• 제목/요약/키워드: Outcome Quality

검색결과 1,120건 처리시간 0.033초

Public Reporting on the Quality Ratings of Nursing Homes in the Republic of Korea

  • Lee, Hyang Yuol;Shin, Juh Hyun
    • Journal of Korean Academy of Nursing
    • /
    • 제49권2호
    • /
    • pp.161-170
    • /
    • 2019
  • Background: Quality ratings could provide vital information to help people in choosing a nursing home. Purpose: This study investigated factors aligned with quality ratings of nursing homes. Methods: We employed a cross-sectional descriptive design to assess publicly available data on 1,354 nursing homes with 30 or more beds in the Republic of Korea. After excluding 289 nursing homes with no reported quality-evaluation ratings, we analyzed the 2015 data of 1,065 nursing homes. To prevent multicollinearity among independent variables, we carefully selected the final set of variables based on clinical and theoretical meaningfulness to direct nursing care. Quality, the ordinal outcome, was scored from 1 to 5 with a higher score indicating higher quality of the organization. We constructed a multivariate ordered logistic regression model. Results: Higher quality ratings of nursing homes was significantly related to the number of unoccupied beds (OR=0.99, p=.024), registered nurses (RNs) (OR=1.30, p=.003), qualified care workers (OR=1.03, p=.011), cognitive-improvement programs (OR=1.05, p=.024), and other programs for residents' activities (OR=1.09, p<.001). Conclusion: The number of RNs had the strongest influence on the publicly reported quality rating, while the rating of qualified care workers demonstrated little effect and that of nursing assistants had no effect. The number of RNs could be used as a crucial indicator for high-quality homes; more resident-engaging programs also demonstrated better quality of nursing home care.

Structural Factors Influencing the Quality Management Activities in Nursing Homes (노인요양시설의 질 관리 활동에 영향을 주는 구조적 요인 분석)

  • Lee, Tae-Wha;Chung, Jane
    • Journal of Korean Academy of Nursing Administration
    • /
    • 제16권2호
    • /
    • pp.162-171
    • /
    • 2010
  • Purpose: Nursing home quality indicators have been focused widely on result outcomes, not for the environment in that quality of service are delivered, This study aimed to examine structural factors influencing quality management activities in nursing homes. Method: Sample was 170 nursing homes responded to the survey questionnaire which was distributed to the 543 nursing homes nation-wide, Data were collected on structural characteristics, types of services, and quality management activities, Data were analyzed with the descriptive statistics, Pearson correlations, and multiple regression. Result: Most of the nursing homes were operated as free of charge by the social welfare ownership. Average number of residents was 52.1 with severe and mild dementia and bedridden status, In terms of quality management activities, 34% of the sample had CQI committee that focused their activities on services delivery process, performance appraisal, record keeping regularly. 30.6% of quality management activities were accounted for by the number of residents with dementia, the ratio of RN to residents, rehabilitation services, and social wefare services in nursing homes. Conclusion: We recommend that more comprehensive quality management activities should be developed as process quality indicators in conjunction with the outcome indicators.

Predictors of Quality of Life among Hemodialysis Patients (혈액투석환자의 삶의 질에 대한 영향요인)

  • Kim, Eun-Young;Kim, Jin-Sun
    • Korean Journal of Adult Nursing
    • /
    • 제16권4호
    • /
    • pp.597-607
    • /
    • 2004
  • Purposes: Quality of life is an important health outcome for hemodialysis patients. The purposes of this study were to identify the level of quality of life and to identify the predictors of quality of life among hemodialysis patients. Method: A descriptive correlational study was conducted. Data were collected from 103 hemodialysis patients at the hospitals in a community using structured questionnaire and medical record. Data were analyzed using descriptive statistics, t-test, ANOVA, correlation, and stepwise multiple regression. Results: Quality of life among hemodialysis patients was relatively lower than that of previous studies. In the final analysis, quality of life was predicted by presence of comorbidity, emotional health, gender, physical health, and knowledge of disease. These variables accounted for 45% of variance of the quality of life. The presence of comorbidity was the most significant predictor of quality of life among hemodialysis patients. Conclusion: Interventions to increase quality of life among hemodialysis patients such as health promotion program and educational program for dietary compliance are needed. These must be developed and applied.

