• 제목/요약/키워드: internal quality

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침치료로 임상증상이 호전된 진성적혈구증가증 환자 치험 1례 (A Case Report on Symptom Improvement in a Polycythemia Vera Patient Treated with Acupuncture)

  • 김어진;허소영;황조현;장은경;이장훈;김영철
    • 대한한방내과학회지
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    • 제42권5호
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    • pp.976-981
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    • 2021
  • Objectives: This study investigated the effectiveness of acupuncture for improving polycythemia-vera-related symptoms and quality of life. Methods: A 56-year-old woman diagnosed with polycythemia vera received acupuncture treatment between February 19, 2021, and August 26, 2021. We observed the changes in subjective symptoms and conducted myeloproliferative neoplasm symptom assessment form total symptom score (MPN-SAF TSS) questionnaire. Results: After 13 acupuncture treatment sessions over six months, symptoms of polycythemia vera, such as fatigue, bone pain, itching, and headache, improved. Conclusion: This study suggests that acupuncture may be a helpful treatment strategy for polycythemia vera patients suffering from significant symptom burdens and reduced quality of life.

영감오미강신하탕(苓甘五味薑辛夏湯)을 투여한 천식 환자 1례 (A Case Report of Asthma Treated with Yeonggamomigangshinha-tang)

  • 손아현;고지윤;박아름;신현수
    • 대한한방내과학회지
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    • 제39권2호
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    • pp.184-191
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    • 2018
  • Objectives: This study evaluated the effects of traditional Korean medicine treatment on a patient with asthma. Methods: A patient was treated with acupuncture, herbal medicine, and cupping. The effect of treatment was evaluated via the quality of life questionnaire for adult Korean asthmatics (QLQAKA), the visual analog scale (VAS), and night awakening frequency. Results: After treatment, improvements were observed. The total QLQAKA score increased from 36 to 50. Conclusions: This study observed that traditional Korean medicine treatments are effective in caring for a patient with asthma.

의료기관의 종합적 품질경영(TQM)과 내부고객만족에 대한 구조모형 (Structure Model for TQM and Internal Customer Satisfaction of Medical Institutions)

  • 심규범
    • 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.

요양보호사 교육생의 주관적 삶의 질과 통제위 성격에 관한 조사연구 (A Study of the Subjective Quality of Life, and Locus of Control of Caregiver Trainees)

  • 정여숙
    • 한국간호교육학회지
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    • 제14권1호
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    • pp.117-126
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    • 2008
  • Purpose: The aim of this study was to research caregiver trainees, and to understand the degree of subjective quality of life and internal and external locus control, and to examine the relationships between these variables. Method: The subjects of the research were 348 trainees at a Jeonju city caregiver training center. The subjective quality of life and the characteristics of locus control were used as measuring tools. The collected data was analyzed by the SAS 9.1 program. Result: The degree of subjective quality of life was significantly different according to the general characteristics of age (F=2.83, p=0.02), marital status (F=3.34, p=0.01), and willingness to work (F=3.94, p=0.05). The degree of internal locus control was significantly different according to the general characteristic of marital status (F=3.0 p=0.01). External locus control was significantly different according to the general characteristics of age (F=9.77, p=0.00), occupation (F=2.91, p=0.01), educational level (F=9.65, p=0.00), monthly income (F=3.81, p=0.00), educational institution (F=2.06, p=0.04), educational experience (F=4.15, p=0.00), and subjects willingness to work (t=8.71, p=0.00). A significant correlation was identified between the subjective quality of life and internal locus control (r=0.23, p=0.0001). Conclusion: A significant correlation was shown between subjective quality of life and internal locus control of the caregiver trainees.

개인 가치에 따른 저가 프랜차이즈 레스토랑의 선택속성이 이용 만족도에 미치는 영향 연구 (The Relationships among Personal Values, Selection Attributes, and Customer Satisfaction in Low-Cost Restaurant)

