• Title/Summary/Keyword: time of visit

Search Result 771, Processing Time 0.031 seconds

A Study on the Establishment of a Fee System for Hospital based Home Nursing Care (일 종합병원에서의 가정간호수가 체계 방안을 위한 일 연구)

  • Kim, Cho-Ja;Jo, Won-Jeong;Choe, Hae-Seon
    • The Korean Nurse
    • /
    • v.32 no.1
    • /
    • pp.61-76
    • /
    • 1993
  • This study was done in order La provide basic data to a Fee System for hospital based Home Health Care services in Korea in the future. It was done by investigating activities provided to possible Home Health Care clients who could be discharged early from genera] hospitals and then estimating the nursing care fee according to each nursing activity based upon the time used for activity. The subjects of the study were selected by convenience sampling and consisted of 35 clients who might be clients for Home Nursing Care and were presently admitted to a medical- surgical ward of Y University Medical Center located in Seoul, Korea. The data collection period was from September 1, 1991 to September 30, 1991. The research in strum nets utilized for the study were a client selection criterial for Home Health Care developed by Choo(l991) and a check-list of nursing activity developed by researcher. The results of the study were as follows : 1. There were 44 different nursing activities provided in the seven days but the time was calculated for only 25 of the nursing activities. 2. Fees for the 25 different nursing activities were calculated by multipling the median of the average wage of a staff nurse having five years experience in an A grade general hospital to the Lime of the nursing activity. The results were compared with the insurance fee which the government recognized as an appropriate fee for that activity. The nursing activities with a lower calculated fee than the insurance fee were suction, catheterization, exercise education and dressing change. The nursing activities with a higher calculated fee than the government recognized fee were 1M injection and vital sign check. 3. There was a range of 1-15 nursing activities provided daily to the client. For the average number of nursing activities per day of 6.26 events the nursing care fee was calaulated at W 6136 per day. 4. Based upon the results of the study, a recommentdation for a Home Health Care fee per visit based on the nursing activities provided could be formulated for a Home Health Care fee system. It could be formulated as following: 1) Home health Care fee per visit $=[(direct{\;} nursing{\;}fee(direct{\;}nursing{\;}care{\;}time{\;}per{\;}activity{\;}{\times}{\;}average{\;}nursing{\;}wage)+indirect fee]{\times}average$ nursing activity per visit]+management fee+ materials fee+a travel fee In this way a nursing fee could be calculated based upon the result of the study of the nursing fees per visit. 2) Nursing activity fees per visit. = $([direct nursing{\;}care{\;}fee+indirect{\;}nursing{\;}fee]{\times}average$ number of nursing activities provided per visit] (W 6, 136) + travel fee(\ 5, 542) +management fee material $fee({\alpha})\{\;}16, 436+{\alpha}$ The nursing fee per visit as calculated in this research of $\{\;}15, 0000+{\alpha}$ could be adjusted according to the patient's condition or the use of high technology nursing care or according to the amount of time spent for travel. The nursing care fee per visit presented in this study can be validated through a Home Health Care demonstration project.

  • PDF

A Study on the Impulse Buying of Large Discount Store Consumers (대형할인매장 이용자의 충동구매에 관한 연구)

  • 김수영;유두련
    • Journal of Families and Better Life
    • /
    • v.19 no.1
    • /
    • pp.95-110
    • /
    • 2001
  • Recently a number of large discount store and those of its users was increasing. The purpose of this study is to investigate the tendency of impulse buying and analyzes factors which influence impulse buying. The data had been collected from questionaries with 474 consumers who visit large discount store. The major statistical methods used for data analysis are frequency, percentile, mean, t-test, multiple regression analysis, one-way ANOVA, and Duncans multiple range test utilizing SPSS Win pc+program. The results of this study are as follows : 1. The four different kind of impulse buying is measured. The overall level of impulse buying is 2.76. Suggestion impulse buying(M=3.19) is the highest, and the lowest is pure impulse buying(M=2.66). 2. In the area of demographic variables is significantly different in the age of twenties and thirties(p<.05). A visit frequency and membership. In the area of in-store variables is significantly different by all factors at impulse buying except waiting time. Especially, point-of-purchase(POP) advertisement and discount sale are very important variables. A visit frequency and membership are significantly different in the area of consumer-related variables. 3. Waiting time, a visit frequency, a POP advertisement, and a discount sale have the positive effects on overall impulse buying. Pure impulse buying is influenced by shopping list, POP advertisement and a stores atmospher. Buying companion, membership, kind of store and waiting time have the effect on reminder impulse buying. Suggestion impulse buying is influenced by school career, shopping list and POP advertisement. Planned impulse buying is influenced by sex, POP advertisement, buying companion and discount sale.

