• 제목/요약/키워드: Quality improvement activities

검색결과 603건 처리시간 0.029초

Implementation of a care coordination system for chronic diseases

  • Lee, Jung Jeung;Bae, Sang Geun
    • Journal of Yeungnam Medical Science
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    • 제36권1호
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    • pp.1-7
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    • 2019
  • The number of people with chronic diseases has been increasing steadily but the indicators for the management of chronic diseases have not improved significantly. To improve the existing chronic disease management system, a new policy will be introduced, which includes the establishment of care plans for hypertension and diabetes patients by primary care physicians and the provision of care coordination services based on these plans. Care coordination refers to a series of activities to assist patients and their families and it has been known to be effective in reducing medical costs and avoiding the unnecessary use of the hospital system by individuals. To offer well-coordinated and high-quality care services, it is necessary to develop a service quality assurance plan, track and manage patients, provide patient support, agree on patient referral and transition, and develop an effective information system. Local governance should be established for chronic disease management, and long-term plans and continuous quality improvement are necessary.

환자경험 평가와 의료 현장의 변화: 의료기관 환자경험 업무 담당자의 관점 (Implementation of Patient Experience Assessment and Subsequent Changes at the Ground Level in Health Care: Patient Experience Employees' Perspective)

  • 송영채;윤은실;한세영;태지연;유수경;도영경
    • 한국의료질향상학회지
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    • 제28권1호
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    • pp.14-33
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    • 2022
  • Purpose: To examine whether the Patient Experience Assessment (PEA) has led to perceptible changes at the ground level of health care, as a way of evaluating PEA as a policy intervention for quality improvement. Methods: Four focus group discussions (FGDs) were conducted, each comprising six to eight participants who were employees responsible for patient experience at their respective hospitals. The primary focus of the FGDs was on questions such as: 1) How do hospitals respond to PEA? 2) What significant changes were observed after the implementation of PEA? 3) What were the unintended consequences of implementing PEA, if any? 4) What areas of improvement have been identified for maximizing the potential of PEA? Results: Two broad themes emerged out of the FGDs: changes observed post implementation of PEA, and areas for improvement of PEA. Four significant changes were reported by participants: changes in perception and attitude regarding patient experience in hospital employees, increased active involvement by the hospital leadership, enhanced efforts to improve patient experience, and increased cooperation between such activities. Furthermore, eight areas of improvement were identified, which have been grouped in three categories: improving the process of data collection for PEA, introducing additional catalysts to facilitate further changes, and paying attention to structure- and patient-level constraints that must be addressed in parallel. Conclusion: The implementation of PEA led to perceptible changes within hospitals, which implies that it can serve as an effective catalyst for improving patient experience. A number of areas of improvement that would aid in maximizing the potential of PEA were also identified.

지역경관 개선을 위한 주민참여 활성화 방안 연구- 일본의 법제도 및 사례 고찰을 중심으로 - (The Activation of Residents Participation for the Local Landscape Improvement - With Special Emphasis on the Landscape Legal System and Case Study in Japan -)

  • 임정민;윤준도
    • KIEAE Journal
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    • 제11권5호
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    • pp.43-53
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    • 2011
  • The Landscape Act was enacted in 2007 introducing a new procedure of the Local Landscape Agreement and the Local Landscape Improvement Projects. The act has granted local governments a legal basis to support residents participation activities in order to create, improve, and maintain the townscape quality of their neighborhood environments. The degree of utilization of this particular process, however, is far below the expectation. Partly, it is due to the lack of field experience and concrete guidelines for preparation and implementation in actual landscape planning process. This study aims to seek for detailed solution to lead the residents participation for local landscape improvement in Korea through consideration for institutional strategies and cases about the local landscape planning and management in Japan. Local landscape improvement projects in Japan are progressing successfully in concurrence with a variety of local participants such as residents participation, administrative supporting and supporting of local company. And it will be possible to support systematically with systematization of participants, such as NPO and a council.

영아반 보육계획안 분석에 따른 프로그램 유형 (The Types of Infant Care Curricula Based on Analysis of Infants Care Plans)

  • 최목화;이미영;나종혜
    • 한국생활과학회지
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    • 제20권5호
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    • pp.897-915
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    • 2011
  • The purpose of this study was to investigate the actual conditions and characteristics of weekly and daily child care programs for infants, to provide a basis for the improvement of infant care quality. Weekly and daily curricula of 18 classes for one and two-year-olds classes (9 for each ages) from childcare centers in D city were collected from Nov. 2009 to February 2010. The results are as following: first, classes for one-year-olds plan 6-25 activities and classes for two-year-olds plan 12-30 activities weekly, with differences in the number of weekly activities according to the childcare centers. The number of weekly activities should be planned considering infants' interest as well as educational continuity of the activities. Second, the investigation of daily activities showed that the routine activities planned for one-year-olds were for total of 310-600 minutes and for two-year-olds 310-540 minutes. Among these, on average of 66% of the time was planned for everyday life such as eating and napping. The rest of time was dedicated to indoor and outdoor free play. However a few centers allocated more time for group activities according to subjects compared to free play. A curriculum composed of group activities ignoring infants' individual developmental differences should not be encouraged. Last, the results of cluster analyses on weekly and daily curricula in terms of the number of activities and time, duration, number of group activities and time showed that curricula for infants could be characterized into two types: "free play" and "group activity" curricula.

