• 제목/요약/키워드: Essential medical service

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Current Status of Complementary Therapies Provided by Hospice Palliative Care in South Korea

  • Kwon, Sinyoung;Bak, Jihye;Kwon, So-Hi
    • Journal of Hospice and Palliative Care
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    • 제24권2호
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    • pp.85-96
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    • 2021
  • Purpose: The aim of this study was to investigatecomplementary therapiesprovided at hospice palliative care facilities in South Koreaas designated by the Ministry of Health and Welfare. Methods: The survey was conducted via e-mail from September 2 to September 23, 2020, with responsesfrom 109 therapists and 59 managers from 55 different hospice care facilities. Results: Hospices provided an average of 3.67 different types of therapies, ranging from 1 to 7 different types. The most common types of therapies were horticultural therapy (81.4%), music therapy (79.7%), art therapy (76.3%), and aromatherapy (57.6%). The average frequency of sessions was once a week, the median duration was 60 minutes. Most therapists (96.3%) had qualifications, but the certification-issuing organizations and training intensiveness varied greatly. None of the therapists were employed on a full-time basis, and their average monthly income was KRW 270,000. Therapists and managers gave average scores of 8.90 and 8.38 out of 10, respectively, regarding the positive impact of complementary therapies on patients. Conclusion: In order for patients and their families to benefit from complementary therapiesat hospice care facilities, in addition tobetter terms of employment for therapists, evidence-based guidelines for different types of therapies are needed so that therapy sessions can be conducted according to the theoretical underpinnings and characteristics of the type of therapy. It is expected that the results of this study will be used for policy-making in support of therapy as an essential hospice service.

소방기관의 행정직과 현장직의 권력거리 성향 비교연구 (Comparative Study of Power Distance Tendency Between Administrative and Field Firefighters in Fire Department)

  • 박경진;김봉길;김현미
    • 한국산업융합학회 논문집
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    • 제27권3호
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    • pp.645-653
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    • 2024
  • This study is a comparative study on the tendency of power distance between administrative and field personnel in fire departments. For this study, 355 firefighters nationwide were surveyed from August 22 to December 31, 2023, and the collected data was analyzed using the SPSS 24.0 statistical program. As a result of the reliability analysis, Cronbach's =.803 was found to be higher than the standard value of 0.6. irefighting agencies are firefighting organizations that work to resolve incidents quickly and efficiently at disaster sites, and an appropriate level of power distance is essential. However, excessive power distance between superiors and subordinates leads to self-righteousness in administration and incompetence in field activities through one-sided instructions and compliance. As a result of analyzing the power distance tendencies of administrative and field workers in fire departments in this study, it was confirmed that there was no bias in either direction with an average score of 2.55. And the level of power distance tendency between administrative and field firefighters was 2.56 points, showing no significant difference.

Knowledge, Barriers and Attitudes Towards Breast Cancer Mammography Screening in Jordan

  • Abu-Helalah, Munir Ahmad;Alshraideh, Hussam Ahmad;Al-Serhan, Ala-Aldeen Ahmad;Kawaleet, Mariana;Nesheiwat, Adel Issa
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권9호
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    • pp.3981-3990
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    • 2015
  • Background: Breast cancer is the most common type of cancer in Jordan. Current efforts are focused on annual campaigns aimed at increasing awareness about breast cancer and encouraging women to conduct mammogram screening. In the absence of regular systematic screening for breast cancer in Jordan, there is a need to evaluate current mammography screening uptake and its predictors, assess women's knowledge and attitudes towards breast cancer and screening mammograms and to identify barriers to this preventive service. Materials and Methods: This cross-sectional study was conducted in six governorates in Jordan through face-to-face interviews on a random sample of women aged 40 to 69 years. Results: A total of 507 participants with mean age of $46.8{\pm}7.8$ years were interviewed. There was low participation rate in early detection of breast cancer practices. Breast self-examination, doctor examination and periodic mammography screening were reported by 34.9%, 16.8% and 8.6% of study participants, respectively. Additionally 3.8% underwent breast cancer screening at least once but not periodically, while 87.6% had never undergone mammography screening. Reported reasons for conducting the screening were: perceived benefit (50%); family history of breast cancer (23.1%); perceived severity (21.2%); and advice from friend or family member (5.8%). City residents have shown higher probability of undergoing mammogram than those who live in towns or villages. Results revealed negative perceptions and limited knowledge of study participants on breast cancer and breast cancer screening. The most commonly reported barriers for women who never underwent screening were: fear of results (63.8%); no support from surrounding environment (59.7); cost of the test (53.4%); and religious belief, i.e. Qadaa Wa Qadar (51.1%). Conclusions: In the absence of regular systematic screening for breast cancer in Jordan, the uptake of this preventive service is very low. It is essential for the country of Jordan to work on applying regular systematic mammography screening for breast cancer. Additionally, there is a need for improvement in the current health promotion programmes targeting breast cancer screening. Other areas that could be targeted in future initiatives in this field include access to screening in rural areas and removal of current barriers.

