• Title/Summary/Keyword: 병원대응

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A study on specialized hospitals and allowed range of internet advertisement (전문병원 지정제도와 인터넷 의료광고의 허용범위)

  • Lee, Byung-Jun
    • Journal of Legislation Research
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    • no.53
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    • pp.375-418
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    • 2017
  • Recently, a specialized hospital designation system has been introduced. In this regard, it is a question of whether a hospital can be searched by using the term 'specialized hospital' or 'specialized' in Internet online search. In this paper, it was examined whether there is a possibility that the medical institution might be mistaken as a specialized hospital designated by the Ministry of Health and Welfare when the concept of 'specialized hospital' or 'specialized' was used in advertisements. The name specialized hospitals can basically have three general meaning. So, if there is a possibility of confusion or misunderstanding in connection with this general meaning, it may be false advertising. The use of concepts other than these general meanings in law does not mean that general meaning disappears from consumer perception. Therefore, although the concept of a specialized hospital in the medical service act is defined in a special sense, the meaning of the specialized hospital should also be considered according to general recognition. In conclusion, the "Guideline for Specialized Hospital Advertising" prepared by the Ministry of Health and Welfare shows that the establishment of a wide range of prohibition limits the freedom of expression of medical institutions. In addition, the comprehensive prohibition of search terms such as 'specialized', and 'advanced' prevents consumers from freely searching for medical institutions with expertise. These guidelines, which are being deprived of the opportunity for professional medical institutions to advertise themselves appropriately, must be thoroughly reviewed.

Analysis of Bystander Cardiopulmonary Resuscitation and Public Access Defibrillation Utilization -Convergence Study based on the Data of Daegu - (목격자에 의해 시행된 심폐소생술 및 자동심장충격기 시행률 분석 -대구광역시 자료기반 법률 및 지침 고찰을 통한 융합연구-)

  • Park, Si-Eun
    • Journal of the Korea Convergence Society
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    • v.13 no.3
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    • pp.265-274
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    • 2022
  • This study was conducted on 3,418 cases of cardiopulmonary arrest patients' detailed status table (2020, raw data) collected in 2020. Also, it is a retrospective narrative research that investigates and examines related laws and guidelines. The main findings are as follows. First, the implementation rate of 'bystander CPR' was 30.66% (1047 cases) and it was a remarkable result. It can be inferred the quality of the relevant laws and guidelines. Second, 'Public access defibrillation (shock)' accounted for only 0.10%(5 cases). it is considered that the relevant laws and guidelines are weighted towards 'stock and obligation.' Strategic differentiation of response by region is needed. Third, out-of-hospital cardiac arrest occurred at house was 71.97%(2,640 cases). To operate the 'special ambulance team' efficiently, it is necessary to analyze regional data more closely and develop an efficient strategy in the future.

Working Memory Impairment in a Delayed Matching-to-Sample Task Among Young Male Patients With Obsessive-Compulsive Disorder (지연 표본 대응 과제에서 나타나는 젊은 남성 강박장애 환자의 작업기억 결손)

  • Boo, Young Jun;Park, Jin Young;Kim, Chan-Hyung;Kim, Se Joo
    • Anxiety and mood
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    • v.18 no.1
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    • pp.32-37
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    • 2022
  • Objective : Impaired working memory has been known to play an important role in the pathophysiology of obsessive-compulsive disorder (OCD) with growing evidence. Delayed matching-to-sample task (DMST) is a working memory task which have an advantage in analyzing several different working memory processes in one task. However, most of the studies have failed to reveal the working memory impairment with the DMST. The aim of this study was to identify whether working memory deficit in OCD can be evaluated with the DMST. Methods : The participants included 20 OCD patients and 20 healthy volunteers. Working memory was evaluated with the DMST with two different working memory loads. Accuracy of response and mean response time were measured. Results : OCD patients showed a significantly longer reaction time and lower accuracy in DMST compared to healthy controls in the task with high working memory loads. Moreover, the difference in accuracy showed interaction with the working memory load. Conclusion : The present results indicate that working memory deficit in patients with OCD can be evaluated with the DMST. The findings also suggest that previous negative behavioral results using the DMST were from low working memory load of the task.

