• Title/Summary/Keyword: 입원 서비스

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The Research about Expected Hospital Management in Gynecology area based on the Medical Information Record of a University Hospital (일개 대학병원 의무기록정보 통계를 활용한 산부인과 병원경영 예측에 관한연구)

  • Kim, Kwang-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.10
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    • pp.2959-2965
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    • 2009
  • This research is based on the medical information record of a university hospital on analysis of outpatients, inpatients and delivery related information in gynecology area. The result of application having analysis of patients as basic material for hospital management is as follows. The number of new patients in average was 140.9, and as the year passes by, it seemed to decrease noticeably(p=0.000). In the first year (2001) the number was only 212.6, but increased to 140 by the year of 2007, showing increase of 80.9. The actual number of patients in the hospital was 124.6 in average and it showed noticeable decrease after each year (p=0.000), from 144.6 patients on the first year 2001, to 104.8 patients in 2007, showing approximately 40 patients decreased. Multiple regression analysis was performed having independent variables as characteristics of patients and cause of delivery related factors, and dependent variables as the number of patients in the hospital. According to analysis, the cause of affecting the number of patients in the hospital was selected as the number of new patients, the number of delivery per year. The reliability rate was recorded as 62.8%. Therefore, apart from the services on marketing and patient management which must come first, the effect of inviting them cannot be avoided, which directly links to trust resulting from the consideration to patients.

Nursing Hospital Medical Expenses and Medical Service Policy (요양병원 의료비 및 의료서비스 정책)

  • Kim, Ho-Yeong;Kim, Dong-Il
    • Journal of Digital Policy
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    • v.1 no.1
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    • pp.21-26
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    • 2022
  • This Study will focus the fact that large portion of inpatient treatment cost might incurred in nursing hospital and consider whether policy of allowing inpatient treatment is appropriate or not. Finally This study will suggest alternative way to make improvement based on cases from other countries. This study use data published by Health Insurance Review & Assessment Service. & National Health Insurance Service which is very reliable. This Study found biggest medical spending in allowance of medical care is inpatient treatment cost and large portion of inpatient treatment cost might incurred in nursing hospital. This Study found policy of allowing patient to get inpatient treatment is not clearly determinded. Therefore patient who don't actullay need medical service enter and stay in nursing hospital. Their inpatient treatment cost is paid by allowance of medical care and this cost is unnescessary medical cost. This study suggest policy of allowing patient need to be clear. Government should mandate nursing hospital to check whether patient's condition is appropriate to enter and stay in nursing hospital. This study suggest way to reduce unnecessary inpatient treatment cost incurred in nursing hospital

Analysis of Medical Expenses Structure for Patients on Percutaneous Coronary Intervention by Medical Security Type (의료보장형태에 따른 관상동맥중재술 환자의 진료비 구조분석)

  • Son, Mi-Kyung;Lee, Sok-Goo
    • Journal of agricultural medicine and community health
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    • v.44 no.4
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    • pp.195-208
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    • 2019
  • Objectives: The purpose of this study was to analyze whether there are differences in medical expenses according to medical security type in the use of medical services with high disease burden such as coronary intervention. Methods: Chi-square test and covariance analysis(ANCOVA) were conducted to identify the differences in the characteristics and costs according to medical security type of 1,904 patients who underwent coronary intervention in a university hospital from 2011 to 2012. Hierarchical regression analysis was conducted to determine whether the cost affects medical expenses. Results: In the medical aid group, the proportion of women, those without a job, those without a spouse, and those who received hemodialysis was high, length of stay was high, patients using the emergency room and those who died was high. The medical aid patients were significantly higher in the non-benefit medical expenses, optional medical expenses, physician and admission, meals, medications and injections. National health insurance patients were significantly higher in procedure. The medical security type was found to be significant as a variable affecting the medical expenses. Conclusions: Provision of medical expenses should be managed in advance by providing prevention and education services for the vulnerable, and care services in the region should be provided to suppress the occurrence of medical expenses due to the increase in the number of days spent. In addition, it is necessary to support medical expenses to prevent unsatisfactory medical services from occurring for non-benefit and optional care.

