• 제목/요약/키워드: satisfaction of utilization

검색결과 687건 처리시간 0.024초

뇌졸중 환자에 적용한 핫라인 전화상담 프로그램의 효과 (Effects of Telephone Hotline Counseling Program on Stroke Care)

  • 김백균;강동완;김도연;박정현;우지석;김영희;김현숙;문민주;이정윤;국형석;김낙훈;최상원;안하규;양성규;김준엽;강지훈;한문구;배희준;김범준
    • 보건행정학회지
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    • 제33권2호
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    • pp.185-193
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    • 2023
  • Background: This study focuses on the establishment and operation of a stroke patient hotline program to help patients and their caregivers determine when acute neurological changes require emergency attention. Method: The stroke hotline was established at the Gyeonggi Regional Cerebrovascular Center, Seoul National University Bundang Hospital, in June 2016. Patients diagnosed with stroke during admission or in outpatient clinics were registered and provided with stroke education. Consulting nurses managed hotline calls and made decisions about outpatient schedules or emergency room referrals, consulting physicians when necessary. The study analyzed consultation records from June 2016 to December 2020, assessing consultation volumes and types. Outcomes and hotline satisfaction were also evaluated. Results: Over this period, 6,851 patients were registered, with 1,173 patients (18%) undergoing 3,356 hotline consultations. The average monthly consultation volume increased from 29.2 cases in 2016 to 92.3 cases in 2020. Common consultation types included stroke symptoms (22.3%), blood pressure/glucose inquiries (12.8%), and surgery/procedure questions (12.6%). Unexpected outpatient visits decreased from 103 cases before the hotline to 81 cases after. Among the 2,244 consultations between January 2019 and December 2020, 9.6% were recommended hospital visits, with two cases requiring intra-arterial thrombectomy. Patient satisfaction ratings of 9-10 points increased from 64% in 2019 to 69% in 2020. Conclusion: The stroke hotline program effectively reduced unexpected outpatient visits and achieved high patient satisfaction. Expanding the program could enhance the management of stroke-related neurological symptoms and minimize unnecessary healthcare resource utilization.

근로자의 산업보건관리에 대한 지식, 태도, 실천 조사연구 -광주, 전남지역- (A Study on the Knowledge, Attitude and Practice about Industrial Health Care Services of workers -Kwang-ju City and Chonnam Province-)

  • 강혜영;박인혜;오미성;최영애;유수옥;최희정
    • 지역사회간호학회지
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    • 제4권2호
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    • pp.139-145
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    • 1993
  • The purpose of this study was to identify the degree and the relationship of the Knowledge, Attitude and Practice of industrial health care services of workers. This information will provide useful data for an effective industrial health care service. The was collected from 600 data employees in Kwang-ju city & Chonnam province. The data was gathered by questionnaire from Dec 20, 1992 to Jan 20, 1993. The questionnaire was developed by the Academic Affairs of Community Health Nursing Academy. Data was analyzed by using the statistical computer package, SPSS to manipulate the data along with percentages, means, standard deviations, modes, t-test and ANOVA. The results in this study were summarized as follows: 1. General characteristics of workers: Distributions of workers was laborer(76.2%). in the 25-34 age group(50.2%), married(63.3%), males comprised(77.5%), the educational level with the highest percentage was high school graduates (71.1%), with a monthly income of 300-700 thousand won(43.8%), and has been working in the present career over seven years (31.5%). 2. The Knowledge, Attitude and Practice levels of employees about industrial health care services The levels were measured according to a five point scale. The total mean score of knowledge was 2.92 points out of 4. The following are the scores of Knowledge of special medical examination and location of industrial clinic(3.48), periodic medical examination (3.18), occupational disease(3.08), personal protective equipment (2.92), and health education(1.37). The total mean score of Attitude was 2.77 point out of 4. The following are the scores of Attitude in order of working environment (3.35), necessity of periodic medical examination and health education(3.15), the worker's perception influence on the working environment to health was high(3.11). But, the level of satisfaction in the content of periodic medical examination was low(2.19). The total mean score of Practice was 2.70 points out of 4. The scores of Practice in order were, practice of periodic medical examination(3.70), utilization of industrial clinic(2.92), and to participate in health education(1.47). 3. The relationship of general characteristics to Knowledge, Attitude, and Practice of workers: Knowledge had a significant difference by sex (P<.01), marital status(P<.01), education level (P<.05) and monthly income(P<.01). Attitude was significantly different with sex(P<.05) and Practice was significantly related to monthly income (P<.01).

