• Title/Summary/Keyword: patients' satisfaction

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Forecast Driven Simulation Model for Service Quality Improvement of the Emergency Department in the Moses H. Cone Memorial Hospital

  • Park, Eui-H.;Park, Jin-Suh;Ntuen, Celestine;Kim, Dae-Beom;Johnson, Kendall
    • International Journal of Quality Innovation
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    • v.9 no.3
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    • pp.1-14
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    • 2008
  • Patient satisfaction with the Emergency Department(ED) in a hospital is related to the length of stay, and especially to the amount of waiting time for medical treatments. ED overcrowding decreases quality and efficiency, therefore affecting hospitals' profitability. This paper presents a forecasting and simulation model for resource management of the ED at Moses H. Cone Memorial Hospital. A linear regression forecasting model is proposed to predict the number of ED patient arrivals, and then a simulation model is provided to estimate the length of stay of ED patients, system throughput, and the utilization of resources such as triage nurses, patient beds, registered nurses, and medical doctors. The near future load level of each resource is presented using the proposed models.

Neglected Achilles Tendon Rupture V-Y Tendinous Flap Reconstruction and Isokinetic Plantarflexion Torque Evaluation - Report of 3 Cases - (진구성 아킬레스 건 파열 V-Y 건판 재건술과 등속성 족저 굴곡력 분석 - 3례 보고 -)

  • Jung, Hong-Geun;Kim, Myung-Ho;Kim, Gun-Nam
    • Journal of Korean Foot and Ankle Society
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    • v.4 no.2
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    • pp.87-92
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    • 2000
  • The tendinous ends of neglected achilles tendon rupture tend to retract and separate with atrophy due to gastrosoleus muscle contracture, leaving a wide gap occupied with fibroadipose scar tissue. It is almost impossible to perform simple end-to-end anastomosis after the intervening scar tissue being excised. Therefore many surgical procedures have been proposed to reconstruct the large gap. We treated three such cases by V-Y advancement flap and double Krackow suture technique, and their postoperative strength of triceps surae were evaluated with Cybex isokinetic strength testing. All patients returned to preinjury activities with satisfaction, but the ankle plantar flexor power showed about 20-30% deficit.

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Second Toe to Finger Transfer in Traumatic Amputated Index (외상성 수지 절단에서 인지 재건을 위한 제 2 족지이식)

  • Lee, Kwang-Suk;Hahn, Seung-Beom;Lee, Seoung-Joon;Park, Sung-Joon
    • Archives of Reconstructive Microsurgery
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    • v.11 no.1
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    • pp.41-46
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    • 2002
  • Purpose : To assess the clinical results of second toe-to-finger transfer in traumatic amputated index finger. Materials and Methods : For the clinical evaluation, we have analyzed 12 patients with ROM of finger joints, pinch power, static two point discrimination, life functional assessment, and patient's satisfaction. Results : In genral ROM was $54.4^{\circ}$ at MP joint, $17^{\circ}$ at PIP joint and $6.7^{\circ}$ at DIP joint. Pinch power was good in 3 cases, fair in 7 cases, and poor in 2 cases. Daily life activity and patient's acceptance were satisfactory. Conclusion : Although transfered toe function may be poorer than normal finger, the hand was restored to a useful, sensate and versatile functional unit.

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Service Quality Characteristics and Performance In a University Hospital

  • Lee, Byoung-Chan;Lee, Chang W.
    • Proceedings of the Korea Inteligent Information System Society Conference
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    • 2001.01a
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    • pp.373-377
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    • 2001
  • This study is to examine the factors that influence the performances of service quality in university hospitals by investigating systematically the condition of service quality. A synthesis of the health care quality is conducted to identify physical quality, operating process quality, and human resources quality that relate to both the overall satisfaction and intention of revisit. Based on the proposed hypotheses, the relationships between the service quality factors and performance are examined using data collected from 167 patients in three hospitals, Korea. Reliability and validity tests are performed for examining its relationship with service quality in health care systems. Total eight independent variables with respect to three service quality levels and two dependent variables for performance are identified for relationships between service quality and performance in health care systems. The results provide health care managers with a managerial insight to the planning function of performance with service quality in health care systems as well as other operations (business, government, or other service organizations) systems. Implication of the study for theory, future studies, and practices are discussed.

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Issues in Developing Statistics for the Handicapped Population (장애자통계의 개선방안)

  • 최봉호;이승욱
    • Korea journal of population studies
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    • v.17 no.1
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    • pp.73-86
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    • 1994
  • In order for handicapped people to maintain better humane life, it is necessary to get statistics of them in developing appropriate national policy. However, it is very difficult to obtain baseline statistics on regular or occasional basis. It's reason is mainly attributed to attitudes of their family's tendency to conceal any existence of such memeber in the household. As a result, the statis-tics on the handicapped population is very inaccurate and under satisfaction. We must produce such statistics periodically in time and with accuracy. Thus, this study porposes five methods which, we believe, can produce reliable statistics of thehandcapped population : 1) vitalization through enforcement of handicapped information into the registration system, 2) inclusion in population census of items related to handicapped information, 3) improvement of the physically handicapped population survey scheme, 4) utilization of hospital patients' records for development of the statistics, and 5) an estimation through the labor force survey.

