일개 종합병원 4인실과 5/6인실 사용자의 만족도 비교 = Comparison of User`s Satisfaction between 4-bedroom and 5/6-bedroom in Single General Hospital

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study is to compare the user satisfaction between 4-bedrooms and 5/6-bedrooms in a single general hospital. Methodology: To measure and compare multiple-bed ward user satisfaction between 4-bedrooms and 5/6-bedrooms, questionnaires were collected from 916 inpatients and 129 nurses in a single general hospital. The patient satisfaction questionnaire categories included environmental conditions, protection of privacy, and medical services. The nurse satisfaction questionnaire categories included space, infection control, patient safety, work load and psychologic view point. Findings: Satisfaction of patient who admitted in 4-bedroom to the environmental conditions and protection of privacy was higher than that of 5/6-bedroom group (3.91 vs. 3.25, p<0.001). Satisfaction of nurse who worked in 4-bedroom was higher than that of 5/6-bedroom (3.05 vs. 1.92, p<0.001). By the multiple linear regression analysis, patient satisfaction to the environmental conditions and protection of privacy was related with multi-bedroom type and location of beds; 4-bedrooms were higher than 5/6-bedrooms(p<0.001), window side bed were higher than hallway side bed(p=0.001). There was no satisfaction difference in comparing medical services between the two groups. By the multiple linear mixed regression analysis, nurse satisfaction who were assigned for 4-bedrooms were higher than that of 5/6-bedrooms in all categories(p<0.001). Practical Implications: Even though no difference has shown in medical services satisfaction between the two patient groups, multi-bedroom type may affect patient satisfaction in environmental condition, protection of privacy and may also affect overall nurse satisfaction. This result suggests that to improve multi-bedroom user satisfaction, 4-bedroom is recommended over 5/6-bedroom.

참고문헌 (Reference)

1 최재욱, "한국 메르스 감염의 역학현황과 공중보건학적 대응조치 방향" 대한의사협회 58 (58): 487-497, 2015

2 최광석, "지역거점 공공병원의 병동부 건축계획 기준에 관한 연구" 한국의료복지건축학회 20 (20): 15-26, 2014

3 박은숙, "중소병원의 의료관련감염 감시" 대한의료관련감염관리학회 16 (16): 54-62, 2011

4 배성권, "종합병원 입원환자와 외래환자의 만족도 요인 분석-의료기관 서비스평가 자료를 활용한 실증 분석-" 한국병원경영학회 10 (10): 26-44, 2005

5 김용우, "종합병원 다인병실의 치유환경 개선을 위한 건축 계획적 연구" 한국실내디자인학회 36 : 76-83, 2003

6 오찬옥, "사용자 중심 디자인을 위한 다인병실에 대한 사용자 평가연구- 부산 H 종합병원 사례를 중심으로 -" 한국실내디자인학회 21 (21): 12-22, 2012

7 박재산, "국립대학병원 입원환자가 느끼는 의료서비스 질, 만족도, 고객 충성도간의 관련성 분석" 한국병원경영학회 9 (9): 2004

8 박범철, "국내 종합병원 다인병실의 프라이버시 개선을 위한 건축계획적 연구" 한국의료복지건축학회 11 (11): 27-36, 2005

9 권순정, "공공병원의 4인병실 도입에 따른 경제적 타당성에 관한 연구" 한국의료복지건축학회 20 (20): 41-48, 2014

10 채철균, "공공병원 4인병실 유니트의 건축계획에 관한 연구" 한국의료복지건축학회 19 (19): 41-52, 2013

11 Beggs CB., "The ventilation of multiple-bed hospital wards : review and analysis" 36 : 250-259, 2008

12 Ulrich R., "The role of the physical environment in the hospital of the 21st century:A once-in-a-life opportunity" The Center for Health Design

13 Kim JM., "Multicenter surveillance study for nosocomial infections in major hospitals in Korea" 28 : 454-458, 2000

14 Ellison J., "Hospital ward design and prevention of hospital-acquired infections : A prospective clinical trial" 25 : 265-270, 2014

15 Frances N., "Hospital bed room configuration : private, semi-private or shared?" Health Facility Briefing System

16 Sehulster L., "Guidelines for environmental infection control in health-care facilities. Morbidity and Mortality Weekly Report Recommendations and Reports RR" 52-, 2003

17 NHIS Ilsan Hospital Infection Control Office, "2014 General Ward Infection Rate, In NHIS Ilsan Hospital ANNUAL REPORT 2014" NHIS Ilsan Hospital:NHIS Ilsan Hospital 2015