• 제목/요약/키워드: Quality of Medical Service

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Analytical Study on Medical Expenses of Hospice Service for Terminal Patients

  • Cho, Hyun;Kim, Won-Joong;Heo, Jeung-Gue;Jin, Eun-Hee
    • Journal of Hospice and Palliative Care
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    • 제8권2호
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    • pp.234-244
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    • 2005
  • As Korea has just turned into an aging society with the increase of average life expectancy, and the main causes of deaths is cancer and other chronic diseases. And this corresponds to a dramatic increase in medical expenses for the aged. To curve this problem, the hospice care can be an effective alternative, which can provide patients with both quality service and intensive care to help ensure high quality life for the patients. To demonstrate the economical effect of hospice services, a comparative study on the media expenses of geriatric hospitals and general hospitals, which bear similarities in common regarding the characteristics of their patients, is performed. Thus the results of the study can serve as a quantitative indication for the management of hospice services.

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Patient satisfaction of medical care in a public health center (보건소 진료서비스 이용자의 만족도에 관한 연구)

  • Moon, Young-Shin;Cho, Woo-Hyun;Kang, Im-Ok
    • Quality Improvement in Health Care
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    • 제5권1호
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    • pp.2-14
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    • 1998
  • The aim of this study was to examine differences in the level of satisfaction with medical care at a public health center between patients receiving free-care compared to those paying out-of-pocket. SERVQUAL(Comprehensive Service Quality Measurement Scale), a pyschometrically valid measure for evaluating hospital service quality, was used to assess patient satisfaction. The study sample consisted of 279 patients who received medical care at a public health center. The interview was conducted between April 23 and May 7, 1998. The results was as follow: 1. There were more elderly people among free-care patients than out-of-pocket patients. Education and income levels were lower amongs those receiving free-care. There were, however, no differences in the distribution of gender and religion between the two groups. Patients receiving free-care tended to visit the public health center more frequently compared to those self-paying patients. 2. Overall, free-care patients showed higher satisfaction level than that of self-paying patients. except for the dimension on sympathy and shape.

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A Study on the Quality Improvement of Mobile App Services of Medical Institutions: Focus on the Kano Model and PCSI Index

  • PARK, Ae-Jun;LEE, Yeon-Sook
    • The Journal of Industrial Distribution & Business
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    • 제10권6호
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    • pp.19-27
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    • 2019
  • Purpose - The purpose of this study was to examine quality improvement priorities by examining not only quality classifications but also PCSI (Kano, 1984) of mobile app service qualities of general hospitals in the Metropolitan Area and offer potential improvements. Research design, data, and methodology - The study examined five of service qualities, including app design, reaction, convenience, safety and supply of information by precedent studies. 20 test items were selected. A total of 60 positive and negative questions to estimate customer satisfaction and PCSI was investigated. The author collected 300 copies from interviewees who made use of the app services of 13 general hospitals within one year, and classified quality factors by using table of quality assessment and also estimated the customer satisfaction index (Timko, 1993). The study made quality improvement priority by the PCSI index. Results - Reaction of the mobile app service quality ranked the highest PCSI, and payment safety ranked the highest, and customer support and supply of the information ranked high as well. It was observed that design ranked comparatively lower in these categories. Conclusion - Safety, reaction and supply of information should be prioritized to reorganize and improve the mobile app services.

Standardization of a curriculum for paramedic students in South Korea (응급구조(학)과 교육과정의 표준화에 대한 연구)

