• Journal of The Korea Institute of Healthcare Architecture
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• v.5 no.9
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• pp.81-96
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• 1999

One-year post-occupancy evaluation was performed for a newly built hospital. Total of 133 in-patients were asked to evaluate their satisfaction on a scale of 1-5, and the lowest score was reported on the categories of the following : rest area insufficiency (2.939), inconvenient in-house shop (3.052), and too small patient room (3.065). We suggest several modifications of hospital structure to improve patient satisfaction.

• Korean Journal of Radiology
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• v.22 no.1
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• pp.155-158
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• 2021

• Journal of The Korea Institute of Healthcare Architecture
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• v.6 no.10
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• pp.77-94
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• 2000

The purpose of this thesis is to lay groundwork for the development of emergency care system in metropolitan area. It compares the performance and outcome of the current system with foreign counterparts and investigates the changing aspects of future medical environment. Emergency medical system can be divided into two parts of both pre-hospital care, which refers to the emergency measures taken before arriving at a hospital, and hospital care that is given within a hospital. Pre-hospital care includes on-the-spot expedients, information system and delivery system, whereas hospital care is related to the classification and specialization of medical care facilities. This research focuses on the evaluation of the performance of a rescue party, which is part of pre-historical care system. As a result, it provides valuable material for the development of the emergency medical system in Seoul.

• The Korean Journal of Pain
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• v.27 no.2
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• pp.174-177
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• 2014

Glomus tumors are a rare, benign neoplasm and 75% exist in the subungual region. Extradigital glomus tumors are much more difficult to diagnose because of their atypical location and symptoms. Furthermore, if their symptoms are similar to neuropathic pain, the patient can suffer from misdirected treatment due to misdiagnosis. It is essential to perform careful evaluation of the lesion itself in order to reduce misdiagnosis. Ultrasonography is a useful, non-invasive method that can be easily performed in the pain clinic for local evaluation and diagnosis. We report a case of misdiagnosed glomus tumor in the thigh which was properly diagnosed after ultrasonography.

• Clinics in Shoulder and Elbow
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• v.25 no.3
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• pp.244-254
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• 2022

Radiographic osteolysis after total shoulder arthroplasty (TSA) remains a challenging clinical entity, as it may not initially manifest clinically apparent symptoms but can lead to clinically important complications, such as aseptic loosening. A thorough consideration of medical history and physical examination is essential to rule out other causes of symptomatic TSA-namely, periprosthetic joint infection-as symptoms often progress to vague pain or discomfort due to subtle component loosening. Once confirmed, nonoperative treatment of osteolysis should first be pursued given the potential to avoid surgery-associated risks. If needed, the current surgical options include glenoid polyethylene revision and conversion to reverse shoulder arthroplasty. The current article provides a comprehensive review of the evaluation and management of osteolysis after TSA through an evidence-based discussion of current concepts.

• Korean Institute of Interior Design Journal
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• v.21 no.2
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• pp.215-222
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• 2012

Design-build is expanding gradually in large construction projects over 10billion won, and continue to work in health care facilities is increasing in this way. This constructional method in health care facilities, despite the many advantages, many problems caused by design changes are being raised. Raises the question of design changes on the side of construction contract, such as approval systems have been studied in the field of construction. The purpose of this study design in aspects of architectural planning on changing the grasp of the issues outlined in the ITB and bid evaluation criteria through consideration of the basic plan for improvement guidelines and evaluation criteria is presented. In conclusion, Design build, according to the presence of existing users are more likely to lead to design changes. Thus, hospital architecture, depending on how it is considered that constructional methods. And evaluation items of ITB(Invitation To Bidder) for a large part of the change in the variables evaluated in the hospital building is not suitable for the design build. Instead, the overall shape of the building and department, unit type and size, vertical and horizontal parts of the circulation system in the shape of the building that does not change in structure and etc should be considered for evaluation.

• Journal of The Korea Institute of Healthcare Architecture
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• v.19 no.2
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• pp.19-30
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• 2013

