• 한국비블리아학회지
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• 제29권4호
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• pp.179-202
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• 2018

본 연구는 국내 병원도서관 관련 기준 및 현황 파악을 위해 선행연구, 도서관법 그리고 한국도서관기준과 IFLA 가이드라인 비교 및 국내 병원도서관 제공 현황을 조사 분석하였다. 결과, 선행연구는 국외에 비해 매우 미흡한 수준이며 도서관법에서도 병원도서관에 관한 법과 기준이 명확하고 자세하게 제시되어 있지 않은 실정이다. 한국도서관연감을 통해서 병원도서관 통계 및 실태를 파악할 수도 없는 상태이다. 한국도서관기준과 IFLA 가이드라인에 있어서도 구성 및 주요 요소에 차이점을 나타내고 있다. 병원도서관 제공 현황 조사 결과, 조사된 67곳 중 종합병원 49곳(1.3%), 병원 8곳(0.2%), 요양병원 5곳(0.1%), 어린이병원 4곳(0.1%), 군병원 1곳(0.0%) 순으로 병원도서관을 제공하고 있었다. 종합병원 49곳 중 42곳이 상급종합병원인데 이 중 17곳이 병원도서관을 제공하고 있었다. 병원도서관 제공을 위한 가장 시급한 문제는 도서관법, 한국도서관기준의 개정이다. 또한 병원도서관 제공의 의무화, 도서관계 잡지를 통한 홍보, 관련 연구 등이 수행되어야 할 것이다.

• 대한방사선기술학회지:방사선기술과학
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• 제44권5호
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• pp.503-512
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• 2021

The purpose of this study is to check the extent to which "instruction of physician or dentist" defined in the Medical Service Technologists, etc. Act is applied in relation to radiography examination procedures for radiological technologists. In addition, it is intended to present basic data on the requirement to revise the Medical Service Technologists, etc. Act in the radiological technologist's duty area and scope of work, The subjects of this study were radiological technologists with license, and the response data were collected after sending the questionnaire link written on the online questionnaire form. The final number of respondents were 1,018, and the response rate was 6.8%. Most of the negative responses were "I have never received 'instruction' for radiologic examination by a physician or dentist, including a radiologist in a medical environment." There were a high perception that "the professionalism in radiation examination on radiological technologists are higher than that of a physician or dentist." They answered that the current continuing education has a great impact on maintaining and continuing professionalism and learning new knowledge in the radiology field. In addition, the radiological technologists provide a very high level of education in areas related to radiography procedure ethics such as patient care, patient safety, and patient privacy protection, as well as specialized fields such as radiation-related examination methods, radiography examination dose, and patient exposure dose. Radiological technologists replied that they were receiving it consistently. In conclusion, in the current medical environment, the 'instruction' of a physician or dentist cannot be seen as being realistically performed. The phrase 'instruction' of a physician or dentist as defined in the Medical Service Technologists, etc. Act is considered inappropriate in respect of the fact that the state recognizes the qualifications of the medical service technologist through a license. It is thought that revision to a new term suitable for the current medical environment is necessary.

• 보건행정학회지
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• 제27권4호
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• pp.347-358
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• 2017

Background: The recent revision of South Korea's Mental Health Law emphasizes the role of the Mental Health Review Board. For this study, we examined the current status of continuing hospitalization judgement in Mental Health Review Board at the national level and aimed to determine the directions of improvement. Methods: Using a qualitative case study as the research method, we interviewed 30 Mental Health Review Board members and analyzed the results. Results: Each municipality had very different continuing hospitalization judgement methods. In our systematic review, which consisted of document inspection, we identified reliability problems due to limitations in Mental Health Review Board's operating systems, discharge orders, etc. Additionally, continuing hospitalization judgement needs to improve the objectivity, fairness, and effectiveness of their screening examinations. Conclusion: Based on the results of this study, we suggest policy proposals to improve these systems, such as standardizing examination processes, strengthening on-site inspections, increasing the independence and neutrality of judgment in Mental Health Review Board, building community mental health infrastructures, and establishing integrated management systems.

