39 research outputs found

    (๋‹จ์ƒ‰์ˆ˜์ฐจ ๋ณด์ •์— ๋Œ€ํ•œ ์ˆ˜ํ•™์  ์ ‘๊ทผ

    Get PDF
    ํ•™์œ„๋…ผ๋ฌธ(๋ฐ•์‚ฌ)--์„œ์šธ๋Œ€ํ•™๊ต ๋Œ€ํ•™์› :์ž์—ฐ๊ณผํ•™๋Œ€ํ•™ ์ˆ˜๋ฆฌ๊ณผํ•™๋ถ€,2020. 2. ๊ฐ•๋ช…์ฃผ.This thesis introduces efficient and effective methods for solving monochromatic aberration correction problems. The proposed methods are based on Forward-Backward proximal splitting method, which solves the optimization problem by iteratively solving two sub parts for each step: 1. gradient descent and 2. noise removal. Since the gradient descent part has high computational cost, we develop a low-cost implementation of computing aberration operator and its transpose. Then, we propose 6 different methods, which are based on 6 types of different regularization in the noise removal part. In this thesis, we perform experiments on the proposed image restoration methods. In the experiments, we use synthetic images generated by point spread functions (PSFs), which emulate the effects of monochromatic aberration in modern digital cameras.์ด ์—ฐ๊ตฌ๋Š” ๋‹จ์ƒ‰ ์ˆ˜์ฐจ ๋ณด์ • ๋ฌธ์ œ๋ฅผ ํ’€๊ธฐ ์œ„ํ•œ ํšจ์œจ์ ์ด๊ณ  ํšจ๊ณผ์ ์ธ ๋ฐฉ๋ฒ•๋“ค์„ ์†Œ๊ฐœํ•œ๋‹ค. ์ œ์•ˆ๋œ ๋ฐฉ๋ฒ•๋“ค์€ Forward-Backward proximal splitting ๋ฐฉ๋ฒ•์— ๊ธฐ๋ฐ˜ํ•œ ๊ฒƒ์œผ๋กœ ์ด ๋ฐฉ๋ฒ•์€ ์ตœ์ ํ™” ๋ฌธ์ œ๋ฅผ ๊ฒฝ์‚ฌํ•˜๊ฐ•๋ฒ•๊ณผ ๋…ธ์ด์ฆˆ ์ œ๊ฑฐ์˜ ๋‘ ๋ฌธ์ œ๋กœ ๋‚˜๋ˆ„์–ด ๋ฐ˜๋ณต ๋ฐฉ๋ฒ•์„ ํ†ตํ•ด ํ‘ผ๋‹ค. ๋‹จ์ƒ‰ ์ˆ˜์ฐจ ๋ฌธ์ œ์— ์žˆ์–ด์„œ ๊ฒฝ์‚ฌํ•˜๊ฐ•๋ฒ•์€ ํฐ ๊ณ„์‚ฐ ๋น„์šฉ์„ ์š”๊ตฌํ•˜๊ธฐ ๋•Œ๋ฌธ์— ์ˆ˜์ฐจ ์—ฐ์‚ฐ์ž์˜ ์ €๋น„์šฉ ๊ตฌํ˜„ ๋ฐฉ๋ฒ•์„ ๊ฐœ๋ฐœํ•œ๋‹ค. ์ด์–ด์„œ 6๊ฐ€์ง€์˜ ์„œ๋กœ ๋‹ค๋ฅธ ์ •์น™ ์—ฐ์‚ฐ์ž์— ๊ธฐ๋ฐ˜ํ•œ ๋…ธ์ด์ฆˆ ์ œ๊ฑฐ ๋ฐฉ๋ฒ•์„ ์ ์šฉํ•œ ์˜์ƒ ๋ณต์› ๋ฐฉ๋ฒ•์„ ์ œ์•ˆํ•œ๋‹ค. ์ด ์—ฐ๊ตฌ์—์„œ๋Š” ์ œ์•ˆ๋œ ์˜์ƒ ๋ณต์› ๋ฐฉ๋ฒ•๋“ค์— ๋Œ€ํ•œ ์‹คํ—˜์„ ์ˆ˜ํ–‰ํ•œ๋‹ค. ์‹คํ—˜์—์„œ๋Š” ์ ํ™•์‚ฐํ•จ์ˆ˜ (Point Spread Function)์„ ์ด์šฉํ•ด ํ•ฉ์„ฑ๋œ ์ˆ˜์ฐจ ์˜์ƒ์„ ์ด์šฉํ•˜๋Š”๋ฐ, ํ•ด๋‹น ์ ํ™•์‚ฐํ•จ์ˆ˜๋Š” ํ˜„๋Œ€ ๋””์ง€ํ„ธ ์นด๋ฉ”๋ผ์˜ ๋‹จ์ƒ‰ ์ˆ˜์ฐจ ํšจ๊ณผ๋ฅผ ๋ชจ๋ฐฉํ•œ ๊ฒƒ์ด๋‹ค.1 Introduction 1 2 Related Works 5 2.1 Approximation Methods 5 2.1.1 Methods 5 2.1.2 Methods Comparison and Conclusion 7 2.2 Basic Fourier Optics 8 2.2.1 Wavefront Optical Path Difference, W (x, y) 8 2.2.2 Pupil and Amplitude Transfer Functions 11 2.2.3 Point Spread Functions 12 2.3 Mathematical Preliminaries 14 2.3.1 Basic Properties of svcOperators 14 2.3.2 Regularizations in Inverse Problems 16 2.3.3 Convex Optimization Theory 21 3 Proposed Methods 30 3.1 Low Cost Implementation Using Small Support Assumption 31 3.1.1 Vectorization Techniques 33 3.2 Proposed Algorithm 34 3.2.1 Forward Backward Splitting Algorithm 35 3.2.2 Split Bregman Method 38 3.2.3 Algorithms 42 4 Experiments 47 4.1 Implementation Details 47 4.1.1 Generation of synthetic blurry images 47 4.2 Numerical Results 49 4.2.1 Synthetically Blurred Images 50 4.2.2 Image Restoration 52 5 Conclusion and Future Work 65 5.1 Conclusion 65 5.2 Future Work 66 Abstract (in Korean) 71Docto

