• 제목/요약/키워드: Medical service factors

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환자대면서비스에 대한 의사의 중요도 인식과 실천간 차이에 미치는 요인 분석 (Analysis of the Gap Between Physician's Perceived Importance and Performance of Interpersonal Care)

  • 김동섭;강혜영;이해종
    • 보건행정학회지
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    • 제18권3호
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    • pp.41-57
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    • 2008
  • To examine the gap between physician's perceived importance and performance of care and to identify factors associated with the gap. A self-administered questionnaire survey was conducted with 91 physicians working in a University hospital in Seoul. The respondents were asked about their perceived importance and actual performance of interpersonal care on a 5-point Likert-type scale, indicating a higher score as higher importance and performance. Interpersonal care was measured by questions modified from the Korean Standard Service Quality Index, which are grouped into 6 categories: basic services, extra services, reliability, courtesy, convenience, and tangibles. Multiple regression analysis was conducted to find out physician characteristics associated with the gap. All of the 6 interpersonal care categories showed lower performance than perceived importance. The respondents tended to have a worse performance than perceived importance as the number of patients per outpatient care session ($\beta$=-0.0204, p<0.05) and the need for customer satisfaction education increase ($\beta$=-0.2226, p<0.05). Female physicians ($\beta$=0.2336, p<0.05) and those with higher job satisfaction($\beta$=0.0096, p<0.05) showed a better performance than perception. Overall, it appears that lower quality of interpersonal care was delivered to patients than the desired level considered by the responding physicians. Based on the regression analysis results, it is suggested that reducing patient volume per session, fulfilling education need for customer satisfaction, and improving job satisfaction may contribute to reduce the gap between physician's perceived importance and performance of interpersonal care.

스마트폰 사용자 인증을 위한 카메라 영상 프레임 비교에 관한 연구 (Study on the Camera Image Frame's Comparison for Authenticating Smart Phone Users)

  • 장은겸;남석우
    • 한국컴퓨터정보학회논문지
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    • 제16권6호
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    • pp.155-164
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    • 2011
  • 스마트폰을 기반으로 한 앱은 병원의 의료 서비스, 은행 및 카드사의 금융서비스, 기업 및 가정의 유비쿼터스 기술 등 다양한 영역에 활용되고 있다. 이러한 서비스 환경에서 외부인에 의한 스마트폰의 불법적인 노출은 공 사적 정보의 유출을 포함한 자산의 손실이 발생한다. 이를 위한 보호 기법으로 비밀키 및 패턴 인식 기술, 정적인 단일 영상인증 기법이 적용되고 있으나 정적인 킷값의 유출 또는사진과같은영상을활용하여접근이가능하다는문제를 가지고 있다. 본 논문에서는 이러한 위험요소 및 문제로부터 스마트폰을 보호하기 위한 기술로 사용자 얼굴 인증 기술을 제안한다. 제안 기술은 사용자의 얼굴 동영상의 키 프레임을 실시간으로 추출하여 사용자를 인증하고 스마트폰의 접근을 제어한다. 인증 정보는 다수의 키 프레임으로 구성되며, 영상의 화소 및 휘도의 DC 값을 활용한 유사도 판별 알고리즘으로 사용자의 접근을 통제한다.

간호사의 조직몰입도와 긍정심리자본이 직무소진에 미치는 융복합적 영향 (The Convergence Effects of Commitment of Organization and Positive Psychological Capital in Nurse on Burnout)

