• 제목/요약/키워드: service outcome

검색결과 591건 처리시간 0.025초

미국 환자사정도구(OASIS) 개정 사례를 통한 포스트코로나 시대의 가정간호 환자사정 동향 파악 (Understanding the Current Trend of Home Care Assessment in the Post-COVID-19 Era by Comparing Outcome and Assessment Information Set (OASIS)-D and E)

  • 황진경;이하나;김애리;우경미
    • 가정간호학회지
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    • 제30권1호
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    • pp.105-114
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    • 2023
  • Purpose: This study aimed to comprehensively analyze the recent revision of the Outcome and Assessment Information Set (OASIS)-D to version E in the United States to identify the most recent trends in home health care and provide suggestions for implementing home health care in Korea. Methods: This study is a comprehensive literature review. We compared all items in OASIS-D and OASIS-E and identified the most significant changes. Additionally, we have discussed the context in depth. Results: The addition of items related to health literacy and medication reconciliation, strengthening assessment in the cognitive and mood domains, and improving items related to pain assessment were identified. These major revisions resulted from a greater emphasis in the healthcare field on social determinants of health. Additionally, the COVID-19 outbreak highlighted the importance of monitoring and managing the symptoms of home care patients in the community. Conclusion: The key items of the OASIS amendment and their background analysis proposed in this study could serve as a cornerstone for the revision of home health care assessment tools or the development of systematic common assessment tools in Korea.

학교급식의 관리와 효과에 대한 초등교사들의 태도 분석 (Analysis of Elementary School Teachers' Attitude Toward School Food Service Management and Effect)

  • 김학현
    • 한국학교ㆍ지역보건교육학회지
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    • 제1권1호
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    • pp.61-82
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    • 2000
  • The purpose of this study was to find out the general problems of school food service and to explore a way to improve it, by examining elementary school teacher's consciousness and attitude toward it that gave a big impact on children's development of food habit. For attaining the purpose, the following research questions were posed : 1) What's elementary school teacher attitude toward school food service management? 2) What's elementary school teacher attitude toward school food service effect on children? 3) What's elementary school teacher opinion about how to develop school food service? The subjects of study were 328 male or female teachers who served at elementary school in urban and rural area, including eup, myon, or farming and fishing villages, Kyonggi province. A questionnaire survey was conducted over them. The conclusions were as follows: 1) Teacher Attitude Toward School Food Service Management Concerning food service place, the subjects were more satisfied at food service room(73.3%) than at classroom(23.0%). They responded that food service room was more effective, than classroom, for food transportation, distribution and post-arrangement. Their satisfaction at food service place was significantly different. The older teachers considered personnel management and cooking room's sanitary management to be more efficient, and their age made a significant difference to their consciousness of these things. Many teachers(63.1%) thought the measures to prevent and manage group food poisoning were relatively efficient. The male teachers expressed more affirmative view on the efficiency of school food expense management and menu preparation than female teachers, and there was a significant disparity between male and female teachers. 2) Elementary School Food Service Effect School food service was thought to be very effective for physical growth(74.1%) and physical strength improvement(70.1%). Teachers at smaller school revealed more affirmative response toward school food service effect on correcting an unbalanced diet, and older teachers considered its effect on nutrition knowledge acquisition and learning outcome to be more great. Teachers at larger school put less value on its effect on table manners, and school size produced a significant difference. The number of teachers who thought school food service generally raised parent concern and support for school(36.6%) was a little more than that of teachers who didn't think so(15.2%). And the number of teachers who didn't consider its effect on improving parent food life to be good(29.3%) was slightly more than that of teachers who did. 3) School Food Service Reform Measure What's most urgently needed for better school food service management appeared to be an expansion of facilities concerned, followed by more effective food distribution and transport, cooking room's better sanitary management, more successful food poisoning prevention and management, more effective food expense management, and an increase of food service personnel in the order named. The most effective means of school food service education was found to be a creation of link system to family, followed by a development of school food service education program, a development of teaching materials, an insertion of school food service in curriculum, and teacher education in the order named.