    Micro-computed tomographic evaluation of bone healing following dental extraction in beagle dogs treated with zoledronic acid

    Get PDF
    Dept. of Dentistry/๋ฐ•์‚ฌMedication-related osteonecrosis of the jaws (MRONJ) is a rare but potentially severe side effect of long-term use of antiresorptive and antiangiogenic agents. However, the etiopathology of this condition is still not fully understood. In order to establish the pathogenesis of this disease, a reliable and reproducible animal model is required. The purpose of this study was to induce clinical features of MRONJ after tooth extraction in zoledronate treated beagle dogs, and analyze bone healing using micro-CT. The results are as follows; 1. In the experimental animal, extraction sites showed exposed bone with impaired wound healing at both post-extraction 1 month and 2 months. 2. Extraction sockets of the experimental animal showed significantly lower values of bone volume fraction, trabecular number, and trabecular thickness than those of the control animal at both post-extraction 1 month and 2 months. 3. Septal bone of the experimental animal showed significantly lower values of bone volume fraction than those of the control animal at both post-extraction 1 month and 2 months. 4. Cortical bone of the experimental animal showed significantly lower values of cortical area fraction, higher values of cortical porosity and average pore volume than those of the control animal at both post-extraction 1 month and 2 months. 5. In the experimental animal, new bone formation was noted outside buccal and lingual cortex at both post-extraction 1 month and 2 months. Although the sample size of this study is limited, this study introduces beagle dog as a promising large animal model for MRONJ. From this model, microarchitectural morphometric changes of bone healing after tooth extraction were evaluated. This animal model can be used for further research in the fields of MRONJ etiopathology and treatment. ์•ฝ์ œ ๊ด€๋ จ ํ„ฑ๋ผˆ ๊ดด์‚ฌ(Medication-related osteonecrosis of the