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산모의 분만기관 선택 관련 요인

Other Titles
 Factors affecting selection of delivery facilities by pregnant women 
Authors
 이충완 
Issue Date
1990
Description
병원행정학과/석사
Abstract
[한글]

산모의 분만기관 선택에 관련되는 주요 요인들을 구명하기 위하여, 서울시내 일부 지역에 소재한 대학병원, 종합병원, 병원, 의원 등 23개 각급 분만기관에 입원중인 산모 500명을 대상으로, 1990년 4월 24일부터 5월 7일까지 2주간, 구조화된 조사표를 이용하여 자기기입식으로 수집된 350건의 자료를 분석하였다.

연구결과는 다음과 같다.

1. 산모의 일반적 특성 중 분만기관간에 통계적으로 유의한 차이를 보인 변수는 산모의 연령, 산모의 학력, 남편의 학력, 월평균수입, 거주지 등이었다.

2. 산모의 산과적 특성 중 분만기관간에 통계적으로 유의한 차이를 보인 변수는 임신기간, 산전관리기관, 산전관리횟수, 분만형태, 유산횟수, 과거분만기관, 산전관리에 대한 인식도 등이었다.

3. 분만기관 선택동기요인 20개 변수 중 이용편리요인, 입원가능요인을 제외한 모든 요인에서 분만기관간에 유의한 차이를 보였다.

4. 분만기관 선택동기요인 20개 변수에 대하여 요인분석을 시행한 결과, 인적서비스요인, 시설규모요인, 지명도요인, 응급요인, 편익요인, 이용 경험요인 등 여섯개의 요인이 도출되었다.

5. 요인분석을 통해 얻어진 여섯개 요인과 산모의 일반적 특성 및 산과적특성 중 유의한 변수였던 10개 변수 등 총 16개 변수를 독립변수로 하고, 분만기관을 종속변수로 하여 판별분석을 시행한 결과, 산모들이 분만기관을 선택하는데 관련되는 주요 요인으로 도출

된 판별변수는 산전관리기관, 시설규모요인, 인적서비스요인, 응급요인, 편익요인, 지명도요인, 이용경험요인, 임신기간, 분만형태, 유산횟수, 산모연령, 월평균수입 등 12개였다.

이상의 결과에서 각급 분만기관에 내원하는 산모의 일반적 특성 및 산과적특성과 분만기관 선택동기에는 분만기관간에 유의한 차이가 있었음을 알 수 있다. 따라서 각급 분만기관은 산모들의 의료요구에 대한 충족과 의료서비스에 대한 만족도를 제고시키기 위하여

산모들의 제특성 및 분만기관 선택동기를 파악하고 이에 대응해 나가는 것이 필요할 것으로 생각된다.

[영문]

In order to investigate the major factors affecting selection of delivery facilities by pregnant women, 500 subjects of women hospitalized at 23 various delivery facilities such as University hospitals, General Hospitals, Hospitals, Clinics in some areas of Seoul, were selected and given with questionnaires for 2 weeks from Apr. 24 to May 7, 1990 to get data and then 350 questionnaires were collected and analysed for an approach to the study.

The results are as follows ;

1. In general characteristics of women, the variables shown statistically a significant difference among delivery facilities were the age of women, their educational level, educational level of their husbands, monthly average incomes and residential areas.

2. In obstetrical characteristics of women, the variables shown statistically a significant difference among delivery facilities were the gestational period, the facilities of prenatal care, the freguency of prenatal care, the type of delivery, the frequency of miscarriage, the past delivery facilities and awareness on

prenatal care.

3. In the motivation factors in selecting the delivery facilities, all the factors except the factors of convenience and possibility to be hospitalized showed statistically a significant difference among delivery facilities.

4. Since the factor analysis was administered on the 20 motivation factors to the choice of delivery facilities, 6 significant factorspersonal service, scale of the facility, reputation, urgency, convenience, experience, were detected, and which explained 57.7% of all.

5. In the discriminant analysis to clarify the major factors related to the selection of delivery facilities, the tota1 16 variables which were significant were regarded as independent variables, and the delivery facilities as dependent and the stepwise method was applied to the analysis. detected discriminant variables were the facilities of prenatal cue, scale factor, personal service factor, urgency factor, convenience factor, reputation factor, experience factor, the gestational period, the type of delivery, the frequency of miscarriage, age and income.

These detected 12 discriminant variables were tested, with reference to discriminant prediction, on choosing the delivery facility by the discriminant functional formula, and the test showed hit-rate, 67.7%.

From the results shown above, it has been founded out that general characteristics, obstetrical characteristics, and motivations in selecting the delivery facilities of the pregnant women who choose to be hospitalized differ significantly in accordance with the types of the delivery facilities.

With such a viewpoint, it is considered that all the classes of delivery facilities are necessary to grasp all the characteristics and motivations of pregnant women to uplift their satisfaction with required medical conditions and its service and be prepared to respond to the taste of pregnant women.
Full Text
https://ymlib.yonsei.ac.kr/catalog/search/book-detail/?cid=CAT000000005563
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Appears in Collections:
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 2. Thesis
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/116698
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