• 지역사회간호학회지
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• 제13권2호
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• pp.306-320
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• 2002

Purpose: The purpose of this study was to identify health problems and health behaviors of university students and school personnel based on the PRECEDE model, which will be used as basic data for developing a health promotion center. Method: Data were collected from a convenient sample of 878 university students and school personnel at C-university located in Jeju. The data were collected from May to June 2001 using a self report questionnaire. The data were analyzed using descriptive statistics. Result: 1. 17.2% of the school personnel and 36.7% of the university students reported that they were not satisfied with their life. 2. 44.0% of the school personnel and 42.1% of the university students described that they consider themselves healthy in terms of perceived health status. 3. The smoking and drinking rates of the school personnel were 30.4% and 78.5%. respectively. For university students, their smoking and drinking rates were 27.3% and 89.9%, respectively. 4. 91.3% of the school personnel and 88.8% of the university students responded that they were distressed. Conclusion: The findings of this study showed that the university students and school personnel had various types of health problems, and poor health behavior practices, despite their satisfaction for life. They were vulnerably exposed to unhealthy practices. Therefore, it is suggested that a health promotion program should be provided for university students and school personnel in order to help them maintain healthy lifestyles.

• 재활복지공학회논문지
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• 제11권4호
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• pp.287-297
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• 2017

본 연구는 의료기기 안전성에 관한 의료인들의 인식(지식, 태도)과 행동에 관한 기초현황을 파악하여 보고, 직종 간 차이를 평가해보기 위한 탐색적 조사연구이다. 인천광역시에 소재한 900병상 규모의 상급종합병원을 대상으로 설문지를 배포하여 220명의 응답 자료를 분석에 사용하였다. 연구결과, 연구대상 의료인들은 대체적으로 의료기기 종류에 따른 잠재적 위험성에 대한 인식이 갖춰져 있고, 의료기기 안전성 교육의 필요성을 느끼고 있었다. 또한 의료진들의 직종 간 의료기기 안전성에 관한 인식의 차이를 살펴봤을 때, 등급 높은 의료기기를 주로 사용하지만 의료기기 안전에 관한 인식이 가장 낮은 전공의를 대상으로 하는 의료기기 안전교육의 필요성이 크다는 것을 알 수 있었다. 향후 전국규모의 연구를 통하여 자료의 질을 향상하고 결과의 수준을 높이며, 이를 바탕으로 의료기기 안전성 관리에 있어 정책적, 교육적 기반으로 활용할 필요가 있다.

• 간호행정학회지
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• 제22권1호
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• pp.57-66
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• 2016

Purpose: This exploratory study was done to categorize medical personnel's perceptions of burnout and analyzed the characteristics. Methods: Q methodology was applied using a 45 Q-sample categorized on an 11-point scale which was completed by nurses and doctors working at a university hospital in Seoul, Korea. Collected data were analyzed using the PC-QUANL program. Results: Medical personnel's perceptions of burnout were categorized into three types; 33.83% of the total variance was explained. The first type was 'functionally deteriorating pressure' the second type was 'daily powerlessness' and the third was 'achievement-oriented re-energization'. Conclusion: There is a need to establish and apply intervention strategies for each type to alleviate medical personnel burnout and increase work efficiency to qualitatively improve medical services.

• 의료법학
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• 제21권1호
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• pp.33-67
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• 2020

사무장병원은 경제력을 지니고 있으나 의료기관을 개설·운영할 수 없는 비의료인이 의료업계에 첫발을 내딛는 의료인이 경제적으로 자립하기 어려운 상황에서 의료기관 개설 초기에 소요되는 막대한 자본을 감당할 수 없다는 점을 악용하여, 의료인과 공모하여 외형상 요건을 구비한 의료기관을 난립시켜 의료인이 중심이 되어야 하는 의료시장질서를 교란시키고 있다. 또한 사무장병원은 정부로부터 요양급여나 보조금 등 다양한 혜택을 부정하게 수급하여 감으로써 국민건강보험의 막대한 재정 누수를 가져오고 있어 사회적으로 큰 문제를 야기하고 있다. 사무장병원의 개설상의 불법성은 그 개설에 관한 약정을 민사상 무효화하고 의료법상 개설에 관여하는 자 전체에 대하여 형사벌을 가함과 동시에 의료인에게 행정처분을 부과할 정도로 높다. 또한 사무장병원이 개설상의 위법을 인지하고 있음에도 불구하고 이를 묵비한 채 국민건강보험공단에 대하여 요양급여비용을 청구하여 수급하는 행위에 대하여, 국민건강보험법과 의료급여법상의 환수에 더하여 형법상 사기죄, 나아가 이득액에 따라 특정경제범죄 가중처벌등에 관한 법률위반(사기)죄의 처벌, 그리고 민사상 불법행위책임까지 적용하고 있다. 본고에서는 사무장병원에 대한 현행법상 법적 규제와 현재까지의 판례의 태도를 살펴봄으로써, 사무장병원에 대한 규제가 어떻게 이루어지고 있는지 그 현황을 고찰하고, 향후 입법 방향의 토대를 제시하고자 한다.