임베디드 소프트웨어의 소스 코드 품질 향상을 위한 Practice Patterns의 적용 (Applying Practice Patterns to Improve Source Code Quality of Embedded Software)

  • 홍장의
    • 정보처리학회논문지A
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    • 제12A권7호
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    • pp.589-596
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    • 2005
  • 임베디드 소프트웨어는 하드웨어 플랫폼에 탑재하기 전, 소스 코드에 대한 품질을 검증하는 작업이 매우 중요하다. 임베디드 소프트웨어의 코드 품질을 향상시키기 위해서는 분석 및 설계 단계의 모델에 대한 품질과 생성된 코드에 대한 품질이 관리되어야 한다. 본 연구에서는 임베디드 소프트웨어의 소스 코드 품질을 향상시키기 위한 방법으로 Practice Pattern을 제안한다. 이는 모델링 과정이나 코딩 과정에서 개발자를 가이드 하는 절차 패턴으로써, 모델의 품질과 소스 코드 품질을 향상시키는 방법으로 사용될 수 있다. 제시하는 패턴의 적용은 기능의 정확성뿐만 아니라 성능, 모듈화, 재사용성 및 이식성 등과 같은 품질 요소들을 향상시킬 수 있을 것으로 보인다.

프로세스 기반의 전자카탈로그 데이터 품질관리 (Process-based e-Catalog Data Quality Management)

  • 김선호;이창수;이제현
    • 한국전자거래학회지
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    • 제14권3호
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    • pp.39-57
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    • 2009
  • 전자거래가 보편화 되고 전자카탈로그 데이터의 양이 증가하면서 데이터 품질을 관리할 수 있는 체계적인 접근 방법이 필요해지고 있다. 이러한 필요성에 따라 여기서는 프로세스 기반의 전자카탈로그 데이터 품질관리 프레임워크를 제시한다. 이것은 기업이나 조직 의 전자카탈로그 시스템의 기대를 만족시키기 위해 지속적으로 수행하는 데이터 관리 및 개선 활동에 대한 방법이다. 이 프레임워크에서는 품질관리를 위한 대상이 데이터, 데이터 품질관리 항목, 데이터 품질관리 프로세스의 세 가지로 구분된다. 세 가지 관리 대상은 다시 관리조직의 레벨인 총괄데이터 책임자, 데이터 관리자, 사용자에 따라 세분화 되어 제시된다.

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제조업과 서비스업 품질관리 종사원들의 조직문화 개선에 관한 연구 : 직무만족의 매개변수를 중심으로 (A Study on Improvement of Organizational Culture of the Members of Manufacturing and Service industry Quality Control : Focused on Mediation Effect of Job Satisfaction)

  • 이철우;신용호;상맹;류영신
    • 품질경영학회지
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    • 제48권1호
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    • pp.29-50
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    • 2020
  • Purpose: Targeting the members of manufacturing and Service industry Quality Control team this study is going is to carry out research about whether the outcome of OCB(Organizational Citizenship Behaviors) and organization can be brought about by organizational culture that is suitable for them. this study tries to identify the direct・indirect causal relationship between these variables and OCB by selecting organizational culture as a leading variable and job satisfaction as a parameter. Methods: SPSS 22.0 was used for data analysis and AMOS 18.0 statistical program for structural equation model analysis. For the descriptive statistics this study verified reliability analysis, feasibility analysis, structural equation model analysis, research hypothesis, and mediating effects. Results: As a result of path analysis estimating the regression coefficients for the linear structure analysis of the correlations between variables for the hypothesis verification, the rational culture among the organizational culture types of the manufacturing Quality Control team showed a positive (+) effect on the job satisfaction, and hierarchical culture has negative(-) effect on job satisfaction. Conclusion: This study suggested that the composition and friendly behavior of desirable organizational culture has a very close relationship in connection between job satisfaction and OCB by examining the causal relationship between OCB for improvement activities for organizational culture by establishing the organizational culture and job satisfaction of the manufacturing Quality Control team.

