• 한국사회복지학
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• 제61권4호
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• pp.137-161
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• 2009

사회복지행정 연구에서는 직무수행의 결정요인으로서 주로 종사자의 지식, 기술과 같은 개인차 변인에 큰 관심을 가져왔지만, 점차 조직 환경 이론의 연구관점이 사회복지행정 연구에 활발히 도입되면서 개인의 수행연구에서도 개인차 변인이외에도, 팀수준이나 조직수준의 변인들이 주목받기 시작했다. 본 연구는 이러한 연구추세를 반영하며, 사회복지 종사자의 직무수행에 영향을 미치는 개인, 팀, 조직 변인의 영향력을 검증하고자 하였다. 개인변인으로는 지식, 기술, 만족, 성격, 비생산적 행동이 투입되었고, 팀이나 조직수준의 변인으로는 상황적 제약, 조직공정성, 직무특성, 정부의존성, 조직간 협력이 투입되었다. 전국 23개 사회복지조직에서 활동하는 314명의 종사자들을 대상으로 자료를 수집하여 분석한 결과, 직무수행(과업수행, 맥락수행)에 개인차 변인, 팀 변인, 조직변인이 다양하게 영향을 미치는 것으로 나타났다.

• 한국보건간호학회지
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• 제6권1호
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• pp.15-24
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• 1992

This study was conducted to follow the patient referral system operated from the primary health care facilities to the hospital in a rural area of Korea. The subject for this study was sampled from a community health development project carried out by the Korea University in Yeoju Kun, Kyonggi Province. The data of referred patients from primary health care facilities were collected during the period from January 1989 to December 1989. The data was sorted out by a computer system using Database package. The results of this study were summarized as follows: 1. Characteristics of the referred patients were: males $32.0\%$. and females $68.0\%$. The more elderly of the patients visited to the hospital after having been referred there by CHPs or public physicians, $25.9\%$ has been to hospital on at least one previous occasion as against $74.1\%$ for whom it was there first visit. 2. The majority of patients who were referred to a hospital where: medicine $44.3\%$ and orthopedics$16.4\%$, major diseases were : diseases of digestive system $(21.3\%)$ ; symptoms and ill defined conditions $(17.3\%)$ ; diseases of the muscular skeletal system and connective tissue$(14.2\%)$. chronic illness was $82.0\%$ and acute illlness was $18.0\%$. 3. From Community health practitioners more patients referred than the public physicians. Categoris of diseases of the referred patients were different between community health practitioners and public physicians. Due to the. respective differences between the medical restrictions put on the nursing staffs at the community health practitioners and public physicians. From this study it was recommended to define the reason of differences between ~he two groups in futher study. Study as to 1) why one group should be referring more for hospital treatment than the other. And 2) why the two agencies should be referring different diseases.

• 대한한의학방제학회지
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• 제14권2호
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• pp.1-8
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• 2006

ElM (Eighteen Incompatible Medicaments) is an important component in Oriental pharmacology and is directly related to clinical prescriptions. Medical practitioners argued that the definite cause and meaning of ElM was ambiguous and therefore debated the issue of clinical application of the ElM. This study conducted an in-depth literary research on the origin, meaning and contents of ElM with the purpose to contribute in its efforts to be used clinically. Even after thousands of years have past since establishment of Oriental medicine. ElM is still tabooed and was an obstacle that hindered ideologies. Modern herbal medicine texts claim that the use of ElM can reduce treatment effects and promote poisoning and side effects. However, since long ago, there has been medical practitioners who reject this as false. Recently, poisoning caused by ElM has been claimed to be from the toxicity of the drug itself, rather than the result of interaction between the drugs. and therefore they suggest that ElM is not a forbidden domain. In addition. ElM showed a difference in number depending on the era. However, this can be understood not as a definite number. but instead as a warning to be careful during combination of drugs for use as clinical medicine. Historically. there were very few cases in which ElM was used for clinical tests and thus, the clinical value is not yet clear. However. some medical practitioners clinically applied it and found clear results for it. while others applied ElM directly to their bodies. which showed signs for the usefulness and potential of ElM for us. A more concrete and in-depth study must be made on ELM.

