• Title/Summary/Keyword: Hospital Location

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Individual factors influencing the location decisions of practicing physicians (최근 배출된 전문의의 개원지역 선택에 영향을 미치는 개인요인 분석)

  • 김창엽;윤석준;이진석;김용익
    • Health Policy and Management
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    • v.9 no.3
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    • pp.21-32
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    • 1999
  • The purpose of this study is to assess individual decisive factors for distribution of medical specialists in Korea. A data set was constructed using several published data sources. including the Korean Medical Association's physician master file as a principal source for physician information. Linear logistic regression analysis was performed to assess the relationship between the location of private specialist clinic for practice with six variables related with individual characteristics: age. sex. location of postgraduate training hospital. location of medical school graduated, size of hospital for training, and specialty. Analysis showed that location of practice. classified into urban and rural areas, was significantly associated with the variables of sex. location of postgraduate training hospital. location of medical school. In addition, significant association was found between the location of practice which was categorized into "near-Seoul area" and others, and sex, location of postgraduate training hospital. and location of medical school. We could conclude that to improve area maldistribution of physicians locations of hospitals for training and medical schools have to have the highest priority in the policymaking.icymaking.

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Effects of Hospital Location Strategy and Internal Competence on Reintegration Intention -Adjustment of Hospital Types- (병원의 입지전략과 내부역량이 재이용의도에 미치는 영향 -병원유형의 조절효과-)

  • Kim, Duck Ki;Kim, Woo-Jong
    • The Journal of the Korea Contents Association
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    • v.18 no.11
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    • pp.75-86
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    • 2018
  • This study analyzed the relationship between re-applications and the degree of re-applications under the assumption of a complex interaction between the location strategy and the internal capacity of a nursing home. The results of the study are as follows. First, although the relative influence on re-use is greater in hospital internal capacity (${\beta}=0.303$) than in hospital location strategy (${\beta}=0.313$) both factors have a statistically significant effect on the degree of re-use. Second, the importance of location strategy was found to be more important for rehabilitation-enhanced nursing hospitals than for general care (${\beta}=0.43$). It is suggested that detailed preparations should be made based on factors such as location marketability, traffic infrastructure, building sales, and medical concentration. Third, internal hospital capacity did not show any adjustment effects due to hospital type, and it was confirmed that both were important factors for general care and rehabilitation-enhanced hospitals.

Assessment of the Location of the Peroneus Longus Tendon in the Cuboid Groove Using 3D Isotropic Fast Spin-Echo MRI

  • Lee, Ji Yoon;Choo, Hye Jung;Lee, Sun Joo;Jung, Joon-Yong;Kim, Dong Wook;Baek, Jin Wook;Heo, Young Jin;Gwak, Heui-Chul
    • Investigative Magnetic Resonance Imaging
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    • v.24 no.1
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    • pp.21-29
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    • 2020
  • Purpose: To investigate normal location of the peroneus longus tendon (PL) in the cuboid groove by evaluating it between ankles with no significant abnormality (asymptomatic group) and those with retromalleolar PL dislocation (dislocation group) using three-dimensional isotropic fast spin-echo (3D-FSE) magnetic resonance imaging (MRI) of the ankle. Materials and Methods: Thirty-six and 32 3D-FSE ankle MRI were assigned to the asymptomatic group and the dislocation group, respectively. Using multiplanar reformatted 3D-FSE, qualitative PL location (i.e., outside, overlying, and inside in relation to the cuboid groove), quantitative PL location (i.e., distance between the proximal margins of PL and cuboid groove), and cuboid groove size were measured in lateral, middle, and medial levels of the cuboid groove. Results: In the asymptomatic group, 64%, 42%, and 11%, respectively, had the outside or overlying-located PL in lateral, middle, and medial levels of the cuboid groove and the quantitative location gradually decreased from lateral to medial level. Qualitative and quantitative PL locations were not significantly different between the asymptomatic group and dislocation group. Cuboid groove size showed significant negative correlation with quantitative PL location in both groups. Conclusion: Outside- or overlying-located PL in lateral and middle levels of the cuboid groove would be a normal finding, regardless of PL status at the retromalleolar level.

