• Title/Summary/Keyword: Hospital outpatients

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Study on the Medical Cost of Patients Visited by Referral Center: Focusing on the Patient in Gastroenterology (진료의뢰센터 경유환자의 진료비 영향요인에 관한 연구: 소화기내과 환자를 중심으로)

  • Choi, Young-Doo;Lee, Kwang-Soo;Hong, Sang-Jin
    • The Korean Journal of Health Service Management
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    • v.6 no.2
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    • pp.101-109
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    • 2012
  • This study purposed to analyze the differences of cost, length of stay, and number of visits between patients who referred from clinics to a general hospital and patients who directly visit a general hospital. Study sample included 402 patients (177 patients who were not referred from clinics, 225 patients who referred from clinics) who visited the Dept. of Gastroenterology in a university hospital in Daejeon from January to June in 2007. Cost and patients' information were collected from Hospital Information System and medical record. SPSS v.12.0 was used for the statistical analysis. Multiple regression analysis found that for inpatients, location variables and malignant tumors of digestive organs had a significant influence on cost variable. For outpatients, a referring hospital type and visiting month had significant influences on total cost, and sex and visiting month (February) had significant relationship with number of visit. The study results help to understand the differences of patient care depending on whether they were referred from clinics or not. Hospital managements could use the results for marketing purposes, and it could provide valuable information for increasing the competitiveness of hospital in a given market.

The Study of Exploration of the User & the Physical Components of Outpatients' Waiting Areas in General Hospital (인간 행위분석을 통한 종합병원 외래환자 대기실에 관한 연구)

  • 이성훈
    • Korean Institute of Interior Design Journal
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    • no.9
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    • pp.18-23
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    • 1996
  • Among the building types in which behavioral issues play, the largest role are institutional environments. Such setting share a number of important characteristics ; they serve specific population (e.g. the ill, the elderly , '||'&'||' inmates) : they are directed toward specific social behavioral objectives(e.g medical care, education , '||'&'||' rehabilitation); and they are "Total institution" in which residents spend all of there time. The basic concepts and theories of environment-behavior studies are of direct relevance in understanding such social institutions. In this study, I have examined the relationships between waiting and the specific conditions of the hospital experience. More specifically, this is a study of visitors (outpatient) within the context of the hospital , and the physical setting designated for their use in the outpatient waiting room. Environment behavior studies, with its commitment to individual behavior and the physical environment might well be a particularly way by which a study of waiting rooms can demonstrate the power of this approach and its integrative among disciplines.

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A Clinical Study of According to Prevalence of Dermatoses in a Oriental Medicine Hospital of Gang-Dong Area in Seoul (서울 강동지역 소재 한방병원 피부과 내원환자의 질환 빈도에 따른 임상적 관찰)

  • Son, Byeong-Kook;Choi, In-Hwa
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.20 no.3
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    • pp.161-168
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    • 2007
  • Objective and Methods : To study the prevalence and patterns of common dermatoses and compare these to previous reports, we reviewed 128 new outpatients who visited Allergy/Derma-cosmetic Clinic at Kyung Hee Neo Medical Center in Gang-Dong area of Seoul from January to June, 2007. Results : The results of this study are summarized as follows : 1. Among the 128 outpatients, the total number of male patients were 40(31.2%) and female patients were 88(68.8%). 2. In the age distribution, the most frequently visited age groups were 10-19 years old and 20-29 years old(each 21.1%). 3. The most common dermatoses were atopic dermatitis(27.3%), acne(14.1%), allergic contact dermatitis(11.7%), other eczemas(7.8%) and seborrheic dermatitis(7.0%). 4. Among atopic dermatitis patients, the most populated age groups were 0-9 years old and 10-19 years old(each 37.1%), these results are different from past studies revealing that 0-9 years old patients are dominant. 5. Among acne patients, the most frequent age groups were 20-29 years old(50%) and 30-39 years old(27.8%), these results are different from past studies revealing that 20-29 years old and 10-19 years old patients are dominant. 6. Among Allergic contact dermatitis patients, each age group showed no difference of population. And Allergic contact dermatitis patients visited outpatients department at early stage. Conclusion : This study shows that Oriental medicine is popular especially in atopic dermatitis, acne and allergic contact dermatitis. We should investigate long-period and multi-centered study in order to know prevalence tendency of dermatoses in Oriental Medicine. And it is nessessary to research using more efficient evaluation method and treatment for these special diseases.

