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      • KCI등재

        계획되지 않은 소아응급실 재방문: 환자의 임상적 특성과 응급실 과밀화와의 관련성

        장동현,김도균,곽영호,정재윤,서동범,장익완,정재현,서혜향,김주원,추지혜 대한응급의학회 2014 대한응급의학회지 Vol.25 No.5

        Purpose: Revisit to the pediatric emergency department(ED) in the short-term period may be due to inadequateevaluation during the previous visit, which may indicate aproblem with quality in emergency care. The aims of thisstudy are to analyze the characteristics of patients whorevisited the pediatric ED within 48 hours after dischargeand to evaluate the relation between overcrowding andrevisit rates. Methods: Retrospectively, we reviewed the charts ofpatients who returned within 48 hours after visiting a PEDduring a one-year period between June 1st, 2011 andDecember 31st, 2011. We determined the rate of return visitsand review the characteristics of patients, emergency severityindex (ESI) level at visits, cause of revisit, diagnosis, andcrowding degree of the pediatric ED at the patient’s first visit. Results: A total of 16,688 patients visited the pediatric EDand 13,716 patients were discharged from the PED duringthe period. Of these discharged patients, 534 patients revisitedinevitably within 48 hours. The most common cause ofrevisit was relapse or worsened symptoms (70.0%). Therewas no significant difference in sex, severity of patient, andcrowding degree of the pediatric ED at the first visit, however,patients who revisited were younger than those who didnot (p=0.005). The ESI level at the return visit was significantlyhigher irrespective of admission after revisit(p<0.001). In diagnosis grouping, patients with gastrointestinaldiseases, respiratory diseases, and neoplastic diseasesshowed a higher rate of revisit. Conclusion: Approximately 4% of our pediatric ED visitswere for children returning within 48 hours. Patients whorevisited were younger and patients with gastrointestinal diseases,neoplastic diseases, and respiratory diseases weremore likely to revisit. Careful explanation of the possibility ofworsened symptoms is necessary for these patients.

      • KCI등재

        철마한우 불고기 축제 방문객 방문 동기에 기초한 시장세분화와 만족도, 재방문에 관한 연구

        김헌철 한국호텔관광학회 2014 호텔관광연구 Vol.16 No.5

        What their real motives are visitor visits, there were no visitors in each target market continues to meet with the market segmentation in the visiting room is synchronous. Therefore, to understand the motivations of visitors visit aimed at cheolma beef barbecue festival this study. First, the motivation of the visiting Cheolma Beef Bulgogi Festival was analyzed with 15 items and five factors were found out, which are named as 'deviance,' 'family friendliness', 'cultural experience', 'food experience , 'sociality'. In the makeup of each cluster, 'deviance,' 'cultural experience', 'food experience' , 'sociality' were the lowest among the decisive factors for the family oriented type, but 'family friendliness' was relatively high, which shows visitors in this type were motivated to come to the festival to have a good time with their families. First, it was social, family-friendly, deviant sex that affect satisfaction and re-visit the festival factor when considering overall features. Particular cultural experience satisfaction falling star, food tasting experience sex through various programs, which can play a variety of programs with their children develop and enjoy with your family and neighbors at the same time expanding the local food experience programs, performances, or simply selling beef costs experience, the festival will raise participants' satisfaction to cause concern and interest, rather than display. Second, because, they say three minutes each group is spending a relatively large group of charming restaurants, etc. After tasting or using a variety of experience with children and family oriented type of experience and comprehensive experience to see and restaurants at discounted prices. The program will be developed together with the family. Third, we will need to develop a program that could do with nature and the case of deviation form the desire to escape the daily life size.

      • KCI등재

        전주비빔밥 전문점의 서비스품질이 고객만족도, 재방문의도에 미치는 영향 연구

        채운랑(Woon Rang Chae),김외순(Oe Sun Kim),나영아(Young Ah Rha) 한국조리학회 2013 한국조리학회지 Vol.19 No.4

        The purpose of this study is to know the effect of Jeonju bibimbap specialty restaurants` service quality on customer satisfaction and revisit intention. The respondents of this study were people who visited one of bibimbap specialty restaurants in Jeonju. The summary of this study is as follows. First, people tend to visit a bibimbap specialty restaurant once in two weeks on average. The most popular bibimbap restaurant is Gajokhoekwan (Family Hall). In addition, the purpose of visiting is usually to have dinner or lunch with family, and most respondents answered that information about bibimbap is shared with surrounding people. Second, it was found that the service reactivity factor and the food factor (among other factors such as facility, reliability) mostly affect customer satisfaction. Third, for the impact of customer satisfaction on revisit intention, revisit intention tends to increase as customer satisfaction increases. In that sense, to enhance customer satisfaction and attract more customers, restaurant operators need to strengthen effort for improvement of services by recognizing the importance of service quality.

