• 임상간호연구
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• 제16권1호
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• pp.177-196
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• 2010

Purpose: This study was conducted to develop the nursing process based performance measurement tool and the evidence based care standards for nursing care in medication management and blood transfusion. Methods: The care standards and performance measurement tool were drafted through comprehensive review of relevant literature, national guidelines, hospital protocols, and standards of recognized international accrediting bodies. The proposed care standards and performance measurement tool were reviewed by the panel of experts and refined based on the panel's suggestions. Final care standards and performance measurement tool were validated by surveying the hospital nurses. Results: All items of the performance measurement tool for medication management and blood transfusion were evaluated appropriate. All contents of care standards and the measurable elements except the evaluation of discharge education were appropriate. The performance measurement tool developed in this study was found to be acceptable as a tool to evaluate quality of nursing care in medication management and blood transfusion. Conclusion: The outcomes of this study including the performance measurement tool and evidence based care standards would be the important indicators to monitor whether necessary nursing care is implemented and be the useful primary resources to improve quality of nursing care services.

• 품질경영학회지
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• 제42권1호
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• pp.71-79
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• 2014

Purpose: The purpose of this study is to develop the methods for evaluating patients' queue environment using decision tree and queueing theory. Methods: This study uses CHAID decision tree and M/G/1 queueing theory to estimate pain point and patients waiting time for medical service. This study translates hospital physical data process to logical process to adapt queueing theory. Results: This study indicates that three nodes of the system has predictable problem with patients waiting time and can be improved by relocating patients to other nodes. Conclusion: This study finds out three seek points of the hospital through decision tree analysis and substitution nodes through the queueing theory. Revealing the hospital patients' queue environment, this study has several limitations such as lack of various case and factors.

• 벤처혁신연구
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• 제6권4호
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• pp.133-151
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• 2023

본 연구의 목적은 요양병원의 입원결정 및 유지에 관한 영향력이 가장 큰 주보호자들이 지각하는 요양병원의 의료서비스 품질이 고객충성도에 미치는 영향을 실증적으로 분석하는 것이다. 또한 요양병원의 의료서비스품질이 고객신뢰와 고객만족에 어떠한 영향을 미치는지를 검증하고, 고객신뢰와 고객만족이 고객충성도에 미치는 영향을 검증하여 요양병원의 생존에 필요한 이론적, 실무적 시사점을 제공하는 것을 목적으로 하고 있다. 본 연구의 결과는 다음과 같다. 첫째, 요양병원 의료서비스품질의 구성요소인 유형성, 신뢰성, 반응성, 공감성의 4가지 요인이 고객신뢰에 유의한 영향을 미치고 있는 것으로 나타났다. 둘째, 요양병원 의료서비스품질의 구성요소인 유형성, 신뢰성, 확신성, 반응성, 공감성의 5가지 요인이 고객만족에 유의한 영향을 미치고 있는 것으로 나타났다. 셋째, 요양병원 의료서비스품질의 구성요소인 유형성, 신뢰성, 확신성, 반응성, 공감성의 5가지 요인 중에서 신뢰성 요인이 고객충성도에 유의한 영향을 미치고 있는 것으로 나타났다. 이는 의료서비스품질은 고객신뢰와 고객만족의 매개변수를 통하여 고객충성도에 영향을 미치고 있음을 의미한다. 넷째, 요양병원 주보호자가 지각하는 고객신뢰는 고객충성도에 유의한 영향을 미치고 있는 것으로 나타났다. 다섯째, 요양병원 주보호자가 지각하는 고객만족은 고객충성도에 유의한 영향을 미치고 있는 것으로 나타났다.