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보건의료 조직의 협업적 의료 커뮤니케이션 시스템에 대한 연구 - 환자교육을 중심으로 (Study on a Clinical Collaborative Communication System in Healthcare Organizations -Focused on Patient Education)

  • 박화규
    • 컴퓨터교육학회논문지
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    • 제16권2호
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    • pp.79-90
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    • 2013
  • 의료조직 내에서의 커뮤니케이션 오류와 지연은 의료고객의 서비스 질 하락과 의료분쟁 등 심각한 문제를 야기 시키고 있다. 따라서, 최근 협업적 의료 커뮤니케이션 체계의 중요성이 크게 부각되고 있다. 의사, 환자/보호자, 간호사, 실험실들 간의 커뮤니케이션이 원활하게 이뤄질 때 고효율 저비용 서비스는 물론 궁극적으로 병원의 경영성과에도 도움이 된다. 이러한 동기에서 중소 및 대형병원에서 이 시스템 도입이 급증하는 추세이다. 본 논문에서는 유무선 기반의 협업적 의료커뮤니케이션(Clinical Collaborative Communication)시스템의 구현방법과 모델링을 통한 구현 연구 및 시스템 평가를 위해 S병원을 대상으로 계량적 평가를 수행하였다.

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군수지원 서비스에서 상호작용품질 인식에 대한 사례연구 : 정비기능을 중심으로 (A Case Study on the Perception of Interaction Quality in Military Logistics Support Service: Focused on Maintenance Function)

  • 조종목;김종원;홍석기
    • 한국산업정보학회논문지
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    • 제22권3호
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    • pp.63-76
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    • 2017
  • 전통적으로 군수지원체제 구축과 결과품질에 관심이 집중되는 환경 속에서도 군수현장에서는 상호작용 품질에 대한 사용부대의 니즈가 나타나기 시작했다. 군수 기능 중 보급, 정비, 급양부대가 제공하는 군수지원 서비스품질 차원 중에서 상호작용 품질이 사용부대의 만족에 더 큰 영향을 미친 것으로 나타났는데, 특히 정비기능의 상호작용 품질이 가장 영향력이 크게 나타났다. 설문조사를 통한 실증분석 결과와 현장 군수종사자의 인터뷰가 이를 잘 증명하고 있으며, 고객과 상호작용 활동이 두드러지는 정비 기능의 특성이 이를 뒷받침하고 있다. 또한 상대적으로 직무만족이 높은 정비부대 종사자가 제공하는 서비스가 사용부대의 만족을 향상시키는 결과를 가져왔다.

소셜 네트워크 서비스가 사회적 자본에 미치는 영향 (The Effect of Social Network Service on Social Capital)

  • 김종기;김진성;뢰정첩
    • 한국정보시스템학회지:정보시스템연구
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    • 제21권3호
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    • pp.163-186
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    • 2012
  • With the development of Internet and transition to information society, social capital is expanding to online from the traditional offline context. Especially with the widespread of social network service(SNS) the number of SNS users is increasing sharply and the importance of online social capital has been more and more significant. Most studies on social capital focused on organizational aspects but few studies have payed attention to personal aspect. Empirical studies on the relation between SNS and social capital were seldom conducted in previous studies. Based on the theory of social capital this study targets on the relationship formed through SNS and analyzes on how the relationship affects the perceived social capital. In this study 'self-presentation', 'playfulness' and 'critical mass' are posited as the antecedent factors of 'SNS usage'. This study proposes a research model to examine the effect of 'SNS usage' on 'relationship reinforcement', 'relationship building' and 'perceived social capital'. According to the results of empirical analysis, 'self-presentation', 'playfulness' and 'critical mass' can generate significant positive influence on 'SNS usage'. It also confirms not only the effect of 'relationship reinforcement' and 'relationship building' formed through SNS on 'perceived social capital' but also relationship between the social capital formation and SNS usage. The outcome obtained in this study can be applied in developing SNS services.

최고경영자 팀이 의료기관의 성과에 미치는 영향 (Top Management Team Heterogeneity, Interaction and Organizational Performance in Korean Hospitals)

  • 정명숙;이세훈;김광점
    • 보건행정학회지
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    • 제20권1호
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    • pp.137-154
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    • 2010
  • This study empirically analyzed the effects of the Top Management Team (TMT) on organizational performance. We verified whether the age heterogeneity, job heterogeneity (core career, core function and major), and process (communication and integration) of the TMT affect organizational performance (management performance and healthcare service quality evaluation level). We collected data about 473 members of the 2006 TMT in 81 medical institutions. We also utilized statistics of organizational performance from the Ministry for Health, Welfare and Family Affairs and the Korean Institute of Hospital Management. Results of the study showed that the age heterogeneity of TMT exerted a negative effect on the healthcare service quality evaluation level, while the process exerted a positive effect. However, the age heterogeneity, job heterogeneity, and process had no influence on management performance. We discussed the implications of such outcome of the investigation in comparison with the former studies on TMT and organizational performance, and presented its restrictions and future plans.

