• 보건행정학회지
• /
• 제7권1호
• /
• pp.32-54
• /
• 1997

The purpose of this study was to identify the reason for patients to choose a hospital. We divided the hospital into two types of hospitals : corporate hospitals and university hospitals. We inverstigated patients' satisfaction according to the image of hospitals. For this purpose, two corporate hospitals and two university hospitals were selected. Data were collected from the self-administered questionnaire for the patients admitted to these four hospitals in April 1996. 772 questionnaires were collected and 55 cases had no answer or insincere answers. So, we used 707 questionnaires for the analysis. Corporate hospitals had modern facilities. However, patients preferred university hospitals because of the reliability of medical staffs and easy accessibility. University hospitals had higher level of satisfaction of medical services, while the corporate hospital had higher level of satisfaction to the friendly atmosphere, and kindness of hospital staffs. When the patients come to hospitals again after discharge, they would consider medical services, hospital atmosphere, and kindness of medical staffs regardless of hospital types. In conclusion, the reasons for patients selecting university hospitals are reliability, history, and tradition of medical services. Instead,, the reasons for patients selecting corporate hospitals are modernization of hospital facilities.

• Journal of Information Technology Applications and Management
• /
• 제20권4호
• /
• pp.235-247
• /
• 2013

The evolution of information technology and proliferation of hospital management and managerial applications of computing has led to change in the characteristics, uses and evaluations of software for the hospital management. With the growing proliferation of microcomputer use and the value-added for management strategies, more and more software has been massively developed, produced and distributed for the hospital industry. The user is faced with an increasingly difficult choice in the evaluation and selection of software. For many reasons, users frequently must rely on expert evaluations of the technical functions and quality of software. The objectives of this study are to provide selection criteria for an Electronic Medical Record (EMR) and to develop an evaluation framework for the Hospital Information Systems. The major findings of our study are as follows (1) the identification of EMR evaluation characteristics (2) the design and development of EMR selection model and (3) the evaluation of the importance for EMR characteristics using Analytic Hierarchy Process (AHP). We identify 6 characteristics and 22 sub-characteristics of the EMR, calculate their weights, and decide the best configuration. Especially, the AHP methodology can be applied to gather knowledge from multiple experts. Because AHP can 1) facilitate the participation of multiple experts 2) increase group productivity and therefore result in both quantitatively and qualitatively superior outcomes than that of a single individual's work 3) provide a mechanism for reconciling conflict from multiple expert 4) validate the acquired knowledge, providing consistency of facts, and 5) enhance the accuracy reliability of the acquired knowledge increase through of the reliability provided by consensus across multiple experts. Although some further research is required, the proposed model can be regarded as a basis for the selection of EMR.

• 대한치과의사협회지
• /
• 제42권8호통권423호
• /
• pp.571-578
• /
• 2004

• 대한두개안면성형외과학회지
• /
• 제21권5호
• /
• pp.269-275
• /
• 2020

Background: The advance in microsurgical technique has facilitated a proper approach for reconstruction of extensive head and neck defects. For the success of free tissue reconstruction, selection of the recipient vessel is one of the most important factors. However, the vascular anatomy of this region is very complex, and a clear guideline about this subject is still lacking. In this study, we present our 30 years of experiences of free tissue reconstruction for head and neck defects. Methods: In this retrospective study, we analyzed a total of 138 flaps in 127 patients who underwent head and neck reconstruction using free tissue transfer following tumor resection between October 1986 to August 2019. Patients who underwent facial palsy reconstruction were excluded. Medical records including patient's demographics, detailed operation notes, follow-up records, and photographs were collected and analyzed. Results: Among a total of 127 patients, 10 patients underwent a secondary operation due to cancer recurrence. The most commonly used type of flap was radial forearm flap (n=107), followed by the anterolateral thigh flap (n=18) and fibula flap (n=10). With regard to recipient vessels, superior thyroid artery was most commonly used in arterial anastomosis (58.7%), and internal jugular vein (51.3%) was the first choice for venous anastomosis. The flap survival rate was 100%. Four cases of venous thrombosis were resolved with thrombectomy and re-anastomosis. Conclusion: Superior thyroid artery and internal jugular vein were reliable choices as recipient vessels. Proper recipient vessel selection could improve the result of head and neck reconstruction.

• 디지털융복합연구
• /
• 제20권5호
• /
• pp.661-669
• /
• 2022

본 연구는 종합병원, 요양병원, 한방병원 이용자의 선택요인과 고객만족, 재이용의도에 미치는 영향을 비교 분석하였다. 본 연구는 2019년 11월 1일부터 2020년 4월 30일까지 4개 종합병원, 6개 요양병원, 3개 한방병원을 대상으로 설문조사를 실시하였다. 종합병원, 요양병원, 한방병원은 인적 요인, 효율성 요인이 고객만족에 양(+)의 영향력이 있었다. 요양병원은 소득이 높을수록 고객만족도가 높았으며, 효율적 요인이 재이용의도에 양(+)의 영향력이 있었다. 한방병원은 대외이미지 요인이 고객만족과 재이용의도에 중요한 요인이었다. 이러한 연구결과를 바탕으로 경쟁 시대에 접어든 병원들이 고객만족도와 재이용의도를 높이고 효율적 경영을 위한 유용한 자료가 될 것을 기대된다.

