• Title/Summary/Keyword: Hospital Service Quality

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Policy Tasks for bringing the Marine Healing Industry to Waterfront Spaces (해양친수공간에서 해양치유산업의 정책 과제)

  • PARK, Hong-Gyun
    • The Journal of shipping and logistics
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    • v.34 no.4
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    • pp.677-694
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    • 2018
  • The ocean is a unique space for exchange with the city, forming an organic relationship between people and waterfront areas. The marine healing industry improves quality of life through medical care and well-being, and creates added value by combining with the medical industry. The policy analysis results are as follows. First, the marine healing industry is the newest high-growth area. Furthermore, a professional medical service hospital is the first priority. This will include the development of marine healing facilities and strengthening forest healing connectivity, emphasizing the development of highly specialized medical technologies. The second priority is value creation in marine healing specialization, accompanied by an integrated and systematic policy for research and development of new medicines in marine healing effects. It is also important to apply new market trends and develop applied marine healing service programs. Thirdly, it is necessary to explore the possibility of a fragmented market for policy development.

An Analysis of the Disagreement in Disease Coding in South Korean Medical Institutions: Focusing on the Health Insurance Claim Data of Outpatients (우리나라 의료기관의 질병 코딩 불일치성 분석 : 외래환자 건강보험 청구 자료를 중심으로)

  • Jeon, Yun-Hee;Kang, Gil-Won
    • Journal of Digital Convergence
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    • v.16 no.12
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    • pp.533-540
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    • 2018
  • The purpose of this study was to use the data from the Health Insurance Review and Assessment Service to analyze the disagreement in disease coding given by different medical institutions on the same disease of the same patient and provide basic data that could help improve the quality of national public health statistics. 9,976,826 patients' data records from the Health Insurance Review and Assessment Service-National Patient Sample (HIRA-NPS) of 2014 were analyzed. The disagreement in disease coding differed by movement paths for medical institutions; the disagreement rate tended to increase when moving from a medical institution other than public health centers to a public health center and decrease remarkably when moving from a specialized general hospital to another. Therefore, this analysis of disagreement in disease coding among medical institutions suggests the need to supplement the system so that domestic medical institutions can realize consistent disease coding.

Effectiveness of Proprioceptive Neuromuscular Facilitation of Chronic Low Back Pain -A Systematic Review and Meta-analysis of Studies in Korea- (만성허리통증의 고유수용성신경근촉진법 효과 -국내연구의 메타분석과 체계적 고찰-)

  • Kim, Beom-Ryong;Kang, Tae-Woo
    • PNF and Movement
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    • v.17 no.1
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    • pp.157-166
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    • 2019
  • Purpose: This study compares and examines the effects of proprioceptive neuromuscular facilitation (PNF) on patients with chronic low back pain through systematic literature review and meta-analysis. Methods: Domestic literature was searched with combinations of keywords including "proprioceptive neuromuscular facilitation," "PNF," "back pain," and "low back pain" using the Research Information Sharing Service (RISS), Korean Studies Information Service System (KISS), and Korean Medical Database (KMbase). Six studies (n=148) were finally included in the analysis through a selection and exclusion process. The quality of the studies was evaluated using the PEDro scale. Results: According to the meta-analysis results, the low back pains of the PNF group and the contrast group showed a standardized mean difference (SMD) of 2.21 (95% CI: -3.35, -1.07, p=0.01, $I^2=83%$) after intervention. Thus, the PNF group showed a statistically significant decrease in low back pain compared with the control group. In addition, the SMDs of the Oswestry Disability Index (ODI), lung function, and the Roland and Morris Disability Questionnaire (RMDQ) were -1.34 (95% CI: -1.88, -0.79, p<0.01, $I^2=35%$), 1.14 (95% CI: 0.49, 1.79, p=0.01, $I^2=0%$), and -1.59 (95% CI: -2.56, -0.62, p=0.01, $I^2=46%$), respectively. Thus, the PNF group showed statistically significant differences from the control group. Conclusion: At present, there is some limit to obtaining definite results about effect sizes because there are relatively few randomized controlled experiments that analyze the effects of PNF exercise in patients with chronic low back pain. Therefore, continuous efforts should be made to conduct randomized clinical trials and long-term efficacy studies in the future.

