• Title/Summary/Keyword: Medical service

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Differences in Associated Factors according to the Time of Occurrence of Pressure Ulcers in Intensive Care Unit Patients (중환자실 환자의 욕창 발생 시기에 따른 관련요인의 차이)

  • Lee, Mijung;Seo, Eunjeoung;Kim, Miok;Park, Jeongok;Lee, Seonmi;Shin, Hyunkyung;Yun, Ilsim;Cho, Mina;Cho, Youngcha;Kang, Bomi;Seo, Hyunmi;Lee, Misoon;Lee, Sira;Jang, Hyejoo;Jung, Hyunsuk;Ahn, Jeong-Ah
    • Journal of Korean Critical Care Nursing
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    • v.14 no.3
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    • pp.26-36
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    • 2021
  • Purpose : This study aimed to present the incidence of pressure ulcers and identify different associated factors according to the time of occurrence of pressure ulcers in intensive care unit (ICU) patients. Methods : The participants were 313 patients who reported pressure ulcers among 2,908 patients in ICUs at a large tertiary hospital in Gyeonggi-do. Among them, 220 patients (70.3%) had a pressure ulcer before admission, and 93 patients (29.7%) reported newly developed pressure ulcers after admission to the ICU. Data were collected between August 2018 and April 2019. Along with the time of occurrence and characteristics of pressure ulcers, diverse associated factors were gathered through electronic medical records. Data were analyzed using descriptive statistics, independent t-tests, and 𝑥2-tests. Results : Different risk factors associated with pressure ulcers in ICU patients according to the time of occurrence were main diagnosis, score of acute physiology and chronic health evaluation, score of Richmond agitation sedation scale, level of consciousness, administered sedatives, use of a ventilator, insertion of a feeding tube, and the duration of fasting period. Conclusion : Based on the results of this study, healthcare providers, especially ICU nurses, should try to detect early signs and symptoms of pressure ulcers, taking into account the derived factors associated with pressure ulcers in ICU patients. Practical intervention programs and strategies considering the factors associated with pressure ulcers must be developed to prevent and alleviate such ulcers in ICU patients in the future.

A Study for the Effect of Medical Service Failure and Recovery on Medical Tourist Trust and Behavioral Intention -Focused on Japanese Medical Tourist- (의료서비스 실패와 회복 후 만족이 신뢰와 행동의도에 미치는 영향 - 일본인 의료 관광객을 중심으로 -)

  • Cho, Young-Shin
    • International Area Studies Review
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    • v.13 no.2
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    • pp.687-711
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    • 2009
  • This research was conducted to explore the factors that cause medical tourists' dissatisfaction, and find ways to solve the tourists' problems by researching on the relationship between the service recovery and the failure of medical services. Also, the research has put more emphasis on establishing marketing strategies that enable Japanese medical tourists to actively visit Korea, and finding out the effects that the medical tourists satisfaction and trust have on their behavioral intentions, recommendations, and positive feedbacks. The summary of the research analysis results as follows. First, the service recovery after the service failure has positive influences on the medical tourist's satisfaction. Second, the service recovery has proven its positive influences on the tourists' trusts and behavioral intentions. Third, the satisfaction of the service recovery has built the mutual trust between the tourists' and the medical center, and this has positive influences on the customer's behavioral intentions. Finally, the research was conducted to analyze the moderating effects on the relationship between the service recovery and the recovery satisfaction. It was found that the medical service failure recognition type has proven no moderating effects.

A Service System Design to Support Medical Tourism in South Korea (한국 의료관광 서비스시스템 디자인)

  • Yoon, Hee Sung;Cho, Sung Woock;Sugumaran, Vijayan
    • Information Systems Review
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    • v.15 no.2
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    • pp.59-73
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    • 2013
  • Healthcare costs are continuously increasing due to longer life expectancy and providing global healthcare services through medical tourism is new service growth engine for Korea. Several countries have well established programs and infrastructure dedicated to medical tourism. South Korea is attempting to become a major player in this domain by undertaking broad initiatives. The success of medical tourism is greatly impacted by easy access to two types of information, namely, medical and travel information. The National Health Insurance System in Korea collects huge amount of clinical and financial information from all hospitals. However, this information does not get used effectively in health and travel information systems to support medical tourism. This paper provide clear process map of medical tourism to understand how the patient and information process both medical and tourism fields also describe the need of customer and service provider. In this paper, we develop a medical tourism service system that will promote information exchange and service delivery.