  • PDF

Educational Needs of Hospital-based Staff Nurses in Quality Improvement Activities (간호사 질 향상 교육요구도 조사 연구)

  • Hwang Jee-In
    • The Journal of Korean Academic Society of Nursing Education
    • /
    • 제5권1호
    • /
    • pp.133-141
    • /
    • 1999
  • Recently there are increasing concerns on quality improvement activities related to difficult economic situations, more competitive environment, health professional's emphasis on quality, and customer's needs in health care. The purpose of this study was to identify educational needs in the quality improvement for staff nurses. Study setting was an acute care hospital having more than 1000 bed in Seoul, Korea. The subjects were 40 staff nurses who participated in the first Quality Assurance(QA) inservice education. Data were collected by self-administered questionnaire which consisted of four parts : QA knowledge and attitude(ten items, by five Likert scale), contents of QA education(ten items, by setting the priority), evaluation of the program(structure, time allocation, place, educational method), and general characteristics of respondents (age, duration to work for hospitals etc.) The response rate was 85%(34/40), Most had positive perspective and attitude about QI/QA activities, but 9% had negative impression and knowledge about this activities. Also they'd like to know the plan of hospital-level QI/QA activities, QI/QA current practice, general hospital system, the role of QA specialist and so on. Consequently, for building the quality improvement activities that is customer-focused, coordinated, outcome-oriented, resource-efficient, collaborative in Korea, at first the education about philosophy, theory, and implementation process of QI/QA should be conducted, and then that on QI/QA terminology, quality indicators development, the analysis and presentation of quality-related data and so forth be followed.

  • PDF

An Empirical Study on the Antecedents and Outcomes of Leader-Member Exchange Quality in the Korean Army Platoons (상하간 교환관계의 질의 영향요인과 결과에 관한 실증연구 : 육군 소대장과 소대원을 대상으로)

  • 이무신;손병호;김태준
    • Journal of the military operations research society of Korea
    • /
    • 제22권2호
    • /
    • pp.49-72
    • /
    • 1996
  • This study examined the antecedents and outcomes of leader-member exchange (LMX) quality in the Korean Army platoons. Although a number of studies have devoted substantial attention to the application of the LMX theory in various organizational settings, there has been no effort to verify or to apply the model to a military situation. In this paper, we tried to build an integrative LMX model to apply to the Korean army. We developed, on the basis of literature review, an integrative framework describing the factors affecting the LMX quality, LMX quality outcomes and the moderators of LMX quality-outcomes. Then we collected data from the 404 lieutenant-soldier dyads. The analysis of the data showed that 1) interpersonal variables (perceived similarity and liking of soldier) and LMX quality were significantly related, 2) LMX quality and outcome variables(soldier's performance, job satisfaction, and morale) were significantly related, and 3) the relationship between LMX quality and soldier's performance were strongly significant when task challenge is high but nonsignificant when task challenge is low, while there were nonsignificant or weekly significant relationships between LMX quality and soldier's performance when task challenge is moderate. The results are basically coinciding with the previous research, except that, with the low challenge tasks, the LMX quality did not affect soldier's performance, which seems to be due to the directive leadership style of the lieutenants. The theoretical and practical implications and future research directions are discussed.

  • PDF

Does Earnings Quality Affect Companies' Performance? New Evidence from the Jordanian Market

  • SALEH, Isam;ABU AFIFA, Malik;ALSUFY, Fares
    • The Journal of Asian Finance, Economics and Business
    • /
    • 제7권11호
    • /
    • pp.33-43
    • /
    • 2020
  • This study aims to investigate the importance of earnings quality as a determinant of companies' performance. It provides some empirical evidences from an emerging market, specifically from the Jordanian market. This study developed an econometric model for the effect of earnings quality on the companies' performance using empirical evidence. The study employs a panel data analysis method by using a sample of all Jordanian industrial public shareholding companies listed on Amman Stock Exchange (ASE) during 2010-2018. The results reveal that Return on Assets (ROA), Return on Equity (ROE), and Earnings Per Share (EPS) as proxies of company's performance are affected by the earnings quality. This provides the importance of positive earnings quality that eventually influences the companies' performance. The results of this study suggest that the higher control level on the managers' behavior and its outcome will have an effect on earnings quality, and thus the company's performance increases. As well as, high relevance of accounting information will improve earnings quality, and thus earnings quality with the interaction factors of the company's environment work on improving performance. As a conclusion, this study can work as a reference to assist standard setters, security analysts, regulators and other accounting-information users in appraising relation between the earnings quality and companies' performance.

The Service Quality Measurement of Apparel Stores (의류 점포의 서비스 품질 척도)

  • 김가영
    • Journal of the Korean Society of Costume
    • /
    • 제48권
    • /
    • pp.169-182
    • /
    • 1999
  • This study was aimed at comparing service quality measurements of apparel stores. It Also presented an outcome to a company which service measurement worked better and more efficient. Four measures were used in this research such as SERVQUAL, SERVPERF, weighted SERVQUAL and weigthe SERVPERF. In the empirical research statistical data were collected in June of 1998. The subjects in the study were 244 women in their 20s. The SPSS was used to analyze data, Frequency percentage points Factor Analysis Cronbach's a and regression were put into use in the study. From the result of it the SERVPERF was proven to have a good reliability and validity. It also well described an overall service quality of apparel stores. The SERVPERF is found out to be one of the best measurement in this study.

