• Title/Summary/Keyword: 의료설문조사

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Securing Objectivity of Qualitative Assessment Results using Ordered Probit Model (순서형 프로빗 모델을 활용한 정성적 평가 결과의 객관성 확보방안)

  • Jeong, Minkyu;Kang, Yuncheol;Kim, Namchul;Chung, Kwanghun
    • The Journal of Society for e-Business Studies
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    • v.27 no.1
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    • pp.81-94
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    • 2022
  • In the service sectors, the qualitative evaluation method in the form of a survey is widely used as a major assessment tool to evaluate the quality of service. However, the results obtained from a survey can involve the subjective judgment of the respondent. In this study, we propose a method to secure objectivity by excluding subjectivity that may be included in the qualitative evaluation results. In particular, we deal with a situation where the same type of qualitative evaluation tool is used repeatedly by several service providers. To this end, by utilizing both the Ordered Probit model and third-party evaluation results, we determine whether subjectivity is involved in the results. After correcting subjectivity, the final results are obtained through statistical analysis. The application analyzed in this study is the medical service area. With the actual evaluation results supplied by the service providers, we explain how objectivity can be secured from the assessment data by applying our proposed approach.

A Prospective Model of Behavior of Physical and Occupational Therapists of The Confidentiality of Patient Medical records by Structural Equation Model (구조모형방정식을 이용한 물리치료사와 작업치료사의 환자의료정보 보호행동 예측모형 개발)

  • Lee, I.H.;Park, H.J.;Yun, K.I.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.4 no.1
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    • pp.71-80
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    • 2010
  • This study developed the perspective model of behavior of physical therapists(PTs) and occupational therapists(OTs) who are dealing with confidential patient medical information in hospitals. Theory of planned Behavior(TpB) model, expanded models 1 and 2 that add habit, social pressure, and work convenience concept to TpB are tested for the validity in explaining the preposing factors that affect the behavior of PTs and OTs in ensuring the confidentiality of patient medical records. Data were collected by administrating a survey to the 120 PTs and OTs in A city. Of the 120 questionaries distributed, 110 were responded resulting 91.6% of response rate. There were not significantly different among the group classified by age, 'clinical career, gender, work family, and education level were analysis using with Independent t test and one-way ANOVA. The relationships on the concepts suggested in the models were analysed by applying the Structured Equations Modeling methods. The results of Structured Equations analysis showed that expanded model 2 was more effective model than TpB model and expanded model 1.

The Effects of Hospital Accreditation Program to the Organizational Culture, Job Satisfaction, Financial Performances and Patient Safety at Geriatric Hospital : About Busan Metrocity (의료기관 인증제도가 요양병원의 조직문화, 직무만족, 경영성과 및 환자안전에 미치는 영향 -부산지역을 중심으로-)

  • Shin, Moon-Ju
    • Journal of Digital Convergence
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    • v.12 no.10
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    • pp.455-466
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    • 2014
  • This study has been implemented to improve the quality in geriatric hospital through the Hospital Accreditation. So research a change in the perception and attitude of the Patient Safety, Organizational Culture, Job Satisfaction, Financial Performance of hospital staff after the Hospital Accreditation. For this, a survay was conducted from April 1 to July 20, 2014 to targeting staffs of eight geriatric hospital in the Busan city. Thus, a total of 283 questionnaires were used in the study. Firstly, It was found that change in the perception and attitude of the Patient Safety, Organizational Culture, Job Satisfaction, Financial Performance of hospital staff after the the Hospital Accreditation. Secondly, It was found that a statistical correlation among variables such as Patient Safety, Organizational Culture, Job Satisfaction, Financial Performance. Thirdly, Organizational Culture, Job Satisfaction, Financial Performance had a positive effect on Patient Safety. Therefore, we should develop the Hospital Accreditation program with the internal assessment to implement health care quality and patient safety to ensure a complete job satisfaction of hospital staffs in the Hospital Accreditation program further improve the evaluation process of hospital care.

