• 농촌의학ㆍ지역보건
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• 제23권2호
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• pp.175-192
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• 1998

This study was performed investigate the opinion of civil servants in Health center about Rural Health Service Improvement Project The survey by mail was carried out for 447 servants of 25 health centers in Kyungsangbuk-do and the data were collected through self-administered questionnaires to servants about need, participation, concern, and comprehension for the project and satisfied with current facility and equipment of health center. The results were as follows. Generally considered, 48.2% of the improved health center servants was satisfied with health center building and 14.0% or 24.1% of the improving or unimproved center was. About the location of health center, 37.7% of the improved health center servants was satisfied, 25.9% of the unimproved center was. Of the improved health center servants, 43% was satisfied with the medical equipment but in unimproved place, the dissatisfaction was appeared higher than any other place. 49.7% of respondents was participated in making out the Rural Health Service Improvement Project. 50.6% was interested in this project. In the improved area. 65.5% of health center servants replied that the mayor's or county executive's concern about this project was high and 46.5% in councilors but in the unimproved area. their concern was low. About the contents of the project. 24,6% of the servants in the improved center, only 15.2% in unimproved center replied that they had known well. After making out the plan, 13.6% of respondents was unsatisfied with this plan and 17.1% replied that the estimating method of selecting the project area was not good. After the improvement of institution and equipment, 86.1% of health center servants answered that the medical service provided by health center would increase but 59.2% replied that the residents' utilization rate of private medical facility would decrease. The servants of the improved health center replied that the recognition about the developing will of health service(91.2%), the efficiency(91.2%), the quality of health and medical service(93.0%), the amount of health project(91.2%) were improved. In health center which had already improved the institution and equipment, 88.5% of servants replied that the residents' utilization for health center was increased. So, this project should be continuously carried out for health center and health center must develope new project to fit region condition.

• 지역사회간호학회지
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• 제26권3호
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• pp.278-291
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• 2015

Purpose: This study was conducted to examine differences in health care utilization and related costs between before and after the introduction of the designated doctor system, and to find out factors making the differences. Methods: Data were collected from 200 medical aid beneficiaries having one or more chronic diseases, registered in the designated doctor system during the year of 2012, and the relationship between the use of health services and claimed medical expenses was analyzed through paired t-test and multiple regression analysis using the SPSS 18.0 program. Results: There was a decrease in the number of total benefit days and the number of outpatient and medication days, but some cases showed an increase after the designation of medical institution. In general, hospital stay increased after the introduction of the system. However, the number of medical institutions utilized was reduced in most cases after designation. Conversely, medical expenses increased in most cases after the designation of medical institution. Conclusion: These results suggest that a detailed scheme to designate medical institutions should be made in consideration of the seriousness of illness and classification of medical institutions not only for the beneficiaries' enhanced health but for the effective management of medical aid fund.

• 한국병원경영학회지
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• 제9권2호
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• pp.76-101
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• 2004

The primary purpose of this study was to provide the basic information for improving collaborating care of Korean traditional medicine and western medicine by surveying utilization and attitude on it among cerebral apoplexy(CA) patients hospitalized at a general hospital with both the western and Korean traditional medical department in Busan metropolitan city, Korea. The survey was conducted on 170 patients, 80 from Korean traditional medical department, and 90 from western medical department. The major results of this study were as below: First, CA patient's medical utilization patterns including selecting medical institution, term of treatment and type of medical institution at first-aid were significantly variated by their socio-demographic characteristics such as religion and job. Second, the perceptions of collaborating care, such as effectiveness and reduction of treatment period, were better at respondents who were hospitalized at oriental medical department and had been experienced with collaborating care. Third, the major contents of collaborating care which utilized by respondents in side of western medicine were physical therapy, x-ray, pathologic diagnosis, and medication, and in side of Korean traditional medicine were acupuncture, herbal medication, moxa cautery, cupping a boil therapy. Fourth, overall satisfaction on collaborating care was good(3.5 of 5.0) and was significantly variated by age and religion. Fifth, respondents perceived that collaborating care was most helpful for rehabilitation and the major problem of current duplicate medical system was increasement of medical expenditures, and the major obstacle of collaborating care was prejudice against each other medicine. The results of this study imply that effective marketing for collaborative care suitable for age and religion of customers and patient satisfaction strategy is needed to activate collaborating care.

