• Journal of Korean Academy of Nursing Administration
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• v.7 no.3
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• pp.561-569
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• 2001

This study was designed to analyze all the papers that were in the Journal of the Korean Nursing Administration Academic Society from the first publication edition (1995) to 2000. Analyses methods are research designs, data collection methods, research subjects and key words. all papers were 145. The results of the study are as follows : First, research designs, nonexperimentals are 106 papers, experimentals are 9, qualitatives are 9 papers. Research subjects that all subjects in each paper were accepted are as follows, hospital staffs including nurses, doctors, and other employees are 115 paper(59.28%), adults including patient's family, medical, nursing students are 44 papers(22.68%), informatic systems including medical record sheets, database, and management system are 8 papers(4.12%), others including country, literature, researches are 21 papers(10.82%). Second, data collection methods that all methods in each paper were accepted that questionnaires are 93 papers(57.76%), interviews are 13 papers(8.07%), observations are 10 papers(6.21%), scale & psycholgical are 8 papers(4.97%), and self-reportings are 6 papers(3.73%), etc. Conclusion : Even though research topics are various, the fields of informatics and financial management are poor. Therefore studying for those fields and its practical implication are needed.

• Proceedings of The Korean Society of Health Promotion Conference
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• 2001.09a
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• pp.1-9
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• 2001

Health Insurance System in Korea was introduced in 1977 and expanded health insurance benefits for all people in 1989. The development of medical service and technology takes a growing concerning for public health and medicine. And also, it helps to extend the average life span of Koreans. Therefore, the old people are steadily increased over seven percent of total population and will take more than 14% in 2023. Generally, the old people have the chronic disease such as diabetes and hypertension. Also, smoking, stress, environmental pollution and lack of exercise, leading cause of cancer, cardiovascular disease and respiratory infections have affected to state economy negatively. Therefore, health promotion law was established for a variety of health promotion process, including education, program implementation and community development. The goals and strategies for health promotion are as following: . Practice of healthy life: - Strengthen publicity activities on smoking and exercise. - Program development for nonsmoking and exercise. - Program extent for community health. Strengthen of mental health: - Planning of national survey for mental patient. - Prevention of alcoholism - Setting up special hospital for alcoholism . Constant cancer management under government - Developing medical treatment and prevention program. - Early diagnosis for the whole nation . Management of chronic disease - Strengthen of Prevention Program . Reinforcing of oral health - A national survey of oral health - Oral health education

• Korea Journal of Hospital Management
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• v.23 no.2
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• pp.18-27
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• 2018

Purposes: This study aims to investigate the policy effect of mandatory application of DRG for 7 disease groups in general and tertiary hospitals. Methodology: As DRG was fully implemented in July 2013, this study compares two periods before and after the change(from July 2012 to June 2013, and from July 2013 to June 2014). The benefit claim data of the National Health Insurance Service was used for the comparison. Target patients were those who visited general or tertiary hospitals between July 2012 to June 2014. For pharmaceutical consumption, Interrupted Time Series (ITS) analysis was used to see the effect of DRG mandatory application. Findings: The number of drugs prescribed per patient and pharmaceutical expenditure both showed significant reduction compared to before the DRG implementation. Practical Implications: This study used 2 sets of 1 year period data from before and after the full implementation of DRG to analyze pharmaceutical consumption. When the comparison data accumulates further, it would be possible to conduct more diverse analysis to assess policy effect and to provide way forward for the future.

• The Journal of Korean Academic Society of Nursing Education
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• v.5 no.1
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• pp.72-85
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• 1999

The paper presents a review of three data sets(Uniform Hospital Discharge Data Set, Nursing Minimum Data Set, and Nursing Management Minimum Data Set) and six major nursing classifications(the North American Nursing Diagnoses Association Taxonomy I, Omaha System, Nursing Interventions Classification, Nursing Intervention Lexicon and Taxonomy, Nursing Outcome Classification, Nursing Outcomes Classification, and Classification of Patient Outcome). The reviewed data sets and nursing classifications were different from each other in the purpose, structure, and user. Nursing Interventions Classification and Nursing Outcomes Classification were linked to North American Nursing Diagnosis Association, but others not. The data set and nursing classifications need to be linked to other data sets and classifications.

• Korea Journal of Hospital Management
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• v.9 no.3
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• pp.18-48
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• 2004

Health policies in many countries have come under critical scrutiny in recent years. This is because of increasing national health expenditures. Also many persons in health sector have been the perception that resources allocated to health services are not always deployed in an optimal fashion. And they believe that the scope of resources in health services is limited, there is need to search for ways of using existing resources more efficiently. A further concern has been the desire to ensure access to healthcare of various groups on an equitable basis. In some European countries this has been linked to a wish to enhance patient choice and to make service providers more responsive to consumers, while Korea integrated health insurance funds into single fund in 2000. Many European countries are under considerable pressure to review and restructure their health care systems. There are several reasons of pressure to reform. There are demographic changes, pattern of disease change, advances in medical sciences will also give rise to new demands within the health services, public expectations of health services are rising as those who use services demand higher standards of care. These circumstances require the change of health care delivery system based on hierarchical regionalism, which was basis of health care delivery since 1920s. Korea is also under similarly pressure to restructure our own health care systems. We will have good learning from OECD experiences. In this paper we reviewed and compared among OECD countries' various experiences.

