PURPOSE: The purpose of this study was to examine the causal relationships among quality of health care service, service value, satisfaction and loyalty as perceived by hospital inpatients. METHODS: A survey using a structured questionnaire was conducted with 654 hospital inpatients. Analysis of the data was done with both SPSS Win 17.0 for descriptive statistics and AMOS 18.0 for the structural equation model. RESULTS: The modified model yielded Chi-square=7.96 (p=.019), df=2, chi2/df=3.98, GFI=.99, AGFI=.96, RMSEA=.07, NFI=.99, CFI=.99, TLI=.98 and showed good fit indices. Three dimensions of quality had significant direct effects on service value. Functional quality, technical quality and service value had significant direct effects on customer satisfaction. Technical quality, service value, and customer satisfaction had significant direct effects on customer loyalty. CONCLUSION: These results suggest that quality of health care is an important element in service value, and through both quality and service value, customer satisfaction and customer loyalty can be enhanced. Further study with a larger sample from various hospitals and a longitudinal design is necessary.
Humans ; Inpatients ; Quality of Health Care ; Surveys and Questionnaires

The objective of this study is to examine the correlation between the tolylene concentration in the work environment of organic solvents and the concentration of hippuric acid in urine of workers exposed toluene, and to acquire the fundamental materials of workers' health care and to assist the assessment of the biological permissible exposure limit. The control groups are 72 workers who had never been exposed to toluene and the case groups are 101 workers who had been exposed to toluene. This study was conducted to examine the correlation between the concentration of toluene in work environment and workers' hippuric acid concentration, to investigate the complaint difference of subjective symptoms by means of questionnaire, between the case groups and control groups. The results and conclusions are as follows: 1) The highest mean concentration of toluene in the air is 544.13+/-7.75 ppm in the Printing Department of mixing organic solvents. The concentrations of the others are 463.27+/-5.24 ppm in Department of mixture for organic solvents, and 393.56+/-45.69 ppm in the Printing Department(1), and 248.38+/-45.16 ppm in the Printing Department(2), and 159.38+/-18.51 ppm in the Printing Department(3). 2) The highest mean concentration of hippuric acid in urine is 6034.84+/-1298.35 mg/l in the Printing Department with mixing organic solvents. The concentrations of the others are 4798.44+/-784.53 mg/l in Department of mixture of organic solvents, and 2883.06+/-701.90 mg/l in the Printing Department(1), and 1449.98+/-905.19 mg/l in the Printing Department(2), and 598.52+/-299.43 mg/l in the Printing Department(3). 3) As the toluene concentration in the work environment becomes higher, the concentration of hippuric acid in urine also becomes higher. It is found that the coefficient of correlation between toluene concentration and the concentration of hippuric acid are positive (r=0.868, Y=7.18X+349.57). 4) It is found that the case groups complain of much more subjective symptoms than the control groups.
Delivery of Health Care ; Surveys and Questionnaires ; Solvents ; Toluene*

PURPOSE: The study was done to identify factors influencing health promoting behaviour in office workers according to the type A/B personality. METHODS: The data were collected by questionnaires from 249 workers in Seoul and Gyung-gi province. Measures were a health promoting behaviour, the type of personality, self-esteem, perceived health status, social support, and job stress. The data were analyzed using Pearson correlation coefficients, t-test, and stepwise multiple regression with SPSS/WIN 15.0 version. RESULTS: This study suggests that A type office workers have a little lower degree in health promoting behaviour, self-esteem, social support and have a higher degree in perceived health status, perceived symptoms and job stress than those of B type office workers. The factors which influence A type office workers on health promoting behaviour are social support, perceived health status and self-esteem, which accounted for 40.2% of the variance and those of B type office workers, self-esteem and perceived health status accounted for 24.5%. CONCLUSION: It needs to develop and operate self-management program for health maintenance and promotion for the type A/B personality White Collar Workers.
Health Promotion ; Surveys and Questionnaires ; Self Care ; Seoul

BACKGROUND: As health care workers face a wide range of psychosocial stressors, they are at a high risk of developing burnout syndrome, which in turn may affect hospital outcomes such as the quality and safety of provided care. The purpose of the present study was to investigate the moderating effect of job control on the relationship between workload and burnout. METHODS: A total of 352 hospital workers from five Italian public hospitals completed a self-administered questionnaire that was used to measure exhaustion, cynicism, job control, and workload. Data were collected in 2013. RESULTS: In contrast to previous studies, the results of this study supported the moderation effect of job control on the relationship between workload and exhaustion. Furthermore, the results found support for the sequential link from exhaustion to cynicism. CONCLUSION: This study showed the importance for hospital managers to carry out management practices that promote job control and provide employees with job resources, in order to reduce the burnout risk.
Delivery of Health Care* ; Hospitals, Public ; Surveys and Questionnaires

