Identifying smart healthscape quality criteria for geriatric long-term care private hospitals in South Korea: Analytic Hierarchy Process (Preprint)

2021 ◽  
Author(s):  
Kyungsook Nam ◽  
Sookyung Chun
Keyword(s):  
South Korea ◽  
Long Term Care ◽  
Intelligent System ◽  
Evaluation Criteria ◽  
Healthcare Services ◽  
Service Improvement ◽  
Term Care ◽  
Private Hospitals ◽  
Geriatric Long Term Care

BACKGROUND In the field of healthcare services, intelligent technology is deeply merged in the healthcare services and many general hospitals tried to build smart hospitals for providing smart healthcare services to the patients. However, geriatric long-term care private hospitals (GHs), where providing the elderly patient-suited care services implemented by multiple service providers, should be considered differently than a general hospital. The purpose of this study is to identifying Smart Healthscape Quality (SHQ), to provide the evaluation criteria that can be applied to the context of private sector GHs in South Korea, and to select the priorities for service improvement. In order to specify healthcare services for geriatric patients, this study was based on two rationales: (1) Geriatric long-term care private hospitals (GHs) should be considered differently than a general hospital. (2) patients are perceived service from environments not only includes physical elements but also includes intangible elements such as intelligent system technologies. OBJECTIVE The purpose of this study is to identifying Smart Healthscape Quality (SHQ), to provide the evaluation criteria that can be applied to the context of private sector GHs in South Korea, and to select the priorities for service improvement. METHODS Previous studies and reviews of existing, well-regarded healthcare-related guidelines that focus predominantly on general hospitals were first reviewed and relevant points were extracted. Next, a group of academics was enlisted to review the proposed criteria and sub-criteria. Then, an analytic hierarchy process (AHP) was employed in which healthcare professionals evaluated the importance (weighting) of each criterion and sub-criterion. RESULTS The author identifies and describes 7 criteria (safety, accessibility and layout, ambiance, appealing decorations and facilities, sociality, service, and intelligent system) and 43 sub-criteria. Also, the author provides importance of each criterion and sub-criterion. CONCLUSIONS The result of this study provides not only the foundation of the service framework for GHs in South Korea from a healthscape perspective, but also suggests a basis for smart healthscape concerns in private hospital service environments. The main contributions of this study include. 1) a comprehensive framework of SHQ for GHs in South Korea, 2) SHQ that extended the existing healthscape concept, and 3) the strongest-weighted SHQ offer practical support for decision-makers to identify common requirements and areas of improvement when planning GHs services.

scholarly journals Association Between Length of Residence and Prevalence of Mrsa Colonization Among Residents in Geriatric Long-term Care Facilities

2020 ◽  
Author(s):  
Teppei Sasahara ◽  
Ryusuke Ae ◽  
Akio Yoshimura ◽  
Koki Kosami ◽  
Kazumasa Sasaki ◽  
...  
Keyword(s):  
Long Term Care ◽  
Length Of Residence ◽  
Term Care ◽  
Initial Testing ◽  
High Prevalence ◽  
Care Facilities ◽  
Cross Transmission ◽  
Mrsa Colonization ◽  
Geriatric Long Term Care

Abstract Background: A high prevalence of methicillin-resistant Staphylococcus aureus (MRSA) colonization has been reported among residents in geriatric long-term care facilities (LTCFs). Some studies indicate that MRSA might be imported from hospitals into LTCFs via resident transfer; however, other studies report that high MRSA prevalence might be caused by cross-transmission inside LTCFs. We aimed to assess which factors have a large impact on the high MRSA prevalence among residents of geriatric LTCFs.Methods: We conducted a cohort study among 260 residents of four geriatric LTCFs in Japan. Dividing participants into two cohorts, we separately analyzed (1) the association between prevalence of MRSA carriage and length of LTCF residence (Cohort 1: n=204), and (2) proportion of residents identified as MRSA negative who were initially tested at admission but subsequently identified as positive in secondary testing performed at ≥2 months after their initial test (Cohort 2: n=79).Results: Among 204 residents in Cohort 1, 20 (9.8%) were identified as positive for MRSA. Compared with residents identified as MRSA negative, a larger proportion of MRSA-positive residents had shorter periods of residence from the initial admission (median length of residence: 5.5 vs. 2.8 months), although this difference was not statistically significant (p=0.084). Among 79 residents in Cohort 2, 60 (75.9%) were identified as MRSA negative at the initial testing. Of these 60 residents, only one (1.7%) had subsequent positive conversion in secondary MRSA testing. In contrast, among 19 residents identified as MRSA positive in the initial testing, 10 (52.6%) were negative in secondary testing.Conclusions: The prevalence of MRSA was lower among residents with longer periods of LTCF residence than among those with shorter periods. Furthermore, few residents were found to become MRSA carrier after their initial admission. These findings highlight that MRSA in LTCFs is most likely to be associated with resident transfer rather than spread via cross-transmission inside LTCFs.

