• 한국콘텐츠학회논문지
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• 제17권5호
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• pp.366-375
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• 2017

본 연구는 의료급여환자와 가족 3인, 요양병원에 4년 이상 근무한 경험이 있는 종사자 5인에 대한 심층면접조사를 통하여 도덕적해이가 우려되고 있는 의료급여환자의 요양병원 이용과정과 입원, 의료서비스, 퇴원과 전원 등에 대하여 분석하였다. 주요 분석결과와 함의는 다음과 같다. 첫째, 요양병원 입원은 의료급여환자의 선택보다는 의료기관간의 연계와 유치를 위한 경쟁적 홍보에 의해서 이루어지고 있었다. 둘째, 의료급여환자의 요양병원 장기입원의 원인은 본인부담이 적어서 도덕적 해이를 유발할 수도 있었지만 거주지 부재, 간병인 부재 등 퇴원 후 사회적인 보호수단이 없는 것도 주요 원인이었다. 셋째, 대다수 의료급여환자들이 치료가 필요한 상태이지만, 건강보험환자에 비해 필요성이 높지 않음에도 입원을 유지하는 경우가 있었다. 넷째, 요양병원의 의료서비스는 재활서비스가 주를 이루고 있으며, 간호인력과 간병인의 역할이 중요하였다. 다섯째, 의료급여환자들은 요양병원 의료비를 수급비와 가족지원 등으로 부담하고 있지만, 일부 환자들은 병원에서 간병비나 본인부담을 면제 혹은 감면받고 있었다. 여섯째, 공공기관과 사회복지기관은 요양병원에 환자를 의뢰한 이후 지속적인 관리를 하지 않고 있으며, 퇴원 후 지역사회서비스 연계가 필요한 것으로 나타났다.

• 한국의료질향상학회지
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• 제5권2호
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• pp.296-310
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• 1998

Background : Performance evaluation of medical care providers has become more important than before in Korea. Especially in university hospitals, job contents of medical staffs are so complicated that evaluation is not easily performed. In addition, in order that the feedback of evaluation be successful, acceptance of staffs to be evaluated is essential. This study is aimed at the development of items for evaluation and weighting of each item in one university hospital, and clustering departments by different weight given by medical staffs. Methods : Through resource group meeting. performance items were listed up by categories of education, research, medical services, and other activities in and out of the hospital. For each item, all the medical staffs were asked how important they thought, compared with publishing one original article. By factor analysis, the items in each category were grouped into a few subgroups. In turn, cluster analysis was done for the purpose of grouping departments by priority the medical staffs gave. Results and Conclusion : Among five major categories, medical staffs regard education, research, and medical services more important than other activities in and out of the hospital. Five categories consisted of two or three components. Departments in hospital were grouped into three. However, characteristics of each group was not clearly delineated. This result suggests that more comprehensive tool should be developed and applied in the process of performance evaluation in university hospitals.

• 보건행정학회지
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• 제24권4호
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• pp.396-412
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• 2014

Background: As a reform plan of health care system, Accountable Care Organization (ACO) has became an object of attention in the United States after Patient Protection and Affordable Care Act was enacted. ACO is a group of various health care providers and provide coordinated care to its assigned beneficiaries. If ACOs improve the quality level and reduce the cost of care, they can get financial incentives. Under the discussion for a quite long time and demonstration projects, ACO has been established. We aimed to analysis and discuss the history, policy mechanism, contents, status and outcomes of ACO. Also, we intended to suggest political implication Korean health care system with regard to ACO. Methods: We searched the articles related ACO in PubMed and selected several available papers about ACO. Total 56 studies were reviewed and categorized three parts; demonstration projects for formation of ACO, policy mechanism and agenda, empirical results of ACO performance. Results: As a result, establishment of ACO was successful partly in the US. It seems to be due to various project and pilot test for verification in the long time. The empirical effect of ACO was also identified in a few study but it needs more evidences to judge its positive effect. Conclusion: In Korea, there are arguments for the application of ACO. However it is difficult to implement a ACO by different political conditions between Korean and US. Nevertheless ACO proposed us the necessity of paradigm shift in our health policy and could be significant to national policy orientation in the future.

