• 한국콘텐츠학회논문지
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• 제13권6호
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• pp.370-379
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• 2013

본 연구는 환자 및 보호자의 간병부담을 해결하기 위하여 보건복지부에서 수행한 보호자 없는 병원 시범사업에 대한 도입배경, 운영방법, 실시성과, 제한점 등에 대한 사례를 검토하고, 이를 토대로 향후 보호자 없는 병원의 제도 도입 필요성, 운영방법 등 제도화 방안을 도출하고자 수행되었다. 보건복지부 시범사업은 2007년 보호자 없는 병원 시범사업과 2010년 간병제도화 시범사업, 두 차례에 걸쳐 실시되었다. 2007년 시범사업의 결과를 살펴보면, 환자보호자의 간호간병서비스에 대한 만족도는 9.1점(10점 만점)으로 높았고, 재이용 의사 97.8%, 추천의사 98.0%로 높았다. 2007년 시범사업에서 도출된 적정 간호인력(안)은 간호사 1인당 2.3인, 간호보조인력 1인당 4.0인으로 나타났다. 2010년 시범사업 결과는 환자보호자 만족도는 8.0-9.1점(10점 만점)으로 높았고, 재이용, 추천 의향도 높았다. 그러나 2007년 시범사업에 비해 의료기관 유형 및 간호인력 배치 수준이 다양한 점 등 제한적인 측면이 있었다. 결론적으로 보호자 없는 병원을 제도화하기 위해서는 적정 간호인력 배치기준 설정, 간호서비스 제공인력 구성 및 업무 표준화, 간호인력 확보를 위한 재원 마련 및 간호요구도 평가, 질 관리 모니터링 등을 위한 정책 개발이 필요하다.

• 가정간호학회지
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• 제10권1호
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• pp.58-72
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• 2003

The purpose of this study was to describe the perceived burden of the terminally III patients's caregiver and to analyze relationship between the perceived burden and the various demographics, illness characteristics, family relationships, and economic factor of the family & patients. The sample of 132 caregivers who care for the terminally III patients Kyung-Gi province, Seoul, Korea. The period of this study was from August to September, 2002. The perceived burden of the family caregiver was measured by the burden scale(20 items, 4 point scale) developed by Montgomery et al. (1985). The Data was analyzed using SAS-program by t-test and ANOVA. The results were as follows; 1. The mean of the family caregiver's burden score was 3.02. The score showed that caregivers perceive severe the level of burden. The hight items of the family caregiver's burden were' I feel it is painful to watch patient's diseases'(3.77). 'I feel afraid for what the future holds for my patients'(3.66), 'I feel it reduced to amount of privacy time'(3.64). 2. The caregiver's burden was significantly related to patient's gender(F=3.17, p= 0.0020), patient's job(F=2.49, p=0.0476), caregiver's age(F=4.29, p=0.0030), and caregiver's job(F=2.49, p=0.0476). 3. The caregiver's burden according to illness characteristics showed no significant difference. 4. The caregiver's burden was significantly associated with patient's family relationship (F=4.05, p=0.0041), patient's care mean period in a day(F=47.18,

• 한국식생활문화학회지
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• 제37권2호
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• pp.143-152
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• 2022

Galactosemia is a rare genetic metabolic disease caused by galactose and its metabolites generated during carbohydrate metabolism, which is relatively rare in Asian countries, including Korea. Patients with galactosemia should be treated with a galactose-restricted diet. However, information is lacking about the exact content of galactose in food, and dietary guidelines for patients with galactosemia in Korea. This study aims to recognize the difficulties faced by parents and clinical experts of patients with galactosemia, and understand their demands. Totally, 5 parents of children diagnosed with galactosemia and 5 clinical professionals participated in the focus group interviews. The parents' interview focused on the daily life of the patient, which included diet and social difficulties. The clinical experts mainly answered about medical care, including the number and status of patients, and their suggestions for effective treatment. Most parents were worried about social isolation due to conflicts in the family as well as in society due to a lack of understanding of the disease. The clinical experts stated the absence of a disease management system as the greatest problem. An integrated support system for patients with galactosemia, which includes appropriate dietary guidelines by considering the domestic environment, is required.