A Study on the Factors Affecting the Length of Hospital Stay in Teaching Hospitals (수련병원의 평균재원일수에 영향을 주는 요인에 관한 연구)

  • Seo, Sun Won;Park, Eal Whan
    • Quality Improvement in Health Care
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    • v.1 no.2
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    • pp.34-43
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    • 1994
  • Background: The average hospital stay in most Korean teaching hospitals is longer than that of hospitals in developed countries. The investigation of average hospital stay of teaching hospitals is considered as an important measure to evaluate the effectiveness of hospital management. In this article authors analyzed the relationship of several variables (hospital ownership, number of beds, location of hospitals, number of physician) to length of hospital stay in each clinical department. Methods: The average hospital stay of each clinical department of 184 teaching hospitals was investigated. Authors reviewed the papers of teaching hospitals, that was reported to the Korean Association of Hospitals. Results: The means of hospital stay day of hospitals were not significantly different according to the number of hospital beds and location of hospitals. Only the difference of hospital stay according to ownerships was significant. The length of stay was the highest in public hospitals and the lowest in juridical hospitals. Conclusions: The number of beds and location of hospitals were not associated with the average hospital stay. But ownerships affected the average hospital stay. The national or public hospitals had the longest length of hospital stay. Number of specialists and number of all physicians were closely related to the average hospital stay.

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Effects of Innovativeness on Customer Satisfaction in Long-Term Care Hospitals: The Effect of Internal Capacity and Location Strategy in Hospital (요양병원의 혁신성이 고객만족도에 미치는 영향 : 내부역량과 입지전략의 매개효과)

  • KIM, Duck-Ki;KIM, Woo-Jong;KIM, Mi-Ran
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.3
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    • pp.110-124
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    • 2019
  • In recent years, over-supply of hospitals has made hospital management more difficult and hospitals have introduced innovative hospital management to enhance customer satisfaction. The purpose of this study is to investigate the effect of innovativeness of hospitals on customer satisfaction by using mediating effects of hospital capacity and location strategy. The subjects of this study were selected from 120 patients and caregivers who were hospitalized in Seoul and Metropolitan area hospitals and conducted questionnaire and statistical analysis. The results of this study are as follows: Firstly, this paper shows hospital Innovativeness does not significantly affect customer satisfaction. Unlike private companies, it is urgent to develop innovativeness measuring tools that are unique to hospitals differentiated from those of general companies. Secondly, although the impact of Innovativeness on hospital internal competency and location strategy was similar, location strategy(${\beta}=0.357$) had a greater impact on customer satisfaction than internal competency(${\beta}=0.283$). This suggests that the medical institution should take precedence over the detailed preparations based on its location marketability, traffic infrastructure, building sales and medical concentration from the time of its opening. Thirdly, this paper confirms through empirical analysis that the relationship between hospital Innovativeness and customer satisfaction is completely mediated by internal capacity and location strategy. The hospital's Innovativeness is affecting customer satisfaction by enhancing the hospital's internal competencies and inducing an active attitude toward establishing a location strategy.

Distribution Characteristics of 3,369 Chinese Colorectal Cancer Patients for Gender, Age, Location and Tumor Size During Colonoscopy

  • Cai, Bin;Wang, Mu-Yong;Liao, Kai;Xu, Yan-Song;Wei, Wei-Yuan;Zhuang, Yuan;Zhang, Sen
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.20
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    • pp.8951-8955
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    • 2014
  • Background: Studies have shown the existence of gender- and age-related differences in the incidence and anatomic distribution of colorectal cancers. The purposes of this study were to analyze the distribution characteristics of colorectal cancer patients regarding gender, age, location and tumor size in the course of colonoscopy. Materials and Methods: All colorectal cancer patients who underwent colonoscopy in the First Affiliated Hospital of Guangxi Medical University from 2003 to 2012 were included in our retrospective study. Demographic information (age and gender) and colonoscopy report information (tumor size and location) were collected and analyzed. To compare the gender differences in tumor location and tumor size, as well as the size differences in tumor location, the chi-square test was used. Results: A total of 3, 369 colorectal cancer patients (2, 007 men vs 1, 362 women) were included in our study. Statistical analysis showed there was no gender difference in the anatomic distribution of the tumors (p>0.05). However, there was a gender difference in tumor size (p<0.05). In addition, our study found there was a significant difference in tumor size between rectal and colon tumors (p<0.001). Conclusions: There was no gender difference in the anatomic distribution of colorectal tumors. In addition, tumors observed in men were larger than in women.

