• Title/Summary/Keyword: follow-up service

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A Study on the Youth Shared Villages Based on the Service Design Methodology -Focus on Youth Sharing Village in Eoeun-dong, Daejeon (서비스 디자인 방법을 활용한 청년 공유마을 연구 -대전광역시 어은동 청년 공유마을 중심으로)

  • Chung, Yong-Jin
    • The Journal of the Korea Contents Association
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    • v.18 no.4
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    • pp.314-322
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    • 2018
  • In recent times, increasing is the number of civic participation government policy decision models through the application of the service design process. It's because the effect of a policy is cut in half due to the low acceptance will for police execution, which could occur in the supplier-oriented policy-decision process in the past. For solving out such a problem, civic participation policy service design has been under way in the name of 'National Design Group' led by the Ministry of Government Administration and Home Affairs starting 2014. A sharing village is a village community in a broad sense for the purpose of giving effect to sharing economy, aiming to maintain sustainability through sharing consciousness raising between village members, coexistence and cooperation. This study presented a solution to the 3 sorts of city problems, i.e. sharing village, urban generation and youth employment settlement in combination by grasping the problems of the existing sharing village, and using service design method Toolkit However, there needs to be a follow-up research through continuous verification, and improvement of problems for the time to come because the casual relationship between research subjects is extensive, and this study has limitations in the satisfaction survey for verifying the result satisfaction, which individual subjects have, consequent on the suggestion of the way of solution, and the research period as well.

Dental health services patient satisfaction analysis (치과 내원환자의 의료서비스 만족도 분석)

  • Jang, Jung-Yoo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.12
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    • pp.6395-6402
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    • 2013
  • This study evaluated dental health care providers to identify strategic management implications for providing improved dental health dental health care services to consumers. For this purpose, adental health care satisfaction survey was conducted on 1,156 patients (more than 20 years of age) at a dental clinic follow-up visit in a small-town dentist clinic Gyeongsangbuk-do province from August 1, 2013 to September 13, 2013. The dental health service value satisfaction in the gender and age (p<.05), monthly income (p<.001), dental health service quality satisfaction indentists according to gender (p<.05), education (p<.01), monthly income (p<.001), word-of-mouth effect of satisfaction job (p<.05), age and monthly income (p<.001) were investigated. Acorrelation was observed between the variables of the dental health services dental health services quality sub areas: certainty, reliability, and materiality. The interrelation between the dental health service showed the value of the variable(p<.000). The dental health services, routes elected, customer satisfaction with the dentist, reason for choosing a dentist, dental doctor reused and word-of-mouth effect of the satisfaction variable and the association with the volume(+) showed a correlation. The establishment new hospital management strategies can improve the quality of health care services to the patients and provide high-quality health care services.

Comparison of the Formula of PSA, Age, Prostate Volume and Race Versus PSA Density and the Detection of Primary Malignant Circulating Prostate Cells in Predicting a Positive Initial Prostate Biopsy in Chilean Men with Suspicion of Prostate Cancer

  • Murray, Nigel P;Reyes, Eduardo;Fuentealba, Cynthia;Orellana, Nelson;Morales, Francisca;Jacob, Omar
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.13
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    • pp.5365-5370
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    • 2015
  • Background: Combining risk factors for prostate cancer into a predictive tool may improve the detection of prostate cancer while decreasing the number of benign biopsies. We compare one such tool, age multiplied by prostate volume divided by total serum PSA (PSA-AV) with PSA density and detection of primary malignant circulating prostate cells (CPCs) in a Chilean prostate cancer screening program. The objectives were not only to determine the predictive values of each, but to determine the number of clinically significant cancers that would have been detected or missed. Materials and Methods: A prospective study was conducted of all men undergoing 12 core ultrasound guided prostate biopsy for suspicion of cancer attending the Hospital DIPRECA and Hospital de Carabineros de Chile. Total serum PSA was registered, prostate volumecalculated at the moment of biopsy, and an 8ml blood simple taken immediately before the biopsy procedure. Mononuclear cells were obtained from the blood simple using differential gel centrifugation and CPCs identified using immunocytchemistry with anti-PSA and anti-P504S. Biopsy results were classed as positive or negative for cancer and if positive the Gleason score, number of positive cores and percent infiltration recorded. Results: A total of 664 men participated, of whom 234 (35.2%) had cancer detected. They were older, had higher mean PSA, PSA density and lower PSA-AV. Detection of CPCs had high predictive score, sensitivity, sensibility and positive and negative predictive values, PSA-AV was not significantly different from PSA density in this population. The use of CPC detection avoided more biopsies and missed fewer significant cancers.Conclusions: In this screening population the use of CPC detection predicted the presence of clinically significant prostate cancer better than the other parameters. The high negative predictive value would allow men CPC negative to avoid biopsy but remain in follow up. The formula PSA-AV did not add to the predictive performance using PSA density.

