• 제목/요약/키워드: essential medical services

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골다공증의 국내 연구 동향에 대한 고찰 - 한의 학술 논문 검색을 중심으로- (The Review on the Study of Osteoporosis in Korean Medicine Journals)

  • 서민수;김현철;추원정;정상윤;김세정;최정욱;최요섭;유영기
    • 척추신경추나의학회지
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    • 제8권2호
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    • pp.67-78
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    • 2013
  • Objectives : The present study examines the domestic trend of Osteoporosis studies in Korea. Method : We reviewed oriental medicine papers published in last ten years (2003-2012). Korean literature search was used for domestic Internet search portal. 'Naver specialized information retrieval', 'Korea Traditional Knowledge Portal', 'Korea Medical Information Portal (OASIS)',' Scientific and Technological Information Integration Services (NDSL)',' Academic Research Information Service (RISS)'as the primary destination of the search were. Since 2003 until 2012, the thesis o'f osteoporosis'and found 92 papers with the search term '(golwi)' to the search terms found in 3 papers Korean medical target of on going research trends in osteoporosis about investigated. Results : 1. We researched 95 papers in 15 journals and patterns of study were as follows : experimental studies were 79(83%), clinical studies were 12(13%), reviewed studies were 3(3%) and etc. were 1(1%). 2. The experimental studies(79) were divided into papers on efficiency testing of herbal medications(67) and herbal acupuncture(12). 3. The clinical studies(12) showed that research has been carried out in the fields of follow up surveys for the herbal medication efficiency testing, basic research, case report, the relativity of osteoporosis to age and sex, and the perception about osteoporosis and korean medicine treatment. 4. The reviewed studies showed that research has been carried out in the fields of osteoporosis about acient literature and domestic studies about herbal medication of osteoporosis. Conclusion : Reviewing the domestic trend of Osteoporosis studies and examining the strong and weak points of those treatments are essential for the future studies. It is anticipated that this review benefits the future in-depth study on the treatments for osteoporosis in Korean medicine.

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보건소(保健所) 행정(行政)의 기선을 위(爲)한 연구(硏究) (A Study on the Administrative Enhancement for Health Center Activities)

  • 문옥륜
    • Journal of Preventive Medicine and Public Health
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    • 제3권1호
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    • pp.97-110
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    • 1970
  • This survey was conducted to evaluate not only the present status of health center directors-their personal histories, their will to private practice in the future, their responses to governmental policies, -but also the distribution of doctorless myons, budget and subsidy, and director's opinions to the enhancement of health center activities. This survey questioned 116 health center directors and 16 health personnel from August to October of 1970 and obtained the following results; 1) The average ages of directors of kun, city, and total health centers were $43.2{\pm}7.8,\;42.1{\pm}7.7,\;and\;42.9{\pm}10.3$ respectively. 2) The average family sizes of directors of kun, city, and total health centers were $5.6{\pm}2.7,\;5.6{\pm}2.1,\;and\;5.6{\pm}2.6$ respectively. 3) Directors holding M. D. degrees were 79.3%, those holding qualified M. D. degrees ('approved director') were 20.7%. 4) M. P. H., M. S., and Ph. D. holders were 6.0%, 6.1%, and 4.3% respectively. 5) The average duration of present directorship in kun and city were 30.2 months and 20.4 months respectively. 6) The majority of directors had been employed in related fields before assuming current position : directorship at other health center 26.7%, army 22.4%, health subcenter 21.6%, private practice 19.0%. 7) Average length of directorship is 41.8 months. Average length of public health career, including health subcenter and present position, is 56.5 months. 8) Both rural and urban experience in health centers for regular directors is 16.3% and for approved directors, 12,5%. A total of 15.5% of all survey directors had experience in both rural and urban health center. 9) A total of 70.7% of health center directorships were staffed by local doctors. 10) Nearly 40% wanted to quit the directorships within 3 years and 60.3% had already experienced private practice. 11) Of the regular directors 17.4% felt strongly about devoting their lives to public health fields, but only 4.1% of the approved approved directors felt so. 12) There wire 432 doctorless myons among 996 respondent myons and 4.5 doctorless myons per kun. 13) The percentage of doctorless myon by Province are as follows, Cholla buk-do 57.2%, Cholla nam-de 55.0%, Kyungsang nam-do 52.0%, Kyungsang buk-do 49.7%, Chungchong but-do 42.4%, Kyonggi-do 32.9%. Cheju-do 30.8%, Kangwon-do 25.8%. 14) Two thirds of health critters have experienced the abscence of the director for a certain period since 1966 and the average span of the abscence was 18.2 months. 15) The percentage of doctorless myons increased proportionally with the span of the director's abscence. 16) The average budgets of health centers, kun, city and ku, were $W15.03\;million{\pm}W4.5\;million,\;W22.03\;million{\pm}W17.80\;million,\;W13.10\;million{\pm}W7.9\;million$ respectively. 17) Chunju city had the highest health budget per capita(W344) while Pusan Seo ku had the lowest(W19). 18) Director's medical subsidies are W30,000-50,000 in kun, and roughly W20,000 in city. 19) The older of priority in health center activities is T.B. control(31.1%), Family Planning and M. C. H.(28.0%), prevention of acute communicable disease and endemic disease (18.2%) and clinical care of patients(14.3%). 20) Nearly 32% opposed in principle the governmental policy of prohibiting medical doctors from going abroad. 21) Suggestions for immediate enhancing the position of director of health centers and subcenters: (1) Raise the base subsidy (48.2%), (2) Provide more opportunities for promotion (20.7%), (3) Exemption from army services(12.1%), (4) Full scholarship to medical students for this purpose only (7.8%). 22) A newly established medical school was opposed by 56.9% of the directors, however 33.6% of them approved. 23) Pertaining to the division of labor in Medicine and Pharmacy, the largest portion (31.9%) urged the immediate partial division of antibiotics and some addictive drugs to be given only by prescription. 24) More than half wanted a W70,000 level for the director's medical subsidies, white 36.2% stated W50,000. 25) Urgently needed skills in the kun are clinical pathologist (38.6%) and doctor (health center director) (25.5%); while in the city nurse (37.1%), doctors(clinical)(31.4%) and health educators(14.4%) are needed. 26) Essential treatment for the better health center administration; raising the base subsidy (22.7%), obtaining the power of personal management (19.3%) and the establishment of a Board of Health (14.3%). etc.

