• Title/Summary/Keyword: experience in health care

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Factors Affecting Patient Experience with Outpatient Care (외래 환자경험에 영향을 주는 요인)

  • Kim, Kyoung-Hoon
    • Health Policy and Management
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    • v.31 no.2
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    • pp.207-216
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    • 2021
  • Background: Good patient experience is positively associated with adherence to treatment recommendations, better clinical effectiveness, and health outcomes. This study aims to find out the key factors affecting positive patient experience to improve the quality of care using nationally representative survey data. Methods: The data was collected from the 6th National Health Nutrition Survey in 2015. Four patient experience items were investigated for patients with visiting outpatient care over the past year. Positive patient experience was defined as a case of responding always or usually yes. The t-test, chi-square test, and multiple logistic regression were performed to determine the key factors affecting the outpatient experience. Results: More than 80% of the respondents reported their care experience as positive excluding doctor spending enough time during the consultation. Male, poor health status, and single/divorced, and the longer time interval between outpatient care visit and survey were found to be significantly correlated with negative care experiences in the multiple logistic regression. Patients who received outpatient care at the oriental medicine clinic had a positive experience compared to those received outpatient care at the general hospital. However, patient factors including age, income, job, and insurance type had no significant association with patient experience. Conclusion: Health care providers should prioritize patients who report negative patient experiences and implement management decisions to improve the patient experience.

Foreign Residents' Experience of Korean Health Care Services (한국 거주 외국인의 의료서비스 경험)

  • Lee, Byoung-Sook;Oh, Ick-Keun;Lee, Eun-Mi
    • Journal of Korean Academy of Nursing Administration
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    • v.17 no.2
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    • pp.226-237
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    • 2011
  • Purpose: This study was done to identify the experience of health care services by foreign residents in Korea. Method: Participants were 12 foreigners from China, North America, and Japan. Qualitative data were collected using three focus group interviews and analyzed with qualitative content analysis. Results: The participants' experience of health services was categorized as 21 sub-categories, 11 categories and three main categories. The main categories were 'Quality of health care', 'Health care personnel', and 'Health care system and infrastructure'. The main category of 'Quality of health care' included three categories, 'Health care personnel' included another four categories, and 'Health care system and infrastructure' included the remaining four categories. The participants reported positive experiences such as favorable feelings and satisfaction particularly, with the high quality of health care but also negative experiences such as apprehension, distrust, difficulties, and inconvenience in the health care service in Korea. Conclusions: The results of this study can be helpful in the development of strategies to improve health care services for foreigners by providing fundamental information about the foreign residents' experience of health care services in Korea from their perspectives.

The Convergence Factors Affecting on Incremental Oral Health Care Experience in Some Local Adults (일부지역 성인의 계속구강건강관리 경험에 영향을 미치는 융합적 요인)

  • Choi, Yu-Ri;Kim, Hyo-Jin;Choi, Eun-Mi;Lee, Young-Suk
    • Journal of the Korea Convergence Society
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    • v.8 no.6
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    • pp.131-138
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    • 2017
  • The purpose of this study is to investigate the effects of incremental oral health care perceptions and experiences on oral health care performance by analyzing the results of incremental oral health care management for adults. As age increased, incremental oral health care experience is significantly higher. The results have shown that as age increases, interest in incremental oral health care becomes even higher. And, the group using secondary oral care products has significantly higher incremental oral care experience(p<0.05). Also, those who visit dental clinic regularly continue to experience incremental oral health care(p<0.05). In addition, the group that had experienced preventive dental services continued to be significantly highly relevant to oral health care(p<0.05). Based on the results of this study, it is possible to analyze the experience and influence of incremental oral health management and it can be used as basic data for the construction of incremental oral health care program in dental clinic.

Health Care System Recognition and Influential Factors of Health Care Experiences (의료서비스경험자의 보건의료제도 인식도와 영향 요인)

  • Seo, Young-Woo;Park, Cho-Yeal;Park, Young-Hee
    • The Korean Journal of Health Service Management
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    • v.12 no.4
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    • pp.59-72
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    • 2018
  • Objectives : This study was performed to investigate health care system recognition and influential factors using the data from the "2017 Health Care Experience Survey". Methods : Data on 7,000 participants in the Health Care Experience Survey were drawn and statistically examined using a t-test, ANOVA, and multiple regression analysis. Results : First, the significant factors of health care service satisfaction were education, income, region, chronic diseases, unmet medical needs, satisfaction with doctors and institutions, and the health care system's reliability and importance. Second, the influential factors of willingness to pay additional health insurance premium were age, occupation, income, health status, chronic diseases, unmet medical needs, satisfaction with health care institutions, limit to utilization of medical services, necessity of health care reform, and the health care system's reliability, satisfaction, importance. Conclusions : Since the additional burden for improving the health care has been negative to the socially disadvantaged, there should be efforts to provide stable health care funding for financial stability of the health insurances by considering public opinions and reaching social consensus.