The Convergence Study on the Factors Influencing Quality of Education Service on the Satisfaction and Performance of the Course at the Beauty Academy (미용학원의 교육 서비스 품질이 수강 만족도와 교육성과에 미치는 영향요인에 관한 융합연구)

  • Yang, Chae-Yun;Jeon, Youn-Sug
    • Journal of the Korea Convergence Society
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    • v.11 no.9
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    • pp.261-266
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    • 2020
  • The purpose of the Convergence study is to analyze the impact of students' satisfaction and educational performance through research on overall educational service quality factors for beauty academies. The subjects of the study were conducted from March 29 to April 12, 2020 for those in their 10s and 40s attending beauty academies in Seoul, Gyeonggi-do and Incheon, and 377 surveys were analyzed and used for research. Multiple regression analysis was performed using the SPSSWIN 21.0 program for research purposes. As a result of the study, the higher the level of empathy, reliability, responsiveness, type, and certainty of educational service quality, the higher the satisfaction level of the class. The higher the satisfaction level, the higher the educational performance. Based on these research results, measures to improve the quality of education services that can enhance the satisfaction and educational performance of beauty academies should be improved by diversifying educational methods and contents and enhancing the quality of education and service expertise. The expertise of education should be strengthened to improve competitiveness. Therefore, follow-up research is needed to develop various programs to enhance future course satisfaction and educational performance and to develop education methods to enhance the quality of beauty education services.

Development and Effectiveness of Occupation Based Grocery Shopping Skill Training Program For The Person with Developmental Disability (거주시설 발달장애인을 위한 작업 기반 마트장보기 훈련 프로그램의 개발 및 효과)

  • Ju, Yu-mi;Kim, Dea-Yoon;Mo, Young-Ho;Son, Sung-Min
    • The Journal of Korean society of community based occupational therapy
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    • v.7 no.3
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    • pp.43-58
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    • 2017
  • Objectives : The Purpose of this study was to develop the occupation based grocery shopping skill training program for group of person with developmental disability and to test its effect. Methods : We set the grocery shopping task for the theme of the program and we applied this program for 9 sessions. There were initial, final, and follow-up evaluation and training sessions were provided 6 times. In the every session, group training program for grocery shopping skills was conducted. The performance of grocery shopping skills was evaluated by Test of Grocery Shopping Skills(TOGSS). Results : At the final assessment of grocery shopping skill, there were increased performance skills especially in item collection and size comparison. Among 3 subjects, two showed in improved navigation skills in order to search for target items. However, there was no improvement in comparing the optical price of items. For the last, it was significant that the total time to spend for shopping were commonly decreased. The performance of grocery shopping were maintained in 2 subjects and another subject was unable to perform it at the 5 month later follow-up evaluation. Conclusion : The occupation based grocery shopping skill training group program which was developed in this study is useful guide-line for occupational therapists who seek for the community based program. All 3 subjects showed the improved performance on shopping skill through this program.

A Study on the Evaluation of Maternal Child Health Services in Public Health Centers (일개 시 보건소의 모자보건 선도보건사업 평가에 대한 연구)