jaw, MRONJ)๋Š” ๋น„์Šคํฌ์Šคํฌ๋„ค์ดํŠธ, RANKL antibody ๊ณ„์—ด์˜ ๊ณจํก์ˆ˜์–ต์ œ์ œ ๋ฐ ํ˜ˆ๊ด€์‹ ์ƒ์–ต์ œ์ œ์˜ ์žฅ๊ธฐ๊ฐ„ ์‚ฌ์šฉ๊ณผ ๊ด€๋ จ๋˜์–ด ๋“œ๋ฌผ๊ฒŒ ๋ฐœ์ƒํ•˜์ง€๋งŒ ๋•Œ๋กœ๋Š” ์‹ฌ๊ฐํ•˜๊ฒŒ ๋‚˜ํƒ€๋‚  ์ˆ˜ ์žˆ๋Š” ํ•ฉ๋ณ‘์ฆ์ด๋‹ค. ํ„ฑ๋ผˆ์—์„œ๋งŒ ํŠน์ด์ ์œผ๋กœ ๊ดด์‚ฌ๊ฐ€ ๋‚˜ํƒ€๋‚˜๋Š” ์ด์œ ์— ๋Œ€ํ•˜์—ฌ ๋‹ค์–‘ํ•œ ๊ฐ€์„ค์ด ์ œ์‹œ๋˜๊ณ  ์žˆ์œผ๋‚˜ ์•„์ง๊นŒ์ง€ ๋ช…ํ™•ํ•œ ๋ฐœ๋ณ‘ ๊ธฐ์ „์€ ๋ฐํ˜€์ง€์ง€ ์•Š์€ ์ƒํƒœ์ด๋‹ค. MRONJ์˜ ๋ฐœ๋ณ‘ ๊ธฐ์ „์„ ๋ฐํžˆ๊ณ  ์น˜๋ฃŒ ๋ฐฉ๋ฒ•์„ ๊ฐœ๋ฐœํ•˜๊ธฐ ์œ„ํ•ด ์†Œํ˜• ๋™๋ฌผ๋ชจ๋ธ์— ๋Œ€ํ•œ ์—ฌ๋Ÿฌ ์—ฐ๊ตฌ๋“ค์ด ๋ณด๊ณ ๋˜์–ด ์™”์œผ๋‚˜, ์•„์ง๊นŒ์ง€ ๋งŒ์กฑํ• ๋งŒํ•œ ๋Œ€ํ˜• ๋™๋ฌผ๋ชจ๋ธ์€ ๊ฐœ๋ฐœ๋˜์ง€ ์•Š์€ ์ƒํƒœ์ด๋‹ค. ์ด๋ฒˆ ์—ฐ๊ตฌ์—์„œ๋Š” ๋น„์Šคํฌ์Šคํฌ๋„ค์ดํŠธ๊ฐ€ ํˆฌ์—ฌ๋œ ๋น„๊ธ€๊ฒฌ์—์„œ ๋ฐœ์น˜ ํ›„ MRONJ๋ฅผ ์œ ๋„ํ•˜๊ณ , ๊ณจ ์น˜์œ  ์–‘์ƒ์„ micro-CT๋ฅผ ์ด์šฉํ•˜์—ฌ ๋ถ„์„ํ•˜์—ฌ ๋‹ค์Œ๊ณผ ๊ฐ™์€ ๊ฒฐ๊ณผ๋ฅผ ์–ป์—ˆ๋‹ค 1. ๋Œ€์กฐ๊ตฐ์—์„œ๋Š” ๋ฐœ์น˜ ํ›„ 1๊ฐœ์›”, 2๊ฐœ์›”์—์„œ ๋ฐœ์น˜์™€ ์ฃผ๋ณ€์˜ ์ •์ƒ์ ์ธ ์—ฐ์กฐ์ง ์น˜์œ ๊ฐ€ ๊ด€์ฐฐ๋˜์—ˆ์œผ๋‚˜, ์‹คํ—˜๊ตฐ์—์„œ๋Š” ๋ฐœ์น˜ ํ›„ 1๊ฐœ์›”, 2๊ฐœ์›”์—์„œ ๋ชจ๋‘ ๋ฐœ์น˜์™€ ์ฃผ๋ณ€์˜ ๊ณจ๋…ธ์ถœ์ด ๊ด€์ฐฐ๋˜์—ˆ๋‹ค. 2. ์‹คํ—˜๊ตฐ์—์„œ๋Š” ๋Œ€์กฐ๊ตฐ์— ๋น„ํ•ด ๋ฐœ์น˜ ํ›„ 1๊ฐœ์›”, 2๊ฐœ์›”์—์„œ ๋ฐœ์น˜์™€์˜ bone volume fraction, trabecular number, ๊ทธ๋ฆฌ๊ณ  trabecular thickness๊ฐ€ ์œ ์˜ํ•˜๊ฒŒ ๋‚ฎ๊ฒŒ ๋‚˜ํƒ€๋‚ฌ๋‹ค. 3. ์‹คํ—˜๊ตฐ์—์„œ๋Š” ๋Œ€์กฐ๊ตฐ์— ๋น„ํ•ด ๋ฐœ์น˜ ํ›„ 1๊ฐœ์›”, 2๊ฐœ์›”์—์„œ ์น˜๊ฐ„ ํ•ด๋ฉด๊ณจ์˜ bone volume fraction์ด ์œ ์˜ํ•˜๊ฒŒ ๋‚ฎ๊ฒŒ ๋‚˜ํƒ€๋‚ฌ๋‹ค. 4. ์‹คํ—˜๊ตฐ์—์„œ๋Š” ๋Œ€์กฐ๊ตฐ์— ๋น„ํ•ด ๋ฐœ์น˜ ํ›„ 1๊ฐœ์›”, 2๊ฐœ์›”์—์„œ ํ”ผ์งˆ๊ณจ์˜ cortical area fraction์ด ์œ ์˜ํ•˜๊ฒŒ ๋‚ฎ๊ฒŒ, cortical porosity์™€ average pore volume์€ ์œ ์˜ํ•˜๊ฒŒ ๋†’๊ฒŒ ๋‚˜ํƒ€๋‚ฌ๋‹ค. 5. ์‹คํ—˜๊ตฐ์—์„œ๋Š” ๋ฐœ์น˜ ํ›„ 1๊ฐœ์›”, 2๊ฐœ์›”์—์„œ ํ˜‘์„ค์ธก ํ”ผ์งˆ๊ณจ ์™ธ์ธก์— ์‹ ์ƒ๊ณจ ํ˜•์„ฑ์ด ๊ด€์ฐฐ๋˜์—ˆ๋‹ค. ์ด๋ฒˆ ์—ฐ๊ตฌ๋ฅผ ํ†ตํ•ด Zoledronic acid๊ฐ€ ํˆฌ์—ฌ๋œ ๋น„๊ธ€๊ฒฌ์—์„œ ๋ฐœ์น˜ ํ›„ 1๊ฐœ์›”๋ถ€ํ„ฐ ์ž„์ƒ์ ์œผ๋กœ MRONJ์˜ ์ •์˜์— ๋ถ€ํ•ฉํ•˜๋Š” ๊ฒฐ๊ณผ๋ฅผ ์–ป์„ ์ˆ˜ ์žˆ์—ˆ์œผ๋ฉฐ, ๋ฏธ์„ธ๊ตฌ์กฐํ•™์ ์œผ๋กœ ์‹ฌํ•˜๊ฒŒ ์†์ƒ๋œ ๋ฐœ์น˜์™€ ์ฃผ๋ณ€ ํ•ด๋ฉด๊ณจ ๋ฐ ํ”ผ์งˆ๊ณจ์˜ ๊ณจ ๊ตฌ์กฐ๋ฅผ ํ™•์ธํ•˜์˜€๋‹ค. ์ด ๋ชจ๋ธ์ด MRONJ์˜ ๋ณ‘ํƒœ์ƒ๋ฆฌ ๊ทœ๋ช… ๋ฐ ์น˜๋ฃŒ ๊ฐœ๋ฐœ์„ ์œ„ํ•œ ์—ฐ๊ตฌ์— ์‚ฌ์šฉ๋  ์ˆ˜ ์žˆ์„ ๊ฒƒ์œผ๋กœ ํ‰๊ฐ€๋œ๋‹ค.ope