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초등학교 급식의 수산물 이용실태 및 소비촉진 방안에 관한 연구 (A Study on Utilization and Consumption Promotion of Seafood in Elementary School Lunch Program)

  • 조미연;이민준;이영미
    • 한국식생활문화학회지
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    • 제18권2호
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    • pp.139-150
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    • 2003
  • The objective of this study consists in promoting seafood consumption by increasing its intake opportunities for children through analysis of seafood using frequency in the elementary school lunch program. For that purpose, randomly sampled out from elementary schools through the county were 155 dietitians and 5th grade 3581 children, on whom a mail survey was conducted to analyse their seafood using frequency, and preference, and lunch menu by seasons. Results of this study are as follows : The seafood using frequency of the respondents represented the highest value in one or two times a week, while obstacles in seafood use presented high values in the safety of food by 71.6% and children preference by 68.4%. The seafood intake frequency of the respondents showed the highest value in three or four times a week by 34.5% and the places of seafood intake indicated the highest response in the home by 43.5% and then school lunch and dining out. The dietitians responded that children for the most part had not a preference for seafood, whereas the children pointed out average by 46.2%. As for reasons for avoidance of seafood, the dietitians expressed the highest response in it depends cooking methods by 45.8%, while the children because of its peculiar taste and smell by 42.1%. Their required improvement showed the highest response in the taste improvement by 51.8%. The children most preference for seafood that dietitians thought included fried Alaska pollack and shrimp cutlet, while dislikes braised mackerels and seasoned cold jelly fish. Cooking methods frequently used were represented in order of soup, hot soup, and stew, and the children's preferred cooking method was from fried food. Above results suggested that the intention to increase seafood using frequency is needed to at the time of planning the menus so that more seafood-providing opportunities can be given. The development of cooking methods is urgently needed that can change the taste or the smell of seafood, and concurrently with this conveniences be taken into account in eating such as elimination of bones, etc. as early as the states of purchase or checking of seafood. The reflection of the preferred cooking methods is thought to contribute to the enhancement of satisfaction with the seafood as well as to the reduction of food remnants. The recommendation of intake of low preference but nutritionally good seafood is required to be expanded in nutrition education.

대구.경북지역 산업간호사의 배치현황 및 제공실태에 관한 조사연구 (A Study on the Distribution of Industrial Nurses and Performance of Industrial Nursing Services in Taegue and Kyungpook area)

  • 김상순;김연화;김옥란;최연희
    • 지역사회간호학회지
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    • 제1권1호
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    • pp.299-317
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    • 1989
  • This study was attempted to find out the distribution of industrial nurses, analyze job performance by function and utilization state of medical dispensary among workers. The subjects for this study were 32 nurses working at industry located in Kyungpook and Taegu area. The data was collected through questionaire during the period of August 5-31, 1986, and analysed by the method of frequency and percentage. The following is the main findings of the study; 1. 72.2% of respondents was engaged in manufacturing industry, 33.3% in workplace whose regular workers was more than 2,000 workers. 67.7% in occupational health physicians was part-time system. 2. 93.1% of respondents was 20-29 years age group, 93.1% was graduates of junior nursing college, 96.6% was unmarried. 448% had 1-4 years of total working experiences. 3. For the motives which made them becomes industrial health nurse, 'good employment condition' was 62.1%. For the job satisfaction, 'moderate' was 586%. For the interest about the industrial health, 'moderate' was most frequent (58.6%). In the inservice education, 86.2% of the subjects was received education. 4. For the attitude of the dispensary and industrial nursing of employer, 'necessary' was most frequent (72.4%, 62.6%). 5. All establishment had dispensary facilities, 65.5% of them had independent dispensary. 6. In duty shift, 93.1% of respondents was working in one shift system. 41.4% of respondents was received from 250,000 won to 290,000 Won and 41.4% was belong to personnel section and 24.1% was direct controlled by general business section chief. 7. In the main health problem of their factories, 48.3% of respondents was work-environmental state, 24.1% was health education. 8. In the Dispensary budget, 60% of respondents was under 3,000 won per worker. 9. In the job performance rate by function, nursing service 73.1%, industrial health and nursing management 63.7%, environmental hygiene and safety management 54.5%, medical insurance 44.9%, welfare 38.4%. 10. Main health complaints among workers utilizing medical dispensary was 35.9% of respiratory system, 21.5% of gastro-intestinal system, 11.0% of skeletomuscular system.