A Comparison Study using Mixed Methods on Foreign Residents' Satisfaction with Korean Health Care Services (혼합설계방법을 사용한 한국거주 외국인의 의료서비스 이용만족도 비교연구)

  • Kim, Keum Soon;Ahn, Jung Won;Kim, Jin A;Kim, Hee Jung
    • Journal of Korean Academy of Nursing
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    • v.44 no.1
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    • pp.86-96
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    • 2014
  • Purpose: This study was conducted to examine and compare satisfaction with Korean health care services for Americans, Chinese and Russians who resided in Korea. Methods: A questionnaire was distributed to 252 participants (81 Americans, 89 Chinese, 82 Russians). Three focus group interviews were subsequently conducted in order to obtain a greater understanding of participants' experience and perspectives. Results: The average satisfaction score was 3.09, with Americans and Russians showing significantly higher scores than Chinese. Overall, participants reported higher satisfaction in 'Facility', 'Quality of care' and 'Nursing services' as opposed to 'Information/education'. 'Care with cultural respect' as well as communication related services. Data from the focus group interviews were categorized into 12 sub-categories, 7 categories and 2 themes. The two themes were common experience and contrasting experience. Common experience included 4 categories, 'Quality of care', 'Hospital facility and health care system', 'Language barrier' and 'Information and education'. Contrasting experience included 3 categories, 'Medical cost', 'Health care personnel' and 'Accessibility'. Conclusion: Results of this study provide basic knowledge on foreign residents' satisfaction and experience with Korean health care services. Further research is needed with foreigners from different cultural backgrounds. Administrative and educational efforts are required to improve communication skills and cultural competency.

Survey on the Oral Health Care according to the Oral Health Education Experience of the Special School Teachers (일부 특수학교 교사의 구강보건교육 유무에 따른 구강건강관리 조사)

  • Yoo, Ja-Hea;Lee, Min-Young;Kim, Jung-Hee
    • The Journal of Korean Society for School & Community Health Education
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    • v.15 no.3
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    • pp.81-93
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    • 2014
  • Objectives: This study aims to find status of the oral health care, the oral health education program utilization and the oral health guidance according to the experience status of oral health education of special school teachers. Methods: The study subjects were 133 teachers at special schools in Seoul, Gyeonggi, Chungbuk and Jeonbuk regions. Results: 32.8% of the male and 67.2% of the female teachers have the oral health education experience. Barriers for the dental treatment to teachers with the education experience show in the order as 'disabled children's noncooperation' 49.2%, 'economic reasons' 37.7% and 'medical institution's rejection' 6.6% and, to teachers without the education experience, 'disabled children's noncooperation' 45.8%, 'economic reasons' 19.4% and 'not emergency situation' 13.9%(p<0.01). Regarding the necessity of arranged institution to manage the oral health, 91.8% of teachers with the oral health education answer as 'necessary'(p<0.05). Regarding the barriers on the performance of oral health program 27.9%, the majority of teachers with the education experience answer as 'insufficient administrative & financial support' and 36.1%, the majority of teachers without the education experience answer as 'insufficient understanding and expertise on the oral health education'. 86.9% of the teachers with the education experience and 62.5% of the teachers without the education experience are found to 'guide students on the oral health'(p<0.01). Conclusions: It was considered that various oral health education programs positively influential to the oral health care and education for disabled children should be developed according to the status of oral health education experience of special school teachers.

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Outpatient Health Care Satisfaction and Influential Factors by Medical Service Experience (의료서비스경험에 따른 외래 의료서비스 만족도와 영향 요인)

  • Kim, Ji-On;Park, Young-Hee
    • The Korean Journal of Health Service Management
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    • v.14 no.1
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    • pp.15-30
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    • 2020
  • Objectives: This study investigated outpatient health care satisfaction and influential factors using data from the "2018 Health Care Experience Survey". Methods: Data on 6,705 participants in the Health Care Experience Survey were statistically examined using a t-test, ANOVA, and multiple regression analysis. Results: First, the level of satisfaction among outpatients was generally positive, and satisfaction among older people was high. Second, the significant factors of outpatient overall satisfaction were gender, consultation time, waiting time, reason for choosing institution, satisfaction with doctors, nurses, institutions, and the therapeutic result. Third, influential factors of intention to recommend were education, institution type, reason for choosing institution, satisfaction with doctors, nurses, institutions, and the therapeutic result. Conclusions: In order to improve the overall satisfaction of outpatients, the treatment method should be improved. For example, the doctor should devote more time for and engage in sufficient conversation with the patient, the nurse should be polite, and patients should be given easy-to-understand explanations.

