We assess service delivery system for outpatients of general hospital(A) using. service blueprint. Service blueprint for outpatients' service process currently being implemented in general hospital(A) is analysed to improve hospital services and define hospital service delivery system more accurately. In addition, comparative analysis of service blueprint before and after improvement was conducted to find that health care services is now more customer-oriented and hospital employees can link their duties with service delivery system. The analysis of service blueprint of outpatients' service process suggested in this study are useful for setting strategies for health care service. It also helps service process design and service digitalization of other general hospitals in the future.
Kwak, Jong Hyeok;Kim, Gyeong Rip;Cho, Hee Jung;Moon, Sung Jin;Lee, Eun Sook;Sung, Soon Ki
International Journal of Contents
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v.17
no.1
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pp.18-26
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2021
The obesity leads to be the result of the weakening of anatomical structure as well as the gravity effect. And, the obesity interferes with normal sagittal balance and fails to maintain a straight posture with minimal energy. Therefore, the obesity can be an important factor in causing back pain by changing the lumbar lordosis. In this study, we will present an appropriate angle of incidence for obese people to reduce the image distortion of L4, L5 during a general anteroposterior radiography examination. To reduce image distortion according to the change of lordosis, the angle of incidence was applied 9 ° and 21 ° to L4 and L5 vertebra body when obesity and low back pain (LBP) perform the general anteroposterior radiography examination.
Journal of Korean Academic Society of Home Health Care Nursing
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v.29
no.3
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pp.319-328
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2022
Purpose: This study investigated the relationship between artificial intelligence ethical awareness, bioethics awareness, and person-centered care of general hospital nurses. Methods: The participants were 192 nurses. Data were analyzed using descriptive statistics, t-test, analysis of variance, and Pearson's correlation coefficient with the SPSS program. Results: The average points for artificial intelligence ethical awareness, bioethics awareness, and person-centered care were 2.93, 2.77, and 3.50, respectively. Artificial intelligence ethical awareness and bioethics awareness had statistically significant negative relationships. Artificial intelligence ethical awareness, bioethics awareness, and person-centered care were not significantly correlated. Conclusion: Education, training, and organizational support are needed to improve artificial intelligence ethics awareness, bioethics awareness, and person-centered care for general hospital nurses.
In order to ascertain the attitudes of residents to their health and the National Health Promotion Law, surveyors interviewed 1,220 subjects, 1% of men and women in Kyungsan city, who were twenty-year-old or more. The major findings are as follows: Men and women were 48.2% and 51.8%, respectively. The recognition rate of enacting and enforcing this law is 59.2% of men and 51.3% of women. With regard to the behavioral attitude to the health in the distinction of sex and age, current smokers are 31.2% of the interviewees, 61.6% of the men and 3.3% of the women. Current drinkers are 35.1%, 59.5% of the men and 12.3% of the women, but on the other hand there is little significance in the distinction of age. The acknowledgement proportion of enacting and enforcing this law is 59.2% of male and 51.3% of female. In terms of the recognition rate of the contents according to the general characteristics of interviewees, it appears that the indication of a warning expression on a packing paper of cigarette case and a liquor bottle is 92.4% and also the designation of a smoking free area in public facilities is 94.8%. Prohibition of cigarette-sale to the teenagers who are under 19, is 96.0%. Considering these facts, the recognition rate is high. On the contrary, 48.8% is accounted for encouraging a medical check-up before marriage which is in a low position. As a result of multiple behavior as a independent educational level, marital significant variables. In case of having undergone a periodic medical examination the recognition rate was high whereas frequent exercise led to the low recognition rate. Concerning the details of the undertaking in accordance with each factor of general characteristics, the greater part of them have been appraised successfully whether it is recognized or not. On the other side, no effect got answered about the result of the undertaking subjects to general and peculiar behavior attitude towards health was in effect or not. A great majority approved of more reinforcement of legal regulation about smoking and drinking regardless of whether they perceived the details of the law of promotion of National Health Promotion Law or not. Additionally there was significant difference in reinforcing legal regulation of smoking and drinking in compliance with the attitude of the substance of this law. With regard to education, public relations and evaluation about national health through public health centers by our government, the younger and the higher in education they are, the more deficient they feel. First of all, those who were aware of the enforcement of this law as well as plenty of scarcity answered that better service of disease prevention had to be expanded than ever. In consideration of the above-stated results, the education to public health and the business of public relations should be reinforced and a practical campaign for health life should also spread out for the purpose of encouraging to practise healthy life-style.
