• Title/Summary/Keyword: 의원급

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A Study Practice of Infection Control for Dental Office and Dental Hygienist and Bacterial Contamination of Dental Office Surface (치과 의료기관 및 치과위생사의 감염관리 실천도와 진료실내의 표면 세균오염도에 대한 연구)

  • Yun, Kyoung-Ok;Bae, Sung-Suk;Choi, Young-Suk
    • The Journal of the Korea Contents Association
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    • v.19 no.5
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    • pp.511-519
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    • 2019
  • The purpose of this study was to investigate the status of infection control in dental office and the degree of infection control practice of dental hygienists. A self-reported questionnaire was answered by 193 dental hygienists working in dental hospitals or dental clinics in Gyeonggi and Incheon areas. The number of bacteria was measured sample of surface dental unit chair shoulder backrests and light handles from 19 dental hospitals and 28 dental clinics. It was responded that impression or occlusion bodies were routinely disinfected in 52.6% of the dental hospitals and dental prosthesis were routinely disinfected in 46.4% in dental clinics. The dental hospital and clinics disinfect the surface each 26.3%, 25% after the patient treatment. The dental hospital and clinic were detected bacteria $5.02^*10\^3CFU/mL$, $1^*10\^4CFU/mL$, from dental unit chair backrest, respectively and $8.32^*10\^3CFU/mL$, $4.26^*10\^4CFU/mL$ from light handles, respectively. At the conclusion of this investigation, it can be kept from infection source in dental office is to make the right selection and use of the personal protective equipments and to improve the practice level by regular and active education. The same infection control practice should be done by institutionalizing and mandating infection control practice.

Effect on Medical Expenses Request due to Medical Clinic Administrative Staff's Existence or Not (의원급 의료기관에서 행정인력 현황에 따른 진료비 청구에 미치는 영향)

  • Yun, Jong-Sel;Kim, Kwang-Hwan
    • Proceedings of the KAIS Fall Conference
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    • 2011.12a
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    • pp.248-250
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    • 2011
  • 2009년 1월 1일부터 3월 31일까지 신규 개원한 295개 의원급 의료기관을 대상으로 의료기관 행정인력이 있을 때와 없을 때에 따른 진료비 청구에 미치는 요인을 파악한 결과, 지역별로는 경인대권이 54.9% 가장 높은 분포를 보였으며, 진료과목별로는 일반의 29.8%로 높았으며, 행정인력이 많은 진료과도 일반의로 35.5%로 높게 나타났다. 행정인력이 있는 경우 단순청구오류건의 수정 및 이의신청횟수, 보완청구, 누락청구의 횟수도 높은 것으로 확인되며, 행정인력이 있는 경우 삭감된 부분에 대한 회수율일이 행정인력이 없는 경우보다 높은 것으로 확인되었다.이 상의 결과로 볼 때 행정인력은 병원행정 업무를 지속적인 교육과 의료인과의 소통을 통해 합리적인 청구방법 모색이 필요하다. 또한 병원행정인은 환자와 의료인과의 가교 역할을 담당하고 의료기관과 정부 등 관련기관과의 매개자로써 적절한 역할을 통해 의원급 의료기관의 경영의 도움이 될 것으로 사료된다.

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Effect on Medical Expenses Request due to Medical Clinic Administrative Staff's Existence or Not (의원급 의료기관에서 행정인력 현황에 따른 진료비 청구에 미치는 영향)

  • Yun, Jong-Sel;Kim, Kwang-Hwan
    • Journal of Digital Convergence
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    • v.10 no.1
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    • pp.407-412
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    • 2012
  • From Jan. 1 2009 to Mar. 31 2009, a study surveyed 295 national clinic medical institutions that was newly enrolled in Health Insurance Review and Assessment Service to identify the factors depending on whether the administrative personnel influences on the management of the clinic medical institutions. The survey showed that the medical institutions with administrative personnels affected more adjustments than those without administrative personnels and it appeared to be statistically significant except one time(p<0.01). The result of the survey tells whether the administrative personnel is or not in medical institutions has important effects on the reduction. So, it is considered that the placement of administrative specialists in the hospital is very important for medical institutions.

Awareness of Material Safety Data Sheets(MSDS) according to work environment characteristics of dental workers (치과근로자의 근무환경 특성에 따른 물질안전보건자료(MSDS)인식 차이)

  • Oh, na-rae;Jeong, mi-ae
    • Proceedings of the Korea Contents Association Conference
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    • 2017.05a
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    • pp.295-296
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    • 2017
  • 본 연구는 대구 경북지역에 근무하는 치과위생사 238명을 대상으로 병원유형에 따른 물질안전보건자료(MSDS)의 인식정도를 조사하였다. 연구결과 병원급과 의원급에 대한 의식이 통계적으로 유의한 차이가 있는 것으로 나타났으며, 전체적으로도 MSDS인식정도가 높지 않았다. 치과근로자들의 근로환경 질의 향상을 위하여 소규모 치과의원에 대한 더욱 적극적인 홍보 및 교육이 필요하며, 구체적인 정책 및 제도가 마련되어야 할 것이라 사료되어 진다.

