• 한국의사학회지
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• 제34권2호
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• pp.45-63
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• 2021

This study considers the stages of curriculum development for the integrated curriculum of Pusan National University Graduate School & Hospital of Korean Medicine, and specifically the KAS2021 (announced in 2019), improvement measures for the curriculum of the College of Traditional Korean Medicine, and the case of the College of Medicine. The introduction of integrated curriculum in the College of Traditional Korean Medicine starts from the members (doers)' agreement. In the process of development, the organization that represents the members, the organization that sets up a goal and designs the curriculum, and the organization that executes them should fulfill their own roles. The stage of development and operation should have the support system for manpower, institution, administration, and finance. The curriculum (draft) should be concrete enough to be operated in reality. For the smooth operation of integrated education, it is necessary to secure more full-time teachers than before, and it is also necessary to have an organization fully in charge of monitoring and improving the operation. For the introduction and operation of integrated curriculum in Traditional Korean Medicine education, the members' agreement, institutional change, support system, and the cultivation of manpower for the operation/evaluation/development of curriculum should be considered.

• 동의생리병리학회지
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• 제28권1호
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• pp.9-15
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• 2014

Recently, interest in traditional medicine has increased steadily. Nations having traditional medicine system have been attempting to change it institutionally for the purpose of public application boost in use of traditional medicine. But there are not too many countries which have established the modern system of education and licensing system for traditional medicine with it maintained as a part of a national health care system. The best known examples of nations utilizing traditional medicine are the People's Republic of China, Republic of Korea, Japan, and Taiwan. These countries follow different patterns in the relationship with western medicine according to different social and historical backgrounds. Taiwan has dual medical system as Korean. In this study, we looked through history and the current state of affairs of national health care system in Taiwan, and also found out the licensing system, the educational system, and the curriculum in several universities. thoroughly. Furthermore, we looked into the direction of the policy of Taiwanese health care system which has been becoming an integrated medical system between traditional Chinese medicine and western medicine. With findings based on this study, we deduced implications of a future policy line about the integrated medical system in Korea to minimize conflicts between the concerned parties.

• 대한한방내과학회지
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• 제44권3호
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• pp.366-386
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• 2023

Objective: In this study, a questionnaire survey was conducted for doctors and patients to obtain basic data necessary for the development of an integrated medical system for idiopathic pulmonary fibrosis (IPF). Methods: Questionnaires were developed separately for doctors and patients through an expert group meeting. The survey subjects were recruited online and offline, and finally, responses from 231 doctors and 59 patients were used for statistical analysis. Results: The most important parts in the treatment of IPF for both doctors and patients were the "improvement of respiratory symptoms," "improvement of quality of life," and "prevention of disease progression." Antifibrotic agents were prescribed at a high rate, and 100% of the specialists in Western medicine (WM) and 45.8% of patients reported experiencing side effects. As for the additional payment costs that patients considered as affordable for an integrated medical system, "under 50,000 won (about 38$)" was reported the most in both doctor and patient groups. With regard to the reasons for their reluctance to recommend an integrated medical system for IPF, specialists in WM responded highly to "uncertain evidence for treatment effectiveness." Regarding complementary and alternative medicine therapies that can be beneficial in patients with IPF, "lifestyle management," "diet management," "herb," "relaxation therapy," and "psychotherapy" were ranked high in both doctor and patient groups. Conclusions: In this study, a questionnaire survey on IPF was conducted to review actual treatment status, analyze shortcomings, and identify considerations for the development of an integrated medical system for IPF in the future.