  • PDF

Real-time Visitor's Behavior Analysis System via Ultra-Wide Band Radar (초광대역 레이더를 이용한 실시간 관람 행태 분석 시스템)

  • Lee, Joosoon;Seo, Hogeon;Lee, Kyoobin
    • Smart Media Journal
    • /
    • v.8 no.4
    • /
    • pp.85-90
    • /
    • 2019
  • The Ultra-Wide Band sensor is widely used as a wireless indoor localization technology with frequency bands in the GHz range. Meanwhile, in museums, not only the real-time location of visitors but also information on visit route and duration time is required for patrons' behavior analysis. In this paper, the analysis system based Ultra-Wide Band radar for visitor's viewing behavior is introduced and experimented in the real environment. We built the system in National Museum of Korea, and its 22 Ultra-Wide Band radar sensors receive the real-time location of their visitors: this analyzes the visit route and visit time for patrons.

Expansion Strategy of Home Visit Nursing Services of Long-Term Care Insurance (노인장기요양보험 재가방문간호 서비스 개발과 확대 방안)

  • Lim, Ji Young;Kim, Juhang
    • Journal of Korean Academic Society of Home Health Care Nursing
    • /
    • v.27 no.3
    • /
    • pp.241-249
    • /
    • 2020
  • Purpose: This study aimed to investigate possible ways to expand the services of home-visit nursing through a review of the progress, achievements, and obstacles of home-visit nursing; a pilot project of an integrated home-service; the application of the Omaha System; as well as a case analysis of providing home-visit nursing services. Method: An integrated review was conducted using various source materials, including laws, previous studies, and a case analysis. Results: In case analysis of providing visiting nursing service, rehabilitation nursing, end-of-life nursing, and dementia care showed high nursing needs. It was necessary that the various home visit nursing services in the intervention area of the Omaha System, administrative services, case management, and center operation activities were all included in the payment systems of long-term care insurance. Conclusion: In the future, home visit nursing services of long-term care insurance should be reborn in the form of a center for integrated case management in the community, which would set long-term goals until the time of a client's death and encompass the realm of human rights for health, quality of daily life, and a dignity of life.

Prognostic Factor, for Major Trauma Patients in the Emergency Medical Service System (응급의료전달체계의 각 요인이 중증외상환자의 예후에 미치는 영향 분석)

  • Lim, Du-Ko;Chung, Tae-Nyoung;Lee, Chang-Jae;Jin, Su-Guun;Kim, Eui-Chung;Choi, Sung-Wook;Kim, Ok-Jun
    • Journal of Trauma and Injury
    • /
    • v.24 no.2
    • /
    • pp.89-94
    • /
    • 2011
  • Purpose: A few studies have assessed the factors affecting the prognoses for major trauma patients and those improving the circumstances when dealing with the trauma system. In that light, we analyzed factors, such as pre-hospital factors, the time to admission, the length of stay in the emergency department (ED) and emergency operation, influencing the outcomes for trauma patients. Methods: The patients who visited our emergency department from April 1, 2009, to February 29, 2011, due to major trauma were enrolled in the study. The inclusion criterion was a revised trauma score (RTS) < 7 or injury severity score (ISS) ${\geq}$ 16. We used reviews of medical records, to analyze each step of emergency medical care with respect to patients' sex, age, visit time and visit date. Continuous variables were described as a median with an interquartile range, and we compared the variables between the survival and the mortality groups by using the Mann-Whitney U test. Fisher's exact test was used for nominal variables. Using the variables that showed statistical significance in univariate comparisons, we performed a logistic regression analysis, and we tested the model's adequacy by the using the Hosmer-Lemeshow method. Results: A total of 261 patients with major trauma satisfied either the RTS score criterion or the ISS score criterion. Excluding 12 patients with missing data, 249 patients were included in this study. The overall mortality rate was 16.9%. Time to ED arrival, time to admission, time of ED stay, RTS, ISS, and visit date being a holiday showed statistically significant differences between the survival and the mortality groups in the univariate analysis. RTS, ISS, length of ED stay, and visit date being a holiday showed statistical significance in the multivariate analysis. Conclusion: The mortality rate did not show a significant relationship with the time to ED arrival, use of 119, on time to admission. Rather, it elicited a quite significant correlation with the trauma scoring system (RTS and ISS), the time of ED stay, and the visit date being a holiday.