• Korean Institute of Interior Design Journal
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• v.13 no.6
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• pp.123-131
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• 2004

The hospitals built In the seventies and eighties have gone through many different extensions and renovations. However, as there had been no prior projections of the future extensions, irrational processes in terms of interdepartmental functional relocations and space availability have recurred. As well, areas and departments are located in several wings, which bring about a decrease in interdepartmental functional linkage, causing a lot of confusion and trouble in hospital management. Through this research we acquire concluding remarks. 1) To restore functional linkage in the whole hospital, strategy of interdepartmental relocation with the clinic-in-the clinic concept is the measure to minimize the problems of the increase in interdepartmental functional linkage since the clinic-in-the clinic concepts minimize circulation and maximizes efficiency of hospital management by making all the dispersed wings as professional as possible. 2) The measure of smooth circulation in order to resolve the problems of patients' difficulty in identifying directions and in decrease in staff's work performance, which arises from the extensions without considering the traffic systems of the whole hospital involves introduction of linear circulation systems in which connections between departments or areas can be made centering main axes of circulation. It is also a responsive measure to enhance the functional linkage between buildings and efficiency of patient's ease in identification of directions.

• The Journal of the Korea Contents Association
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• v.7 no.6
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• pp.169-176
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• 2007

Hospital managements are faced with severe competition and need more complicated information systems for its efficiency than before. Hospital managers have to deal with these environments and provide patients with better services than ever to survive. This thesis analyzes and redesigns the hospital administration processes in terms of patient-oriented view. For that purpose we define the processes of the hospital administration using process design tool like ARIS-Toolset. We also introduce basic concepts of Hospital Information Systems(HIS). We finally reviewed the result of reengineering of hospital management process with AHP methodology.

• Journal of Home Health Care Nursing
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• v.15 no.2
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• pp.82-90
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• 2008

Recent shortening of hospitalization has partly led to the transition of health care services from hospitals to communities in cardiovascular (CVD) care. Home healthcare nursing is an alternative modality of care for chronically ill CVD patients. Cardiac rehabilitation (CR) has been redefined as a "secondary prevention center", consisting of: patient assessment; nutritional counseling; blood pressure and diabetes management; tobacco cessation; psychosocial management; and physical activity counseling. Improvement in health-related quality of life (HRQOL) is a major goal of the CR that integrates physical, psychological and social dimensions of care. The review of evidence on effects of CR on HRQOL may allow home healthcare nurses to provide better comprehensive care for CVD patients. There is evidence on beneficial effects of CR on HRQOL in patients with myocardial infarction (MI) as well as patients with chronic heart failure. Specifically, home-based CR, which is more cost-effective than hospital-based CR, has been reported to produce comparable improvements in HRQOL with hospital-based CR in MI patients. In conclusion, a newly-designed, home-based CR may be required to be applied to Korean home healthcare nursing system for improving HRQOL.

• Journal of the Korea Safety Management & Science
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• v.17 no.4
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• pp.193-198
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• 2015

This study analyzed the total number of 19,636 patients and radiation technologists, 11,433 of male and 8,203 of female by examined body parts, age, types of detectors, the using contrast enhancement and working condition of the technologists, regular staffs or rotation-duty staffs, based on the K-DOS program distributed by FDA with the DLP value of diagnostic evaluation. The result shows that the effective radiation dose was 0.7mSv~41.7mSv for each region and male patients had more radiation exposure than females. And the amount of exposure was also affected by the types and the method of detectors. Furthermore, the regular staffs took the role of helping the patient to get reduced amount of radiation exposure than rotation duty-staffs. Computed tomography (CT) use has increased dramatically over the past several decades. In this reason, to support the patients and the workers' health in the field, the hospitals should apply specialized regular working radiation technologist system and manufacturing companies of those CTs should develop low medical radiation exposure devices.

• Clinical and Experimental Reproductive Medicine
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• v.48 no.3
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• pp.194-197
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• 2021

Polycystic ovary syndrome (PCOS) is a common disorder in reproductive-age women. In 2018, an international evidence-based guideline announced recommendations spanning a wide range of issues on the assessment and management of PCOS. From the 166 recommendations, the present study reviews those that are of particular clinical relevance for daily practice and introduces other relevant studies that have been published since the global guideline. The 2018 guideline increased the antral follicle count cutoff for the diagnosis of PCOS from 12 to 20 when using a high-frequency probe. Hirsutism was defined as having a score of ≥4-6 based on a lower percentile of 85%-90% or cluster analysis, which was lower than the traditionally used 95th percentile-based cutoff. The diagnosis of PCOS in adolescents is challenging, and irregular menstruation was defined carefully according to years from menarche. The use of ultrasonography for the diagnosis of PCOS was restricted to those 8 years after menarche. As medication for non-fertility indications, combined oral contraceptives are the first-line drug. Metformin, in addition to lifestyle modifications, should be considered for adult patients with a body mass index ≥25 kg/m² for the management of weight and metabolic outcomes. An aromatase inhibitor is the recommended first-line medication for ovulation induction, a subsequent individual patient data meta-analysis also reported the same conclusion. Whether the new global guideline will be fully adopted by many specialists and change clinical practice is open to question. Further studies are needed to better understand and manage PCOS patients well.