scholarly journals Disclosing and Reporting Practice Errors by Nurses in Residential Long-Term Care Settings: A Systematic Review

2020 ◽  
Vol 12 (7) ◽  
pp. 2630 ◽  
Author(s):  
Mojtaba Vaismoradi ◽  
Flores Vizcaya-Moreno ◽  
Sue Jordan ◽  
Ingjerd Gåre Kymre ◽  
Mari Kangasniemi
Keyword(s):  
Systematic Review ◽  
Long Term Care ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Nurse Leaders ◽  
Term Care ◽  
Reporting Practice ◽  
High Prevalence ◽  
Residential Long Term Care

Patient safety is crucial for the sustainability of the healthcare system. However, this may be jeopardized by the high prevalence of practice errors, particularly in residential long-term care. Development of improvement initiatives depends on full reporting and disclosure of practice errors. This systematic review aimed to understand factors that influence disclosing and reporting practice errors by nurses in residential long-term care settings. A systematic review using an integrative design was conducted. Electronic databases including PubMed (including Medline), Scopus, CINAHL, Embase, and Nordic and Spanish databases were searched using keywords relating to reporting and disclosing practice errors by nurses in residential long-term care facilities to retrieve articles published between 2010 and 2019. The search identified five articles, including a survey, a prospective cohort, one mixed-methods and two qualitative studies. The review findings were presented under the categories of the theoretical domains of Vincent’s framework for analyzing risk and safety in clinical practice: ‘patient’, ‘healthcare provider’, ‘task’, ‘work environment’, and ‘organisation & management’. The review findings highlighted the roles of older people and their families, nurses’ individual responsibilities, knowledge and collaboration, workplace atmosphere, and support by nurse leaders for reporting and disclosing practice errors, which had implications for improving the quality of healthcare services in residential long-term care settings.

scholarly journals Spread of ceftriaxone non-susceptible pneumococci in South Korea: Long-term care facilities as a potential reservoir

PLoS ONE ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. e0210520 ◽  
Author(s):  
Min Joo Choi ◽  
Ji Yun Noh ◽  
Hee Jin Cheong ◽  
Woo Joo Kim ◽  
Min Ja Kim ◽  
...  
Keyword(s):  
South Korea ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities ◽  
Potential Reservoir

Determinants of long-term care insurance applications in South Korea

2020 ◽  
Author(s):  
Sunhee Park ◽  
Heejung Kim ◽  
Chang Gi Park
Keyword(s):  
Older Adults ◽  
South Korea ◽  
Long Term Care ◽  
Community Dwelling ◽  
Care Needs ◽  
Term Care ◽  
Factors Affecting ◽  
Long Term Care Insurance ◽  
The Government

Abstract Background South Korea established universal long-term care insurance (LTCI) in 2008. However, actual requests for LTCI remain lower than government estimates because some eligible candidates never apply despite their strong care needs. This study aimed to examine factors affecting LTCI applications for older, community-dwelling Koreans. Methods Both individual- and community-level data were obtained from a national dataset from the Korea Health Panel Survey and the Korea National Statistical Office (N = 523). Data were analyzed using multilevel modeling. Results Only 16.4% of older adults in need of care applied for LTCI. Those who applied were more likely to be older, report poor self-rated health, receive care from non-family caregivers, and have caregivers experiencing high levels of caregiving burden. Regional differences in LTCI applications existed concerning the financial condition of one’s community. Conclusions Our study findings emphasize that Korean LTCI should implement both individual and community strategies to better assist older adults in properly acquiring LTCI. The government should make comprehensive efforts to increase access to LTCI in terms of availability, quality, cost, and information by collaborating with local centers.

Drug Use in a Geriatric Long-Term Care Setting

Drugs & Aging ◽  
2006 ◽  
Vol 23 (2) ◽  
pp. 157-165 ◽  
Author(s):  
Zeev Arinzon ◽  
Alexander Peisakh ◽  
Aneta Zuta ◽  
Yitshal N Berner
Keyword(s):  
Drug Use ◽  
Care Setting ◽  
Long Term Care ◽  
Term Care ◽  
Geriatric Long Term Care

scholarly journals Feasibility of a Mobile Meal Assistance Program for Direct Care Workers in Long-Term Care Facilities in South Korea

2020 ◽  
Vol Volume 15 ◽  
pp. 2019-2029
Author(s):  
Dukyoo Jung ◽  
Jennie C De Gagne ◽  
Minkyung Lee ◽  
Hyesoon Lee ◽  
Kyuri Lee ◽  
...  
Keyword(s):  
South Korea ◽  
Long Term Care ◽  
Direct Care ◽  
Direct Care Workers ◽  
Assistance Program ◽  
Term Care ◽  
Care Workers ◽  
Care Facilities
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