• Title/Summary/Keyword: 의료능력

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Patients' Self-rating and Nurses' Rating on Health Literacy of Hospitalized Patients (입원환자 의료정보이해능력에 대한 환자 자가평가와 간호사 평가)

  • Park, Soonjoo
    • The Journal of the Korea Contents Association
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    • v.17 no.4
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    • pp.434-443
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    • 2017
  • The study was carried out to identify the relationship of patients' self-rating and nurses' rating on health literacy of hospitalized patients. Data were collected using the Korean Functional Health Literacy Test (KFHLT) which was revised for hospitalized patients and Single Item Literacy Screener. A total of 178 subjects, which consisted of 89 hospitalized patients and 89 nurses taking care of them, were recruited from medical and surgical wards of E university hospital. Collected data were analyzed using SPSS 23.0 program. The results showed that the average health literacy score of the subjects was $11.45{\pm}4.22$ out of 17 and the average correct answer rate was 67.3%. Patient health literacy was significantly different by age, education, occupation and reading handouts. The patients' self-rating had significant correlation with health literacy measured by KFHLT while nurses' rating did not. There was no significant correlation between patients' self-rating and nurses' rating. The findings suggest that patients' self-rating might be available to assess patient health literacy in hospitals and a careful approach is required when nurses use a single-item rating.

Associations of Communication Skills, Self-Efficacy on Clinical Performance and Empathy in Trainee Doctors (전공의 의료커뮤니케이션 능력과 진료수행 자기효능감, 공감능력과의 상관관계)

  • Kim, Doehyung;Kim, Min-Jeong;Lee, Haeyoung;Kim, Hyunseuk;Kim, Youngmi;Lee, Sang-Shin
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.1
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    • pp.49-57
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    • 2021
  • Objectives : This study evaluated the medical communication skills of trainee doctors and analyzed the relationship between medical communication skills, self-efficacy on clinical performance (SECP) and empathy. Methods : A total of 106 trainee doctors from a university hospital participated. The questionnaire comprised self-evaluated medical communication skills, modified SECP and the Korean version of the Jefferson Scale of Empathy-Health Professionals version. The mean difference in medical communication skills scores according to gender, age, division (intern, internal medicine group or surgery group) and position (intern, first-/second- and third-/fourth-year residents) were analyzed. Pearson correlation coefficients were determined between medical communication skills, modified SECP and empathy. The effects of each variable on medical communication skills were verified using the structural equation model. Results : There were no statistically significant mean differences in self-evaluated medical communication skills according to gender, age, division or position. Medical communication skills had a significant positive correlation with modified SECP (r=0.782, p<0.001) and empathy (r=0.210, p=0.038). Empathy had a direct effect on modified SECP (β=0.30, p<0.01) and modified SECP had a direct effect on medical communication skills (β=0.80, p<0.001). Empathy indirectly influenced medical communication skills, mediating modified SECP (β=0.26, p<0.05). Conclusions : Medical communication skills are an important core curriculum of residency programs, as they have a direct correlation with SECP, which is needed for successful treatment. Moreover, the medical communication needs a new understanding that is out of empathy.

The influence of functional health literacy on health promotion behavior (기능적 의료정보 이해능력이 건강증진행위에 미치는 영향)

  • Lee, Ji Eun;Lee, Seo Young;Noh, Hyun Kyung;Lee, Eunjoo
    • Journal of the Korean Data and Information Science Society
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    • v.26 no.6
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    • pp.1427-1438
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    • 2015
  • This study identified the level of functional health literacy and health promotion behavior and their relationship among middle-aged women. Data were collected from 163 middle-aged women between 40 and 64 residing D city and K province from December 1th to 26th, 2014 with a convenient sampling method. The average score of functional health literacy and health promotion behavior were $4.75{\pm}2.98$ and $2.30{\pm}0.55$, respectively Health promotion behavior was positively associated with functional health literacy. The full model accounted for 43.2% of the variance in health promotion behavior in middle-aged women. Therefore, strategies that effectively improving the level of functional health literacy are necessary to promote health behaviors in middle-aged women so that they have better health status and quality of life in later stage of life.

