• 제목/요약/키워드: Explanation Facilities

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SERVQUAL 모델을 이용한 간호 서비스 질 측정 (Measurement of Nursing Service Quality using SERVQUAL Model)

  • 임지영;김소인
    • 간호행정학회지
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    • 제6권2호
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    • pp.259-279
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    • 2000
  • This study is a descriptive analytic research measuring nursing service quality, using SERVQUAL model, to make fundamental data and strategies for nursing service improvement. Data were collected by self-reported questionnaire from 202 patients and 142 nurses, from June 7 to 14, 1999. The reliability of instrument were adequate(Cronbach ${\alpha}=.94$). SAS program was utilized for statistical analysis of collected data. The results were as follows; 1. There was a gab between patient's expectation and perception on nursing service(Gap B). Gap D was indicated an affecting factor to decide nursing service quality. Gap C was indicated an indirect affecting factor of nursing service quality. Because it was not statistically significant in total item analysis, but in individual item analysis, 7 items were appeared statistically significant. Gap A was not a gap occurrence factor of nursing service quality. 2. Focuses of nursing service quality improvement strategies were; (1) to direct qualitative improvement of nursing service in order to correspondence patient's nursing service expectation. (2) to make nurse's service activity modified because nurse's practice were not reached patient's expectation level. (3) to need internal, external factor analysis affecting nurse's service activity. 3. Nursing service quality was decided by rather environmental inappropriateness provided nursing service than itself. Therefore, to make nursing service quality improvement, it is required to improve nursing service environment. For this, followings are required; (1) to strengthen nurse's education on lower part of nursing service satisfaction and QI activities. (2) to balance demand and supply of nursing personnel. 3) to fix computerized system for reducing other duties weight except nursing care through analysis of nursing activity. (4) to construct rational cooperating system among related departments. 4. The important parts for nursing service quality improvement were indicated as follows: (1) Gap B: 'prompt reaction', 'examination symptom before patient's complaint', 'hearted nursing service reducing patient's dissatisfaction', 'explanation goals of nursing activities', 'having special Knowledge enough', 'maintenance position comfortably', 'management of patient's physical hygiene'. (2) Gap C: 'maintenance physical safety', 'explanation about hospital rules and facilities'. (3) Gap D: 'tender, safe injection and wound care'. Because above items are mostly improved through nurse's attitude change and quality improvement, it is required to establish nursing standardization and to strengthen nurse's clinical education. As the based on above results, followings are suggested; 1. SERVQUAL model is very useful to make strategies for nursing service quality improvement because it indicates multiple factors affecting hap occurrence. 2. At individual items analysis of Gap C, statistically significant 7 items appeared higher nurse's perception level than patient's perception level on nursing service were trouble perception level on nursing service quality improvement. So. it need further research to analysis about these difference occurring factors. 3. At analysis of Gap D, it is indicated that in nursing service performance process, multiple factors lowing nursing service quality were intruded. So it needs further research to analysis what these factors are and how each factors affect on nursing performance process. 4. nursing service quality measurement is changeable according to sample select time or sampled subject's characteristics. So to develope strategy for nursing service quality improvement is based on the results of periodical analysis.

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치과내원환자들의 의료기관 선택 및 의료서비스 불만요인에 관한 연구 - 서울, 경기, 인천지역을 중심으로 - (A study on patients' choices over dental clinics and factors of complaint against medical service -focused on Seoul, Kyoungi, and Incheon areas)

  • 유은미;김선경;황윤숙
    • 한국치위생학회지
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    • 제8권1호
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    • pp.93-105
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    • 2008
  • In order to provide basic information to help dental medical service with supplying gratifying service for patients. the survey is conducted on the patients who frequently visited dental clinics located in the areas such as Seoul, Kyoungi, and Incheon from May of 2006 to June. The survey results are as following : 1. Judged from the factors to make patients choose one dental clinic over another. the low cost of treatment accounts for 32.8%. and followed by physician's academic background / career experiences with 20.5%. In case of recommending to their acquaintances, physician's proficiency in treatment is ranked high as 56.7%. 2. For most desirable facilities for dental hospitals. the results indicate that cutting-edge medical equipment holds 46.7% and followed by a comfortable waiting room with 32.8%. 3. Examined the questions of what patients are most satisfied with dental clinics. 43.1% of respondents point out kind and detailed explanation. 14.1% also responds to constant care after the treatment. This result suggests that after-care and detailed explanation also play an important role in dental care as well as the treatment itself. 4. For desirable services in the waiting room. 28.5% of the respondents choose a selection of magazines and newspaper and 18.7% say that they want to converse with the staff. As to how long can wait with patience. 38.2% of the participants agree on as long as 20 minutes. 5. Among unsatisfactory sources against dental clinics while visiting, the high cost of the treatment is scored high as 34.1% and followed by a long waiting time with 22.1%. The figure points to the fact that dental medical clinics should consider these two factors to solve in the future. In case where patients find the treatment discontent and they are asked what to do, 36.4% of the respondents respond that they go to a different hospital without saying anything. As to the enquiry about how the complains should be dealt, 46.% wishes that the matter should be taken care immediately upon complaining, 21.8% suggests that they like to feel understood and acceptable when presenting complaints.