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Relationship Between Belief about Analgesics, Analgesic Adherence and Pain Experience in Taiwanese Cancer Outpatients

  • Liang, Shu-Yuan;Chen, Kang-Pan;Tsay, Shiow-Luan;Wu, Shu-Fang;Chuang, Yeu-Hui;Wang, Tsae-Jyy;Tung, Heng-Hsin;Cheng, Su-Fen
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.2
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    • pp.713-716
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    • 2013
  • Social and behavioral scientists have proposed that a person's belief system crucially influences his or her behaviour, and therefore may affect outcomes of pain management. The purpose of this study was to explore the relationship between analgesic beliefs, analgesic adherence and pain experience amongst Taiwanese cancer outpatients. The cross-sectional study included 92 oncology outpatients in two teaching hospitals in the Taipei area of Taiwan. The research instruments included the Pain Opioid Analgesic Beliefs Scale-Cancer (POABS-CA), opioid adherence, and the Brief Pain Inventory-Chinese (BPI-Chinese). Beliefs about pain and opioids demonstrated a significant relationship with patients' opioid adherence (r = -0.30, p < 0.01). The more negative beliefs regarding opioids and pain the patient had, the worse their adherence to around the clock (ATC) analgesic regimen. However, there was no significant correlation between opioid belief and pain experience. As well, there were no significant relationships between adherence to opioid regimen and any of the measures of pain experience. The study highlights the potential importance of a patient's pain and opioid beliefs in adherence to pain medication.

A Study on the Effect of a Mission Hospital's Social Services Image Factors on Hospital Satisfaction of Patients : A Case of the K Hospital (기독선교병원의 사회봉사활동이미지 요인이 입원 및 외래환자의 병원만족도에 미치는 영향 : K병원을 중심으로)

  • Bae, Sung-Kwon;Lee, Hyung-Kwon;Yeo, Tae-Jeong;Jeong, Seung-Cheol;Ryu, Ji-Hye;Park, Ok-Shim
    • The Korean Journal of Health Service Management
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    • v.7 no.4
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    • pp.179-190
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    • 2013
  • The main purpose of this study was to investigate the effect of the factors which cause the patients to choose hospital from the view of Christian missionary hospital. The subjects were 194 inpatients and 202 outpatients of the K Medical Center in Busan. The research had been conducted from 20 June to 31 July in 2013. The major results demonstrated that the medical and social services image factors strongly affected to the satisfaction and selectivity of patients. Social role image of religious medical institution should be considered important and it seems beneficent in CRM(Customer Relationship Management) based on this results.

The determinants of the Profitability of University Hospitals in Korea (대학병원 수익성에 영향을 미치는 요인 분석)

  • Yang, Jong-Hyun;Chang, Dong-Min;Suh, Chang-Jin
    • Korea Journal of Hospital Management
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    • v.15 no.4
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    • pp.43-62
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    • 2010
  • This study provides an evidence on the determinants of the profitability of university hospital by analyzing university hospital-level data set of hospital performance during the year 2007 (32 university hospitals in total). For the study, a multiple regression model is employed in which profitability index obtained from the DEA computations, operating margin to total asset and gross revenue are used as the dependent variables, and a number of hospital operating characteristics are chosen as the independent variables such as ownership type, location, bed size, period of establishment, bed occupancy rate, admission ratio of outpatients, patients per medical specialist, personnel cost per patient, liabilities to total assets, current ratio, fixed ratio, total asset turnover, medical assistance rate and public indicator. First, the results indicate that the bed occupancy rate and liabilities to total assets are positively and significantly associated with operating margin to total asset. Second, number of beds, the bed occupancy rate and number of patients per medical specialist are positively and significantly associated with operating margin to gross revenue. Third, the bed occupancy rate, number of patients per medical specialist, liabilities to total assets, total asset turnover are positively and significantly associated with profitability index revealed from DEA.

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Statistical Analysis of Outpatients Trends at Korean Medicine Hospitals of Daejeon University by Region before and after COVID-19 (COVID-19 전후에 따른 지역별 대전대학교 한방병원의 외래 환자에 대한 통계적 분석)

