• 한국응급구조학회지
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• 제24권2호
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• pp.67-77
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• 2020

Purpose: The study aims to improve the quality of emergency medical services by surveying the user's satisfaction of 119 emergency medical services nationwide. Methods: From December 21 to December 27 each year from 2015 to 2017 a total of 5,889 people were surveyed by phone call in fire station. Results: The average degree of satisfaction with the emergency medical services was 4.17±0.70, with 85.1% respondents reporting being 'satisfied'. Factors like being a patient, injuries, residential area, and scene arrival time affected satisfaction. From 2015 to 2017, the satisfaction degree decreased every year, with factors affecting this results including "first aid guidance of phone call" and "rapidity of emergency medical services." The highest satisfaction factors were 'friendly acting of emergency medical services' and 'appropriate offer of emergency medical services', while the lowest satisfaction factors were 'first aid guidance of phone call' and 'adequacy of emergency medical team'. Conclusion: The quality of emergency medical services needs to be improved by managing the quality of phone call first aid guidance and the assignment of adequate emergency medical teams to increase user satisfaction.

• 한국경영과학회지
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• 제37권4호
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• pp.125-138
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• 2012

Health care that is considered to be one of the major factors for the quality of life is nowadays receiving a great deal of attention, and thus there is a growing need in Korea to identify the efficiency of national medical service and enhance the competitiveness. Although there exist studies on the medical service efficiency about general hospitals and local hospitals, they mostly deal with the efficiency problems from a domestic and regional perspective. In response, this paper analyzes the competitive efficiency of national medical service with respect to 16 OECD countries, by exploiting Data Envelopment Analysis (DEA) and Malmquist Productivity Index (MPI). Building on the DEA and MPI analysis results, this paper identifies the competitive position of Korean national medical service and suggests implications for the medical service improvement.

• 한국의료질향상학회지
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• 제28권2호
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• pp.30-38
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• 2022

Purpose: The Health Insurance Review and Assessment Service (HIRA) in South Korea initiated a quality assessment (QA) program for blood transfusion healthcare services in 2020 to ensure patient safety and appropriate blood use. This study examines the quality of blood transfusion services since the first national QA program for blood transfusion services in Korea. Methods: We analyzed HIRA claims and QA investigation data based on inpatient medical records from all tertiary, general, and primary hospitals between October 2020 and March 2021. The target population was patients aged 18 years and older who received either total knee arthroplasty or red blood cell transfusion. The QA indicators for transfusion healthcare service consisted of four quality indicators and four monitoring indicators. Results: We analyzed the results of QA indicators for transfusion service from the medical records of 189,668 patients from 1,171hospitals and expressed indicators as proportions. The average results for evaluation indicators were as follows: transfusion checklist presence, 64.8%; irregular antibody tests, 61.8%; transfusions in which the hemoglobin levels before transfusion met the transfusion guidelines for patients undergoing total knee arthroplasty, 20.6%, and transfusions in patients undergoing total knee arthroplasty, 59.3%. The average results for monitoring indicators were as follows: transfusion management implementation in medical institutions, 56.9%; preoperative anemia management in anemia patients undergoing total knee arthroplasty, 43.9%; one-unit transfusions, 82.5%; and the transfusion index. Conclusion: The quality of blood transfusion healthcare varied and the assessment revealed that there is scope for improvement. Hospitals require more effective blood transfusion management and this can be facilitated by providing feedback on the QA results about blood transfusion healthcare services to medical institutions, and by disclosing the results to the public.