Kim, Soo-Kyung;Koo, Ji-Hye;Kim, Ye-Jin;Park, Yoo-Jin;Yoon, Hee-Gyeong;Lee, Da-Jung;Jeung, Eun-A;Jung, Eun-Seo
Journal of Korean society of Dental Hygiene
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v.17
no.3
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pp.369-380
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2017
Objectives: The purpose of this study is to investigate the effect of preventive treatment experience on scaling fear level. Methods: A total of 259 adults who had visited the dental clinic were analyzed. The results were summarized as follows. Statistical analysis of the collected data was performed using the SPSS WIN 20.0 statistical program. The general characteristics, scaling experience, and the characteristics of the subjects were analyzed. Frequency of scaling according to general characteristics was analyzed by independent sample t-test, Scaling fears according to treatment experience were tested by t-test. Correlation analysis was performed for scaling fears according to the reliability of dental hygienist. Regression analysis was carried out to investigate factors affecting scaling fear. Results: Level of fear during scaling was higher in females (3.03) than in males (2.54) and that after scaling was scored higher in females (2.68) than in males (2.34) by general characteristics (p<0.001). The adults who were not healthy in oral health showed the highest levels of fear during (3.29) and after (3.00) scaling by oral health status (p<0.001). Adults who had brushing education experience showed lower fear level than those who did not after scaling (p<0.01) according to the experiences of preventive treatments. With respect to the correlation of trust level to the dental hygienists with the scaling fears, it showed higher in the trust level (-0.688) as lower level of scaling fear (-0.642) in the scaling (p<0.01). Confidence level of dental hygienist (-0.661), brushing education experience (-0.121), and oral health status (-0.121) were influenced upon the regression analysis. Conclusions: Oral health education and dental hygiene education are increasing. It is thought that active efforts are needed to promote and maintain oral health.
This study was attempted to suggest fundamental data to take health care plan in terms of oriental medicine by evaluating the health-related quality of life according to the Sasang constitutional medicine (SCM) of factory workers. General characteristics, living habits, and health-related quality of life were investigated through self-administration questionnaire in the course of oriental health examination for 1,870 male workers at a manufacturing company located in the Jeollabuk-do region, and the Sasang constitution of each worker was identified and analyzed through questionnaires and oriental doctor's medical examination. For Sasang constitutional medicine, So-eum person(少陰人) was found to be the most, and then So-yang preson(少陽人), Tai-eum preson(太陰人), and Tai-yang preson(太陽人) in order; for lifestyle, smokers were most found in So-yang person workers, non-smokers in Tai-yang person workers, drinkers in Tai-yang person workers, and non-drinkers in So-eum person workers. For the general health score by the Sasang constitutions, Tai-yang person workers were found to be 42.73 in general health area, Tai-eum preson workers 41.69, So-yang person workers 40.87, and So-eum person workers 40.42; in the vitality area, Tai-eum person workers were found to be 45.14, So-yang person workers 44.16, So-eum person workers 43.02, and Tai-yang person workers 41.34. Specially, it was found that regular exercise improved physical health factors, drinking adversely affected mental health factors, and the mental health factors of Tai-eum person workers who have regularly exercised showed the highest values, while those of Tai-yang person workers who have not exercised showed the lowest values. There was difference in lifestyle by Sasang constitutions, and accordingly, the quality of life might be different Therefore it is deemed that health care plan is required to be taken by Sasang constitutions and lifestyle for health promotion and care of blue-collar workers in the future.
Objectives: This study intended to determine significant factors that influence the health-related quality of life ("HRQoL"; EuroQol 5 Dimension health-related quality of life (EQ_5D) & EuroQol visual analogue scale (EQ_VAS)) of the elderly in Korea. Methods: This study was based on 3,903 subjects aged 65 years or more who participated in the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V), 2010~2012. The HRQoL was analyzed by various factors (general characteristics, health habits, mental health, chronic diseases, nutrient intakes). SPSS statistics for complex samples (Windows ver. 21.0) was used. Results: The HRQoL was higher in the males, those with higher educational level or higher income level while it was lower in those belong to single households. In particular, the EQ_5D was significantly higher in the group who reported walking practice, moderate physical activity (male), and the group who reported no vigorous physical activity (female). The EQ_VAS was significantly higher in the group who reported walking practice. Both EQ_5D and EQ_VAS were significantly lower in the group with stress, melancholy, suicidal thinking, and osteoarthritis. EQ_5D was significantly lower in the group with < 75% Estimated Energy Requirements (EER) in energy intake, and with < Estimated Average Requirements (EAR) in iron or niacin intake. A stepwise regression analysis revealed that i) higher educational level (male), and good self-rated health status significantly increased the EQ_5D, ii) age, alcohol intake (male), melancholy (female), suicidal thinking, osteoarthritis, and niacin intake deficiency (male) significantly decreased the EQ_5D, iii) higher income level (male) and good self-rated health status significantly increased the EQ_VAS, and iv) age (male), stress, suicidal thinking (female) and osteoarthritis significantly decreased the EQ_VAS. Conclusions: This study suggested that general characteristics, mental health, osteoarthritis, and niacin intake were associated with the HRQoL. Prospective research of long-term control is needed to establish the causal relationship between factors and the HRQoL.
