• 한국의료질향상학회지
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• 제21권1호
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• pp.52-61
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• 2015

Objectives: Because recently hospital had to faced with financial hardship, we have to have more effective hospital management. The purpose of this study was to reduce loss costs of the hospital through the systematic management of medical supplies and increase operational efficiency. Methods: The team was composed of outpatient nursing staff, medical record administrator, nurses in medical insurance, medical computer center, dermatologists for this study. We surveyed for 114 people including outpatient nursing staff, nurse aids, medical assistant, physician assistant. Pre-survey period was 2013.03.11 ~ 03.30(2 weeks), and post-survey period was 2013.09.03 ~ 09.17(2 weeks). Result: We improved this way through the computational improvement, conservation campaigns, inventory management, staff training, replaced by low-cost medical supplies. The finding of this study were as follows: Comparing before and after the activity of outpatient nursing staff's degree of knowledge, performance, economic consciousness, the degree of knowledge, performance was increased, but there was no significant change in economic consciousness. Performance of Married person is higher than the unmarried, In addition, the high-position people were more the degree of knowleage, economic consciousness. After activity, correlation of goods and treatment, examinations is increasing, but statistically there was no mean. Conclusion: This study revealed that knowledge in a short period of activity, but also can improve, perform the same change in behavior is not easy. This one shows the intensive training required to sustained and systematic behavioral changes, such as changes in behavior, perform rituals to help the economy. Expensive medical supplies to replace a similar effect as the cost of materials just to have a lot of cost savings. Therefore, more medical supplies change is necessary to develop alternative treatment and cost cutting.

• Journal of Preventive Medicine and Public Health
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• 제7권1호
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• pp.163-173
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• 1974

A study on the health care of Ewha Womans University staff, faculty and families was conducted during the period from March 1973 to August 1974 using designed questionaire. A total of 196 persons who were randomly sampled as 27.3% of the total staff and faculty 789 were studied. The response rates were 96.0%. The results and findings obtained from the study are summerized as follow. 1. The sex ratio of the members the faculty and the staff shows 83.2% and the singles are 37.2% of the total. Their mean family size being 4.6 persons per capita, each family has mean number of 2.3 childeren. 2. The median monthly income of a member of faculty amounts \114,000 and that of a staff \43,077. It amounts \79,333 when the median monthly income of both the members of the faculty and the staff are taken. Consequently, it amounts \91,727\ per family (Assumed mean). 3. 71.4% of the total hold the house of their own. A spouses of 59.4% of them are working for the additional income of the family. 4. Their health condition is rated fair, i. e. 92.3% of them enjoy good health. Out of total members faculty and the staff, 20.6% are cared by family physician. 36.2% of them feel that they are burdened by heavy medical expense. 5. 76.7% of them have affirmatively responded that they would purchase medical insurance policy when they were offered. It reaches 84.0% of the total who consider buying the policy for their dependents. 74.0% of them desire to purchase the policy for their spouse's parents. 6. The monthly prevalence rate reaches 17.0% and the hospital admission rate 4.7%.12.3% of them affirmatively responded that they had chronic diseas. The number of sick call per capita counts 0.2 per month and the hospital admission rate 0.05. 7. To examine the nature of their disease, the respiratory disease is rated to be the top and the gastro-intestinal disease comes to the next. As far as chronic disease is concerned, the gastro-intestinal disease is predominent. 8. As to their treatment, 65.4% of them get the physician's treatment and 17.0% treatment of drug purchasing and 7.7% prefer Chinesedrug. 6.6% of them gets no medical treatment at all. 9. The treatment ratio, including drug purchasing and other means, reaches 93.4%. 60.7% of them affirmatively responded that they did not or could not get physician's treatment at least once even though they thought they had to. It is disclosed that 25.4% of them are caused by economical reason. 10. Average medical expense per case amounts \7,116 and monthly medical expense per capita \1,345. Consequently, average monthly medical expense per family amounts \6,185. 11. The medical expense of a family is rated 7.7% of total earnings of the same period.

• 산업융합연구
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• 제22권3호
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• pp.91-100
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• 2024