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A study on the implications for resolving medical authoritarianism through case analysis of medical service design (의료서비스디자인 사례분석을 통한 의료권위주의 해소를 위한 시사점 연구)

  • Chung, Sungmo
    • Journal of the Korea Convergence Society
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    • v.11 no.9
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    • pp.333-340
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    • 2020
  • The purpose of this study is to find out what the contribution of medical service design to improve the quality of medical service has contributed to the resolution of medical authority, and to draw the implications necessary to further develop the medical service industry. As a method of research, first, the concept of medical authority was considered and the internal and external factors of medical authority were examined. Second, by examining the cases of medical service design, which resolved the medical emphasis inherent in internal and external factors, the key points and significance of problem solving were analyzed based on the core results. Third, the implications were to form a patient-centered medical culture for respect and dignity for patients, to break up the conventions inside medical staff to dismantle medical authority, and to establish a fair communication system for sharing medical information.

Cultural Competence of Health Care Providers in Daegu and Satisfaction on Health Care Services of Chinese Medical Tourists (대구지역 의료서비스 제공자들의 중국 문화에 대한 문화적 역량과 중국 의료관광객의 만족도)

  • Park, Sa-Ra;Lee, Kyeong-Soo;Kim, Sang-Kyu;Hwang, Tae-Yoon
    • Health Policy and Management
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    • v.26 no.2
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    • pp.115-124
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    • 2016
  • Background: This study aims at making a survey on health care service providers' cultural competence and making an appraisal of Chinese medical tourists on service quality, health care service providers' cultural competence, perceived value, and satisfaction. Methods: The data was collected from August until November, 2014 and 150 health care service providers and 65 Chinese medical tourists from 12 medical institutions in Daegu were enrolled in analysis. Results: The results showed that health care service provider's knowledge on Chinese culture was very low with 33.5% of correct answer. Health care service providers were found to get 3.82 point on a 5 point-scale in cultural perception, 3.53 points in cultural sensitivity, and 2.85 points in cultural skills. Chinese medical tourists were analyzed to give 4.08 points on a 5-point scale to satisfaction on health care service, followed by 4.01 points to health care service quality, 4.00 points to perceived value of health care service, and last 3.85 points to a health care service providers' cultural skills. However, there was a difference in points in cultural skills between health care service providers and Chinese medical tourists. Chinese medical tourists' satisfaction with health care service in Daegu was found to be comparatively high, but in relation to satisfaction with communication, it was found to be relatively low. Conclusion: Through this research, health care service providers' knowledge level of Chinese culture and cultural skills were low while they seemed to take a half-hearted attitude towards educational experience for building up cultural competence and foreign patient service response.

The Effects of Medical Service Quality and Service Value by Relationship Quality on Customer Behaviour (의료 서비스 품질 및 서비스 가치가 관계품질에 의한 고객행동에 미치는 영향 - 치과 의료기관을 중심으로 -)

  • Kim, Bok-Dong;Han, Kyung-Il
    • Journal of Digital Convergence
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    • v.8 no.4
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    • pp.137-150
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    • 2010
  • This study is to investigate the effects of medical service quality and service value by relationship on customer behaviors. The empirical findings of this study are summarized as follows. First, the findings on effects of medical service quality on relationship quality showed that rise in medical service quality resulted in a significant rise in relationship quality. Second, the findings on effects of service value on relationship quality verified that rise in service value had positive(+) impacts on relationship quality. Third, the findings on effects of relationship quality on customer behaviors verified that relationship quality had significant impacts on customer behaviors. Lastly, the findings of relationship with medical service quality, service value, and customer behaviors verified that relationship quality served as a parameter. The findings from the above study show that dental medical institutions have to seek more differentiated and various service strategies, continue to develop consistent service methods to meet customer's expectation, and enhance the reliability of customers in dental medical institutions in order to maximize the results of customer behaviors.