• 대한방사선기술학회지:방사선기술과학
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• 제44권5호
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• pp.525-534
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• 2021

In order to provide high-quality medical services to the public and contribute to the improvement of public health, it is necessary to enact an independent law according to the work of radiological technologists. Therefore, this study intends to review the regulations related to radiographers in the Medical Service Technologists, etc. Act. and to present opinions and directions for enactment of individual laws for radiological technologists. An online survey was conducted to 15,000 radiological technologists working in medical institutions and education sites in Korea; 1,027 people (6.85%) responded. The questionnaire consisted of 3 questions on demographic characteristics, 5 questions on the scope of work, and 12 questions on the revision of the Medical Service Technologists, etc. Act. and the establishment of the Radiological Technologist Independent Act. Reliability and factor analysis were performed on 9 questions measured on a Likert 5-point scale in "Revision of the Medical Service Technologists, etc. Act. and the establishment of the Radiological echnologist Independent Act" among the questionnaire items. Reliability for the total 9 questions was Chronbach α=0.728. There was a high perception that the regulations related to radiological technologists were insufficient in the current Medical Service Technologists, etc. Act., and the perception that examinations performed by radiological technologists at medical institutions were included in medical practice was high. If the Radiological Technologist Independent Act is enforced, a high percentage of respondents said that they could receive legal protection through the institutionalization of the scope of work, that the status of radiological technologists would be improved, and the scope of work would be expanded. The response that the scope of work of radiological technologists should be included was the highest at 96.6%. In the analysis according to demographic characteristics, it was found that 96.7% of the respondents were agreed regardless of the factors. Radiological technologists will have to work hard to secure the public health by coping with new radiology devices, procedures and treatment methods. Therefore, as the results of this study, it is expected that the enactment and implementation of the Radiological Technologist Independent Act will contribute to the improvement of the quality of treatment for patients and to the public health.

• 의료법학
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• 제22권4호
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• pp.37-55
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• 2021

2021년 3월 19일 한국생명윤리학회, 한국의료법학회, 한국의료윤리학회, 대한기관 윤리심의기구협의회는 감염병예방법 일부개정안과 병원체자원법일부개정안을 비판하는 공동성명서를 발표하였다. 이들은 공중보건상 긴급조치가 필요한 상황에서도 기관생명윤리위원회 심의는 필수적이며 생략할 수 없다고 선언하였다. 하지만 우리나라 생명윤리법은 국가나 지방자치단체가 공공복리를 위하여 수행하는 연구는 인간대상연구에서 제외하고 있다. 또한 우리나라 법제는 연구와 감시를 구분하는 이분법에 기초하고 있지 않기 때문에 미국 커먼룰의 논의를 그대로 우리나라에 적용할 수 없다. 국가의 감염병 관리 의무와 기관생명윤리위원회의 조화로운 운영을 위해서는 다음 사안들을 고려하여 제도적 대안을 마련해야 한다. 첫째, 관련 학계는 가장 먼저 우리나라 현행 법률의 문제점에 관심을 기울여야 한다. 둘째, 국가는 감염병 관리 의무를 이행하기 위하여 당사자의 동의 없이 많은 업무를 수행하고 있다는 점을 이해하여야 한다. 셋째, 제도적 대안을 제시할 때 우리나라에서의 집행가능성을 고려해야 한다. 제도적 대안에 대하여 의료법학회 등 관련 학계의 심도 있는 논의가 필요하다.

• 대한정형도수물리치료학회지
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• 제19권1호
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• pp.21-31
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• 2013

Background: The purpose of this survey is to determine the job and task satisfaction of physiotherapists. These are important factors because they are directly connected to both morale and work efficiency. Methods: Data was collected from March 9th, 2013 to April 15th, 2013 using self-administered questionnaires. First, Cronbach Alpha coefficient was used to evaluate date reliability. Further data analysis used mean and standard deviation to determine frequency and satisfaction for each characteristic. To determine the significance of job and task satisfaction, T-test and an analysis of variance were performed. Also, regression analysis was used to find out a relation between job satisfaction of physiotherapist and task satisfaction of orthopaedic physical therapy. Result: This survey includes results from 197 physiotherapists who engage in orthopaedic physical therapy from major, medium and small cities. The general characteristics of survey respondents include: 112 males (56.9%), 85 females (43.1%); 123 in their twenties (62.4%), 56 in their thirties (28.4%), and 18 over forty (9.1%); 156 had less than five years work experience in orthopaedics, 25 had six to ten years, and 16 had more than eleven years work experience. In the physiotherapist's job satisfaction survey (out of 5), males averaged 3.71 and females averaged 3.43. Individuals with less than five years in the career averaged 3.5, 3.69 for between 6 to 10 years in career, 3.87 for over 11 years in career; this showed a significant difference. Results of the sub-factors of job satisfaction were 3.81 for self-esteem and 3.21 for prospect of occupation. Results of task satisfaction in orthopaedic therapy showed a significant difference between 4.03 for males and 3.66 for females. For sub-factors of task satisfaction scores were 3.81 for vision, 4.29 for task adoption, and 3.57 for task recognition. Conclusion: Physiotherapists will be satisfied when their motivation to work and morale are increased by concerns such as improving the education environment, expert physiotherapist adoption issue, and medical law revision.

