• 제목/요약/키워드: Healthcare Quality

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의료 질 향상을 위한 서비스디자인: 환자경험 증진을 위한 실행 접근법 (Service Design for Healthcare Quality Improvement: An Implementation Approach for Enhancing Patient Experience)

  • 구정하;유운형;권영대
    • 한국의료질향상학회지
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    • 제29권2호
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    • pp.47-63
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    • 2023
  • Purpose:This study aims to suggest the future direction for applying service design to improve the quality of healthcare as part of hospital service innovation and present implementation plans in Korea, based on a review of quality improvement activities and the current status of service design applications. Methods: Through a literature review, we examined the status of service design introduction and application in the healthcare field, focusing on cases in the US and Europe. The possibility and limitations of service design in the healthcare field were examined through a comparison of oversea and domestic cases. Results: Recently, service design has begun to be applied to the healthcare field worldwide. Service design shows the possibility of an alternative that alleviates and complements the limitations of existing quality improvement activities. It also offers the possibility of creating new organizational improvement and innovation approaches through integration and convergence with existing quality improvement activities and management innovation. Conclusion: To effectively apply service design to hospitals, it is necessary to integrate internal organizations related to service improvement, combine methods, and objectively measure and evaluate performance. To this end, we propose the operation of a nationwide education and training center for quality improvement and service design led by academic society. Service design will provide an opportunity to change the management innovation and organizational culture of hospitals beyond the scope of the current quality improvement, which deals only with micro-subjects of individual hospitals.

말콤 볼드리지 모형을 이용한 2차 의료기관의 전사적 품질관리와 성과 간의 인과관계 연구 (A Study on Causality between Total Quality Management and Performance of Secondary-Care Hospital Using Malcolm Baldrige National Quality Award Model for Healthcare)

  • 권준덕;윤치호;오현종;박범규;김양균
    • 품질경영학회지
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    • 제43권1호
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    • pp.11-30
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    • 2015
  • Purpose: The purpose of this study is to lay groundwork for future research on the outcomes of national quality awards for secondary-care healthcare organizations. Methods: For this study, a secondary-care hospital was selected through a convenience sampling method and all of its organizational members participated in complete enumeration survey using 109 survey questions derived from the MBNQA criteria for healthcare through structural equation modeling (SEM) Results: As a result, Leadership was shown to drive Foundation and Direction, which affect System that creates Results with 12 hypotheses supported out of 18 hypotheses established. Conclusion: The findings of this study will provide valuable implications to the top management of secondary-care hospitals for self-examining quality management and promoting sustainable competitiveness.

보건소 방문건강관리사업의 편익 분석 (Benefit analysis of visiting healthcare in public health centers)

  • 고숙자;정영호;이재용
    • 보건교육건강증진학회지
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    • 제35권5호
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    • pp.69-78
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    • 2018
  • Objectives: This study is aimed to analyze service user's benefit and perceived-outcomes of visiting healthcare. Methods: Using a questionnaire survey we analyzed the subjective service quality and satisfaction of survey respondents. The sampling was designed with socioeconomic characteristics(age, sex, user group et al.), and each respondent (N=1,000) was presented with double-bounded dichotomous choice questions. To measure the value of visiting healthcare, we employed a contingent valuation method. Results: The respondents were satisfied with service and quality on visiting healthcare. And the acceptance-to-pay of respondent's benefit was 50,458 won for each visit and in totality, service user's benefit was 185.9 billion won. Conclusions: It is necessary to invest in visiting healthcare in public health centers.

의료서비스 프로세스 혁신을 위한 환자경험과 호오손 효과 (Patient Experience and the Hawthorne Effect on Healthcare Service Process Innovation)

  • 이돈희
    • 품질경영학회지
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    • 제46권3호
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    • pp.593-606
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    • 2018
  • Purpose: The purpose of this study is to examine the Hawthorne effect on healthcare service process innovation, by investing the difference between checklist items of patients and doctors on direct clinical observations (DCO) and the retrospective clinical review (RCR). Methods: The data set consisted of 30 patients and 30 doctors respondents. T-tests were used to perform a comparative analysis of DCO and RCR items between patients and doctors by pre and post examinations. Results: The results indicate that there was a difference between the non-prior notice checklist items of the patients and doctors, while there was no difference of the post-examination checklist items between the patients and doctors. Conclusion: This study provides useful information and can be applied to the improvement of patient experience through healthcare service process innovation. The results of this study also offer practical insights about how hospitals can motivate providers to participate in healthcare service process for improved quality care by the Hawthorne effect. The study contributes to the existing knowledge of the Hawthorne effect for effective strategies for providing quality care.

국내 의료기관 인증제의 과제: 사후관리 중심으로 (Challenges in Korea Hospital Accreditation: Focused on Post-Accreditation Management System)

  • 김지은;신경아;신민경;신재준;이현희
    • 한국의료질향상학회지
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    • 제24권1호
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    • pp.1-8
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    • 2018
  • Objectives: The post-accreditation management system should be systematic in order to ensure that the accredited hospital continues to strive for patient safety and quality improvement during the accreditation period. In this study, we compare the post-accreditation management system in four countries (the U.S., Australia, Japan, and Korea) and provide suggestions for improving the post-accreditation management system in Korea. Results: All four countries had the post-accreditation management system, and the basic structure of the system in Korea was similar to that of others. However, there were differences in the practical operation processes and the use of the results. In the operation process, Korea's monitoring relies on voluntary reporting by accredited hospitals. In terms of results utilization, analytical feedback to data submitted by the acrredited hospital is not provided in Korea. Conclusions: It is necessary to establish a continuous monitoring system for post-accreditation changes and provide feedback to accredited hospitals. It is also necessary to perform a survey without advance notice and establish a firm legal basis for monitoring.

