• 한국병원경영학회지
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• 제13권2호
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• pp.20-35
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• 2008

Though the attending system was first implemented in 2003 to facilitate the efficient utilization of medical resources and specialties, only a few hospitals and physicians are participated in that system. The purpose of this study was to investigate the actual facts which related to operation of attending system and propose a basic information to revitalized of the attending system in Korea. The data were collected between August 1 and October 30, 2005 from 25 hospitals and 42 attending physicians who were in part of the attending system. Medical institutions were unwilling to participate despite the advantages of the attending system with respect to the utilization of medical resources and improvement in the quality of medical services. The primary reason for this was the lack of understanding among physicians about the attending system and the difficulty(lack of time) encountered by the attending physicians in administering care to patients hospitalized in the attending hospitals. Moreover insufficient reimbursement for rendered medical services constituted another important reason. In conclusion, we can state that the establishment of a committee is required to discuss the issues surrounding the attending system and to control the growing disparity between the viewpoints of hospitals and physicians. Regardless, there is a need to develop economical incentives for medical institutes. The attending system served as a useful policy in promoting the medical service system and bringing about an improvement in the management of medical institutes.

• 한국병원경영학회지
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• 제16권4호
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• pp.67-84
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• 2011

The open Hospital Attending Physician System has been discussed and operated for developing the efficiency and the substitutes for an increase in medical expenses, for overlapping investment in medical resources, and for normalization of medical delivery system. This study assessed the related factors to the acceptance and introduction of Attending Physicians on ophthalmologist. Data was collected mail response to 179 ophthalmologists in 2005. Applying multilevel logistic regression, we examined the relationship between their acknowledgment, attitude and acceptance of the open Hospital Attending Physicians System. The percentage of participation in Hospital Attending was indicated to be 3.9%. The 44.7% of all participants agreed to adopting the Hospital Attending, 33.5% of doctors are willing to participate in the future. The positive and normal attitude of physician toward the Hospital Attending is 6.6 times (95%CI 1.315, 33.138) and 55.2 times(95%CI 11.352, 268.347) more than that of negative after adjustment for other variables. Attitude was found to be the important factor influencing physicians' participation in the Attending Hospital. Thus, it is need to development and implication for the strategies that lead the practical necessity and positive attitude toward the Attending Hospital.

• 한국의료질향상학회지
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• 제5권1호
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• pp.140-150
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• 1998

A mailed survey with structured questionnaire was conducted to study the demand of private physicians who were operating their own clinics in the community to be a attending physician at the general hospital. The responding proportion was 21.6 percent of the 960 private physicians. A total of 207 responders; 65.2 percent wanted to be a attending physician. In particular, the physicians who were male, young, surgeon and teaching hospital careered after specialist were more highly motivated. The major activities what they wanted as a attending physician were medical care for the admission patients. They responded that the hospital charges for the medical services and the responsibility of malpractice issues should be fairly shared by attending physician and hospital according to their contributions. There is growing consensus that the need of attending physician at the general hospital will become wide spread, but little organizational preparation to assure the quality of medical care of attending physicians including training of resident physicians and students. In addition, the effective reimbursement system should be develop to compensate appropriately according to the medical achievement of the attending physicians.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제7권1호
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• pp.69-76
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• 2001

It is generally said that primary health care is the base of health delivery system. But in Korea, the primary care have not performed its roles well. To resolve these problems, the government has elaborate some policy measures. One of them is 'Attending Hospital System'. The purposes of this study are to understand Attending Hospital System and to anticipate the change of general hospital and clinic by this regulation.

• 지능정보연구
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• 제16권2호
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• pp.73-94
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• 2010

개방병원에 환자의 입원을 의뢰한 담당 의사들은 환자들의 상태와 제대로 된 간호서비스를 받고 있는지에 대한 정보를 간호기록을 열람함으로써 확인할 수 있다. 하지만 간호기록은 병원의 내부자료로써 외부기관에 쉽게 공개할 수 없는 자료이고 표준화가 확립되어 있지 않아 병원별로 다르게 작성되고 있어 필요한 정보를 공유하는데 많은 어려움이 따른다. 따라서 본 연구에서는 개방병원 간호기록의 작성과 공유를 지원하기 위한 시스템을 개발하고자 하였다. 본 시스템은 우선 간호기록을 실제로 작성하는 간호사의 편의성을 고려하여 간호기록항목사전을 설정하게 하고 간호사와 의사간의 지능형 에이전트를 이용한 협상으로 작성과 공개의 항목을 확정하도록 하였다. 이 모든 과정은 의료기관간의 네트워킹을 지원할 수 있도록 웹기반시스템으로 설계되었고 실제 구현을 통하여 실현가능성을 확인하였다.