    Full thickness skin grafts from the groin: donor site morbidity and graft survival rate from 50 cases

    Get PDF
    OBJECTIVES: Full thickness skin grafts (FTSG) offer several advantages; they are esthetically superb, have less postoperative shrinkage, and offer minimal postoperative pain and scar formation at the donor site. As a donor site of FTSG, the groin offers a relatively large area of skin with high elasticity. The aim of this study was to evaluate FTSG from the groin for reconstruction in oral and maxillofacial surgery. MATERIALS AND METHODS: In a retrospective study, 50 patients (27 males, 23 females) who received FTSG from the groin were evaluated for their operation records, clinical photography, and medical records. RESULTS: The width of skin from the groin was distributed from 2-8 cm (mean: 5.1 cm) at the donor site, while the long axis length was distributed from 3-13 cm (mean: 7.4 cm). A high number of patients, 47 patients (94%) out of 50, showed good healing at the donor site. Wound impairment was seen in 3 patients (6%), minor wound dehiscence in 2 patients, and severe wound dehiscence in 1 patient. In the recipient site, delayed healing was observed in 2 patients (4%). CONCLUSION: FTSG from the groin to repair soft tissue defects in reconstruction surgery is a good method due to the relatively big size of the graft, decreasing morbidity at the donor site, and higher graft survival rates.ope