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노인이 경험한 대체요법의 양상에 관한 연구 1 (A Study on the Patterns of Alternative Therapy Experienced by the Aged)

  • 이강이;김순이
    • 대한간호학회지
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    • 제29권2호
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    • pp.336-345
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    • 1999
  • This study looks at the various alternative therapy methods used in day to day life by elderly, over 60 years of age. The elderly have come to know and practice these methods for the following reasons it is good for the health ; it is the method used in the of fen days when there wesn't modern medicine ; it has been passed down from generations ; it can be done at home without having the need to go to the hospital ; acupuncture or poulticing can be used ; it can be done at home, which was an important factor in rural areas where hospitals are few and far between ; and 〔herbal〕 medicine could be prepared at home at no cost ; it derives from experience ; it is impossible to ignore tradition passed down through the generations. Diet control and plants (herbs) are methods most often used. as they are easy to find and can be readily used in critical situations. Other methods include oriental medicine practices of moxibustion with moxa cone, negative therapy, hand and finger acupunture, finger press method. ordinary acupunture, manual healing methods of massage. diaphoretic therapy and meditation to reach a state of calm, and qigong dirigation. The reasons for its use are as follows ; it has been used before ; it is effective ; there is some improvement after the treatment ; it is not harmful to the body ; medicine cannot be obtained and it is the only thing available ; it is not good for an old person to go to the hospital everyday. the symptoms are not serious enough to go to a hospital : and acupuncture is for these things. The means that the elderly have come to practice these methods are : it has been used since the past ; it has been told by the elders ; they have been told by friends ; it was part of their knowledge ; and they have come to know by watching their mother. Further, to regain vitality lost through old age, the elderly have relied on hot soup. a hearty meal. brewed honey water, pumpkin, or ginseng. Humans, by instinct. would rub or massage the areas that caused pain. These actions, combined with a breathing technique have been recognized in Tong-Eui-Bo-Gam(the essential of eastern medicine), the complete work of early modern medicine, are a useful means to revive chi(기). This knowledge is thought to have greatly affected our heathy lifestyle. Furthermore, though the demand for medical services would increase with age, the elderly have not always been able to tend to their needs at the hospital for reasons economic or other. Hence, these alternative therapy methods seem to have been practiced as a temporary means of relief. The excellence of our traditional therapeutic custom has not received full recognition due to the argument relating to its scientific merits. As a result, it has become vital to prove their effectiveness through scientific and other experimental means. The potency of moxibustion with moxa cone and hand and finger acupunture have been proven scientifically. but diet and herbal methods appear to be practiced as a result of customs passed down from generations. In addition, it is submitted that the effectiveness of the traditional methods of disease control and our heathy lifestyle that are easily found in the nursing field must be verified.

