• Title/Summary/Keyword: time of visit

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A Study on the Spatial Accessibility to the Psychiatry Department in General Hospital and Its Relationship with the Visit of Mental Patients (종합병원 정신건강의학과에 대한 공간적 접근성과 외래 의료이용 분석)

  • Dong, Jae Yong;Lee, Kwang-Soo
    • Health Policy and Management
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    • v.27 no.4
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    • pp.315-323
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    • 2017
  • Background: This study was purposed to analyze the effect of spatial accessibility to the psychiatry department in general hospital on the outpatient visit of mental patients. Methods: Data was provided from the Statistics Korea and Statistical Geographic Information Service, National Health Insurance Service, Health Insurance Review and Assessment Service, and Korea Transport Institute in 2015. The study regions were 103 administrative regions such as Si and Gu. The 103 regions had at least one general hospitals with a psychiatry department. The number of outpatient visit of mental patients in regions was used as the dependent variable. Spatial accessibility to mental general hospital was used as the independent variable. Control variables included such as demographic, economic, and health medical factors. This study used network analysis and multi-variate regression analysis. Network analysis by ArcGIS ver. 10.0 (ESRI, Redlands, CA, USA) was used to evaluate the average travel time and travel distance in Korea. Multi-variate regression analysis was conducted by SAS ver. 9.4 (SAS Institute Inc., Cary, NC, USA). Results: Travel distance and time had significant effects on the number of outpatient visits in mental patients in general hospital. Average travel time and travel distance had negative effects on the number of visits. Variables such as (number of total population, percentage of aged population over 65, and number of mental general hospital) had significant effects on the number of visit in mental patients. Conclusion: Health policy makers will need to consider the spatial accessibility to the mental healthcare organization in conducting regional health planning.

Factors influencing consultation time and waiting time of ambulatory patients in a tertiary teaching hospital (일개 종합병원 외래환자의 진료시간 및 진료대기시간 영향요인 분석)

  • Hwang, Jee-In
    • Quality Improvement in Health Care
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    • v.12 no.1
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    • pp.6-16
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    • 2006
  • Objectives : The purpose of this study was to identify the characteristics influencing consultation and waiting time in ambulatory patients. Methods : This study was conducted in a tertiary teaching hospital. Subjects were a total of 10,383 ambulatory patients. Consultation time was measured by time spent for meeting with his/her physician per patient. Waiting time was defined as the time difference between each patient's reserved time and time to meet with his/her physician for ambulatory care. Multiple regression analyses were performed to determine the factors influencing consultation and waiting time. Results : Consultation time was different according to patient' age, previous experience of clinic visit, recent admission history, medical department, specialist care, type of reservation, and day of the week. Significant factors influencing waiting time were patient' age, residential area, previous experience of clinic visit, recent admission history, medical department, specialist care, time spent after ambulatory care begins, and day of the week. Conclusions : The medical department was the strongest factor affecting both consultation time and waiting time. The ambulatory reservation management systems should take into account patient characteristics as well as care-related features.

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Relationships Between Feed Intake Traits, Monitored Using a Computerized Feed Intake Recording System, and Growth Performance and Body Composition of Group-Housed Pigs