• 한국도서관정보학회지
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• 제49권4호
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• pp.237-263
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• 2018

본 연구에서는 의료분야 관련 도서관 유형을 모두 도출하여 각 도서관에 대한 개념을 분석함으로써, 혼용되어 사용되어지고 있는 의료분야 관련 도서관들의 명칭 및 개념을 명확히 정의하고, 도서관 유형 및 관종 구분, 관련한 법적 개선사항 등을 도출하고자 하였다. 그 결과, 첫째, 의료분야 관련 도서관의 개념을 정리하였으며, 의료분야 도서관 간의 유형 및 관계성에 대해 종합정리하였다. 둘째, 현재 부재한 병원도서관의 기준을 국내외 연구 및 기준들을 기반으로 제시하였다. 마지막으로 향후 의료분야 관련 도서관의 활성화를 위해 의료분야 관련 도서관의 실태조사가 필요하며, 국가적 정책의 일환으로 병원급 이상의 공립병원에 우선적으로 병원도서관 설치 의무화를 제안하였다.

• 한국엔터테인먼트산업학회논문지
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• 제14권7호
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• pp.559-570
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• 2020

본 연구는 의료기관 인증 제도를 받은 요양병원과 양방병원의 내부구성원을 구분하여 인증이 구성원만족도, 직무 스트레스, 병원운영 효과, 의료서비스 향상에 미치는 영향을 파악하고자 하였다. 요양병원이 양방병원보다 인증제도가 구성원만족도, 병원운영효과, 의료서비스 효과에서 높게 나타났으며, 양방병원 구성원이 직무 스트레스에 대해선 높게 나타났다. 요양병원 및 양방병원 모두 인증에 따른 구성원 만족도, 병원 운영효과, 의료서비스 효과는 정(+)적인 결과를 나타났다. 요양병원은 2013년부터 의무적 인증으로 인증제의 효과가 실증적으로 높게 나타났을 것으로 사료된다. 따라서 본 연구는 인증제가 의료서비스 향상에 미치는 영향을 분석함으로써 꾸준한 의료의 질 관리가 병원경영 효율화 및 환자의 만족도 향상에 기여하고자 한다.

• 한국엔터테인먼트산업학회논문지
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• 제13권8호
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• pp.661-670
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• 2019

본 연구는 만성 퇴행성관절염인 슬관절과 고관절 전치환술 환자의 수혈에 영향을 주는 요인을 분석하고, 수혈이 관절 치환술 환자의 의료이용에 미치는 영향을 연구하여 양질의 의료를 위한 기초자료로 활용하고자 한다. 연구대상은 심평원의 환자표본자료(HIRA- NIS-2017) 중 입원개시일자가 2017년 1월 1일부터 12월 30일까지 단측 전치환술을 시행한 환자 중 65세 이상 슬관절 전치환술(N2072)과 고관절 전치환술(N0711)로 청구된 코드만을 대상으로 총 분석 대상은 1,580건이었다. 연구결과는 다음과 같다. 첫째 슬관절 전치환술이 병원특성 및 환자특성별로 수혈여부에 유의한 차이가 있는지 비교하였다. 유의한 변수로는 의료기관종류, 시도, 병상수준, 성별, 빈혈에서 통계학적으로 유의한 연관이 있는 것으로 나타났다. 둘째, 고관절 전치환술의 병원특성 및 환자특성별로 수혈여부에 유의한 차이가 있는 지 비교하였다. 유의한 변수로는 의료기관종류, 병상수준에서 유의한 연관이 있는 것으로 나타났다. 셋째, 슬관절 전치환술의 병원특성 및 환자특성별로 당뇨병 유무에 유의한 차이가 있는 지 비교하였다. 유의한 변수로는 의료기관종류, 병상규모, 빈혈에서 유의한 연관이 있는 것으로 나타났다. 넷째, 수혈여부에 영향을 미치는 요인을 파악하기 위해 로지스택 회귀분석을 실시한 결과, 수혈에 영향을 주는 요인 분석 결과 슬관절 전치환술의 수혈여부에 유의한 영향을 미치는 독립변수는 의료기관 종류, 기관소재지, 성별, 빈혈이었다. 고관절 전치환술의 수혈여부에 유의한 영향을 미치는 독립변수는 의료기관 종류, 성별로 나타났다

