• Title/Summary/Keyword: Dental service

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The Classification of the Service Quality Elements in the Hospital Using the Kano Model (Kano 모형을 이용한 병원의 서비스 품질 요소의 분류 - 인천, 경기남부지역 대학병원을 중심 -)

  • Oh, Byeoung-Kwan;Choi, Hwang-Gyu
    • Korea Journal of Hospital Management
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    • v.14 no.4
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    • pp.88-102
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    • 2009
  • This study aims at providing necessary informations to decide what services would be conducted preferentially in the hospital by limited resources. So this study revalued the customer's perception about the qualities of the hospital services by the Kano Model and examined the customer satisfaction coefficients suggested by Timko. The researcher conducted a survey from the patients of the 4 university hospitals in Incheon and southern Gyeonggi Province In 2008. The results of this study can be summarized as follows; It was found that the total 31 items are could be classified into 7 attractive quality elements, 22 one-dimensional quality elements and 2 indifferent quality elements, while the natural quality element wasn't found. The highest score element of the customer's satisfaction coefficients was identified as easy parking(0.69) and the lowest score item was the offer of the hospital newsletter and information about medical care(0.47). When the hospital service was not sufficient to the customer, the highest score element of the customer's dissatisfaction coefficients was proved the convenient ward and facilities(-0.75) and the lowest score item was the buses running to the entrance of the hospital(-0.32). Also it was found that the attractive quality elements appraised by the preceding study were revalued the one-dimensional quality elements. The reason was because the customer's expectation on the services was changed high, as time went by.

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Recognizable Investigation on Home Visiting Physical Therapy of Physical Therapist in Gwangju and Jeonnam

  • Yu, Seong-Hun;Kim, Seung-Rae;Cho, Sung-Hyoun;Seo, Tae-Hwa;Moon, Young-Sung;Kim, Myeong-Hui;Kim, Hyun-Jin
    • Journal of the Korean Society of Physical Medicine
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    • v.11 no.3
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    • pp.19-34
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    • 2016
  • PURPOSE: This study seeks to examine the awareness and need of home visiting physical therapy among physical therapist in Gwangju and Jeonnam province. METHODS: Survey was conducted during the continuing education on physical therapist held in Gwangju in 2015 with 297 participants. The survey questionnaire consisted of 12 questions on the characteristics of physical therapists, 8 questions regarding the awareness of home visiting physical therapy, and 7 questions on need. RESULTS: Significant differences were found regarding service period, according to categories of the inconvenience associated with commuting to/from hospitals, long-term treatment for patients, high quality treatment with intensive care, treatment at a time of patients' choosing. The category of hospital fees reduced due to early discharge from the hospital also saw significant differences, depending on respondents' marital status, dependent family, and service period. Providing treatment without causing discomfort to patients in front of others also saw significant differences according to physical therapist career period. Home visiting physical therapy is easier for family members to take care of patients also saw significant differences according to education and physical therapist career period. CONCLUSION: Survey indicates that physical therapist province feel the need for home visiting physical therapy in many respects. However, since as many as half of the surveyed physical therapists have only heard of home visiting physical therapy or are have no awareness of the this form of treatment, it appears that there is a need to raise awareness of home visiting physical therapy among physical therapist and introduce appropriate policies.

A Study to Assess the Need of Customized Visiting Health Care Services for Children according to Socioeconomic Status in a Province (사회계층에 따른 영유아 맞춤형 방문건강관리사업 요구도)

