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The aim of this study was to provide the basic data for the betterment of public medical services. A questionnaire survey on the quality of the services and the intention of revisiting the hospital was administered to 330 patients in a public hospital located in Seoul. The mean satisfaction of hospital medical services was 4.11, whereas that of the revisiting intention was 3.94. The relationship between the satisfaction of medical services and the intention of revisiting was significant (t=11.335, p<.001). The intention of revisiting increased with increasing satisfaction of medical services of a hospital. Therefore, to enhance satisfaction, a hospital should identify the needs of people looking for a public hospital, increase rapport with the neighboring communities, and provide public amenities.

The purpose of the study was to identify the attributes of self-help groups, their antecedents and consequences relating to self-help groups. Methods: We used the Walker and Avant (2010) method using the key word "self-help groups" the Korea Education and Research Information Service (www.riss4u.net), Pubmed, CINAHL and ProQuest for articles on this topic published between January 2000 and March 2013 were searched. Ultimately, 64 domestic and 21 foreign papers were selected for in-depth analysis. Results: The attributes of self-help groups are as follows: 1) members share common experiences and are supportive of each other; 2) members set goals for individual change; 3) groups are self-monitoring; 4) groups learn problem-solving processes through voluntary and active participation; and 5) groups are small and meet regularly. The antecedents of self-help groups are as follows: 1) an intervention by an expert; 2) a diagnosis of their illness; 3) motivation to change individuals' state; and 4) educational desire. The consequences of self-help groups are the relief of symptoms, the improvement of physiological parameters and quality of life, the decrease in depression, stress, and anxiety, the improvement of illness-related knowledge and self-help activity, and a change in beliefs. Conclusion: Self-help groups can be used as an intervention strategy to help people with chronic illness manage their own problems.

김종임 1) ․임난영 2) ․조경숙 3) ․이은남 4) ․송라윤 1) ․은영 5) ․박원숙 6) 이동숙 7) ․권영숙 8) ․심희숙 9) ․장부영 10) ․최미경 11) ․이지현 12) 1) 충남대학교 간호대학 교수, 2) 한양대학교 간호학과 교수, 3) 가천대학교 글로벌 캠퍼스 간호학과 교수 4) 동아대학교 간호학과 교수, 5) 경상대학교 간호대학 ․ 건강과학연구원 교수 6) 강동경희대병원 관절염센터 교육실장, 7) 강원대학교 간호학과 부교수, 8) 계명대학교 간호대학 부교수 9) 충남대학병원 간호부장, 10) 삼성의료원 간호부서 파트장, 11) 한양대학교 류마티스병원 수간호사 12) 경운대학교 연구교수