Purpose: The planning and design of hospital generally requires the participation and consultation of skilled experts since it has more complex space program than any other buildings. Therefore, the BIM systems for the planning of hospital have been tried continuously. The purpose of this study is to identify the precondition for space Program validation of healthcare architecture based on BIM, which is recently receiving wide attention. Method: For this study, United States, Australia and Finland's guidelines were analyzed among the description space program validation system in 14 overseas BIM Guidelines. And the propose precondition that can be applied to healthcare architecture from among these description of space program validation items, target, process etc for General building. Result: 1) spatial program validation is the following four evaluation phase. Step 1: Standard setting phase Step 2: BIM model accuracy assessment phase Step 3: space validation phase Step 4: Performance evaluation phase 2) The standards for the building elements at Standards Setting stage is considered to the standards for the architectural elements of General building. 3) Healthcare Architecture Area calculation method is considered to be reasonable that borrowing the area calculation standard of general architecture according to the UIA of international standards. However, Be proposed of measuring method that reflect the efficiency of the design process step-by-step area calculation method. The performance assessment indicators of reflect the Hospital uniqueness have to developed. And the research needs to be carried out continuously according to the purpose for healthcare architecture of feature-oriented. Implications: In this paper like to understanding that precondition of space program validation considering the BIM. As a result, understanding to condition about step of the evaluation, the evaluation standards. Is expected to keep the focus on the development of performance indicators that reflect the uniqueness of the hospital for the efficient evaluation of the Hospital building.

• Korea Journal of Hospital Management
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• v.13 no.3
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• pp.69-93
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• 2008

Rising healthcare cost is a global phenomenon that justifies governments' introduction of 'incentive regulation' plan for the improvement of hospital efficiency. A number of previous studies tried to evaluate the efficiency of healthcare organization by using Data Envelopment Analysis(DEA), a common efficiency benchmarking method. However, there is a concern that this kind of efficiency evaluation could induce "quantity-quality trade-off". Moreover, as quality aspect is especially important in terms of 'effectiveness' of health care, it should be considered in efficiency evaluation of healthcare organization. A number of different models were tried so far to incorporate quality aspect into DEA, however, none is universally recognized as a standard. Thus, in this study, previous quality-incorporating DEA models were categorized into 6 types according to the way of incorporating quality aspect, and strengths and limitations of each type were reviewed with a set of artificial data as an example. Based on this review, a new quality-incorporating efficiency evaluation model, named Quality-adjusted output DEA(QAO-DEA), was suggested. As an exploratory empirical analysis, technical efficiency of human resource were measured with different quality-incorporating DEA models, using 2004 data from National University Hospitals. In conclusion, Quality-adjusted output DEA(QAO-DEA) model seems to be one of the most desirable alternatives to incorporate quality aspect in efficiency evaluation of hospital, and deserves the consideration as a policy tool to induce simultaneous improvement of both efficiency and quality.

• The Journal of the Convergence on Culture Technology
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• v.5 no.3
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• pp.79-84
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• 2019

Based on the assumption that the environmental color of the general hospital would affect the psychological and emotional aspects of the users, this study conducted an emotional evaluation of the environmental color of the lobby of the general hospital. The purpose of the research is to examine the requirements of environmental colors that are more positive and give psychological satisfaction when planning the general hospital's environmental color. For this, eight major general hospitals in Korea were directly inspected for environmental colors, and based on this, color palette was created to conduct an emotional vocabulary evaluation. As a result, it was found that the effects of brightness among the color factors affecting the environmental color sensitivity evaluation were greater, and that the greater the variation in the range of degrees and colors, the more negatively it was found to affect the emotional response.

• Journal of Acupuncture Research
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• v.38 no.4
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• pp.312-319
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• 2021

Background: Lumbar herniated intervertebral disc (LHIVD) is a frequently presented condition/disease in Korean medical institutions. In this study, the economics of thread embedding acupuncture (TEA) was evaluated in a randomized controlled trial comparing TEA with sham TEA (STEA). Methods: This economic evaluation was analyzed from a limited social perspective, and the per-protocol set was from a basic analysis perspective. The cost-effectiveness analysis was based on the change in visual analog scale score, and the cost-utility analysis was based on the quality-adjusted life years. The final results were expressed as the average cost-effectiveness ratio and incremental cost-effectiveness ratio, and furthermore sensitivity analysis was performed to confirm the robustness of the results observed. Results: The cost-effectiveness analysis showed that TEA was 9,908 won lower than STEA, while the decrease in 100 mm visual analog scale score was 8.5 mm greater in the TEA group compared with the STEA group (p > 0.05). The cost-utility analysis showed that TEA was 9,908 won lower than STEA, while the quality-adjusted life years of TEA was 0.0026 years higher than STEA (p > 0.05). These results were robust in the sensitivity analysis, but were not statistically significant. Conclusion: In treating LHIVD, TEA appeared to have cost-effectiveness and cost-utility compared with STEA. However, there were no significant differences between the groups in terms of cost, effectiveness, and utility indicators. Therefore, results must be interpreted prudently; this study was the 1^st to conduct an economic evaluation of TEA for LHIVD.