• 대한한의정보학회지
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• 제15권1호
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• pp.67-76
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• 2009

Quality management is a recent phenomenon. Advanced civilizations that supported the arts and crafts allowed clients to choose goods meeting higher quality standards than normal goods. There are many methods for quality improvement. Health care, refers to the treatment and management of illness, and the preservation of health through services offered by the medical, dental, complementary and alternative medicine, pharmaceutical, clinical laboratory sciences (in vitro diagnostics), nursing, and allied health professions. Health care embraces all the goods and services designed to promote health, including "preventive, curative and palliative interventions, whether directed to individuals or to populations. The overall impact of managed care remains widely debated. Proponents argue that it has increased efficiency, improved overall standards, and led to a better understanding of the relationship between costs and quality. Practices can solicit feedback from patients in a variety of ways: phone surveys, written surveys, focus groups or personal interviews. What do I do with the results? While you don't have to act on every suggestion that your patients give you, you should take action on the key items that are causing dissatisfaction.

• 디지털융복합연구
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• 제13권10호
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• pp.459-470
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• 2015

이 연구는 의료기관의 종합적 품질경영(TQM)이 내부고객만족에 미치는 영향을 파악하여 내부고객인 직원들의 만족도를 높여 고객에 대한 서비스의 질을 향상할 수 있는 방법을 알아보고자 시행하였다. 이를 위하여 부산광역시, 대구광역시, 울산광역시, 경상남도의 5개 대학병원 종사자 500명을 대상으로 2015년 2월 2일부터 4월 30일까지 설문조사를 실시하였으며, 총 476부를 최종연구에 활용하였다. 조사결과로는 첫째, 경영층의 리더십은 품질경영활동 중 교육훈련과 직원참여에 영향을 미치는 것으로 분석되었으나, 인적자원관리와 업무의 질에는 영향이 없었다. 둘째, 병원조직문화는 품질경영활동의 모든 변수에 영향을 미치는 것으로 분석되었다. 셋째, 품질경영활동, 경영층의 리더십, 병원조직문화는 내부고객만족에 영향을 미치는 것으로 분석되었다. 따라서 내부고객인 직원들의 만족도가 높아야 외부고객인 환자들에 대한 의료 서비스 질이 높아질 수 있고, 이것이 병원의 경쟁력으로 작용하여 경영수익의 향상을 기대할 수 있다.

• 한국의학물리학회지:의학물리
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• 제30권4호
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• pp.155-159
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• 2019

Radiological properties of newly introduced and existing 3-dimensional (3D) printing materials were evaluated by measuring their Hounsfield units (HUs) at varying infill densities. The six materials for 3D printing which consisted of acrylonitrile butadiene styrene (ABS), a unique ABS plastic blend manufactured by Zortrax (ULTRAT), high impact polystyrene (HIPS), polyethylene terephthalate glycol (PETG), polylactic acid (PLA), and a thermoplastic polyester elastomer manufactured by Zortrax (FLEX) were used. We used computed tomography (CT) imaging to determine the HU values of each material, and thus assess its suitability for various applications in radiation oncology. We found that several material and infill density combinations resembled the HU values of fat, soft tissues, and lungs; however, none of the tested materials exhibited HU values similar to that of bone. These results will help researchers and clinicians develop more appropriate instruments for improving the quality of radiation therapy. Using optimized infill densities will help improve the quality of radiation therapy by producing customized instruments for each field of radiation therapy.

• 보건의료산업학회지
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• 제14권1호
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• pp.31-42
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• 2020

Objectives: The purpose of this study was to explore how service quality in specialized hospitals influences customer loyalty under the mediating effects of customer trust and customer value. Methods: A statistical review was done based on the survey results of patients who had used a specialized hospital in Gyeonggi Province, South Korea. A total of 209 questionnaires were collected. After data collection, an empirical analysis was performed using SPSS 21.0 and AMOS 21.0 software. Results: Interaction quality (β = 0.254, p < 0.05) and result quality (β = 0.179, p < 0.05) significantly influenced customer trust, while physical environmental quality (β = 0.121, p > 0.05) did not. Customer trust (β = 0.571, p < 0.01) influenced customer value (β = 0.136, p < 0.05) and customer value influenced customer loyalty. In addition, customer confidence (β = 0.668, p < 0.05) was shown to have directly impacted customer loyalty without the mediating effect of customer value (0.078). Conclusions: The findings showed that interaction quality and resulting quality had important implications for customer loyalty. We therefore suggest compliance with appointment times, training to improve work-related skills for employees, improving customer satisfaction, and enhancing communication skills.

