• 제목/요약/키워드: patient loyalty

검색결과 27건 처리시간 0.023초

종합병원의 비용절감과 업무개선을 위한 중앙공급실의 활동 (Case Report on the Activities for Cost Reduction and Performance Improvement in the Central Supply Room in A University Hospital)

  • 송규남;송선옥;황운순;구본업;최혜숙;이상윤
    • 한국의료질향상학회지
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    • 제6권1_2호
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    • pp.150-160
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    • 1999
  • Background : Because hospitals had to faced with financial hardship, we have to have more effective hospital management. In this study, we tried to improve job performance and to reduce cost maintaining safety in fields of patients care. Methods : Central Supply Room(CSR) staffs taught strategy of material cost reduction to middle level managers and staffs 14 times. All staffs and voluntary service workers, working in 33 nursing units, participated in this activity. We developed questionnaire to check the degree of participate in cost reduction activity and job performance in CSR, and quality improvement in the wards. Two hundred questionnaires were distributed and 197 returned. Results : Because CSR staffs developed new items and every item was managed at each department, stocks of each department were reduced. Overall, by comparing before and after cost reduction activity, almost 1.2 billion won reduced for one year. Staffs' loyalty and spirits of cost reduction were improved by changing clothes and duty environment. Furthermore, these activity improved patients' satisfaction. Conclusion : We suggest that CSR activity in a university hospital contributes to improve job performance and to reduce cost without any problem in patient care.

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지방의료원 의료소비자의 서비스가치, 브랜드이미지, 재이용의도 간 관계 (Structural Relationship among Service Value, Brand Image, and Patients Revisits in Regional Public Hospitals in Korea)

  • 임환열;황인경;서원식
    • 한국콘텐츠학회논문지
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    • 제10권11호
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    • pp.304-317
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    • 2010
  • 이 연구는 지방의료원 의료소비자의 서비스가치, 브랜드이미지 및 재이용의도 요인 간 구조적 관계를 분석하여, 이를 바탕으로 지방의료원의 효율적 운영전략을 수립하기 위하여 수행되었다. 전국의 34개 지방의료원 중 대표성이 있다고 판단되는 5개 병원을 선정하여 2개월간 조사원 기입방식으로 외래환자 387명, 입원환자 358명의 자료를 수집 분석하였다. 분석결과 지방의료원 환자가 인지한 상대적 서비스 가치는 브랜드 이미지와 정의 관계를 보였다. 구체적으로, 대학병원 및 민간병원의 진료서비스와 비교하여 환자가 인식하는 서비스 가치는 상대적으로 높은 수준이었으며, 이러한 서비스 가치는 지방의료원의 아늑함, 친절함, 전문성 등 지방의료원 브랜드 이미지와 정의 관계를 보였다. 또한, 서비스 가치와 브랜드 이미지는 재이용 의도와 정의 관계를 보였다. 민간병원 또는 대학병원 대비 상대적으로 높은 서비스 가치는 의료기술, 전문성이 높은 병원으로 인지하게 되고 재이용의도에도 긍정적인 영향을 미쳤다. 따라서, 지방의료원은 환자의 인식수준이 낮거나 측정변수의 효과나 영향이 큰 것으로 판명된 요인들에 대해 의료소비자의 인식수준을 향상시키는 방향으로 경영개선방안을 수립하여야 할 것이다.