  • 이승희;박주영;이경민;신은혜;박정미;남현아;노성배
    • 디지털융복합연구
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    • 제14권6호
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    • pp.335-345
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    • 2016
  • 종합병원 간호사의 조직몰입도, 긍정심리자본 및 직무소진 관계를 파악하고 직무소진에 미치는 영향을 파악하여 직무만족도 증진을 위해 연구를 시행했다. 연구의 방법은 C도에 소재한 종합병원에 근무하고 있는 간호사 107명을 대상으로 설문을 실시했으며 연구자가 직접 대상자를 방문해서 연구 목적과 취지를 설명한 뒤 동의를 서면으로 확인한 후 자기기입식으로 조사를 시행하였다. 연구의 분석결과 임상 간호사의 조직몰입도와 긍정심리자본이 직무소진에 영향을 미치는 것으로 확인되었으며 하부영역으로 보았을 때 조직몰입도의 동일시와 긍정심리자본의 복원력이 특히 유의한 변수였다. 이는 임상 간호사의 직무소진을 낮추기 위해 조직몰입도와 긍정심리자본을 높여야하며 더욱이 조직몰입도를 높이는 프로그램을 개발하여 그 필요성과 효과를 확인하는 연구가 필요함을 제언하며 임상간호사의 긍정심리자본을 높이기 위해 간호사조직에서 노력이 필요할 것이다.

한국 가정.방문 물리치료 및 학교 물리치료의 현황과 전망 (Current Situation and Perspectives for Home.Visiting and School Physical Therapy in Korea)

  • 권혜정;김용권;안창식;허진강;황성수
    • 대한물리치료과학회지
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    • 제18권4호
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    • pp.47-58
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    • 2011
  • The purpose of this study was to analyses the main factors of research papers for related with home physical therapy. This study was retrospective descriptive study, the period of data collection was from 1991 to 2011. The data was collected by the journal related in physical therapy, the dissertation of academic degree, National Assembly Library and the web-site for academic information. In the web-site, searched with the keyword 'home physical therapy' and 'after school voucher'. The results were as follows; 1. In the home physical therapy, visiting physical therapy, school physical therapy, there were different based on laws; home physical therapy was based on medical law, visiting physical therapy was based on law for community health and law for long term health insurance, school physical therapy was based on special education law. 2. The summary of research title/thema from 1991 to 2011 was as follows; for the home and visiting physical therapy 'the needs and necessity of home and visiting physical therapy' was 18 papers, 'the contents of service of home and visiting physical therapy' was 18 papers, 'program and skill development' was 16 papers, 'system developing and induction strategy of home and visiting physical therapy 'was 15 papers, 'costs of nome and visiting physical therapy' was 2 papers, 'perception and information of home and visiting physical therapy' was 9 papers, 'Recoding system and administration management' was 9 papers, 'the others 'was 14 papers, for the school physical therapy 'after school voucher system' was 9 papers, the others was 4 papers. The total papers was 114 papers. 3. Finally suggested 'Model of Educational Program for HomeVisiting and School Physical Therapy'.

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인천광역시 일 보건소 대도시 방문보건사업의 평가 연구 (Evaluation Study of Home Health Care Program Operated in G Public Health Center)

  • 김명순;김영숙
    • 지역사회간호학회지
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    • 제15권4호
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    • pp.539-550
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    • 2004
  • Purpose: The purpose of this study was to evaluate the achievements of the project, and also to find out its strengths and weaknesses. Method: This evaluative study employed system theory and analytic techniques by using criteria which were relevance, appropriateness, adequacy, progress, effectiveness and satisfaction for input, process, output, and outcome of program. Study subjects were participants in the home health care program implemented in G public health center in Inchon metropolitan city in 2003. Results: Input factors including recruitment personnel, and support organization development were not adequately met for the program. However. the goal and objectives of the project were really appropriate for the community needs as well as government's policy. For the Process evaluation, home health care record form and computer data base had not progressed as scheduled, but overall program activities were finished on time. However, cooperation between organizations in the health center during service activity were not supportive. Managerial ability of program charged personnel about coordination and integration of team members was not affirmative. Output and outcome evaluation showed that people improved self care ability were 221 (17.5%). and 71 (5.62%) of subjects were moved into category of possible self-care. Client's satisfaction for this project showed a high degree. Conclusions: Based on the above results support organization and staff personnel for this program should be developed. Also, a community network of resources should be established and case management services should be focused continuously in community based home health care.