Survey on Satisfaction with Korean Medicine Treatment and Motives for Visiting Korean Medicine Hospital for Cancer Patients: Report of 100 Case (한방병원에 내원한 암환자 100예에 대한 한방치료 만족도 및 내원 동기 조사연구)

  • Oh, Hyeon-muk;Kim, Sul-ki;Park, Chan-ran;Ko, Myung-hyun;Park, So-jung;Cho, Chong-kwan;Park, Ji-hye;Yoo, Hwa-seung;Lee, Nam-hun;Son, Chang-gue;Cho, Jung-hyo
    • The Journal of Internal Korean Medicine
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    • v.42 no.4
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    • pp.475-487
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    • 2021
  • Objectives: This study aimed to evaluate the degree of satisfaction of cancer patients and to understand their motives for visiting Korean Medicine Hospital in order to increase satisfaction with Korean medicine among cancer patients. Methods: Data collection was conducted in the form of a survey of 100 inpatients who responded to a self-report questionnaire. Independent t-test and analysis of variance (ANOVA) were used for data analysis. Results: The main reason for visiting Korean Medicine Hospital was to prevent metastasis or recurrence of cancer. Patients showed the highest satisfaction with acupuncture and moxibustion. The average degree of satisfaction related to the doctor service was, on a 5-point scale, 4.80, and that of using procedure was 4.68. Conclusion: Most of the cancer patients are satisfied with the medical services in Korean Medicine Hospital. There were no significant differences in satisfaction degree by gender, age, or occupation.

A Study on Regional Medical Utilization Variation of Hospital Inpatients in Korea (우리나라 병원급 이상 의료기관 입원환자의 지역별 의료이용의 변이에 관한 연구)

  • Seo, Young-Suk;Lee, Kyung-Soo;Park, Jong-Ho;Kang, Sung-Hong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.4
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    • pp.1511-1519
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    • 2010
  • The purpose of this study was to analyze regional medical utilization variation of hospital inpatients and to suggest policy for the allocation of medical service in Korea. We analyzed the relationship among medical service, city size, income level and regional medical utilization variation of hospital inpatients. The patient survey report of 2005 year in Ministry of Health and Welfare was used for this study. To adjust on the factor age and sex, we used direct standardization method. Findings of the research were summarized as follows ; First, standardization discharge rate on patient was different in the district. city type, and number of beds. Second, standardization length of stay of patient was different in region, city type, and number of beds.

The Mediating Effect of Trustworthiness in the Relationship between Psychiatric Nurses' Nonverbal Communication and Clients' Satisfaction on the Nursing Services (정신병동 입원환자가 지각한 간호사의 비언어적 커뮤니케이션과 간호서비스 만족도의 관계에서 신뢰감의 매개효과)

  • Wie, Hwee
    • Journal of Korean Academy of Nursing Administration
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    • v.15 no.3
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    • pp.382-390
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    • 2009
  • Purpose: The purpose of this study was to determine whether nurses' nonverbal communication predict clients' service satisfaction and to investigate the mediating effects of their trustworthiness between nurses' nonverbal communication and clients' service satisfaction in psychiatric wards. Methods: A convenience sample of 206 psychiatric inpatients was obtained. Participants completed a demographic sheet and three study instruments. Results: There were statistically significant positive relationships between nurses' nonverbal communication, trustworthiness and clients' satisfaction. Trustworthiness was found to partially mediate the relationship between nonverbal communication and clients' satisfaction. Conclusion: Clients' perception of nurses' nonverbal communication, trustworthiness and satisfaction on the nursing services have a strong relationship. Findings contribute to a more comprehensive knowledge base regarding nursing services.

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Discharge Information Summary System for Medical Image (의료 영상 정보를 지원하는 퇴원정보요약시스템)

  • Cho, Su-Yeon;Kim, Il-Kon;Cho, Hune;Kwak, Yun-Sik
    • Proceedings of the Korean Information Science Society Conference
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    • 2003.10b
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    • pp.763-765
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    • 2003
  • 환자 진료 의뢰 과정은1차 진료기관에서 3차 진료기관으로 환자 진료를 의뢰하고 3차 진료기관에서 검사, 처방, 입원 등의 진료행위를 하고 환자가 3차 병원을 나갈 때 퇴원요약정보를 1차 진료기관으로 다시 보내준다. 이러한 퇴원 요약 시스템은 병원간 환자 정보의 공유를 통해서 환자의 회복과 질 높은 의료 서비스를 제공할 수 있게 한다. 방사선과 정보가 다른 퇴원 요약 정보와 함께 제공된다면 지속적이고 일관된 의료 서비스의 제공에 도움이 된다. 또한 방사선과의 경우 3차 진료기관에서 이미지를 획득할 수 없는 경우, 이미지 획득 장비를 갖춘 1차 진료기관으로 진료 의뢰를 해야 하는 특수한 상황도 발생하는데, 이를 역진료의뢰라고 한다. 우리는 이러한 방사선과의 특성을 함께 고려한 방사선과 정보를 지원하는 퇴원정보요약시스템을 제안한다.