  • Hyun, Young;Ellis, Mike
    • Asian-Australasian Journal of Animal Sciences
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    • v.13 no.12
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    • pp.1717-1725
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    • 2000
  • The objective was to determine the relationship between feed intake levels and patterns, and growth performance and body composition of barrows and gilts using automatic feed intake recording equipment (F.I.R.E.). This system records the time of visits to the feeder and the duration and size of meals for individual animals housed in groups. Ninety-six crossbred pigs were grown from $33.4{\pm}0.51$ to $109.7{\pm}1.39kg$ live weight over a 13-week period. Eight mixed-sex groups of 12 pigs were used and 4 dietary treatments were compared giving 2 pens per treatment. The dietary treatments consisted of corn-soybean meal diets with differing protein levels which ranged from 14.7% to 19% between 30 to 55 kg, from 13.3% to 16.9% between 56 and 85 kg, and from 12.3% to 16.8% for the remainder of the study. Animals were ultrasonically scanned to measure loin-eye area and backfat thickness to estimate carcass fat-free lean content at the beginning and end of the study. Barrows had higher daily feed intake than gilts (2.67 vs. 2.46 kg resp. p<0.05) which was the result of a longer feeder occupation time per visit (4.77 vs. 4.54 min, resp. p<0.05), higher feed consumption rates (30.4 vs. 29.0 g/min, resp. p<0.05), and higher feed intakes per visit (136.9 vs. 126.8 g, resp. p<0.01). Gilts had less backfat and greater loin-eye area than barrows (p<0.05). Diet had no significant effect on growth performance and had limited impact on feeding patterns. Body weight showed high correlations with ADG (r=0.74), feed intake per visit (r=0.51) and feed consumption rate (r=0.69). Positive correlation were also found between daily feed intake and feed intake per visit (r=0.45), feeder occupation time per day (r=0.56), and feed consumption rate (r=0.55), and between daily feed intake and backfat thickness (r=0.32) and feed consumption rate and loin-eye area (r=0.32). There were negative correlations between number of feeder visit per day and daily feed intake (r=-0.54), and between feed intake per visit and number of feeder visits per day (r=-0.43). However, correlations between feed intake traits and carcass traits were generally low. Visits to the feeder were greatest during the morning (0700 to 1100 h) and lowest during the evening and nighttime. These results highlight limited variation among the sexes in feeding patterns and suggest important relationships between feeding behavior and feed intake.

Efficacy and Safety of Electroacupuncture and Acupuncture in Postmenopausal Women with Overactive Bladder; a Pilot Study of Randomized Clinical Controlled Trial (폐경 여성의 과민성 방광에 대한 전침 치료와 침 치료의 유효성과 안전성 평가 ; 무작위 대조군 예비 임상시험)

  • Nam, Eun-Young;Jung, Seung-Hyun;Bae, In-Suk;Choi, Su-Ji;Kim, Dong-Il
    • The Journal of Korean Obstetrics and Gynecology
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    • v.31 no.1
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    • pp.84-98
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    • 2018
  • Objectives: The purpose of this pilot study was to examine the feasibility of recruiting women into a clinical trial designed to examine the effects of acupuncture and electroacupuncture in treating overactive bladder (OAB) in menopause women. We tried to determine if there was preliminary evidence to suggest that acupuncture may be effective in reducing OAB symptoms and improving disease-specific quality of life. We also tried to determine the appropriate treatment duration of OAB, with safety of performing acupuncture and electroacupuncture treatment. Methods: This study was a randomized clinical trial. 7 menopause women were randomly assigned to a electroacupuncture group (EA group) (n=4) or acupuncture group (AC group) (n=3) and received electroacupuncture or acupuncture treatment twice a week (16 sessions) in 8 weeks, and follow up assessment was performed after the end of treatment. Overactive Bladder Symptom Score (OABSS), 3-day bladder diary, and King's Health Questionnaire (KHQ) were performed 4 times (at baseline (visit 0), the middle of treatment (visit 8), after the end of treatment (visit 16), and at 4 weeks of follow-up (visit 17)) and analyzed. 2 subjects were dropped out, and finally 5 subjects completed the study. Statistical analysis was performed using SPSS 18.0 for window program. Results: There was an significant improvement in night-time frequency after the treatment (visit 17) in PP (Per-protocol) group analysis (p=0.042). In additional ITT (Inter-to-treat) group analysis, the OABSS (p=0.042) and night-time frequency (p=p=0.017) were improved significantly after the treatment (visit 17). But there was no significant difference of KHQ before and after the treatment. Also there was no significant difference between EA and AC group after the treatment (visit 16, 17). Conclusions: The results of this pilot study suggested that it was feasible to recruit subjects and perform the study procedures, after reconstructing several details of study protocol in performing further clinical trial.