• 한국병원경영학회지
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• 제28권4호
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• pp.1-22
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• 2023

Purposes: The purpose of this study is to identify and analyze the factors that affect patients reusing non-face-to-face treatments at tertiary general hospitals. Methodology: We retrospectively analyzed a patient's reuse of non-face-to-face treatment from February 1, 2020, to December 31, 2021, at a tertiary general hospital in Seoul within one year of the first non-face-to-face treatment. A frequency analysis was conducted to identify the study subjects' demographic characteristics, treatment type characteristics, disease characteristics, and hospital use type characteristics. Also, across-analysis was conducted to verify the difference in non-face-to-face treatment reuse according to the characteristics a multiple logistic regression analysis was conducted to identify the factors affecting the reuse of non-face-to-face treatment by non-face-to-face treatment patients. Findings: The results of this study can be interpreted as indicating that the following groups are more likely tore use the non-face-to-face treatment: women, children, the elderly, Patients living far from the hospital, psychiatric patients, pediatric patients, medical benefits recipients, chronic patients, patients with mobility difficulties, and patients with high loyalty to hospitals. Practical Implications: When developing a non-face-to-face treatment system in the future, based on the results of this study, it is possible to target patients who prefer non-face-to-face treatment. And this study will be research material for vitalizing non-face-to-face treatment. In addition, the activation of the non-face-to-face treatment system will be an effective means for improving the quality of medical services and generating profits in hospitals in the future.

• 한국인터넷방송통신학회논문지
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• 제10권3호
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• pp.131-137
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• 2010

UMSN (Ubiquitous Medical Sensor Network)은 실시간 객체식별과 센서 정보 수집으로 병원 등 의료시설의 u-Healthcare 시스템에 사용되고 있다. RF 무선 주파수로 리더기를 이용해 태그를 식별하는 RFID는 특히 환자 관리에 많이 쓰인다. 하지만 RFID 태그는 리더기의 질의에 항상 자신의 ID를 응답하기 때문에 불법적인 리더기에 ID를 전송하거나 불필요한 질의에 응답하여 도청, 스푸핑 등의 보안 취약점이 발생할 수 있다. 본 논문은 UMSN 기반의 환자관리 시스템에서 리더기가 환자, 의료기기, 의료진, 각종센서 등에 부착된 태그에 과도한 인증을 요청하여 발생할 수 있는 RFID Back-end Server의 트래픽을 줄이고 이 과정에서 발생 가능한 도청, 스푸핑 등의 보안 위협을 줄이기 위해 태그 ID 세분화 기법을 제안한다. 제안 기법은 환자의 태그 ID 문자열을 기준으로 환자를 분류하여 집단으로 구분하고 해당 집단에 인가된 리더기가 태그를 읽었을 때만 Back-end Server가 태그 인증절차를 수행하도록 하여 Back-end Server 트래픽과 보안 위협을 줄일 수 있다.

• 한국치위생학회지
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• 제12권2호
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• pp.391-397
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• 2012

Objectives : A study was designed to evaluate the classes of humanities and social sciences in the dental hygiene curriculum. Methods : Data were collected through online received from 69 dental hygiene institutions from May to August, 2011. Categorized are introduction to dental hygiene, dental hygiene management of dental clinic, medical health law, and ethics, patient psychology, others(communication, behavioral science, administration). The data were analyzed by a descriptive analyses and $x^2$-test. Results : As a result of evaluate the classes of humanities and social sciences in the dental hygiene education, 51.4% of a newly-established in between 2000 and 2006 found 2~3 courses. Credits of 4~7 was 82.4% that was found by 2~3 courses. Numbers of courses showed no differences by educational system. In college, 77.8% was in introduction to dental hygiene, dental hygiene management of dental clinic, medical health law. In university, 70.1% was in introduction to dental hygiene, dental hygiene management of dental clinic, medical health law. Ethics and patient psychology was respectively 10.8% in less than 2000, was respectively 4.7% in between 2000 and 2006, was respectively 12.5%, 3.8%. 45.5% that found ethics was in more than 2007. In college, ethics was found in the 1th~2nd(61.5%). In university, ethics was found in the 3rd~4th(85.7%). Conclusions : It should increase the number of courses of humanities and social sciences. Also, It should activate the education a dental hygienist as a professional in the future.

• 디지털융복합연구
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• 제12권12호
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• pp.477-484
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• 2014

본 연구는 암환자의 포괄적 건강 요구도와 삶의 질의 관계를 알아보기 위해 시행되었다.. 2012년 10월15일부터 24일까지 만 20세 이상의 암환자 110명으로부터 자료를 수집하여 분석하였다. 정보 및 교육요구가 가장 높고, 사회적지지에 대한 요구가 가장 낮았다. 암 진단 후 생존기간이 길어질수록 사회적 지지 요구가 높았다. 암 가족력이 있을 때 정보 및 교육 요구도, 4기 암환자에서 병원시설 및 서비스 요구가 높게 나타났다. 신체적 심리적 요구가 높아질수록 삶의 질은 낮아졌다. 신체적, 심리적 요구는 암환자의 삶의 질에 영향을 미치는 요인으로, 이에 대한 지지체계개발과 적절한 중재방법 제공이 필요할 것으로 생각된다.