• Journal of Preventive Medicine and Public Health
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• 제49권6호
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• pp.386-393
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• 2016

Objectives: General practitioners (GPs) retention in rural and underserved areas highly effects on accessibility of healthcare facilities across the country. Education seems to be a critical factor that affects GPs retention. Thus, the present study aimed at inquiry into medical education challenges that limit their retention in rural and underserved areas. Methods: A qualitative approach was applied for the aim of this study. Data were gathered via 28 semi-structured interviews with experts at different levels of Iran's health system as well as GPs who retained and refused to retain working in rural settings. Interviews mainly were performed face-to-face and in some cases via telephone during 2015 and then coded and analyzed using content analysis approach. Results: Iran's medical education is faced with several challenges that were categorized in four main themes including student selection, medical students' perception about their field of study, education setting and approach, curriculum of medical education. According to experts this challenges could results in making GP graduates disinterested for practicing in rural and underserved areas. Conclusions: Challenges that were found could have negative effects on retention. Modification in student's perception about rural practice could be done via changing education setting and approach and curriculum. These modifications could improve GPs retention in rural and underserved areas.

• 한국보건간호학회지
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• 제16권2호
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• pp.378-387
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• 2002

This study was conducted to investigate the degree of PSI (self-evaluative awareness of problem solving ability) in PMHNP (psychiatric mental health nurse practitioners) and to identified the factors predicting problem solving ability of them, in order to provide basic data for the development of the specific education programs to improve problem solving ability. Data was collected from 355 subjects who have the certificates of PMHNP working in hospitals and public centers. Chun Seok Kyun's instruments (1993) based on the Heppner and Petersen's Problem Solving Inventory (1982) was used to determine PMHNPs' PSI. The results were as follows; 1. The average score of PSI of PMHNP was $2.81\pm0.23$. Of the three factors. there marked the lowest score in the factor 3. personal control $(2.56\pm0.43)$, and the highest score was in the factor 1. problem-solving confidence $(2.95\pm0.34)$. 2. The differences in PSI were significant for degree of education and career in psychiatric settings (p=0.000l, p=0.0187). 3. Job satisfaction was the highest factor predicting PSI of PMHNP$(17.9\%)$. When degree of education, career in psychiatric setting and marital status were added, the total predictors explained $24.3\%$. As a result, it is necessary to conduct further research in relation to the problem-solving process, the development of education program. skill acquisition and measurement of problem solving in nursing practice.

• Journal of Acupuncture Research
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• 제27권2호
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• pp.115-121
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• 2010

Objectives : Based on a national sample survey, we present an analysis of the current situation in the use of moxibustion therapeutics by qualified medical practitioners in Korea. Methods : The survey population of 11,737 hospitals is stratified by administrative regions, and 331 of them are randomly selected from the list of hospitals. The same number of Korean medical doctors is interviewed under the computer-assisted telephone interviewing(CATI) system. The bound on the error of estimation is ${\pm}\;5.0%$ point. Results : Of the 331 Korean medical doctors surveyed, 69% have used moxibustion therapy for remedial treatment. About half of those doctors have employed the therapy for their patients over 30%. The average number of acupuncture points per treatment using the therapy mostly ranges 1 between 5. The percent of practitioners, who have the number of average minutes less than 20 in treatment, is 74%. The number of practitioners who primarily use modified moxibustion is 4 times as many as that of those using traditional moxibustion. Conclusions : Considering the survey results, if the laser heater, alternative to conventional moxibustion, which not only gives high thermal effect but also reduces both the users inconvenience and side effects, are developed, it may benefit more patients as well as Korean medical doctors.

