• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제18권3호
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• pp.29-39
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• 2012

Window and shading designs have a great influence on energy consumption and daylighting in buildings. As far as energy is concerned, small window area is advantageous. But it is not good to the patient healing in hospital. So it is important to find out the optimum window shape which is favorable for both energy consumption and patient healing. In this study, annual energy consumption and daylight illumination levels were analyzed according to the window shapes and shading devices for a multi-beded patient room in hospitals. The simulations were conducted for 19 different cases by COMFEN 4.0 computer simulation program. The results of this paper are as follows. First, window to wall area ratio and shading devices have great influences on annual energy consumption. But it is a problem in that they decrease significantly daylight level in bed room. Second, considering the same energy consumption, reducing the width of window rather than the hight of window is desirable for the secure of daylight level. Third, increase of the number of horizontal shade is not desirable in south face of the building for the energy consumption and daylight level. Fourth, sun shade is not necessary in north face of the building for the energy consumption and daylight level.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제18권3호
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• pp.51-59
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• 2012

Over a past century, the continuity in post-earthquake serviceability of medical facilities has been demonstrated to be essential for sustaining a society and/or a nation stable. However, not many countries including Korea have paid appropriate attention to such a lesson learned from the previous experiences of the countries located in high seismicity for various reasons, one of which may be the lack of social consensus in allocating a portion of the resources to the earthquake preparedness. As a result, an earthquake-related policy might have been pushed away out of the list of priority in the government agenda. Therefore, the present paper attempts to persuade the public general, experts and government officials together to seek a way to upgrade the seismic safety of the country a step forward by enhancing the seismic performance of medical facilities. For this the framework of seismic design codes and standards for medical facilities, and Californian experience in managing the seismic performance enhancement program and U.S.-Italian collaborative study to improve the seismic safety of Italian hospitals are reviewed. Finally, a list of further researches and practices to perform for seismic enhancement of medical facilities in Korea are suggested.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제18권4호
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• pp.17-27
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• 2012

Purpose: This research was for understanding the attitudinal difference by gender towards emotional design through questionnaire survey with female and male inpatients on environmental characteristics of wards in general hospitals. Methods: The survey was conducted by questioning inpatients at two general hospitals on the importance rating on emotional design elements of patient rooms, lounges, and hallways. Eighty questionnaires were returned and used for data analyses through SPSS windows version 15.0 statistic package program. Results: 1) In general, female patients considered emotional design of wards as more important than male patients and the most outstanding difference was indicated for patient rooms among patient rooms, lounges, and hallways. For patient rooms the comfortability index was rated as the most important to both female and male inpatient groups, and for lounges and hallways the safety index was evaluated as the most important to both gender groups. 2)For lounges, while male patients rated 'prevention of infection' important among safety relating items, women considered 'accident prevention' more important. It is inferred that female patients have more safety needs and anxiety about physical injury or accidents than male ones do. Implications: It is considered that there need to be further succeeding in-depth studies, e.g. research interviews with inpatient;s family members or other caregivers as well as patients themselves.

• 한국병원경영학회지
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• 제24권4호
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• pp.33-42
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• 2019

Purpose: many domestic welfare programs use the amount of health insurance premiums as a way of measuring individuals' income levels for administrative convenience. As health insurance reform has been made, we examines the income level is still appropriately measured by the health insurance premiums for the employment success package as one of domestic welfare program. Methodology/Approach: we investigate whether the upper limit of the premiums of the self-employed health insured is appropriate or not after healthcare reform, which currently calculated by multiplying the insurance premium of the employee based insured by the adjustment factor (1.2). Findings: we examined appropriateness of the adjustment factors by comparing the premiums before and after the healthcare reform by utilizing the national health insurance data as well as Korea Welfare panel data. We found that the new value of adjustment factor (1.0~1.1) is smaller than the current one (1.2). Practical Implications: to improve the equity between the employee and the self-employed insured after the health insurance reform, the adjustment factor should be lower.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제17권2호
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• pp.7-16
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• 2011

The death toll of the elderly by accidents in 2007 takes 6.5% of total death toll. The lost income from this is estimated to be 17 trillion and 511 billion won. According to CISS of Korea Consumer Protection Board, the number of safety related accidents of the elderly at home in 2006 was 486 cases in 2006 and has gradually increased every year. This thesis created 115 guidelines at 14 spaces as facility evaluation index evaluating the aging friendliness of the facility and safety related accidents generated at elderly resident welfare facility, examined influence variables of safety related accidents with 191 elderly including demographic variable, physical skill variable, social psychological variable and facility environmental variables, and then verified relevance between safety accidents and each influence variable. As a result, it was verified through ANOVA test of SAS Package Program and $x^2$- test that facility environmental variable would be closely related to the accident. In this regard, this study newly proposes the facility standards of aging friendly facility by supplementing them with contents and guidelines of facility evaluation table as ways to reduce safety related facility of the elderly.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제21권3호
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• pp.47-55
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• 2015