  • Kim, Yong-Soon;Park, Jee-Won;Bang, Kyung-Sook;Jung, Soon-Re;Woo, Hea-Suk;Lee, Hea-Jung;Jang, Hyeon-Soon
    • Research in Community and Public Health Nursing
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    • v.13 no.2
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    • pp.280-291
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    • 2002
  • Objectives: This study was conducted to evaluate the maternal child health services provided by public health centers in Pyungtaek city. Methods: Data were collected based on multiple sources of official records. A questionnaire survey was obtained from 50 mothers with premature babies, and 89 mothers with full- term babies, in order to compare their demographic factors, and physical, obstetrical, and emotional status. In addition, the investigators collected data on pre and post follow-up care for the remature group to evaluate the effects of home visiting services on them. Moreover, additional data were collected from 135 pregnant women and 315 mothers with infants, to assess their degree of satisfaction for prenatal education course and breast feeding practices. Results: 1) The pregnant women's satisfaction for the prenatal education course, knowledge, and practices on self care were considered to be high. 2) Of the mothers with infants, 62.9% experienced breast feeding, but only 35.9% of them did it for six months. 3) Premature birth rate in the region was 5.6%, and 75.6% of all premature babies received follow-up care. 4) The mothers with premature babies experienced premature rupture of membrane. placenta previa, preeclampsia, and cesarean section more frequently than the mothers with full-term babies. 5) At the pre-intervention data collection point. mothers with premature babies experienced significantly less social support than mothers with full-term babies. In addition, mothers with premature babies reported higher levels of stress and care-giving burdens, and lower level of self esteem, than mothers with full-term babies, although the differences were not statistically significant. 6) In the premature group, stress, care giving burdens, and postpartum depression decreased after the intervention, whereas maternal self esteem, and the husband's support were increased after the intervention. Social support from significant others were somewhat decreased. 7) Satisfaction for the home visiting service in the mothers with premature babies was very high. Conclusion: These results showed a possibility that the recently started maternal child health services provided by the public health centers may be efficient. Although statistically significant differences were not found, the investigators found a potential for changes in a positive direction. Long-term effects of the health services on maternal child health needs should be addressed in future studies.

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Limitation of Psychiatric Intervention for Suicidal Drug Intoxication Patients in Emergency Room (응급실에 내원한 약물음독의 자살 시도자에서 정신건강의학과 진료 참여의 제한점)

  • Lee, Joo Hwan;Yang, Seung Jun;Eun, Seung Wan;Jin, Sang Chan;Choi, Woo Ik;Jung, Sung Won
    • Journal of The Korean Society of Clinical Toxicology
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    • v.14 no.1
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    • pp.37-46
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    • 2016
  • Purpose: This study was designed to determine the factors hindering psychiatric intervention for suicide attempters in the emergency room (ER). Methods: Participants were 299 patients aged 18 years or older admitted to the ER for suicidal drug overdose between July 2012 and June 2014. Patients were divided into two groups according to whether they had received psychiatric treatment in the ER. Medical histories and follow-up treatments were determined by examining patients' medical records and through phone surveys, and were then compared using ${\chi}^2$-test and Fisher's exact test. In addition, the rate of satisfaction of the treatment group and the reasons for their dissatisfaction were also determined. Results: The treatment and non-treatment groups comprised 135 (45%) and 164 patients (55%), respectively. Factors influencing participation in psychiatric intervention were previous history of suicide attempts (p=0.004), history of psychiatric disorder (p<0.001), time of day (p=0.039), and day of the week (p=0.040) of arrival in the ER. Whether or not the patient received follow-up psychiatric treatment was not significantly relevant (p=0.300). Of the 82 patients who participated in the treatment satisfaction survey, 50.2% reported being unsatisfied, mainly because of unfriendly medical personnel (36.6%), discomfort regarding other people's perceptions (24.4%), and cursory care (14.6%). Conclusion: To raise the participation rate of psychiatric consult, cooperation with psychiatry at night and on weekends is required, and incorporation of patients without previous history of suicidal attempt or other psychiatric disorder is important. Resolution of complaints toward psychiatric consult in suicide attempt survivors is also required.

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Clinical Implications of Device-Detected Atrial Fibrillation in Cardiac Resynchronization Therapy

  • Minjae Yoon;Jaewon Oh;Kyeong-Hyeon Chun;Hee Tae Yu;Chan Joo Lee;Tae-Hoon Kim;Hui-Nam Pak;Moon-Hyoung Lee;Boyoung Joung;Seok-Min Kang
    • Korean Circulation Journal
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    • v.53 no.7
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    • pp.483-496
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    • 2023
  • Background and Objectives: Atrial fibrillation (AF) is associated with decreased cardiac resynchronization therapy (CRT) benefits compared to sinus rhythm (SR). Effective biventricular (BiV) pacing is a determinant of CRT success, but AF can interfere with adequate BiV pacing and affect clinical outcomes. We investigated the effect of device-detected AF on clinical outcomes and optimal BiV pacing in patients with heart failure (HF) treated with CRT. Methods: We retrospectively analyzed 174 patients who underwent CRT implantation between 2012 and 2019 at a tertiary center. The optimal BiV pacing percentage was defined as ≥98%. Device-detected AF was defined as an atrial high-rate episode ≥180 beats per minute lasting more than 6 minutes during the follow-up period. We stratified the patients without preexisting AF at pre-implantation into device-detected AF and no-AF groups. Results: A total of 120 patients did not show preexisting AF at pre-implantation, and 54 had AF. Among these 120 patients, 19 (15.8%) showed device-detected AF during a median follow-up of 25.1 months. The proportion of optimal BiV pacing was significantly lower in the device-detected AF group than in the no-AF group (42.1% vs. 75.2%, p=0.009). The devicedetected AF group had a higher incidence of HF hospitalization, cardiovascular death, and all-cause death than the no-AF group. The device-detected AF and previous AF groups showed no significant differences regarding the percentage of BiV pacing and clinical outcomes. Conclusions: For HF patients implanted with CRT, device-detected AF was associated with lower optimal BiV pacing and worse clinical outcomes than no-AF.