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건설하도급업계 위기 원인 진단과 개선방안

  • Kim, Seong-Gon
    • 월간 기계설비
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    • no.11 s.220
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    • pp.17-28
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    • 2008
  • 국회 국토해양위원회 김성곤 의원(민주당 여수갑)이 지난 10월 6일부터 열린 2008년 국정감사에 앞서 '건설하도급업계 위기 원인 진단과 개선방안'이라는 정책자료집을 발간했다. 김성곤 의원은 "건설시장은 아직도 하도급업체에 대한 어음결제 비율이 높고, 건설시장의 구조화된 다단계의 문제점이 존재하고 있다"며 "정부정책에서 중소건설업체와 종사자들에 대한 배려, 따뜻한 정책으로 공정한 시장경제를 이뤄야 한다는 생각에서 자료집을 발간하게 됐다"고 밝혔다. 이자료집은 대한설비건설협회가 건의한 내용을 바탕으로 작성된 것이며, 자세한 내용은 다음과 같다.

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Medical Clinics' quality Management of X-ray Units in Gyeongbuk Area (경북 지역 의원급의 X선 발생장치 정도관리 실태)

  • Park, Jeong-Kyu
    • The Journal of the Korea Contents Association
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    • v.10 no.9
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    • pp.267-275
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    • 2010
  • Quality management of an x-ray unit drastically differs according to the type of establishment of medical institutions. Many primary medical institutions have it, but they do not pay much attention to quality management. In the study, Gyeongbuk area has been divided into four zones from January 4, 2010 to September 3, 2010, and four places were designated by city. Among medical institutions located at a total of 16 sites, the target was 8 places with X-ray emission equipment 10 years or more in use as well as 8 places with X-ray emission equipment less than 10 years in use. The 5 essential items of quality control were tested. In the test that checked for equipment it was found that sites with X-ray emission equipment 10 years or more in use didn't have ground connection (6.25%) while all of them passed the current leak test. In the exposure dose reproducibility test 4 sites with X-ray emission equipment 10 years or more in use (25%) and 1 site with X-ray emission equipment less than 10 years in use didn't pass the test. In the KVp accuracy test 5 sites with X-ray emission equipment 10 years or more in use (31.25%) and 2 sites with X-ray emission equipment less than 10 years in use (12.5%) didn't pass the test. In the tube current and tube current amount test 3 sites with X-ray emission equipment 10 years or more in use (18.75%) and 1 site with less than 10 years in use (6.25%) didn't pass the test. According to the findings of the present research, quality control at medical institutions with X-ray equipment 10 years or more in use was poorer than medical institutions with X-ray equipment less than 10 years in use. In this regard, administrative and technical measures need to be taken as soon as possible. In addition, owners of medical clinics or unit managers need to raise awareness, and it is necessary to revise a regular test cycle every year or every two years if they have old equipment or if the equipment is not used on a frequent basis. And it is also important to provide regular educational programs for quality management.

The Relationship among Burnout, Compassion Fatigue, Compassion Satisfaction and Social Support of Clinical Dental Hygienists (임상치과위생사의 소진과 공감피로, 공감만족 및 사회적 지지와의 관계)

  • Han, Yang-Keum;Kim, Han-Hong
    • Journal of dental hygiene science
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    • v.14 no.2
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    • pp.256-263
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    • 2014
  • The purpose of this study was to examine the relationship among burnout, compassion fatigue, compassion satisfaction and social support of clinical dental hygienists. The subjects in the study were 313 dental hygienist who were randomly selected in dental clinic and hospital, which were located in Daejeon, South and North Chungcheong province. Data were gathered using structured questionnaires from June 17 to July 31, 2013. The major findings of the study were as follows: 1. As for burnout by general characteristics, there were statistically significant difference according to age, marital status, clinical career, agency work type and job position. 2. The relationship of burnout and other variables was analyzed, and compassion fatigue had a significant positive effect on burnout, and compassion satisfaction and social support had negative effects on burnout. 3. As a result of analyzing which variables affected burnout, it's found that burnout were under the influence of agency work type, compassion fatigue, compassion satisfaction and social support. These variables made a 56.9% prediction of burnout. These findings provide strong empirical evidence for the importance of compassion fatigue, compassion satisfaction and social support in explaining burnout of clinical dental hygienists. Therefore, the effective human resource management programs should be developed to consideration with the dental hygienist work environment and the quality of service.

Relationship Between Type of Medical Institutions According to the Equipment List and Inspection Fee Computed Tomography (의료기관 종별에 따른 전산화단층촬영장비 보유현황과 검사료간의 관계)

  • Kim, Min-Cheol;Lim, Cheong-Hwan;Joo, Yeong-Cheol
    • Journal of radiological science and technology
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    • v.37 no.4
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    • pp.315-322
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    • 2014
  • This study demonstrates holding condition of CT by medical institution classification and by season, and examination fee in Korea currently to quantitatively understand frequency of examination region by change of CT equipment, domestic growing trend and change of distribution and using rate. Recent 10 years of CT holding condition by medical institution classification (Tertiary hospital, General hospital, Hospital, Clinic, Dental hospital, Dental clinic, Hospitalized health center) and by year (2003-2012), and CT examination fee of distribution of medical institution by year is surveyed. The holding ratio of Tertiary hospital level and General hospital level is 32.7% in 2003 and 33.0% in 2012. Whereas, Hospital and Clinic level is 74.2% in 2003 and 66.8% in 2012, which takes approximately 70%. Based on data in 2012, it is 82.2% of total examination fee in Tertiary hospital and General hospital, while 17.5% in hospital and clinic. CT holding rate of Hospital level is increasing, while Clinic level is decreasing. Approximately 80% of CT examination fee is claimed by Tertiary hospital and General hospital. Therefore, there is a significant correlation between CT holding condition of medical institution classification and examination fee. Particularly, correlation between CT holding number of Tertiary hospital and examination fee is significant (p<.001). The more CT holding number, the higher the amount claimed examination fee.