• Quality Improvement in Health Care
• /
• v.27 no.2
• /
• pp.73-82
• /
• 2021

Purpose: This study aims to examine the quality of tuberculosis (TB) care after the 1st to 3rd national quality assessment (QA) program for TB healthcare service in Korea was conducted. Methods: We analyzed Health Insurance Review & Assessment Service (HIRA) claims data of new TB patients during the period of January to June from 2018-2020. The new TB patients were defined as TB patients reported to Korea Centers for Disease Control and Prevention Agency (KCDA). The unit of analysis was the patient. Chi-square tests were used to analyze the differences in indicator value according to the types of medical facilities. The QA indicators of TB care were divided into 3 areas consisting of the following 7 quality indicators: 4 indicators of diagnosis test (the rate of acid-fast bacilli smear, the rate of acid-fast bacilli culture, the rate of Mycobacterium tuberculosis-polymerase chain reaction, drug susceptibility test), 1 compliance of treatment guideline, and 2 indicators of care management of TB patients (encounter rate, day of therapy). Results: The QA program for TB care was conducted among 8,246 patients from 534 facilities in 2020. The value of the 7 quality indicators was shown to increase as a result of the QA program. The indicators of the diagnostic test were all higher than 95%, with the exception of the drug susceptibility test which was 84.8%. Both indicators for care management of TB patients were 88.5%. Conclusion: The quality of TB care has been improving with the implementation of the QA program. In order to continue to improve the quality of TB care, it will be necessary to disclose the results of the QA program in medical facilities in the future.

• Journal of Korean Society for Quality Management
• /
• v.42 no.3
• /
• pp.269-278
• /
• 2014

Purpose: The purpose of this study was to analyze the results of the productivity innovation partnership program and propose the method for improvement. We investigated 90 companies which are sub-contractors of Samsung Electronics, LG electronics, POSCO and so on. Methods: We developed and carried out a survey and analyzed the results of the program. The interviews are also performed. Results: This study shows that the partnership program is a effective method for improving quality and productivity of sub-contractors and it is necessary to extend coverage of this program. Conclusion: We suggested some improvement points of the partnership program and they are to be applied in the next year. The results show that the suggestion is helpful and valuable.

• Korean Journal of Human Ecology
• /
• v.14 no.2
• /
• pp.241-250
• /
• 2005

The purpose of this study is to develop a marital enhancement program based on reality therapy. The program consists of 8 session contents: program orientation, need strength profile between husband and wife, quality world and marital life, perception about marital life, comparison between quality world and perceived world, total behavior in marital life, communication between husband and wife, integration and application. This study mainly focuses on applying counseling theory (choice theory and reality therapy) to family life education for enhancing a conjugal relationship. In this way, participants of Marital Enhancement Program can experience a therapeutic effect as well as an educational effect.

• Quality Improvement in Health Care
• /
• v.2 no.2
• /
• pp.72-111
• /
• 1996

Background: Group occupational health program by non-for-profit agency, started five years ago, for management of health problems in small and medium sized industries, is one of the measures to cope with limited human and financial resources in occupational health. The program has been rapidly expanding to include 54 participating institutions, private as well as public, all over the country. In spite of its potential impact on health of employees and practice of occupational health in small and medium sized industries, comprehensive evaluation in terms of quality has not been tried. Objectives : The aim of this study are to develop and apply criteria to assess quality of newly developed Korean group occupational health program. Methods : By defining occupational health services, in particular for small and medium sized industries, as one of the primary health care, we included followings as core elements of sound occupational health program; accessibility, continuity, intersectoral collaboration, comprehensiveness, community participation, technical quality, adequacy, focus on preventive services, acceptability, and workers' satisfaction. Again we divided each elements into five major components of national health system infrastructures developed by World Health Organization; development of health resources organized arrangement or resources, delivery of health care, economic support, and management. In turn, we categorized each component into input, process and outcome aspects. After discussions in expert panel, several criteria were selected for evaluation of program. The criteria were modified according to each group of interviewees. Results: We developed five sets of questionnaire that evaluate the quality of 'Group occupational health program'. Conclusion : The refining of the measurement tool and the continuing evaluation process for the 'Group occupational health institute' should be done further.

• Journal of Home Health Care Nursing
• /
• v.30 no.3
• /
• pp.252-263
• /
• 2023

Purpose: To assess the feasibility, safety, and preliminary estimates of effectiveness of Tai Chi on the functional outcomes of older adults in the community. Methods: This was a mixed-method study that employed a single-group repeated measure design and in-depth interviews. Nine older adults were recruited from the community were recruited to participate in a Tai Chi program, conducted twice weekly for 6 months. Research outcomes included physical function, cognitive function, and quality of life, measured at intervals of 3 and 6 months. Findings: Tai Chi exercises were gradually conducted based on the health status of the older adults. All participants actively participated in the program with an average attendance of 90%. Consequently, the participants showed significant improvements in mobility and their memory recall ability at both 3 and 6 months. Additionally, the results of the Stroop test exhibited improvement 3 months after the commencement of the study program. Quality of life of the participants improved according to the mild cognitive impairment questionnaire, but it did not show significant improvement in health-related quality of life. Conclusion: The Tai Chi exercise program was a safe and, feasible program to improve the physical function, cognitive function, quality of life among the older adults in the community.