• 가정과삶의질연구
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• 제15권1호
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• pp.129-146
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• 1997

The purpose of this paper was to discover the importance and degree of satisfaction toward medical service perceived by clients and analize some characteristics and any siginificant difference by deomographic and social variables. In addition the subjects were divided into groups(i. e. satisfied and dissatisfied groups) and tested significant difference between two groups, The results can be summerized as follows: 1,. While the importance of over attributes of medical services percevied by customs was higher the degree of satisfaction was relatively low. 2. According to our analysis the degree of satisfaction toward hospital facilities and staff appeared to have relatively have relatively heavy weights compared to total satisfaction scores. 3. As far customers' quality evaluation about medical service is concerned the importance and degree of satisfaction could not be discriminated by demographic variables except education and income level. 4. The discrepancy of satisfaction s ore between satisfied and dissatisfied group was the highest in hospital facilities compared to other three sectors.

• 가정간호학회지
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• 제10권1호
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• pp.73-84
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• 2003

This study was done to examine the home care service provided by home care nurses and the level of client satisfaction. Data were collected from 110 clients who received the home care service at the P-hospital in Pusan from 23th April, 2001 to 30th November, 2002. The tool for measurement of satisfaction was composed of 16 items and was 4 score scale. Data was analyzed by using SPSS/WIN 10.5 program, the results of this study are summarized as follows; 1) 77.3% among 110 clients were over sixty years old. By the disease pattern. subjects were distributed into cancer(52.7%), cerebro-vascular disease(22.7%) and the others. 36.4% of clients were received home visits from 10 to 20 times by home care nurse. 2) The total number of home care services was 20,828. And most of the clients received the health education and training. 3) The mean score of satisfaction on provided home care services was $3.36\pm0.45$, out of 4. among 16 items. 'The home care nurses were kind enough' was highest ($3.59\pm0.49$), the total level of satisfaction of home care services was very high. with total mean score $53.84\pm7.16$. As mentioned above. the satisfaction level of home care services was very high. so we can except that the prospect of home care services is very challengeable. Therefore. we should try to expand the service recipients with promotional education to the home care clients under the cooperation with medical staff and make more efforts to develop the management system about clients' information. to improve the quality of the service, to assure close ties with the public health centers for the continuous home care service linking.

• 한국병원경영학회지
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• 제23권1호
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• pp.28-40
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• 2018

Purpose: The purpose is to understand the perception of medical providers at tertiary hospitals in Seoul on the importance-performance of the reform on a doctor-designation system, and to provide the policy suggestion of the perception on such a system. Methodology: To achieve the purpose, this study utilized structured survey tools to conduct a questionnaire survey of nursing, administrative and medical technology professionals at six tertiary hospitals in Seoul. An importance-performance analysis was utilized for an analysis that showed the perception of the reform on a doctor-designation system. Findings: First, it was identified that those medical providers had the highest perception of the importance about the performance of the reform on a doctor-designation system. Second, according to the result of action grid of an importance-performance analysis (IPA), it can be identified that in the 2nd stage of 'Concentrate here' included are the items as to design and effect of medical care quality and subsidies & patient infection and safety and control fees, effect of income security of the method for compensating for loss established by the government and offering sufficient information on general medical services and doctor-designation medical services. In the 1st stage of 'Keep up the Good Work', and the 2nd stage of 'Concentrate here' included is the item as to the performance of patients of the reform on a doctor designation system. Practical Implications: There could be identified the effect of the reform bill on the perception of medical providers. It is expected that a better environment would be provided for patients to use a hospital and for medical providers to offer medical services, if the goverment makes efforts to improve methods for compensating for loss and continuous monitoring of the performance of patients.

• 간호행정학회지
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• 제13권1호
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• pp.40-52
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• 2007

Purpose: The purpose of this paper was to investigate opinions and experiences of hospital CEOs' and QI managers toward the National Hospital Evaluation Program which was implemented in 2004 and to recommend various strategies to improve the program. Methods: We conducted a mail survey with CEOs and QI　managers' of 78 hospitals with 500 beds or more that participated the 2004 National Hospital Evaluation Program. Results: About 70.8% of the participating CEOs and 64.0% of the QI　managers felt that the objectives of the evaluation program weren't fully achieved. Most respondents said that the current program required a partial or an overall change. Evaluation Criteria was the most often cited area for a change. Many respondents pointed out the importance of including clinical quality indicators in the evaluation tool. Conclusions: To upgrade hospital services with better quality, it is most important to first reach consensus on objectives and approaches of the evaluation program among various players. For a consistent planning and implementation, it is urgent to set up a more systematic organization and financing mechanism. Also, evaluation approaches, including evaluation criteria, methods, patient satisfaction assessment, as well as ways to summarize and publicize each hospital's performance should be improved.