    NORMAL ERUPTION GUIDANCE OF UNERUPTED PERMANENT TEETH ASSOCIATED WITH DENTIGEROUS CYST BY DECOMPRESSION : 5 CASES REPORT

    Get PDF
    The purpose of this report is to describe a treatment method of dentigerous cyst associated with unerupted permanent teeth in mixed dentition patients. In our cases, extraction of infected primary teeth was followed by decompression of the cyst. At the same time, parts of the cystic walls were sent for histopathological examination. Decompression was performed by inserting a rubber tube into the cystic cavity through the extraction socket. The cystic cavity was kept open by means of vigorous use of a syringe by patient. Postoperative panoramic radiograph was taken bimonthly. After 5โˆผ125{\sim}12 months, the impacted permanent teeth were erupted on the desired position. All cases presented favorable result. By extracting the infected primary teeth, and opening the cyst for continuous drainage, it was possible to achieve spontaneous eruption of the involved permanent teeth into the proper position. In all our cases, there was no sign or symptom of recurrence of the cyst up to postoperative 18 months.ope

    SELECTIVE DEEP LOBE PAROTIDECTOMY FOR PRESERVATION OF PAROTID FUNCTION: A CASE REPORT

    Get PDF
    Tumors of the deep lobe of parotid gland are rare. These benign tumors have usually been treated by total parotidectomy, which has functional and esthetic side effects. Recently, there has been a trend for operations of parotid gland benign tumors to be less radical and selective deep lobe parotidectomy has been introduced. This technique preserves the superficial lobe and facial nerve when tumor is located in the deep lobe. Selective deep lobe parotidectomy preserves parotid salivary function, minimizes the incidence of facial nerve damage and gustatory sweating (Frey's syndrome) and improves cosmetic outcome. We report a case of pleomorphic adenoma of the deep lobe that was successfully treated by selective deep lobe parotidectomy with satisfactory result.ope

    Comparative analysis of the amount of postoperative drainage after intraoral vertical ramus osteotomy and sagittal split ramus osteotomy

    Get PDF
    Objectives: The purpose of this retrospective study was to compare the amount of postoperative drainage via closed suction drainage system after intraoral vertical ramus osteotomy (IVRO) and sagittal split ramus osteotomy (SSRO). Materials and Methods: We planned a retrospective cohort study of 40 patients selected from a larger group who underwent orthognathic surgery from 2007 to 2013. Mean age (range) was 23.95 (16 to 35) years. Patients who underwent bilateral IVRO or SSRO were categorized into group I or group II, respectively, and each group consisted of 20 patients. Closed suction drainage system was inserted in mandibular osteotomy sites to decrease swelling and dead space, and records of drainage amount were collected. The data were compared and analyzed with independent t-test. Results: The closed suction drainage system was removed at 32 hours postoperatively, and the amount of drainage was recorded every 8 hours. In group I, the mean amount of drainage was 79.42 mL in total, with 31.20 mL, 19.90 mL, 13.90 mL, 9.47 mL, and 4.95 mL measured at 0, 8, 16, 24, and 32 hours postoperatively, respectively. In group II, the mean total amount of drainage was 90.11 mL, with 30.25 mL, 25.75 mL, 19.70 mL, 8.50 mL, and 5.91 mL measured at 0, 8, 16, 24, and 32 hours postoperatively, respectively. Total amount of drainage from group I was less than group II, but there was no statistically significant difference between the two groups (P=0.338). There was a significant difference in drainage between group I and group II only at 16 hours postoperatively (P=0.029). Conclusion: IVRO and SSRO have different osteotomy design and different extent of medullary exposure; however, our results reveal that there is no remarkable difference in postoperative drainage of blood and exudate.ope

    DNA-๋‹จ์ผ๋ฒฝํƒ„์†Œ๋‚˜๋…ธํŠœ๋ธŒ ๋ณตํ•ฉ์ฒด์˜ ํ˜•์„ฑ๊ณผ ํŠน์„ฑ ๊ทœ๋ช…์— ๊ด€ํ•œ ์—ฐ๊ตฌ