• 대한간호학회지
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• 제28권2호
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• pp.270-279
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• 1998

Since death is an extremely subjective and unique experience, if we take into account the lack of understanding about death due to the difficulty in methodology, it is very important to try to understand the subjectivity of death. In this respect, Q-methodology that explains and shows the respondent's subjectivity by objectifying his subjectivity is employed as a solution to the questions in this study. Therefore, the purpose of this study was to provide data on how medical personnel should treat their patients, when it comes to death : by finding out the opinions of those who are being treated, namely the patients, and those who are providing the treatment, namely the medical personnel. It also by examined the characteristics and relationships between these two groups on attitudes to death. The results of this study show that medical per sonnel have two(fate-receipient, reality-oriented) types of response and patients have three (religion-dependent, science-adherent, sardonist) types. Medical personnel saw patients as having three (life-attached. traditionalist, death-rejector) types of response and to patients saw medical personnel as having two (rationalist, humanist)types. The relationship between the above-mentioned types will be examined in a coorientation model, the subjectivity of the medical personnel and the patient toward death indicates a relatively high understanding between the two groups under the great proposition of 'death'. Therefore, in their relationship with people who are facing death, the provider of care, namely the medical personnel, should identify the subjectivity of the patient before approaching them. By doing this, they can minimize the conflicts they might experience in establishing a therapeutic relationship, reduce suffering, and help the patient in greeting a more comfortable death. Throughout the study, Q-methodology expands our understanding of coorientation model that has only been approached with R-methodology. This study confirmed Q's potentiality and its validity in human subjective matters.

• 의료법학
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• 제22권3호
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• pp.3-30
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• 2021

의료인의 면허를 제한하기 위해서는 기능적인 측면과 도덕적·윤리적인 측면이 함께 검토되어야 한다. 현재 「의료법」에 규정된 의료인의 결격사유를 '금고 이상의 실형'을 선고받은 모든 범죄로 확대하는 것에 대한 논란이 있다. 그러나 국가 공동체의 질서유지를 위해 법률로 금지한 행위를 한 의료인에 대한 제재가 미흡할 경우, 의료인 전체에 대한 신뢰 저해를 불러올 수 있다. 또한 금고형의 선고는 비난가능성이 높다는 것을 의미한다. 따라서 의료인의 범죄 유형과 관계없이 비난가능성이 높은 형벌을 받을 경우, 해당 의료인에 대한 신뢰뿐만 아니라 전체 의료인, 나아가 국가 보건의료체계에 대한 신뢰확보가 어렵게 된다. 결국 공익의 측면에서도 면허제한 범위 확대는 과잉금지원칙에 위배된다고 볼 수 없다. 그러나 의료행위는 불완전하고 예측 불가능하기 때문에 언제나 악결과가 발생할 개연성이 높다. 따라서 의료행위 중 업무상과실이 발생한 경우, 면허제한은 형사책임과 별개로 해당 의료인의 의료행위 수행 가능성·적정성 등, 기능적인 측면을 세심하게 검토하여 면허제한 정도를 결정해야 한다. 이처럼 의료인의 면허제한에는 다양한 변수에 대한 고려와 전문적인 판단이 필요하기 때문에 독립적인 면허심의 기구를 설치하여 면허관리의 전문성을 확립할 필요가 있다.

• 한국학교보건학회지
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• 제21권2호
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• pp.107-117
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• 2008

Purpose: To investigate the utilization of medical care benefits of school personnel on duty in Seoul. Method: The subjects were 551 workers under Seoul Metropolitan Office of Education(male 301, female 250) who got medical care benefits from March 2000 to February 2005. To analyze the data, frequency, chi-square test, and t-test by SAS package 9.12 were used. Result: The results show that elementary school personnel got the highest ranking, 314(57.0%). Among subjects, 57.2% personnel got accident when they were working on their own duty, 21% during school events and 13.5% were during commutes. They got medical care from orthopedics 75.9%, neurosurgery 7.6%, dental 4%, and 8 male and 2 female died during these days. The most frequent diseases of males and female were fracture and joints related disease. The reason of most health problem was due to injury(92.3%). Conclusion: The results of this study suggest that the continuous health care services like regular health check for school personnel, or social safety network to prevent injury are needed.

