• 제목/요약/키워드: patient satisfaction

검색결과 1,720건 처리시간 0.026초

치과위생사의 직무만족에 관한 측정도구 개발 (Development of job satisfaction scale for dental hygienist)

  • 박지현;임순연
    • 한국치위생학회지
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    • 제20권6호
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    • pp.913-924
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    • 2020
  • Objectives: This study was conducted to develop a dental hygienist's job satisfaction scale and to evaluate its validity and reliability. Methods: A total of 34 preliminary questions were composed based on the components commonly defined in previous studies and in-depth interviews. Results: The results of the study were practice activity, professional satisfaction, income, working conditions, patient relations, and co-worker relations using the exploratory factor analysis. Goodness of fit of the model assessed using confirmatory factor analysis generally met the criteria. On verification of the internal consistency, the Cronbach's alpha for the factors were as follows: 0.821 for practice activity, 0.822 for professional satisfaction, 0.847 for income, 0.765 for working condition, 0.743 for patient relations, and 0.747 for co-worker relations, which implied that the measurement tool was reliable. Through exploratory and confirmatory factor analyses, a total of 24 items for six factors: six items for practice activity factors, four items for professional satisfaction, three items for income, four items for working conditions, three items for patient relationships, and three items for coworker relations. Conclusions: Based on the aforementioned results, the validity and reliability of the dental hygienist's job satisfaction measurement tool were satisfactory. Thus, it may be used for assessing the job satisfaction of the dental hygienists in future.

액취증 환자에서 표준 진료지침서의 개발과 적용 (Development and Implementation of a Critical Pathway in Patient with Osmidrosis)

  • 김양우;김흥규;심경원
    • 한국의료질향상학회지
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    • 제9권1호
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    • pp.66-73
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    • 2002
  • The current health care system demands provisions for patient care in perspectives of a cost-effectiveness and patient satisfaction. Critical pathway implementation facilitates optimal sequencing and intervention timing of patient care, and makes medical team and patients participate in a treatment actively. In this study, a critical pathway was developed and implemented to patients with osmidrosis who undertake operation. Sixty patients were included in the study. The critical pathway was implemented for care of 26 patients while the traditional care was implemented for 34 patients. In the critical pathway implemented group, time needed for charting and unessential working was reduced. Mean time amount of time for patient nursing was increased. The critical pathway implementation is an effective method to utilize time of medical team. Also it increases the satisfaction index of patients and medical team simultaneously.

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Patient-specific implants for maxillofacial defects: challenges and solutions

  • Alasseri, Nasser;Alasraj, Ahmed
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제42권
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    • pp.15.1-15.8
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    • 2020
  • Background: Reconstructing maxillofacial defects is quite challenging for most surgeons due to the region's complex anatomy and cosmetic and functional effects on patients. The use of pre-made alloplastic implants and autogenous grafts is often associated with resorption, infection, and displacement. Recent technological advances have led to the use of custom computer-designed patient-specific implants (PSIs) in reconstructive surgery. This study describes our experience with PSI, details the complications we faced, how to overcome them, and finally, evaluates patient satisfaction. Case presentation: Six patients underwent reconstruction of various maxillofacial defects arising due to different etiologies using PSI. A combined total of 10 implants was used. PEEK was used to fabricate 8, while titanium was used to fabricate 2. No complications were seen in any patient both immediately post-op and in subsequent follow-ups. All patients reported a high level of satisfaction with the final result both functionally and cosmetically. Conclusion: The use of computer-designed PSI enables a more accurate reconstruction of maxillofacial defects, eliminating the usual complications seen in preformed implants and resulting in higher patient satisfaction. Its main drawback is its high cost.