• 의학교육논단
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• 제20권1호
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• pp.6-14
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• 2018

In recent years, Korean medical schools have shown a growing interest in the longitudinal integrated clerkship (LIC) as a means of improving clinical education. Some overseas medical schools have tried the LIC since the 1970s. In the 1990s, several universities in the United States, Canada, and Australia introduced LICs. A variety of studies have confirmed positive results of the LIC. Traditional block-rotation is a discipline-based, inpatient-centered practice. Instead, under the LIC system, a medical student responsible for a panel of longitudinal patients observes developments of their diseases, serving several departments simultaneously. Overseas medical schools have different LIC models depending on their affiliate hospitals' sizes and characteristics. The purpose of this study is to introduce LIC practices in Harvard Medical School and University of California San Francisco, which could be applied by Korean medical schools. This paper also aims to find out the strategies that have been able to help the two US medical schools implement the LIC successfully.

• 한국인터넷방송통신학회논문지
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• 제10권2호
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• pp.167-172
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• 2010

최근 병원에서는 전반적으로 의료정보시스템의 전산화가 진행되고 있으며, 시스템 간에 효율적인 정보 교환을 위하여 HL7, DICOM 등의 의료 표준이 존재한다. 그러나 병원별로 이질적으로 구축된 시스템으로 인해 환자의 의료정보의 데이터 구조가 다르므로 서로 다른 병원 간에 정보를 공유하기 어렵다. 본 논문에서는 XML을 기반으로 하여 다양한 의료정보를 단일 구조로 결합하고, 병원마다 독립적으로 관리되고 있는 의료정보시스템을 일괄적으로 관리하는 통합의료정보 시스템을 제안하였다. 따라서 제안 시스템은 타 병원의 내부 시스템에 따라 별도의 구조를 고려하지 않는 효과적인 정보 공유가 가능하다. 이로 인하여 의료기관들은 환자들에게 시간과 비용의 절감과 함께 정확한 진료를 제공할 수 있게 된다.

• 간호행정학회지
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• 제23권2호
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• pp.211-222
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• 2017

Purpose: To develop staffing levels for nursing personnel (registered nurses and nursing assistants) to provide inpatients with integrated nursing care that includes, in addition to professional nursing care, personal care previously provided by patients' families or private caregivers. Methods: A time & motion study was conducted to observe nursing care activities and the time spent by nursing personnel, families, and private caregivers in 10 medical-surgical units. The Korean Patient Classification System-1 (KPCS-1) was used for the nurse manager survey conducted to measure staffing levels and patient needs for nursing care. Results: Current nurse to patient ratios from the time-motion study and the survey study were 1:10 and 1:11, respectively. Time spent in direct patient care by nursing personnel and family/private caregivers was 51 and 130 minutes per day, respectively. Direct nursing care hours correlated with KPCS-1 scores. Nursing personnel to patient ratio required to provide integrated inpatient care ranged from 1:3.9 to 1:6.1 in tertiary hospitals and from 1:4.4 to 1:6.0 in general hospitals. The functional nursing care delivery system had been implemented in 38.5% of the nursing units. Conclusion: Findings indicate that appropriate nurse staffing and efficient nursing care delivery systems are required to provide integrated inpatient nursing care.

• 대한의용생체공학회:의공학회지
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• 제15권2호
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• pp.121-128
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• 1994

In this paper, MIlS (Medical Image Information System) has been designed and implemented using INGRES RDBMS, which is based on a client/server architecture. The implemnted system allows users to register and retrieve patient information, medical images and diagnostic reports. It also provides the function to display these information on workstation windows simultaneously by using the designed menu-driven graphic user interface. The medical image compression! decompression techniques are implemented and integrated into the medical image database system for the efficient data storage and the fast access through the network.

