• 벤처혁신연구
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• 제6권1호
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• pp.181-198
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• 2023

본 연구는 의료기관에 종사하는 근로자들의 조직지원인식이 내재적 직무동기에 미치는 영향 관계를 분석하고, 이 과정에서 일-가정 갈등 및 일-가정 균형요인의 인과관계에 대한 유의성 여부도 확인해보고자 한다. 설문지를 통한 실증분석 결과를 살펴보면 다음과 같다. 첫째, 조직지원인식은 내재적 직무동기 뿐만 아니라 일-가정 균형에 유의적인 양(+)의 영향을 미치는 것으로 확인되었고, 일-가정 균형은 내재적 직무동기에 유의적인 양(+)의 영향을 미치는 것으로 확인되었다. 둘째, 조직지원인식은 일-가정 갈등에 유의적인 음(-)의 영향을 미치는 것으로 확인되었으나, 일-가정 갈등은 내재적 직무동기에 유의적인 영향력이 없는 것으로 확인되었다. 셋째, 의료기관 종사자들의 직무스트레스를 줄이기 위해서는 직무강도를 줄이고 능력에 적합한 업무량을 부여하며, 인력운영 및 업무효율성을 제고하기 위해 직무교육과 적재적소의 인력배치가 필요하다. 넷째, 긍정적인 조직지원인식과 내재적 직무동기 향상을 위해서는 현 직장에 대한 애착심을 높일 수 있고 다양한 유인체계로 조직의 문제를 자신의 문제로 인식할 수 있도록 지원 및 제도적 장치를 마련하여 장기근속을 유도하여야 한다. 본 연구의 한계점 및 향후 연구 방향은 다음과 같다. 첫째, 전국의 의료기관 종사자들을 지역별, 성별, 의료기관별, 학업별, 소득별 등으로 분류하여 확장된 분석을 실시하면 더 가치있는 결과를 얻을 수 있을 뿐만 아니라 의료서비스 품질에 대한 평가도 가능할 것으로 사료된다. 둘째, 의료기관 종사자들이 속한 병원의 환경 불확실성이나 경쟁 정도에 따라 직장에서의 일과 개인적인 삶의 균형 지원제도에 대한 영향력이 종업원마다 미치는 정도가 다를 수 있으므로 이를 반영할 필요가 있다. 셋째, 조직지원인식은 조직문화와 조직형태 그리고 조직규모 및 업무특성, 근무연수, 근무유형 등에 따라 다르게 인식될 것이므로 이를 반영할 필요가 있다. 넷째, 최근 정부의 의료기관 정책에 대한 변화와 글로벌 경영환경에 발맞추어 병원들의 조직구조, 직무설계, 조직지원 방식, 동기부여 접근방식, 인사고과의 평가 방법 등 다양한 신 인사관리 기법들을 설문지에 추가하여 분석하는 것이 필요하다. 또한 최근 및 가까운 미래의 의료 트렌드를 반영해서 분석하는 것도 중요하리라 사료된다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권sup3호
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• pp.185-190
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• 2016

Breast cancer is the first or second malignancy among women worldwide. Illness perception (IP) and quality of life (QoL) are major issues considering breast cancer management. An attempt was here made to inspect the predictive variables influencing IP and their impact on QoL in cancer patients. The key predictors adapted from previous studies including life satisfaction, perceived social support, self-esteem, hope, optimism, and spiritual well being were taken into account. Our sample included 200 female volunteers suffering from breast cancer applying exclusion criteria. The data were collected using various questionnaires and statistically analyzed by means of path analysis and structural equation modeling. The results revealed that of the six predictors, spiritual well being and social support had direct effects on QoL and IP. The only path with significant indirect correlation with IP was social support. Spiritual well being had the second significant direct effect on IP. Self-esteem occupied the third rank in direct effects on both QoL and IP. In conclusion, here in Iran and most likely in other strongly religious communities, spiritual intervention is an effective strategy to raise QoL. Also social support helps women suffering from breast cancer to experience better conception and coping strategies.