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Structural Relationship among Service Value, Brand Image, and Patients Revisits in Regional Public Hospitals in Korea (지방의료원 의료소비자의 서비스가치, 브랜드이미지, 재이용의도 간 관계)

  • Lim, Hwan-Yeol;Hwang, In-Kyung;Suh, Won-S.
    • The Journal of the Korea Contents Association
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    • v.10 no.11
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    • pp.304-317
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    • 2010
  • The study was performed to measure structural relationship among service value, brand image, and royalty of patients in regional public hospitals in Korea. Based on the analysis, the study aims to establish strategic direction of the regional public hospitals. Through a review of related literatures, measurement variables were identified, and a path model was developed for the study. Five regional public hospitals were chosen, and questionnaire has been collected from 387 outpatients and 358 inpatients. The study found that service value has a positive direct effect on brand image, and brand image has a positive direct effect on loyalty. Based on the findings, it is desirable for the regional public hospitals should mange the issues with lower level of perception and those with bigger effect, and establish low pricing strategy with improving the quality of service they provide.

Convergence outpatient medical service patient experience research using data mining (데이터마이닝 기법을 이용한 융복합 외래 의료서비스 환자경험조사 연구)

  • Yoo, Jin-Yeong
    • Journal of Digital Convergence
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    • v.18 no.7
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    • pp.299-306
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    • 2020
  • The purpose of this study is to find out specific measures that can help the management strategy of patient-centered medical institutions by conducting research on patient experience surveys of convergence outpatient medical services using data mining techniques according to changes in patient-centered medical culture. Using the raw data of the 2018 Medical Service Experience Survey, 8,843 people over the age of 15 who had patient experience in outpatient medical services were analyzed. Decision tree analysis was performed. The determinants of satisfaction with outpatient medical services patient experience were the doctor's area and patient's rights protection area, and the determinants of intention to recommend outpatient medical services were the doctor's area and facilities comfort. Women evaluated the experience positively in overall satisfaction as compared to men, and those over the age of 60 positively evaluated the overall satisfaction and intention to recommend. It is significant that the outpatient experience decision-making model is presented, and that the doctor's area, patient's rights protection area, and facility comfort are important factors. Long-term research on the 'Medical Service Experience Survey' is needed, and research on the inpatient medical service experience is needed.

Inpatient Satisfaction and Dissatisfaction in Relation to Socio-demographics and Utilization Characteristics (입원환자의 사회인구학적 요인 및 의료이용 특성과 환자만족$\cdot$불만족간의 관련성)

  • Cho Sung-Hyun
    • Journal of Korean Academy of Nursing
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    • v.35 no.3
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    • pp.535-545
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    • 2005
  • Purpose: This paper reports a study exploring factors related to patient satisfaction and dissatisfaction with inpatient care. Method: A cross-sectional study design was used, employing data from the National Health and Nutrition Survey conducted in 2001. Socio-demographic factors, utilization, self-rated health status, and disease characteristics were assessed by employing univariate comparisons and multivariate logistic regression analyses. Result: Out of 37,769 respondents, 1,043 aged 20 years and over had been admitted to a hospital or clinic at least once during the past year. About a quarter of the respondents were discharged from tertiary hospitals and $21\%$ from clinics. The majority of patients ($58\%$) were satisfied with inpatient care received, whereas $11\%$ were dissatisfied. Greater satisfaction was found in patients aged 45-64 years and those having formal education, discharge from tertiary hospitals, national health insurance as a payer, medical expenses not being burdensome, good self-rated health status, and neoplasm. Living in non-metropolitan urban areas, shorter length of stay, and musculoskeletal diseases were associated with greater dissatisfaction. Conclusion: Different factors were related to patient satisfaction and dissatisfaction with care. Those factors need to be taken into account when evaluating and comparing satisfaction levels between health care institutions.