Constraints of Visit to Community Park - Focused on the TaeJon City's Community Park (도시 근린공원의 방문제약 요인 - 대전광역시를 대상으로 -)

  • 이시영
    • Journal of the Korean Institute of Landscape Architecture
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    • v.32 no.1
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    • pp.23-32
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    • 2004
  • This study aims to examine constraints on visits to urban community parks and to find ways to elevate the efficient use of parks. To achieve this, the study relied on empirical study method and the descriptive method; additionally, present condition survey was performed with a user interview, on the assumption that a park visit is a form of leisure. As a result, the item of 'insufficient lighting facilities' shows the highest mean and the item of 'low quality of park' follows Previous research also revealed that the item of 'the lack of lighting facilities' is a major factor on user dissatisfaction, so a design and management program for night time users are fully researched and elaborately accomplished. Also, the high response of 'low quality of park' shows that the park supply policy in Korea focusses mainly on quantity so far, and it shows that user's dissatisfaction for park facilities becomes one of the major constraints of park visit. The factor analysis, on the object of 35 items except 2 items, appeared 5 factors: accessibility, inner discord, companion, family matters, park-itself-matters. Oneway Anova test showed that 4 factors except 'park-itself-matters' have reliable difference in constraint cognition by age and education. The visit constraint of 'park-itself-matters' did not appear different by any personal characteristics. Without regard to personal characteristics, it is regarded that this factor has the greatest effect upon park visits. In general, people who are disadvantaged strongly cognize constraints even in leisure such as a park visit, which is a simple and inexpensive leisure activity. Therefore, a park like a pocket park, which is small but located in a neighborhood, is more needed than a central park like a symbolic and huge park in every new city. Careful concern for night activity should be accomplished in the planning process.

A Study on the Relations with Motivation of Visiting and Evaluation by Location Type (장소에 따른 방문자의 방문 동기 유형 및 평가 결정요인 분석)

  • Choi, Yeol;Lee, Jae Hyun;Sung, Yu Jeong
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.32 no.3D
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    • pp.275-281
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    • 2012
  • The aim of this study is to suggest the development direction of future space management. It is not a simple question that why people visit specific place. People visit a place for escape from routine, to learn from other people, spend a time with their friends or lover, to take a rest and get some fresh idea, to relieve stress, and for shopping. It is depend on a various visit motivation with complicated a psychological phenomenon. Visitor participate in choice a specific place by various motivation and purpose. Generally, visitor motivation accepted understanding visitor behavior and process of selected a place. Understanding that why people visit specific place can use a marketing and policy making of visit place so we need to study about visitor motivation. Data were collected through offline surveys from 501 people who have visited four survey place. Empirically analyzed the determinations of visitor motivation and estimate the place by using Ordinal Logit Model.

The Effect of Family Visits on Stress Responses of Patients and Their Families in the Cardiac Intensive Care Unit (가족면회가 심장 중환자실 환자와 가족의 스트레스 반응에 미치는 효과)

  • Park, Chan-Gum;Kim, Hye-Soon;Lee, Myung-Hee
    • Journal of Korean Critical Care Nursing
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    • v.3 no.1
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    • pp.41-51
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    • 2010
  • Purpose: The purpose of this study was to identify the effects of family visits upon the stress response of patients and their families, Methods: This study was the interrupted time series design, The subjects consisted of 197 patients and 197 family members in the cardiac intensive care unit of S Hospital in Bucheon. Physiological stress responses such as blood pressure, heart rates, respiration rates, and oxygen saturation were measured using HP monitors. VAS was used to measure the emotional stress. Collected data was analyzed using repeated measure ANOVA, t-test by SPSS 17.0 statistical program. Results: The family visits did not change patients' blood pressure, pulse rate, respiration rate and oxygen saturation, However the anxiety level of patients and their family members were decreased significantly during family visits. Furthermore, 30-minute family visit reduced more effectively patient's anxiety than 15-minute family visit. Conclusion: Family visits need to be used as a means of nursing intervention to ease the emotional stress of patients and their families. In addition, increasing of visiting time should be considered.

