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  • Jang, Sung-In  (5)
  • 1
    Online Resource
    Online Resource
    Comparison of Patient Satisfaction in Inpatient Care Provided by Hospitalists and Nonhospitalists in South Korea
    MDPI AG ; 2021
    In:  International Journal of Environmental Research and Public Health Vol. 18, No. 15 ( 2021-07-30), p. 8101-
    Details
    In: International Journal of Environmental Research and Public Health, MDPI AG, Vol. 18, No. 15 ( 2021-07-30), p. 8101-
    Abstract: Background: A Korean hospitalist is a medical doctor in charge of inpatient care during hospital stays. The purpose of this study is to examine the patient satisfaction of hospitalist patients compared to non-hospitalist patients. Patient satisfaction is closely related to the outcome, quality, safety, and cost of care. Thus, seeking to achieve high patient satisfaction is essential in the inpatient care setting. Design, setting, and participants: This is a case-control study based on patient satisfaction survey by the Korean Health Insurance Review and Assessment Service. We measured patients’ satisfaction in physician accessibility, consultation and care service skills, and overall satisfaction through logistic regression analyses. A total of 3871 patients from 18 facilities responded to 18 questionnaires and had health insurance claim data. Results: Hospitalist patients presented higher satisfaction during the hospital stay compared to non-hospitalist patients. For example, as per accessibility, hospitalist patients could meet their attending physician more than twice a day (OR: 3.46, 95% CI: 2.82–4.24). Concerning consultation and care service skills, hospitalists’ explanations on the condition and care plans were easy to understand (OR: 2.33, 95% CI: 1.89–2.88). Moreover, overall satisfaction was significantly higher (β: 0.431, p 〈 0.0001). Subgroup analyses were conducted by medical division and region. Hospitalist patients in the surgical department and the rural area had greater patient satisfaction in all aspects of the survey than non-hospitalist patients. Conclusions: Hospitalists’ patients showed higher satisfaction during the hospital stay. Our study discovered that hospitalists could provide high-quality care as they provide onsite care continuously from admission to discharge.
    Type of Medium: Online Resource
    ISSN: 1660-4601
    URL: Article
    DOI: 10.3390/ijerph18158101
    Language: English
    Publisher: MDPI AG
    Publication Date: 2021
    detail.hit.zdb_id: 2175195-X
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  • 2
    Online Resource
    Online Resource
    Differences in Fracture Incidence According to Caregiver Type in Stroke Survivors
    Elsevier BV ; 2018
    In:  Journal of Stroke and Cerebrovascular Diseases Vol. 27, No. 10 ( 2018-10), p. 2849-2856
    Details
    In: Journal of Stroke and Cerebrovascular Diseases, Elsevier BV, Vol. 27, No. 10 ( 2018-10), p. 2849-2856
    Type of Medium: Online Resource
    ISSN: 1052-3057
    URL: Article
    DOI: 10.1016/j.jstrokecerebrovasdis.2018.06.015
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2018
    detail.hit.zdb_id: 2052957-0
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  • 3
    Online Resource
    Online Resource
    The Association of Maternal Accompaniment at Family Dinners and Depressive Symptoms of Korean Adolescents
    MDPI AG ; 2020
    In:  International Journal of Environmental Research and Public Health Vol. 17, No. 5 ( 2020-03-07), p. 1743-
    Details
    In: International Journal of Environmental Research and Public Health, MDPI AG, Vol. 17, No. 5 ( 2020-03-07), p. 1743-
    Abstract: This study aims to investigate the association between family dinners involving the participation of both mother and her adolescent child and depressive symptoms within the adolescents. Data from 2183 mother–child pairs obtained from the Korea National Health and Nutrition Examination Survey IV–VI (2010–2013, and 2015) were employed in the analysis. The dependent variable of this study was depressive symptom of adolescents. Maternal accompaniment at family dinners was the variable of interest. Logistic regression analysis was performed to calculate odds ratios (ORs) and 95% confidence intervals (CI) to analyze the association between family dinners including both mother and adolescent and depressive symptoms within the adolescent. According to the results, maternal absence in family dinners was significantly associated with higher odds of depressive symptoms in adolescents (OR = 1.42, 95%CI: 1.01–1.99). In particular, the association was strong among adolescents aged 12–15, female adolescents, those with mothers without depressive symptoms, and city dwellers. This study showed that maternal absence at family dinners was strongly associated with depressive symptoms of adolescents. For the sake of adolescent mental health, it may be necessary to consider the implementation of policies that emphasize the importance of maternal accompaniment at family dinners and encourage the presence of mothers at the dinner table.