  • Choi, Eun-Sook;Hong, Sung-Gi;Kwon, Hay-Rran;Koh, Bong-Yeun;Lee, Kyoung-Youl;Jung, Han-Ho;Lee, Myung-Lyeol;Yun, Seong-Woo;Park, Si-Eun;Cho, Keun-Ja
    • The Korean Journal of Emergency Medical Services
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    • 제21권2호
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    • pp.17-37
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    • 2017
  • Purpose: This study describes current curricula for paramedic students in South Korea and proposes a standardization of the curriculum. Methods: Data were collected from 38 colleges and universities from March 1 to 31, 2016. Descriptive statistics were calculated using SPSS 23.0. Results: The proposed standard curriculum was below. Requisite liberal arts consisted of 2 subjects and 6 credits including biomedical ethics, communications and human relationships. Common major subjects were composed of 6 areas, 22 subjects, and 78 credits. The areas of basic medicine consisted of 6 subjects and 16 credits including medical terminology. Introduction to paramedicine consisted of 3 subjects and 7 credits. Emergency patient management consisted of 2 subjects and 9 credits. Particulars to paramedic care consisted of 8 subjects and 31 credits. The law area consisted of 1 subject and 3 credits. Other major areas consisted of 2 subjects and 12 credits including integrated simulation and physician assistance. Common field practice area consisted of 3 to 4 subjects and 9 to 12 credits. Conclusion: It is important to establish and adapt a standardized curriculum for paramedic students in order to ensure competence and to provide high quality emergency medical services.

The Relations between Participation in Voluntary Service Activity and Health-Related Quality of life among the Elderly (노인의 자원봉사활동 참여와 건강관련 삶의 질과의 관련성)

  • Jung, Mi Hwa;Park, Jong;Ryu, So Yeon
    • Journal of agricultural medicine and community health
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    • 제43권1호
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    • pp.1-8
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    • 2018
  • Objectives: This study was performed to identify the relations between the old's participation in voluntary service activities and health-related quality of life. Methods: The subjects of the study were 318 elderly people aged over 65 years. They were interviewed with the use of a questionnaire from May 1 to June 30, 2012 to collect data. To verify the data collected, this study carried out a linear regression analysis. Results: The health-related quality of life of the elderly who were participating in voluntary service activities was statistically significantly higher than that of those who were not. Conclusions: This study has meaning in that it discovered that the elderly people's participation in voluntary service activities had a positive effect on their health-related quality of life.

IoT Application Cases for Medical Service (IoT 기반의 의료서비스 국내외 적용사례)

  • Woo, Sung-hee;Han, Su-jin;Kwon, Oh-sung
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 한국정보통신학회 2015년도 추계학술대회
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    • pp.981-984
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    • 2015
  • IoT is network evolved one more step than Mobile or Internet based on the existing wire communication and can interconnect all people, things, and virtual space at any time, anywhere. In particular, Internet of Things technology is expected to be converged on medical service such as elderly home care, chronic disease management, and treatment, and then it also contributes to savings and service quality of in the medical field and leads the paradigm or innovation of healthcare industry. In this study, we analyzed the IoT technology and application cases of medical service based on the IoT at home and abroad.

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The Efficient Management Method about the Workers of the Welfare Facilities for Improving the Quality of Elderly Medical Service (노인의료서비스의 질적 제고를 위한 시설종사자 관리의 효율화 방안)

  • Cho, Woo-Hong;Park, Chun-Gyu;Son, Myeong-Dong
    • Journal of the Korea Society of Computer and Information
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    • 제18권6호
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    • pp.91-99
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    • 2013
  • This study has a purpose of analyzing the difference of care giver's subjective awareness of self-efficacy and job satisfaction according to the types of welfare facilities, before studying the structural relationship between the management variables about workers at the welfare facilities for improving the quality of elderly medical welfare service. As a result of empirical analysis, there was no awareness difference of care givers according to the types of the elderly medical welfare facilities, but in general it was emphasized that the care givers' satisfaction with self-efficacy and job satisfaction was very essential in providing the elderly medical service. Therefore, this study has significance that it provided the theoretical fundament for efficient management method about the workers of the elderly medical welfare facilities.