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Roles of Korean Medicine in Restructuring Public Health Service of Korea ((참여)정부의 보건의료 Infra개편과정에서 한의학의 참여방안 -공공의료를 중심으로-)

  • Lee, Sun-Dong
    • Journal of Society of Preventive Korean Medicine
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    • v.9 no.2
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    • pp.17-41
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    • 2005
  • Current Korean medical system is evaluated as inefficient and the government is planning a new medical development plan to provide guaranteed life-long medical service and more efficient medical system Korean medicine also needs to participate as the primary medical provider and strengthen public recognition. The needs for active participation are essential to prevent irrational medical policies and Korean medicine can exercise medical merits. When the doctors of Korean medicine are recognized as the primary medical provider, not only social rights are served but also provide medical service to less privileged sector of the society. This calls for the establishment of system for attending physician and public health doctor from Korean medicine. Another important issue is the establishment of public medical service at the government level. Doctors of Korean medicine should be posted at the national health center and other public hospitals. Revision of the current policies on Korean medicine must be made to yield concrete outcome of the public Korean medicine service as well as cooperation between the conventional allopathic medical community and the Korean medical community

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A Study on Design Medical Tourism Strategy and Business Service Model (의료관광 전략 수립 및 비즈니스 서비스 모델 설계에 관한 연구)

  • Chang, Sae Kyung;Baek, Jong Sun
    • The Journal of Society for e-Business Studies
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    • v.22 no.3
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    • pp.43-55
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    • 2017
  • The market for medical tourism services in the world is steadily increasing and the medical tourism market in the South Korea is also showing high growth. However, they have also problem such as informal various information and services, irregularity price competition etc. In order to solve this problem, We have designed a medical tourism service model based on ICT specific on domestic medical ecosystem. First, analysis trends of domestic and overseas medical ecosystem and identify current problem of medical tourism. In order to solve existed problem we also have designed a medical tourism strategy. Based on the strategy, we have designed business service model based on ICT platform for as fit as Korea medical tourism status. The proposed medical tourism business service model can provide usability to customer and also can solve current medical tourism problem. We expect industrial effect and contribution to the activation.

Immobilization Effect and Abdominal Pressure of Newly-Developed Lumbosacral Spinal Orthosis during Task Performance (새롭게 개발한 요천추 보조기의 과제 수행 중 척추의 고정효과와 복부압력)

  • Jeon, Kyung Soo;Yang, Hee Seung;Jang, Soo Woong;Shin, Hee Dong;Lee, Yun kyung;Lee, Young;Lee, Seul Bin Na;Ahn, Dong Young;Sim, Woo Sob;Cho, Min;Cho, Kyu Jik;Park, Dong Beom;Park, Kwan Soo
    • Clinical Pain
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    • v.19 no.2
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    • pp.70-79
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    • 2020
  • Objective: We evaluated the efficacy of a newly-developed spinal orthoses (V-LSO) by comparing the stabilizing effect, abdominal pressure, and comfort of 3 different semirigid LSOs (classic LSO, V-LSO, and Cybertech®) during various body movements. Method: Thirty healthy volunteers (23~47 years, 24 males, 6 females) were selected. A dual inclinometer measured the range of motion (ROM) while the participants performed flexion/extension and lateral flexion of the lumbar spine with 3 LSOs. The LSO's pressure on the abdominal surface was measured using 9 pressure sensors while lying, sitting, standing, flexion/extension, lateral flexion, axial rotation, and lifting a box. Comfort and subjective immobilization were analyzed by a questionnaire. Results: V-LSO had a statistically significant effect on flexion over Cybertech®. No significant differences were noted during extension and lateral flexion between the 3 LSOs. The abdominal pressure showed no significant differences while supine. While sitting, standing, and lifting a box, the mean abdominal pressure for V-LSO were significantly higher than those for Cybertech®. During lumbar flexion, the mean abdominal pressures for classic LSO and V-LSO were significantly higher than that of Cybertech®. For extension, lateral flexion and axial rotation, the abdominal pressure for V-LSO was significantly higher than those of classic LSO and Cybertech®. In the subjective analysis, V-LSO and Cybertech® scored best for comfort. Conclusion: The V-LSO and Cybertech® were more comfortable than the classic LSO, and hence, may have improved compliance with decreased discomfort. V-LSO may be superior to the other LSOs in restricting lumbar movement and increasing intraabdominal pressure.