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Analysis of Performance Requirement for Long-term Care Workers of Home Visit Care and Home Visit Bathing based on Korean Long-term Care Insurance System (방문요양.방문목욕 장기요양기관의 요양보호사 업무수행 요구도 분석)

  • Chang, Hyun-Sook
    • The Korean Journal of Health Service Management
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    • v.5 no.3
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    • pp.77-88
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    • 2011
  • As same time of starting on the Korean Long-term Care Insurance System, the government developed a program to train new qualification of long-term care workers. The number of enrolled long-term care workers are 950,000 persons in 2010. Mostly they are working in home based care work places such as home visit care centers and home visit bathing centers covered insurance. The purpose of this study is to understand the difference of task performance requirement according to long-term care workers' responsibilities which divided into home visiting care and home visiting bathing. The comparison analysis was conducted to task performance requirement in basic management, safety management, administration management, practical services. Key result was found that task performance requirement of long-term care workers whose responsibilities are home visiting care were more higher than the home visiting bathing. Finally, To improve quality of home visiting care and home visiting bathing, it is necessary to provide the fields based continuing education and reflect new reimburse system.

Development of Documentation System in Hospital-based Home Health - in one general hospital in the U.S.A. - (병원중심 가정간호 기관의 기록체계개발 - 미국 일개 종합병원을 대상으로 -)

  • Kang Chang-Hee
    • Journal of Korean Public Health Nursing
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    • v.6 no.2
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    • pp.58-69
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    • 1992
  • The purposes of this study were 1) to assess the currunt documentation system 2) to identify the problems in communication regarding to documentation 3) to develop new documentation system 4) to suggest effective communication channel using new documentation system Research was conducted by direct observation, chart review, staffs interview and servey. Results were as follows: 1) nursing care plans were not used in ongoing care 2) documentation format was primarily narrative and charting was time consuming 3) documentation did not reflect the nursing process 4) patient records were not used as effective communication tool between case manager and part time nurse 5) difficult access to patient record for nurse manager created inefficiency in coordinating 6) documentation of patient education did not describe the precise contents of education, and the responses of the patients and evaluation To solve these problems, new documentation format was developed. With new formats nurses : 1) use standardized care plan which contains nursing diagnosis, ecpected outcome, time frame for evaluation, flow sheet for updating the plans 2) leave one copy of care plan at patient home for mutual agreement with patent and communication among nursing staffs 3) carry one copy of care plan for updating 4) document and evaluate the patient education using education check list keeping in patient's home 5) document nursing process in focus charting visit report 6) carry one copy of visit report 7) have one copy of visit report which was deligated to part time nurses 8) use documentation in direct communication with part time nurse 9) use beeper and memo to promote communication

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Parents' Oral Health Awareness and Behaviors of their Elementary School Children (초등학생 자녀의 구강보건에 관한 학부모의 인식 및 행동)

  • Han, Su-Jin;Moon, Hyock-Soo;Jung, Jae-Yeon;Kim, Young-Kyung;Lee, Byoung-Jin;Kim, Eun-Kyeong;Jung, Hye-Ryun
    • Journal of the Korean Society of School Health
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    • v.14 no.1
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    • pp.107-114
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    • 2001
  • The purpose of this study was to collect basic data for the development of oral health education program of parents and to encourage their actual interest and participation in school oral health program. The authors surveyed parents' awareness and behaviors about the oral health of their children. The subjects in this study were 193 parents of elementary school children in Seoul. The collected data were analyzed, the obtained results were as follows: 1. Thirty-five percent of the parents investigated paid a regular visit to a dental clinic. The most common tooth brushing time among them was after dinner, the second was after breakfast, and this was followed by before bedtime and before breakfast 2. Ninety-four percent of the parents responded that prevention is necessary, 92.2% had a plan to visit a dental clinic to prevent dental caries, and 60.1% experienced receiving pit and fissure sealants. Ninety-seven percent responded that they did check their children's dental caries. 54.9% checked their children's oral status after tooth brushing. The parents who visit a dental clinic on a regular basis were more likely to check their children's teeth after tooth brushing than those who don't(P<0.05). 3. Eighty eight percent of respondents wanted to keep the fluoride mouth rinse program. 4. It is recommended that an oral health education program be developed for parents to visit dental clinics on a regular basis, to educate as to the right tooth brushing time, and to check out their children's oral status after tooth brushing.

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