Current Status of Rehabilitation Services in Long-Term Care Hospitals for Health Promotion of Jeollabuk-do Residents (전라북도민 건강증진을 위한 요양병원 재활서비스 현황)

  • Cho, Seung-Hyun
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.1
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    • pp.199-206
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    • 2021
  • As the super-aged society is imminent, the number of people with senile diseases is also increasing, resulting in a lack of facilities and policies as a social problem. National Health Insurance Service is being talked about as a realistic alternative to medical coverage. Long-term care hospitals are classified into acute-stage hospitals and long-term care facilities and are acting as an alternative to reducing medical expenses. However, in long-term care hospitals, which are the core of maintenance rehabilitation, the quality of service issues have been raised seriously. Currently, there is a problem of mass production of refugees from rehabilitation due to a problem of the medical system. In particular, in the preceding study in 2015, the status of long-term care hospitals in Jeollabuk-do was the worst. Therefore, using public data, the general status of long-term care hospitals in Jeollabuk-do, status of frequent disease, status of rehabilitation services, and status of occupational therapy services are to be explored.

Relationship between Medical Screening and Unmet Healthcare Needs: Using KNHANES(Korea National Health and Nutrition Examination Survey) (국민건강영양조사를 이용한 건강검진과 필요의료서비스 미충족 간 관련성 분석)

  • Jung, Seokhwan;Paik, Seungchan;Kim, Jae-Hyun
    • Korea Journal of Hospital Management
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    • v.24 no.4
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    • pp.1-12
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    • 2019
  • Purposes: The purpose of this study, was to identify similar factors between reasons for unscreening and unmet health care needs through prior research, and based on this, we wanted to figure out the relevance between the medical screening and unmet health care needs. Methodology: The analysis was conducted using data from 9,640 adults aged 19 or older who don't have a missing value from 16,277 participants in the 7th, 1st&2nd Year (2016&2017) of the National Health and Nutrition Examination Survey (KNHANES). Unmet health care needs were investigated as a self-reported questionnaire of whether medical service was required but not received. And the analysis was performed through the Chi-Square Test and Multi-logistic Regression analysis. Findings: As a result of the analysis, unmet healthcare needs were higher who received only one type of screening comparative to who screened both. and were highest who screened neither. Practical Implications: Unmet health care needs are the center of a vicious cycle, such as morbidity and mortality, which is detrimental to the quality of life, and continues to increase. Therefore, it is necessary to find ways of realizing health care that guarantees the health rights of all citizens by policy guarantee and support for the subjects to recognize the importance of thorough education of screenings rather than only health screening or cancer screening.

The Medical Professionalism and Organizational Performance of Medical Technician in Hospital (병원에 종사하는 의료기사 직종의 전문직업성과 조직성과)

  • Lim, Jung-Do
    • The Journal of the Korea Contents Association
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    • v.13 no.12
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    • pp.910-920
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    • 2013
  • The objective of this research is to find the influence of professionalism on the organizational performance, where 437 people of physical therapist, radiological-technologist, medical laboratory technologist and occupational therapist working for 35 medical service utilizations were included. The professionalism employed for medical technicians has shown significant difference on the duty performance, job meaning, appropriate salary and job autonomy with sex and ages among the value variables for jobs, and the influence of duty has shown the significant difference only on the ages. Second, the appropriate salary among the variable values for jobs has the most significant influence on the systemicity and the affections to jobs of measurable values. Third, it has shown that the higher years at work among the duty special quality have strong affection to workplace. Fourth, from the result of occupational category, the professional values affecting the organizational performance of medical technicians have difference on the type of medical technicians.

Implementation of Smart Health Checkup System Using Active RFID Technology (능동형 RFID 기술을 활용한 프로세스 혁신 및 스마트 건강검진 시스템 구축)

  • Choi, Jong Soo;Kim, Dongho;Kim, Jae Jun;Rhee, Poong-Lyul;Kim, Dongsoo
    • Journal of Information Technology and Architecture
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    • v.11 no.1
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    • pp.45-52
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    • 2014
  • Recently, more and more hospitals have become interested in the innovation of healthcare services and processes through IT convergence based on RFID, NFC, smart devices and so on. This paper presents a case of process innovation by implementing a smart health checkup system using these advanced information technologies. The existing inefficient health checkup process based on the paper chart and manual work has been innovated using the advanced information and communication technologies. The newly developed smart health checkup system has been used successfully in a tertiary university hospital named Samsung Medical Center since April 2013. The contributions of the system include improvement of service quality, enhancement of customer satisfaction, reduction in workload of staffs, improvement of work accuracy, and accordingly reinforcement of the competitiveness of the hospital.

