• Title/Summary/Keyword: 병원 만족도

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The Effect of Visual Feedback Training on Balance and ADL in Cerebellar Ataxia : Case Report (시각되먹임 훈련이 소뇌 실조증 환자의 균형과 일상생활 수행에 미치는 영향 : 사례보고)

  • Yang, Hyun-Ju;Cho, Ba-Hoe;Jang, Jong-Sik
    • The Journal of Korean society of community based occupational therapy
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    • v.3 no.1
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    • pp.43-53
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    • 2013
  • Objective : The aim of this study was to identify the effect of visual feedback on balance and ADL in patient with cerebellar ataxia. Method : Between May of 2013, visual feedback applied to cerebellar ataxia patient. The visual feedback applied five times a week for two weeks to patient who are inpatients of Dae-jeon. To assess changes in balance, we performed the LOS, Romberg, BBS, We also assessed ADL using Canadian occupational performance measure(COPM). Result : For the patient of cerebellum ataxia, we can confirm the limitation of stability, and after the intervention, we can check out the changes which are maintained at Romberg test and Berg Balance Scale. In terms of daily activities, such as taking bath, moving to somewhere, using transportation, doing the laundry, and meeting activity, the level of performance and satisfaction has increased in all five fields. Conclusion : After the visual biofeedback training, patients with cerebellar Ataxia showed more increase in balance and ADL.

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THE APPLICATION OF NECK DISSECTION IN THE TREATMENT OF ORAL CANCER (구강암 치료에 있어 경부곽청술의 응용)

  • Kim, Chin-Soo;Kim, Sung-Kook
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.14 no.1_2
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    • pp.97-104
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    • 1992
  • This is a report of three cancer patients treated with the different methods of neck dissection considering the state of the each patient. 1. A 76-year old femals patient who showed $T2_N0_M0$ squamous cell carcinoma received the regional neck dissection with resection of primary lesion. The postoperative result was uneventful without recurrence for 3.6 years. 2. A 52-year old male patient who was diagosed $_T3_N1_M0$ squamous cell carcinoma was treated with the bilateral neck dissection and radical resection of primary lesion. Metastasis was noticed on the right scapular area 8 months postoperatively. We treated him with radiation and chemotherapy, but he died 13 months postoperatively. 3. A 55-year old male patient who showed $_T2_N1_M0$ squamous cell cvarcinoma was treated with the classical neck dissection and the radical resection of primary lesion. The postoperative result was good with no recurrence for 4 years.

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Patients' Perception of and Satisfaction on Therapeutic-diets at Hospitals in Busan (부산지역 일부 병원 입원환자의 치료식에 대한 인식 및 급식만족도)

  • Yi, Jeong-Ryeh;Shin, Eun-Soo;Lyu, Eun-Soon
    • Journal of the Korean Dietetic Association
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    • v.15 no.4
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    • pp.383-396
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    • 2009
  • The purpose of this study was to investigate the inpatients' perception of therapeutic-diets and of explanation about those diets provided by hospitals and satisfaction on therapeutic-diets at hospitals in Busan. The subjects consisted of 155 inpatients at five hospitals, which all had over 400 beds. The research was performed through the interviewing process using questionnaires. Seventy five percent of patients had received an explanation for their therapeutic-diet and 57.4% of respondents were given a manual that explained the reason for the therapeutic-diet. The professionals who explained the therapeutic-diet was 61.7% dietitians and 25.6% doctors. 59.4% of the patients considered the dietitian to be suitable for explaining the diet and 25.6% patients believed the doctor to be suitable for explaining the diet. In terms of the patients' perception of the therapeutic-diet explanation, 74.5% of the patients understood very well, 78.9% of them perceived this explanation as very important, and 67.5% of them were satisfied. On a scale of 5.00 for therapeutic-diet satisfaction, the average scores were 2.95 for meal characteristics and 3.06 for service characteristics. The items that scored low in therapeutic-diet satisfaction were taste, seasoning and appearance of meals, provision of selective menu and consideration of personal preference. In terms of the perception of understanding the therapeutic-diet, patients who were provided a manual and an explanation gave high scores to 'taste', 'variety of diet', 'meeting opportunity with dietitians', and 'prompt dealing with meal complications'. There was a significant (p<0.05) positive correlation between satisfaction for the explanation of the therapeutic-diet and the degree of perceived benefits of the explanation to the nutrition-management and the satisfaction on the therapeutic-diet satisfaction. Therefore, the results of this study suggest that hospitals should increase support for explaining the therapeutic-diet by dietitians and develop menus based on the patients' preference and the taste of the meal.