로지스틱 회귀분석과 다수준 분석을 이용한 Craniotomy 환자의 사망률 평가결과의 일치도 분석 (Comparing Risk-adjusted In-hospital Mortality for Craniotomies : Logistic Regression versus Multilevel Analysis)

  • 김선희;이광수
    • 보건의료산업학회지
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    • 제9권2호
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    • pp.81-88
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    • 2015
  • The purpose of this study was to compare the risk-adjusted in-hospital mortality for craniotomies between logistic regression and multilevel analysis. By using patient sample data from the Health Insurance Review & Assessment Service, in-patients with a craniotomy were selected as the survey target. The sample data were collected from a total number of 2,335 patients from 90 hospitals. The sample data were analyzed with SAS 9.3. From the results of the existing logistic regression analysis and multilevel analysis, the values from the multilevel analysis represented a better model than that of logistic regression. The intra-class correlation (ICC) was 18.0%. It was found that risk-adjusted in-hospital mortality for craniotomies may vary in every hospital. The agreement by kappa coefficient between the two methods was good for the risk-adjusted in-hospital mortality for craniotomies, but the factors influencing the outcome for that were different.

STEPSTONE: An Intelligent Integration Architecture for Personal Tele-Health

  • Helal, Sumi;Bose, Raja;Chen, Chao;Smith, Andy;De Deugd, Scott;Cook, Diane
    • Journal of Computing Science and Engineering
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    • 제5권3호
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    • pp.269-281
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    • 2011
  • STEPSTONE is a joint industry-university project to create open source technology that would enable the scalable, "friction-free" integration of device-based healthcare solutions into enterprise systems using a Service Oriented Architecture (SOA). Specifically, STEPSTONE defines a first proposal to a Service Oriented Device Architecture (SODA) framework, and provides for initial reference implementations. STEPSTONE also intends to encourage a broad community effort to further develop the framework and its implementations. In this paper, we present SODA, along with two implementation proposals of SODA's device integration. We demonstrate the ease by which SODA was used to develop an end-to-end personal healthcare monitoring system. We also demonstrate the ease by which the STEPSTONE system was extended by other participants - Washington State University - to include additional devices and end user interfaces. We show clearly how SODA and therefore SODA devices make integration almost automatic, replicable, and scalable. This allows telehealth system developers to focus their energy and attention on the system functionality and other important issues, such as usability, privacy, persuasion and outcome assessment studies.

Negative Emotions and Coping Behaviors of Passenger in the Airline Industry, Vietnam

  • HOANG, Canh Chi
    • The Journal of Asian Finance, Economics and Business
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    • 제7권10호
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    • pp.865-874
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    • 2020
  • In Vietnam, the airline service sector plays an important economic role. However, it is a complicated industry that is open to failures. Negative emotions are an essential variable for the airline service industry because they can trigger a variety of coping behaviors that affect consumer loyalty as well as the image and reputation of the airline service providers. However, negative emotions and the accompanying coping behaviors are often investigated partially or as separate issues, thus leading to an incomplete understanding. This study is conducted to fill this gap by proposing and testing the causal relationship between negative emotions (anger, frustration, regret) and coping behaviors (complaint, negative word-of-mouth (WOM), and switching intention) in the context of the airline industry. Eight research hypotheses are tested. Using the partial least squares structural equation modeling (PLS-SEM) on a sample of 587 passengers in Vietnam, the empirical results show that anger and frustration influence complaints, negative WOM, and switching intention, while regret leads to switching intention and negative WOM. Thus, the research has important academic and practical implications. The empirical outcome could be of major importance for airline companies in planning to provide new services and achieve high performance in the long run.

Water Yield Computation and the Evaluation of Urbanization in the Bagmati Basin of Nepal

  • 쉬크샤 바스톨라;성연정;이상협;정영훈
    • 한국수자원학회:학술대회논문집
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    • 한국수자원학회 2018년도 학술발표회
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    • pp.106-106
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    • 2018
  • Ecosystem service valuation is a crucial step for the sustainable management of watershed. In the context of various ecosystem services provided by watershed, this study, particularly deals with water yield computation in Bagmati Basin of Nepal. The water availability per population in Bagmati Basin is lowest compared to other basins in Nepal. Also, the rate of urbanization is rapidly growing over a decade. In this regard, the objectives of this study are 1) to compute the total water yield of the basin along with computation on a sub-watershed scale, and 2) Study the impacts of land use change on water yield based on CLUE-S model. For the study, Integrated Valuation of Environmental Services and Tradeoffs (InVEST), a popular model for ecosystem service assessment based on Budyko hydrological method is used to compute water yield. As well, CLUE-S model is used to study land use change, which is further related to study variation on water yield. The sub-watershed wise outcome of the study is expected to provide the guidelines for the effective and economic management of a watershed on a regional scale.

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