    Type of Medium: Online Resource
    ISSN: 1660-4601
    URL: Article
    DOI: 10.3390/ijerph17051743
    Language: English
    Publisher: MDPI AG
    Publication Date: 2020
    detail.hit.zdb_id: 2175195-X
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  • 4
    Online Resource
    Online Resource
    The Financial Burden Associated with Medical Costs among Childhood Cancer Patients and Their Families Related to Their Socioeconomic Status: The Perspective of National Health Insurance Service
    MDPI AG ; 2020
    In:  International Journal of Environmental Research and Public Health Vol. 17, No. 17 ( 2020-08-19), p. 6020-
    Details
    In: International Journal of Environmental Research and Public Health, MDPI AG, Vol. 17, No. 17 ( 2020-08-19), p. 6020-
    Abstract: The number of cancer survivors is increasing as a consequence of improved therapeutic options. Many families are suffering from the resultant financial burden. Our study aims to determine the total medical cost for 5 years after the initial diagnosis of childhood cancers. A customized dataset from the Korean National Health Insurance Claims Database was requested for this study. A total of 7317 patients were selected to determine the total medical cost. The costs are presented as the 2% trimmed mean value to exclude extreme costs. The medical costs were further classified according to cancer type, treatment phase, and socioeconomic status. Multiple linear regression analyses were performed. The average total medical cost per patient is 36.8 million Korean Wons or 32,157 United States Dollars. Analysis of socioeconomic status revealed that the higher income group demonstrated higher medical expenditure when compared to other groups. Analysis of the treatment phase showed that costs associated with the early phase of treatment are the highest, especially in the first 3 months after initial diagnosis. To alleviate the financial burden and reduce the socioeconomic disparities associated with medical care and costs, a better understanding of the current experience of patients and their families is required.
    Type of Medium: Online Resource
    ISSN: 1660-4601
    URL: Article
    DOI: 10.3390/ijerph17176020
    Language: English
    Publisher: MDPI AG
    Publication Date: 2020
    detail.hit.zdb_id: 2175195-X
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  • 5
    Online Resource
    Online Resource
    Long working hours are associated with unmet dental needs in south Korean male adults who have experienced dental pain
    Springer Science and Business Media LLC ; 2019
    In:  BMC Oral Health Vol. 19, No. 1 ( 2019-12)
    Details
    In: BMC Oral Health, Springer Science and Business Media LLC, Vol. 19, No. 1 ( 2019-12)
    Abstract: We explored the association between working hours and unmet dental needs among adults who have experienced dental pain, and how this relationship varied by demographic and lifestyle factors. Methods We used the data of 9594 adults who reported dental pain from the Korea National Health and Nutrition Examination Survey (KNHANES) V and VI. We conducted a logistic regression analysis to determine the association between working hours and unmet dental needs, followed by a subgroup analysis and Cochran-Armitage trend tests. Results Among the 4203 male subjects, 1661 (39.5%) experienced unmet dental needs. They also showed a significant dose-response relationship between working hours and unmet dental needs (OR 1.21 [95% CI 0.97–1.51], OR 1.30 [95% CI 0.99–1.69] , OR 1.33 [95% CI 1.04–1.71], OR 1.58 [95% CI 1.21–2.07] compared to no working hours), whereas female participants did not. The significance of the association was preserved among participants with increased consumption of alcohol, urban residence, and who brushed their teeth at least twice a day. It was also stronger among those who lacked access to dental services or did not perceive the need for dental care. Conclusion Among adults who have experienced dental pain, unmet dental needs had higher odds of occurring in males who worked longer, and this relationship appears to be influenced by consumption of alcohol, region of residence, tooth-brushing frequency, and access to and perception of dental care. Accordingly, policies should be drafted to reduce unmet needs by considering these factors.
    Type of Medium: Online Resource
    ISSN: 1472-6831
    URL: Article
    DOI: 10.1186/s12903-019-0953-8
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2019
    detail.hit.zdb_id: 2091511-1
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