전국 보건소 물리치료실 운영 실태와 활성화 방안 (Improving Physical Therapy Services of Health Centers in Korea)

  • 장은주
    • 대한물리치료과학회지
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    • 제3권2호
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    • pp.1021-1036
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    • 1996
  • The purpose of this study are ( i ) to examine operating situation of physical therapy department and job satisfaction of physical therapists in health centers, (ii) to analyze utilization patterns and patient satisfaction of physical therapy services among health center visitors, and finally, (iii) to suggest policy implications in facilitating improvement on physical therapy services of health centers. The materials are collected from 105 physical therapists among nationwide health centers and 203 patients of 5 health centers in Pusan, Korea. The survey is conducted from February 13 to March 30, 1996 with a structured self - administered questionnaire. Major results of the study are as follows. First, the result of regression analysis between job satisfaction and affecting factors identify following variables as the significant determinants; self-development(+), job itself(+), and co-worker support (+). Second, the current operating situation of physical therapy department shows such problem as; i )shortage and unstable job security of physical therapists, ii )absence of rehabilitation specialist, iii )lack of understanding on physical therapy of co-workers, iv)shortage of physical therapy equipment and facility, v)burdensome task of physical therapists, and vi) inappropriate purchase process of equipment. Third, patient satisfaction for physical therapy services are revealed relatively high. And the result of regression analysis between patient satisfaction and affecting factors identify following variables as the significant determinants; credibility of physical therapist(+), satisfaction for waiting time(+), cleanliness(+). Fourth, the patients appeal about physical therapy services such problem as; i) shortage of physical therapists, physical therapy equipment, and facility, ii) inconvenient administrative procedure for utilization physical therapy services. Fifth and last, recommendations for the improvement of physical therapy services of health centers are as follows; i )recruiting more physical therapists, ii )regular employment of physical therapists instead of daily use employment, iii )re-arrangement of facility for patient's convenience, iv )establishing reasonable purchasing system of equipment for physical therapy, v) reforming administrative procedure for patient focused care.

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의약분업이후 병원문전약국과 동네약국 이용자의 만족도 비교 (Comparison of patient's satisfaction on the pharmacy services between those using the pharmacy nearby hospital and those using the pharmacy in resident areas)

  • 윤혜설;유승흠;손태용
    • 한국병원경영학회지
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    • 제6권1호
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    • pp.62-84
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    • 2001
  • The purpose of the study was to compare patient's satisfaction on the pharmacy services after introducing the new system of separation of dispensing from prescribing medicines, between those filling their prescriptions from the pharmacy nearby hospitals and those from the pharmacy in their resident areas. To measure patient's satisfaction, a questionnaire survey was conducted with 354 outpatients who received prescriptions from any of the three university hospitals located in In-Cheon city. Study results showed that geographic accessibility to pharmacy was a main attribute to select pharmacy. Size of the pharmacy and availability of prescription drugs are the second major reasons for pharmacy selection for the patients from the pharmacy nearby hospital, whereas patronage is the second major reason for those from the pharmacy in resident areas. Overall satisfaction was higher among the patients from the pharmacy in resident areas than those from the pharmacy nearby hospitals, mainly due to better facilities(waiting area, public telephone, etc), kindness, cleanliness, shorter waiting time, and pharmacist's concern about patient's health. On the other hand, the patients of the pharmacy nearby hospitals showed low satisfaction because of long waiting time and the lack of pharmacist's knowledge and information about patients' health status and medication history. Patients visiting the hospital that has pharmacy-hospital cooperation system showed higher satisfaction as compared to those visiting the hospital without such system. This study provided an empirical evidence that it would be more advantageous for patients to receive pharmacy services from pharmacies located in their living areas than from pharmacies nearby hospitals. This implies that there is a strong need for adequate strategies to enhance the role of pharmacies in resident areas under the new system of separation of dispensing from prescribing medications.

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환자만족도 조사의 응답편견과 신뢰도 (Response Bias and Reliability of Patient Satisfaction Survey)