• 대한물리의학회지
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• 제7권3호
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• pp.241-250
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• 2012

Purpose : The this study was performed to purpose the data basis of medical law revision for home visiting physical therapy established as a legal system in hone visiting health care by researching the need, satisfaction, intention to use, management, expected effects. Methods : We were surveyed for 105 patients who was participated business from home visiting health care in community health center. We choose and modified the questionnaire that was used in previous study about home visiting physical therapy and home visiting program for nurses. The questionnaire was consisted of 4 questions of general characteristics of subject, 6 questions of satisfaction, 4 questions of satisfaction of service status, 2 questions of management. And frequency analysis, ANOVA were used for statically analysis. Results : In general satisfaction, satisfaction of service status, the result were very optimistic, but there were no difference by age. In management, participations of 64.8% was answered to within three years of clinical experence and trained in home visiting physical therapy ask on qualification criteria of physical therapists, and participations of 93.3% was answered to once a week ask on desired number of therapy. Conclusion : In our conclusion, home visiting physical therapy is very useful and effective health care system for satisfaction and need, so home visiting physical therapy expected to have great potential in home visiting health care. In addition, by train to home visiting physical therapist for provide professional physical therapy service provide an institutional base which can be expanded and invigorated home visiting physical therapy.

• 대한기관윤리심의기구협의회지
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• 제1권2호
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• pp.30-42
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• 2019

In pharmaceutical clinical trials as human material research, the collection, use, storage and provision of human materials must be in accordance with the criteria stipulated in 「Bioethics and Safety Act」, except in the case that some criteria about it is in the law related to clinical trials such as 「Pharmaceutical Affairs Act」 and 「Enforcement Rule on Safety of Drugs, etc.」 so these take precedence over. Under 「Bioethics and Safety Act」, the core aspect of the legal standard for obtaining informed consent is the use of statutory form . The use of statutory form ensure that both those who obtain informed consent and those who give it can know the contents contained this form as well as recognize its importance. Thus, the person who has the right to informed consent can sign the statutory form after correct understanding of the contents. In reality, however, some researchers and IRB members determine that only the main informed consent form is to be used because most of contents on statutory from are included in the main informed consent form. Some other researchers and IRB members judge that the use of statutory form is not needed if human materials may only be used for laboratory testing and the rest will not be stored and provided for future use. Most of these determination and judgement is based on the interpretation of the Korea National Institute for Bioethics Policy(hereafter, KoNIBP) on IRB Information Portal Site. But, it is questionable whether the KoNIBP's interpretation is legally valid and the KoNIBP is the legal entity having authority to interpret existing statute. In some cased not only using the main informed consent form including enough information about the collection, use, storage and provision of human materials but also collecting necessary minimum human materials, and discarding the rest, unusing the statutory form may not cause the problem to respect and protect the research participant's rights. Therefore, the provision stipulating the criteria about the use of statutory form as the legal standard of obtaining informed consent that applies all human material research without exception should review to revise. At least, straighten out the confusion surrounding whether or not the statutory form is to be used, before the revision of related provision, considering the logical opinions of some researchers and IRB Members, the Ministry of Health and Welfare as the legal entity having authority to interpret existing statute should represent its opinion about permission of the acceptable exceptions.

