J Korean Diet Assoc.
2014 Aug;20(3):183-198.
Clinical Nutrition Service in Korean Tertiary Hospitals and General Hospitals: Result of Nationwide Cross-Sectional Survey
- Affiliations
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- 1Department of Food & Nutrition, Kyunghee National University, Yongin 446-701, Korea.
- 2Department of Nutrition Service, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul 135-720, Korea.
- 3Department of Food & Nutrition, Sungshin Women's University, Seoul 136-742, Korea.
- 4Department of Health Care Center, Konkuk University Medical Center, Seoul 143-729, Korea.
- 5Department of Korean Cuisine, Jeonju University, Jeonju 560-759, Korea.
- 6Department of Food & Nutritional Care, Seoul National University Hospital, Seoul 110-744, Korea.
- 7Department of Nutrition and Dietetics, Severance Hospital, Seoul 120-752, Korea.
- 8Department of Dietetics, Samsung Medical Center, Seoul 135-710, Korea.
- 9Division of Food Science & Biotechnology, Pukyong National University, Busan 608-737, Korea. eslyu@pknu.ac.kr
Abstract
- The purpose of this study was to investigate the status of clinical nutrition services provided at tertiary hospitals and general hospitals in Korea. In total, 157 questionnaires were distributed to the departments of nutrition at hospitals on September 2013. The results of this study are as follows. The median number of beds was 607 and average length of stay was 8 days. 63.1% of dietitians had over 5 years of career experience. Nutritional screening rate was 97% in tertiary hospitals but only 67.2% in general hospitals (P<0.001). The rate of equipment with computerized nutritional screening system was 100% in tertiary hospitals but 71.9% in general hospitals (P<0.001). Hospitals with the best regarding nutritional care were hospitals accredited by JCI (Joint Commission International). On the other hand, hospitals not accredited by the JCI but KOIHA (Korea Institute for Healthcare Accreditation) showed the lowest performance rate of nutritional care. Nutrition support teams (NSTs) were established in all tertiary hospitals but in only 73% of general hospitals (P<0.001). The rate of actively operating NSTs was 89% in tertiary hospitals but only 62% in general hospitals (P<0.001). There is a need to provide proper standardized clinical nutrition services as a primary treatment and we observed large variations in the quality of nutritional service between hospitals. Therefore, local solutions are needed to implement nutritional programs and policies for improved service and care.
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