OBJECTIVE: The purpose of this study was to evaluate the effect of tele-health service on knowledge and family support of hypertension patients. METHODS: The subjects were two hundred thirty seven primary hypertension patients who were enrolled at health care center located at the cities of Chunchon, Wonju, and Kangreung, Kwangwon-Do. Tele-health system were located health care center of each cities and the service had been provided for three months. Tele-health system called patients every morning to remind them of taking the prescribed medicine by a 12.5 second pre-recorded message. In addition, tele-health system informed the patients of knowledges on hypertension(medication, exercise, nutrition, regular examination) by 18.4 through 25.3 second pre-recorded message during weekend. Data were collected using a questionnaire before and after the service. RESULTS: The differences of knowledge on hypertension before and after tele-health service was significant(t=-7.908, p=.000). Family support before and after the service was statistically significant as well(t=-7.550, p=.000). CONCLUSION: Tele-health service was effective to manage hypertension.
Delivery of Health Care ; Humans ; Hypertension ; Surveys and Questionnaires

Web sites on the internet are excellent information resources for the public consumers to gain health care knowledge. The potential benefits of the Internet health information are obvious. But the health information on the Internet could also result in potentially negative effects on the public consumers. Yet the quality of health information on the Internet is variable and difficult to assess. There is no rating criteria for quality assessment of the health information in the Web sites in Korean. 47 rating criteria for quality assessment of internet health information were selected and identified in this study. The 17 items were categorized to Reliability(5 items), Content( 7 items), Goal(2 items), Design and Technology(3 items). This 17-terms questionnaires is considered as commonly implementable criteria for health information in the Web sites in Korean. The consistency of the resulting criteria had been ensured by 4-professionals.
Delivery of Health Care ; Internet* ; Surveys and Questionnaires

PURPOSE: The study was done to identify factors influencing health promoting behaviour in office workers according to the type A/B personality. METHODS: The data were collected by questionnaires from 249 workers in Seoul and Gyung-gi province. Measures were a health promoting behaviour, the type of personality, self-esteem, perceived health status, social support, and job stress. The data were analyzed using Pearson correlation coefficients, t-test, and stepwise multiple regression with SPSS/WIN 15.0 version. RESULTS: This study suggests that A type office workers have a little lower degree in health promoting behaviour, self-esteem, social support and have a higher degree in perceived health status, perceived symptoms and job stress than those of B type office workers. The factors which influence A type office workers on health promoting behaviour are social support, perceived health status and self-esteem, which accounted for 40.2% of the variance and those of B type office workers, self-esteem and perceived health status accounted for 24.5%. CONCLUSION: It needs to develop and operate self-management program for health maintenance and promotion for the type A/B personality White Collar Workers.
Health Promotion ; Surveys and Questionnaires ; Self Care ; Seoul

PURPOSE: This study aims to examine the level of recognition and satisfaction of continuing medical education(CME) among primary care physicians. METHODS: A survey was conducted on the physicians in the primary care sector and the response rate was 39.7%(1,192/3,000). Collected responses were processed through SPSS 11.0 statistics program. RESULTS: The survey showed that 91.9% of the respondents completed their CME courses. 48.1% considered CME necessary through inefficient in the way it carried out. 37.0% of those who did not complete their CME requirements replied that they see CME as unnecessary. Regarding overall satisfaction with hosting organizations, academic societies were given 3.50/ 5.00, medical universities and hospitals 3.40/5.00, and medical associations 3.16/5.00. CONCLUSION: The survey shows that the meaning and significance of CME is diminishing gradually. These results could provide with some guidelines on further CME policies including CME regulation amendment, evaluation and accreditation procedure.
Accreditation ; Surveys and Questionnaires ; Humans ; Physicians, Primary Care* ; Primary Health Care*

The purpose of this research was to develop a nursing intervention list for family caregivers. The specific steps were as follows: 1. Analyze the concept, Soobal, based on literature review and case observation. 2. Generate an initial list of defining activities for 'Caregiver Support : Soobal'. 3. Validate the defining activities. 4. Complete the final list of defining activities. A two-round Delphi questionnaire with an adaptation of Fehring's methodology was used to establish the content validity of intervention, Caregiver Support : Soobal. The definition of 'Caregiver Support : Soobal' was provision of the necessary information advocacy, and support to facilitate primary patient care by someone other than a health care professional in Korean traditional manners. Ten nurse experts participated in Round I and II of this study. They were asked to rate activities that exemplified the interventions on a scale of 1(activity is not all characteristic) to 515 'critical' activities and 10 'supporting' activities, while round II contained 16 'critical' activities and 6 'supporting' activities. No activities were considered to be 'nonsupporting' in both round I and II. Finally, the definition and 25 defining activities were developed. Intervention, Caregiver Support : Soobal, attained an ICV score of .82. This study provides a protocol model to develop Korean nursing interventions.
Caregivers* ; Delivery of Health Care ; Humans ; Nursing* ; Patient Care ; Surveys and Questionnaires

The institute of facio-odonto stomatology implemented the consultation and the orodental health care for pupils with ages of 6-15 in Nghia Hung commune, Tu Loc district and Hai Hung province. The rate of the teeth decay, the indicators of decayed, missing and filling (DMF) and the gingivitis rate with the code of the community periodontal index treatment need (CPITN) in the first time of examination (have not been received the orodental health care) and the second time of examination (received the orodental health care) were analysed. The results have shown that the gingivitis rate was significantly reduced (from 94.28% to 65.17%), the rate of teeth decay was slightly increased and the rate of pupils received filling was low (11%).
Oral Health ; Dental Health Surveys ; Dental Care ; Child