3차 의료기관의 외래수술환자의 의료서비스 인식 수준에 영향을 미치는 요인
Factors Influencing on Awareness Levels of Medical Service in Ambulatory Surgery Patients in A Tertiary Health Care
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
본 연구는 3차 의료기관의 외래수술환자의 의료서비스 인식수준에 영향을 미치는 요인을 규명하기 위해 수행하였다. 자료는 2015년 1월 13일부터 2월 16일까지 충남지역에 소재한 종합병원에 내원한 외래수술환자 166명을 대상으로 설문 및 면접조사를 하였다. 일반적인 특성과 의료서비스 인식도 수준과 관련된 요인은 빈도 및 백분율의 기술통계로 분석하였다. 의료서비스에 따른 인식수준과 관련된 요인은 T-test 또는 F 검정로 측정하였다. 외래수술환자에 영향을 미치는 요인은 다변량 회귀분석을 하였다. 연구결과 첫째, 대상자의 성별로 보면 남성은 51.2%로 여성의 48.8% 보다 높은 분포를 나타내었다. 둘째, 종교는 28.3%인 기독교가 20.5%인 불교 보다 높은 분포를 보였다. 셋째, 의료서비스의 인식도 수준과 관련된 요인의 경우, 입원경험이 있는 외래환자는 외래수술의 신뢰도에 유의한 차이가 있었다(t=0.584, p<.05). 넷째, 다중 회귀분석에서 외래수술환자의 인식도에 영향을 주는 것은 연령과 교육으로 나타났다(p<.05). 결론적으로 외래수술율을 증가하기 위해서 외래수술의 이점에 대한 정보를 제공하고 수술 전 교육이 필요하다.
Abstract
This study was performed to identify the factors influencing on awareness levels of medical service in ambulatory surgery patients in a tertiary health care in Korea. Data were surveyed using interview and questionnaires by 166 outpatients who visited a general hospital which was located in Chungnam area from January 13 to February 26, 2015. General characteristics and factors related to awareness levels of medical service were analyzed with descriptive statistics by frequency and percentage. factors related to awareness levels according to general characteristics were measured by t or ANOVA. Factors Influencing on ambulatory surgery outpatients were performed by multiple regression analysis. The results of this study are as follows. Firstly, for the subject’s gender, male with 51.2% revealed higher rate than female with 48.8%. Secondly, for religion, the proportion of christianity(28.3%) was a higher rate than the proportion(20.5%) of buddihism. Thirdly, in the factor related to awareness levels of medical service, outpatients who had an experience with hospitalizing, there was significant difference in regard to the reliability of medical service(t=0.584, p<.05). Fourthly, multiple regression analysis revealed that their age and education affected the perception of ambulatory surgery (p<.05). In conclusion, in order to increase the rate of ambulatory surgery, it is necessary to give information about the advantages of ambulatory surgery and preoperative education.
참고문헌 (10)
- Strain L. A, "Use of Health Service in Later Life, the Influence of Health Beliefs", Journal of Gerontology, 46(3), pp.143~150 (2001)
- Jordan M, Marsh, "Relationship of Health Locus of Control to Lifestyle Change Programs", Research in Nursing and Health, 8(1), pp.3~11 (2000)
- American Cancer Society, "Cancer Prevention and Early Detection Facts and Figures", ~ (2010)
- Annual Report on the Cause of Death Statistics, "Statistics Korea", 13~15 (2014)
- Eisenberg J. M, "Physician Utilization the State of Research About Physician’s Practice Patterns", Medical care, 23(5), pp.461~483 (2005)
- Health Care Quality Indicators Project, Data Collection Report, "Kelley E", Organization for Economic Cooperation and Development, 109~ (2007)
- Shahideh-mahani A, "Factors Affecting Quality of Care in Family Planning Clinics", A Study from Iran, International Journal for Quality in Health Care 2008 for Quality in Health Care, 20(4), pp.284~290 (2008)
- Frisch S. R, "A Study of Patients’ and Helpers’Experiences", Ambulatory Surgery, 52(5), pp.1000~1003 (2009)
- Kempe A. R, "Patient Education for the Ambulatory Surgery Patient", Ambulatory Surgery, 45(2), pp.500~507 (2007)
- Johnson P. E, "Admission to Hospital After Day Case Surgery", Annals Royal College Surgery England, 72(4), pp.225~228 (2009)