A Research Study on the Medical-spaces Setting of Mobile-hospitals for Emergency Medical Response (긴급 의료 대응을 위한 이동형병원의 의료공간 설정에 관한 조사 연구)

  • Kim, Sung Hyun;Yang, Nae Won
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.28 no.1
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    • pp.7-21
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    • 2022
  • Purpose: As the pandemic period continues, various attempts are being made to new medical spaces in the medical society. Many hospitals, including existing general hospitals, have been effected by infected patients and are showing limitations in patient care capacity. Mobile-hospitals may be the starting point for the development of new environment in the medical society and healthcare facilities which are not replacing the role of existing hospitals. Mobile-hospitals can possibly respond to situations that require medical services and provide emergency care for various demands in connection with existing healthcare facilities. Methods: Through a total of five investigations/analysis, medical functions that can be inserted into mobile-hospitals based on modular architecture are set. The first is the analysis of domestic legal guidelines, the second is the analysis of previous studies, the analysis of emergency medical facilities and other medical spaces of hospitals to be compared, the fourth is the analysis of medical spaces of actual mobile hospital projects. Results: Through five analyses, medical functions applicable to the modular building platform were finally established. Mobile hospitals can be used not only in disaster sites such as infectious diseases, but also in medical underprivileged areas or general hospitals. Therefore, it is necessary to establish medical functions that meet the specificity of mobile hospitals along with the functions of existing fixed medical facilities. Furthermore, various studies such as use in international aid, use in normal times, and connection with other platform-based medical facilities are considered necessary. Implications: Through 5 strategies of analysis, 41 medical functions which can be applied to UNIT are decided and these functions will be placed where medical services will be required.

Crisis Response at One Hospital in Swine Flue Epidemics : Focusing on ser-M Model (신종 인플루엔자 유행 시의 일개 병원의 위기 대응에 관한 연구 : ser-M 모델을 중심으로)

  • Wang, Soonjoo
    • Journal of the Society of Disaster Information
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    • v.12 no.4
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    • pp.329-341
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    • 2016
  • The social crisis like swine flue epidemics can influence on the various groups and organizations in society. The activity and result by the influence can be different according to the kind of social crises and characteristics of organizations. To understand the short-term response of an organization to social crisis, ser-M model has not been used, but in this study, it is shown that the study using ser-M model can be applicable to short-term event and that ser-M model can be one of access methods to social crisis and disaster. In this study author tried to examinate the response of an hospital in Korea to swine flue epidemics from 2009 to 2010 based on ser-M model. This ser-M model can be used for analysis of response by an organization or a company to short-term external environmental impact like social crisis or disaster as well as long-term management strategy.

Geographical Information System for Nuclear Disaster Prevention (원자력방재를 위한 지리정보시스템)

  • Lee, Gwang-Pyo;Lee, Yun;Kim, In-Hyeon
    • Proceedings of the Korean Association of Geographic Inforamtion Studies Conference
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    • 2007.10a
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    • pp.169-175
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    • 2007
  • 고리, 월성, 울진, 영광 등4개 원전부지와 하나로 연구용 원자로 부지에 대해 방사성물질의 대기 중 누출사고 발생 시 대축척 전자지도와 연계한 사고정보 파악, 예상피해분석, 방재시설 및 소개정보 활용 등을 통해 중앙정부 및 지방자치단체가 방사능 물질 피해지역관리 및 신속하고 효율적인 주민대응조치 수립을 위한 의사 결정 지원할 수 있는 방사능방재 지리정보시스템 구축이 필요하다. 본 연구에서는 고리, 월성, 울진, 영광, 대전지역의 원자력 발전소 및 연구용 원자로 반경 40km이내 지역의 행정경계, 도로, 등고, 수계, 건물 등의 일반지형지물정보와, 비상계획구역 내 마을의 상세정보, 집결지, 대피소, 교통통제소, 환경방사능감시기, TLD등의 방재시설물 위치 및 관련 상세정보, 관공서, 경찰서, 소방서, 보건소, 학교, 병원 등의 방재관련 지형지물 위치 및 관련 상세정보, 원전부지 내 인구분포, 보유 차량 분포, 농작물 재배 현황, 축산물 재배현황 등의 방재관련 사회통계정보를 포함하는 공간 및 속성 데이터베이스는 구축하였다. 이를 기반으로 방사선 피폭영향 평가시스템(FADAS)의 예상평가결과를 전자지도 상에 표출하고, 이에 근거한 예상피해를 분석하며, 소개단계 대상 마을 검색 및 바람장 분석을 활용한 소개경로 제시 등을 통해 주민보호조치 의사결정을 지원하며, 사고대응 및 소개현황 정보를 관리하는 웹 기반의 원자력방재 지리정보시스템을 확대 개발하였다. 방재시설물 및 방재관련 지형지물, 방재관련 사회통계자료의 검색기능 및 실시간 원전 바람장 정보조회, 실시간 ERMS 수집정보 조회, 수치예보 정보 조회, 온라인DB관리 등의 확대 구현을 통해 사고대응조치 및 피해분석업무를 지원하였다. 본 연구를 통한 원자력방재 지리정보시스템 완성을 통해 방사능 비상시 중앙본부와 지역본부 및 유관기관 간에 지리정보와 연계한 정확한 사고정보 및 방재정보의 신속한 공유를 제공하고, 적절한 비상대응조치 의사결정 및 주민보조조치 수행을 지원하여 효율적인 사고지역 관리 및 인적 물적 자원의 피해를 최소화하는데 기여할 것으로 기대된다.

