• 정신신체의학
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• 제6권1호
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• pp.46-58
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• 1998

Objectives : This study was performed to evaluate the status of psychiatric consultation at a newly opened university hospital, to explore problems related to psychiatric consultation and to contribute for future consultation to be more systematic and more efficient. Methods: The subjects of this study were 284 patients hospitalized at Inha University Hospital between September 1, 1996 and August 31, 1997, who were referred for psychiatric consultation during hospitalization. This study was evaluated demographical characteristics of referred patients, resons for referral, recommendations by psychiatric consultant, clinical diagnoses, psychiatric diagnoses, relationship between referral time and hospitalization following the day of consultation and consultation referral types based upon psychiatrists' reports and patients' medical charts. Results : Most common patients referred to consultation were females aged 20s who visited at the department of internal medicine and related to the risk of suicidal attempts. Mood disorder was the most frequent psychiatric diagnosis, and the most common recommendations were to use psychopharmacological treatment along with outpatient visits. The 30% of subjects were referred to consultation within a day after hospitalization. In the case of consultation referral timing within two days and after three days, there was significant difference between early consultation and shorter hospitalization following the day of consultation. Most frequent type of consultation(29.6%) was categorized as IIIa type(physical complication type as a "Mending" request type). Conclusion : In review of consultation referral timing and consultation referral type of the subjects, who were referred for psychiatric consultation for one year at a newly opened University Hospital, referrals were found to be made within two days after their admission to hospital(50.7%), which was observed to be early request. We found that there was significant association between early consultation and shorter hospitalization following the day of consultation. The physical complication type(29.6%) which belongs to "Mending" request type was found to be the most frequent consultation referral type. This result indicates that more systematic psychiatric consultation is needed for the future.

• 보건행정학회지
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• 제24권3호
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• pp.254-260
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• 2014

Background: The purpose of this study is to assume appropriate outpatient consultation time for each clinical department on the basis of measured outpatient consultation time and satisfaction of outpatient. Methods: We surveyed the feeling and satisfactory outpatient consultation time, satisfaction, revisiting intention and recommendation to others to 1,105 patients of single general hospital in Gyeonggi-do and measured their real outpatient consultation time from October 28 to November 27 in 2013. On the basis of satisfaction, we estimated appropriate outpatient consultation time through area under the receiver operating characteristic curve in logistic regression model. Results: Feeling outpatient consultation time was 5.1 minutess, satisfactory outpatient consultation time which was suggested by patient was 6.3 minutes, and real outpatient consultation time was 4.2 minutes. Department which had longest real outpatient consultation time was infection (7 minutes) and department which had longest satisfactory outpatient consultation time was neurology (9.4 minutes). From the univariate and the multiple linear regression analysis, real outpatient consultation time was longer in pulmonology patient, new patient and afternoon patient, satisfactory outpatient consultation time was longer in infection, neurology, neuropsychiatry, neurosurgery, and rehabilitation patient. Appropriate real outpatient consultation time was suggested as 5.6 minutes which differentiated high and low satisfied patient group. However, we could not assume appropriate outpatient consultation time for each clinical department because the number of patient who had bad satisfaction was too low. Conclusion: To improve patient's satisfaction, we hope outpatient reservation system is operated as each patient's outpatient consultation time is at least 5.6 minutes.

• 정신신체의학
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• 제2권1호
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• pp.98-106
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• 1994

The authors investigated 131 nonpsychiatric physicians' attitudes toward psychiatric consultation, using questionnaires. A comparison was made as regards psychiatric consultation from nonpsychiatric physicians over position(staffs vs. residents) and department(medical vs. surgical). These findings are as follows ; 1) 51.9 percent of nonpsychiatric physicians estimated that less than 30 percent of their patientshadpgychiatricproblems. 2) The percentage of the patients referred for psychiatric consultation were 30 or less than 30 percent 3) Staffs tried to refer their patients to psychiatric department for psychiatric consultation more frequently than residents. 4) Medical physicians tried to refer their patients to psychiatric department for psychiatric consultation more frequently than surgeons. 5) Psychiatric consultation was estimated to be most frequently requested for overt psychiatric symptoms(23.0%) and past history of psychiatric treatment(20.8%). 6) The most frequent causes of not referring to department of psychiatry were found to be the patients' rejection(46.8%) and non-psychiatric physicians' dissatisfaction with the results of consultation (22.2%). 7) Medical physicians tended to explain the reasons for psychiatric consultation more adequately than surgeons. 8) Residents more specifically wrote the reasons for psychiatric consultation on the chart than staffs. The results suggest that staffs are more active in psychiatric consultation than residents, whereas medical physicians are more active than surgeons. Thus, education should be more emphasized for surgeons and residents, especially for the latter for effective consultation-liaison activity. On the other hand, psychiatrists should try to improve nonpsychiatric physicians' dissatisfactions with the results of psychiatric consultations, which will positively change their attitudes toward psychiatric consultation.

• 한국응급구조학회지
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• 제23권3호
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• pp.155-164
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• 2019

Purpose: This study aimed to examine the consultation status and request level of paramedic students. The findings were expected to offer basic data for establishing consultation plans that meet the demands of students. Methods: Questionnaires were distributed among 153 students at two universities, and analyses were conducted based on the responses of 140 students. Results: The preferred counselor was the advising professor. The most common response was that holding two consultation sessions per semester was the most ideal. Regarding topic of consultation, career and employment scored the highest preference. Conclusion: Students had high request levels for consultation. Given the diversity in the themes of consultation, schools, should improve the capacities of advising and other professors in the department for professional consultation.