Purpose: While medical standard is rapidly improved, welfare of users and employees in hospitals is not treated correspondingly. Intercommunication of hospital users is thought to be very important for their welfare, and provision of conversation spaces within hospital environment needs to be expanded by architectural design. Space organization methods for the design of conversation space is to be embellished. Methods: Literature and hospital designs are analysed in order to develop the basis of argumentation for the hospital conversation space. 15 hospitals are reviewed and designed spaces for the intercommunication of the users are examined, Space organization efforts and design experiments are identified, and 6 organizational methods are proposed such as: 1) reducing territoriality 2) flowing space 3) categorizing and separating spaces 4) height variation 5) contact with outside and 6) Sun-lighted space. Results: 6 organization methods are confirmed in precedent hospital cases, and these proposed methods are applied in a new hospital design project to verify their usefulness. Implications: A hospital design project is presented based on these proposed methods of organization for the conversation space. Outcomes of this study can be applied for the formulation of human intercommunication spaces in other facilities.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제26권2호
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• pp.39-47
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• 2020

Purpose: Clinical laboratory of hospital has been demanded to extension or relocation regarding with the test number increase and analyzer development. Space area criteria per test numbers, lab functions, hospital bed and lab staffs are needed for draft space programing. So, the purpose of this study is to provide the space area guideline of clinical laboratory for space calculation in planning and design the spatial environment. Methods: Literature review has been used in checking the standards and guidelines. And questionnaire surveys to laboratory supervisors in hospitals have been conducted for the data collection. 60 answers have been analysed statistically by MS Excel program. Results: The result of this study can be summarized into three way calculations. The first one shows that the basic standard workspace and distance is applied in lab design. The second one shows that average space area criteria resulted from case studies is applied by 19㎡ per one staff, 0.9~1.0㎡ per one bed, and lastly linear length calculation of workbenches and analyzers on the bench top and floor mount, is multiplying it by the sum of the counter depth plus aisle width. Implications: In updating the space area calculation guidelines, it is necessary to cooperate with medical staffs and designers.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제19권4호
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• pp.19-28
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• 2013

Purpose: The purpose of this study to assess long-term care facilities in Seoul and certificate Seoul-type elderly care facilities. After certification, Seoul city can provide certificated facilities with budget and support to improve service quality. Methods: Questionnaires to elderly care facilities experts and field surveys to facilities in Seoul have been conducted for the data collection. Results: The result of this study can be summarized into three points. The first one is that a direction of operation for Seoul-type elderly care facilities is to improve manpower and provide special program for enforcing quality assurance. The second one is that this study provide index of evaluation for Seoul-type elderly care facilities. The indexes include management, facility environment and safety, service delivery process, and service results. The third one is that management plan for this policy should be carried out. The management plan include demonstration project, opinion research. Implications: Seoul-type elderly care facilities can have positive effects on quality of service. For the introduction of this policy, Seoul city and autonomous Gu have to make careful preparations for this policy.

• 한국병원경영학회지
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• 제10권3호
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• pp.25-44
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• 2005

Despite of increasing importance of management in healthcare administration and demand for the professional managers in hospitals, there have been few studies on the issues of competencies and qualifications of mid-managers for effective role performance. This article uses hospital mid-managers' judgements to discuss them in Korean hospital settings. Based on 67 questionnaires completed through the mail survey, the data were analyzed by chi-square test, t-test, ANOVA, and logistic regression. The result shows that knowledge of management skills in healthcare field is the most necessary area in general. Specifically, 'problem-solving ability' is the most important competency, followed by communication and planning capabilities. The mid-managers tend to consider the hospital employment history more important than the academic level. They also present the willingness to recruit the candidates with bachelor degrees rather than those with master or Ph.D. degrees. It is suggested that the candidate with bachelor degree and hospital employment over 6 to 10 years is the most qualified for a mid-manager in hospitals. The study results presented in the paper will provide the direction to improve the educational program and also the insights toward a advising strategy for job consultation for students majored in health service administration.

• 보건교육건강증진학회지
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• 제31권4호
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• pp.25-36
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• 2014

Objectives: The self-management of chronic diseases is currently receiving much attention. This study applied an extended technology acceptance model (ETAM) to analyze the factors influencing acceptance of a healthcare smartphone application. Methods: Three hundred people living in Seoul and Gyeonggi who used smartphones were quota sampled. A telephone survey was conducted using a structured questionnaire based on ETAM. A path analysis was carried out using the AMOS 17.0 program, and the model was verified. Results: The analysis revealed significant factors of perceived usefulness (.374, p < .001), enjoyment (.210, p < .001), subjective norms (.168, p < .001), perceived costs (.146, p < .001), and innovativeness (.138, p < .001). Cost directly influenced intention to use health applications; self-efficacy and perceived ease of use indirectly affected intention through innovation and perceived usefulness. Conclusions: This study helped to identify the main factors that influence usage intention of smartphone applications. These findings could contribute to promoting the self-management of chronic disease through future health applications using smartphones.