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성동구내 어린이집 원아 부모의 소아 한방치료에 대한 인식 및 이용에 관한 조사 연구 (A Survey on Parent's Recognition and Utilization Patterns of Oriental Medical Care of Preschool Students in Seong-Dong district)

  • 박유진;이슬지;윤지연;명성민
    • 대한한방소아과학회지
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    • 제25권1호
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    • pp.90-110
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    • 2011
  • Objectives: The purpose of this study is to examine the parental recognition and utilizing patterns of oriental medical care in children who live in Seong-Dong district. Methods 802 day-care center children's parents participated in the survey on recognition and utilizing patterns of oriental medical care, and 702 of the surveys were analyzed. Results: 1. 38.33% has received previous oriental medical treatments and most were received at the children's age under 12-24 months. Majority of the treatments took place in the clinical settings. By recommendation, some also received their treatment at the medical centers. One of the reasons why they receive oriental medical treatments was that they prefer to balance their treatment with the orental medical treatments along with the western's. 2. 53.85% of those who received oriental medical treatments were satisfied with their treatments. The effective treatment results were the major reason for the satisfaction. 3. 49.56% of those who had oriental medical treatments chose specific oriental medical facilities for the children's ailment. Most specific oriental medical facilities were local oriental medical clinics. Reputation fame were the main reason in choosing the clinics. 4. In 2009, 55.26% had received care in the specific oriental medical clinics for the diseases, such as respiratory symptoms, systemic symptoms, gastrointestinal symptoms, skin problems, neurological and psychiatric disease for infants, and respiratory symptoms, gastrointestinal symptoms, systemic symptoms, skin problems, neurological and psychiatric symptoms, urinary symptoms and musculoskeletal symptoms for toddlers. 5. The average duration of herbal treatment were 7-14 days, preferably 4-6 days, and preferred number of medical visits were once a week on Saturdays and preferred day for night cares were on Friday nights. Average treatment fee per treatment was less than 10,000 won which coincided with the preferred treatment fee per visit. 6. The very first medical institutions chosen by parents once their children are ill are the following; Western medical institutions, western medical clinics, pharmacies, oriental medical clinics, health centers, and lastly, oriental medical institutions. The major concerns in receiving oriental medical cares include pesticides in herbs and hazardous substances in heavy metals. Preferred form of oriental medicine was decoction, the negative feedback of oriental medicine was mostly due to the bitter taste of the oriental herbal decoctions. Preferred frequency of intake was twice a day with less than 10cc~20cc per single intake. Conclusions: Taken all together, we conclude that the growing recognition of Oriental Pediatric medicine is needed among parents.

사상체질과 작업특성간의 실증적 상관관계 연구 (An Empirical Correlation Study Between Sasang Constitutions and Job Characteristic)

  • 윤상원;갈원모
    • 사상체질의학회지
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    • 제12권1호
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    • pp.37-47
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    • 2000
  • 작업자의 기질적 특성, 능력 등을 고려하지 않고 이루어진 작업들은 제조현장의 많은 문제점들이 되고 있으며 이런 결과들은 산업재해 및 직업병의 원인을 제공할 뿐만 아니라 제조경영 관점에서 품질 및 생산성 저하의 결과들을 초래하고 있는 실정이다. 따라서 본 연구에서는 이와 같은 제반 문제점들을 해결하기 위해 중소기업의 작업특성과 사상체질간의 구명을 시도한다. 체질의 기존의 이론인 사상체질(태양인, 태음인, 소양인, 소음인)을 QSCC II와 한의사의 도움으로 실질적인 구분을 실시하고, 체질이론의 공학적 응용의 기존문헌을 고찰한다. 또한 본 연구에서는 농기계 전문생산 업체를 중심으로 특정 사상체질의 작업자 중심으로 주요 작업특성을 해석하고 그 결과 작업자의 체질에 따라 작업특성이 다르게 나타남을 알 수 있다. 한편, 실증적 연구로서 비디오 카메라로 촬영한 작업현장의 장면을 가상현실 장비 및 EEGs를 사용하여 체질변화에 따른 작업자의 뇌파효과를 조사한다. 조사된 뇌파 데이터를 통계분석 처리하여 그 다양한 뇌파 변화의 관계성을 보여준다. 최종 연구결과들은 추후 작업특성간의 비교 연구과정을 통해 기업의 생산성 향상과 품질 증진에 크게 공헌할 것으로 추측된다.