질 관리 실무자가 인지하는 업무중요도와 수행업무에 관한 연구 (A Study on the Importance of Works Perceived by Quality Improvement Coordinators and Their Current Work Performances)

  • 김영주
    • 한국의료질향상학회지
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    • 제5권2호
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    • pp.224-237
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    • 1998
  • Background : This is an investigative study to analyse the importance of works perceived by Quality Improvement(QI) Coordinators and to evaluate their current work performances using the questionnaires developed by the investigator. Methods : The data were collected from 37 subjects over two weeks period from Oct. 1 to Oct. 17, 1998 and analysed by the descriptive statistics of SPSS program. The items of questionnaire are consisted of 13 work domains including 73 activities based on Quality Management(QM) Coordinator's job description of National Association for Healthcare Quality:data collection & analysis, communication, monitoring, evaluation, accreditation, tool development, policy development, program development, self development, education & trainning, system design, planning, and consultation & support. Results : 1) Of the performances in 13 work domains, the frequencies of the work performed were accreditation(89%), planning(88%), communication(83%), data collection & analysis(82%), monitoring(76%), policy development(72%), consultation & support (71%), education & trainning(70%), self development(68%), evaluation(63%), tool development(61%), program development(44%) and system design(43%) in order. 2) For the importances (1=not important, 5=very important), the policy development(4.46) scored highest then monitoring(4.42), planning(4.41), education & trainning(4.38), communication(4.35), evaluation(4.34) tool development (4.30), data collection & analysis(4.29), program development(4.22), consultation & support(4.22), accreditation(4.15), self development(4.05) and system design(3.98) in order. 3) There was a difference between the work performance and the perceived importance. The results showed the low performances in policy development, monitoring, education & trainning and evaluation which ranked high by the perceived importance and the high performances in accreditation, data collection & analysis, self development, communication and consultation & support which ranked middle to low by the perceived importance. 4) The reasons for low performances of QI Coordinators were the lack of clear assignment for the responsibility and allowed authority for work to QI Coordinators(30.8%), insufficient member of QI Coordinators(13.9%), lack of hospital director's interest(11.5%), low motivation of QI Coordinators (10.6%) and insufficient knowledge & experience of QI Coordinators (8.8%). Conclusion : Most works were perceived important by QI Coordinators, but there was a difference in the work performance. The works performed over 70% were related with accreditation, data collection & analysis, communication, planning and monitoring, on the other hand under 50% in performances were related with system design, program development, tool development and evaluation.

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노인돌봄서비스 제공기관의 돌봄제공자 정서지원서비스 현황 및 영향요인 (Current Status and Associated Factors of Emotional Support Services among Care Providers in Elderly Care Service Agencies)

  • 김유미;유선주;전경숙;김묘경
    • 보건의료산업학회지
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    • 제12권3호
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    • pp.79-93
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    • 2018
  • Objectives: This study aimed to identify the current status and factors associated with emotional support services among care providers in elderly care service organizations. Methods: A total of 87 elderly care service agencies nationwide were recruited for the survey. Agencies' characteristics and emotional capacity monitoring activities; and program-building operations among care providers were measured. The collected data were analyzed using an ANOVA and multiple regression analysis. Results: Emotional capacity monitoring activities and program building were generally low. Factors associated with emotional capacity monitoring activities were region, welfare regulations, and vacation and annual leave provisions, while those associated with emotional capacity building programs were identified as vacation and annual leave provisions. Conclusions: The agencies' vacation and welfare system seems to affect emotional support service activities among care providers. It is necessary to prevent emotional exhaustion of care providers and promote quality improvement of care through social and systematic emotional support services.

정신훈련이 편마비환자의 상지기능 향상에 미치는 영향 (Effect of the Mental Practice on the Upper Limb Motor Function Improvement of Hemiplegic Patients)

  • 박민철;안소윤;이현옥;구봉오
    • 대한물리치료과학회지
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    • 제13권2호
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    • pp.85-98
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    • 2006
  • This study was performed to examine the influences of the mental practice to the hemiplegic upper limb motor function improvement. 20 minute neurologic treatment based on the neurophysiological theory, 10 minute activities of daily living training, and 10 minute mental practice 5 times a week were given in turn to the experimental group(N=11). On the other hand 20 minute neurologic treatment, and 10 minute activities of daily living training 5 times a week were given in turn to the control group(N=11). Both Fugl-Meyer Assessment Scale and Manual Function Test were used to evaluate upper limb motor recovery, upper limb motor function and movement ability. And the Motor Activity Log; Amount of Use and Motor Activity Log; Quality of Movement before training, 2 weeks after training, and 4 weeks after training were measured to assess the upper limb motor quantitatively and qualitatively each. The results are as follows. 1) Considering the interactions of the rate of change on the upper limb motor recovery, motor function, movement ability improvement, and qualitative motor improvement in ADL of experimental group and control group, the change rates of experimental group were found to be greater than those of the control group. 2) In experimental group, the higher the achievements were, the better upper motor recovery was.

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