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- 학과정보 : 보건학과 보건학 전공 (검색결과 4,822 건)
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129 應急患者精報센터에 依賴된 光州地域 患者의 移送實態
To find the situation of emergency patients and time spent for the transferral of the patients, an analysis was made from the record of the transferral of kwangju city patients entrusted to 129 emergency call from January 1st 1992 to December 31st 1996. 1. Total number of transferred Kwangju city patients entrusted to 129 emergency call was 2,554 for 5 years. The number increased from 336 in 1992 to 884 In 1994, but thereafter the number decreased to 310 in 1996. y the sex of the transferred patients male were 58.6% and female 2. By the sex of the transferred patients male were 58.6% and female were 41.4%. Age distribution showed that 20-29 and 30-39 year old patients were most common (each 35.1%). 3. Place of referral for the accident or the diseases were Bukgu (40.1%). 4. Among the four seasons of a year, highest number of patients were transferred during the winter season, and by the time interval for a day highest number of patients were transferred from 17:00 to 24:59. 5. The person of referral was family member (17.8%) or observer of accidents (46.0%), and as the communication method telephone was used frequently (78.3%) than wireless communication system (3.8%). 6. The transferral vehicles were 119 ambulance (33.8%), emergency safety corporation (29.8%), hospital ambulance (24.8%) and taxi (3.8%). Transferred hospital were emergency center hospital (55.4%), general hospital (23.1%) and hospital nominated for emergency call (22.5%). 7. For 5 years most common cause of referral was diseases, drug poisoning and etc ('78.2%). 8. Mean total time from asking transferral to arrival to the transferred hospital was 30.2±32.8 minutes for 5 years including 1.6±3.2 minutes for ordering transferral, 11.22±17.7 minutes for taking ambulance to the patient and 17.4±25.4 minutes for taking ambulance to the hospital. The total time was 33.2±60.9 minutes in 1992 and decreased to 28.5±36.6 minutes in 1996. 9. It took more time for the transferral of emergency patients in winter season than other seasons, and at daytime (9:00-16:59) also more time was needed than morning or night. 10. Taxi was quicker means for the transferral (24.3±29.9min) than 119 ambulance (25.9±28.1min), 112 petrol car (26.1±26.0min) or ambulance of hospitals(29.1±32.8min). 11. It took more time for the transferral of pregnant women for delivering baby than patient with diseases or traffic accidents. Above result suggest that to accomplish quick transferral of emergency patients unified emergency transmission system including all related institutions are necessary to overcome various barriers against the transferral of patients.
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김동진 단국대학교 보건복지대학원 2015 국내석사
본 연구의 목적은 종합병원 이용자가 인지하는 병원에 대한 관계혜택이 관계유지에 어떠한 영향을 미치는지를 규명하여 종합병원의 질적 서비스와 마케팅 전략 수립을 위한 실증적 기초 자료를 제공하는 것이다. 연구대상은 충남 소재 D 종합병원을 이용하는 성인들이며, 자료 수집은 비확률표본추출법(non-probability sampling) 중 편의표본추출법(convenience sampling)을 이용하였고, 조사도구는 구조화된 설문지를 사용하였다. 자료수집은 종합병원 이용자를 대상으로 임상시험심사위원회(IRB) 승인을 받은 후 조사원이 연구의 목적과 취지에 대한 설명을 한 후 동의를 얻어 대상자들에게 설문지를 배포하여 자기평가기입법으로 작성하게 하였다. 총 304부의 설문지를 회수하였고, 이 중 조사내용의 일부가 누락되었거나 불성실 하게 답변된 7부의 설문지를 제외한 총 297부의 설문지를 최종유효 표본으로 사용하였다. 수집된 자료는 SPSS 20.0 통계프로그램을 이용하여 분석하였다. 연구결과는 다음과 같다. 첫째, 개인적 특성에 따라 관계혜택과 관계유지는 차이가 있는 것으로 나타났다. 성별에 따라 심리적 혜택, 고객화 혜택, 관계유지는 차이가 있는 것으로 나타났고, 연령에 따라 심리적 혜택, 관계유지는 차이가 있는 것으로 나타났으나 이용목적에 따른 차이는 나타나지 않았다. 또한 직업에 따라 관계유지에 차이가 있는 것으로 나타났으며, 거주지역에 따라 정보화 혜택에 차이가 있는 것으로 나타났다. 둘째, 종합병원 관계혜택의 하위요인인 심리적 혜택과 고객화 혜택 요인이 관계유지에 통계적으로 유의한 영향을 미치는 것으로 나타났다. 이러한 연구결과를 바탕으로 종합병원의 관계마케팅 전략 수립을 위한 제언은 다음과 같다. 첫째, 종합병원 이용자의 관계혜택과 관계유지는 개인적 특성의 영향을 받았다. 따라서 객관적인 고객정보를 토대로 고객의 특성을 정확히 파악하여 맞춤형으로 각종 진료정보와 의료서비스를 제공하는 것이 필요하다. 둘째, 종합병원의 관계혜택의 하위요인인 심리적 혜택과 고객화 혜택은 관계유지에 영향을 미치고 있어 중요한 요인으로 판단된다. 따라서 실질적으로 수준 높은 의료 서비스를 제공하되 이러한 높은 수준의 의료 서비스가 심리적 혜택과 고객화 혜택으로 연결되기 위해서는 JCI 인증 등 객관적인 평가 결과를 병원 이용자에게 적절히 알리는 노력이 필요하다. The Effect of the General Hospital Patient's Relation Benefits on Relation Continuity Kim, Dong Jin Department of Public Health Graduate School of Public Health and Welfare Dankook University Advisor:Professor Hyung-Wook Park M.D., Ph.D. The purpose of this research is to reveal the general hospital patient's relation benefits on relation continuity and provide general hospital's qualitative service and market strategy establishment. For this research, the data were collected from the adult patients in Chungnam D General Hospital. The survey questionnaires were distributed and used convenience sampling. For the survey questionnaires, this research applied for a permission to proceed from the Institution of Review Board. After the permission was granted, the survey were distributed to the volunteered patients with the precise explanation about the purpose of this research. From these self-administration method, 304 survey were collected. Through these process, 7 insincere questionnaires were discarded and 297 questionnaires were analyzed through SPSS 20.0 statistical program. This research came with the following results. First, the General Hospital relation benefits and relation continuity have an affect through personal characteristics. According to the patient's gender, there were positive affect on psychological benefit, customization benefit, and relation continuity. However, it did not show any changes in utilizing purpose. Also, there was a change on relation continuity by their occupations, and information benefits by their residential area. Second, the sub-factors, such as psychological benefits and customization benefits, of the General Hospital resulted in a positive affect on relation continuity. From these results, this research will provide the General Hospital's market strategy as follows. First, the General Hospital Patient's relation benefits were affected by their personal characteristics. Therefore, objective customer information must be comprehended and provide personalized information of medical treatment and medical service. Second, the sub-factors of relation benefits, psychological benefit and customization benefit, have positive affect on relation continuity. Therefore, the hospital must maintain a qualitative medical service, and the hospitals must show an effort to provide JCI certification of objective evaluation results to the patients.
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