Park, Sujung;Kim, Moon Kyung;Ki, Young Sun;Oh, So Rin;Shin, Mi-yeon;Oh, Ji Yoon;Byeon, Jae Cheol;Lee, Seong Min;Jung, Eun Hee;Kim, Eun Mi;Zoh, Kyung-Duk;Choi, Kyungho
Journal of Korean Society on Water Environment
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v.22
no.3
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pp.431-436
/
2006
This study was conducted in the summer of 2005 in Shindong-myeon, Chuncheon-si, Gangwon-do to assess the quality of drinking water and to evaluate their potential pollutants. Ninety four water samples were collected from three classes of water supplies such as simple piped water, supplied own water and others (Supplied local water). Most residents used simple piped water (72.63%). 31.25% residents thought the water quality was bad and landfill was the main source of pollution that affected water quality. To correspond this perception, water quality was measured according to Drinking Water Quality Standard. The general bacteria, coliforms, and $NO_3-N$ exceeded the standard but the water qualities in these four areas were suitable for Drinking Water Quality Standard. The simple piped water showed low mean concentration of excess rate compared to supplied own piped water except general bacteria. Hardness, pH, and $NO_3-N$ showed significantly higher effects on drinking water quality. To evaluate the effect of effluent from landfill, water quality was measured according to distance and altitude. However, there was no effect of landfill effluent. To find out the effect of rainfall, we compared water quality of the year 2003 with that of 2005. The result showed significant differences in hardness and $NO_3-N$ concentration. This study confirmed that $NO_3-N$, coliforms, and general bacteria are main pollutant of water supply in rural community. Therefore, it is necessary to regularly maintain simple piped water supply, supplement sewer facilities, and educate residents about public health risk associated with drinking water in rural area.
Definition of health education can be various depending on historical background and individual point of view. In the industrialized era when health promotion is given a high priority in health activities, health education could be defined as a combination of planned learning experiences and social actions, which expand health knowledge and experiences of individuals and communities in order to meet their health needs, change harmful health behaviors to be desirable for health promotion and motivate them to do that. To realize the proposed definition of health education, health education should develop new policies in harmony with health promotion, facilitate the development of human resources, reflect the modern educational technology, strengthen multisectoral approach, and pay more attention to monitoring and evaluation. To fulfill the above mentioned role, health education approach should shift foci from diseases to health orientation, from individualistic health behavior modification to a systematic change of the general public, from medical domination to recognition of lay competence and from authoritarian health education to supportive health education.
Lee Chung Yul;Kim Eusook;Cho Won Jung;Kwoen Myoung Sook;Lim Eun Sun;Yoo Mi Ae
Journal of Korean Public Health Nursing
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v.11
no.2
/
pp.121-130
/
1997
The community health nursing process is essential in providing community health nursing service to the community. It helps to identify community health problems. to prioritize problems, to provide service. and to evaluate service results. However. it is very rare to find a study which applies the community health nursing process. This study intended to apply the community health nursing process to a urban community. The focus of the study was a community consisting of 533 families in a region of Seoul. The study process was as follows: 1) The data was collected by conducting interviews with community leaders and by collecting surveys from the people of the community. 2) The data was summarized and analyzed. 3) The community nursing diagnosis was identified. 4) The nursing diagnosis was prioritized. 5) The general and specific objectives for service were identified. 6) A specific nursing plan was set up. 7) A detailed evaluation plan was established. Four community nursing diagnoses were identified from the community. 1) The utilization rate of health center was found to be low due to lack of knowledge about the health center and low accessibility. 2) High trafic accident rate due to narrow roads. 3) High prevalence of chronic disease due to inappropriate health behavior. 4) High noise level and foul smell due to inappropriate waste management. Among the four community nursing diagnoses. 'High prevalence of chronic diseases was identified as a priority community nursing problem. The criteria for prioritizing community nursing problems were as follows: number of people involved, fragility of clients. severity of the problem. availability. of resources. concern of the people. readiness of nurses. relevance to the national policy. This study describes the general and specific objectives to solve the high prevalence of chronic health problems. nursing plans. and an evaluation plan.
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