허혈성 심장질환은 재발의 위험이 높고, 재발 시 사망률이 더욱 증가하므로, 재발 예방을 위해서 운동과 식이요법 등 건강행위의 실천이 중요하다. 관상동맥질환자의 규칙적인 운동에 대한 동기를 유발하기 위해서는 의료인의 건강행위 권고가 필요하다고 알려져 있으나, 의료인의 권고가 대상자들의 운동이행에 어떠한 영향을 미치는 지에 대한 연구는 드물다. 이에 의료인의 식이 및 운동 권고가 규칙적인 운동이행에 미치는 영향을 파악하고자, 2018년 7월 4일부터 2019년 7월 30일까지 서울 소재 2개 대학병원 순환기내과에 관상동맥조영술을 위해 입원한 환자 219명을 대상으로 서술적 조사 연구를 실시하였다. 연구 결과, 의료인으로부터 운동이행 권고를 받은 경우(OR 3.52, p=.036), 식이이행 권고를 받은 경우(OR 6.48, p=.022), 운동자기효능감이 높은 경우(OR 1.36, p=.001), 경제 상태가 좋은 경우(OR 7.59, p=.007), 주관적인 건강 상태가 좋은 경우(OR 0.31, p=.047), 규칙적인 운동이행에 긍정적인 영향을 주었다. 따라서 의료인은 규칙적인 운동과 건강한 식이에 대해 환자 맞춤형 권고를 강화할 필요가 있고, 운동자기효능감 증진 프로그램을 개발하여 참여를 유도할 필요가 있다. 향후 의료인 권고의 정도나 방법에 따라 관상동맥질환자들의 자기 관리 실천에 미치는 영향을 파악하는 연구를 제언한다.

• Child Health Nursing Research
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• 제22권2호
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• pp.107-116
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• 2016

Purpose: Involvement of families in rounds is one strategy to implement patient- and family-centered care to help families get clear information about their child, and be actively involved in decision making. The purpose of this paper was to identify the major concepts of family-centered rounds for hospitalized children. Methods: We searched five electronic databases for relevant articles and used Whittemore and Knafl's integrative review methods to synthesize the literature. Articles published between June 2003 and January 2016 were reviewed and through full text screening 24 peer-reviewed articles were found that met the selection criteria for this review. Results: Through in-depth discussion and investigation of the relevant literature, four overarching components emerged: (a) cognition of parents and medical staff, (b) effective communication, (c) collaboration of family and medical staff, (d) coaching of medical staff. Conclusion: For successful family-centered rounds positive cognition is important. Appropriate communication skills and consideration of multi-cultural family can lead to effective communication. Offering consistent and transparent information is important for collaboration between family and medical staff. Prior education on family-centered rounds is also important. Four major components have been identified as basic standards for implementing family-centered rounds for hospitalized children.

• International journal of advanced smart convergence
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• 제9권4호
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• pp.132-138
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• 2020

Worldwide, the number of corona virus disease 2019 (COVID-19) confirmed cases is rapidly increasing. Although vaccines and treatments for COVID-19 are being developed, the disease is unlikely to disappear completely. By attaching a smart sensor to the respirator worn by medical staff, Internet of Things (IoT) technology and artificial intelligence (AI) technology can be used to automatically detect the medical staff's infection symptoms. In the case of medical staff showing symptoms of the disease, appropriate medical treatment can be provided to protect the staff from the greater risk. In this study, we design and develop a system that detects cough, a typical symptom of respiratory infectious diseases, by applying IoT technology and artificial technology to respiratory protection. Because the cough sound is distorted within the respirator, it is difficult to guarantee accuracy in the AI model learned from the general cough sound. Therefore, coughing and non-coughing sounds were recorded using a sensor attached to a respirator, and AI models were trained and performance evaluated with this data. Mel-spectrogram conversion method was used to efficiently classify sound data, and the developed cough recognition system had a sensitivity of 95.12% and a specificity of 100%, and an overall accuracy of 97.94%.

• 복식
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• 제61권5호
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• pp.139-146
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• 2011

In South Korea, hospital clothes for medical staff, which require high performance and functionality, are still regarded just as uniforms. Few researches have been made into the underwear for operating room staff, which is intended to protect medical staff against possible risks happening during an operation and allow them to do their job in an easy and comfortable manner. In order to present a new design of underwear for operating room staff at general hospitals in South Korea, an investigation was made into medical staff's preference for overseas brand samples, and it was found that they preferred to wear such clothes as are blue-colored, of a V-neck line, of a box style and has good absorptiveness and breathability. After developing the primary prototype and the conventional underwear for operating room staff at Hospital A, their appearances were evaluated, and it was found that the primary prototype was more favorably evaluated. After developing the secondary prototype, their preference for the colors and shapes was surveyed, and it was found that they preferred to wear No.6 blue colors and T/C materials. In conclusion, it is considered that a systematic research need be conducted into the designs of various hospital clothes, whose roles and functions are subdivided, including the underwear for operating room staff developed in this research.