• 한국정보시스템학회지:정보시스템연구
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• 제29권1호
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• pp.93-111
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• 2020

Purpose The purpose of this paper is to observe the relative priorities of importances among the modified versions of Block chain system, being based on AHP decision support model which should be also proposed in this paper. Design/methodology/approach Four versions modified from the beginning of Block chain were divided into Public& Permissionless, Private&Permissionless, Public&Permissioned and Private&Permissioned types. Five criteria for evaluating the four versions whether the version were suitable for Medical information system were introduced from five factors of Technologies Accept Model, which were Security, Availability, Variety, Reliability and Economical efficiency. We designed Decision support model based on AHP which would select the best alternative version suitable for introducing the Block chain technology into the medical information systems. We established the objective of the AHP model into finding the best choice among the four modified versions. First low layer of the model contains the five factors which consisted of Security, Availability, Variety, Reliability and Economical efficiency. Second low layer of the model contains the four modified versions which consisted Public&Permissionless, Private&Permissionless, Public&Permissioned and Private& Permissioned types. The structural questionnaire based on the AHP decision support model was designed and used to survey experts of medical areas. The collected data by the question investigation was analyzed by AHP analysis technique. Findings The importance priority of Security was highest among five factors of Technologies Accept Mode in the first layer. The importance priority of Private&Permissioned type was highest among four modified versions of Block chain technologies in second low layer. The second importance priority was Private&Permissionless type. The strong point of Private&Permissioned type is to be able to protect personal information and have faster processing speeds. The advantage of Private& Permissionless type is to be also able to protect personal information as well as from forging and altering transaction data. We recognized that it should be necessary to develop new Block chain technologies that would enable to have faster processing speeds as well as from forging and altering transaction data.

• 대한한방부인과학회지
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• 제34권3호
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• pp.49-64
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• 2021

Objectives: This study analyzed medical records and online survey of mothers who received herbal medicine treatment using the Jeollabuk-do Postpartum Health Support Project. Through this, we would like to discuss the proposal of a postpartum questionnaire of korean medicine for the initial examination, and the project direction. Methods: This study investigated the medical records of 46 mothers who received herbal medicine treatment using the Jeollabuk-do Postpartum Health Support Program at one korean medical hospital. The mother's general characteristics, past history, symptoms, and herbal medicine prescription were analyzed. In addition, through the 33 mothers who responded to the online survey questionnaire, 13 items including medication satisfaction, lactation, and side effects were investigated. Results: The average age of the subjects was 34.46±4.27 years. Musculo-skeletal pain was the most common in both medical records and online surveys. The date of visit from the date of delivery was 47.56±57.15 days. Boheo-tang was prescribed the most, and 84.8% of mothers answered positively about their health after taking herbal medicine. Conclusions: The satisfaction of mothers who received herbal medicine treatment through this project was very high. There were no significant side effects on the mother and the breastfeeding baby who took herbal medicine. In the future, support projects for postpartum korean medical treatment at the national or local level will be necessary.

• 대한약침학회지
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• 제22권4호
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• pp.260-268
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• 2019

