• 대한화장품학회지
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• 제30권4호
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• pp.549-553
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• 2004

화장품중의 미생물을 검출하는데 소요되는 시간을 $48{\~}72{\;}h$에서 24 h 이내로 단축하고자 하는 목적으로 자동화 방법으로서 ATP bioluminescence 시스템과 impedance 시스템에 대한 비교 평가를 수행하였다. 인위적으로 저농도의 미생물로 오염시킨 에멀전 제형에 대하여 표준 한천 평판 배지법과 ATP bioluminescence 방법 및 impedance 측정 방법으로 분석을 실시한 결과에서 모두 유의한 검출 결과를 나타내었으며, 실제 적용 실험 결과에서도 각각 $95\%$ 이상의 좋은 상관관계를 나타내었다. 오염균으로는 표준 균주로서 Pseudomonas aeruginosa, Staphylococcus aureus, Escherichia coli와 사내 현장 검출 균주인 Ralstonia mannitolilytica를 사용하였다. 본 검증 결과에 따라 화장품의 미생물 품질 관리 방법으로 ATP bioluminescence 방법 또는 impedance 측정 방법을 활용한 자동화 장비의 사용을 통해 신속한 품질 판정이 가능하게 되었다.

• 보건행정학회지
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• 제24권2호
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• pp.109-119
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• 2014

In accordance with the government's plan to expand the national health insurance (NHI) coverage for severe diseases such as cancer, heart disease, cerebrovascular disease, and rare and incurable disease, the diagnostic ultrasound services have been covered by NHI from October 1, 2013. The quality is very important factor in providing diagnostic services because they influence on the diagnosis, treatment, and outcome of diseases. In particular, equipments and health care providers plays an important role in providing qualitative services. The purpose of this paper is to examine the major feature of ultrasound services covered by health security system and to review quality assurance policies in other countries such as Australia, Japan, the USA, and Canada. In addition, we assessed the implication of those policies. We especially put emphasis on the types and qualifications of healthcare professionals and measures to manage equipments. All countries have reviewed on policies to promote the quality such as educational requirements of professionals or restrictions on the duration of equipment usage. Various measures should be implemented to assure the qualitative ultrasound service.

• 문화기술의 융합
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• 제9권5호
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• pp.91-98
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• 2023

본 연구는 스마트 헬스케어 서비스에 대한 탐색적 연구로 멀티채널을 이용한 CCR 기반 헬스케어 서비스 시스템에 대한 개요와 작동원리를 살펴보고, 이러한 서비스가 사용자들과의 상호 커뮤니케이션이 중요한 역할과 기능인만큼 서비스 품질이 사용자 만족 및 지속사용의도에 미치는 영향을 조사하였다. 이를 위해, 헬스케어 디바이스 및 앱을 소유 및 이용한 경험이 있는 사용자 188명을 대상으로 구조방정식모형(SEM)으로 분석하였다. 분석결과, 첫째, 헬스케어 서비스에 대한 서비스 품질(유형성, 신뢰성, 공감성, 반응성, 보증성)은 모두 사용자 만족에 긍정적인 영향을 미치는 것으로 나타났다. 둘째, 사용자 만족도 지속사용의도에 유의한 영향을 미치는 것으로 발견되었다. 본 연구의 결과는 CCR 기반 스마트 헬스케어 서비스의 효과와 잠재적인 가치를 탐색하는 데 기여할 것으로 기대된다. 이를 통해 개인의 건강상태 관리와 예방에 대한 정확한 정보와 개인 맞춤형 서비스를 제공하는 향후 스마트 헬스케어 시스템의 발전에 기여할 수 있을 것이다.

• 보건의료산업학회지
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• 제4권1호
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• pp.1-10
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• 2010

The purpose of this study is to investigate the effects of provider and consumer characteristics, and patient trust on relational commitment among healthcare customers of an university hospital, and to suggest some implications for improving customer relation management of hospitals. Data were collected from 250 patients of an university hospital located in Ulsan using structured self-administered questionnaire. Major result of the analysis is as follows: First, study variables are significantly varied by age and income among socio-economic factors. Second, assurance, and empathy among provider characteristics and customer satisfaction and reputation among consumer characteristics are found to be significant affecting factors on patient trust. Third, trust affects significantly both on re-visit and recommendation among relationship commitment, while reputation affects on re-visit and customer satisfaction and reputation affect on recommendation. Above results imply that relationship management strategy for enhancing patient trust is crucial to improve competitiveness of hospitals in turbulent competition environment.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제13권1호
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• pp.7-15
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• 2007

The medicine is used for diagnosis, treatment or prevention of disease and consequently has an important influence upon human life and health. Its effectiveness and safety must be guaranteed. In order to achieve the facility that meets GMP, KFDA has provided standards for quality assurance of the manufacture, examination and tests of medical supplies. The result of this study were as follows : the GMP facilities are divided into work, lab/test and storage spaces, and the systematic corridor. The clean rooms are mainly installed in work and lab/test spaces, and maintain class 10,000 in average. The individual space for the procedures that requires class 100 is not provided as a separate division. Instead, they are performed in the clean bench of the laboratory.