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새터민(탈북자)의 삶의 질 (Quality of Life of North Korean Defectors in Korea)

  • 신기수;조갑출;양선희;이옥철;백희정;이규영;이숙정
    • 한국보건간호학회지
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    • 제25권2호
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    • pp.221-232
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    • 2011
  • Purpose: The study sought to provide basic information for North Korean defectors (Sae-Tu-Min) by studying the quality of life(QoL) based on their general characteristics and health problems. Methods: The targeted subjects were 1400 North Korean settlers who were receiving settlement service by Korean National Red Cross after finishing their training at Hanawon in 2005. The data was collected from August to October in 2007. The QoL was assessed by Medical Outcomes Study Short Form-36. Collected data were analyzed by ANOVA and t-test with SPSS win 15.0 program. Result: The majority of the 466 subjects were female(77.9%). The average age was 36.8 years, 52.8% lived alone, and 64.0% were unemployed. The average QoL score of the group was $62.4{\pm}18.4$, which was markedly lower in terms of social, physical and mental health compared to the scores of immigrants to South Korea from other countries. The score was the highest for physical ability and the lowest for general health. Influential socio-demographic factors to QoL were gender, age, education, religion, annual salary, occupation, and life insurance. Employed in the subject group showed higher level of QoL on eight categories than unemployed. Concerning health problems that detracted from QoL, 18.5% of the subjects were aware they suffered from anemia and 8.8% of them recognized they suffered from attention deficits. Conclusion: The health conditions of the North Korean settlers had improved since they settled in South Korea, but their QoL was lower than other immigrants. Various programs to maintain and promote the health of North Korean settlers would be useful.

치유농업의 공급조건과 제공프로그램이 이용의도에 미치는 영향에 관한 연구 (A Study on the Influence of Intention to Use on Supply Condition and Offer Program of Care Farming)

  • 고은주;허철무
    • 디지털융복합연구
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    • 제18권7호
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    • pp.189-199
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    • 2020
  • 본 연구는 각박한 현대의 삶을 살아가는 일반인 중에서 직장인들에 대한 힐링과 치유로써 치유농업의 적용과 성장가능성을 위한 기초자료로 제공하고자 치유농업의 활성화를 위한 공급조건과 제공프로그램의 구성과 참가자들의 이용의도간의 관계를 파악하였다. 이를 위해 일반 직장인을 대상으로 설문조사를 실시하였으며, 다중회귀분석을 실시한 결과는 다음과 같이 나타났다. 첫째, 모든 하위요인과 이용의도 간에는 유의한 정(+)의 상관관계가 나타났다. 둘째, 치유농업 공급조건 중 치유시설과 이용편리성, 의료서비스의 필요성에 대한 인식이 높을수록 이용의도가 높았다. 셋째, 치유농업 제공프로그램 중 농작물재배, 동물매개, 자연활동, 문화활동의 필요성에 대한 인식이 높을수록 이용의도가 높았다. 이상의 분석결과를 바탕으로 선행연구와의 차별화된 점을 논의하였으며, 치유농업 활성화를 위한 전략방안 모색의 차원에서 시사점을 도출하였다.

의치상 직접 이장레진의 색조 안정성 (THE COLOR STABILITY OF DIRECT DENTURE RELINE RESINS)

  • 강은숙;전영찬;정창모
    • 대한치과보철학회지
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    • 제41권2호
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    • pp.160-168
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    • 2003
  • Statement of problem : Direct denture reline resins tend to discolor during service in the oral environment by intrinsic and extrinsic factor. Purpose : This study was designed to evaluate the color stability of direct denture reline resins. Material and methods : Mild Rebaron(GC Corp., Japan), Meta Base M(Sun medical Co., Japan), Mild Rebaron LC(GC Corp., Japan) and as a control group, Vertex SC(Dentimex Zeist, Holland) were chosen for this study. Ten specimens of each direct denture reline resins were fabricated. Treatment methods designed for this study were the coffee staining test(7days) and the accelerated aging test(100hours). The color changes before and after treatment were measured by Tristimulous colorimeter(Yasuda seiki seisakusho, Ltd. Japan) and analyzed. Results All the direct denture reline resins subjected to the coffee staining test and the accelerated aging test showed noticible difference in color change. After coffee staining test, Meta Base M showed the highest color change followed by Vertex SC. Mild Rebaron LC and Mild Rebaron. There were no statistical differences between Meta Base M and Vertex SC and between Mild Rebaron LC and Mild Rebaron(p>0.05). After accelerated aging test. Mild Rebaron LC showed the highest color change followed by Vertex SC, Meta Base M and Mild Rebaron. There were no statistical differences only between Mild Rebaron and Mata Base M(p>0.05) but among the others, there were statistical differences(p<0.05). Conclusion : Within the limitation of this study, all the direct denture reline resins subjected to the extrinsic and intrinsic factors showed noticible difference in color change, and there were differences among manufacturers.