Objectives: The Clinical Decision Support System (CDSS), which analyzes and uses electronic health records (EHR) for medical care, pursues patient-centered medical care. It is necessary to establish the CDSS in Korean medical services for objectification and standardization. For this purpose, analyses were performed on the points to be followed for CDSS implementation with a focus on herbal medicine prescription. Methods: To establish the CDSS in the prescription of Traditional Korean Medicine, the current prescription practices of Traditional Korean Medicine doctors were analyzed. We also analyzed whether the prescription support function of the electronic chart was implemented. A questionnaire survey was conducted querying Traditional Korean Medicine doctors working at Traditional Korean Medicine clinics and hospitals, to investigate their desired CDSS functions, and their perceived effects on herbal medicine prescription. The implementation of the CDSS among the audit software developers used by the Korean medical doctors was examined. Results: On average, 41.2% of Traditional Korean Medicine doctors working in Traditional Korean Medicine clinics manipulated 1 to 4 herbs, and 31.2% adjusted 4 to 7 herbs. On average, 52.5% of Traditional Korean Medicine doctors working in Traditional Korean Medicine hospitals adjusted 1 to 4 herbs, and 35.5% adjusted 4 to 7 herbs. Questioning the desired prescription support function in the electronic medical record system, the Traditional Korean Medicine doctors working at Korean medicine clinics desired information on 'medicine name, meridian entry, flavor of medicinals, nature of medicinals, efficacy,' 'herb combination information' and 'search engine by efficacy of prescription.' The doctors also desired compounding contraindications (eighteen antagonisms, nineteen incompatibilities) and other contraindicatory prescriptions, 'medicine information' and 'prescription analysis information through basic constitution analyses.' The implementation of prescription support function varied by clinics and hospitals. Conclusion: In order to implement and utilize the CDSS in a medical service, clinical information must be generated and managed in a standardized form. For this purpose, standardization of terminology, coding of prescriptions using a combination of herbal medicines, and unification such as the preparation method and the weights and measures should be integrated.

• 한국응급구조학회지
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• 제15권3호
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• pp.5-17
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• 2011

purpose : The purpose of this study was to analyze the effect of basic life support performance by video simulation training. Methods : The subjects in this study consisted of 24 persons of experimental group and 24 persons of control group in freshmen and sophomore EMT students. The data were collected from September 1 to 30, 2010. Results : 1. Hypothesis one: experimental group is meaningful higher than control group at the operation point (p<0.05) of adult/infant's basic life support for one person. In subcategory that identifying breath, artificial respiration, pulse rate, 30 compressions, Ability to perform all the processes, the experimental group showed statistically higher score (p<0.05) than control group, and sequence from checking reaction to keeping airway management isn't statistically significant difference between experimental group and control. 2. Hypothesis two: In the hypothesis, the experimental group's point of adult basic life support by two persons and use of Automated External Defibrillator is good in experimental group than control group's point(p<0.05). As the result of researching 11 contents of check list about adult basic life support by two persons and Automated External Defibrillator(AED), by dividing into 7 subcategories, every subcategory shows that the experimental group is significant higher than control group(p<0.05). 3. Hypothesis three: In the hypothesis, the experimental group gets higher point of infant basic life support by one or two persons than the control group (p<0.05). As the results of researching 15 contents of check list about infant basic life support by one or two persons, by dividing into 8 subcategories, the experimental group is statistically meaningful higher (p<0.05) than the control group in process of keeping airway, indentifying breathing, identifying pulse, 30 compressions, Ability to perform all the processes. There isn't statistically significant difference between the groups in process of checking reaction, reporting 119, and artificial respiration by giving 2 breaths(p<0.05). Conclusion : As summarizing the results, the group, receiving using video, gets higher points of knowledge of basic life support and operating skill than the general educated group. It is found that the Video simulation training could be effective, because of these positive effects to improve clinical working performance of students, who participate in the department of Emergency Medical Technology.

• 농촌의학ㆍ지역보건
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• 제27권1호
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• pp.65-78
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• 2002