Analysis of Perception of the Importance of Work Ability and the Final School Contribution Among Health Care Workers' Using IPA (IPA를 활용한 보건의료직 종사자의 업무능력에 대한 중요도와 최종학교 기여도 인식 분석)

  • Min-Seok Ko
    • Journal of the Health Care and Life Science
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    • v.10 no.2
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    • pp.169-178
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    • 2022
  • The purpose of this study was to examine the level of awareness of the importance of work ability and their final school contribution and the difference between them among health care workers', and to explore the direction of the health care training curriculum by analyzing using IPA. As for the analysis data, the response data of a total of 465 health care workers among the original data of the 14th (2020) Youth Panel Survey were used. As a result of the analyzing using IPA, concentrate here area was none, and the keep up the good work area was specialized knowledge, practical knowledge in the field of expertise, communication, ability to cooperate with others, customer response capability, ability to learn for oneself, deliberate lifestyle, ability to adapt to change, good job perspective and business manners, understanding documents. Low priority area was computer literacy, ability to creative problem solving, reading and writing in a foreign language, solving math problems, foreign language conversation, and the possible overkill area was creating a document. Based on the these results, implications for effective curriculum development to cultivate health care workers were suggested.

A Study on the Past that Work Scope of Medical Interpreter Professional Personnel -Focusing on the Range of Possible Questions for the Medical Translation Ability Test (의료통역전문인력 업무범위에 대한 소고 -의료통역능력검정시험 출제범위 중심으로)

  • Kim, Seung Chul;Kim, Tae-Hyung;Lee, Yeon-Kyung
    • The Journal of the Korea Contents Association
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    • v.20 no.4
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    • pp.571-581
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    • 2020
  • There are large, medium, and small items in the evaluation test for medical interpreter professionals personnel and the criteria and level are not clear, which may cause confusion for those preparing for the test. Therefore, we would like to suggest that the qualification requirements for the medical translation ability test and the criteria for the evaluation items are consistent with the medical system in Korea. The survey on the medical interpreter competency test conducted was collected from domestic and foreign data, compared with similar test and overseas test. We also examined the perception of the test by experts with experience in developing and interpreting the medical interpretation test. As a result, in the 'International Culture' evaluation category, 'Language-oriented culture' was changed to 'Medical-oriented culture' and 'Interpretation ethics' was changed to 'Medical interpretation ethics'. In the evaluation items of the hospital system, the 'Medical Dispute Mediation Act', which is 「ACT ON MEDIATION OF MEDICAL DISPUTES」 of the middle item was changed the 「ACT ON REMEDIES FOR INJURIES FROM MEDICAL MALPRACTICE AND MEDIATION OF MEDICAL DISPUTES」 and the Act also reduced the four items related to the 'Medical Tourism Law' to two and added the 「ACT ON SUPPORTING THE ADVANCEMENT OF MEDICAL OVERSEAS AND ATTRACTING FOREIGN PATIENTS」. If the Medical Interpretation Proficiency Test is prepared in accordance with the medical culture of Korea, it is expected that there will be a stable opportunity for professionals who pass the examination to act as experts.

Surrogate and Shared Medical Decision Making for Unrepresented Patients (의료행위에 대한 동의에서 환자 보호자의 법적 지위와 역할 - 대행결정권과 공동의사결정을 중심으로 -)

  • Kim, SooJeong
    • The Korean Society of Law and Medicine
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    • v.20 no.2
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    • pp.43-82
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    • 2019
  • In Korea surrogate medical decision makings happen without legal grounds. The purpose of this article is to research the issues in preparing policies for decision-making on behalf of unrepresented patients. As aspects of comparative law, there are two approaches. One of them is to regulate default surrogate list. If no agent or guardian has been appointed, some legislatures provide that members of patient's family who is reasonably available, in descending order of priority of not, may act as surrogate: (1) the spouse, unless legally separated; (2) an adult child; (3) a parent; or (4) an adult brother or sister. If none of them is eligible to act as surrogate, some legislatures allow close friends to make health-care decisions for adult individuals who lack capacity. On the other hand there are other legislatures which provide no surrogate decision maker list but oblige the responsible authority to determine with advice of family members or friends of the patient. In the end the first approach can not guarantee that the surrogate decision maker like family members or friends will determine in the best interest of the patient.