• 디지털융복합연구
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• 제18권10호
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• pp.479-490
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• 2020

본 연구는 정신재활시설에서 진행하고 있는 정신장애인 직업재활서비스에 대해 정신재활시설의 직업재활 실무자들은 어떠한 인식을 갖고 있는지 살펴보고, 이를 토대로 정신장애인 직업재활서비스의 활성화 방안을 제시하고자 하였다. 정신재활시설에서 제공하는 직업재활서비스와 관련된 자료를 수집하였고, 직업재활을 담당하고 있는 실무자들을 대상으로 초점집단인터뷰(FGI)를 실시하고, 이 자료를 분석하여 결과를 도출하였다. 연구결과는 다음과 같다. 정신재활시설에서 직업재활서비스의 정체성을 찾도록 매뉴얼과 지침의 정비가 요구되었으며, 직업재활서비스에 참여하는 근로자에게 맞는 세부적인 기준이 필요한 것으로 나타났다. 또한 타 장애인과 동등하고, 정신장애인의 특성에 맞는 직업재활서비스의 운영을 기대하고 있었다. 이러한 연구결과를 토대로, 직업재활서비스의 구체적인 활성화 방안을 제시하였다.

• 대한방사선기술학회지:방사선기술과학
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• 제40권1호
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• pp.49-55
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• 2017

의료기관 내 핵의학 종사자는 방사성동위원소 취급 시 사용하는 선원의 종류, 방사능량, 차폐기구의 사용 여부에 따라 종사자 개인별로 광범위한 피폭선량을 나타낼 수 있다. 이에 본 연구에서는 몬테카를로 기법을 기반으로 한 모의실험을 통해 진단용 방사선원 취급 시 종사자의 장기별 선량평가와 L-block 차폐기구 사용에 따른 선량감소효과를 분석하였다. 그 결과, 방사선원의 취급 위치에 근접할수록 높은 장기선량 분포를 나타내었고, ICRP 조직가중치에 따라 유효선량 분포가 상이한 양상을 보였다. 또한 L-block 두께에 따른 선량감소효과는 차폐두께 증가에 따라 지수함수 분포로 감소되는 경향을 나타내었으며, 방사선원별 선량감소효과는 방출하는 감마선 에너지에 비례하여 낮은 차폐효과를 보였다.

• 의학교육논단
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• 제12권1호
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• pp.33-41
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• 2010

Purpose: This study aimed at investigating the current situation of Medical Humanities and Sociology-related-curriculum in Korean medical schools, and suggesting the courses of study for the contents and methods of the Medical Humanities and Sociology examination, which can be included in the National Examination for Medical Practitioners. Methods: We analyzed Medical Humanities and Sociology-related courses which are offered in Korean medical schools, and a survey was conducted by medical school professors and students and medical journalists. In the survey, the Medical Humanities and Sociology-related courses were divided into 8 parts, and the participants were asked to evaluate the importance of duty, necessity of education, necessity of evaluation and the evaluation method of each part using a seven-point scale. Results: A total of 207 medical school professors and students and 9 medical journalists participated in the survey. The results were similar for the importance of duty and necessity of education of each part, but those for the necessity of evaluation were different. - As a result, there seems to be a gap between the importance of duty and the importance of education of each course. Medical journalists and students group answered differently on the necessity of evaluation of each course was also reserved. Conclusion: It is necessarily recommended to include Medical Humanities and Sociology-related courses such as medical ethics, self-improvement and doctors' social responsibilities in the National Examination for Medical Practitioners.

• 한국구조물진단유지관리공학회 논문집
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• 제22권4호
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• pp.37-41
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• 2018

최근 시설물의 안전 및 유지관리에 관심이 증대되고 있으나, 발주처의 저가발주로 인해 안전진단전문기관은 부실화 되고 부실 점검 및 진단으로 인한 많은 문제점들이 야기되고 있다. 따라서 본 연구에서는 실무자들의 인식조사와 사례분석을 통해 실행대가 현황을 고찰하였으며, 그 결과 정밀안전점검은 대가기준 조정보다는 대가기준의 효율성 증대 및 강제성 강화가 필요한 것으로 판단된다. 또한 정밀안전진단은 연면적 $10,000m^2$미만 시설물에 대한 대가기준 설계금액을 현재 기준에서 80%로 하향조정하고, 그 이상의 시설물에 대해서는 현행 대가기준을 적용하되, 대가기준의 강제성 강화가 필요할 것으로 판단된다.