의사의 커뮤니케이션 스타일과 질, 의사-환자관계 유형에 따른 환자만족 요인 (Influence of Physician's Communication Style and Quality, and Physician-Patient Relationship on Patient Satisfaction)

  • 임지혜;이기효;백수경
    • 한국병원경영학회지
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    • 제14권3호
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    • pp.83-103
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    • 2009
  • The main objective of this study is to investigate the influence of physician's communication styles and quality, and physician-patient relationship on patient satisfaction for improving physician's communication which is one of factors determining service quality in health care services, and providing the suggestion for building the positive physician-patient relationship. Data were collected from 341 inpatients in 13 general hospitals and university hospitals located in Busan Metropolitan City and Kyeongsang-do area using structured self-administered questionnaires. Major results of the empirical analysis are as follows; First, mutual-opened-cooperative physician-patient relationship, patient's communication receptive attitude, patient-oriented physician's communication style, and quality were significantly varied by respondents' characteristics such as age, consensual, job, and income. Second, empathy, patient's communication receptive attitude, physician-patient relationship, and patient satisfaction were significantly varied by respondents' medical-related conditions. Third, there was a significant correlation between active communication receptive attitude of patient and mutual-opened-cooperative physician-patient relationship. Fourth, patient-oriented physician's communication style and physician-patient relationship were found to have positive influence on total communication quality and effectiveness and empathy facet of communication quality both. Finally, patient-oriented physician's communication style, empathy, active communication receptive attitude of patient, and mutual-opened-cooperative physician-patient relationship were found to have positive influence on patient satisfaction. This research findings suggest that putting emphasis on effective physician's communication and enhancing positive physician-patient relationship are crucial for marketing activities and customer satisfaction management in health care settings.

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병원 예약부도(No-show) 감소를 위한 예약관리 방안 (Reducing Appointment No-Shows in Hospitals)

  • 임지현;이상규;김태현;김지만
    • 한국병원경영학회지
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    • 제22권4호
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    • pp.50-60
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    • 2017
  • Purposes: The purpose of this study was to identify the preferred types of the hospital reservation cancellation management to help reduce the reservation cancellations. Methodology: This study sampled 327 outpatients or their guardians who had reserved a university hospital and a general hospital located in the southwestern part of Seoul, and the responses from 300 of them were used for the final analysis. The subjects' preferences of reservation cancellation management types were analyzed in reference to their demographic variables. The timing and frequency of pre-notification preferred by the subjects were examined. A multidimensional scaling methods and correspondence analysis was used to identify preference for management methods of no-show and type of reservation guide. Findings: As a result, 77.3% of the respondents were perceived that the reservation cancellation was a habit. The most preferred method of managing the reservation cancellation would be refusal to refund the reservation deposit (61.7%), followed by payment for cancellation (16.0%), limit of future reservations (16.0%) and penalty (6.3%) in their order. 186 of the subjects (62.0%) preferred the texting for prevention of reservation cancellations, and 102 of the subjects (34.0%) preferred the phone calls. The preferred timing and frequency of the SMS were twice 3 days before, once a day before and three times 7 days before, while the preferred timing and frequency of phone call was once a day before. Practical Implications: The 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.