• 융합보안논문지
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• 제17권1호
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• pp.81-88
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• 2017

이 연구의 목적은 대한민국 국회 방청제도의 성공적인 안착을 방해하는 위해요소들을 살펴보고 보안강화를 위한 법 제도적 개선방안을 제시하기 위함이다. 이를 위해 2장에서는 국회방청의 '개념 및 기능' 그리고 '국회방청제도'를 위한 "헌법" 제50조 1항, "국회법" 제75조 1항, "국회방청규칙" 등의 규정들을 살펴보았다. 3장에서는 성공적인 국회방청을 방해하는 위해요소로서, (1)급격히 증가하는 불법행위, (2)안전상의 금지된 물품 반입의 증가, (3)국회 테러발생 가능성의 증가라는 측면에서 분석하였다. 4장에서는 본 연구의 결과로서 국회 방청제도의 보안강화를 위한 법 제도 개선방안으로서 첫째, 국회에서 발생하는 범죄사건의 신속한 실체적 진실 발견 및 인권보호를 위해 국회 경위공무원에게 "특별사법경찰권"을 부여되도록 입법적 조치가 필요하다. 둘째, 명령통일의 원칙에 입각하여 서울지방경찰청소속 국회경비대에 대한 지휘권을 국회경호기획관실로 이관하여 지휘체계를 단일화 할 수 있도록 법 개정이 이루어져야 한다.

• 대한전자공학회:학술대회논문집
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• 대한전자공학회 2003년도 하계종합학술대회 논문집 Ⅲ
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• pp.1251-1254
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• 2003

In this paper, Experience Sensitive Cumulative Neural Network (ESCNN) is introduced, which can cumulate the same or similar experiences. As the same or similar training patterns are cumulated in the network, the system recognize more important information in the training patterns. The functions of forgetting less important informations and attending more important informations resided in the training patterns are surveyed and implemented by simulations. The system behaves well under the noisy circumstances due to its forgetting and/or attending properties, even in 50 percents noisy environments. This paper also describes the creation of the generalized patterns for the input training patterns.

• 한국의료질향상학회지
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• 제9권2호
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• pp.116-133
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• 2002

Background : It is very common in Korea to take care of non-acute patients in an acute setting, due to the lack of long-term facilities. Long term hospitalization increase medical expenses and decreases the bed utilization, which can affect the urgent and emergent admissions, and eventually jeopardize the hospital financially. In this study, strategies for effective transfers to the lower levels of care, and to decrease the length of stay were presented by surveying and analyzing the patient's knowledge of the transfer needs, and the willingness to transfer those whose hospital length of stay was more than 30days. Method : The survey is subject to a group of 251 patients who have been hospitalized over 30 days in a general hospital in Seoul. Excluding those that were in the Intensive Care Unit and psychiatric ward, 214 in-patients were used as participants. They were surveyed from April 9, 2002 to April 17, 2002. One hundred and thirty seven out of 214 were responded which made the response rate 64%. Data were analyzed by SAS and SPSS. Result : Multi-variable Logistic Regression Analysis showed a significant effect in medical expenses, knowledge of referral system and the information of the receiving hospital. The financial burden in medical expenses made the patient 10.7 times more willing to be transferred, knowledge of the referral system made them 5 times more willing to be transferred, and the information of receiving hospital makes 6.5 times more willing to be transferred. Reasons for willing to be transferred to a lower level of care were the phase of physical therapy, the distance from home, the attending physician's advice and being unable to be treated as an out patient. Reasons for refusing to be transferred were the following. The attending physician's competency, not being ready to be discharged, not trusting the receiving hospital's competency due to the lack of information, or never hearing about the referring system by the attending physician. Conclusion : Based on this, strategies for the effective transfer to the lower levels of care were suggested. It is desirable for the attending physician to be actively involved by making an effort to explain the transfer need, and referring to the Healthcare Coordinating Center, which can help the patient make the right decision. Nationwide networking for the referral system is the another key factor that may need to be suggested as an alternative to decrease the medical expenses. Collaborating with the Home Health Agency for the early discharge planning and the Social Service Department for financial aid are also needed. It is recommended that the hospital should expedite the transfer process by prioritizing the cost and the information as medical expenses, knowledge of referring system and the information of the receiving hospital, are the most important factors to the willingness to transfer to a lower level of care.

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 2002년도 제54차 추계 학술대회 연제집
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• pp.243-244
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• 2002

• 전자공학회논문지CI
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• 제41권2호
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• pp.95-102
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• 2004

제안된 경험 유관 축적 신경회로망은 입력 패턴의 교육 회수를 누적시킬 수 있는 구조를 가지고 있어, 누적된 교육을 통한 공통된 경험에 대해서는 강한 반응을 보이는 주의 집중 기능을 가진다. 그리고 잡음이 많은 패턴에 대하여 선행처리 과정을 거치지 않고 바로 교육을 시켜도 상대적으로 유용한 정보를 누적시켜 일반화 패턴을 추출할 수 있다 본 논문에서는 추가 교육 뿐만 아니라 반복 교육도 가능한 경험 유관 축적 신경회로망 모델을 제안하고, 이 신경회로망이 가지는 기본 특성인 망각 및 주의 집중기능에 대하여 기술하였으며, 또한 교육된 정보로부터 일반화 패턴의 추출 과정과 일반화 패턴의 생성 및 반복교육에 관한 것을 기술하였다.