• 대한간호학회지
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• 제30권6호
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• pp.1400-1410
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• 2000

Purpose : To determine whether there is a discrepancy between the medical professions perception of what patients should know and that of the patients themselves, we studied patients need to be informed about different aspects of epilepsy and compared findings with medical personnels perceptions of the issue. Methods : Our study population consisted of 39 patients with epilepsy from the inpatient epilepsy unit, and 51patients from the outpatients clinic of the S. University Hospital between July and November 1997. However, the patients who declined to participate or who were not able to understand the directions and content of the questionnaire were excluded. The medical personnel participated in this study were 56 residents or nurses who were working in either Neurology or Neuro surgery Units. The questionnaire with 5 indicating the highest need. The data were analyzed with descriptive statistics, students t-tests, and chi-square. Results : Of the 90 patients and 56 medical personnel studied, the need for lifestyle information such as smoking, drinking, sleep, driving, employment, and marriage was significantly higher from medical personnel than that of the patients(p=0.00). Regarding medical knowledge about epilepsy, the patients group had higher scores in the need for information on the structure of the brain (p=0.00), whereas medical personnel had higher scores on the symptoms of epilepsy. There was no correlation between the length of epilepsy and the need for information on every item on the questionnaire. The patients had higher rank regarding diet, although it was not significantly different from the medical personnel. Regarding antiepileptic drugs and what to do when there is an attack, medical personnel scored higher. The items on which the patients group scored higher than 4.5 were the possibility of inheritance, the factors that might reduce the number of attacks, the period of usage of AED, and the food they have to avoid or the food they have to take to reduce seizure attacks. Conclusions : Our study indicates that the patients group requires higher educational need in the structure of the brain, diet, and surgical treatment, but less in lifestyles and what to do when there is an attack. The educational program for the patients with epilepsy should emphasize medical knowledge with regard to brain anatomy, what to eat and what to avoid, and details of surgical treatment.

• 한국의사학회지
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• 제36권1호
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• pp.23-30
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• 2023

Objective : The role of female medical personnel in traditional East Asian societies was limited. It might be said that there are no known female medical practitioners in the history of East Asian medicine. However, in the case of Joseon, there was a system for female medical personnel, Euinyeo(醫女). After the late 19th century, women's social activities in Joseon were expanded by Christian missionaries who entered Joseon In somehow, and efforts to train female medical personnel were also growing. The authors are trying to get the actual operation aspect of Gyeongseong Women's Medical College, established in 1938 after ten years of effort from establishing the Gyeongseong Women's medical school in 1928. Methods : Through the 『Gyeongseong Women's Medical College Catalog(京城女子醫學專門學校一覽)』 in 1941, owned by the Handok Museum, the authors researched the operation aspects of Gyeongseong Women's Medical College from the application for establishment in 1937 and the opening of the school in 1938 to 1941 when the College Catalog was published. Results & Conclusion : In the early 20th century, when various medical institutions were appearing in Joseon, it could be said that the role of Gyeongseong Women's Medical College is noteworthy with the fact that a specialized medical college for women has been established and operated to train female medical personnel separately.

• 의학교육논단
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• 제18권1호
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• pp.21-25
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• 2016

The government of South Korea and its medical personnel must make a way by which health professionals who have escaped from the Democratic People's Republic of Korea (DPRK) can play a positive and practical role in unification and south-north medical unification while south-north authority talks on DPRK public health and medicine manpower development are not going smoothly. Medical personnel escaped from the DPRK have to be recruited for the interviewer of the national examination, to improve the accuracy of national examination interviews. For those medical professionals who have escaped from the DPRK with 6 years' medical college education, but failed the interview on the national examination, we propose here a course of 3.6 months for them to have a right to apply the Korean Medical Licensing Examinations (KMLE). We also propose that medical professionals who have escaped from the DPRK who have graduated from a 6-year medical college in the DPRK and who are medical doctors over the fifth grade or with more than 6 years of experience can be qualified as unification medical doctors and be exempted from the KMLE, getting the right to go directly into an internship and residency. They should be permitted to work in manpower development projects for the health professions. They should also be given opportunities such as to become psychiatrists who treat the mental illness of persons escaped from the DPRK and people from North Korea after unification. Medical students in South Korea should earn college credits on the topic of medical unification and not only students, but all South Korean medical personnel, should prepare for north-south medical unification with an open mind. A way for each medical college to participate in DPRK manpower development for the health professions through a memorandum of understanding between the medical colleges of the south and north.