The care giving experience of middle-aged child care providers (중년기 아이돌보미 여성의 돌봄활동 경험)

  • Chu, Min-Sun;Lee, Young-Ran
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.24 no.1
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    • pp.23-33
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    • 2017
  • Purpose: The purpose of this phenomenological study was to explore middle-aged child care providers' experience in caring for children in the community. Methods: The participants were 10 middle-aged child care providers. In-depth interviews were conducted between August and September, 2014 until data. Colaizzi's method of data analysis was applied to inductively determine themes and formulated meanings. Data saturation was achieved and methodological rigor was established Results: Four themes were extracted from 12 meanings. The four themes of the child care providers' experience in caring for children were: 1) weariness from care-giving, 2) the search for one's own solutions, 3) a cheerful attitude to life, 4) the opportunity to start a new life. Conclusion: The results of this study provide useful information for understanding child care providers' experiences in caring for children and establishing effective strategies to support these child care providers.

Self-care Education Experience, Self-care Performance, and Home Care Service Needs of Patients With Rare and Incurable Diseases Who Use a Home Ventilator (가정형 인공호흡기를 적용하고 있는 희귀, 난치성 질환자의 자가관리 교육 경험과 수행정도, 가정간호 요구도)

  • Hwang, Moon Sook;Chang, Soo Jung
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.20 no.1
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    • pp.5-15
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    • 2013
  • Purpose: This study aimed to investigate the self-care education experience, self-care performance, and home care service needs of patients with rare and incurable diseases who use a home ventilator. Methods: From2 ventilator rental companies and 5 hospitals, records of 162 subjects were collected to obtain data regarding self-care education experience (23 items) and home care service needs (25 items). Results: Of the subjects, 65.4% were male and 55.6% had a myotrophic lateral sclerosis. The items with the highest and lowest levels of self-care education experience were "using the ventilator"(94.0%) and "community-available resource information"(27.0%), respectively. Meanwhile, self-care was performed well in terms of "personal hygiene"(59.6%) but not performed well in "community-available resource information"(23.7%). "Health status assessment" had the highest need(88.2%) of home care services. Generally, the need of home care services was higher for the patients using invasive ventilators than that for those using non-invasive ventilators. Conclusion: Home care nurses need to not only provide physical care for the patients but also strengthen their roles of enhancing patient access to and utilization of various community resources to provide systematic and individualized training and care.

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A study on the oral health care of pregnant women in a region (일부지역 임산부의 구강건강관리에 대한 조사연구)

  • Lee, Ka-Yean;Won, Bok-Yeon
    • Journal of Korean society of Dental Hygiene
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    • v.9 no.1
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    • pp.1-14
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    • 2009
  • The purpose of this study was to examine the oral health care aware-ness of pregnant women and their actual oral health care in an effort to provide information on how to assist pregnant women to have the right knowledge on oral health and improve their oral health care. The subjects in this study were pregnant women who used obstetrics and gynecology hospitals or participated in pregnancy/child-rearing programs in the region of P. After a self-administered survey was conducted in July and August 2008, the following findings were given: 1. As for the best case of oral health care, the largest number(77.2%) of the pregnant women investigated brushed all the teeth, gums and tongue when they did toothbrushing. The smallest number of the women(6.8%) spent three minutes or more brushing their teeth. 2. As to dental treatment experience during pregnancy by age, 27.0 percent of the age 26-30 group had ever received dental treatment during pregnancy, which was higher than the rates of the other age groups with the same experience. 3. Regarding the necessity of oral health education geared toward pregnant women, 94.1 percent of the age 26-30 group and 96.3 percent of the group of age 31 and up felt the need for that, which were significantly higher than 72.7 percent of the age 20-25 group who agreed to the necessity of that education. 4. As to connections between oral health status and oral health care, the women who were in good oral health got 6.60 on oral health care. They scored significantly higher than those who were in a moderate state of oral health and who were in bad oral health, as the latter two groups respectively got 5. There was a significant correlation between oral health state and oral health care and between oral health knowledge and oral health care. The better oral health status led to better oral health knowledge, and the better oral health knowledge was followed by better oral health care. 6. As for factors affecting oral health care, oral health knowledge had the largest impact on that, followed by age, oral health status, experience of receiving oral health education for pregnant woman, dental treatment experience during pregnancy, monthly income and stress caused by oral diseases. Given the findings of the study, oral health education should be provided in light of the special physical and mental state of pregnant women. They should be encouraged to receive possible dental treatment during pregnancy if necessary, and they should learn about how to cope with a dental disease in case of develop it.

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