  • 조영식
    • 치위생과학회지
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    • 제3권2호
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    • pp.83-88
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    • 2003
  • 치과의료기관의 질관리를 위한 환자만족도 조사의 측정도구를 개발하고 평가하기 위하여 3회의 설문조사를 실시하였다. 51개소의 치과의료기관이 조사에 참아하였으며, 1017명이 응답하였고, 의료기관의 유형과 자료수집 방법에 따라 5개의 표본 집단으로 분류되었다. 표본 집단과 응답자의 특성에 따른 측정값, 신뢰도, 응답편견의 차이와 효과를 비교하기 위하여 정규성검정, t 검정, 분산분석, 카이스케어 검정, Kruscal-Wallis 검정을 실시하였다. 응답 편견과 균형척도에 의한 신뢰도, 타당도, 척도판별력의 저하효과가 추정되었다. 1. 측정 도구 문제를 평가하기 위한 독립 표본의 신뢰도를 비교한 결과 4개의 표본 집단의 내적 일관성의 신뢰도는 비슷한 수준을 보이고 있다. 2. 두 항목의 균형 척도에 대한 긍정 응답 편견률은 20%이며, 교육 수준에 따라 유의한 차이가 나타났다(P<0.05). 3. 환자 관점의 질 평가 척도의 측정값은 독립 표본 사이에 유의한 차이가 나타나지 않았으며, 연령에 따라 20대와 60대 사이에 유의한 차이가 나타나고 있다(P<0.01). 4. Likert 5점 척도로 구성된 총화평정척도의 평균은 4.16으로 좌측으로 편이되고 중앙값에 집중된 높은 첨도의 분포를 보였다. 5. 하위척도 사이의 평균차, 삼사분위값 대 일사분위값의 평균차가 95%의 신뢰구간에 포함되어 측정도구의 판별력은 매우 낮았다.

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치과환자의 치과위생사에 대한 의료 커뮤니케이션과 신뢰, 만족과의 관계 (A study on the relationship between patient's medical communication, reliance and satisfaction to dental hygienist)

  • 이정화;최정미
    • 한국치위생학회지
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    • 제12권5호
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    • pp.1017-1027
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    • 2012
  • Objectives : The purpose of this study was to help form treatment relationship with patient through more effective communication by defining the relationship between dental hygienist's medical communication and outpatient's reliance satisfaction. Methods : The study researched 273 male and female patients who visited dental clinics and hospitals of Busan from March 12 to March 26, 2012 and its results are as follows. Results : 1. The linguistic communication of dental hygienist was $3.72{\pm}0.63$ and non-linguistic communication was $3.48{\pm}0.58$. 2. For the dental hygienist's reliance satisfaction, the reliance was $3.62{\pm}0.65$ and the satisfaction was $3.74{\pm}0.65$. 3. The dental hygienist's communication degree depending on general characteristic was statistically significant when the job of patient was housewife(p<0.001) and the number of dental clinic visits was more than 10 times (p<0.000). The dental hygienist's non-linguistic communication was statistically significant depending on patient's gender(p<0.000), age(p<0.002), job(p<0.001) and number of dental clinic visits (p<0.000). 4. The dental hygienist's reliance and satisfaction showed statistically significant difference depending on patient's gender(p<0.000), age(p<0.002), job(p<0.001) and number of dental clinic visits (p<0.000). 5. The dental hygienist's non-linguistic communication showed a positive correlation with reliance and satisfaction(p=0.000). Conclusions : When considering the result above, it is necessary to develop the teaching method and material to educate the communication ability of dental manpower. It is necessary to reinforce the curriculum of dental hygienics and the education of dental hygienist to perform effective, smooth communication between dental hygienists.

노인요양병원 환자보호자의 소비가치와 병원 만족도 및 심리적 안녕감 간의 관계 연구 (A Study on the Relationship Among the Patient Caregiver's Consumption Value and Hospital Satisfaction, Psychological Well-Being in Geriatric Hospitals)