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대구지역 직영 중학교급식의 냉동가공식품 사용실태에 관한 연구 (Utilization of frozen foods in directly managed middle school meal services in Daegu)

  • 최미자;이정인
    • 한국학교ㆍ지역보건교육학회지
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    • 제12권1호
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    • pp.59-70
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    • 2011
  • Methods: This study was performed to estimate the use of frozen convenience food in middle schools located in the Daegu district. Objectives: These schools have directly managed school meal services. The subjects for this study were 145 students and 66 dieticians. The study involved a survey on food preference and quantity satisfaction of the students and the frequency of use of frozen convenience food in the daily menu. Results: As the result, 50.0% of the students were not satisfied with the meat and poultry quantity from school meals(felt small), and 25.0% of students were not satisfied with vegetables(felt much). The majority of students (50.7%) who were not satisfied with vegetables said they were dissatisfied with the school food because of the taste. On the other hand, 36.6% said they were dissatisfied because they dislike vegetables in general. As for the use and frequency rate of frozen convenience food, the survey results were revealed in the order of dumpling 58.3% > processed meat 50.0% > chicken 50.0% > frozen marine food 40.4% > cuttlefish 30.3% > miscellaneous 26.3% > vegetable & potatoes 14.4%. It was found that many schools employing more than five workers did not use flour-based frozen foods in their menu. As for the use of the frozen processed food, many schools which had an average food cost of more than 1,700 Won were found to use frozen foods more than once a month. In addition, chicken was not used often at the schools whose average food cost was less than 1,500 Won while many schools, whose average food items cost was more than 1,500 Won, incorporated chicken into the menu once a month. Processed flour food [hot dog] was used often by schools whose average food cost was between 1,500 Won and 1,600 Won. As for the actual conditions of using frozen convenience food, there was a significant difference in the use of chicken in relation with the number of food service recipients. As a result, the use of frozen convenience food has been shown to be related with food cost, number of food preparers, and the number of school students.

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주물공장의 빅데이터 수집을 위한 IoT 기반 디바이스 활용 기술 (IoT-Based Device Utilization Technology for Big Data Collection in Foundry)

  • 김문조;김동응
    • 한국주조공학회지
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    • 제41권6호
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    • pp.550-557
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    • 2021
  • 4차 산업혁명의 도래에 따라 주물공장에서도 사물인터넷(Internet of things, IoT) 기반의 공정 스마트화에 대한 관심이 높아지고 있다. 주물공장에서 자동 수집 되고 있는 공정데이터들도 일부 있으나 노후된 생산설비의 제한된 기능, 작업자 노하우 기반의 공정 설계 등의 이유로 여전히 많은 공정데이터가 수기로 관리되고 있다. 특히, 공정데이터의 빅데이터화에 대한 중요도를 인지함에도 불구하고 시스템 구축 비용 부담으로 인해 선뜻 도입을 어려워하는 기업들이 많다. 본 연구에서는 IoT 기반 디바이스를 제작하고 원심주조공정 현장에 직접 적용함으로써 제작 디바이스의 현장 활용성을 살펴보았다. 원심주조공정에 대해 취득하고자 하는 공정 인자로 작업현장의 온도 및 습도, 용탕 온도, 금형 회전속도를 선정하였다. 데이터 취득 인자별로 요구되는 상세 제품규격과 비용을 고려하여 센서를 선정하였으며, IoT 기반 디바이스 제작을 위해 무선통신이 가능한 NodeMCU 보드를 활용하여 회로를 구성하였다. 구성한 회로는 PCB 기판으로 제작하여 각 공정 인자별 디바이스의 설치 환경을 고려하여 작업 현장에 설치하였으며, 현장 실증을 통해 적용 가능성을 확인하였다. 현장 적용 이후, 작업자의 안전에 대한 만족도가 상승하였으며, 공정 관리 측면에서 효율성이 증가했음이 확인되었다. 더불어 지속적으로 데이터를 수집하면 추후 공정데이터-품질데이터의 연계가 가능할 것으로 기대된다. 본 연구에서 제작한 IoT 디바이스는 데이터 수집에 대한 적절한 신뢰도를 확보하면서도 비용이 저렴하여, 주물공장별로 현장 상황을 고려하여 도입 여부를 검토해볼 수 있을 것으로 생각된다.