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Clinical analysis of tuberculous cervical lymphadenitis (경부 결핵성 임파선염의 임상적 고찰)

  • 김영민;송병찬;윤성철;박영민
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1993.05a
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    • pp.107-107
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    • 1993
  • Tuberculous cervical lymphadenitis is one of the most common causes of neck mass in Korea. But the diagnostic confirmation is difficult and it's effective treatment modalities are still in controversy. Through a retrospective study of 32 cases of tuberculous cervical lymphadenitis treated with surgical treatment during recent 4 years, we have analyzed 5 subtypes of CT finding and surgical treatment modalities and received following results 1. The locations of lymphadenitis were posterior triangle(12 cases), submandibular area(9 cases), supraclavicular area(8 cases), submental area(2 cases), and parotid area(1 case). 2. Five subtypes of CT findings were observed : Homogeneous enhancement type(3 cases), peripheral rim enhancement type(6 cases), peripheral rim enhancement with perinodal fat obliteration type(12 cases), coalescent cold abscess type(8 cases), and mixed type(3 cases). 3. Surgical treatment modalities : Excision (13 cases), incision and drainage(9 cases), selective neck dissection(8 cases), and curettage(2 cases).

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The Current Status of Professional Medical Support Staffs in Medical Institutions with over 500 Beds (500병상 이상 의료기관에서의 전문지원인력 운영실태)

  • Kim, Min Young;Choi, Su Jung;Seol, Miee;Kim, Jeong Hye;Kim, Hee Young;Byun, Sook Jin
    • Journal of Korean Clinical Nursing Research
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    • v.23 no.2
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    • pp.131-141
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    • 2017
  • Purpose: This study was to investigate the nationwide operational status of the professional medical support staffs (PMSS) who practice the expanded roles in the hospital setting. Methods: The data were obtained through survey from 36 hospitals with over 500 beds from 25th May to 12th July 2016. Data from 1,666 PMSS were analyzed. Results: Since the job titles varied, we classified them into 5 groups according to their roles; advanced practice nurse, clinical nurse expert, PA (physician assistant), coordinator, and others. There were differences in the operation status of PMSSs depending on the region, nurse staffing grade and number of hospital beds. Qualification criteria varied from hospital to hospital, and almost half of the hospitals didn't have any qualification standards for them. There were differences in age, educational level, clinical careers, rewards, and job satisfaction in 5 groups. Especially PA group had low salary, poorer working conditions, more difficulties in performing their work, and lower job satisfaction than other groups. Most PMSS (99.5%) were using a delegated prescription authority, however only 68.3% had job description and 19.9% had documented delegated role. Conclusion: Adequate training curriculum, documented delegated roles, and the protocols for legal protection and efficient medical services are needed.

Job Performance, Perception of Job Importance, and Job Satisfaction in Dietitians Working in Geriatric Hospitals in Busan (부산지역 요양병원 영양사의 직무수행도, 중요성인식도 및 직무만족도)

  • Kim, Na-Young;Seong, Gyeong-Mi;Lee, Jeong-Sook
    • Journal of the Korean Dietetic Association
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    • v.18 no.4
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    • pp.356-371
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    • 2012
  • This study was carried out to investigate the job performance, perception of job importance, and job satisfaction in dietitians working in geriatric hospitals in Busan. A survey was conducted from April 28 to June 30, 2011, and the data were analyzed using the SPSS program. The age of over 41 group showed higher job performance in terms of sanitation and safety management than the age of under 25 group but showed lower job performance in terms of nutrition management than the age of 31~40 group. The subjects who worked for shorter than 2 years at their present jobs showed the lower job performance in terms of menu management and accounting management than the other groups, whereas those who worked in 'over 200 bed' hospitals showed the higher job performance in terms of sanitation and safety management than the others. The subjects who worked for longer than 6 years showed the higher job satisfaction in terms of communication and working environment than the others. Job performance showed a significant positive correlation with perception of job importance, whereas it showed no significant correlation with job satisfaction. More work experience correlated with a higher monthly income, and younger workers showed higher job performance. Younger age and more work experience at a present job correlated with a higher perception of job importance. More work experience at a present job, higher monthly income, and shorter work experience were correlated with higher job satisfaction. These results suggest that it would be effective to adopt training programs for appropriate nutrition service and provide continuous education programs for professional development.