Effects of Holistic Healthcare Home Visit Intervention Program for Multi-cultural Couples

  • Kim, Yeun-Mi;Ko, Chang-Bae
    • International Journal of Advanced Culture Technology
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    • 제7권1호
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    • pp.155-161
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    • 2019
  • This study was to identify the effects of home visit intervention program for Holistic Healthcare of multi-culture Couples. It used a non-equivalent control group pretest-posttest design quasi-experimental research. The subjects of this study consist of 20 couples for experimental and control groups. Multi-cultural couples comprised of foreign women married to Korean men in farm and fishery areas. The research tools were used stress index by SA-3000P (Medicare co. Ltd. KOREA), Center for Epidemiologic Studies-Depression Scale (CES-D), and World Health Organization Quality of Life (WHOQOL-Bref). The experimental group of the wives had lower stress index than the control group, the experimental group of the husband showed lower stress index than the control group, (t=-3.14, p=.002). The wife (t=-3.75, p=.001) and husband (t=-4.20, p=.001) of the experimental group showed lower depression scores than the control group. Both the wife (t=3.86, p=.001) and husband (t=5.28, p=.001) showed higher scores for quality of life compared to the control group. It was found that this holistic healthcare home visit program is an effective program to make improvements on stress, depression and quality of life for multi-cultural couples. Therefore, as the intervention program developed in this study is home visits for the holistic health of multi-cultural couples, and it is judged that it can be implemented at the local social health centers or healthcare centers.

의료 서비스품질 수준과 고객 행동의 관계 분석 (An Analysis of Relationships Between Quality Level of Healthcare and Customer Behaviors)

  • 최병희;강창욱;이배진
    • 품질경영학회지
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    • 제29권4호
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    • pp.54-64
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    • 2001
  • Service industries are rapidly increased and the environment of service is also changing in healthcare settings. Those make them change their management strategies and carry out many researches. Till now, single-item behavioral intention scale or direct measuring has some limitations that we have to consider its efficiency and it is difficult to explain phenomena of broad part in the process of determining behavioral intentions. In this paper, we examine the dimensionality of healthcare service in Korea through the multi-item behavioral intention scale. In addition, we are going to investigate the nature of the relationship between service quality perceptions which have unique construct, and consumer satisfaction judgements in the formation of consumers' behavioral intentions. we are going to conclude that the linear combination model of service quality and customer satisfaction can describe the process of formation of customers' behavioral intentions best and provide some managerial implications to decision makers for redistribution of materials and human resources.

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헬스케어 서비스 리뷰를 활용한 서비스 품질 차원 별 중요 단어 파악 방안 (Keyword identifications on dimensions for service quality of Healthcare providers)

  • 이홍주
    • 지식경영연구
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    • 제19권4호
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    • pp.171-185
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    • 2018
  • Studies on online review have carried out analysis of the rating and topic as a whole. However, it is necessary to analyze opinions on various dimensions of service quality. This study classifies reviews of healthcare services into service quality dimensions, and proposes a method to identify words that are mainly referred to in each dimension. Service quality was based on the dimensions provided by SERVQUAL, and patient reviews have collected from NHSChoice. The 2,000 sentences sampled were classified into service quality dimension of SERVQUAL and a method of extracting important keywords from sentences by service quality dimension was suggested. The RAKE algorithm is used to extract key words from a single document and an index is considered to consider frequently used words in various documents. Since we need to identify key words in various reviews, we have considered frequency and discrimination (IDF) at the same time, rather than identifying key words based only on the RAKE score. In SERVQUAL dimension, we identified the words that patients mentioned mainly, and also identified the words that patients mainly refer to by review rating.

Workflow Engine for Mobile-Based Healthcare System

  • Lee, Sang-Young
    • 한국전자거래학회:학술대회논문집
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    • 한국전자거래학회 2005년도 e-Biz World Conference 2005
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    • pp.125-129
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    • 2005
  • The recent push for healthcare reform has caused healthcare organizations to focus on ways to streamlined processes in order to secure high quality care as well as reducing costs. Healthcare enterprises involve complex processes that span diverse groups and organizations. These processes involve clinical and administrative tasks, large quantities of data, and large number of patients and personnel. We propose the mobile-based workflow system of passable communication as an important factor in the B2B healthcare. Based on the above proposal the workflow system of business process was designed and implemented on the basis of Java, UML and XPDL.

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노인전문병원의 치유적 옥외환경과 이용자의 건강성과 간의 상관관계에 관한 연구 (A Study on Correlation between Therapeutic outdoor environments and Health outcomes in Geriatric Hospital)

  • 탁영란;안지연;정소영
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제18권1호
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    • pp.45-52
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    • 2012
  • This study aims to examine the outdoor environment of a geriatric hospital and explore its stress-relief impact upon those who utilize it. Post Occupancy Evaluation is employed to assess the effectiveness of a healthcare setting. This study is based on survey questionnaire including the users' perception of outdoor environment, their perceived restorativeness, and quality of life. A total of one hundred and sixty individuals including patients, families and visitors, and healthcare staffs. As a result, it turns out that the therapeutic outdoor environment and its users' health outcomes, such as reststroativeness and quality of life are significantly correlated. In conclusion, the finding of this research seems to demonstrate the potential that the therapeutic outdoor environment has for the improvement of its users' health by enhancing.