Persistency of Neutralizing Antibody to Inactivated Mouse Brain Derived Nakayama Japanese Encephalitis Vaccine and Current Observations of Booster Vaccination and Adverse Events (일본뇌염 사백신 중화항체 지속률과 부작용에 대한 연구)

  • Sohn, Young Mo;Park, Ji Ho;Lee, Jin Soo;Roh, Hye Ok;Ki, Moran;Choi, Bo Yul;Kim, Young Ho
    • Pediatric Infection and Vaccine
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    • v.8 no.2
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    • pp.150-159
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    • 2001
  • Purpose : We need to reconsider booster vaccination schedule of Japanese encephalitis vaccination. To do that we evaluate the long-term immunogenicity and the incidence of adverse events with inactivated mouse brain derived Nakayama Japanese encephalitis vaccine. Methods : We tested neutalizing antibody for 311 elementary school students by plaque reduction neutralizing test(PRNT) at USAMC-AFRIMS(United States Armed Forces Research Institute of Medical Science/Department of Virology). We evaluated vaccine related adverse events by spontaneous reporting prospectively among 15,487 vaccinees who were vaccinated at public health center and 2,277 elementary school students who were immunized previously by a questionnaire and school health record. Results : According to the time interval from the last booster injection of 311 children, PRNT antibody titers gradually decreased as the interval increased; 239 mIU/mL, 188 mIU/mL, 134 mIU/mL, 49 mIU/mL each at 6, 18, 30, 42 months after the last booster injection. The seropositivity rates were 98%, 99%, 95.6%, 71.4% each at 6, 18, 30, 42 months after the last booster injection. There were 21(0.13%) cases with systemic reactions among 15,487 vaccinees who had visited the hospital by prospective passive reporting system at public health center. According to the questionnaires and school health records in elementary school students, local induration and pain were 17.4% and 14.8%, respectively. Systemic reactions including fever, vomiting, rash were reported in few cases. Conclusion : Biannual booster vaccination that has been recommended so far should not be necessary. Surveillance for adverse events with inactivated mouse brain derived Nakayama vaccine should be strengthened to better assess the number of cases and reactions associated with immunization.

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The Effect of the Medical Service by Service Instruction of Dental Health Care Worker (치과 의료 종사자의 의료 서비스 교육이 의료 서비스에 미치는 영향)

  • Kim, Chang-Hee;Lee, Ji-Youn;Lee, Hyun-Ook
    • Journal of dental hygiene science
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    • v.1 no.1
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    • pp.53-59
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    • 2001
  • This study was aimed to survey the level of service education in the people engaging in medical services and identify the influence of the education on their job performance. This study was conducted from February 10th, 2000 to March 10th, 2000, centering on Seoul and Kyonggi area. A total of 341 questionnaires were distributed for the survey. The result ware as followings: (1) In a question about the satisfaction over general medical services such as the location of medical institutions, medical equipments and devices, and the attitudes of medical personnel, the group with service education marked 4.07 while the group with no education earned 3.97, showing statistically significant difference(p<.05). (2) In the area of medical institutions image, level of medical services and promotion, the group with service education showed 4.01 while the group with no education gained 3.83, also showing statistically significant difference(p<.05). (3) No statistically meaningful difference was revealed in the area of satisfaction for over all medical services such as the contentment about the medical services being provided, rooms for improvement and the adequacy of the number of medical personnel. The group with education acquired 3.32, with the group with no education 3.34. (4) Satisfaction about the education and awareness about medical services were high in the group of dental hygienists and showed a statistically meaningful difference. (5) The average number of education recorded 1.83 and satisfaction over service education inside the hospital was low, registering 3.24. (6) Teamwork among the personnel in the hospital was 3.70, which is relatively high. The fulfillment over given tasks posted 3.56 and the recommendation for medical institutions was low, recording 3.24. (7) The necessity of medical service education for medical personnel gained 4.40, indicating heightened awareness over the need for service education.

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The proposal about the effective management of outside data (외부 병원 Data의 효율적 관리에 대한 제언)