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서울시 보건소 물리치료실 이용자의 만족도 조사 연구 - 노인복지 정책측면에서 - (A study on patients' satisfaction of physical therapy services in public health center in the point of view of the elderly welfare policy)

  • 윤범철;이용진;배정미;김난수
    • 대한물리치료과학회지
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    • 제5권1호
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    • pp.557-571
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    • 1998
  • The purpose of the study is (i) to investigate the operating situation of physical therapy department in public health centers, (ii) to analyze the difference of elderly satisfaction from non-elderly satisfaction of physical therapy services among the public health center visitors, and finally (iii) to suggest facilitating improvement on programs that can supply the elderly health service through public health centers. A questionnaire survey was carried out 212 patients of 25 public health center in Seoul, Korea from 15 July to 10 August 1996. Major results of the study are as follows : 1. Among the respondents. the largest group was the elderly who are over 65 years old (72.6%). 2. The averge of general patients' satisfaction for physical therapy services was 3.98, especially fee of treatment(4.76), attitude of physical therapist(4.33), and reliance of physical therapist(4.20) were higher by 5-score Likert scale. 3. The correlation factors with general patients' satisfaction were process of treatment (r =.6301). results of treatment(r=. 6186), and guide facilities(r=.5999). 4. The results of multiple-regression analysis between general patients' satisfaction and affecting factors identify following variables as the statically significant determinants : general stisfaction comparing with other physical therapy services, physical therapy services using forwardly, fee of treatment. 5. There was no significant defference between elderly and non-elderly patients' satisfaction of physical therapy service, except attitude of physical therapist(t=-2.07), explanation of treatment for disease(t=-2.19), fee of treatment(t=6.29).

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연속류 가변속도제어 모형개발 및 효과분석 (Modelling and Evaluation of Traffic Flow with Variable Speed Limit on Highway)

  • 조혜림;김영찬;하동익
    • 한국ITS학회 논문지
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    • 제10권1호
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    • pp.16-26
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    • 2011
  • 가변속도제어(Variable Speed Limit ; VSL)는 교통상황에 따라 속도를 차등 제한하여 혼잡 또는 사고지점에 도달하기전 차량간, 차로간 속도편차를 감소시킴으로써 사고를 예방하고 총 지체를 최소화하기 위한 연속류 ITS기법 중 하나이다. 본 연구에서는 가변속도 제어시 연속류 기본구간의 동적교통류에 대한 수학적 분석결과를 기초로 가변속도제어 수행모형을 제시하고 효과분석을 수행하였다. 가변속도제어모형은 병목현상 발생시 상류부에 전파되는 충격파의 속도를 최소화 함으로써 지체를 감소시킬 수 있도록 graphical solution을 적용하여 제시한다. 또한 가변속도 제어시 해당 지점으로부터 하류부로 전파되는 충격파의 생성 및 움직임을 모형화 하여 재현하며 그 방법론으로는 Cell-Transmission Model 및 Supply-Demand Method를 적용하였다. 가변속도제어 적용에 따른 효과분석으로는 제어를 통한 지체감소의 효용성 및 안전도 측면에서 각 Cell별 속도 및 밀도의 표준편차의 개선정도를 살펴보았다. 향후 본 연구의 이론적 검증 및 분석 결과를 토대로 다양한 가변속도제어모형 및 운영방안을 개발할 수 있을 것으로 예상한다.