탄소중립 거버넌스 참여 과학기술전문가의 활동 기준 제시를 위한 공통성공요인 분석 (서울시 기후환경분야 거버넌스 사례를 통한 검증) (Analysis of Governance Common Success Factors for Activity Standards of Science and Technology Experts (Verification by a case of Climate and Environment Governance of Seoul City))

  • 천지광;김혜애;지민규;전병훈
    • 청정기술
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    • 제29권2호
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    • pp.151-159
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    • 2023
  • 탄소중립의 실현을 위해서는 다양한 이해관계자의 공동협력을 기반으로 거버넌스 제도를 활용하는 것이 합리적이다. 성공적인 거버넌스 운영은 구성원들이 어떤 활동 기준을 가지고 참여하는지가 중요하며, 특히 정책 집행 과정에서 과학적 조언을 할 수 있는 전문가에게는 성공적인 합의점 도출을 위한 가이드 공유가 필요하다. 본 연구에서는 거버넌스 참여 과학기술전문가의 활동기준 제시를 위한 공통성공요인을 도출하고자 거버넌스 모형이론과 모형구조, 사례별 공통성공요인, 서울시 기후환경분야 거버넌스 사례적용 등의 조사 분석을 수행하였다. 모형이론 연구결과, 모형구조는 공통적으로 '조건-과정-결과'의 구조로 되어 있으며 구성원들의 활동시기인 '과정' 단계에서 공통성공요인을 도출할 수 있음을 확인하였다. 공통성공요인의 사례조사를 통해 중복요인은 신뢰성, 책임성, 투명성 및 네트워크로 도출되었다. 공통성공요인의 타당성을 검증하기 위해 서울시 거버넌스의 참여자 만족도 조사자료를 활용하여 분석한 결과, 결과값은 신뢰성 > 네트워크 > 투명성 > 책임성의 순으로 확인되었으며, 관련 요인들이 적절하게 도출됨을 알 수 있었다. 본 연구결과가 향후 과학기술분야 전문가의 활동요인으로 활용되어 탄소중립 정책의 수용성과 효용성을 높일 수 있기를 기대한다.

고용량 방사성옥소 치료의 기본 Protocol 비교 (Comparative Study for Basic Protocol of High Dose Ablation Therapy)

  • 문재승;정희일;이치영
    • 핵의학기술
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    • 제12권3호
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    • pp.147-156
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    • 2008
  • 목적 : 방사성옥소 치료팀에서 이루어지고 있는 모든 행위가 나름대로의 원칙과 규정이 있으므로 단일화 된 모델은 적절한 최적화가 아닐 것으로 생각되나 통일성 있는 기준제시에 접근하고자 함이다. 실험재료 및 방법 : 2007년 11월 5일부터 11월 17일까지 29개 병원을 대상으로 핵의학 담당자에게 설문조사하였다. 설문조사의 내용은 환자에 대한 진료부문, 환자관리, 검사 부문, 폐기물관리, 안전관리 등 5개의 카테고리로 정하였으며 질문에 대한 응답내용을 선택하는 방식으로 조사하였다. 결과 : 2007년 10월 기준으로 전체 30개 병원에서 58개의 병실을 운영하고 있었으며 치료계획에 따른 검사 및 일정관리는 약간의 차이가 있었다. 환자에 대한 교육부문은 의사 및 간호사가 주로 담당하였으며 교육에 대한 환자의 만족도는 높은 것으로 평가되었다. 폐기물 관련 자료와 정기적으로 실시되고 있는 정기 감사로 인하여 각 병원별 폐기물 관리 수행은 원만히 이루어지고 있는 것으로 나타났다. 환자 및 작업종사자들에 대한 안전관리는 원자력법에 근거하여 잘 수행되고 있었으며 치료병실에 대한 오염관리에 대해서 대부분 병원에서 철저하게 수행하고 있는 것으로 나타났다. 결론 : 항목별 자료 수집내용을 충분히 검토하여 현실성 있는 설문조사를 통해 구체적인 표준안이 제시되었어야 하나 그러지 못한 부족함이 많다. 그럼에도 불구하고 본 조사에 대해 임상의 활용도 가치를 응답자 중 70.9%로 비교적 높이 평가해 주심에 감사를 표한다. 향후 본 자료를 토대로 각 항목별 세부사항에 대한 조사와 연구가 필요할 것으로 본다.

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