  • 임태영;임왕규
    • 디지털융복합연구
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    • 제12권12호
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    • pp.61-76
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    • 2014
  • 본 연구는 노인요양병원에 입원한 환자보호자를 대상으로 소비가치와 병원 만족도 및 환자보호자의 심리적 안녕감 간의 관계를 조사하는데 목적이 있다. 본 연구를 위하여 서울 경기지역에 소재한 민간노인요양병원 10개소에 입원하고 있는 환자보호자를 대상으로 설문조사를 실시하여, 총 355부의 자료로 분석을 수행하였다. 분석방법은 SPSS 18.0을 이용하여 요인분석을 통한 타당도 분석, 신뢰성 검토와 다중회귀분석법을 시행하였다. 연구결과 노인요양병원의 소비가치 중에서 기능적 가치, 감정적 가치가 병원 만족도에 정(+)의 영향을 미쳤고, 진귀적 가치는 병원 만족도에 부(-)의 영향을 미치는 것으로 나타났다. 병원 만족도는 환자보호자의 심리적 안녕감에 정(+)의 영향을 미쳤다. 또한 가족지지가 기능적 가치와 병원 만족도 간의 관계에서 조절변수로서 역할을 하였고, 환자보호자의 심리적 안녕감에 직접적인 영향을 미치는 것으로 나타났다. 이 연구결과의 함의를 논의하고, 환자보호자의 병원 만족도와 심리적 안녕감을 향상시킬 수 있는 병원경영 연구과제를 제시하였다.

간호정보 제공이 당일수술 환자의 불안과 간호만족도에 미치는 효과 (Effects of Surgery Information Service on One-Day Surgery Patients' Anxiety and Satisfaction with Nursing Care)

  • 임연호;서인선;정승희
    • 성인간호학회지
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    • 제22권1호
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    • pp.1-10
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    • 2010
  • Purpose: The purpose of this study was to determine the effects of surgery information service on one-day surgery patients' anxiety and satisfaction with nursing care. Methods: The study used the nonequivalent control group time difference design. Sampling and measurement of the control group participants (n=30) was completed first. Later, participants in the experimental group (n=30) were sampled, intervened, and measured. The experimental group participants received the surgery information services twice: before and after the surgery, 20~30 minutes for each of the sessions. The anxiety was measured with the State-Trait Anxiety Inventory developed by Spielberger (1975), and modified by Kim & Shin (1978). The patient satisfaction with nursing care was measured with the Patient Satisfaction with Nursing Care Scale developed by La Monica and colleagues (1986), and modified by Shin (1999). The data was collected between February 1 and May 30, 2006. Results: The results were as follows: 1) The level of anxiety in the experimental group was not significantly different from that in the control group. 2) The level of patient satisfaction with nursing care in the experimental group was significantly higher than in the control group (t=-4.53, p=.00). Conclusion: These findings suggested that the one-day vocal cord surgery information service could be a useful nursing intervention to improve patient satisfaction with nursing care, but not for controlling the anxiety of one-day surgery patients.

Factor Structure of a Korean-Language Version of the Patient Satisfaction with Procedural Aspects of Physical Therapy Instrument

  • Lee, Hae-Jung;Adams, Roger;Oh, Tae-Young
    • The Journal of Korean Physical Therapy
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    • 제25권3호
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    • pp.160-166
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    • 2013
  • Purpose: The aim of the study was to survey satisfaction with physical therapy. Methods: After the physical therapy consultation, patients filled in a Korean-language version of the 20-tiem version of the MedRisk Instrument developed for measuring Patient Satisfaction with physical therapy. Items are scored on a five-point Likert scale ranging from strongly disagree to strongly agree. The last two items are general satisfaction and future return to the clinic. Age and gender information was also collected anonymously. Exploratory factor analysis based on principal components analysis with varimax rotation was performed on the first 18 items of the MedRisk Instrument using SPSS v.20. Results: Four factors emerged with eigenvalues greater than 1, and these cumulatively explained 55% of the total variance in item scores. The factors were labelled: Internal, External Positives, External Negatives, and Clinic Presentation. Correlations of the factor scores with the two global items ranged from 0.29 to 0.70 (both p<0.001). Gender differences were only found on the last factor, with male Korean patients rating Clinic Presentation significantly higher than females (p=0.001). Conclusion: Using factor analysis, the proposed factor structure was revealed using the positive and negative components of the external aspects of the physical therapy and by identifying a clinic presentation which contributes to patients' satisfaction. The largest proportion of the variance in Patient Satisfaction was related to clinicians' attention and behaviour. The results of the analysis provide guidelines as to the dimensions of professional physical therapy care and the implications for service delivery and patient experience.