The Selection of the Medical Institutions by Motivation of Medical Service Utilization (의료이용 동기에 따른 의료기관 선택요인)

  • Kim, Jeong-Yeon
    • Journal of Digital Convergence
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    • v.13 no.11
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    • pp.217-230
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    • 2015
  • This study investigated the differences in how medical institutions are chosen according to the motivation of medical service utilization(minor disease, major disease, chronic disease management, cosmetic). Importance order of selection for the minor disease were medical skill, kindness, rapidness, proximity, importance order of selection for major disease and cosmetic were medical skill, facilities, reputation, medical fee, importance order of selection for chronic disease management were medical skill, facilities, kindness, medical fee. From this medical study skill was a more important factor in medical institutions irrespective of motivation, subjects with the major disease tend to consider the selection of the medical institutions more important, except proximity. Medical users select medical institutions according to the motivation of visiting, and there were differences in same motivation according to socioeconomic status and information searching behavior.

인터넷 건강정보! 의료 소비자들 스스로 보호할 판단 능력 필요

  • Kim, Yeong-Jae
    • Health and Mission
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    • s.14
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    • pp.9-11
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    • 2009
  • 치료 정보의 경우는 그 내용의 정확성, 진실성과는 상관없이 환자 개개인의 특성과 질병의 현 상황을 고려한 종합적인 판정이 더 중요하기 때문에 맹신하여서는 안 된다. 특히 상업적인 사이트에서 제공하는 건강정보는 이런 점을 특히 간과해서는 안 된다. 인터넷 정보에 대해서 의료 소비자를 스스로 보호할 판단 능력이 필요한 것이다.

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Web service based Distributed Medical Data Management (웹 서비스 기반의 분산 의료 데이터 관리)

  • Kim, Jeu-Young;Kim, Yoon-Hee;Youn, Chan-Hyun
    • Proceedings of the Korean Information Science Society Conference
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    • 2007.06b
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    • pp.339-343
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    • 2007
  • 최근의 의료 데이터는 대용량의 디지털 이미지로 생산된다. 이러한 대용량 이미지를 처리하기 위해서는 많은 처리 능력과 대량의 데이터 저장 공간이 필요하다. 현재 각 병원에서 생산되는 의료 이미지는 개별적으로 구축되어있는 PACS[3]에 저장하고 관리한다. 이러한 의료 환경속에서 대량의 데이터 저장공간 확보뿐 아니라 환자들의 중복 검사 방지, 의료 연구를 위한 풍부한 데이터 제공을 위해 각 병원의 의료 데이터를 통합하고 접근하기 위한 방법의 필요성이 증대되고 있는 상황이다. 이러한 요구사항을 만족시키기 위해 그리드 컴퓨팅 기술을 도입하여 고효율의 처리 능력과 풍부한 데이터 저장 공간을 제공하고자 하였으며, 원격의 사용자가 지역적 데이터에 접근할 수 있도록 하는 데이터 관리 서비스를 웹서비스로 제공하는 방법에 대해 제시하였다. 또한, 프로토타입을 설계, 구현하여 실제 가능성에 대해 확인하였다.

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The Development of Discharge Analysis Educational Program on NCS-Based for Medical Information Management (NCS 기반 의료정보관리를 위한 퇴원분석 교육프로그램 개발)

  • Choi, Joon-Young
    • The Journal of the Korea institute of electronic communication sciences
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    • v.12 no.5
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    • pp.957-964
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    • 2017
  • In this study, It developed a program to carry out the training courses for NCS based medical information management tasks and to can understand the practical working knowledge of learners. This program is an educational program that can generate medical information by analyzing data of medical records after generating and storing data of medical records. Because the contents of the medical records vary and there are quantitative differences in the medical records, the contents of the medical records can be summarized and stored in the discharge analysis program for the standard of educational data. The medical terminology DB, medical terminology related DB, medical care related DB by the NCS ability unit element can be constructed and managed using the program. The following are the contents that can be learned through operation of the program. first, it's can understand Medical information DB management regulations through understanding sturucture of database. Second, it can understand the structure and function of the diagnostic code and medical practice code that are input to the discharge analysis program. The diagnostic codes and medical practice codes entered in the discharge analysis program can be searched and analyzed by each fields. Third, It can be advance medical information management ability by inputting and extracting data and generating medical information. In this study, It developed program that Students can be obtained Knowledge of medical information management and improved management competency by generate and analyze medical record data using discharge analysis program.