  • Cha, Hyun Ji;Kim, Beom Seok;Sung, Ki Jung;Lee, Young Rok;Choi, Hyeon Kyu;Kim, Min Ju;Lee, Ye Ji;Jeon, Ju Hyun;Kim, Young Il
    • The Journal of Korean Medicine
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    • v.42 no.3
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    • pp.26-43
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    • 2021
  • Objectives: This study is designed to statistically analyze data of outpatients visiting for recent 3 years. The purpose is to identify tendencies of patients who visit the hospitals before and after COVID-19. Methods: This study retrospectively analyzed the medical records of 452,487 patients who visited to the Daejeon·Cheonan·Cheongju Korean Medicine Hospital of Daejeon University from January 1, 2018 to August 31, 2020. The data is classified according to year, month, gender, age, and visit type. The statistical analysis was performed using IBM SPSS 25.0. Results: The total number of patients decreased in 2020 compared to before 2020, and the number of patients in each hospital also decreased from the previous year. According to the year of each hospital, the difference by year was not statistically significant at Daejeon Hospital, but Cheonan and Cheongju Hospital showed statistical difference. The change in monthly according to the year by hospital has continued to decrease from January to March in 2020, unlike the previous year, which recovered from a decline in March. In the analysis of patients by age, there was no statistically significant difference in the number of patients in the above 60s according to the year, while those under 60s have a tendency to significantly decrease. Conclusion: We expect that the results of this study will be used as reference materials in analyzing effects of COVID-19 at health care utilization.

Case Series of Atopic Dermatitis treated with Ceramic based infra-red Therapy (원적외선요법의 아토피성 피부염 치료)

  • Kim, Dong-Hwan;Han, Ji-Young;Lee, Kyung-Sub
    • Journal of Oriental Medical Thermology
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    • v.2 no.1
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    • pp.63-66
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    • 2003
  • Background and Purpose : Ceramic based infra-red Therapy has been effective on derma system. The purpose of this case was to know the effect of ceramic based infra-red therap therapy on atopic dematitis. Material and Methods Among initial 25 outpatients with atopic detmatitis who visited Kangnam KyungHee Oriental hospital from Mar. 2000 to Sep. 2002, we excluded 4 outpatients that quited treatment after 1st treatment. We treated ceramic based infra-red therapy, herb medication treatment and Acupuncture women patients. Ceramic based infra-red therapy using GI-2000 system was lighted to under for 30 minutes. SoPungSan(消風散) was one of the effective herb medication on atopic dermatitis in oriental. In acupuncture treatment. We activated Kokchi(LI11, 曲池), Choksamni(S36, 足三里) and inhibited Yanggye(LI5, 陽谿), Yanggok(SI5, 陽谷). Results and Conclusions Ceramic based infra-red therapy, herb medication treatment and acupuncture therapy showed usfull effect on atopic dermatitis.

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A Clinical Study on Outpatients in Oriental Neuropsychiatry Clinic of an Oriental Medicine Hospital (서울소재 동서한방병원 한방신경정신과 외래 환자의 임상고찰)

  • Kim, Joo-Won;Shin, Hyun-Kwon;Chu, Ching-Nai;Lee, Ji-Won;Park, Se-Jin;Kim, Kyeong-Hye;Seo, Joo-He
    • Journal of Oriental Neuropsychiatry
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    • v.18 no.3
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    • pp.123-134
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    • 2007
  • The aim of this study was to show the clinical aspects in outpatients who visited Oriental Neuropsychiatry Clinic. Method : We studied 419 patients who visited Oriental Neuropsychiatry Clinic of Dong-Sea Medical Center from march, 2007 to August, 2007. Results & Conclusion : 1. The ratio of male to female patients was 1:2 and age distribution was most frequent in 50s. 2. From onset, 32% of patients visited Oriental Neuropsychiatry Clinic in a week, 58% of patients visited in a month. 3. Oriental Neuropsychiatry diseases were 80%, Non-Oriental Neuropsychiatry diseases were 20%. The most common Oriental Neuropsychiatry diseases were Somatoform Disorders. 4. The most common diagnosises of the Oriental Neuropsychiatry diseases were Psychosomatic diseases. 5. The most common cheif corn1ains were Headache. 6. The most commonly used herbal medicine was Gamiondam-tang and Guibi-tang

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A Study on the Simulation Model for Outpatient Waiting Time Reduction (외래환자 대기시간 단축에 대한 시뮬레이션 모델 연구)

  • Chung, Tae Joon;Yoon, Jin Sook;Yoo, Sun Kook
    • Journal of Korea Multimedia Society
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    • v.23 no.3
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    • pp.460-467
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    • 2020
  • The medical service, accompanied by various disease and disease of modern people, must collect various information about patients through various tests, and demand continued to increase. As a result, interest in waiting time for medical services is rising, and various studies are underway to reduce waiting time. However, medical procedure is complex and diverse in the procedure of the services need to be conducted for each procedure. In this study, we are going to propose ways to improve the waiting time of the test procedures that are basically experienced by outpatients through the simulation experimental method. Based on the actual measurement data, the Arena Simulation program was used to implement the hospital's ophthalmic examination model and alternative model. Through this analysis, the waiting time of the examination procedure, the size of the queue, and density of the waiting room were analyzed.