태양광 및 풍력단지의 개발에 따른 환경적·사회적 문제 분석 및 대응방안 (Analysis of Environmental and Social Problems Caused by Photovoltaic Complex and Wind Farm Construction and Countermeasures to Mitigate the Problems)

  • 안세웅;이희선
    • 환경정책연구
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    • 제10권3호
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    • pp.3-20
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    • 2011
  • 태양광 및 풍력단지 건설 운영 사례에서 나타나는 환경 사회적 갈등들을 통하여 그 원인을 분석하고, 국내외의 긍정적인 건설 운영 및 갈등 조정 사례들을 분석하여 갈등의 최소화 방안 및 제도적 보완책을 모색하였다. 국내 태양광 및 풍력단지의 건설 운영 사례에서 나타나는 갈등은 지역 환경 훼손, 발전 시설에 따른 직접적인 피해, 발전 사업에 따른 지역 이익의 부재, 환경규제 및 관리상의 문제가 주된 원인이며, 이의 해결을 위한 방안으로 발전 사업 지침 개선 및 강화, 주민 수용성 확보, 사업설명회 규정 강화, 이해당사자의 참여 확대 방안 및 대안 입지와 해상풍력의 조속한 시행을 제시하였다. 이들 방법을 통해 신재생에너지기본계획 중 태양광 및 풍력에너지의 목표, 환경의 보호 및 보전 그리고 주민수용성 향상을 달성할 수 있다.

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외래 의료서비스 질적 수준의 결정요소 (Determinants of Quality in Outpatient Medical Service)

  • 박숙희;김석범;강복수
    • 한국의료질향상학회지
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    • 제5권2호
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    • pp.176-189
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    • 1998
  • This study was conducted to evaluate the subjective ideas about the determinants of quality in ambulatory care unit among outpatients and medical staff of a university hospital, and to compare the differences of the ideas, between patients themselves and hospital staff. A self-administered questionnaire survey was conducted covering 799 outpatients and 190 hospital staff in March, 1998. The questionnaire included general characteristics and 26 determinants of ambulatory care quality. The following are summaries of the findings: 1. Both of outpatients and hospital staff perceived, "Physician's knowledge" as the most important determinant of medical care quality. 2. In respect of 7 determinants related to physician's knowledge and skill, both outpatients and hospital staff perceived "physician's knowledge and skill" as important determinants. The scores of determinants such as, "Not doing unnecessary examinations", and "Assignment of adequate number of patients and duty schedule for the physician" were significantly different between outpatients and hospital staff. 3. In respect of 4 determinants related to doctor-patient relationship, both outpatients and hospital staff perceived "attention to patient's complaints" as the most important determinant. The scores related to the determinants such as "kindness of physician" and "explanation of treatment outcome" were significantly different between outpatients and hospital staff. 4. Among the amenities related determinants, "Modern facilities and equipments" were perceived as the most important determinant in both group. 5. In respect of 8 determinants related to non-financial accommodation, outpatients perceived, "Waiting hours for treatment" as the most important determinant, and hospital staff perceived, "Kindness of hospital staff". 6. In respect of 4 determinants related to financial accommodation, outpatients perceived, "Fare account of medical cost" as the most important determinant, and hospital staff perceived, "Increasing reimbursements". Further comprehensive research should be made on the evaluation of perceptions of medical care quality, both of outpatient and inpatient care, among patients and hospital staff. So good quality in medical care will be achieved based on clients' needs.

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시계열 회귀모형에 기초한 욕실 내 용수 사용량 추정 (Estimating Bathroom Water-uses based on Time Series Regression)

  • 명성민;김동건;조진남
    • 한국컴퓨터정보학회논문지
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    • 제19권8호
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    • pp.19-26
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    • 2014
  • 신뢰성 있는 물 수요예측을 실시하기 위해서는 실측자료를 이용하여 다양한 수요구조의 변화를 합리적으로 반영할 수 있는 수요예측모형을 개발 활용하는 것이 필요하다. 본 연구에서는 가정에서사용하고 있는 욕실 내 용수사용량 특성을 파악하기 위하여 전국 140여개 가구를 대상으로 전자식 유량계와 무선송신시스템이 결합된 원격측정시스템을 이용하여 실측자료를 취득하고, 이를 이용하여 각 사용량의 기준이 되는 원단위를 도출하였다. 향후 사용량 예측을 위하여 욕실 내 용수를 욕조용수와 세면용수로 구분하여 시계열 모형을 적용함으로써 물 수요관리 및 정책수립을 위한 정보로서 활용할 수 있도록 하였다.

