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정헌재,조희숙,오무경,오형원 대한의학회 2015 Journal of Korean medical science Vol.30 No.7
Clinical practice guidelines (CPG) are one of the most effective ways to translate evidence of medical improvement into everyday practice. This study evaluated the dissemination and implementation of the Sexually Transmitted Infections-Korean Guidelines (STIKG) by applying the reach, effectiveness, adoption, implementation and maintenance (RE-AIM) framework. A survey questionnaire was administered to clinicians via the internet. Among the 332 respondents, 190 (57.2%) stated that they were aware of STIKG and 107 (33.2%) implemented STIKG in their practice. The odds that a physician was exposed to STIKG (dissemination) were 2.61 times greater among physicians with previous training or education for any CPG than those who did not. Clinicians who indicated that STIKG were easy to understand were 4.88 times more likely to implement STIKG in their practice than those who found them not so easy. When a clinician’s workplace had a supporting system for CPG use, the odds of implementation was 3.76 times higher. Perceived level of effectiveness of STIKG did not significantly influence their implementation. The findings of this study suggest that, ultimately, knowing how to engage clinicians in CPG implementation is as important as how to disseminate such guidelines; moreover, easy-touse guidelines and institutional support are key factors.
김종인(Jong In Kim),오형원(Hyung-won Oh) 한국보건복지학회 2010 보건과 복지 Vol.12 No.-
Objectives: The aim of this study is to find problems or suggestions concerning management by investigating the effects, obstacles or promotor, if any, of the quality improvement activities after they are introduced. Methods: The data were collected from September 13 to 30. A total of 214 cases were used as final data for our analysis in clinics of a general hospital in county areas of Jeonbuk province. The data were analyzed using frequency, t-test, ANOVA by SPSS 17.0 for windows program. Results: The findings of the study, First of all, with regard to awareness of QI for hospital administration depending on individual characters, statistically significant difference was found in the awareness of 'factors for Quality Improvement', there was significant difference in awareness by age, job ranking, and experience of QI education section. In terms of awareness of characters of medical organizations in the area of 'factors for Quality Improvement', there was significant difference types of medical organizations, number of sick beds and whether or not there were QI department and persons in charge, periodical QI training courses or seminars as well as incentives for QI activities. Conclusions: Thus, lessen the complaints about the added burden of work following introduction of quality improvement campaign on the part of employees of medical organizations and to encourage their participation in it, various measures for rewarding, supporting and motivating them for their QI activities should be introduced as part of measures to settle the campaign as a routine activity. And the top management of hospitals should show keener and more positive concern and support for QI as it should be carried out on the organizational level, not on the personal basis.