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A Study on Korean Male Cosmetics Analysed Through The Newspaper Articles From 2000 To 2010

  • An, Jin-Kyung;Hong, Na-Young
    • International Journal of Costume and Fashion
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    • 제11권1호
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    • pp.63-83
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    • 2011
  • This study aims to prove the changes, development and social background of Korean male cosmetics over the period of 2000-2010. There were total 574 articles written about male make-up and cosmetics in Chosun Daily, Joongang Daily and Donga Daily, which are the top three Korean local daily newspapers in terms of sales revenue for that period. These articles were analyzed together with social background research from various books and daily newspapers. The analysis of articles was divided into different categories; such as foundation cosmetics, color cosmetics, hair, and the social background. It was found that the articles related to foundation cosmetics were written the most, the articles related to male appearance management were second, articles on other items including how to manage the skin being the least. As for the social background of Korean male cosmetics, first of all, a change in social recognition can be pointed out. The traditional understanding of gender roles has changed, men's appearance management has started to be regarded as a competitive talent, and at the same time, the esthetic viewpoint for men also has changed. One example is the newly made popular term, "flower-handsome man", which shows the new trend of favoring males with nice skin. Second, the expansion of mass culture can be pointed out. As consumers can get information and fashion trends easier and faster, the fashion spreads fast, and this has led to the generalization and popularization of the sense of beauty. Third, the development of scientific technology and medical science can be pointed out. Thanks to the progress in those areas. the extension of youthfulness has become possible and the cosmetics industry was also affected greatly, as shown in the market spread of functional products for anti-ageing and wrinkle control as the interest in anti-ageing has grown. There are benefits from the development of scientific technology, but the problem of environmental pollution has appeared due to machinery and industrialization and thus the issue of well-being has been raised. Rising interest in naturalism, pro-environmentalism and organic cosmetics has influenced the cosmetics industry. In addition, the quantity of ultraviolet rays exposed to our skin has increased due to the air pollution caused by the destruction of environment, leading to increased usage of sun block lotion. Lastly, the influence of consumer society and the expansion of consumerism culture can be pointed out. In the modern society, consumption acts not only as the use of products and services but it also has an important role of mediating individuals with others and the society. The market for male cosmetics has been expanding and the number of men putting on make-up has been increasing rapidly. Therefore, this study is meaningful in that the analysis of the mode of change and the social background are an essential process in order to provide a direction for the future market for male cosmetics.

재난관리를 위한 드론 영상 활용방안에 관한 연구 (A Study on the Utilization Plan of Drone Videos for Disaster Management)

  • 조정윤;송주일;장초록;장문엽
    • 한국산학기술학회논문지
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    • 제21권10호
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    • pp.372-378
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    • 2020
  • 4차 산업에서 가장 높은 성장세를 보이는 드론은 그 분야가 확장됨에 따라 활용도 역시 높아지면서 재난대응분야에서도 활용되고 있다. 실제 재난이 발생하면 지자체에서는 재난대응을 위해 13가지 협업기능을 수행하며 재난의 피해를 최소화하고 있다. 그러나 사람이 접근하기 어려운 지역이나 상황파악이 어려운 곳에서는 현장정보 수집 및 대응지원 등 여러 어려움을 겪고 있다. 이에 재난분야에서 그 활용도가 증가하고 있는 드론 영상을 바탕으로 각 시도별 재난안전대책본부의 13개 협업기능에 활용 가능한 방안을 도출하여 지자체의 재난관리 및 대응 기능을 제고하고자 하였다. 해외에서 활용되는 드론의 활용방안을 문헌연구를 통해 우선적으로 확인하고 산림청, 문화재청, 관세청, 경찰청, 해양경찰청, 해양수산부, 소방청, 국립재난안전연구원, 환경부 등 국내의 11개 부처에서 현재 사용되고 있는 드론 활용분야를 분석함으로써 재난안전대책본부의 13개 협업기능 중 총 10개(재난상황관리, 긴급생활안정지원, 응급복구, 재난자원지원, 교통대책, 의료 및 방역 서비스, 재난현장 환경정비, 사회질서유지, 수색·구조·구급)의 협업기능 활용방안을 도출하였다. 본 연구는 재난안전대책본부의 13개 협업기능별 드론 영상 활용방안을 제시함으로써 재난대응의 효율성을 제고하고자 하였다.