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Differences in Job Stress by Occupation Before and After the Reaction to COVID-19 among Care Facility for the Elderly (요양시설 종사자의 코로나 19 대응 전·후 직종별 직무스트레스 차이)

  • Oh, Doonam;Kim, Jungjae
    • Journal of the Korea Convergence Society
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    • v.13 no.4
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    • pp.531-540
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    • 2022
  • This study is a descriptive survey study attempted to find out the difference in stress by occupation before and after responding to COVID-19 among care facility for the elderly. In this study, a survey was conducted on workers in care facility for the elderly in Chungcheongnam-do and Gyeonggi-do from March 22 to April 25, 2021. Of a total of 220 questionnaires, 206 were collected, and the data were analyzed through t-test, one way ANOVA, and chi-square test. According to the research results, the difference in the sub-areas of job stress before and after the COVID-19 response of nursing home workers shows that nurses have job demands(t=-3.90, p<.001), job instablity(t=-3.30, p=.002), the nursing assistant has job demands(t=-2.45, p=.018), nursing care workers have job autonomy(t=-3.34, p=.001) showed a significant difference. Therefore, in order to effectively solve job stress according to the occupation of workers in care facility for the elderly in the COVID-19 era, stress relief programs for each occupation must be customized.

No-Show Related Factors for Outpatients at a Hospital (병원 외래환자의 예약부도 요인)

  • Min, Daiki;Koo, Hoonyoung
    • The Journal of Society for e-Business Studies
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    • v.22 no.1
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    • pp.37-49
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    • 2017
  • In order to maximize the efficiency and the quality of care in a hospital, hospitals in general operate by appointments. Patient no-shows or missed appointments waste the time of staffs who prepare for appointments, deprive patients of needed care, and increase burden on clinic capacity. The purpose of this study is to examine the importance and significance of factors that affect patient no-shows. The actual data of 50,000 outpatient appointments is compiled and analyzed from a VAMC in the United States with aims to identify the factors that contribute to outpatient no-shows and to draw meaningful implications. Random forest along with logistic regression analysis identify the factors affecting no-shows; appointment leadtime, show-up rate, travel distance, no-show rate in previous period, patient age, severity, complexity of disease, chronic pain, depression, drug dependence. The appointment leadtime, show-up rate, travel distance and previous no-show rate can be improved by enhancing SMS pre-notification and by improving afterwards telephone counseling. For other factors, it needs to study on the service differentiation with the characteristics of each patient group.