Characteristics of Medical Advertisement according to the Various Departments at Medical Institutions (의료기관 주 진료과목에 따른 의료광고 수행 특성)

  • Lee, Dong-Woo;Hwang, Byung-Deog;Park, Jae-Woo
    • The Korean Journal of Health Service Management
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    • 제10권4호
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    • pp.25-36
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    • 2016
  • Objectives : This study describes the current state of medical advertisement and quality of advertisement execution according to the different departments based on 2-year case study of actual medical advertisements which were published in newspapers. Additionally, this paper provides data which will help in the efficient planning of medical advertisements. Methods : This study was based on medical advertisements that were in local newspapers, etc. from January 1, 2012 to December 31, 2013. The data were collected from September 20, 2014 to November 2, 2014 (44 days). A total of 4,991 data points were acquired from newspapers supplied by the Busan Public Library directly to the researcher. Results : According to the major findings of this study, the services of clinics had more medical advertisements than that of hospitals. Urology was the most advertised service of clinics while orthopedics and neurosurgery were the most advertised services of hospitals. Conclusions : In the study, the characteristics for the technical advertising factor was evident according to the type of examinations. Some types of examinations showed definite differences compared to other examinations.

Prehospital care and knowledge, prehospital care confidence toward the infant and toddlers of the 119 emergency medical technicians (119 구급대원의 영유아에 대한 응급처치 현황 및 응급처치 지식과 수행 자신감 비교)

  • Song, Eun-Hye;Lee, Kyoung-Youl
    • The Korean Journal of Emergency Medical Services
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    • 제19권1호
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    • pp.19-33
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    • 2015
  • Purpose: The purpose of this study was to improve the quality of prehospital care provided to infants and toddlers (preschoolers) based on questionnaire findings. Methods: A total of 1,634 running sheets from 119 centers of D city from patients older than 1 month and less than 7 years of age from January 1, 2013 to December 31, 2013 were reviewed for 119 emergency medical technicians (EMTs) activity analysis. And a self-reported questionnaire about knowledge and competency in prehospital care of preschoolers was completed by 159 EMTs at fire stations in D city. Data were analyzed using IBM SPSS Statistics for Windows, Version 21.0. Results: Of 1,634 patients, 58.6% were call to 119 due to disease, 33.8% due to injuries and 7.5% due to traffic accident. Knowledge and confidence in treating preschoolers was significantly higher among paramedic EMTs than basic EMTs. The 119 EMTs surveyed indicated that training for preschooler prehospital care was most needed. Conclusion: In order to provide high quality prehospital care for preschoolers transported to emergency rooms, it is necessary to equip ambulances with the proper equipment. In addition, EMTs should be provided educational opportunities and clinical training.

An Empirical Study on Importance of Evaluation Factors for Improvement of Fire Emergency Medical Service (소방응급의료서비스 향상을 위한 평가요인의 중요도에 관한 실증적 연구)

  • Hwang, Dong-Wan;Kwon, Young-Hee;Kim, Jeon-Soo;Kang, Yun-Jin;Kang, Kyung-Sik
    • Journal of the Korea Safety Management & Science
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    • 제16권4호
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    • pp.71-80
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    • 2014
  • This study is performed to determine the priorites of the evaluation factors for the improvement of fire emergency medical service by increasing it's efficiency to protect the people's lives effectively, and by recognizing it's mid-long term development. Based on the output of the analysis, the critical evaluation factors of the fire emergency medical services to be improved shall be identified, and shall be intended to use strategically for increasing the efficiency of all the activity in the EMT service, and also for providing the basic date to product and manage the good quality services. To calculate the priority of the evaluation factor for each level as shown on this study, AHP(anaysis hierarchy process) with pairwise comparison method is applied. According to the priority analysis for the evaluation factors in main category (evaluation zone), 'medical service professional aspect' is recognized as highest one, and 'service infrastructure aspect', 'service management aspect' are indicated in order. According to the priority analysis for the evaluation factors in evaluation index, 'professional personal arrangement' in the service infrastructure aspect, 'appropriateness and timeliness of emergency medical care' in the medical service professional aspect, and 'clinical training' in the service management aspect are respectively recognized as most important factors.