설명간호사의 현황과 법적 지위에 관한 고찰 (A Study on the Nurse in Charge of Education'S Current Status and Legal Status)

  • 백경희;안영미;김남희;김미란
    • 의료법학
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    • 제14권2호
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    • pp.261-280
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    • 2013
  • Recently several hospitals have established a new nursing position so called, 'the nurse in charge of education (NCE).' The job description of NCE is to give a detail explanation on examination or test introduced to patients or a guide for those who are not familiar to hospital facilities at the out-patients level. The motivation of NCE position is the quality improvement in patient education on the sophisticated procedures or the follow up care for medical purposes to improve their compliances, as well in delivering services for outpatients or visitors in more informative and efficient way. The application of NCEA has been turned out positive and effective in patient satisfaction and unit management. However, special attention is brought to the scope and depth of the contents of education delivered by NCE which might overlap with the duty of physicians by the Medical Act. It is needed to clarify the role and job description of NCE in the context of Medical Act. The engagement of NCE to the Advanced Nursing Practitioner (ANP) is one of the possible solutions for a duty charge on patient education since ANP is a legislatively official position with higher license of RN at master level. Further discussion is needed to elaborate and arrange the details on the scope and content of patent education among health science professionals including RN, ANP and physicians.

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변기 및 세탁기 가정용수 사용량의 시계열모형 연구 (An analysis of time series models for toilet and laundry water-uses)

  • 명성민;김동건;이두진;김화수;조진남
    • Journal of the Korean Data and Information Science Society
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    • 제24권6호
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    • pp.1141-1148
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    • 2013
  • 가정용수의 용도별 사용량은 주거형태, 거주자 생활양식, 주택구조 등의 내부적인 요인과 온도, 날씨, 수도요금 등과 같은 외부요인들의 영향을 받게 된다. 장기적으로는 거주민의 생활양식, 주거형태, 수도관련 시설의 변화에 따라 사용량이 점진적으로 변화하게 되며, 단기적으로는 기온이나 가뭄과 같은 기후조건이나 절수정책과 같은 인위적인 영향에 의해 사용량이 크게 변화하기도 한다. 본 연구에서는 가정에서 사용하고 있는 변기 및 세탁기 용수의 물 사용량 특성을 파악하기 위하여 전국을 대상으로 실측자료를 모니터링하고 각 사용량의 기준이 되는 원단위 (${\ell}pcd$; liter per capita day)를 도출하였으며 향후 가정용수 사용량 예측을 위하여 변기 및 세탁기 용수를 대상으로 오차항이 자기상관을 따르는 시계열 회귀모형을 이용하였다. 분석결과, 자기회귀오차 모형으로 변기 및 세탁기 용수의 사용량을 71% 정도 설명할 수 있다.

건강검진센터 이용자의 재이용 의도에 미치는 영향요인 (Factors Influencing Intent to Revisit of Health Screening Center Visitors)

  • 방은필;김정희
    • 디지털융복합연구
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    • 제18권1호
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    • pp.147-157
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    • 2020
  • 본 연구는 건강검진센터 이용자들의 재이용 의도에 영향을 미치는 요인을 파악하기 위한 서술적 조사 연구이다. 자료 수집은 일개 종합병원의 건강검진센터를 방문한 195명을 대상으로 자가보고 설문지를 이용하였다. 건강검진센터 재이용 의도는 고객만족과 구전 커뮤니케이션과 정적 상관관계를 보였으며, 다중 회귀분석 결과, 고객만족과 지각된 건강상태가 재이용 의도의 총 분산의 29%를 설명하였다. 따라서 건강검진센터 재이용 의도를 높이기 위해서는 병원과 간호관리자는 센터 이용자들의 고객만족을 향상시키는 노력을 하여야 한다. 특히 건강검진 결과 상담과 고객의 요구에 따른 개별적인 맞춤형 건강관리, 고객관리관리 및 마케팅 전략이 요구된다. 또한 기존의 단순한 건강 체크 혹은 고객 접수만을 하였던 건강검진센터의 간호사의 역할을 적극적이고 개별 맞춤형 건강교육을 제공하고 초기 진료 후 계속적으로 건강검진 계획과 건강관리를 하도록 하는 역할로의 확장이 필요하다.