A study on usage status of auxiliary oral hygiene devices in service workers behavior (일부 서비스 종사자들의 구강위생보조용품의 사용실태에 관한 조사 연구)

  • Kim, Myung-Eun
    • Journal of Korean society of Dental Hygiene
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    • v.8 no.3
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    • pp.37-52
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    • 2008
  • The purpose of this study was to provide basic data for oral health promotion of service worker and their effective interpersonal relationships forming through the evaluation about service workers' awareness of the auxiliary oral hygiene devices and using behavior of it. The survey was carried out questionnaire research targeting 400(service group 200, non-service group 200) and compared the two groups. The obtained results were as follow: 1. brushing behavior showed the highest ratio of 3~4 times/day(53.4%) in brushing frequency, up-down method(50.8%) in brushing method, after 5 minutes after the meals(45.0%) in brushing time, shape brush(56.6%) in brush change time. 2. service group used a lot more auxiliary oral hygiene devices than non-service group(50.9%). the frequency of use was toothpick(30.9%), gargle(29.9%), floss(13.5%), tongue cleaner(10.1%). 3. In comparison of two group about state of use, service group showed more higher ratio of floss(66.1%), tongue cleaner(64.4%), gargle(56.6%) than non-service group. non-service group showed more higher ratio of toothpick(54.6%) than service group 4. Service group used auxiliary oral hygiene devices by suggestions of dental clinic(53.6%) and didn't use them because of uncomfortable to use(45.4%) or didn't know how to use(21.6%). 5. As result of the awareness-related using rate of auxiliary oral hygiene devices, service group showed higher using ratio except toothpick than non-service group. especially gargle(54.8%), tongue cleaner(43.3%), floss(35.8%) were showed high. 6. service group took a regular checkups more than non-service group and showed the highest ratio of each 1 year(43.5%) in checkup period.

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Continuity and Change in Korean Welfare Regime ; After 1990 (한국 사회복지정책의 변화와 지속;1990년 이후를 중심으로)

  • Hong, Kyung-Zoon;Song, Ho-Keun
    • Korean Journal of Social Welfare
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    • v.55
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    • pp.205-230
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    • 2003
  • This article examines the continuity and change of Korean welfare regime during 1990s. Democracy, globalization and the financial crisis changed the landscape of Korean society as a whole and provided a catalyst for the change of the Korean welfare regime. In order to show how and what changed in Korean welfare regime, this study concentrates on the transformations of income maintenance programmes and social welfare services. The changed aspects are as follow: (1) The ratio of social expenditure to GDP has increased during 1990s and now stood at ten percent level. (2)Rather than backing up the company welfare, government strove to build and expand income maintenance devices for all citizens. (3) The poverty and inequality reduction effects of income maintenance programs are very weak in early 1990s, but they are gradually getting stronger impact on poverty and inequality. But, there are also continuance. (1) In spite of the relative development of income maintenance programs, social welfare services are still poorly designed as before. (2) The expenditure level of social welfare services shows sharp contrast to income maintenance programs and lagged behind the other OECD countries. (3) The expansion of social service sector employment are also not so salient. In 2002, social service employment is only at close to 2.5 per cent of the total employment. Accordingly, korean welfare regime is now characterized by a model which is to curb poverty and inequality by engaging in direct government provision of income maintenance programs, but refrain from expanding social service by relying on net welfare which encourage the provision of services within the family. A implication of our analysis is that the expansion of social welfare Korea saw after 1997 was not really an regime shift. According to the arguments of Peter Hall, first and second order changes in policy do not automatically lead to third order changes which imply regime shift. Policy changes which occurred during 1990s was not accompanied by a shift in policy paradigms. Family dependency in welfare is not yet changed.

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