외부영상정보 입력 시 DICOM정보 충실성에 대한 평가 - DICOM Validation Tool 이용 - (The Evaluation about the Information Fidelity in the External Image Information Input - Using DICOM Validation Tool -)

  • 이송우;이호연;도지훈;장혜원
    • 대한디지털의료영상학회논문지
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    • 제13권1호
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    • pp.33-38
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    • 2011
  • Now a days, there's many change over for PACS among the most of hospital and it standard for DICOM 3.0. These kind of using of DICOM 3.0 improves increasing of medical imaging exchange and service for patient. However, there's some problems of compatibility caused during carry out CD and DVD from hospital. For this reason, this thesis analyzed patients image targeting those storages requested to hospitals in Seoul by using Validation Toolkit which is recommended from KFDA. The analyze type is like this. Make 100 data, total 500, each of MRI CT Plain x-ray Ultrasound PET-CT images and analyzed type of error occurred and loyalty of information. If express percentage of error occurred statistically, we can get a result as follows MRI 5%, Plain x-ray 11%, CT 18%, US 25%, PET-CT 30%. The reson why percentage of error occurred in PET-CT is because of imperfective support and we could notice that we weren't devoted to information. Even though, PET-CT showed highest percentage of error occurred, currently DICOM data improved a lot compare to past. Moreover, it should be devoted to rule of IHE TOOL or DICOM. In conclusion, we can help radiographer to analyze information of image by providing clues for solving primary problem and further more, each of PACS company or equipment company can enhance fidelity for following standard of image information through realizing the actual problem during transfer of image information.

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상급종합병원 비대면 진료 재이용에 영향을 미치는 요인 (Factors Affecting the Reuse of Non-face-to-face Treatment by Non-face-to-face Treatment Patients in Tertiary General Hospital)

  • 민선영;김태현;이상규;장석용
    • 한국병원경영학회지
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    • 제28권4호
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    • pp.1-22
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    • 2023
  • Purposes: The purpose of this study is to identify and analyze the factors that affect patients reusing non-face-to-face treatments at tertiary general hospitals. Methodology: We retrospectively analyzed a patient's reuse of non-face-to-face treatment from February 1, 2020, to December 31, 2021, at a tertiary general hospital in Seoul within one year of the first non-face-to-face treatment. A frequency analysis was conducted to identify the study subjects' demographic characteristics, treatment type characteristics, disease characteristics, and hospital use type characteristics. Also, across-analysis was conducted to verify the difference in non-face-to-face treatment reuse according to the characteristics a multiple logistic regression analysis was conducted to identify the factors affecting the reuse of non-face-to-face treatment by non-face-to-face treatment patients. Findings: The results of this study can be interpreted as indicating that the following groups are more likely tore use the non-face-to-face treatment: women, children, the elderly, Patients living far from the hospital, psychiatric patients, pediatric patients, medical benefits recipients, chronic patients, patients with mobility difficulties, and patients with high loyalty to hospitals. Practical Implications: When developing a non-face-to-face treatment system in the future, based on the results of this study, it is possible to target patients who prefer non-face-to-face treatment. And this study will be research material for vitalizing non-face-to-face treatment. In addition, the activation of the non-face-to-face treatment system will be an effective means for improving the quality of medical services and generating profits in hospitals in the future.

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서비스 청사진과 AHP의 결합에 의한 의료관광서비스 개선방안에 관한 연구 (A Study on the Improvement of Service Quality in Medical Tourism by Combining Service Blueprint and AHP)