Risk Factors for Aspiration Pneumonia in Acute Benzodiazepine Overdose (벤조디아제핀 급성 중독에서 발생하는 흡인성 폐렴 위험 인자)

  • Chung, Won Sik;Cha, Kyung Man;Kim, Hyung Min;Jeong, Won Jung;So, Byung Hak
    • Journal of The Korean Society of Clinical Toxicology
    • /
    • v.14 no.1
    • /
    • pp.26-32
    • /
    • 2016
  • Purpose: Aspiration pneumonia is an important complication of drug intoxication with decreased mental status. The purpose of the study is to investigate the risk factors of aspiration pneumonia in the patients of benzodiazepine overdose with or without co-ingestion of other drugs. Methods: A retrospective chart review of patients who visited the emergency department between January 2012 and December 2014 was conducted. Demographic data, time from ingestion to visit, initial vital signs, symptoms, mental status, medical history, laboratory results, chest radiological findings and co-ingested medications were recorded. Multiple logistic analyses were performed to verify the association between variables and the development of aspiration pneumonia. Results: A total of 249 patients presented to the emergency department with benzodiazepine overdose. Aspiration pneumonia had developed in 24 patients (9.6%). Univariate analysis revealed time from ingestion to visit was longer, Glasgow coma scale score was lower, hypoxia was presented, leukocytosis was shown, types of ingested drugs was high, less activated charcoal was applied and tricyclic antidepressants was taken in patients that developed aspiration pneumonia. Time from ingestion to visit (odds ratio (OR) 1.121, 95% confidence interval (CI), 1.057-1.189, p=0.000), GCS score (OR 0.724. 95% CI, 0.624-0.839, p=0.000), oxygen saturation (OR 0.895, 95% CI, 0.835-0.959, p=0.002), and co-ingestion of TCA (OR 4.595, 95% CI, 1.169-18.063, p=0.029) were identified as risk factors of morbidity of aspiration pneumonia upon multiple logistic regression analysis. Conclusion: Time from ingestion to visit, low GCS score, low oxygen saturation and co-ingestion of TCA were risk factors of the development of aspiration pneumonia in benzodiazepine overdose patients.

  • PDF

Evaluation of Shortening the Stay Time of Patients in an Emergency Medical Center (EMC) (응급실 환자의 응급의료센터 체류시간 단축프로그램 개발 및 효과)

  • Kim, Eun-Joo;Lim, Ji-Young
    • Journal of Korean Academic Society of Home Health Care Nursing
    • /
    • v.17 no.1
    • /
    • pp.21-27
    • /
    • 2010
  • Purpose: The study evaluated a program to shorten EMC stay time. Methods: The subjects were EMC patients, and comprised a control group of 8,477 and an experimental group of 8,378. Data were collected from June 2006 to August 2007, and analyzed concerning stay time for doctor visit, decision making, and discharge. The data were analyzed by $X^2$-test and ANCOVA using SPSS14.0. Result: The stay time of doctor visit, decision making and discharge of the experimental group was significantly less compared to the control group. Using second and third grade triage criteria, the stay time of experimental group was statistically reduced from the control. Conclusion: The implemented shortening program was effective in reducing EMC stay time and increasing EMC effectiveness.