• Journal of Korean Academy of Nursing
• /
• v.34 no.7
• /
• pp.1194-1204
• /
• 2004

Purpose: The purpose of this research was to identify the effect of an elderly health promotion program on health promotion lifestyles, health status, and quality of life in the elderly. Method: The research design was a nonequivalent control group pre post experimental design. Thirty two elderly persons were in the experimental group and the other thirty two elderly were in the control group. A 16 week health promotion program was given to the experimental group. The measurement tools were HPLP II, grip strength, back lift strength, flexibility, body fat percentile, blood sugar, serum cholesterol, and quality of life. Result: The experimental group showed a higer score of health promoting lifestyles, flexibility, grip strength, back lift strength, and quality of life. There were no differences in body fat percentiles, blood sugar and serum cholesterol between the experimental and control group. Conclusion: This health promotion program for elderly can be recommended as an effective nursing intervention for elderly in a community.

• Journal of East-West Nursing Research
• /
• v.22 no.2
• /
• pp.87-95
• /
• 2016

Purpose: The purposes of this study were to develop a community-based Mind Subtraction meditation program for cancer survivors and examine the effectiveness of the developed program on quality of life, life satisfaction, and expectancy of satisfactory life in cancer survivors. Methods: This study used a one group, pretest-posttest design. A 5-week community-based meditation program for cancer survivors was offered twice a week with each session up to 2 hours. 10 cancer survivors who had completed cancer treatments participated in this study. Data were collected using self-reported questionnaires and personal journals about the meditation experience from September 10 to December 11, 2015 at a health center branch in Seoul, South Korea. Results: There were statistically significant differences in physical domain of quality of life (QOL) expectancy of satisfactory life. Conclusion: This study shows that the community-based Mind Subtraction meditation program for cancer survivors can be considered as an effective nursing intervention to improve quality of life and expectancy of satisfactory life among cancer survivors in a community setting.

• Journal of muscle and joint health
• /
• v.17 no.1
• /
• pp.5-13
• /
• 2010

Purpose: The purpose of this study was to compare the effects of stretching exercise and aquatic exercise program on flexibility, pain and quality of life (QoL) in patients with osteoarthritis. Methods: Fifty elderly women were assigned either to the stretching exercise (SEG, n=25) or to the aquatic exercise groups (AEG, n=25) after 6-week self-help education program. SEG carried out supervised stretching exercise and water exercise training program was conducted by AEG (60 min/day, 2 days/wk) for 8 weeks. Flexibility, pain, and quality of life were measured by Senior Fitness Test Manual (Rikli & Jones, 2gr5), pain rating scale (0-10) and the questionnaire by World Health Organization Quality of Life BREF (Min et al., 2gr0), respectively. Results: Both SEG (all, p&H;.05) and AEG (all, p&H;.05) increased left upper and lower-body flexibility, measured by a measuring tape. Pain significantly decreased both in SEG (p=.000) and AEG (p=.004). Quality of life was significantly improved only for the SEG. Conclusion: The 8-week stretching exercise program would significantly improve flexibility, pain control and QoL in patients with osteoarthritis.

• Journal of Korean Society for Quality Management
• /
• v.43 no.3
• /
• pp.221-238
• /
• 2015

Purpose: In this study, A reliability assurance model (or reliability program) is proposed to evaluate the reliability of an armed vehicle. The reliability assurance is performed through the reliability-centered activities during its life cycle of development/design, production, deployment, maintenance, and disposal. Methods: By reflecting the current situations of korea defense industry, a reliability assurance model is built up based on the benchmarking results of world leading companies' best practices in same fields. Results: The proposed reliability program of armed vehicles, which is based on the reliability program of ANSI/GEIA-STD 0009, uses DMAIC process of the six sigma methodology from design phase to testing and evaluation phase. Conclusion: This research is supposed to develop reliability program of armed vehicles by integrating DFSS, DFR and reliability growth process.

• Journal of Korean Academy of Rural Health Nursing
• /
• v.5 no.2
• /
• pp.92-101
• /
• 2010

Purpose: This study was conducted to develop a self-efficacy promotion program and to identify the effects of the program on degree of urinary incontinence, self-efficacy and quality of life in women with urinary incontinence. Method: The study used a pre-experimental design. Twenty participants were recruited from a nursing home located in Gwangju City and included residents, employees, and volunteer workers with urinary incontinence. Participants were surveyed from September 21 to November 2, 2005. The program treatment was provided to participants once a week for 6 weeks. Results: Frequency, amount, and situation scores for urinary incontinence, maximum and mean vaginal constriction pressure, vaginal constriction time, and nocturnal frequency were significantly improved after participating in the program (p<0.05). However, there was no significant pre- and posttest difference in frequency of daily urination (p=0.097). The degree of self-efficacy and quality of life for participants in the self-efficacy promotion program at posttest were significantly higher compared to the pretest scores (p<0.05). Conclusions: The results of the study indicate that a self-efficacy promotion program can be implemented for women with urinary incontinence in community health centers or nursing homes in order to reduce their incontinence symptoms, and increase self-efficacy and quality of life.