• 약학회지
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• 제55권5호
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• pp.432-439
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• 2011

The effects of characteristics of community pharmacists on consultation time for prescription (RX) and nonprescription drugs (nRX) were investigated. A crosssectional descriptive design was established with a self-administered anonymous mail survey. Response rate was 52%. Significant pharmacists' factors related to having less than 3 minutes consultation for RX were one's dispensing duties exceeding 50%, low satisfaction with one's own level of consultation, working at the pharmacies nearby clinics, or shorter duration of consultation time for nRX. Consultation promoting conditions should be built up for the provision of sufficient consultation.

• 정보교육학회논문지
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• 제8권1호
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• pp.101-110
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• 2004

정보화 사회가 우리에게 가져다준 초고속 정보통신망을 활용하여 기존의 면대면 상담형태를 탈피하여 사이버 상담시스템을 설계하고 적용하였다. 본 사이버 상담시스템의 특징은 통신수단을 매개로하여 상담을 실시하는 형태로, 시 공간을 초월하여 학생들이 가지고 있는 고민을 자유롭게 상담할 수 있으며 내담자를 위한 시스템을 설계함으로써 활발하고 적극적인 상호작용이 이루어지도록 하여, 평소 상담자체에 불신이나 거부감, 또는 막연한 불안을 가지고 있는 내담자들에게 상담에 대한 인식을 새롭게 바꾸어 흥미를 가지고 상담에 적극적으로 참여할 수 있도록 하였다. 인터넷상에 존재하는 많은 사이버 상담실은 이메일을 통해서만 비밀 상담할 수 있도록 설계되어 있어 단회적인 상담으로 끝나는 경우가 많은데, 본 논문은 이미 구축되어 있는 개인 홈페이지가 사용되는 웹 서버를 활용하여 상담자와 내담자만의 비공개 상담 형태를 포함하여 다양한 형태의 상담이 지속적으로 이루어지도록 사이버 상담시스템을 설계하였다.

• 대한예방한의학회지
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• 제8권2호
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• pp.129-139
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• 2004

This paper analysed the RBRVS for a doctor's consultation by measuring the time consumed in outpatient consultation, and compared the time among medical doctors, dentist, and oriental medical doctors. The time used in consultation could be a proxy for measuring RBRVS for medical services because it is the only common factor we observe in three different clinical settings. The results show that the optimal RBRVS for consultation is 183.22 for medical doctor, 99.12 for dentist, and 236.17 for oriental medical doctor. This implies the current fee schedule for consultation should be revised as 10,740 Won for a visit to medical doctor, 5,808 Won for dentist, and 13,832 Won for oriental medical doctor.

• 수산해양교육연구
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• 제28권4호
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• pp.913-924
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• 2016

Re-consultation on Marine Environment Impact Assessment (MEIA) says that business operators are then licensed back from the disposition authorities undergoing a consultation process to change business plans. Marine Environment Management Act has provisions(Article 94) with respect to a case where the scale of business, the period of business, reflects the basic plan, including a plan to change a variety of reasons. But increasingly diverse types of businesses and projects which are the subject of MEIA, As it appears that the vulnerability issues and the problem of the re-consultation. In this study conducted an analysis of the literature review and comment on the re-consultation report four years. In addition, it presents a check to the problem through concrete examples related to the re-consultation and proposes improvement measures.

• 산경연구논집
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• 제14권12호
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• pp.23-31
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• 2023

Purpose: The primary objectives of this research are: (1) To examine the current situation of employee welfare in diverse workplace settings. (2) To explore and identify the different challenges that affect employees' overall well-being. (3) To examine and establish the importance of consultation as a strategic tool in addressing these challenges and enhancing employee welfare. Research design, data and methodology: The first step of the research design is the identification of databases, search terms, and filters. A thorough search will be conducted across respectable academic databases, journals, and pertinent sources using keywords and controlled vocabulary about consultation, employee welfare, and related concepts. The next step is full-text assessment, which verifies compliance with the research question and assesses the caliber of the methodology. Results: According to the previous evidence, the significant benefits of effective consultation for employee welfare have been highlighted: 1. positive impact on productivity in the workplace, 2. Effective consultation Improves employee's engagement, 3. Effective consultation Increases employee retention, and 4. Effective consultation facilitates trust in a corporate communication. Conclusions: The study has identified four main advantages: enhanced productivity, enhanced engagement, increased retention, and enhanced trustbuilding. These findings provide insightful information for practitioners looking to foster positive workplace cultures and improve organizational success.

• 한국인터넷방송통신학회논문지
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• 제24권2호
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• pp.87-92
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• 2024

본 논문에서는 치과 상담용 챗봇을 개발하기 위해 기존의 대규모 언어 모델(LLM)과 랭체인 라이브러리를 이용하여 검색 증강 생성(RAG) 시스템을 구현하였다. 이를 위해 국내 치과 대학병원의 웹페이지 게시판에 있는 내용을 수집하고 치과 전문의의 자문과 감수를 받아 상담 데이터를 구축하였다. 입력된 상담용 데이터를 적절한 크기로 분할하기 위해 청크 크기와 각 청크의 겹치는 텍스트의 크기는 각각 1001과 100으로 하였다. 시뮬레이션 결과 검색 증강 LLM은 사용자 입력과 가장 유사한 상담 내용을 검색하여 출력하였다. 구축된 챗봇을 통해 치과 상담의 접근성과 상담 내용의 정확성을 높일 수 있음이 확인되었다.