• 대한물리치료과학회지
• /
• 제9권4호
• /
• pp.63-72
• /
• 2002

Patient satisfaction is an important factor in evaluating the quality of care. Patient satisfaction may be used to evaluate provider services and facilities, and used to predict the patient returns to a facility. The patients d whether the patient returns to a facility or whether the patient recommends the facility to other people may be affected by a variety of factors of patient satisfaction. Low satisfaction may result in poor compliance with the potential of waste of resources and suboptimal clinical outcome. This study is to identify factors of patient satisfaction that will affect patients decision whether the patient returns or not. A self-administered questionnaire survey was conducted in Seoul, Chung-Joo and Bu-Cheon cities, Survey data was obtained from 743 patients who visited the physical therapy practice at university hospitals, general hospitals and clinics. Response rate was 94.4%. The instrument developed by Goldstein et al. (2000) was used and translated into Korean. Several items were added to the instrument. Patient's opinions of service in each domain measured using 5-point Likert-type scales that ranged from strongly disagree to strongly agree. A multiple-regression analytic approach was used to predict overall satisfaction of physical therapy. Age, kindness, scheduling, convenience of parking, privacy, and waiting time predicted the overall satisfaction of physical therapy. The older patients had higher level of satisfaction with physical therapy compared with the younger patients. Patient satisfaction were more affected by access (scheduling and waiting time), administrative technical management (convenience of parking), and interpersonal management (kindness of physical therapists and other staffs) than clinical technical management (physical therapists' skills).

• 보건행정학회지
• /
• 제30권4호
• /
• pp.522-530
• /
• 2020

Background: In 2008, Korea implemented a new type of social insurance known as "long-term care insurance". We examined the association between ownership of long-term care facilities and the incidence of pressure ulcers after the implementation of "long-term care insurance". This study is a population-based retrospective cohort study from 2006 to 2013. Methods: We used medical claims data from the Korean National Health Insurance Corporate Elderly Cohort Database from 2006 to 2013. These data comprise a nationally representative sample. To avoid confounders, only patients admitted to one long-term care facility and who stayed for >70% of the follow-up time were included; as a result, 3,107 individuals were enrolled. The main independent variable was the operating entity of the long-term care facility (local government, corporate bodies, and private for-profit owners), and the dependent variable was the 1-year incidence of pressure-ulcers. Survival analysis (Cox proportional hazard model) was used as an analysis method. Results: Compared to patients admitted to local government long-term care facilities, patients admitted to private long-term care facilities had a significantly higher 1-year risk of pressure ulcers (hazard ratio [HR], 1.94; 95% confidence interval [CI], 1.29-2.91); the risk was especially high among patients who were cognitively dependent (HR, 2.34; 95% CI, 1.25-4.37). Conclusion: Patients admitted to private for-profit long-term care facilities were more likely to have pressure ulcers compared to those in local government and corporate body long-term care facilities. Appropriate assessment tools and publicly available information, as well as more restricted legal requirements, are needed to improve the care quality and outcomes of patients in long-term care facilities.

• International Journal of Internet, Broadcasting and Communication
• /
• 제12권3호
• /
• pp.196-205
• /
• 2020

The purpose of this study is to identify the subjectivity of patient and describe the characteristics of each type to understand the categorization of types on patient safety. Q methodology was applied to the study. A total of 40 patients admitted to the S hospital in Seoul were asked to categorize 33 statements on patient safety. The collected data was analyzed using QUANL PC Program. After analysis, patient safety as perceived by the admitted patient was categorized into 6 types. The types were as follows: Type 1 'Those who note adequate patient safety', Type 2 'Those who consider preventive safety to be lacking' Type 3 'Those who see the evaluation criteria to be met', Type 4 'Those who see the facility safety to be lacking', Type 5 'Those who find the patient and facility safety to be adequate', Type 6 'Those who see patient support to be lacking'. The study provides a basic set of data for developing mediation measures needed to identify the direction in which patient safety should be promoted.

• 한국치위생학회지
• /
• 제14권5호
• /
• pp.673-680
• /
• 2014

Objectives : The purpose of this study is to investigate the awareness and performance towards the dental radiation protection behaviors in dental institutions in Busan and Gyeongnam. Methods : Two hundred and one dental medical institutions in Busan and Gyeongnam participated in the survey from March 10 to April 4, 2014. The data were analyzed using SPSS 19.0 for ${\chi}^2$ test, t-test, ANOVA, and multiple regression analysis. Results : There were significant differences in the awareness and performance towards the radiation protection behaviors according to age, monthly income, and type of hospital(p<0.05). Protective equipment influenced on the awareness and performance of dental staff and patients(p<0.001). The important variables on dental radiation protection included protection facility and education of protective equipment. It is found the variable to affect the performance of dental radiation protection was protection facility, wearing of protective device staff and patients, education on RSM. Conclusions : These results can provide the basic data for the effective dental radiation safety management and improvement for the dental institutions.

• 한국화재소방학회논문지
• /
• 제24권3호
• /
• pp.9-19
• /
• 2010

최근 우리나라는 노인요양병원이 꾸준히 증가하고 있으며 화재등과 같은 비상 상황에서 노인의 행동 특성과 신체 상태를 고려한 종합적인 피난계획의 수립이 요구된다. 또한 시설 이용자의 대부분이 중증의 치매 및 뇌졸중을 앓고 있는 환자이기 때문에 자력으로 피난이 곤란하고 환자의 보행상태(침대, 휠체어, 각종 보조기구) 등에 따라 피난시간이 상이하여 이용자 전원을 피난시키는 것이 어렵기 때문이다. 본 논문은 성능위주의 설계 시 참고가 될 자료를 제시하기 위해 의료시설인 노인요양병원을 모델로 여러 수집된 자료들로 Simulex를 이용하여 피난시간을 측정하였다. 이 연구의 과정에서 몇 가지 문제시 되는 사항을 발견할 수 있었다.