This study was conducted to identify the social support to living alone elderly in some rural communities and the level of life satisfaction. For the purpose of this study, face-to-face interviews and questionnaire were performed with 315 old people(male 43 and female 272) aged over 65 living alone in rural communities covered by 14 community health posts within Gyeongsangbuk-do Province randomly selected. The followings are summaries of findings; The average score of support from their children was $4.29{\pm}2.73$ out of 8. Variables that showed a significant difference were religion, level of living, type of medical insurance, frequency of meeting with children, time taken from houses of children by usual means of transportation, and subjective health status. It was found that the score of support from children was high for the elderly who had a religion, a good level of living, benefit from medical insurance, a high frequency of meeting with children, or a good subjective health status, or who resided close to their children's houses. The level of the support from friends and relatives showed a significant difference depending on the subjective health status, of which the average score was $4.13{\pm}2.61$ out of 8. The average score of the level of life satisfaction was $6.83{\pm}4.24$(male $7.60{\pm}4.09$ and female $6.71{\pm}4.26$) out of 17. Male elderly showed the higher level of life satisfaction than female elderly. Variables that showed a statistically significant difference in the level of life satisfaction were religion, level of living, medical insurance, hobby, children, disease, subjective health status, and ADL. That is, the level of satisfaction with life was found to be higher for the elderly who had a religion, a good level of living, benefit from medical insurance, a hobby, children, no diseases, or a good ADL, or who thought that they are healthy. The regression analysis with support from children as a dependent variable showed that the level of support from children was higher for the elderly who had a good level of living, frequency of meeting with children, or a good subjective health status. The regression analysis with the level of support from friends or relatives was higher for old people who had a good level of living. The regression analysis with the level of life satisfaction as a dependent variable showed that the factors which related to the level of satisfaction were sex, religion, level of living, hobby, ADL, and subjective health status. That is, it was found that for male elderly who had a religion, a good level of living or a hobby, or who thought that they were healthy, the level of life satisfaction was higher.

• 정보처리학회논문지B
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• 제17B권4호
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• pp.317-326
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• 2010

군 병원에서는 장병들에 대한 진단과 처방 과정을 보다 효율적으로 지원하기 위해 진료 의사결정지원 시스템의 도입이 요구되고 있다. 본 논문에서는 시맨틱 웹 기술을 기반으로 구현된 군 병원을 위한 진료 의사결정지원 시스템을 제안하고자 한다. 이를 위해, 의료 지원에 사용되는 다양한 개념들과 지식들로 구성된 국방 의료 온톨로지와 국방 의료 규칙을 구축하였고, 구축된 온톨로지와 규칙이 환자 진료에 활용되는 것을 보여주기 위해 진료 의사결정지원 시스템을 구현하였다. 또한 진료 의사결정지원 시스템을 통해 작성된 진료 기록들을 활용하여 의미 기반 검색이 수행되는 과정을 설명하였다.

• 한국응급구조학회지
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• 제18권2호
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• pp.45-58
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• 2014

Purpose: This study aimed to investigate the level of knowledge and education regarding basic life support (BLS) among scuba divers. Methods: Data collected from 125 scuba divers in Jeju-do were subjected to frequency, t-test, ANOVA, and Chi-square analyses using the SPSS 18.0 program. Results: 42.1% of the subjects was trained BLS for more than an hour less than 4 hours, and 52.6% of the subjects was trained BLS for less than 3 months in scuba diving institutions. Statistically significant difference was observed in the competence for performing cardiopulmonary resuscitation during BLS education according to gender and age further regarding the necessity of BLS education, significant difference was observed with respect to age, job, academic background, monthly income, and participation period of scuba divers. The divers wished to learn cardiopulmonary resuscitation (72.8%), medical first aid (8.0%), and measures to be taken in cases of trauma (8.0%). The knowledge score for BLS among scuba divers was significantly different depending on the gender, age, marital status and frequency of participation. Conclusion: It is necessary to develop and implement a safety education program for scuba divers.

• 대한한의학회지
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• 제40권3호
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• pp.76-86
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• 2019

Objectives: This study aims to assess the Gyenggi-do support project of Korean medical treatment in subfertility in 2018. And we would like to propose a plan to improve the project by analyzing the results of the project. Methods: We got the medical records of 260 participants that personal information was deleted by the association of Korean Medicine in Gyenggi-do. We collected the participants' characteristics, treatment records, results of treatment, laboratory results and satisfaction survey results. We coded the data and analyzed them using SPSS 23 at 5% significance level. Results: After the treatment, 11.0% of participants became pregnant spontaneously. There was no significant change in blood test before and after the treatment and observation period, and there was no adverse event during the project. After the project, the satisfaction survey was conducted. 84.2% of participants answered that they were satisfied with the result of the treatment. Conclusions: We analyzed the results of Gyenggi-do support project of Korean medical treatment for infertile women in 2017 and 2018. This study suggests the effectiveness and safety of Korean medical treatment for infertile women.