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Medical Service Satisfaction on the Patients Utilizing a Day-Case Surgical Center in Korea (국내 당일수술센터 이용환자의 의료서비스 만족도분석)

  • Lee, Seong-Ran
    • Proceedings of the KAIS Fall Conference
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    • 2009.12a
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    • pp.314-317
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    • 2009
  • 본 연구는 국내 당일수술센터 이용환자의 의료서비스 만족도와 관련된 요인들을 규명하기 위해 시도하였다. 설문조사는 2009년 1월 13일부터 2월 13일까지 한 종합병원에서 독립적으로 운영하는 당일 수술센터를 이용하는 환자들로부터 도출했다. 연구결과 당일수술환자는 수술과 입원경험은 적었고 본인의 건강 관심도는 높은 것으로 나타났다. 수술대기시간과 수술시간은 의료서비스 질에 유의한 차이가 있었다(P<0.05). 다중 로지스틱 회귀분석에서 당일수술환자의 인식도에 영향을 주는 것은 연령과 교육수준으로 나타났다(P<0.05). 따라서 당일수술률을 증가하기 위해서 당일수술의 이점에 대한 정보를 제공하고 수술전 교육이 필요하다.

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Auto fitting Parameter Extraction for Digital Hearing Aids (디지털 보청기의 자동 보정 파라미터 추출)

  • 석수영;정호열;정현열
    • Journal of Korea Multimedia Society
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    • v.3 no.5
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    • pp.495-505
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    • 2000
  • In this paper, we propose an efficient auto-fitting system for digital hearing-aids which automatically adjusts the fitting parameters according to the auditory characteristics of hearing handicapped person. The fitting parameters are extracted from audiogram of hearing handicapped and are applied to digital hearing-aid purposed GM3036 chip. The characteristics of each parameter are compared with those from theoretical 2cc graph. The purposed system has applied to 50 patients and their satisfaction ratios show to the very high. As results, it shows effectiveness of proposed system.

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The Effect of Needle-embedding Therapy Combined with Oriental Medical Treatment on Hemifacial Spasm: Report of 2 Case (편측안면경련에 매선침법을 포함한 한방치료 치험 2례)

  • Ji, Young Seung;Yuk, Dong Il;Kim, Jung Ho;Kim, Young Il
    • Journal of Acupuncture Research
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    • v.31 no.4
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    • pp.163-171
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    • 2014
  • Objectives : The aim of this study was to observe the effect of needle-embedding combined with oriental medical treatment therapy on hemifacial spasm. Methods : 2 patients were treated with needle-embedding therapy with oriental medical treatment. After treatment, we evaluated the effect by Scott's scale. And we checked the satisfaction degree and side effect. Results : After treatment, the grade of spasm classified by Scott's scale was decreased and hemifacial spasm was visibly improved. Conclusions : This study showed that needle-embedding therapy with oriental medical treatment was effective to improve hemifacial spasm.

Fingertip replantations in children (소아에서의 원위 수지 절단의 재접합술에 대한 임상적 고찰)

  • Hwang, Jin Yeun;Suh, Young Suk
    • Archives of Reconstructive Microsurgery
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    • v.9 no.1
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    • pp.23-26
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    • 2000
  • From Jan. 1998, 28 young children patients with complete amputations at zone I or II were replanted using a microscopic technique. Children's average age was 4.5 years and the amputation levels were zone I in 12 cases and zone II in 16 cases. Overall survival rate was 57%(16 cases). In children, the advantages of the replantation for distal digital amputations are nearly normal length, good soft tissue coverage with nail and cosmetically high patient satisfaction but surgical technical difficulties are much greater than in adults.

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Finger Tip Replantation (수지 첨부 절단의 재접합술)

  • Kong, Byeong-Seon;Kim, Yong-Jin
    • Archives of Reconstructive Microsurgery
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    • v.12 no.2
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    • pp.105-111
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    • 2003
  • It has been known that the vessels of the finger tip are very small and have many branches, so the anastomosis of this vessel is very difficult. But when this operation achieves success, the replanted finger tip provides adequate soft tissue, restoration of the length, sensory and nail. The authors describe the result of finger tip replantation in 94 patients, 103 finger tips, from October 1999 to June 2002. We performed the salvage procedure in all cases. The success rate of finger tip replantation was 74.8%. We achieved higher success rate, when we succeeded anastomosis of the central artery. The function of the replanted fingers was good. The average TAM was 80% and patient satisfaction was high. We be live that we can achieve higher success rate by anastomosing central artery and performing delicate salvage procedure.

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