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http://dx.doi.org/10.14373/JKDA.2014.20.3.183

Clinical Nutrition Service in Korean Tertiary Hospitals and General Hospitals: Result of Nationwide Cross-Sectional Survey  

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)
Publication Information
Journal of the Korean Dietetic Association / v.20, no.3, 2014 , pp. 183-198 More about this Journal
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
tertiary hospital; general hospital; clinical nutrition service; JCI; NST;
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Times Cited By KSCI : 6  (Citation Analysis)
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