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KMID : 0383820090660040300
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Tuberculosis and Respiratory Diseases
2009 Volume.66 No. 4 p.300 ~ p.308
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Quality and Affecting Factor of Care for Patients Hospitalized with Pneumonia
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Moon Sang-Jun
Kim Yong-Ik
Lee Jin-Seok
You Sun-Ju
Choi Yun-Kyoung
Kim Yoon
Seo Su-Kyong
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Abstract
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Background: The quality of care for patients with community acquired pneumonia needs to be improved; the
factors affecting this care need to be analyzed. The objectives of this study were used to measure the performance
of care processes of for patients with pneumonia and to determine those patient and hospital characteristics are associated with quality care.
Methods: The analysis was performed using data from 21 hospitals that had over 500 beds for 1,001 patients,
who were sampled randomly. All patients were born before 31 December 1989, and discharged between the two months’ August 2006 and October 2006. Performance process indicators were measured by respective hospital, and multivariate logistic regression was used to calculate associations between patients and hospital characteristics
using 4 process indicators.
Results: Performance rates in timely assessment of oxygenation assessments and blood cultures, correct
administration of antibiotic medications, and blood culture performed prior to initial antibiotics were 69.4%, 79.1%, 82.5% and 60.5%, respectively. Age had a positive affect on oxygenation assessment within 24 hours. Bed number, number of nurses per bed, annual number of emergency department visits, average percentage of beds filled, location and arrival time, and site were factors associated with process indicators.
Conclusion: It is necessary to make up for the weak points in the process of care for patients with community
acquired pneumonia, by enforcing quality assurance. To reduce performance rate variation among hospitals,
improvement in care protocols is required for hospitals that have poor quality of care levels.
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KEYWORD
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Pneumonia, Health care quality indicators, Process assessment, Logistic models
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