  • Kim, Hee-Ja;Bang, Kyung-Sook;Yoo, Jae-Soon;Kim, Hyun-Sook;Tak, Yang-Ju;Huh, Bo-Yun
    • Research in Community and Public Health Nursing
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    • v.22 no.2
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    • pp.212-222
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    • 2011
  • Purpose: This study was conducted to survey children's health status and need of customized visiting health care services in one province. Methods: The participants in this study were 237 caregivers of infants and preschoolers. Data were collected at the participant's home or public health center. Results: Many of the children did not receive developmental screening tests or dental examinations. In the beneficiary group, the prenatal checkup rate and children's vaccination rate were lower, and caregivers had more health problems than the other groups. On the assessment of home safety, unsafe conditions were more frequently found in the beneficiary group. The caregivers in the beneficiary group showed lower child rearing confidence than the other groups, and wanted customized visiting health care services most in the areas of developmental screening, regular health check-up and counseling, nutritional supplementation, and oral health care. Conclusion: These results indicate that it is necessary for children and parents in poverty to be provided with professional home visiting interventions for the promotion of child health and prevention of developmental problems and diseases. These findings can be used for developing future customized visiting health care service programs for infants and children in this community area.

A Study on the Effects of Perceived Oral Symptoms and Masticatory Performance on the Quality of Life for the Elderly in an Urban Area (대도시 노인의 주관적 구강증상과 저작능력이 삶의 질에 미치는 영향)

  • Ryu, Hwang-Gun;Lim, Hyun-Ju;Kim, Hye-Sook;Kang, Hyun-Kyung
    • The Korean Journal of Health Service Management
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    • v.6 no.1
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    • pp.15-25
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    • 2012
  • The purpose of this study is to examine relations among the subjective oral symptoms, masticatory performance and life quality of aged people residing in some regions of a large city, ultimately providing basic information needed to develop and implement programs oral health project and oral health education programs for the oral health promotion of those people. For the above purpose, this researcher conducted a questionnaire survey of people aged 65 or over from July 14th to 30th, 2011. Among the copies of the questionnaire distributed to the subjects, 318 were recollected. Out the recollected forms, 18 which were deemed as in appropriately filled in were excluded, and the remaining 300 were finally analyzed. The results are as follows. Subjective oral symptoms and masticatory performance have correlation(p<0.001) with aged people's life quality. Factors of influencing life quality were indicated to be gender(p=0.046), age(p=0.008), appearance of living together(<0.001), masticatory performance(p<0.001), and temperature reaction(p=0.018). This study has limitation because of being information that was obtained just with questionnaire survey on subjective oral symptoms. It is considered that there is a need of surveying along with objective data on oral symptoms hereafter.

The Effect of Oral Function on the Quality of Life of Korean Adults by Age Group (한국 성인 연령층별 구강기능이 삶의 질에 미치는 영향)

  • Lee, Eun-Ju;Kim, Myung-Gwan
    • The Korean Journal of Health Service Management
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    • v.10 no.2
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    • pp.99-110
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    • 2016
  • Objectives : The aim of the present study was to propose more substantial data for evaluating the quality of life of adults in terms of oral health as well as provide the basic data necessary to develop an effective oral health care program that improves the quality of life of adults by age group. Methods : Raw data were used from the sixth Korea National Health and Nutrition Examination Survey for the first and second years which was conducted from January 2013 to December 2014. Multiple regression analysis was conducted with the collected data by gender and age group to determine the impact of oral functions on the quality of life of adults. Results : It turned out that oral function has an impact on the quality of life of adults by age group as follows: young people (${\beta}$=.077), middle-age people (${\beta}$=.101), young-old elderly people (${\beta}$=.140), and old-old elderly people (${\beta}$=.143). It was shown that as people grow older, they have better quality of life only when they have good oral function. Conclusions : It is necessary to develop a proper oral health care program that prevents oral diseases and improves oral function by age group, which eventually will lead to good oral health. Continuous oral healthcare is also considered necessary.