Through a selection factor analysis of the local healthcare institutions Building complex medical services strategy (지방의료원의 선택요인분석을 통한 복합적인 의료서비스 전략 구축)

  • Lee, Jin-Woo;Ahn, Sang-Yoon;Lee, Chong Hyung;Lee, Moo-Sik;Kim, Kwang-Hwan
    • Journal of Digital Convergence
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    • v.13 no.5
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    • pp.297-307
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    • 2015
  • This study reviews equipped with enhanced capability of medical care, quality service, accessibility, and consumer awareness to be a competitive and representative local healthcare service provider with improved administrative efficiency. The method of analysis are ANOVA and Structural Equation Modeling. The results which revealed the significant difference among demographic factors in determining the preference or degree of satisfaction at medical service to select local healthcare institutions suggest that the close review on the needs of groups of major customers of local healthcare institutions are necessary when preparing the strategy of specialized medical service of local healthcare institutions. this suggests that both images would be important factors to secure the competitive advantage of local healthcare institution and therefore the strategy maximized the enhancement of medical service with embossed image of hospital to attract customers of medical service is needed.

The Structural Relationship between Customer Participation and Relationship Commitment (고객참여와 관계몰입의 구조적 연구 -병원서비스를 중심으로-)

  • Ahn, Jin-Woo;Chun, Myung-Hwan;Kim, Han-Ju
    • Management & Information Systems Review
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    • v.32 no.5
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    • pp.175-192
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    • 2013
  • The previous researches on customer participation(CP) have examined the influences of CP on customer satisfaction and service quality focusing on the role of CP in the service encounters. However, this paper identifies the path relationships between CP and relationship commitment focusing on the impact of CP on the relational outcomes. By expanding the role of CP in the service encounter, this paper shows what relational variables can be influenced by CP in detail, which identifies that CP plays an important role in service encounter empirically. As results, CP has significant influences on the relationship commitment such as normative commitment, continuance commitment, and affective commitment respectively. Additionally, considering the characteristics of CP, CP is more impactful on normative commitment than affective commitment.

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Improving Speaker Enrolling Speed for Speaker Verification Systems Based on Multilayer Perceptrons by Using a Qualitative Background Speaker Selection (정질적 기준을 이용한 다층신경망 기반 화자증명 시스템의 등록속도 단축방법)

  • 이태승;황병원
    • The Journal of the Acoustical Society of Korea
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    • v.22 no.5
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    • pp.360-366
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    • 2003
  • Although multilayer perceptrons (MLPs) present several advantages against other pattern recognition methods, MLP-based speaker verification systems suffer from slow enrollment speed caused by many background speakers to achieve a low verification error. To solve this problem, the quantitative discriminative cohort speakers (QnDCS) method, by introducing the cohort speakers method into the systems, reduced the number of background speakers required to enroll speakers. Although the QnDCS achieved the goal to some extent, the improvement rate for the enrolling speed was still unsatisfactory. To improve the enrolling speed, this paper proposes the qualitative DCS (QlDCS) by introducing a qualitative criterion to select less background speakers. An experiment for both methods is conducted to use the speaker verification system based on MLPs and continuants, and speech database. The results of the experiment show that the proposed QlDCS method enrolls speakers in two times shorter time than the QnDCS does over the online error backpropagation(EBP) method.

Foodservices Satisfaction and Food Preference According to the Types and Cooking methods of the Elderly with Dementia in a Geriatric Hospital (요양병원 치매노인의 급식 만족도와 식품의 종류 및 조리법에 따른 선호도 조사)

  • Bae, Mi Ae;Kim, Min Ji;Chang, Kyung Ja
    • Journal of the Korean Society of Food Culture
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    • v.32 no.6
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    • pp.534-548
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    • 2017
  • Elderly with dementia in geriatric hospitals (EDGH) are highly dependent on hospital meals. This study evaluated the foodservices satisfaction and food preference of the EDGH. The survey was conducted on 104 elderly with dementia (21 males and 83 females) in 4 geriatric hospitals in Seoul and Incheon in November, 2016. Data were collected from interviews using a questionnaire that consisted of 6 questions for foodservice satisfaction and 24 questions (10 categories) for food preference. The data were analyzed using SPSS ver. 20.0. The satisfaction with taste, saltiness, texture, and variety in foodservices was good, but the satisfaction with the amount was not, and the reason for leaving food was its large serving size. The subjects preferred soft boiled rice, noodles, porridges, meats, fish, seafood, vegetables, and fruits. Among them, they preferred more janchiguksu, red bean porridge, beef, croaker, oyster, spinach, and banana. Regarding the cooking methods, they preferred soup, grill, and boiling, but not frying. The also preferred Chinese cabbage kimchi, but they did not prefer hard kkakdugi. They did not prefer milk because of diarrhea, but they preferred yogurt. Therefore, to provide a satisfying meal for EDGH, it is necessary to develop a friendly diet considering their food preferences.