  • Lee, Hwa-Sun;Lee, Rae-Gon;Kang, Ji-Yeon;Hwang, Sun-Kwang
    • Korean Journal of Digital Imaging in Medicine
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    • v.9 no.1
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    • pp.31-35
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    • 2007
  • 외부 데이터가 진료병원 Server에 저장됨에 있어서 판독을 의뢰하지 않을 경우, 대부분의 병원이 무상으로 이루어 지고 있는 상황이며 이에 외부 데이터 단순 import의 효율적인 관리를 위한 수가 적용 여부를 검토하였다. 2007년 3월부터 4월까지 서울 경기 지역의 PACS가 도입 된지 1년 이상, 병상 수 500Bed 이상의 종합 대학병원 25곳에 근무하는 각 병원의 PACS 운영실 및 PACS 관리자를 대상으로 하였다. 외부 데이터에 관한 10가지 항목의 설문지를 작성하여 각 병원의 PASC 담당자 및 관리자를 대상으로 E-mail을 이용한 자기 기입 방식, 전화를 통한 질의응답 방식으로 조사하였다. 조사된 25개의 종합 대학병원의 96%이상이 외부 데이터 단순 import를 지원하고 있었으며, 그 중 92%의 병원은 무상으로 이루어지고 있었다. 이와 같이 진행 되는 부분에 대하여 각 병원의 PACS 담당자 70% 이상이 단순 import에 대한 수가 적용의 필요성을 느끼고 있으며, 현재 많은 병원에서 단순 import의 무상 지원으로 인한 문제점을 인식하고 있었다. K병원을 기준으로 단순 import에 년간 H/W 소요 비용은 336만원이고, 년간 인건비 소요비용은 421만원이다. 또한 단순 import 한 건당 평균 데이터 size는 48MB 정도로 조사되었다. 환자 입장에서 진료에 참고자료로 사용 될 외부 데이터의 정확한 저장과 정당한 PACS 사용을 위해서는 그에 상응하는 수가가 적용 되어야 할 것이다. 보험심사평가원 급여기준에 따라 수가적용이 인정되어 의료영상 디지털화로 인한 초기의 고액 투자비용 보장과 회수를 위해 단순 Import의 수가 적용이 반드시 필요하다고 사료 된다.

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A Study on Behavior and Attitude of Pediatric Handicaps in Dental Facilities (치과이용 장애인들의 구강보건 행동과 태도에 관한 연구)

  • Nam, Sang-Bun;Han, Yang-Keum
    • Journal of dental hygiene science
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    • v.1 no.1
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    • pp.39-45
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    • 2001
  • This study is based on the survey conducted on handicaps in randomly chosen 6 welfare facilities and medical institutions located in Seoul and Kyonggi-do. This survey has been conducted from September 20 and October 23, 1999. The results of this study are as follows: (1) 49.7% of individuals have answered that their dental health are not well maintained. (2) The number of brushing activity per day varied according to different physical and mental condition of each individual. (p<0.05) (3) 56.7% of people have answered that they have no experience with scaling. (4) 58.9% of people have answered that they have experienced toothache and gum bleeding problem. (5) 64.4% of individual have answered that they would like to attend seminars on maintaining dental health. (p<0.05) (6) 65.1% of individual infrequently visit to dental facilities. (7) 41.6% of individual possess health care card. (8) 61.8% have answered that disabilities and dental health are closely related. (p<0.05)

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Doctor's Attitudes toward Hospice and Palliative Care for Terminal Cancer Patients (말기 암 환자의 호스피스 완화의료에 대한 의사들의 태도)

  • Moon, Do-Ho;Lee, Myung-Ah;Koh, Su-Jin;Choi, Youn-Seon;Kim, Su-Hyun;Yeom, Chang-Hwan
    • Journal of Hospice and Palliative Care
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    • v.9 no.2
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    • pp.93-100
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    • 2006
  • Purpose: This study was designed to understand the doctor's attitude toward hospice and palliative care for terminal cancer patients. Methods: Specialists who work at general hospital were surveyed with questionnaires about hospice and palliative care for terminal cancer patients. The questionnaires comprise 17 items. The data were statistically analyzed. Results: Eighty one doctors responded. Their median age was 35 years old. Thirty six doctors (44.4%) were from internal medicine. The median of specialist's experience was 4 years. Forty three respondents (53.2%) have rarely examined and treated cancer patients even a week. Thirty seven respondents (45.6%) knew the exact definition of hospice and palliative care. Eighty respondents (98.8%) felt that hospice and palliative care is necessary, and 91.2% of them responded the necessity of palliative medicine specialist. As to the question 'Do you positively referred terminal cancer patient to hospice and palliative care?', 55 respondents (67.9%) responded 'Yes' and 22 (27.2%) 'No'. Among the 'Yes' respondents 17 (30.9%) had an experience of hesitation for referring patients to hospice and palliative care; the most common reason was the disagreement of family members (6, 35.3%). As for the reasons of responding 'No', 6 doctors (27.2%) did so because of their 'feeling of abandoning the patients' and the other f for the 'lack of information on the referral procedure for hospice and palliative care'. Thirty seven specialists (45.7%) thought it is most desirable for the patients to have hospice and palliative care for 3 months before death. Fifty eight specialists (71.6%) responded that hospice and palliative care help controlling the patient's psychological symptoms before all. Conclusion: While most doctors recognize the need of hospice and palliative care for patients with terminal ranter, their attitude toward hospice and palliative care was rather reserved. We suggest that continuing education, information and promotion for hospice and palliative care should be provided for doctors.