  • 김찬우;임현호
    • 한국조리학회지
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    • 제22권8호
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    • pp.78-88
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    • 2016
  • This study conducted to find influences of selection attributes on consumer satisfaction as perceived by low-cost restaurant visiter by considering personal value. Developed survey was distributed and 428 sample who visited the low-cost franchise restaurant were employed the statistical analyze. The internal value and the external value included individual value in order to estimate the influence of the choice factor of the low-cost franchise restaurant on the quality of the product, and the choice factors were consisted of 3 variables that are quality, accessibility and service. Regression analysis was conducted to verify the relationships among the variables. As a result, the internal value (${\beta}=.236$, p<.0.01), and external value (${\beta}=.352$, p<.001) have the significant positive relationships with respect to quality. Second, the external value (${\beta}=.305$, p<.001) has the positive relationship with regard to accessibility, but the internal value has no significant relationships with level of accessibility. Third, the internal value (${\beta}=.828$, p<.001) has the significant positive relationship with regard to service, but there was no significant influences between external value and service in this study. Fourth, the internal value (${\beta}=.472$, p<.001), the external value (${\beta}=.479$, p<.001) were critical antecedents of the quality. Last, while quality (${\beta}=.858$, p<.001) has significant positive relationship with satisfaction, but it didn't show any relationships with accessibility and service.

한국과 중국 대학생들의 쇼핑가치에 따른 의류제품속성에 관한 비교 연구 (A Comparative Study on Korean and Chinese Apparel Attributes according to the Shopping Values of College Students)

  • 장영실;박나리;박재옥
    • 한국의류학회지
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    • 제33권8호
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    • pp.1215-1226
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    • 2009
  • This study classifies consumers according to apparel shopping values to find the differences of apparel attributes in accordance to shopping value segments between Korean and Chinese college students. College students from Seoul and Beijing participated in the study and a quota sampling method collected the data. Data from 504 questionnaires is used for the statistical analysis. A factor analysis through, Cronbach's alpha coefficient, ANOVA, and a post-hoc test are conducted. Two factors of apparel shopping values are classified (hedonic shopping values and utilitarian shopping values). Four segments of apparel shopping value were classified (hedonic shopping, low involvement shopping segment, high involvement shopping, and utilitarian shopping). Three factors of apparel attribute are classified (external attributes, internal/aesthetic attributes, and internal/quality attributes). The result indicate that high involvement shopping segments considered all the clothing attributes more importantly than the other three segments. Chinese respondents of hedonic shopping segments and high involvement shopping segments considered advertisements in terms of external attributes, assembly, and fit in terms of internal/quality performance attributes as more important than Koreans. Chinese respondents of low involvement shopping segments also considered assembly and fit in terms of internal/quality performance attributes as more important than Koreans. Korean respondents of utilitarian shopping segments had a special regard for design and color in terms of internal/aesthetic attributes but the Chinese had a special regard for assembly, fit, and ease of maintenance in terms of internal/quality performance attributes.

6 - Sigma 경영혁신기법 시행에 따른 방사선과 내부고객만족도의 변화 (The change of Employee Satisfaction in Radiology Department by Applying 6 Sigma Method)

  • 이근옥;박재성;강충환;김미영;김승식
    • 한국의료질향상학회지
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    • 제12권1호
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    • pp.78-90
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    • 2006
  • Background : The concept of 'service' in a hospital is based on the quality of medical staffs who serve as customer-satisfying media, and this is what distinguishes general hospitals from other business corporations in which customer satisfaction is achieved through commercial products. Thus, the internal employee satisfaction is essential in the improvement of the 'service' and subsequent 'competitiveness' of a hospital. The purpose of this study is to establish internal marketing strategies for a general hospital through regular surveys on employee satisfaction. Method : Surveys on employee satisfaction in radiology department were conducted regularly twice a year in a university hospital with 800 beds 2001 in 2004. The subjects of this study were 35 employees who work in radiology department. The authors developed the questionnaires and the surveys were conducted initially during the first 6 months of the year. After necessary improvements were made by applying 6 Sigma techniques, subsequent surveys were conducted during the latter 6 months of the year and the degree of employee satisfaction was compared. Results : Overall satisfaction increased with a constant rate and the authors were able to assess that the hospital is being gradually stabilized. The degree of satisfaction assessed by multiple choices showed only minor changes. However, as a result of focusing on the demands put forth by the employees through the open questions, the degree of satisfaction increased gradually year after year. Conclusions : It is important to heighten the internal employee satisfaction systematically and harmoniously through the assessment on the demands of the internal customers and feedback-based communications between the management officers and the staffs. Continuous surveys on the internal employee satisfaction will serve to be valuable materials in the establishment of internal marketing strategies for a general hospital.