• Perspectives in Nursing Science
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• 제6권1호
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• pp.77-83
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• 2009

The number of nurses per bed at acute-stage hospitals is quite low in Korea compared with other OECD countries. In order to prevent the degradation of the quality of inpatient nursing services due to insufficient nurse staffs, the national health insurance introduced the differentiated nursing care fee system. This did not work as a motive for inducing the employment of nursing staff due to insufficient cost compensation. Because of insufficient nursing staff, family members have to stay with the patient or patients have to hire a personal care attendant. This increases the burden and cost to families. For the activation of hospitals without guardians, there should be policies for raising additional nursing staff such as standardizing jobs among nursing staff, particularly between nurses and nursing assistants, setting adequate standards of staffing in nursing according to medical service, substantiating the cost of nursing under the differentiated nursing care fee system, improving the medical fee system of hospitals without guardians including health insurance payment, supplying nursing staff stably through improving their working conditions such as providing child rearing services and salary increase, clarifying the qualification of personal care attendants working at acute.stage hospitals, developing indexes for assessing the quality of nursing care services, and monitoring for the management of uniform quality.

• 디지털융복합연구
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• 제20권5호
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• pp.119-128
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• 2022

오늘날 중국의료기관에 종사하는 구성원의 업무량은 여전히 증가하고 있으며 이에 따라 초과근무도 증가하고 있다. 초과근무의 빈도는 조직신뢰와 직접적인 관계가 있다. 기존의 연구는 대부분 초과근무를 하나의 변수로 보고 연구해 왔다. 이를 기반으로 본 연구는 초과근무를 자발적 및 비자발적 초과근무로 구분하였다. 중국의료기관에 존재하는 초과근무 현상이 구성원의 조직신뢰에 어떤 영향력을 미치는지에 대해 연구할 필요가 있다. 또한, 개인성취가 초과근무와 조직신뢰 사이에서 매개변수로서의 매개효과를 탐구했다. 본 연구의 분석결과를 통해 구성원의 자발적 초과근무와 비자발적 초과근무는 모두 조직신뢰에 긍정적인 영향을 미치는 결과를 보여주었다. 또한, 본 연구의 결과는 개인성취가 초과근무(자발적/비자발적)와 조직신뢰 사이에서 매개효과가 있음을 보여준다. 전반적으로 본 연구는 의료진의 초과근무(자발적/비자발적)가 조직신뢰에 미치는 영향을 탐색하는 데 중점을 두고 구성원의 조직신뢰를 높이려는 방안을 제시하였다.

• 품질경영학회지
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• 제51권3호
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• pp.381-401
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• 2023

Purpose: The purpose of this study was to understand the perception of medical staff to propose an infected patient transport robot as a means of responding to infectious diseases. Methods: The data collected through the survey was analyzed through AHP analysis. The measurement tools used in this study were derived through the SERVQUAL model and Focus Group Interview(FGI), and consisted of four detailed questions for each of five classes: tangible, reliability, responsiveness, assurance, and empathy. Results: As a result of the study, there are concerns about risk factors that may occur in areas where medical staff intervention is minimized. Above all, we confirmed the consensus that safety should be the top priority during the process of robots to transport patients. In particular, highlighted were the resolution of device errors that may occur during the process for transporting patients and easy provision of the first aid. Additionally, the ability to monitor patients and suppress infection factors turned out to be important, which was directly related to the simplification of the role of medical staff and work efficiency. Conclusion: As one of the means of effectively controlling infectious diseases in a pandemic situation, a robot to transport the infected patient was considered. However, in order to commercialize this, specific verification of the safety of medical staff and patients is needed, and empirical data on providing the first aid, patient monitoring, and infection factor suppression should be presented.

• 한국병원경영학회지
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• 제11권3호
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• pp.56-72
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• 2006

This study aims to deal with hospital staff's recognition on the opening of the medical services market, their attitude to the opening - agreement and disagreement, and their intention to use a foreign hospital or to consult its doctors again. It was conducted for 450 employees of one university hospital located in Gyeonggi Province, Korea with systemized questionnaires. The main results of this study are as follows: First, Medical technicians showed the highest level recognition on the opening of the medical services market. Second, The percentage of agreement to the opening was the highest for medical technicians and lowest for doctors while that of agreement was the highest for doctors and lowest for nurses. For residents, among doctors, the percentage of disagreement was the lower than that of agreement. Third, the intention to use a foreign hospital and to consult its doctor again was the lowest for medical engineers and the highest for doctors. Fourth, The most urgent task for local hospitals to accomplish in response to the opening was the improvement of the diagnosis and treatment technologies for nurses, and the improvement of the service provided by the hospital staff for the others. For doctors, in particular, the improvement of the diagnosis and treatment technologies was just the fourth urgent task. In conclusion, the result varies to the type of occupation. Apparent difference was found for doctors, in particular, that seem to be directly affected by the opening of medical services market. Local hospitals and doctors, therefore, should make efforts together to improve the diagnosis and treatment technologies. All the hospital employees of every type of occupation, meanwhile, need to prepare for the opening with medical service of improved quality.