용접실습 교과목에 필수적인 기계제도 기초 이론 학습에 대한 증강현실 콘텐츠 시스템을 활용한 교육 방법 및 효과성 (The Training Methods and Effectiveness using Augmented Reality Contents System for Machine Drawings Training Which is Essential in Welding Practice Courses)

  • 구창대;양형석;이동엽
    • Journal of Welding and Joining
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    • 제32권4호
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    • pp.39-45
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    • 2014
  • Today, the development of digitized information media and info-communications are bringing many changes. Due to the development of IT thechnology, we can learn wherever, whenever, regardless of time and place. Machine drawing subject is a very important in mechanical engineering course, but it's studyed only basic theory in a short period, average 1~2weeks. So that, students think that the mechanical drawing is of minor importance. Such ideas make them difficult to impove sense of space in isometric drawing and drawing skill. Therefore, in this paper, augmented reality-based contents through the system, Mechanical Drawing of education to meet the effectiveness and satisfaction, student learning can be spontaneously it was construct self-system. And, Theoretical part of the Mechanical Drawing is proposed ensure more efficient and easier training. In this paper, we were test operation for user effectualness of proposed service at Korea Polytechnics Colleges a industrial facilities management in Daegu. Target user are 66 students, and The students were divided into experimental group and comparison group. Experimental results, experimental group was able to do systematically experience many Projection Drawing and Pictorial Drawing in short schooltime. And, The test operation results showed that have the possibility to meet education effectiveness and user satisfaction in this augmented reality-based contents system.

요양병원의 효율성과 의료서비스 질의 관련성: 자료포락분석과 매트릭스 분석 (Association between Efficiency and Quality of Health Care in South Korea Long-term Care Hospitals: Using the Data Envelopment Analysis and Matrix Analysis)

  • 손민성;최만규
    • 대한간호학회지
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    • 제44권4호
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    • pp.418-427
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    • 2014
  • Purpose: Objectives of this study were to investigate the association between efficiency and quality of health care in Long-term Care Hospitals (LTCH) and determine related factors that would enable achievement of both high efficiency and high quality at the same time. Methods: Major data sources were the "2012 Korean Assessment of Propriety by Long-term Care Hospitals" obtained from the Health Insurance Review & Assessment Service. Cost variables were supplemented by a National Tax Service accounting document. First, data envelopment analysis was performed by generating efficiency scores for each LTCH. Second, matrix analysis was conducted to ascertain association between efficiency and quality. Lastly, kruskal-wallis and mann-whitney tests were conducted to identify related factors. Results: First, efficiency and quality of care are not in a relationship of trade-offs; thus, LTCH can be confident that high efficiency-high quality can be achieved. Second, LTCH with a large number of beds, longer tenure of medical personnel, and adequate levels of investment were more likely to have improved quality as well as efficiency. Conclusion: It is essential to enforce legal standards appropriate to the facilities, reduce turnover of nursing staff, and invest properly in human resources. These consequences will help LTCH to maintain the balance of high efficiency-high quality in the long-run.