An Effect of Self-Esteem and Self-Efficacy in Middle-Aged Women's on the Behavior for Preparing Their Old Age (중년여성의 자아존중감과 자기효능감이 노후생활 준비행동에 미치는 영향)

  • Park, Ji-Young
    • The Korean Journal of Health Service Management
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    • v.8 no.4
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    • pp.257-270
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    • 2014
  • This article tried to find how they foster their emotion and promote their health, as examining the effect of self-esteem and self-efficacy on self-esteem and self-efficacy in middle-aged women. This paper conducted a survey for women in 40 50s who live in Daegu Metropolitan for one month from the 1st of May, 2013. As the result of analysis on primary factor, it was classified into 5factors of organizing such as the physical behavior for preparing their old age, the behavior for preparing their old age of participation in social activities, the behavior for preparing their old age of preparing death, the emotional behavior for preparing their old age and the economic behavior for preparing their old age. The self-efficacy had the positive effect on the physical, emotional and economic behavior for preparing their old age, on the other hand, the self-esteem and the self-efficacy had the positive effect on the behavior for preparing their old age of participation in social activities and of preparing death. It can be said to be more important that the middle aged-women have to make an effort to develop self-esteem and self-efficacy for improving the behavior for preparing their old age, in addition, this article suggests to develop a systematic program that may inspire a belief for the behavior that needs to get the desired result, and to require continuing interest.

Comparison of tracheal intubation using the Miller blade versus Macintosh blade in difficult airway: A manikin study among novice intern doctors (기도확보가 어려운 상황에서 Miller blade와 Macintosh blade를 이용한 기관내삽관의 비교 : 숙련되지 않은 인턴을 대상으로 한 마네킨 연구)

  • Lee, Mi-Lim;Kim, Chul-Tae;Lee, Hyo-Cheol
    • The Korean Journal of Emergency Medical Services
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    • v.22 no.3
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    • pp.35-45
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    • 2018
  • Purpose: The purpose of this study was to compare laryngoscopic views and ease of use and success of intubation, via the percentage of glottic opening (POGO) scale when using the Miller blade and Macintosh blade in paraglossal approach. Methods: Forty intern doctors were randomized for laryngoscopy to be performed in a crossover manner. They performed endotracheal intubation with Miller blade and Macintosh blade in two airway scenarios: normal airway and difficult airway with edema. We observed the rate of successful intubation, time required for visualizing the glottis, time to complete endotracheal intubation, ease of intubation, and the POGO scale. Results: In the normal airway, there was no difference in intubation between the two endoscopes. In the difficult airway, the time for visualizing the glottis (7.80 versus 10.24 sec; p=.006), the time to tube passage (19.38 versus 23.03 sec; p=.038) and the time to complete endotracheal intubation (21.84 versus 28.54 sec; p=.022) with Miller blade was shorter than with Macintosh blade. The POGO scale(%) of the Miller blade was higher than that of the Macintosh blade's (62.25 versus 56.32; p=.030). Conclusion: Compared to the Macintosh blade, Miller blade provided better visualization of the glottis and POGO scale, and faster time to completion of endotracheal intubation.

Factors Affecting Herpes Zoster Vaccination in Adults (성인의 대상포진 예방접종 시행의 영향 요인)

  • Jeong, Sun Rak;Kim, Yu Mi;Kim, Kyung Hee;Nam, Hang Me;Lee, Won Kee
    • The Korean Journal of Health Service Management
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    • v.12 no.2
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    • pp.63-73
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    • 2018
  • Objectives : This study aimed investigate general characteristics, vaccination status and health beliefs related to vaccination for herpes zoster and to identify variables. Methods : The structured questionnaire was conducted from March 31, 2016 to April 20, 2016 with 312 outpatients who visited a university hospital. The data were analyzed by frequency analysis, t-test, $x^2-test$, correlation analysis and logistic regression analysis via SPSS statistics 22.0. Results : The vaccination rate of the herpes zoster was 16.0% and the vaccination cost was the most common reason for rejecting inoculation. More highly educated people with more than a university degree(OR=4.28, p=.002), those with higher susceptibility to herpes zoster(OR=1.56, p=.000), those more aware of the benefits of vaccination(OR=1.51, p=.009) and those with lower disability for vaccination(OR=0.74, p=.003) were more likely to be vaccinated. Conclusions : Therefore, to increase the vaccination rate of herpes zoster in adults over 50 years old, continuous publicity and education are needed to emphasize the susceptibility of herpes zoster and the benefit of vaccination. In addition, it is necessary to develop policies at the national level for the expensive vaccination cost that obstructs vaccination.