B2B 전자상거래 정보를 활용한 시장 융합 기회 발굴 방법론 (Discovery of Market Convergence Opportunity Combining Text Mining and Social Network Analysis: Evidence from Large-Scale Product Databases)

  • 김지은;현윤진;최윤정
    • 지능정보연구
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    • 제22권4호
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    • pp.87-107
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    • 2016
  • 융합을 통한 기술과 제품의 혁신을 이해하는 것은 중소기업의 생존을 위한 필수가 되었다. 특히, 이종 산업간 융합을 통한 제품 혁신과 성공을 위해서는 융합 가능한 아이템 즉, 제품과 기술, 아이디어를 탐색하고 대안을 찾는 것이 중요하다. 기존의 융합연구는 크게 두 가지의 한계를 갖는다. 첫째, 특허와 논문 등 기술정보를 기반으로 하는 기술융합 발굴은 시장의 수요를 인식하는데 한계가 있다. 본 논문은 중소 창업기업에 적용할 수 있는 시장융합(Market convergence)의 관점에서 새로운 융합 기회를 식별하려고 시도하였다. 이를 위해 세계 중소 수출입 기업이 이용하는 글로벌 B2B e-마켓플레이스의 제품 데이터베이스를 활용하였다. 둘째, 기존의 융합기회 발굴 연구는 이미 융합되어 존재하는 제품 또는 기술 기반의 연관성 및 관계를 파악하는데 집중하였다. 본 연구에서는 융합 가능한 새로운 사업기회의 발굴을 목적으로 구조적공백(Structural Hole) 이론을 적용하여, 상이한 산업군에서 서로 직접적인 연결 관계가 없는 키워드 간의 네트워크를 분석하여 융합의 가능성이 있는 새로운 융합 사업 테마를 도출하고자 한다. 이를 위해 제품명과 제품 기술서를 기반으로 제품 및 기술 용어 사전과 텍스트마이닝 을 활용하여 제품과 서비스의 특성을 추출하고, 이들 특성간 연관관계분석을 수행한 후, 네트워크 분석을 진행 하였다. 실험 데이터는 시장의 최신 동향을 파악하기 위해 2013년 1월 부터 2016년 7월까지 등록된 24만건의 e-카탈로그를 대상으로 하였으며, 분석의 효율성을 높이기 위해 기술 범위를 IT로 제한하고, IT 기술을 매개로 한 "Health & Medical"과 "Security & Protection" 카테고리 간의 융합 기회를 도출 하였다. 실험을 통하여 융합연관규칙 1,729을 추출하였으며, 지지도를 기반으로 100개의 규칙을 샘플링 하여, 구조적 공백을 분석하였다.

Knowledge and Attitudes of Indonesian General Practitioners Towards the Isoniazid Preventive Therapy Program in Indonesia

  • Winardi, Wira;Nalapraya, Widhy Yudistira;Sarifuddin, Sarifuddin;Anwar, Samsul;Yufika, Amanda;Wibowo, Adityo;Fadhil, Iziddin;Wahyuni MS, Hendra;Arliny, Yunita;Yanifitri, Dewi Behtri;Zulfikar, Teuku;Harapan, Harapan
    • Journal of Preventive Medicine and Public Health
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    • 제55권5호
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    • pp.428-435
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    • 2022
  • Objectives: The Indonesian Ministry of Health launched isoniazid preventive therapy (IPT) in 2016, with general practitioners (GPs) at the frontline of this program. However, the extent to which GPs have internalized this program remains uncertain. The aim of this study was to identify the knowledge and attitudes of GPs towards the IPT program in Indonesia. Methods: This study used an online, self-administered questionnaire distributed via e-mail and social messaging services. A logistic regression model was employed to identify the explanatory variables influencing the level of knowledge and attitudes toward IPT among GPs in Indonesia. An empirical analysis was conducted separately for each response variable (knowledge and attitudes). Results: Of the 418 respondents, 128 (30.6%) had a good knowledge of IPT. Working at a public hospital was the only variable associated with good knowledge, with an adjusted odds ratio (aOR) of 1.69 (95% confidence interval [CI], 1.02 to 2.81). Furthermore, 279 respondents (66.7%) had favorable attitudes toward IPT. In the adjusted logistic regression analysis, good knowledge (aOR, 0.55; 95% CI, 0.34 to 0.89), 1-5 years of work experience (aOR, 2.09; 95% CI, 1.21 to 3.60), and having experienced IPT training (aOR, 0.48; 95% CI, 0.25 to 0.93), were significantly associated with favorable attitudes. Conclusions: In general, GPs in Indonesia had favorable attitudes toward IPT. However, their knowledge of IPT was limited. GPs are an essential element of the IPT program in the country, and therefore, adequate information dissemination to improve their understanding is critical for the long-term viability and quality of the IPT program in Indonesia.