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Ethical knowledge perception and related factors in department of public health students (보건계열 학생들의 윤리 지식수준에 관한 연구)

  • Kim, Yun-Jeong;Jang, Yun-Jung
    • Journal of Korean society of Dental Hygiene
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    • v.8 no.1
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    • pp.37-43
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    • 2008
  • 이 연구는 보건계열 학과에 재학중언 학생들의 윤리의식에 미치는 영향요언을 살펴보고자 4개 전문대학 보건계열 학과에 재학중인 학생 650명을 대상으로 실시하였다. 연구방법은 개별자기기입법에 의한 설문조사법이었고, 설문은 윤리 지식수준을 측정하기 위한 문항과 윤리교육에 대한 경험과 필요성을 묻는 문항, 윤리의식에 미치는 영향 요인을 묻는 문항, 윤리의식을 배우는 역할모델을 묻는 문항으로 구성하였다. 수거된 설문은 596부이었고, 회수율은 91.7% 이였다. 연구결과, 의료관계법규 지식수준과 팀웍 지식수준이 다른 윤리 지식 수준에 비해 높은 것으로 나타났고, 의료관계법규 지식수준은 전문 윤리교육 필요성을 인지하고 있는 학생에서 높은 것으로 나타났다. 전문가 윤리 지식수준은 전문 윤리교육 필요성을 인지하고 있는 학생에서, 3학년에서, 직업 윤리교육경험이 있는 학생에서 높은 것으로 나타났다. 의사결정판단 지식수준은 전문 윤리교육 필요성 인지, 임상실습경험, 윤리의식 영향요인, 전문 윤리교육청험이 유의한 영향을 미치는 것으로 나타났으며, 이 중 가장 큰 영향을 미친 변수는 임상실습경험이었다. 팀웍 지식수준은 역할모델이 종교단체라고 응답한 학생에서, 윤리의식 영향요인이 가정이라고 응답한 학생에서, 전문 윤리교육을 경험한 학생에서 높게 나타났다. 이상의 결과로 보아, 윤리교육의 필요성을 인지하고 있는 학생일수록 윤리 지식수준이 높은 것을 알 수 있었으며, 이 외에도 다양한 변수를 고려하여 후속 연구가 이루어져야 할 것으로 사료되었고, 본 연구를 통하여 보건계열 학과에 재학 중인 학생들에게 윤리에 대한 사고 기회를 부여했다는 점과 윤리 의식수준을 점검했다는 점에서 의의가 있다고 사료되었다.

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Actual Condition Survey and Improvement of Medical Devices in Korea Traditional Medicine (한방임상사용 의료기기의 실태 조사를 통한 개선방향 제시)

  • Moon, Jin-Seok;Kim, Jong-Yeol;Ryu, Yeon-Hee;Song, Nak-Kun;Kim, Hyeog-Ju;Lee, Jeong-Rim;Lee, Jae-Won;Choi, Sun-Mi
    • Korean Journal of Oriental Medicine
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    • v.11 no.1
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    • pp.119-125
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    • 2005
  • We conduct a survey of actual condition of medical devices in korea traditional medicine on 157 oriental medicine doctors and 183 manufacturers. The 61% percent of doctors indicate the trouble in use of medical devices which is applied to korea traditional medicine. The manufacturers replied that devices have a problem with diagnosis(53%) and treatment(36%). To overcome these problems, it is necessary to develop devices based on the study of basic oriental medicine and the reliable clinical research. This study contributes the improvement of quality and the revision of rules on medical devices.

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