• 한국의료질향상학회지
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• 제21권2호
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• pp.28-38
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• 2015

Objectives: The objectives of this research were to develop and evaluate a mobile application for navigation program for cancer patients who might experience some difficulties in obtaining and understanding further schedules, directions due to flooding information at a time and scattered educational materials. Methods: A mobile application was developed an educational mobile app for cancer patients based on a systematic instructional design model called ADDIE (Analysis, Design, Development, Implementation, and Evaluation) model. The developed application was evaluated by 76 users through a questionnaire of satisfaction. Results: A mobile app contains educational contents for cancer patients, based on their satisfaction, demand and knowledge about cancer education and information services. It contains management of symptoms, management of my schedule, and information about chemotherapy, FAQ, symptoms dangerous enough to contact the hospital, personal history about how to overcome cancer, hospital convenience facilities and education schedule of cancer center. A result of the evaluation of user's satisfaction showed 59.4% responding 'Satisfied' and 27.4% 'Very satisfied'. Conclusion: The personalized information and education contents for cancer patients by using the mobile application was given to cancer patient and then educational outcomes became more effective. The development of the application which persons can use regardless of time and place enables health care providers to acquire the foundation of the patients-oriented educational system. Education satisfaction and knowledge level was increased, after using mobile application.

• 웰빙융합연구
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• 제4권3호
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• pp.45-51
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• 2021

Purpose: This aims to find a strategic plan for the feasibility study of a medical center extension project in order for local public medical institutions to obtain public interest and profitability through a survey of residents. Research design, data and methodology: The structured questionnaire was distributed at random, and a total of 219 people responded as users or patients responded to the questionnaire in a self-filling manner. Through this questionnaire, the feasibility and necessity of the extension of Gangneung Medical Center(GMC) was measured. All data processing was analyzed by applying version 26.0 of IBM SPSS statistical package program. The main contents of the questionnaire included reasons for using GMC, inconveniences, overall level of medical care, satisfaction, intention to revisit, the necessity of GMC's complex ward extension project, and GMC consisted of 8 questionnaires, including the desired service for the extension of the complex ward. Results: As for the necessity of the GMC complex ward extension project, 95.9% of residents said they wanted the complex ward extension project, 2.3% said it was not necessary, and the remaining 1.8% had other opinions. Conclusions: GMC complex ward extension project is necessary.

• 한국콘텐츠학회논문지
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• 제15권12호
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• pp.560-571
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• 2015

본 연구는 국민의료비의 재원별 공급 분석뿐만 아니라 수요를 결정하는 주요 요인인 연령별과 소득계층별을 동시에 고려한 모형을 설정하고 GARCH 모형을 활용하여 실증분석을 수행하였다. 실증분석 결과에 의하면 포괄적인 형태의 의료보험제도는 보장성이 양호하게 구축되어 있지만, 연령별 및 소득계층별 지원정책을 보다 구체화해야 하는 것으로 나타났다. 그리고 잠재적 취약계층을 지원하기 위해서는 민간재원을, 취약계층을 지원하기 위해서는 공공재원의 확충이 필요한 것으로 분석되었다. 즉, 이와 같은 재원별 확충의 우선순위를 통해 국민의료비 지출의 효율성을 제고할 수 있는 것으로 나타났다. 인구 고령화와 관련해서 살펴보면 보건정책이 적절하게 대응하고 있는 것으로 분석되어, 노인보건의료 관련법이나 노인장기요양보험 등이 양호하게 운용되고 있는 것으로 분석되었다.