농촌여성(農村女性)의 건강실태(健康實態)에 관한 연구(硏究) (The Health Status of Rural Farming Women)

  • 박정은
    • 농촌의학ㆍ지역보건
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    • 제15권2호
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    • pp.97-106
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    • 1990
  • 1. Background Women's health and their involvement in health care are essential to health for everyone. If they are ignorant, malnourished or over-worked, the health &-their families as well as their own health will suffer. Women's health depends on broad considerations beyond medicine. Among other things, it depends upon their work in farming. their subordination to their families, their accepted roles, and poor hygiene with poorly equipped housing and environmental sanitation. 2. Objectives and Contents a. The health status of rural women : physical and mental complaints, experience of pesticides intoxication, Farmer's syndrome, experiences of reproductive health problems. b. participation in and attitudes towards housework and farming c. accessibility of medical care d. status of maternal health : fertility, family planning practice. induced abortion, and maternal care 3. Research method A nationwide field survey, based on stratified random sampling, was conducted during July, 1986. Revised Cornell Medical index(68 out of 195 items). Kawagai's Farmers Syndrome Scale, and self-developed structured questionnaires were used to rural farming wives(n=2.028). aged between 26-55. 4. Characteristics of the respondents mean age : 40.2 marital status : 90.8% married mean no. of household : 4.9 average years of education : 4.7 yrs. average income of household : \235,000 average years of residence in rural area : 36.4 yrs average Working hours(household and farming) : 11 hrs. 23 min 5. Health Status of rural women a. The average number of physical and mental symptoms were 12.4, 4.7, and the rate of complaints were 22.1%, 38.8% each. revealing complaints of mental symptomes higher than physical ones. b. 65.4% of rural women complained of more than 4 symptoms out of 9, indicating farmer's syndrome. 11.9 % experienced pesticide overdue syndrome c. 57.6% of respondents experienced women-specific health problems. d. Age and education of respondents were the variables which affect on the level of their health 6. Utilization of medical services a. The number of symptoms and complaints of respondents were dependent on the distance to where the health-care service is given b. Drug store was the most commonly utilized due to low price and the distance to reach. while nurse practitioners were well utilized when there were nurse practitioner's office in their villages. c. Rural women were internalized their subordination to husbands and children, revealing they are positive(93%) in health-care demand for-them but negative(30%) for themselves d. 33.0% of respondents were habitual drug users, 4.5% were smokers and 32.3% were alcohol drinkers. and 86.3% experienced induced-abortion. But most of them(77.6%) knew that those had negative effects on health. 7. Maternal Health Care a. Practice rate of contraception was 48.1% : female users were 90.9% in permanent and 89.6% in temporary contraception b. Induced abortions were taken mostly at hospital(86.3%), while health centers(4.7%), midwiferies(4.3%). and others(4.5%) including drug stores were listed a few. The repeated numbers of induced abortion seemed affected on the increasing numbers of symptoms and complaints. c. The first pre-natal check-up during first trimester was 41.8%, safe delivery rate was 15.6%, post-natal check-up during two months after delivery. Rural women had no enough rest after delivery revealing average days of rest from home work and farming 8.3 and 17.2. d. 86.6% practised breast feeding, showing younger and more educated mothers depending on artificial milk 8. Recommendations a. To lessen the multiple role over burden housing and sanitary conditions should be improved, and are needed farming machiner es for women and training on the use of them b. Health education should begin at primary school including health behavior and living environment. c. Women should be encouraged to become policy-makers as well as administrators in the field of women specific health affairs. d. Women's health indicators should be developed and women's health surveillance system too.