• 한국화재소방학회논문지
• /
• 제32권3호
• /
• pp.108-115
• /
• 2018

노인복지시설은 입소자들의 신체적, 정신적 능력이 쇠퇴하여 화재 등의 재난시 많은 인명피해가 발생한다. 본 연구에서는 현재 운영되고 있는 노인복지시설의 건축물 구조적 문제, 소방시설의 설치 및 관리에 관한 문제, 소방안전관리자 업무에 관한 문제점 등 소방안전관리실태에 대해 조사, 분석하였다. 최근 대형화재사고 발생 후 관련법령의 개정에 따른 소방시설의 소급적용 등으로 다소 보완되었으나 전반적으로 소방안전관리실태는 아직도 미비한 상태이다. 따라서 관련법령의 추가적인 정비를 통해 건축물 및 소방시설의 안전성과 소방안전관리실태를 개선해나가야 한다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제27권1호
• /
• pp.7-15
• /
• 2021

Purpose: This study analyzed the architectural planning factors of the ward in infectious disease hospitals, such as functional unit planning, ward configurations, spatial compositions & circulation, and detailed architectural planning. Through these, the facility guidelines of infectious disease hospitals are summarized, focusing on the differences from the wards of non-infectious hospitals. Methods: This study was conducted by literature review of research reports, papers, design cases, and guidelines, based on the experiences of field surveys for infectious disease hospitals. Results: The result of this study can be summarized into a few points. 1) Infectious disease hospitals need to establish an operation plan with the concept of continuity of care, as an extension of existing facilities. 2) The types of ward configuration for infectious disease hospitals has many variables, so an appropriate type should be selected according to the hospital's operating policy. 3) Various spatial composition types of the ward can be planned by the arrangement of traffic cores and areas of patient groups. At this time, the main planning considerations are safety, efficiency, and comfort. 4) As elements of the detailed plan, It is necessary to consider the types & dimensions of patient rooms, the relationships between nursing stations & sub-stations, and supplementations of medical support functions & convenience facilities. Implications: Since there are many differences in function from the ward of non-infectious hospitals, appropriate facility guidelines for infectious disease hospital are required.

• Nuclear Engineering and Technology
• /
• 제54권1호
• /
• pp.262-268
• /
• 2022

This paper introduces a novel concept of the pulsed neutron facility (PNF) for maximizing the production of the thermal neutrons and its application to medical use based on prompt gamma neutron activation analysis (PGNAA) using Monte Carlo simulations. The PNF consists of a compact D-T neutron generator, a graphite pile, and a detection system using Cadmium telluride (CdTe) detector arrays. The configuration of fuel pins in the graphite monolith and the design and materials for the moderating layer were studied to optimize the thermal neutron yields. Biological samples - normal and cancerous breast tissues - including chlorine, a trace element, were used to investigate the sensitivity of the characteristic γ-rays by neutron-trace material interactions and the detector responses of multiple particles. Around 90 % of neutrons emitted from a deuterium-tritium (D-T) neutron generator thermalized as they passed through the graphite stockpile. The thermal neutrons captured the chlorines in the samples, then the characteristic γ-rays with specific energy levels of 6.12, 7.80 and 8.58 MeV were emitted. Since the concentration of chlorine in the cancerous tissue is twice that in the normal tissue, the count ratio of the characteristic g-rays of the cancerous tissue over the normal tissue is approximately 2.

• Nuclear Engineering and Technology
• /
• 제54권5호
• /
• pp.1652-1656
• /
• 2022

Fire tests were conducted on cables using fire-retardant paint employed in nuclear power plants that transmit electrical power, control and instrument signals. The failure criteria of various power and control cables coated with fire retardant coating at three different coating thicknesses (~0.5 mm, 1.0 mm & 1.5 mm) were studied under direct flame test using Container Fire Test Facility (CFTF) based on standard tests for bare cables. A direct flame fire test was conducted for 10 min with an LPG ribbon burner rated at ten by fixing the cable samples in a vertical cable track. Inner sheath temperature was measured until ambient conditions were achieved by natural convection. The cables are visually evaluated for damage and the mass loss percentage. Cable functionality is ascertained by checking for electrical continuity for each sample. The thickness of cable coating on fire exposure is also studied by comparing the transient variation of inner sheath temperature along the Cable length. This study also evaluated the adequacy of fire-retardant coating on cables used for safety-critical equipment in nuclear power plants.

• 한국실내디자인학회논문집
• /
• 제24권3호
• /
• pp.165-175
• /
• 2015

Korean medical welfare facilities for the elderly provide the conveniences to care geriatric illness such as dementia and stroke. The medical welfare facility categorizes elderly care facilities, nursing homes, and geriatrics hospitals based on the Korean welfare of the aged act. The government makes an effort to secure feed rate and finances of medical welfare facilities. However, the qualitative improvement of facilities is inadequate. The purpose of this study is to analyze the conditions and problems of existing facilities using an environmental evaluation and to discuss the improvement direction related to the daycare centers for the elderly. The method of this study is literature review and field survey. Firstly, we analyzed the previous studies to develop the tool, evaluating the environment of day care centers for the old. Secondly, the items of environmental evaluation are deduced. Thirdly, we select the facilities to conduct field survey and analyze the results of field survey. Lastly, We discussed the problems and improvement directions through the results. It is judged that this study is an useful as the basic guideline to strengthen the minimum legal standards of day care center for the elderly due to the suggestion of insufficient environmental evaluation items.