  • PDF

Design and Application of Accelerated Run-in Test for ECU Quality Improvement (ECU 품질 개선을 위한 Accelerated Run-in Test 설계 및 효과고찰)

  • Cho, Hyogeun
    • Transactions of the Korean Society of Automotive Engineers
    • /
    • 제22권4호
    • /
    • pp.145-151
    • /
    • 2014
  • Modern vehicle has a lot of ECU(Electronic Control Unit) products to control many parts such as engine, transmission, brake, body and so on. ECU quality is one of important factors related to vehicle quality and driver's safety. Based on Bath-tub curve which presents failure rate during product lifetime, we designed and applied Accelerated Run-in Test into manufacturing line by simulating stress amount to ECU and developing the required software and efficient test equipment for mass production. This test makes ECU products stressed through electrical and thermal stresses under excessive driving condition, which induce potential initial failure of components in the ECU during production. The outcome until these days proved that Acceleration Run-in Test have reduced initial failure rates and increased quality of ECU products in the field outstandingly.

A Study on Relationship between Customer Satisfaction Measure and Financial Performance (KS-SQI를 이용한 고객만족도와 기업재무성과간의 관계에 연구)

  • Song, Sang-Min;Cho, Jai-Rip
    • Proceedings of the Korean Society for Quality Management Conference
    • /
    • 한국품질경영학회 2009년도 추계학술대회
    • /
    • pp.109-114
    • /
    • 2009
  • Recently, there has been growing interest in the financial and economic effectiveness of service quality and customer satisfaction. It means that the final goal of customer satisfaction is the maximization with firms' financial performance, enterprise could survive through the creation of continuous financial performance. Companies are working in various ways to identify the direct relationship of service quality and customer satisfaction with financial and economic effectiveness in order to justify and validate customer satisfaction management. In this study, the influence of customer satisfaction on the financial performance is examined. Also, we have analyzed customer satisfaction by comparing financial outcome of each industry Customer satisfaction index, the key non-financial performance measure has significant association with firms' financial performance index. Moreover, high customer satisfaction has a competitive advantage, so it can be the key success factor of firm's financial performance improvement.

  • PDF

Relationship between Percutaneous Transluminal Coronary Anigioplasty Volume and Associated Immediate Outcome (경피적 관동맥 확장술의 시술량과 조기 시술결과의 관련성)

  • Kim, Yong-Ik;Kim, Chang-Yup;Lee, Young-Sung;Kim, Sun-Mean;Lee, Jin-Seok;Oh, Byung-Hee;Khang, Young-Ho
    • Journal of Preventive Medicine and Public Health
    • /
    • 제34권1호
    • /
    • pp.9-20
    • /
    • 2001
  • Objectives : To explore the relationship between Percutaneous Transluminal Coronary Angioplasty(PTCA) volume and the associated immediate outcome. Methods : A total of 1,379 PTCAs were peformed in 25 hospitals in Korea between October 8 and December 31 in 1997. Data from 1,317 PTCAs (95.5%) were collected through medical record abstraction. Inter-observer reliability of the data was examined using the Kappa statistic on a subsample of 110 PTCA procedures from five hospitals. Intra-observer reliability of the data was also examined. PTCA success and immediate adverse outcomes were selected as the outcome variables. A successful PTCA was defined as a case that shows less than 50% diameter stenosis and more than 20% reduction of diameter stenosis. Immediate adverse outcomes included deaths during the same hospitalization, emergency coronary artery bypass graft (CABG) within 24 hours after PTCA, and acute myocardial infarction within 24 hours after PTCA. The numbers of PTCAs performed in 1997 per hospital were used as the volume variables. Results : Without adjusting for patient risk factors that may affect outcomes, procedures at high volume hospitals ($\geq200$ cases per year) had a greater success rate (P=0.001) than low volume hospitals. There was a marginally significant difference (P=0.070) in major adverse outcome rates between high and low volume hospitals. After adjusting for risk factors, there were significant differences in procedural failure and major adverse outcome rates between high and low volume hospitals. Conclusions : After adjusting for patient clinical risk factors, the hospital volume of PTCA was associated with immediate outcomes. It is recommended that a PTCA volume per year be established in order to improve the immediate outcome of this procedure in Korea.

  • PDF