  • 현민철;조부연
    • 한국산학기술학회논문지
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    • 제15권4호
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    • pp.1895-1904
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    • 2014
  • 본 연구에서는 의료관광의 서비스청사진과 AHP분석기법을 적용하여 서비스 품질을 향상시킬 수 있는 방안을 모색하고자 한다. 서비스 청사진은 서비스 전달 시스템에서 발생 가능한 실패 요인을 식별하기 위해 널리 이용되고 있으며, AHP분석은 다 기준 의사결정 과정에서 상대적 중요성을 평가하는 유익한 방법으로 인정받고 있다. 중국 의료관광객 입장에서 경험 가능한 위험을 이해하고, 이에 대한 개선 과정에서의 우선순위를 제안하고자 한다. 이를 위하여 다음의 연구과정을 수행하였다. 첫 번째 단계에서 한국의 의료관광에 대한 기존 문헌을 조사하고, 서비스 청사진을 작성하였다. 두 번째 단계에서는 중국 환자들에게 서비스를 제공하는 과정을 경험한 전문가에게 제안된 서비스 청사진에 대해 검토를 요청하였다. 세 번째 단계에서는 검토된 서비스 청사진에서 발생 가능한 실수가능점을 추출하여, 이에 대한 우선순위를 파악하고자 하였다. 이 과정에서 중국 환자들이 느끼는 상대적 중요성을 추측할 수 있는 전문가를 대상으로 한 AHP방법이 적용되었다. 하위의 세부항목이 존재하는 4개의 단계(도착 및 환영, 입원과정, 치료 및 수술 과정, 회복 및 퇴원과정)에 대한 분석결과에서는, 치료 및 수술 과정이 입원과정 단계와 함께 중국 환자의 신뢰를 향상시킬 수 있는 중요한 과정이라는 것을 보여준다. 또한, 본 연구에서는 서비스의 실패 방지를 위해 하위의 16가지 기준 사이에서 개선되어야 할 우선순위를 제안하고자 한다.

치과위생사의 보철 의료서비스가 치과 만족 및 애호도에 미치는 영향 (The Effect of Dental Hygienist Prosthetic Medical Service on Dental Satisfaction and Dental Loyalty)

  • 송귀숙;류다영;이수정
    • 한국산학기술학회논문지
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    • 제22권1호
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    • pp.713-718
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    • 2021
  • 본 연구는 치과의료기관에서 환자만족도 증진을 위한 치과위생사의 역할과 중요성을 규명하고, 치과위생사의 사회적 위치와 근무조건 및 환경을 개선하고자 시행되었다. 최근 10년 이내에 치과에서 보철치료를 받은 경험이 있는 자를 대상으로 치과위생사의 보철 의료서비스에 따른 치과 만족 및 재이용 의사, 권유 의사에 미치는 영향을 연구하고자 한다. 2020년 6월 1일부터 7월 2일까지 설문지를 배포하여 수집한 166부를 분석하였다. 자료 분석은 SPSS Ver 23.0 program을 이용하여 빈도와 백분율, 평균과 표준편차, Pearson 상관분석, 다중 회귀분석을 시행하였다. 그 결과, 보철치료 중 치과위생사가 제공하는 의료서비스의 질은 평균 4.05이며, 치과만족도 평균 4.27, 재이용 의사 평균 3.97, 권유의사 평균 4.01로 나타났다. 상관분석 결과, 각 요인 간의 유의한 양의 상관관계를 나타냈으며(P<0.01), 다중회귀분석 결과, 치과 만족에 영향을 미치는 요인으로 지식수준으로 나타났다(P<0.05). 재이용 의사에 영향을 미치는 요인으로 지식수준, 교육정도로 나타났으며, 권유 의사에 미치는 요인으로 지식수준과 교육정도로 나타났다(P<0.05).

("황제내경소문(黃帝內經素問)" 중(中) 사혈(瀉血)에 관한 연구(硏究) (A Study on the Blood-Letting Therapy in Elementary Questions)