      • KCI등재후보
      • KCI등재
      • KCI등재
      • KCI등재

        어린이박물관 관람객의 선행 경험과 방문 횟수와의 관계 연구 -서울상상나라를 중심으로-

        곽신숙 한국박물관학회 2017 博物館學報 Vol.- No.33

        Increasing the number of visits has become an important task for the children’s museum’s sustainable growth and educational learning experience. Due to this facts, this study has been analyzed the relationship between the prior experience and the number of visits. This study looked at the prior experience of the 86 families consisted with children aged 5 to 7 and parents at random among those who visited the Seoul Children’s Museum. As a result, the number of Children in private kindergartens was derived from 39.5 percent. It was 6 hours a day that 47.5 percents spent the time at educational institutions such as kindergarten and daycare center. In addtion, the experience of visiting museums was 12.4 percent, the third time, followed by the Kids Café (15.2 percent) and the amusement park (15.0 percent). And The purpose of visit to museums of child and parents was to use leisure time (57 percent) for all family members. Furthermore, analyses of the relationship between the prior experiences and the number of visits have resulted in an increase in the number of children’s ‘period (of kindergarten or daycare center)’, ‘verbal stimulation’ at home, and ‘father’s age’ factor. As a result, the Children’s Museum will have to pursue sustainable growth and development through more diverse strategies, such as establishing a closer collaboration with preschool education institution in the future. 어린이박물관의 지속성장과 교육적인 학습경험을 위해서 방문 횟수의 증가는 중요한 과제로 대두되었다. 이를 위해 방문대상의 선행 경험과 방문 횟수와의 관계를 알아보고자 했다. 서울상상나라를 방문한 관람객 중 무작위로 선별한 유아와 부모 86가족을 대상으로 선행 경험에 대해 조사한 결과, 사립유치원에 재원중인 유아가 39.5%로 가장 많이 도출되었고, 유치원이나 어린이집 등과 같은 교육기관에 머무는 시간은 일일 6시간이 47.5%로 가장 많았으며, 박물관 방문경험은 12.4%로 키즈카페(15.2%), 놀이공원(15.0%) 다음인 세 번째로 나타났다. 그리고 유아와 부모가 어린이박물관을 방문한 목적은 ‘여가시간 활용(57%)’으로 가족 모두를 위한 방문임을 알 수 있었다. 또 선행 경험과 방문 횟수와의 관계를 분석한 결과, 유아의 ‘재원기간’, 가정에서의 ‘언어적 자극’ 그리고 ‘아빠의 연령’ 요소가 방문 횟수 증가에 영향을 주는 것으로 나타났다. 이러한 결과에 따라 어린이박물관은 향후 유아 교육기관과의 보다 긴밀한 협업체제 구축 등 보다 다양한 전략을 수립해서 지속적인 성장과 발전을 도모해 나가야 할 것이다.

      • '퇴원설명문'에 의한 72시간내 부적절한 응급센터 재방문의 감소

        박하영,심민섭,송형곤,송근정,Park, Ha Young,Sim, Min Seob,Song, Hyoung Gon,Song, Keun Jeong 한국의료질향상학회 2006 한국의료질향상학회지 Vol.12 No.1

        Background : Patients who were discharged from the emergency department(ED) may revisit. These patients are divided into two groups; one is expected scheduled condition, the other is unexpected condition. These patients of inappropriate revisits to the ED would be unsatisfied, difficult to make rapport and take legal action as a result of additional medical charges. The purpose of this study was to reduce inappropriate revisits to the ED with a new method which was developed by analyzing inappropriate revisits in 2002. Methods : This study was conducted in a tertiary hospital consisting of 1,278 beds. The most common cause of inappropriate revisits was the medical team's lack of explanation about a disease. Thus we decided that the effective method was to offer full explanations to patients to understand the clinical pathway of a disease. We made four types of stickers to explain most common 4 diseases in 2003. An emergency physician completed 'discharge explanation report' and explained it to patients in 2004. Results : In 2002 inappropriate revisited patients were 164, patients with four diseases were 79. During the same period of 2003, inappropriate revisited patients were 56 (-65.9%), four disease patients were 6 (-92.4%) and in 2004 inappropriate revisited patients were 52, four disease patients were 19. Causes of revisits were lack of explanation about a disease in 35 patients (44.3%) in 2003, and 5 patients (83.3%) in 2003, and 16 patients (84.2%). Conclusions : Application of 'explanation stickers' at discharge reduced inappropriate revisits from 34.5% in 2002 to 15.9% in 2003. Application of 'Discharge explanation report' by emergency physician reduced inappropriate revisits from 15.9% in 2003 to 13.5% in 2004. Reduction of inappropriate revisits elevated the quality of medical treatment, and decreased patients' dissatisfaction in ED.

      • KCI등재후보

        '퇴원설명문'에 의한 72시간내 부적절한 응급센터 재방문의 감소

        박하영,심민섭,송형곤,송근정 한국의료QA학회 2005 한국의료질향상학회지 Vol.12 No.1

        Background : Patients who were discharged from the emergency department(ED) may revisit. These patients are divided into two groups; one is expected scheduled condition, the other is unexpected condition. These patients of inappropriate revisits to the ED would be unsatisfied, difficult to make rapport and take legal action as a result of additional medical charges. The purpose of this study was to reduce inappropriate revisits to the ED with a new method which was developed by analyzing inappropriate revisits in 2002. Methods : This study was conducted in a tertiary hospital consisting of 1,278 beds. The most common cause of inappropriate revisits was the medical team's lack of explanation about a disease. Thus we decided that the effective method was to offer full explanations to patients to understand the clinical pathway of a disease. We made four types of stickers to explain most common 4 diseases in 2003. An emergency physician completed 'discharge explanation report' and explained it to patients in 2004. Results : In 2002 inappropriate revisited patients were 164, patients with four diseases were 79. During the same period of 2003, inappropriate revisited patients were 56 (-65.9%), four disease patients were 6 (-92.4%) and in 2004 inappropriate revisited patients were 52, four disease patients were 19. Causes of revisits were lack of explanation about a disease in 35 patients (44.3%) in 2003, and 5 patients (83.3%) in 2003, and 16 patients (84.2%). Conclusions : Application of 'explanation stickers' at discharge reduced inappropriate revisits from 34.5% in 2002 to 15.9% in 2003. Application of 'Discharge explanation report' by emergency physician reduced inappropriate revisits from 15.9% in 2003 to 13.5% in 2004. Reduction of inappropriate revisits elevated the quality of medical treatment, and decreased patients' dissatisfaction in ED.

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