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국내 중소 제조기업의 품질비용 행태에 관한 실증 연구 (The Correlations among the Categorized Quality Cost Factors on Small & Medium-sized Enterprises)

  • 구일섭;이상춘;장광순;김용범
    • 대한안전경영과학회지
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    • 제13권2호
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    • pp.185-193
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    • 2011
  • The successful and sustainable growth of SMEs depends on their ability of strengthen their competitiveness in quality and cost and service more than anything else as a fundamental of operation. Among these key competitive factors of SMEs, quality is the most critical factor in manufacturing business fields. There are many different ways to improve the quality performance but it needs proper management decision to choose the best way what can maximize outputs with minimum inputs. And it needs effective measurement methods and some indicators to analysis the quality performance properly. The quality cost is one of the simplest key indicators to measure the quality performance and the effectiveness of quality related management decisions. In this study, through survey on local SMEs, we found that their average annual quality cost ratio versus turnover - total amount of annual quality cost divided by annual turnover - is around 3.69% excluded some SME's performances what have different quality control measures with others. And we found some results what corresponded with the early studies on the correlations between those categorized quality costs factors and some discrepancies between some of the literature model and the early case study results as follows. There were negative correlations between the Prevention costs and the External failure costs, and the Appraisal costs and the External failure costs, and there was positive correlation between the Appraisal costs and Internal failure costs same as early studies. But, we couldn't found any strong negative correlations between the Cost of control - Prevention costs & Appraisal costs - and the Cost of Failure of control - Internal & External failure costs -.

두한증 및 수족다한증 환자의 비내시경, 체성분 검사를 통한 특성비교분석 (Analysis of Characteristics of Craniofacial Hyperhidrosis and Palmar/Plantar Hyperhidrosis by Nasal Endoscopy and Body Composition Test)

  • 박의근;백현정;김관일;이범준;정승기;정희재
    • 대한한방내과학회지
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    • 제36권3호
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    • pp.323-334
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    • 2015
  • Objectives This study was designed to analyze the characteristics of craniofacial hyperhidrosis and palmar/plantar hyperhidrosis by nasal endoscopy and body composition test. Methods The study sample consisted of 20 and 22 patients with craniofacial hyperhidrosis and palmar/plantar hyperhidrosis, respectively, who answered questionnaires and underwent nasal endoscopy and body composition test. The questionnaires estimated the quality of life by Dermatology Life Quality Index score (DLQI), and the degree of obesity was evaluated using body mass index (BMI), percent body fat (PBF), and waist-hip ratio (WHR). The state of nasal cavity was evaluated by color, humidity, and swelling of the mucous membranes, and runny nose. Results BMI, PBF, and WHR were higher in patients with craniofacial hyperhidrosis than in patients with palmar/plantar hyperhidrosis. Rhinitis score was not significantly different between craniofacial hyperhidrosis and palmar/plantar hyperhidrosis. There was a positive correlation between rhinitis score and DLQI. Conclusions The degree of obesity was higher in patients with craniofacial hyperhidrosis than in those with palmar/plantar hyperhidrosis. The state of nasal cavity was not significantly different between craniofacial hyperhidrosis and palmar/plantar hyperhidrosis, but was associated with quality of life of hyperhidrosis patients.

천식과 만성폐쇄성폐질환 중복(Asthma-COPD Overlap) 환자에 대한 복합 한의치험 1례 (A Case on the Use of Korean Medicine Treatment for a Patient with Asthma-Chronic Obstructive Pulmonary Disease Overlap)

  • 진수현;박지원;신정원;이범준;정희재;김관일
    • 대한한방내과학회지
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    • 제45권3호
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    • pp.456-477
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    • 2024
  • Background: Asthma and chronic obstructive pulmonary disease (COPD) both require long-term management, and patients with asthma-COPD overlap (ACO) need comprehensive and prolonged care beyond pharmacotherapy. However, due to limited research on ACO, treatment strategies and long-term outcomes remain unclear. This highlights the need for further multidisciplinary research to improve ACO treatment and prognosis. Case Presentation: This case report describes a patient who presented with symptoms of cough, sputum, wheezing, dyspnea, and oral dryness. The patient was diagnosed with ACO and received a combination of Korean medicine treatments alongside standard asthma medication for 15 days. Standardized tools were used to evaluate symptoms and quality of life, respectively. After treatment, Medical Research Council scale, Leicester cough questionnaire Korean-Version and Numerical Rating Score demonstrated clinically meaningful improvement, and Total IgE and Eosinophils were slightly decreased. Conclusion: This case suggests Korean medicine treatments might be effective in managing symptoms in patients with ACO and enhancing quality of life.