• 한국의사학회지
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• 제20권2호
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• pp.65-69
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• 2007

Although a table of descent is a mandatory primary source for studying medical persons, but most of those who practiced medicine were not but of step families. Because members of step families are not usually recorded accurately, preceeding studies did not put much emphasis on them. But as more researchers study biography and the number of studies done on historical figures are increasing tremendously, its value as a source has increased as well. In order to research a person, obtaining background information is a priority, which includes to what family they belong to, to what specific branch of the family they belong to, etc. Whether or not the person has ever worked with a public institution is important as well.

• 디지털융복합연구
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• 제16권12호
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• pp.533-540
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• 2018

이 연구는 건강보험 심사평가원 자료를 이용하여 동일 환자의 동일 질환에 대하여 서로 다른 의료기관이 부여하는 질병 코딩의 불일치성을 분석하여 국가 보건 통계 질 향상을 위한 기초 자료로 활용하고자 시행하였다. 건강보험심사평가원 2014년 전체 환자 데이터셋(HIRA-NPS)에서 9,976,826건의 진료비 명세서를 연구 대상으로 하였다. 연구결과 의료기관의 이동 경로에 따라서 질병 코딩 불일치의 차이가 존재 하였고 불일치율은 보건기관 이외의 타 의료기관에서 보건기관으로 이동하였을 때 높아지는 경향이 발견되었고, 상급종합병원 간 이동하였을 때는 불일치율이 현저하게 낮았다. 본 연구의 의료기관 간 질병 코딩 불일치 현황 분석은 국내 의료기관에서 일관성 있는 질병 코딩이 이루어지기 위한 제도적 보완의 필요성을 시사하고 있다.

• 농촌의학ㆍ지역보건
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• 제47권1호
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• pp.1-13
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• 2022

Objectives: This study aimed to establish a linkage model involving regional responsible medical institutions after analyzing the existing conditions and deriving problems through qualitative analysis within the community care system. Methods: A total of 14 participants of this study were selected through the snowball sampling method, including 7 community care service providers and 7 service users. As for the research data, primary data were collected through interviews, and as a result of analyzing according to Aday&Anderson' model, a total of 5 catergories, 8 topics, and 22 sub theme were derived. Results: The problem derived from the interview is that division services are provided for each institution due to the absence of a key central institution of community care system, and users' commercial institutions is unclear. The second is the inconsistency between the needs and supply for community care, resulting in a possibility of delay in returning to the community after discharge. Based on these problems, it is necessary to unify it as an community care window of the Dong-community center. In addition, there is a need for public health centers to play an active role, and to establish a public-private joint system with the Health and Living Support Center to establish a model that can play a certain role. Conclusions: Therefore, based on the results of this study, it can be used as basic data when constructing community care model and applying it as an expanded model in the future.

• 한국콘텐츠학회논문지
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• 제8권12호
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• pp.20-27
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• 2008

현재 병원에서는 병원관리시스템(HIS), 의료영상시스템(PACS), 처방전달시스템(OCS), 전자의무기록(EMR), 전사적 자원관리(ERP) 등 각 과별 업무별로 독립적인 시스템을 사용하고 있으며, 각 시스템에 종속적인 각각의 DB를 운용하고 있다. 이에 따라 정보의 원내 통합이 불가능하며, 데이터의 투명성과 일관성을 유지하기 어려운 상황이다. 본 연구는 기존의 타 시스템과의 유연한 연계처리를 통한 데이터 통합환경을 제공하고, 이를 통해 고객이 원하는 최적의 서비스를 최적의 타이밍에 제공할 수 있는 의료 CRM 프레임을 설계하였다. 고객관리 프로세스 표준화에 의해 고객관리, 홍보/마케팅, 서비스관리, 통계/분석의 4가지 의료 CRM 프레임을 설계하였고 개인화된 의료정보 서비스 제공을 위한 모바일 의료 콘텐츠를 확보하여 고객 데이터를 바탕으로 고객의 특성과 건강 상황에 따라 맞춤형 모바일 콘텐츠를 제공할 수 있도록 설계하였다.