The Change of Health Service before and after the Unification of two Health Subcenters in a Rural Area (한 농촌지역 2개면 보건지소 통합전후 보건의료사업 변화 연구)

  • Sul, Sue-Jeong;Park, Hyang;Sohn, Seok-Joon;Park, Jong;Kim, Ki-Soon
    • Journal of agricultural medicine and community health
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    • v.25 no.2
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    • pp.427-440
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    • 2000
  • A comparative study was made about health resources, medical care service statistics and public health service statistics by health subcenters at Jangdong and Jangpyung townships, Jangheung County, Chollanamdo before and after the unification of two health subcenter to improve their function. 1. While two general physicians, one dentist, 4 nurse aids arid one oral hygienist were working at two health subcenters with simple facility with examination room and public health office in 1997 prior to the unification, in 1999 after the unification of two health subcenters 14 staff including a specialist physician, a general physician, a dentist, a herb hygienist, a radiology technician and a physical therapist were working in the new health subcenters equipped with appropriate facilities in two storey building. 2. In 1997 before the unification the yearly total income of two health subcenters was 78,815 thousand won(about 14,000 won per capita) and the amount was 140,376 thousand won(about 25,000 won per capita) in 1999 after the unification. And the income was used for operation of health subcenters excluding personnel expense. 3. While 90.5% of visitors to the health subcenters came for general medical care, and 91.6% came for the revisit before the unification, after the unification 71.2% came for general medical care, 10.8% for dental care, 16.5% for oriental physician's care, 29.7% for the first visit and 70.3% for revisit. Most common problem cared for was musculoskeletal disorder like arthralgia. Average treatment cost per person per month was 9,363 won before the unification and 8,309 won after the unification. 4. Through the comparison of execution rate of public health services before and after the unification. the practice rate of most health service among target population including visiting service for chronic illness, maternal and child health service and immunization service increased after the unification. The practice rate of tuberculosis control service, hypertension control and diabetes management was a little decreased. In conclusion, continuous effort to satisfy all persons in two townships and evaluation are necessary to coincide with the spirit of unification of two health subcenters.

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A Study on Patterns or Reality of Oral Health: Government Employees and Private School Employees (구강건강행태 및 실태에 대한 조사연구 (공무원 및 사립학교 교직원 중심으로))

  • Seong, Jeong-hee;Park, Myung-suk
    • Journal of dental hygiene science
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    • v.2 no.1
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    • pp.39-45
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    • 2002
  • Our study shows the following results of the patterns and reality of oral health of 862 Government employees and private school employees who had received oral examinations from April to May, 2000. For the exposition of each group to dental service, the male groups(37.4%) were more exposed than the female ones(30.0%, p<0.05), while the scaling experience results indicated that more ages mean more scaling(the over 50 year group 27.1%, 41-50 group 23.9%, 31-40 group 20.5%, 21-30 group 10.8%, p<0.001). The data involving sweet food and refreshments revealed that 'positive respondents' in the male groups were 19.7% with 12.5% positive in the female ones, and 'negative respondents' were 32.3% and 51.0% in the male and female groups respectively(p<0.001). For the oral odor, the male groups(37.9%) are more severe than the female ones(25.5%, p<0.01). The results of dental caries revealed that 19.1% of the male and 13.9% of the female said 'yes'(p<0.05), with 25.1% of the male and 11.1% of the female suffering from missing teeth(p<0.001); 77.4% of the male and 51.0% of the female from periodontal disease (p<0.001).

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