Trends in Acupuncture Training Research: Focus on Practical Phantom Models

  • Jang, Jung Eun;Lee, Yeon Sun;Jang, Woo Seok;Sung, Won Suk;Kim, Eun-Jung;Lee, Seung Deok;Kim, Kyung Ho;Jung, Chan Yung
    • Journal of Acupuncture Research
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    • v.39 no.2
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    • pp.77-88
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    • 2022
  • The purpose of this review was to identify research trends in acupuncture training systems and models and to analyze acupuncture training using phantom models. Articles on acupuncture training were retrieved from domestic and foreign electronic databases (PubMed, CNKI, CiNii, NDSL, KISS, RISS and KMBase). The search included studies conducted from January 1, 2010 to October 1, 2021. Acupuncture training was analyzed by categorization into acupoint location training and needling training. Acupuncture training was most frequently studied in China, acupoint location training was the most studied in 2012, and needling training was the most studied in 2013 and 2020. Among them, a silicone model with a sensor was used for training in acupoint location, and silicone and agarose gel were frequently used for needling training. Classifications of the phantom models for needling training by topic included phantom development, phantom-based education and evaluation system, phantom-based quantitative measurement, comparison of kinematic characteristics of hand motion between experts and beginners, and phantom models for acupoint location and needling training. Further research on the development of acupuncture practice training systems to improve practical skills is needed.

Change of Ward Design in Korean Hospital Architecture since 1945 (1945년 이후 한국병원건축 병동부의 변화)

  • Yu, Youngmin
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.22 no.4
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    • pp.67-77
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    • 2016
  • Purpose: This paper aimis to analyze the characteristics of ward plan of Korean hospital architecture constructed in each periods and identify the change since 1945. Methods: Literature review was conducted while ward plans for analysis were sellected. And then the important points of ward design were analyzed in each periods. Results: The important points of ward design - type of corridor in ward plan, number of beds per nursing unit, location of nurse station, organization of multi-bed rooms, location of patient toilet, number of day room, concentration and separation of elevator halls for patient and general- were analyzed and the characteristics of change were identified in each periods. Implications: This paper could be a basic data for arranging the history of hospital architecture in Korea.

Characteristics and Clinical Course of Fusiform Middle Cerebral Artery Aneurysms According to Location, Size, and Configuration

  • Seo, Dongwook;Lee, Si Un;Oh, Chang Wan;Kwon, O-Ki;Ban, Seung Pil;Kim, Tackeun;Byoun, Hyoung Soo;Kim, Young Deok;Lee, Yongjae;Won, Yu Deok;Bang, Jae Seung
    • Journal of Korean Neurosurgical Society
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    • v.62 no.6
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    • pp.649-660
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    • 2019
  • Objective : To analyze the angiographic features and clinical course, including treatment outcomes and the natural course, of fusiform middle cerebral artery aneurysms (FMCAAs) according to their location, size, and configuration. Methods : We reviewed the literature on adult cases of FMCAAs published from 1980 to 2018; from 25 papers, 112 FMCAA cases, for which the location, size, and configuration could be identified, were included in this study. Additionally, 33 FMCAA cases in our hospital were included, from which 16 were assigned to the observation group. Thus, a total of 145 adult FMCAA cases were included. We classified the FMCAAs according to their location (l-type 1, beginning from prebifurcation; l-type 2, beginning from bifurcation; l-type 3, beginning from postbifurcation), size (small, <10 mm; large, ${\geq}10mm$; giant, ${\geq}25mm$), and configuration (c-type 1, classic dissecting aneurysm; c-type 2, segmental ectasia; c-type 3, dolichoectatic dissecting aneurysm). Results : The c-type 3 was more commonly diagnosed with ischemic symptoms (31.8%) than hemorrhage (13.6%), while 40.9% were found accidentally. In contrast, c-type 2 was more commonly diagnosed with hemorrhagic symptoms (14.9%) than ischemic symptoms (10.6%), and 72.3% were accidentally discovered. According to location, ischemic symptoms and hemorrhage were the most frequent symptoms in l-type 1 (28.6%) and l-type 3 (34.6%), respectively. Most of l-type 2 FMCAAs were found incidentally (68.4%). Based on the size of FMCAAs, only 11.1% of small aneurysms were found to be hemorrhagic, while 18.9% and 26.0% of large and giant aneurysms were hemorrhagic, respectively. Although four aneurysms of the 16 FMCAAs in the observation group increased in size and one aneurysm decreased in size during the observation period, no rupture was seen in any case and there were no significant predictors of aneurysm enlargement. Of 104 FMCAAs treated, 14 cases (13.5%) were aggravated than before surgery and all the aggravated cases were l-type 1. Conclusion : While ischemic symptoms occurred more frequently in l-type 1 and c-type 3, hemorrhagic rather than ischemic symptoms occurred more frequently in l-type 3 and c-type 2. In case of l-type 1 FMCAAs, more caution is required in determining the treatment due to the relatively high complication rate.