  • PDF

Untact Visit Service Development Based on an Application Reflecting the Circumstances during COVID-19: Focusing on Utilization in the Pediatric Intensive Care Units (COVID-19 상황을 반영한 어플리케이션 기반의 언택트 면회 서비스 개발: 소아중환자실에서의 활용을 중심으로)

  • Woo, Dahae;Yu, Hanui;Kim, Hyo Jin;Choi, Minyoung;Kim, Dong Hee
    • Journal of Korean Academy of Nursing
    • /
    • v.51 no.5
    • /
    • pp.573-584
    • /
    • 2021
  • Purpose: This study aimed to develop an untact visit service based on an application that can be utilized in the pediatric intensive care unit (PICU) during COVID-19. Methods: This study adopted the double diamond process of service design comprising the discovery, defining, and development stages. Results: We developed an untact visit service based on an application that considered the child's status, schedule, photo, and video messages, and so on. Moreover, we derived a service flow regarding the required roles and the type of flow shown between each stakeholder. Conclusion: Considering the ongoing pandemic, the untact visit service is designed to increase rapport and participation of parents, share the child's information in real-time, and provide one-stop service without increasing healthcare providers' work. It will be a useful visit service that can be applied and evaluated in various hospital settings and the PICU.

Impact of interhospital transfer on outcomes for trauma patients: impact of direct versus non-direct transfer (비외상센터에서 외상센터로의 전원이 예후에 미치는 영향)

  • Yang, Wook Tae;Min, Mun Ki;Ryu, Ji Ho;Lee, Daesup;Lee, Kang Ho;Shin, Jin Wook;Yeom, Seok Ran;Han, Sang Kyun
    • Journal of The Korean Society of Emergency Medicine
    • /
    • v.29 no.5
    • /
    • pp.415-422
    • /
    • 2018
  • Objective: This study compared the prognosis of patients who visited the trauma center directly (direct visit group) with those transferred from the non-trauma center (transferred group). Methods: The patients, who were 18 or older with Injury Severity Score of 15 or more in the trauma center at Busan, were studied from October 2015 to October 2016. To compare the treatment time between the direct visit and transferred group, first treatment time, final treatment time, and time to visit the trauma center were examined. To compare the prognosis, this study compared the 48-hour, 7-day, and in-hospital mortality rate as well as the duration of intensive care unit (ICU) and total hospital stay. To analyze the factors affecting the outcome of transferred group, the physician's level and procedures that had been performed at the non-trauma center were examined. Results: The mortality was similar in the direct visit and transferred group (48-hour 7.6% vs. 4.6%, P=0.111; 7-day 11.1% vs. 7.2%, P=0.89; and in-hospital 14.6% vs. 11.3%, P=0.214). The length of ICU and total hospital stay were similar in the two groups. The mortality was higher in the patients in the transferred group when using intubation, transfusion, and pressure intensifier. The intubated patients showed higher mortality according to logistic regression. Conclusion: The mortality, length of ICU, and hospital stay were similar but the time to visit the trauma center and the final treatment time were longer in transferred group. Stabilizing the patient at the near non-trauma center may be more helpful for some patients.

Digital workflow of single visit full contour monolithic zirconia restoration with CEREC Omnicam intraoral scanner and fast zirconia sintering process (구강스캐너와 급속 지르코니아 소결을 이용한 당일 풀지르코니아 보철수복)

  • Lee, Soo Young
    • Journal of the Korean Academy of Esthetic Dentistry
    • /
    • v.25 no.2
    • /
    • pp.79-87
    • /
    • 2016
  • Single visit monolithic restoration can be proceed with digital workflow which consist of intraoral scanning, dental CAD(computer aided design) and restoration milling with CAM(Computer aided manufacturing). While zirconia has more than 900MPa of flexural strength compared with 400MPa for lithium disilicate, shortened fabricating time of lithium disilicate is considered to be a better choice for fabricating single visit full contour monolithic restoration. However, new zirconia materials which are TZI C(Dentsply Sirona) and LUXEN Enamel(Dental Max), new induction heating method of sintering furnace, and new sintering protocols for MoSi2 heating elements sintering furnace offer significantly reduction of full contour monolithic zirconia restoration fabrication time with greater translucency. These new developments lead single visit zirconia restoration in reality.