개선된 RFID 기술을 이용한 u-헬스케어 서비스 인증 프로토콜 (Improved u-Healthcare Service Authentication Protocol based on RFID Technology)

  • 안해순;윤은준;부기동
    • 전자공학회논문지
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    • 제50권10호
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    • pp.107-115
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    • 2013
  • 최근 RFID 기술은 u-헬스케어 서비스와 접목되어 의료서비스 분야에서 주목 받고 있는 추세이다. u-헬스케어 서비스는 개인 의료 정보를 다루는 분야로서 단순한 건강 검진 및 치료의 수준을 넘어 생명과도 밀접한 관계가 있다. 만약 개인 의료 정보가 불법적으로 노출되거나 악용될 경우 프라이버시 침해 뿐만아니라 생명까지도 위협받을 수 있으므로 보안성을 고려한 u-헬스케어 서비스 인증이 필수적으로 요구된다. 2012년에 Jeong 등은 RFID 기술을 이용하여 초기화 과정과 환자 인증 과정을 구분한 J-L 환자 인증 프로토콜을 제안하였다. Jeong등은 제안한 프로토콜에서 재사용 공격, 스푸핑 공격, 정보노출방지 및 불추적성에 대해 안전하다고 주장하였지만 보안성과 연산 효율성 문제를 발생시킨다. 따라서 본 논문에서는 Jeong 등이 제안한 프로토콜의 보안성과 연산 효율성 문제를 증명하고, 안전성과 효율성을 강화한 RFID 기술의 기반으로 하는 실용적인 u-헬스케어 서비스 인증 프로토콜을 제안한다.

6 - Sigma 경영혁신기법 시행에 따른 방사선과 내부고객만족도의 변화 (The change of Employee Satisfaction in Radiology Department by Applying 6 Sigma Method)

  • 이근옥;박재성;강충환;김미영;김승식
    • 한국의료질향상학회지
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    • 제12권1호
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    • pp.78-90
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    • 2006
  • Background : The concept of 'service' in a hospital is based on the quality of medical staffs who serve as customer-satisfying media, and this is what distinguishes general hospitals from other business corporations in which customer satisfaction is achieved through commercial products. Thus, the internal employee satisfaction is essential in the improvement of the 'service' and subsequent 'competitiveness' of a hospital. The purpose of this study is to establish internal marketing strategies for a general hospital through regular surveys on employee satisfaction. Method : Surveys on employee satisfaction in radiology department were conducted regularly twice a year in a university hospital with 800 beds 2001 in 2004. The subjects of this study were 35 employees who work in radiology department. The authors developed the questionnaires and the surveys were conducted initially during the first 6 months of the year. After necessary improvements were made by applying 6 Sigma techniques, subsequent surveys were conducted during the latter 6 months of the year and the degree of employee satisfaction was compared. Results : Overall satisfaction increased with a constant rate and the authors were able to assess that the hospital is being gradually stabilized. The degree of satisfaction assessed by multiple choices showed only minor changes. However, as a result of focusing on the demands put forth by the employees through the open questions, the degree of satisfaction increased gradually year after year. Conclusions : It is important to heighten the internal employee satisfaction systematically and harmoniously through the assessment on the demands of the internal customers and feedback-based communications between the management officers and the staffs. Continuous surveys on the internal employee satisfaction will serve to be valuable materials in the establishment of internal marketing strategies for a general hospital.

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한국 간호교육에서의 시뮬레이션: 통합적 고찰 (Simulation in Nursing Education in South Korea: An Integrative Review)