• 한국병원경영학회지
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• 제6권2호
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• pp.173-201
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• 2001

This study purports to examine the current management and information technology related strategy of Korean hospitals and suggest the effective management strategy in the 21st century when is digital era. Specifically the study tries to analyze the changing trends of strategic orientation and investigate the general management and information technology strategy of Korean hospitals. Self-administered Questionnaires were distributed to 721 hospitals nationwide and finally 98 Questionnaires were analyzed for the study. The results of the study are as follows : 1) Half of the respondent hospitals reported that they have an analyzer orientation in 2000, whereas 19.4% were prospectors, reactors 16.4%, and defenders 14.3%. However, the respondent hospitals intended to have a prospector orientation in the future (2002), while 29.6% planned on being analyzers, 17.3% reactors, and 3.1% defenders. 2) Hospital services for improving patient satisfaction were the most common. strategy for the respondent hospitals, followed by cost containment, organizational restructuring, employee education, purchasing system change, specialization of clinical services, quality improvement of medical care, strengthening the networking with the stakeholders, public relations and marketing strategy, diversification, and installing the information system. However, the strategies of annual salary system, retrenchment of unprofitable services, merit payment based on performance were still not popular for the respondent hospitals. 3) As for the strategies related with information technology, most hospitals have not implemented actively, except for the establishment of home-pages, order communication systems, and insurance claims through electronic data interchange system. 4) There were significant differences in the level of strategy implementation in terms of the ownership, bed size, financial performance, and the top managers I knowledge of information technology. The larger bed size, the higher financial performance, the better knowledge of information technology the top managers have, the more strategies the respondent hospitals implemented. The managerial and political implications for Korean hospitals in digital era were also discussed.

• 한국응급구조학회지
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• 제17권1호
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• pp.41-50
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• 2013

Purpose : This study intended to improve the quality of prehospital emergency care for patients with dyspnea by figuring out the current situations and problems based on run-sheets of 119 emergency medical technicians (EMTs). Methods : A total of 336 dyspnea patients were transferred to G university hospital by 119 ambulances from January 1, 2011 to December 31, 2011. Results : The data were analyzed by SPSS 19.0. Patients over 60 years old accounted for 57.2% and 48.4% had the history of heart disease. Among the heart disease patients, 31.7% complained of dyspnea and chest pain. The vital sign measurement performance by 119 EMTs increased compared to previous study. The number of prehospital treatment by 119 EMTs significantly increased depending on the mental state of the patients. Conclusion : 119 EMTs should remind the heart disease and other past history of the patients when they perform the dyspnea patient care.

• 한국병원경영학회지
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• 제27권3호
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• pp.39-49
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• 2022

Purposes: This study purposed to analyze the relationship between patient safety and patient-centerendess. Methodology: The comprehensive scores from patient safety assessment program and patient experience survey conducted by Health Insurance Review & Assessment Service were used as independent variables and dependent variables. This study analyzed the relationship between 4 patient safety-related areas(i.e. risk standardized readmission ratio, intensive care unit, preventive antibiotic, the drug evaluation) and 6 patient experience areas(i.e. nurse services, doctor services, medication & treatment, hospital environment, patient's right, overall experience) by using robust regression analysis. Findings: According to results, the score in 'patient's right' and 'risk standardized readmission ratio' areas were found to have a significant relationship, and 'overall experience' and the 'preventive antibiotic' areas. The ratio of senior beds and specialists was a general characteristics of hospitals that had a significant relationship on patient experience assessment. Practical Implication: The relationships between patient safety and patient experience assessment were varied depending on areas. Further study is needed to make clear the supposed relationship.