    No full text
    ํ•™์œ„๋…ผ๋ฌธ (๋ฐ•์‚ฌ)-- ์„œ์šธ๋Œ€ํ•™๊ต ๋Œ€ํ•™์› : ๊ธฐ๊ณ„ํ•ญ๊ณต๊ณตํ•™๋ถ€, 2011.8. ์ด์ •ํ›ˆ.Docto

    Chinas anti-monopoly law : enactment process, contents, implications

    No full text
    Thesis(masters) --์„œ์šธ๋Œ€ํ•™๊ต ๋Œ€ํ•™์› :๊ตญ์ œํ•™๊ณผ(๊ตญ์ œ์ง€์—ญํ•™์ „๊ณต),2008. 8.Maste

    On global financial reporting issues : fair value measurement

    No full text
    Thesis(masters) --์„œ์šธ๋Œ€ํ•™๊ต ๊ฒฝ์˜์ „๋ฌธ๋Œ€ํ•™์› :๊ฒฝ์˜ํ•™๊ณผ(SNUGlobal MBA์ „๊ณต),2010.8.Maste

    Determinants of patients' intent to revisit at national university hospitals in Korea

    No full text
    ๋ณด๊ฑดํ–‰์ •ํ•™๊ณผ/์„์‚ฌ[ํ•œ๊ธ€] ๊ตญ๋ฆฝ๋Œ€ ๋ณ‘์› ์ž…์›ํ™˜์ž๋“ค์˜ ์žฌ์ด์šฉ ์˜์‚ฌ ๊ฒฐ์ •์š”์ธ์„ ์•Œ์•„๋ณด๊ธฐ ์œ„ํ•˜์—ฌ 11๊ฐœ ๊ตญ๋ฆฝ๋Œ€ ๋ณ‘์›์˜ ํ™˜์ž๋“ค์„ ๋Œ€์ƒ์œผ๋กœ ์ž๊ธฐ๊ธฐ์ž…์‹ ๋˜๋Š” ๋ฉด์ ‘์กฐ์‚ฌ๋ฅผ ์‹ค์‹œํ•˜์˜€๋‹ค. ์„ค๋ฌธ๋‚ด์šฉ์€ ์ „๋ฐ˜์  ๋งŒ์กฑ๋„์™€ ์žฌ์ด์šฉ ์˜์‚ฌ์— ์˜ํ–ฅ์„ ๋ฏธ์น˜๋Š” ์š”์ธ์„ ์™ธ๋ž˜ 8๊ฐ€์ง€, ์ž…์› 9๊ฐ€์ง€๋กœ ์ •ํ•˜๊ณ , ๋‹ค์‹œ ์š”์ธ๋ณ„๋กœ ์„ธ๋ถ€์ ์ธ ํŠน์„ฑ ๋ณ€์ˆ˜๋ฅผ ์ธก์ •ํ•˜์˜€๋‹ค. ์™ธ๋ž˜ ํ™˜์ž์˜ ์žฌ์ด์šฉ ์˜์‚ฌ ๊ฒฐ์ •์— ๊ฐ€์žฅ ํฐ ํšจ๊ณผ๋ฅผ ๋ฏธ์น˜๋Š” ๋ณ€์ˆ˜๋Š” ๊ฑด๊ฐ•ํšŒ๋ณต์ •๋„(.242)๋กœ ๋‚˜ํƒ€๋‚ฌ๊ณ  ์ „๋ฐ˜์  ๋งŒ์กฑ(.231), ์˜์‚ฌ ์š”์ธ(.185), ์ง์› ์š”์ธ(.158) ์ˆœ์œผ๋กœ ์œ ์˜ํ•œ ์˜ํ–ฅ์„ ๋ฏธ์น˜๋Š” ๊ฒƒ์œผ๋กœ ๋‚˜ํƒ€๋‚ฌ๋‹ค. ๋˜ํ•œ, ์ž…์› ํ™˜์ž์˜ ๊ฒฝ์šฐ๋Š” ๊ฑด๊ฐ•ํšŒ๋ณต์ •๋„(.241), ๊ฐ„ํ˜ธ์‚ฌ ์š”์ธ(.193), ์˜์‚ฌ ์š”์ธ(.144), ์ „๋ฐ˜์  ๋งŒ์กฑ๋„(.120), ์ž…์›์ ˆ์ฐจ ์š”์ธ(.102)์˜ ์ˆœ์œผ๋กœ ์œ ์˜ํ•œ ์˜ํ–ฅ์„ ๋ฏธ์น˜๋Š” ๊ฒƒ์œผ๋กœ ๋‚˜ํƒ€๋‚ฌ๋‹ค. ํ•œํŽธ ์žฌ์ด์šฉ ์˜์‚ฌ์— ์ดํšจ๊ณผ๋กœ๋Š” ์œ ์˜ํ•˜๊ฒŒ ๋‚˜ํƒ€๋‚˜์ง€ ์•Š์•˜์œผ๋‚˜ ์ ˆ์ฐจ ์š”์ธ, ์ง์› ์š”์ธ, ์‹œ์„ค ํŽธ์˜์„ฑ ์š”์ธ, ์ž…์›์ƒํ™œ์˜ ์งˆ ์š”์ธ ๋“ฑ๋„ ์ „๋ฐ˜์  ๋งŒ์กฑ๋„๋ฅผ ํ†ตํ•ด์„œ ์žฌ์ด์šฉ์˜์‚ฌ์— ์˜ํ–ฅ์„ ๋ฏธ์น  ์ˆ˜ ์žˆ์Œ์„ ์•Œ ์ˆ˜ ์žˆ์—ˆ๋‹ค. ๋”ฐ๋ผ์„œ ํ™˜์ž๋“ค์˜ ๊ฑด๊ฐ•ํšŒ๋ณต์— ๋Œ€ํ•œ ๊ธฐ๋Œ€์— ๋ถ€์‘ํ•˜๊ธฐ ์œ„ํ•˜์—ฌ ์šฐ์ˆ˜ํ•œ ์˜๋ฃŒ์ง„๊ณผ ์žฅ๋น„๋ฅผ ๊ฐ–์ถ”๋Š” ๋…ธ๋ ฅ๊ณผ ๋”๋ถˆ์–ด ์ง„๋ฃŒ๊ณผ์ •์˜ ํ‘œ์ค€ํ™”, ์˜๋ฃŒ์„œ๋น„์Šค ์งˆ ๊ด€๋ฆฌ ๋“ฑ ์–‘์งˆ์˜ ์˜๋ฃŒ์„œ๋น„์Šค๋ฅผ ์ œ๊ณตํ•  ์ˆ˜ ์žˆ๋„๋ก ์˜์‚ฌ ๋ฐ ๊ฐ„ํ˜ธ์‚ฌ๋ฟ๋งŒ ์•„๋‹ˆ๋ผ ์ „ ์ง์›์˜ ์ฒด๊ณ„์ ์ธ ๊ต์œก๊ณผ ๋ณด์ƒ์ด ํ•„์š”ํ•˜๋‹ค๊ณ  ํ•˜๊ฒ ๋‹ค. ๋˜ํ•œ ์žฅ๊ธฐ๊ฐ„ ๋ณ‘์›์—์„œ ์ƒํ™œํ•˜๋Š” ์ž…์›ํ™˜์ž๋“ค์„ ์œ„ํ•œ ์‚ฌ์ƒํ™œ ๋ณด์žฅ ๋ฐ ์‹œ์„ค ํ™˜๊ฒฝ๋ฉด์—์„œ๋„ ์„ธ์‹ฌํ•œ ๋ฐฐ๋ ค๊ฐ€ ์š”๊ตฌ๋œ๋‹ค. ๋ณธ ์—ฐ๊ตฌ๋Š” ๊ตญ๋‚ด ์ตœ์ดˆ๋กœ ์ „๊ตญ ๊ตญ๋ฆฝ๋Œ€ ๋ณ‘์› ํ™˜์ž๋ฅผ ๋Œ€์ƒ์œผ๋กœ ๋ณ‘์› ์žฌ์ด์šฉ ์˜์‚ฌ์— ์˜ํ–ฅ์„ ๋ฏธ์น˜๋Š” ๋‹ค์–‘ํ•œ ์š”์ธ๋“ค์„ ๊ทœ๋ช…ํ•˜๊ณ ์ž ์‹œ๋„ํ•˜์˜€๋‹ค๋Š” ๋ฐ ํฐ ์˜์˜๊ฐ€ ์žˆ๋‹ค. ๊ทธ๋Ÿฌ๋‚˜ ์—ฐ๊ตฌ ์ž๋ฃŒ๊ฐ€ ์ผํšŒ์˜ ์„ค๋ฌธ์กฐ์‚ฌ๋ฅผ ํ†ตํ•ด ์ˆ˜์ง‘ํ•œ ๋‹จ๋ฉด์ž๋ฃŒ์ด๊ณ , ๋˜ํ•œ ๊ตญ๋ฆฝ๋Œ€ ๋ณ‘์› ํ™˜์ž๋งŒ์„ ๋Œ€์ƒ์œผ๋กœ ํ•˜์˜€์œผ๋ฏ€๋กœ ๋ณธ ์—ฐ๊ตฌ ๊ฒฐ๊ณผ๋ฅผ ์ „์ฒด ๋ณ‘์›์˜ ํ™˜์ž๋“ค์—๊ฒŒ ์ผ๋ฐ˜ํ™”ํ•˜๋Š” ๋ฐ์—๋Š” ์‹ ์ค‘์„ ๊ธฐํ•  ํ•„์š”๊ฐ€ ์žˆ๋‹ค. ๋น„๋ก ๊ตญ๋ฆฝ๋Œ€ ๋ณ‘์›์ด ์ˆ˜์ต์„ฑ์„ ์ตœ๊ณ  ๋ชฉํ‘œ๋กœ ํ•˜๋Š” ๋ฏผ๊ฐ„๋ณ‘์›๊ณผ๋Š” ์กฐ๊ธˆ ๋‹ค๋ฅธ ์„ฑ๊ฒฉ์„ ๊ฐ€์ง€๊ณ  ์žˆ๊ธฐ๋Š” ํ•˜์ง€๋งŒ, ์ตœ๊ทผ ํ™˜์ž ์ค‘์‹ฌ์˜ ๋ณ‘์›๊ณผ ์šด์˜ ํšจ์œจ์„ฑ์„ ๊ฐ•์กฐํ•˜๋Š” ์‚ฌํšŒ ์ „๋ฐ˜์ ์ธ ํ๋ฆ„์„ ์ธ์‹ํ•  ๋•Œ, ๊ด€๋ฃŒ์  ํ‹€์— ์•ˆ์ฃผํ•ด ์˜ค๋˜ ๊ตญ๋ฆฝ๋Œ€ ๋ณ‘์› ์—ญ์‹œ ๋…์ž์ƒ์กด ํ•  ์ˆ˜ ์žˆ๊ธฐ ์œ„ํ•ด์„œ๋Š” ์—ฌ๋Ÿฌ ์ฐจ์›์—์„œ ํ™˜์ž ๋งŒ์กฑ๋„๋ฅผ ํ–ฅ์ƒ์‹œํ‚ค๊ณ  ๋‚˜์•„๊ฐ€ ๋ณ‘์› ์žฌ์ด์šฉ ์˜์‚ฌ๋ฅผ ์ œ๊ณ ํ•˜๊ธฐ ์œ„ํ•œ ๊ฒฝ์Ÿ๋ ฅ ๊ฐ•ํ™” ์ „๋žต์ด ํ•„์š”ํ•  ๊ฒƒ์œผ๋กœ ํŒ๋‹จ๋œ๋‹ค. [์˜๋ฌธ]This study purports to investigate the determinants of patients'' intent to revisit at 11 national university hospitals in Korea. A total of 8 independent variables for outpatients, 9 independent variables for inpatients, and an intervening variable of overall patient satisfaction were selected from literature review. The independent variables for outpatients contain the level of satisfaction with physicians, nurses, ancillary staff, administrative procedure, medical cost, physical environment, facility convenience. and health recovery. With regard to the independent variables for inpatients, the quality of ward services was added to the those of outpatients. Each variable contains 3 to 8 items measuring the level of satisfaction with various aspects of the variable. The sample used in this study consisted of 879 outpatients and 821 inpatients. Data were collected with interview survey and analyzed using path analysis. The major findings of the study are as follows: 1) The following variables, listed in order of size, have significant positive effect on the intent to revisit of outpatients : health recovery, overall satisfaction, satisfaction with physicians, and ancillary staff. 2) The following variables, listed in order of size, have significant positive effect on the intent to revisit of inpatients : health recovery, satisfaction with nurses and physicians, overall satisfaction, and administrative procedure. 3) The following variables of admission procedure, satisfaction with ancillary staff, facility convenience, quality of ward services were found to have significant positive effect only on the level of overall satisfaction, even though they do not have significant total effect on the intent to revisit. The results of the study indicate that Korean national university hospitals should make an effort to improve the satisfactory level of patients with clinical outcome, services provided by physicians, nurses, and ancillary staff, and the quality of administrative procedure for enhancing the intent to revisit of patients.ope
    corecore