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Original Article
Factors Related to Healthcare Service Quality in Long-term Care Hospitals in South Korea: A Mixed-methods Study
Minsung Sohn, Mankyu Choi
Osong Public Health Res Perspect. 2017;8(5):332-341.   Published online October 31, 2017
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AbstractAbstract PDF

The environment of long-term care hospitals (LTCHs) is critical to the management of the quality of their services and to patient safety, as highlighted by international studies. However, there is a lack of evidence on this topic in South Korea. This study aimed to examine the factors affecting healthcare quality in LTCHs and to explore the effectiveness of their quality management.


This study used a mixed methods approach with quantitative data collected in a national survey and qualitative data from semi-structured interviews with practice-based managers. The samples included 725 nationally representative LTCHs in South Korea for the quantitative analysis and 15 administrators for the in-depth interviews.


A higher installation rate of patient-safety and hygiene-related facilities and staff with longer-tenures, especially nurses, were more likely to have better healthcare quality and education for both employees and patients.


The need for patient-safety- and hygiene-related facilities in LTCHs that serve older adults reflects their vulnerability to certain adverse events (e.g., infections). Consistent and skillful nursing care to improve the quality of LTCHs can be achieved by developing relevant educational programs for staff and patients, thereby strengthening the relationships between them.


Citations to this article as recorded by  
  • Improving Preparedness for and Response to Coronavirus Disease 19 (COVID-19) in Long-Term Care Hospitals in Korea
    Tark Kim
    Infection & Chemotherapy.2020; 52(2): 133.     CrossRef
  • Identifying Potentially Avoidable Emergency Department Visits of Long-Term Care Hospital Residents in Korea: A Multicenter Retrospective Cohort Study
    Keon Kim, Dong Hoon Lee, Ho Young Yune, Jung Hee Wee, Duk Ho Kim, Eui Chung Kim, Jee Yong Lim, Seung Pil Choi
    BioMed Research International.2019; 2019: 1.     CrossRef

PHRP : Osong Public Health and Research Perspectives