보건의료 조직의 협업적 의료 커뮤니케이션 시스템에 대한 연구 - 환자교육을 중심으로 Study on a Clinical Collaborative Communication System in Healthcare Organizations -Focused on Patient Education원문보기
의료조직 내에서의 커뮤니케이션 오류와 지연은 의료고객의 서비스 질 하락과 의료분쟁 등 심각한 문제를 야기 시키고 있다. 따라서, 최근 협업적 의료 커뮤니케이션 체계의 중요성이 크게 부각되고 있다. 의사, 환자/보호자, 간호사, 실험실들 간의 커뮤니케이션이 원활하게 이뤄질 때 고효율 저비용 서비스는 물론 궁극적으로 병원의 경영성과에도 도움이 된다. 이러한 동기에서 중소 및 대형병원에서 이 시스템 도입이 급증하는 추세이다. 본 논문에서는 유무선 기반의 협업적 의료커뮤니케이션(Clinical Collaborative Communication)시스템의 구현방법과 모델링을 통한 구현 연구 및 시스템 평가를 위해 S병원을 대상으로 계량적 평가를 수행하였다.
의료조직 내에서의 커뮤니케이션 오류와 지연은 의료고객의 서비스 질 하락과 의료분쟁 등 심각한 문제를 야기 시키고 있다. 따라서, 최근 협업적 의료 커뮤니케이션 체계의 중요성이 크게 부각되고 있다. 의사, 환자/보호자, 간호사, 실험실들 간의 커뮤니케이션이 원활하게 이뤄질 때 고효율 저비용 서비스는 물론 궁극적으로 병원의 경영성과에도 도움이 된다. 이러한 동기에서 중소 및 대형병원에서 이 시스템 도입이 급증하는 추세이다. 본 논문에서는 유무선 기반의 협업적 의료커뮤니케이션(Clinical Collaborative Communication)시스템의 구현방법과 모델링을 통한 구현 연구 및 시스템 평가를 위해 S병원을 대상으로 계량적 평가를 수행하였다.
Communication errors have severe consequences clinical quality and disputes in medical organizations. Thus, clinical communication has become a major practice recently, since clinical and managerial effectiveness can also be enhanced by improving the quality of the physician, medical staff, and labo...
Communication errors have severe consequences clinical quality and disputes in medical organizations. Thus, clinical communication has become a major practice recently, since clinical and managerial effectiveness can also be enhanced by improving the quality of the physician, medical staff, and laboratories interactions. Both medium and large-sized hospitals are increasingly adopting the philosophy to shorten clinical service time while enhancing higher medical service quality and lower healthcare service costs. From this motivation, this paper studies on the clinical collaborative communication concept and investigates approaches to the philosophy for implementation. The system has been theorized to improve communication and enhancing medical outcome qualities. In addition, to validate the system, the author analyzes the efficiency and effectiveness in S hospital, using statistical survey works.
Communication errors have severe consequences clinical quality and disputes in medical organizations. Thus, clinical communication has become a major practice recently, since clinical and managerial effectiveness can also be enhanced by improving the quality of the physician, medical staff, and laboratories interactions. Both medium and large-sized hospitals are increasingly adopting the philosophy to shorten clinical service time while enhancing higher medical service quality and lower healthcare service costs. From this motivation, this paper studies on the clinical collaborative communication concept and investigates approaches to the philosophy for implementation. The system has been theorized to improve communication and enhancing medical outcome qualities. In addition, to validate the system, the author analyzes the efficiency and effectiveness in S hospital, using statistical survey works.
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문제 정의
Just-in-time collaborative communication[1] promotes mutual clinical value creations and emphasize medical qualities[6]. The purpose of the study is to explore the implementation of the clinical collaborative communication system (CCC), and investigates the potential impact of the CCC system on the daily experiences in medical organizations.
One feature of this study is data, information and knowledge sharing over the Web on a real-time basis. This study also explores the modeling and implementation approaches of the clinical collaboration communicative system, and investigate the potential impact of CCC on the day-to-day experiences in hospitals. This proposed system is used across the health care field, and has an impact on how health care professionals operate beyond the creation of a common language with patients.
제안 방법
Collected data were analysed using statistical software, SPSS 12, for the variables, descriptive, cross-tabulation, and multiple response analysis were performed.
Proposed CCC approach strikes a balance between bottom-up and top-down modeling. For the CCC analysis, proposed approach relies on a top-down approach to derive mission-oriented view; on the other hand, it adopts a bottom-up approach in analyzing and specifying components from the event scenarios for the missions. This hybrid approach can complement the modeling complexity.
The data, information and knowledge storage and sharing for clinical communication pathways are an important issue in modern medicine. In this paper, the asset sharing for clinical collaborative communications which uses a flexible tool to integrate the abilities of physician, medical staffs, patients/guardians was introduced and constructed.
This survey is conducted in collaboration with S hospital managements for the validation in the potential adoption of the CCC, and performed on 1st and 2nd weeks on September, 2012. The efficacy of the system was assessed using five major parts: CCC experience, system evaluation, CCC usefulness, treatment process/medical service, and general information on questionnaire respondents. The detail constitutions are shown in the below table.
The next diagram drills down from the collaborative communication diagram to specifications. The purpose of the diagram is to sharpen specific missions and their relationships to Process Diagram.
This survey is conducted in collaboration with S hospital managements for the validation in the potential adoption of the CCC, and performed on 1st and 2nd weeks on September, 2012. The efficacy of the system was assessed using five major parts: CCC experience, system evaluation, CCC usefulness, treatment process/medical service, and general information on questionnaire respondents.
대상 데이터
Experienced medical customers (10 male and 11 female) volunteers aged 18–71 years (mean ± s.d., 42.3 ± 6.5) participated in the survey.
Currently, S hospital organization is looking forward to a new direction based on clinical collaborative communication to enhance medical quality by better communications. The investigation took place in surgical units spread over four floors in S hospital. The location is a 623-bed acute care hospital.
The investigation took place in surgical units spread over four floors in S hospital. The location is a 623-bed acute care hospital. It is a part of a larger regional health care system.
성능/효과
In the case of "design" could not be measured and ruled out due to the offline and online characteristic. One of the findings is that it demonstrated the value of patient and guardian communication systems by providing timely information and data.
Second, on the basis of business goal, strategy, technology vulnerability, and potential partners, these key capabilities are prioritized on a five-point scale. Third, core competence is chosen based on rareness, inimitability, and non-substitutability. The non-core competences are strategically partnered with external medical stakeholders.
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