• 수산해양교육연구
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• 제26권6호
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• pp.1278-1295
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• 2014

The Sixteenth Meeting of the Conferences of Parties of the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES), which was held in March 2013 in Bangkok, Thailand, listed five shark species and one genus, and uplisted one sawfish species. All new species listings will be come into force of the eighteen months delay, on the fourteenth of September, 2014. The purpose of the delay is to support the preparation of the domestic measures on shark trade by the parties, as there has been no previous experience in trading the commercially exploited aquatic species in the CITES. The CITES Secretary-General has visited several potential shark trade countries to encourage and facilitate the implementation of the new CITES listings. The newly listed sharks have been caught as a target or non-target species by Korean distant water fisheries and introduced into Korea. So the establishment or change of the domestic laws, regulations, and measures for the implementation of the new CITES species must be prepared before the effective entry date. This paper is prepared to assess the effects of the trade of the CITES listed shark species, and to suggest effective government service measures for the management of Korean distant water fisheries. The Ministry of Environment (MOE) is the general Management Authority of the CITES, and the Ministry of Food and Drug Safety (MFDS) is in charge of the medical trade of CITES listed species in Korea. By law, all imported medicines and medical materials must be inspected by the MFDS during the customs examination; this kind of authority sharing is reasonable and effective way of providing government service. Similarly, the designation of new CITES Management Authority for the trade of commercially exploited aquatic CITES species is critical and the Ministry of Oceans and Fisheries (MOF), which is now in charge of the trade of fisheries products, is the most appropriate governing body for this purpose in Korea. The revision of the National Plan of Action for Conservation and Management of Sharks, initially submitted to the Food and Agriculture Organization (FAO) of the United Nations in 2011 as a practical guideline for shark conservation in all Korean fisheries, could be a effective measure to achieve unification of conservation of endangered species and sustainable use of fisheries stocks. The proper CITES measures for the trade of listed species, such as the establishment of the documenting system for Non-detriment Findings, domestic measures suitable for the "Introduction from the Sea" clause, species specific Harmonized System Codes for the customs service, and an effective shark catch data reporting system should be in place prior to the fourteenth of September 2014.

• 보건행정학회지
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• 제8권2호
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• pp.125-148
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• 1998

Accurate vital statistics are essential for a national health planning and evaluation. Among various vital statistics, birth and death rates, and infant and matemal mortality rates together with the causes of death are the very basic ones for above purposes as well as for the maternal and child health management. These statistics are based on the birth and death reports. It is required by law to report every birth and death within one month after its occurrence. However, in case of a neonatal death occurring prior to the birth report, most of the birth and death are not reported. Thus accurate infant and maternal mortality rates are not available yet in Korea. The main objective of this study is to develop a birth and infant death reporting system via computer network. We designed a new birth report form based on the current form and data from the analysis of medical record forms of 14 hospitals. A new form is basically addition of essential medical information to the current birth report form. Since a revision of the rules and regulations related wtih the birth report is necessary to use a new form, we kept the current from intact to make it acceptable to the government office for a field trial. We also developed computer programs for data input for birth and death reports at a medical faciltiy, data processing for production of maternal and child health indices at a health center, and management of maternal and child health services including immunization and postantal care at health center. The birth certificate and birth report can be printed out at a medical facility. The computer packages were programmed by Borland Delphi 3.0 and can be run under Windows 95 system. We proposed a new birth and death reporting system via computer network after a field trial for data input, transmission, and processing. The medical and demographic data o birth and death at medical facilities will be sent to health centers directly via computer network. The health center will retain the medical data for analysis and forward only the data for birth and death reports required by current regulations to the Dong, Up, or Myun Office. Once the birth or death is reported via computer network to the Dong Office, then the Dong Office will notify the baby's mother of the birth report and request to submit the baby's name by mail. When the baby's name its submitted. the Dong Office will forward the birth reports to the Common Court and Statistics Agency in the same way as the current system, Upon the completion of birth registration of the Common Court, the court will issue the birth certificate to mother which will be used in lieu of the family record. The advantages of proposed birth and death reporting system via computer network ar as follows ; I) The accuracy, timing, and completeness of reporting will be improved and more accurate maternal and child health indices can be obtained, ii) The maternal and child health services of health center will be obtained, iii) Epidemiologic data for pregnancy and birth can be obtained, iv) Manpower for birth and death reporting will be saved.