• 보건의료산업학회지
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• 제7권2호
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• pp.149-159
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• 2013

There are rapidly increasing in the number of SNS users according to quick supply of smart phones and expansion of wireless internet services, but there is no much researches on hospital promotion using SNS. In this paper, we proposed methods for development of effective hospital promotion by investigating current status of homepages, mobile web contents and SNS operated in 21 dermatology hospitals located at Seoul city and by analyzing contents according to functions as hospital promotion media. In the investigation results, all of three contents such as homepage, mobile web content and SNS are opened in 76.1% of hospitals and external companies occupied the main management body of the three contents at the largest portion(56.2%). There are hospital information, clinic, reservation in all hospitals' homepages and followed by broadcasting(90.5%), medical treatment(85.7%), consultation information(80.9%), member information in 'mypage'(42.9%), staff information(14.3%). In the analysis results, there is need to enlarge departments or staffs taking full charge of in order to manage the three contents professionally and also there is need to prepare and conduct hospital promotion methods using prevalent SNS.

• 성인간호학회지
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• 제20권5호
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• pp.778-790
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• 2008

Purpose: This study was conducted to develop Web-based multimedia contents for supporting student nurses' clinical practice on critical care, and to evaluate learners' responses. Methods: Based on the steps of Assessment, Design, Development, Implementation, & Evaluation(ADDIE) model, a total of 13 self-directed learning modules including live lectures and real video clips were developed through faculty collaboration of nine nursing colleges in Gwangju and Chonnam province. The finally developed multimedia contents were published on the Web of the learning management system at a local e-learning center. Results: The Web contents were evaluated after self-learning by 81 junior college nursing students who were encouraged to study it at their own pace during their two-week clinical practice at a medical or surgical intensive care unit of a university hospital and two hospitals. The knowledge (t = -27.66, p < .001) and self-evaluated clinical performance level(t = 7.54, p < .001) were significantly increased after learning of the Web contents and clinical practice, and satisfaction level that measured post-test only was 4.0 out of 5 point. Conclusion: The use of Web contents for critical care need to be extended as a complimentary material in a class room lecture or clinical practice of students to increase their self-learning ability and understandings of clinical knowledge and situation.

• 한국치위생학회지
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• 제12권6호
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• pp.1111-1118
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• 2012

Objectives : The education of dental hygienists on emergency care has been implemented as a part of curriculum at school, the contents and practice are inadequately and unsystematically conducted. The purpose of the study was to examine the perception and use of emergency care in dental hygienists in various emergency situations and emergency medical equipment. Methods : The subject of this study was 64 dental hygienists dental hygienists in Chungchenongnam-Do. The data were collected through a self-administered questionnaire from November, 17 to 24, 2011. Results : Only 3.1% of dental hygienists answered "I know very well", exhibiting relatively low level of recognition. Moreover, 15.6% of respondents answered "I know quite well", 53.2% answered "I know somewhat well", and 28.1% answered "I do not know well". In terms of the operation of defibrillator, 9.4% of dental hygienists answered "yes" and 90.6% answered "no". Regarding performing CPR, 15.6% of respondents answered "I can perform" while 84.4% answered "I can not perform". Conclusions : Despite the education on emergency medicine, dental hygienists working in dental clinics are found to be not well aware of proper perception of emergency care and the utilization of emergency medical equipment. Therefore, appropriate refresh educational framework and development and application of programs are thought to be essential for dental hygienists to adequately and swiftly respond to emergency situations by full recognition of the importance of emergency care.

• 한국콘텐츠학회:학술대회논문집
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• 한국콘텐츠학회 2017년도 춘계 종합학술대회 논문집
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• pp.471-472
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• 2017

There are 3,931,822 elderly who receives long-term care at home and 1,704,469 elderly who stay at long-term care facilities in those of 34,610,000 of +65 years old population in Japan; thus, the elderly people who need home care are 2.3 times more than facilities (2016).In the near future, the number of elderly people with a degree of daily life independence and dementia category II or more will increase to 4.7 million (12.8% of the elderly population). Therefore, the use of home-care robots is essential for the disaster evacuation of the overwhelming majority of those elderly who need home care and for of vitals checks to keep family, caregivers, and medical professionals informed to reduce the risk in chronic health conditions in welfare evacuation centers. This also helps to care for the caregivers who are caring for the elderly, and the introduction of home-robots to evacuation centers should receive prompt attention from our care-friendly society.