  • 이준근
    • 대한한의정보학회지
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    • 제14권1호
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    • pp.19-42
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    • 2008
  • Blood-Letting Therapy is a rational and ecological medical treatment by which we can heal most of the diseases by removing the static blood which precipitates in the blood vessel and blocks the flowing of blood. And the static blood is the generic term for the injurious, bad, dead and precipitated blood which is blocked the capillary vessel. The Yellow Emperor's Canon of Internal Medicine says that "the patient is treated with drugs internally and stone acupuncture externally. "In the old texts, the blood-letting therapy is mentioned as blood-letting, network vessel pricking, bloodletting, pricking, and arousing pulses etc and it is noted down as the method of network vessel pricking in 'On the Application of Needles' of Spiritual Pivot. Nine-pricking therapy, twelve-pricking therapy and five-pricking therapy are recorded in the methods of network vessel pricking and among them, the method of squeezing blood after pricking the affected part is explained as the network vessel pricking. There are four methods of network vessel pricking, pricking, picking, cluster needling and scatter-pricking and they are fluidly applied to the various symptoms of diseases. In 'On Discriminative Treating for Patients of Different Regions' in Elementary Questions, Ki-baek emphasizes "most of the local people, there are black in skin and loose in striate, and their diseases are mostly of carbuncle kind. It is suitable to treat the disease with stone therapy to prick with stone, so the stone therapy is transmitted from the east. "And in 'On the Corresponding Relation Between the Eum and Yang of Man and All Things' in Elementary Questions, when the Emperor asked Ki-Back, he answered "sthenia means the sthenia of evil, and deficiency means the deficiency of healthy energy. When the blood is sthenic, the evil should be discharged by pricking when out letting the blood; deficiency of vital energy is the asthenia of channels and network vessels, so the energy should drain from the channel which is not deficient, to replenish. "And in this case we can use the methods of 'Breaking out the static bloods', 'driving out the static bloods', blood-letting'. With this we can infer that the blood-letting therapy is made use of the important medical treatments from the ancient times. Especially in referring to the principles of treatment in The Yellow Emperor's Canon of Internal Medicine, it mostly alluded to acupuncture therapies and only eleven times to medicinal treatments. This is to verify that the blood-letting therapy formed the foundation of the medical art. In Dong's Therapy of Acupuncture-Moxibustion and Bloodletting, Dong Kyeong-Chang gave emphasis on the points that there must be extravasated bloods without exception in the serious illnesses which is old, unnatural, accompanying acute pains and so we can revive our body‘s sprit by circulating 'gi' and static blood piled up in the network vessel, regulating the weakness and strength, and controling the disharmony of the internal organs. The blood-letting therapy has effect on the orifice in emergency, such as fore draining, freeing network vessels, harmonizing gi and blood, relieving pain, dispersing swelling and concretion, sedation, resolving toxin as well as strengthening the heart, relieving itching. So it has distinguished effect on all kinds of medical treatment to the modern people. But by the change of social customs and the confucianism of confucius - it is widely spread on the period of North and South Dynasties, 'Wi' and 'Jin' in china and the period of the Three States in korea - The blood-letting therapy which was regarded as the most important medicinal treatment withered rapidly. And Confucius accentuated the importance of our body and all its members, loyalty and filial piety and banned any damage of our body under no circumstances. As a result of it, the therapy of blood-letting had a rapid decrease and barely kept itself in existence in both countries. What is worse, at the period of Japanese colonial rule of korea and our nation's founding of early stage, it has been withered by the high-handed policy to change Oriental Medicine into modern medical science. So the therapy of blood-letting barely kept itself in existence in some Buddhist temples. Another case, it has handed down as a old-fashioned quick fix in folk remedies. But all kinds of the contamination of heavy metals and the misuses of antibiotics are widely spread nowadays, which increased diseases of adult people and incurable diseases as modern society unavoidably made its way into a highly industrial society. To make us more miserable, the western medical science - the antibiotics and surgical operation medical science - already reveals itself into a limit. The necessity of a new medical science which can give a security to the patients who are suffering from the diseases of adult people and the incurable diseases is especially come into the force nowadays. In view of the results after bibliographically studying on the blood-letting Therapy in Elementary Questions of the Yellow Emperor's Canon of Internal Medicine, the blood-letting therapy has acted for the important Oriental medicinal science and has been clarified the prominent effects on the diseases of adult people and the incurable diseases. So it is regarded as an appropriate thing that we lay out a determined theory of the blood-letting therapy and of course prevent the unwanted side effects from inappropriate medicinal treatments, and make full use of clinic by elevating the curative value and that we win back our self-respect of medical treatment which is dominated from the western medical science and ultimately contribute to national medical welfare.

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