• 한국정보통신학회논문지
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• 제12권3호
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• pp.500-508
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• 2008

의료정보는 의료기관간의 호환을 위해서 텍스트 기반정보를 위한 HL7과 영상정보를 위한 DICOM과 같은 표준프로토콜로 구축되어야 한다. 하지만 각 의료기관에서 소유하고 있는 장비 및 개발된 정보시스템이 동일하지 않고 자료의 형태 및 사용하는 코드체계가 상이하여 의료기관간에 자료를 교환하고자 할 때는 상당한 어려움이 초래된다. 따라서 의료기관간 효율적으로 정보를 공유하고 교환하기 위해서는 먼저 DICOM 파일의 특성을 분석하고 이를 기초로 한 통합 데이터베이스를 설계해야한다. 본 논문에서 제안한 WISD(Web Interface System based DICOM) 시스템은 각 의료기관에서 전송 받은 DICOM 파일을 의료정보와 영상정보로 분리하고, 표준화된 형식으로 통합데이터베이스에 저장하며, 웹브라우저를 통해 정보의 검색 및 교환을 가능하게 한다. 본 논문에서 구현한 WISD 시스템은 통합데이터베이스와 인터넷을 통해 의료영상과 환자정보를 검색 및 관리할 수 있기 때문에 별도의 시스템도입 및 비용 없이 의료기관간 효율적인 공유를 할 수 있다.

• 전자공학회논문지CI
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• 제40권6호
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• pp.106-117
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• 2003

선진 의료정보시스템은 텍스트 기반 정보를 위한 HL7 표준과 의료 영상 정보를 위한 DICOM 표준을 기반으로 한 HIS(병원정보시스템)/RIS(방사선진단시스템), PACS(의료영상시스템)와 같은 독립적인 시스템이 상호 유기적으로 결합된 형태로 구축된다. 최근 들어 시스템(HIS/RIS, PACS) 상호간의 원활한 정보 교환의 필요성과 환자의 타 병원으로의 이송, 원격진료(Teleradiology) 서비스, 기타 의료 데이터 공유에 대한 필요성이 증가함에 따라 통합의료정보시스템의 개발과 인터넷을 통한 통합검색 및 교환을 위한 적절한 대안이 요구되고 있다. 본 논문에서는 이에 대한 방안으로 XML을 활용한 통합의료정보시스템을 제안하였다. 기존 문서의 XML화를 위하여 HL7과 DICOM 두 표준에서 제안하는 표준 문서의 특성을 분석하고 이를 기초로 통합 XML DTD를 설계하였다. 시스템 구현은 1)HL7 메시지와 DICOM 파일로부터 관련 데이터에 대한 정보의 추출. 2)통합 DTD를 기반으로 한 XML 문서 인스턴스와 XSL 스타일시트의 생성 및 저장. 3)최종적으로 ASP를 사용한 웹 검색 인터페이스를 구현함으로써 웹상에서 데이터의 공유와 상이한 두 표준간 의료 정보의 교환 및 검색을 위한 통합의료정보 시스템을 구현하였다. 본 논문에서 제안한 XML 기반 통합 의료정보 시스템은 의료정보의 통합과 인터넷을 통한 데이터의 교환 및 공유를 가능하게 함으로써 기존 의료정보시스템의 문제점을 해결할 수 있을 것으로 보인다. 또한 XML의 유용성과 확장성으로 기존의 HTML 기반 웹 의료정보 서비스와의 차별화도 기대할 수 있을 것이다.

• Journal of Information Processing Systems
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• 제12권4호
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• pp.741-753
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• 2016

In the medical fields, many efforts have been made to develop and improve Hospital Information System (HIS) including Electronic Medical Record (EMR), Order Communication System (OCS), and Picture Archiving and Communication System (PACS). However, materials generated and used in medical fields have various types and forms. The current HISs separately store and manage them by different systems, even though they relate to each other and contain redundant data. These systems are not helpful particularly in emergency where medical experts cannot check all of clinical materials in the golden time. Therefore, in this paper, we propose a process to build an integrated data model for medical information currently stored in various HISs. The proposed data model integrates vast information by focusing on medical images since they are most important materials for the diagnosis and treatment. Moreover, the model is disease-specific to consider that medical information and clinical materials including images are different by diseases. Two case studies show the feasibility and the usefulness of our proposed data model by building models about two diseases, acute myocardial infarction (AMI) and ischemic stroke.