  • 장애리;김자숙;김수현
    • 한국산학기술학회논문지
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    • 제21권4호
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    • pp.525-537
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    • 2020
  • 본 연구 목적은 향후 시뮬레이션 기반 운영 과정에 대한 과학적 근거를 제공하기 위해 연구 결과를 종합적으로 검토함으로써 Jeffries 이론적 프레임 워크를 기반으로 한국의 간호 교육에서 시뮬레이션 기반 운영 프로세스의 현재 상태와 특성을 확인하는 것이다. 본 연구는 2017년 11월까지 "시뮬레이션"과"간호"라는 용어를 사용하여 한국 교육연구 정보원, 국립 도서관, 한국학 정보원 서비스 시스템, 국립 디지털 과학 도서관, 한국 과학 기술 정보원, KOREAMED, 한국 의료 데이터베이스 등 8개의 데이터베이스에서 한국어로 출간된 연구들을 검색했다 연구결과 16개의 연구가 확인, 검토 및 평가되었다. 문헌은 연구의 일반적인 특성, 운영 방법, 교수학습방법, 참여자 특성, 결과변수 및 이론적 틀이라는 주제로 분류되었습니다. 본 연구에서 분석한 한국의 간호 교육 시뮬레이션 과정은 NLN Jeffries 시뮬레이션 이론적기틀에서 제안된 주요 개념을 완전히 반영하지는 않았다. 추후 시뮬레이션 프로그램 개발자는 시뮬레이션 효율성을 향상시키기 위해 필수 구성 요소를 확인하고 다양한 전략을 고려하여 통합해야 할 것이다.

건강보험 자료를 이용한 전국 의료기관 가정간호 실시 및 이용 현황 분석: 2008년-2017년 (Analysis of Hospital-based Home Care Service Utilization Using National Health Insurance Claim Data from 2008 to 2017)

  • 고정연;윤주영
    • 가정∙방문간호학회지
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    • 제26권1호
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    • pp.36-50
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    • 2019
  • Purpose: The purpose of this study is to analyze the status quo of hospital-based home care utilization in Korea from 2008 to 2017. Methods: Data from a total of 1,396 medical institutions, 350,390 patients, and 3,563 home care nurses were analyzed using claim data from the Health Insurance Review & Assessment Service. Results: The number of hospital-based home care agencies decreased from 177 in 2008 to 115 in 2014. This number started to increase in 2015 and reached 179 in 2017. The number of hospital-based home care patients declined from 35,056 in 2008 to a low of 26,848 in 2013. This number started to increase in 2014 and reached 67,863 in 2017. Essential hypertension was the most common disease among hospital-based home care patients from 2008 to 2015. The number of hospital-based home care visits declined from about 500,000 in 2008 to a low of 362,000 in 2013. This number started to increase in 2014 and reached 658,000 in 2017. Conclusion: It is necessary to vigilantly monitor hospital-based home care agencies, patients, and the utilization of services. This may help establish platforms for providing community and home-based nursing services for the super-aged society in Korea.

유비쿼터스 사회환경에서의 도서관 기능 및 서비스에 관한 연구 (A Study on Functions and Services of a Library Based on Ubiquitous Life)

  • 김용
    • 한국비블리아학회지
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    • 제20권3호
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    • pp.97-114
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    • 2009
  • 도서관의 역할 및 서비스는 전통적으로 정보기술의 변화에 많은 영향을 받으면서 발전하여 왔다. 최근 새로운 정보 기술로서 유비쿼터스 기술이 의학, 건축, 상거래, 방송통신 등의 다양한 분야에서 연구되어지고 있다. 이와 같은 유비쿼터스 정보기술은 도서관에서 제공하고 있는 서비스 및 기능에 많은 영향을 미치고 있다. 유비쿼터스 정보기술의 발전과 함께, 도서관은 역할 및 기능에 있어서 많은 변화가 요구된다. 따라서 본 연구에서는 유비쿼터스 컴퓨팅과 네트워크에 대한 개념과 정의를 알아보았으며 특히, 향후 유비쿼터스 사회의 기술적 기반이 되는 요소기술 및 요구사항과 함께, 도서관의 새로운 역할 및 서비스에 대하여 알아 보았다. 이를 위하여 문헌조사, 사례연구 및 전문가그룹과의 인터뷰를 수행하였다. 이를 통하여 본 연구에서는 유비쿼터스 환경에서의 도서관 서비스 및 역할은 두 가지 관점 즉, 네트워크 및 물리적 공간을 기준으로 고려되어져야 함을 제안하였다. 또한 도서관은 전통적인 정보제공기관으로서 뿐만이 아니라 문화기관 및 교육기관으로서 역할이 더욱 확대되어질 것이며 이를 위한 개인화 및 문화 교육서비스를 위한 프로그램의 개발이 요구된다.