• 핵의학기술
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• 제27권1호
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• pp.47-54
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• 2023

Purpose PET-CT imaging require an appropriate quality assurance system to achieve high efficiency and reliability. Quality control is essential for improving the quality of care and patient safety. Currently, there are performance evaluation methods of UN2-1994 and UN2-2001 proposed by NEMA and IEC for PET-CT image evaluation. In this study, we compare phantom images with the same experiments before and after PET-CT 3D normalization and well counter correction and evaluate the usefulness of quality control. Materials and methods Discovery 690 (General Electric Healthcare, USA) PET-CT equiptment was used to perform 3D normalization and well counter correction as recommended by GE Healthcare. Based on the recovery coefficients for the six spheres of the NEMA IEC Body Phantom recommended by the EARL. 20kBq/㎖ of ¹⁸F was injected into the sphere of the phantom and 2kBq/㎖ of ¹⁸F was injected into the body of phantom. PET-CT scan was performed with a radioacitivity ratio of 10:1. Images were reconstructed by appliying TOF+PSF+TOF, OSEM+PSF, OSEM and Gaussian filter 4.0, 4.5, 5.0, 5.5, 6.0, 6,5 mm with matrix size 128×128, slice thickness 3.75 mm, iteration 2, subset 16 conditions. The PET image was attenuation corrected using the CT images and analyzed using software program AW 4.7 (General Electric Healthcare, USA). The ROI was set to fit 6 spheres in the CT image, RC (Recovery Coefficient) was measured after fusion of PET and CT. Statistical analysis was performed wilcoxon signed rank test using R. Results Overall, after the quality control items were performed, the recovery coefficient of the phantom image increased and measured. Recovery coefficient according to the image reconstruction increased in the order TOF+PSF, TOF, OSEM+PSF, before and after quality control, RCmax increased by OSEM 0.13, OSEM+PSF 0.16, TOF 0.16, TOF+PSF 0.15 and RCmean increased by OSEM 0.09, OSEM+PSF 0.09, TOF 0.106, TOF+PSF 0.10. Both groups showed a statistically significant difference in Wilcoxon signed rank test results (P value<0.001). Conclusion PET-CT system require quality assurance to achieve high efficiency and reliability. Standardized intervals and procedures should be followed for quality control. We hope that this study will be a good opportunity to think about the importance of quality control in PET-CT

• 디지털콘텐츠학회 논문지
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• 제15권1호
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• pp.45-52
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• 2014

모든 의료정보시스템에는 이해관계자와 환경이 존재한다. 의료정보시스템 개발 시에는 이 같은 환경에서 사용자의 기능적 요구사항과 비기능적 요구사항인 품질을 만족시켜야할 목표가 있다. 이 목표를 달성하기 위하여 현재 다양한 방법으로 정보시스템 개발이 이루어지고 있고 다양한 애플리케이션이 등장하고 있다. 그러나 이 같은 의료정보시스템 개발의 과정에서 기본적인 요구조건을 만족하고 있는지는 별도의 관점에서 고찰하지 않으면 안 된다. 본 연구는 유-헬스케어 서비스 소프트웨어아키텍쳐 품질확보를 위한 요구사항 분석방법을 제안한다. 의료정보시스템의 요구사항 분석을 통해 소프트웨어아키텍처 품질평가 사항과 의료정보서비스 품질평가 연계지표 평가방식을 제안했다. 이 방법은 연계성 팩터의 품질 합계치를 산출하고 그 추이를 분석하므로서 유-헬스케어 소프트웨어아키텍쳐에 대한 종합평가가 가능하게 한다. 품질평가는 요구사항 분석에서 도출된 목표와 비교하여 달성도를 분석하며 만족도 수준이 미진한 분야를 발췌하여 원인분석 및 개선작업에 활용이 가능하다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제19권4호
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• pp.19-28
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• 2013

Purpose: The purpose of this study to assess long-term care facilities in Seoul and certificate Seoul-type elderly care facilities. After certification, Seoul city can provide certificated facilities with budget and support to improve service quality. Methods: Questionnaires to elderly care facilities experts and field surveys to facilities in Seoul have been conducted for the data collection. Results: The result of this study can be summarized into three points. The first one is that a direction of operation for Seoul-type elderly care facilities is to improve manpower and provide special program for enforcing quality assurance. The second one is that this study provide index of evaluation for Seoul-type elderly care facilities. The indexes include management, facility environment and safety, service delivery process, and service results. The third one is that management plan for this policy should be carried out. The management plan include demonstration project, opinion research. Implications: Seoul-type elderly care facilities can have positive effects on quality of service. For the introduction of this policy, Seoul city and autonomous Gu have to make careful preparations for this policy.

• 보건의료산업학회지
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• 제13권2호
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• pp.27-38
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• 2019

Objectives: The purpose of this study was to investigate the relationship between medical service quality, emotional attachment, customer satisfaction, and customer behavioral intention of small and medium hospitals. Methods: 228 patients who have used small and medium hospitals' medical services were selected. The analysis methods used were confirmatory factor analysis, validation of discrimination, path analysis, and bootstrapping using SPSS 23 and AMOS 23. Results: As a result of the hypothesis test, reliability, responsiveness, and assurance were found to have a positive (+) influence on emotional attachment and customer satisfaction, while empathy had a positive (+) influence on emotional attachment only. Emotional attachment had a positive (+) influence on customer satisfaction and behavioral intention, and customer satisfaction had a positive (+) influence on behavioral intention. Conclusions: Medical service providers in small and medium hospitals should recognize that increasing customer satisfaction based on emotional attachment is a pathway to customer acquisition and, ultimately, a way to promote effective management.

• 한국병원경영학회지
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• 제22권3호
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• pp.31-45
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• 2017

The research is to examine medical service quality factors affecting choice of hospital(revisiting intention, and recommendation) in large general hospitals based on the SERVQUAL model. The study have surveyed 400 respondents in Gangbuk-gu not having any tertiary hospital. The main results of the analyses indicate: 1) 'assurance' and 'empathy' of medical service are basically, positively affect revisiting intention and recommendation; 2) 'empathy' is the most important factor affecting revisiting intention; and 3) 'tangibility' significantly affects recommendation of general hospitals to other people. The study suggests that it is necessary to pay more attention on 'empathy' among SERVQUAL factors to increase satisfaction of patients and to find better ways of improving medical service quality.