• 대한의용생체공학회:의공학회지
• /
• 제40권1호
• /
• pp.20-31
• /
• 2019

Medical device performance management is an activity that allows a device to be safely used and maintained even after it is put on the market. The purpose of this study is to provide procedures and criteria for selection of medical device items that should manage the safety and performance among medical devices in hospital. Investigate the performance management status of medical devices in hospitals and identify the performance management status by domestic and advanced regulatory agencies. Provides selection procedures and test methods for medical devices subject to performance management in hospitals based on medical device risk management and reliability. In addition, a case study on drug infusion pumps was conducted.

• 한국콘텐츠학회논문지
• /
• 제18권5호
• /
• pp.191-214
• /
• 2018

본 연구는 급격한 사회 경제적 여건의 변화에 따라 중소병원의 설립에 대한 선택요인 및 입지 선정 요인의 중요성이 점점 커짐에 따라 의료서비스 시설의 선택요인 및 입지선정 요인에 대해 실증 분석하였다. 본 연구는 중 소 병원 선택요인 및 입지선정요인에 관한 연구를 통하여 각 평가항목 요인들 간의 중요도에 따른 우선순위를 분석하고, 부동산 입지적 요인과 비입지적 요인을 구분하여 기존 중소병원의 경쟁력에 미치는 중요 요인이 무엇인지 도출하여, 신규 중 소 병원 개원을 준비하고 있는 의료 공급자에게 중소병원 선택요인의 중요 요인에 따른 입지특성을 고려한 중소병원의 개원전략의 기초 자료로 할용 하는데 목적이 있다. 기존의 선행연구와 사례연구 결과를 바탕으로 의료수준, 의료서비스, 병원의 접근성, 병원의 편리성, 물리적 환경 측면에서 28개의 평가요인을 도출 하였으며, 수집된 28개의 세부평가요인은 관련 전문가들과의 인터뷰를 통하여 의료수준, 의료서비스, 병원의 전문성, 병원의 편리성, 물리적환경 등 5개 요인을 상위 계층 평가요인으로 선정하였고 각 상위 계층에 따라 총 28개의 하부 평가 요인을 선정하였다. 선정된 최적 정평가요인들은 의료전문가 200명을 대상으로 AHP 설문조사를 실시하여 최적 입지요인을 선정하였다. AHP 분석결과는 선행연구의 사례와 유사하게 의료수준, 의료서비스, 병원의 접근성, 물리적 환경, 편리성의 순으로 중요도가 나타났으며, 병원의 시설과 관련된 요인은 낮게 나타났다. 본 연구의 결과는 향후 중 소병 입지선정 의사 결정을 위한 기초를 제공하는데 응용할 수 있을 것이다.

• 시스템엔지니어링학술지
• /
• 제2권1호
• /
• pp.24-30
• /
• 2006

In this study, the design concepts for Intelligent Hospital are derived using the Quality Function Deployment(QFD) and System Requirement Analysis Method. First, requirements for important elements of Intelligent hospital are defined. Second, similar systems are compared and user requirement are refined. Through this process, operational requirement for Intelligent Hospital are defined by combining user requirements and similar systems. To analyze operational requirement, the QFD of the system engineering approach are implemented. Alternative design specifications are constructed by implementing the QFD results by building the Morphological Matrix. Various concepts that satisfy the system requirement are derived. Finally the best design concept are obtained using the Pugh concept selection matrix.

• 한국병원경영학회지
• /
• 제21권4호
• /
• pp.45-54
• /
• 2016

The purpose of this study is to identify patient and hospital characteristics with pulmonary tuberculosis and to analyze factors which were influencing length of stay and treatment. The Korean National Hospital Discharge In-depth Injury Survey database from 2006 to 2012 was used for analysis. Study subjects were 4,704 patients and analyzed by using frequency, chi-square and logistic regression through using STATA 12.0. To avoid selection bias, we used propensity score matching. Analysis results show that the length of stay and treatment of pulmonary tuberculosis was different between insurance types. Patients characteristic(female, comorbidity, admission by outpatient department, medical insurance type) and hospital characteristic(500-999 beds, over 1000 beds) significantly influence length of stay. Admission by outpatient department and over 1000 beds are significantly influence treatment. Based on these findings, it is necessary to clarify between length of stay and treatment outcome by medical aids beneficiaries and audit hospitals follow discharge guidelines in pulmonary tuberculosis patients.

• 한국건축시공학회:학술대회논문집
• /
• 한국건축시공학회 2023년도 가을학술발표대회논문집
• /
• pp.63-64
• /
• 2023

Indoor Air Quality is crucial in hospital projects to ensure the health and safety of patients, staff, and visitors. The research methodology comprises an comprehensive literature review, then a comprehensive questionnaire survey conducted among stakeholders involved in Vietnamese hospital projects. 15 variables were identified and categorized into four distinct groups, elucidating their influence on the adoption of advanced IAQ-enhancing technology. This study uses factor analysis, a mean score method and hypothesis test to analyze the factor result from the survey. two-step process, including an in-depth literature review and questionaire survey. The study's findings culminated in the ranking, examination, and categorization of these 15 variables, which were clustered into four essential categories: economic factors, design elements, governance strategies, and technical requirements. Additionally, the research explored viable solutions to improve indoor air quality in Vietnam's unique environmental context, examining the factors that impact the selection of such solutions. The study's outcomes yield practical recommendations for architects, engineers, and hospital administrators in enhancing IAQ within healthcare facilities. Furthermore, it presents a framework attuned to local environmental factors and building materials, contributing significantly to the existing body of knowledge on IAQ within hospital projects, particularly in the Vietnamese context.