• 대한지역사회영양학회지
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• 제8권5호
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• pp.744-754
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• 2003

At present, health care industries throughout the world are struggling with the challenges to set up financial structures as cost-effective ways and means of satisfying customer needs for health care services. Many hospitals consign foodservice management to foodservice companies for the purpose of efficiency. The companies taking charge of hospital foodservice are also striving to gain an advantage over keen competitions. This study applied Quality Function Deployment(QFD) to one hospital (which will be shown as $\ulcorner$A hospital$\lrcorner$ below) managed by a contract foodservice company for the purpose of strategy planning to provide sustainable competitive advantage. First of all, this study scanned internal and external environment of $\ulcorner$A hospital$\lrcorner$ by means of a Quality Measurement Tool and a fieldwork study. With the result of environment scanning, this study elicited 20 strategies through SWOT analysis, which were categorized by 4 perspectives such as financial, customer, internal process, learning and growth perspectives. Finally, the priorities of 20 strategies were extracted from QFD methodology. According to the results obtained by applying QFD to $\ulcorner$A hospital$\lrcorner$'s foodservice, the strategies which $\ulcorner$A hospital$\lrcorner$ foodservice was obliged to introduce and implement were : the specialization of Children's hospital foodservice, scientific foodservice management through the standardization of foodservice operations, the maintenance of sanitary quality through sanitary system, the remodeling of facilities, the introduction of new equipment, the prompt and accurate response to customer needs, the development of appropriate patient menus, the provision of competitively priced meals for patient selection, the development of a demand forecast model by considering the characteristics of a children's hospital, improvement of productivity and the reduction of labor costs through the employment of experienced employees based on their seniority.

• 보건의료산업학회지
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• 제12권4호
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• pp.1-15
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• 2018

Objectives: We analyzed the importance and performance of hospital social responsibility (HSR) according to the characteristics of hospitals, and presented strategies for HSR activities. Methods: An online HSR questionnaire was sent to hospitals nationwide from October 12 to 26, 2018. The 206 responses received were analyzed in accordance with the IPA to assess the performance and importance of HSR. Results: There was a statistically significant difference between the employees and hospitals regarding the importance and performance of HSR activities. In the area of "sustained maintenance", items related to consumer issues such as "compliance with personal information processing policy", "patient confidentiality", "fair information provision", and "system for patient safety and infection prevention" were derived. In the area of "'high priority for improvement", there were three common items between hospitals and general hospitals: "regular donations and support from local communities", "active cooperation with related institutions", and "compliance with process-related laws and regulations". In the area of "low priority", four items were derived: "support for employee participation in community activities", "efforts to hire local residents", "education and cultural programs for local communities", and "transparent support for political activities". In the area of "sublation of excessive efforts", two items of "employee welfare efforts" and "efforts to improve labor relations", were commonly found in hospitals and general hospitals. Conclusions: It is necessary to improve the management efficiency of hospitals by the systematic allocation of manpower and resources through the establishment of four regional strategies based on the results of IPA analysis.

• 사물인터넷융복합논문지
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• 제2권4호
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• pp.15-20
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• 2016

본 논문은 의료영상 CT 기반의 지식데이터 검색 관리시스템 구축에 대한 내용을 기술한다. 개발된 시스템은 정밀한 지능형 검색기술을 활용하여 의료영상을 판독하고 환자의 병명을 진단함으로써 병원 업무 효율성을 높이데 목적이 있다. 본 연구에서는 PACS의 의료 영상 DICOM 파일을 읽어서 영상을 처리하고, 특징 값들을 추출하여 데이터베이스에 저장한다. 진료에 필요한 새로운 의료영상을 읽어서 데이터베이스에 저장된 다른 CT의 특징 값과 비교하여 유사성을 검색하는 시스템을 구현하였다. 연구학술용으로 제공된 100장의 CT DICOM을 JPEG 파일 형태로 변환한 후, SIFT, CS-LBP, K-Mean Clustering 알고리즘을 이용하여 Code Book Library를 구축하였다. 데이터베이스 최적화를 통하여 새로운 CT 이미지에 대한 기존 데이터와의 유사성을 검색 하여 그 결과를 확인함으로써 환자의 진료 및 진단에 활용할 수 있도록 하였다.