• 한국병원경영학회지
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• 제13권4호
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• pp.76-100
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• 2008

The purpose of this research is to identify causalities among service quality, service value, customer satisfaction and customer loyalty and to compare the causalities between in-patients and out-patients. A multi-group structural equation model was used to test the hypothesis of conceptual model. Empirical results indicate that two factors such as assurance and empathy have direct impact on service value and customer satisfaction in both the patients. In the results of multi-group comparison test, however, the path coefficients from service value to customer loyalty and from customer satisfaction to customer loyalty were different across the two groups. In out-patients, customer loyalty is more positively related with service value. In in-patients, customer loyalty is more positively related with customer satisfaction. It is proven that service quality influences customer loyalty. Therefore To compete successfully in today's volatile & competitive medical markets, the hospital needs to manage the service quality, considering the type of patients.

• 경영정보학연구
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• 제20권2호
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• pp.111-137
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• 2018

의료보험 혜택의 증가 및 베이비붐 세대의 노인 인구 증가 등에 기인하여 2020년에는 헬스케어로 소비되는 금액이 미국 GDP의 20%를 차지할 것으로 전망되고 있다. 이처럼 헬스케어 산업이 발전하면서 병원의 의료서비스 간 경쟁도 치열해지며, 의료서비스 품질을 관리하고자 하는 병원의 니즈가 증가해 왔다. 더불어 온라인 리뷰가 병원 품질을 예측하는 하나의 도구로 활용되면서 병원 온라인 리뷰에 대한 관심 또한 증대되었다. 소비자들은 의료서비스 제공자를 선택함에 있어서도 온라인 리뷰를 참고하는 경향을 보이며, 서비스를 제공받은 후 서비스 품질에 대해 온라인상에서 평가를 진행한다. 따라서 본 연구는 온라인 리뷰 사이트인 Yelp의 병원 리뷰를 중심으로 고객이 평가한 서비스 품질 유형의 감성 수준이 병원 평가에 미치는 영향을 파악하는 것을 목적으로 한다. 본 연구는 1차적으로 온라인에서 수집한 대량의 텍스트 데이터를 SERVQUAL 이론의 다섯 가지 서비스 품질 측정 지표로 구분한다. 다음으로 지표 별 감성 수준을 병원 단위로 도출한 뒤, 각 SERVQUAL 지표의 감성 수준이 병원 평가에 미치는 영향을 계량경제학적으로 분석한다. 또한, 병원의 네 가지 특성인 운영 목적(비영리 여부), 병원이 위치한 도시의 인구밀도, 보유 침대 수, 그리고 응급센터로 운영 여부가 병원 평가에 어떠한 상호작용 효과를 나타내는지 분석한다. 본 연구 결과를 통해 병원 경영 실무자들에게 온라인 상의병원 평판을 긍정적으로 형성해 나가려면 어떠한 서비스 품질을 더욱 집중 관리해야 하는지 방향을 제시해 줄 수 있을 것으로 기대한다.

• 한국치위생학회지
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• 제14권5호
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• pp.765-773
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• 2014

Objectives : The objective of study is to investigate the relationship between the satisfaction of dental service, value quality, and reuse intention among dental implant patients. Methods : A self-reported questionnaire was filled out by 316 dental implant patients in 4 dental clinics in Daejeon from December, 2013 to March, 2014. Results : The average of dental service satisfaction was 4.14(SD=.562). The average of value satisfaction was 3.88(SD=.648), and that of reuse intention was 3.98(SD=.662). The tangibility was defined as the influence of the quality of medical service on the value satisfaction(t=4.042, p<0.001) and the confidence(t=2.997, p<0.01). The influence of the service value on the intention to reuse was 0.486(t=10.796, p<.001) of path coefficient. Conclusions : The quality of medical service is decided by the value satisfaction and the intention to reuse including the value satisfaction.