertiary hospitals but only 67.2% in general hospitals (P<0.001). The rate of equipment with computerized nutritional screening system was 100% in tertiary hospitals but 71.9% in general hospitals (P<0.001). Hospitals with the best regarding nutritional care were hospitals accredited by JCI (Joint Commission International). On the other hand, hospitals not accredited by the JCI but KOIHA (Korea Institute for Healthcare Accreditation) showed the lowest performance rate of nutritional care. Nutrition support teams (NSTs) were established in all tertiary hospitals but in only 73% of general hospitals (P<0.001). The rate of actively operating NSTs was 89% in tertiary hospitals but only 62% in general hospitals (P<0.001). There is a need to provide proper standardized clinical nutrition services as a primary treatment and we observed large variations in the quality of nutritional service between hospitals. Therefore, local solutions are needed to implement nutritional programs and policies for improved service and care.

Keywords

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