No-Show Related Factors for Outpatients at a Hospital (병원 외래환자의 예약부도 요인)

  • Min, Daiki;Koo, Hoonyoung
    • The Journal of Society for e-Business Studies
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    • v.22 no.1
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    • pp.37-49
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    • 2017
  • In order to maximize the efficiency and the quality of care in a hospital, hospitals in general operate by appointments. Patient no-shows or missed appointments waste the time of staffs who prepare for appointments, deprive patients of needed care, and increase burden on clinic capacity. The purpose of this study is to examine the importance and significance of factors that affect patient no-shows. The actual data of 50,000 outpatient appointments is compiled and analyzed from a VAMC in the United States with aims to identify the factors that contribute to outpatient no-shows and to draw meaningful implications. Random forest along with logistic regression analysis identify the factors affecting no-shows; appointment leadtime, show-up rate, travel distance, no-show rate in previous period, patient age, severity, complexity of disease, chronic pain, depression, drug dependence. The appointment leadtime, show-up rate, travel distance and previous no-show rate can be improved by enhancing SMS pre-notification and by improving afterwards telephone counseling. For other factors, it needs to study on the service differentiation with the characteristics of each patient group.

Country Image and Its Impacts on the Entry into the Medical Services Market in China (국가이미지가 중국의료시장 진출에 미치는 영향에 관한 연구)

  • Chang, Young-Il;Kim, Kyoung-Hwan
    • Korea Journal of Hospital Management
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    • v.12 no.4
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    • pp.45-67
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    • 2007
  • This study is focused on the medical services market in china which would be the largest one in the world sooner or later. An empirical research has been performed on the country images and related buying attitudes of the Chinese potential consumers for foreign medical services of more higher level. Upon the basis of this research results, the components of a country image has been restructured and the country image effects on the process of a purchasing decision of the advanced foreign medical services in China has been investigated and analyzed. This research shows that the forming process and the dimensions of a country image in Chinese consumers are rather simplified than the former researches of the same kind in any other countries. In China the expectation and buying intension for foreign medical services is found to be affected directly by a country image. Furthermore among various components of a country image the expected service quality level of the Chinese is found to be mostly dependent on the social stability and safety rather than on the degree of economic developments. Recently breaking through the domestic medical market crisis, more and more hospitals consider to advance into Chinese medical market. This research shows that the reexamination and political concerns on the country image of Korea are needed in the level of government's public relations. Especially the proactive policy making and propaganda of political, social and economic stability and safety in Korea are thought to be more important for successful entry in Chinese medical services market.

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Breast and Cervical Cancer Related Practices of Female Doctors and Nurses Working at a University Hospital in Turkey

  • Kabacaoglu, Meryem;Oral, Belgin;Balci, Elcin;Gunay, Osman
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.14
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    • pp.5869-5873
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    • 2015
  • Background: Breast and cervical cancers are among the most frequent and most fatal cancers in women. Life span of patients may be increased and quality of life improved through early diagnosis and treatment. This investigation was performed in order to determine knowledge and practices of female health personnel working at a university hospital regarding breast and cervical cancers. Materials and Methods: This descriptive investigation was performed in Erciyes University Hospitals in 2014. A total of 524 female health personnel were included in the study. Data were collected through a questionnaire of 36 questions prepared by the researchers. The Chi square test and logistic regression were used for statistical analyses. Results: The mean age of the study group was $32.8{\pm}6.9$ years, 18.3% being doctors and 81.7% nurses. Of the study group, 60.5% stated that they performed self breast-examination, 4.4% underwent HPV testing, 26.3% thought about taking an HPV test, 34.7% of those who are 40 years and over had mammography regularly and 19.5% of those who were married had a Pap smear conducted regularly. Most important causes of not performing the methods for early diagnosis of breast and cervical cancers are "forget and neglect". Conclusions: It was concluded that female doctors and nurses do not pay sufficient attention to screening programs for breast and cervical cancers. The importance of early diagnosis and treatment should be emphasized during the undergraduate education and in-service training programs. Health condition of personnel and their utilization of preventive health care should be followed by occupational physicians.