A Study on Architectural Planning of Establishing Air-Conditioning Zoning for Hospital Design Focused on System (체계중심병원설계를 위한 공조조닝 설정의 건축 계획에 관한 연구)

  • Kim, Eun Seok;Yang, Nae Won
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.24 no.3
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    • pp.29-38
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    • 2018
  • Purpose: Space planning to cope with the changing function of the hospital is essential in hospital architecture. In order to do so, it is vital that the paradigm shifts from hospital design focused on purpose toward hospital design focused on system. Not only space planning but also air-conditioning plan, which is most closely related to the operation and maintenance of hospital facilities; and the environment of hospital users, should be able to respond to changes with ease. Thus this study is to provide fundamental data of the air-conditioning plan for the hospital design focused on system by analyzing the concept and characteristics of the air-conditioning plan in the recent hospital architecture planning. Results: As a result of this study, in the air conditioning plan for the hospital architecture planning, the most important are the location relation among the departments the air handling unit room and the air handling unit manage and the air conditioning zoning setting according to the air conditioning system. Therefore, for the hospital architecture planning focused on system, it is necessary to establish the air conditioning setting that can accommodate changeable environment of departments and accordingly the appropriate area range of the air conditioning zoning and the plan for the location of the air handling unit should be considered. Implications: Thereby aims to provide fundamental data on air handling unit zoning planning in the hospital architecture planning.

A Study on Application for CRM Marketing and QI Activities in Healthcare Organizations (보건의료조직에 있어서 CRM 마케팅과 QI 활동의 적용에 관한 연구)

  • Park, Chang Sik
    • The Korean Journal of Health Service Management
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    • v.1 no.1
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    • pp.1-15
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    • 2007
  • CRM의 장점은 원하는 고객에 대해서 마케팅 노력을 기울일 수 있고 그 결과로 마케팅 비용을 줄이고 효율을 높일 수 있는 것이다. 그리고 마케팅 전략 수립에 대한 방법의 변화와 그 수행방법의 변화가 CRM에 있기 때문에 여기에 따른 절차와 문화, 조직구조까지 변화 시킬 수 있다. 이를 방지하기 위하여 CRM교육이 필요하며, 그 중요성을 인식하고 실행하여야 한다. 그리고 경영환경에 적합한 마케팅 전략 수립이 필수적이다. CRM의 정확한 이해와 적합한 수행이 있어야만 병원경영의 목표달성에 도움이 된다. 그러나 CRM자체의 문제가 없는 것도 아니다. 무엇보다 전문 인력이 부족하면 시스템 구축과 마케팅이나 컨설팅 인력을 확보하여 프로젝트의 부실화를 방지하여야 한다. 다음은 실업자들의 업무패턴을 파악하고 사용자의 편의를 고려한 적용이 있어야 한다. 고가의 비용을 투입하여 CRM을 실행하였다 해도 사용자 교육의 미비가 생기면 효율이 감소될 것이다. 역시 CRM의 적용에 있어서 호환이 되지 않으면 통합비용으로 별도의 비용이 지출해야 하므로 비용의 증가를 감수하여야 한다. 환자의 의료의 질에 대한 만족은 환자의 주관적 개념으로 동일한 의료서비스에 대하여 환자들은 저마다 다르게 의료의 질을 평가하게 된다. 대부분의 환자들은 자신의 욕구와 의료의 질에 대한 기대를 가지고 병원을 방문하여 의료의 질을 평가하게 된다. 대부분의 환자들은 자신의 욕구와 의료의 질에 대한 기대를 가지고 병원을 방문하여, 그것을 의료제공자가 충족시키는 정도가 환자의 만족도를 결정하게 된다. 의료의 질은 의료서비스에 대한 만족과 밀접한 관련이 있다. 의료의 질과 만족은 강하게 연관이 있으면서도 양자는 분명히 다르다. 의료의 질에 대한 평가와 만족도는 매우 일치도가 높다고 볼 수 있다. 이것은 의료의 질적 수준이 높으면 환자만족도도 높다는 것을 의미한다. 따라서 본 연구는 병원의 환자관리를 위한 CRM 마케팅의 전기를 실증적으로 역설하고 이의 도입을 통한 효과와 문제점, 이에 대한 대응방안을 제시하고, 모범적인 CRM운영 사례를 제시함과 동시에 효과적인 의료의 질 경영을 구현하고 이것이 환자의 의료서비스 만족도를 높이는 결과인 것을 모색하는 것이 본 연구의 목적이다.

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