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응급실을 내원한 약물중독 환자에 대한 다학제 응급협진체계의 효과 검증 (Effect of Multidisciplinary Emergency Consultation System for Drug Intoxicated Patients)

  • 강진오;김혜리;민경준;김나령;허윤경;김선미
    • 정신신체의학
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    • 제27권2호
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    • pp.130-137
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    • 2019
  • 연구목적 자살시도로 음독을 시도한 환자가 응급실에 내원했을 때, 응급의학과, 내과, 정신건강의학과가 서로 의사소통을 하고 우선순위에 따른 처치를 하는 것은 중요하다. 본 연구는 약물중독 환자에 대한 다학제 응급협진체계(이하 약물중독 응급협진체계)의 효용성을 검증하고자 시행되었다. 방 법 약물중독 응급협진체계 구축을 위해 정신건강의학과, 응급의학과, 내과의 전문의가 협의체를 구성하여, 응급실 내원 당시 복용 약물의 종류와 의식 수준에 따른 담당 진료과 및 협진의뢰과 배정, 각 과별 약물중독 환자 전담 교수 배정, 정기회의, 협진 응답 소요시간 제한, 원내 생명사랑위기대응센터 및 지역사회 자원 연계 등을 모두 프로토콜화하였다. 본 연구에서는 약물중독 응급협진체계가 시행되기 전인 2017년 7월부터 2018년 5월까지의 기간과, 시행 이후인 2018년 7월부터 2019년 5월까지의 의무기록 데이터를 후향적으로 통계분석하여, 약물 중독 응급협진체계의 효과를 검증하고자 하였다. 결 과 약물중독 응급협진체계 시행 후, 시행 전에 비해 중환자실보다 개방병동으로의 입원이 유의하게 증가하였다(χ2=8.567, p=0.014). 또한 타과로 입원한 환자 중 정신건강의학과로의 협진 비율이 증가하는 경향을 보였고χ2=4.202, p=0.053), 협진 응답 소요시간은 감소하였다(Z=-2.031, p=0.042). 한편, 협진 결과 전과된 환자의 비율이 증가였하고(χ2=4.692, p=0.043), 전과까지 소요된 시간은 감소하는 경향을 보였다(Z=-1.941, p=0.052). 결 론 약물중독 응급협진체계 시행 후 불필요한 중환자실 입원, 협진 응답 소요시간, 전과 소요시간이 감소하였으며, 협진 의뢰 비율 및 전과 비율은 증가하였다. 이는 다학제 협진체계가 환자에게 필수적인 의료서비스를 보다 적은 의료비용으로 신속하게 제공하였음을 의미한다. 향후 약물중독 이외의 자살시도에 대해서도 응급협진체계를 구축하여, 각 과 간 명확하고 책임있는 의학적 권고를 신속하게 공유한다면, 환자의 치료 및 의료비용 측면에서 긍정적인 효과를 보일 수 있을 것으로 기대된다.

지역 주민의 공공병원에 대한 부정적 인식에 영향을 미치는 요인 (Factors Affecting the Negative Perception of Public Hospitals among Local Residents)

  • 최은혜;조정희;엽경은;박보희;김소영;박종혁
    • 보건행정학회지
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    • 제34권2호
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    • pp.211-221
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    • 2024
  • 연구배경: 코로나바이러스감염증-19로 인한 공중보건 위기는 공공병원의 확충 및 강화의 필요성을 강조하지만, 공공병원에 대한 전반적인 인식은 여전히 부정적인 것으로 나타났다. 공공병원에 대한 부정적 인식은 공공병원의 역할과 기능 수행에 어려움을 초래할 수 있어 이 연구에서는 공공병원에 대한 부정적 인식에 영향을 미치는 요인을 분석하고자 한다. 방법: 이 연구는 충청북도공공보건의료지원단에서 수행한 충청북도 도민의 공공보건의료 인식에 대한 실태조사 자료를 활용하였다. 연구에는 조사에 응답한 만 19세 이상 성인 1,916명이 포함되었으며, 공공병원 이용 경험과 공공의료 및 공공병원 정책 평가가 공공병원의 부정적 인식에 미치는 영향을 분석하기 위해 로지스틱 회귀분석을 활용하였다. 결과: 공공병원 미이용 경험(adjusted odds ratio [aOR], 1.69; 95% confidence interval [CI], 1.04-2.74)과 공공의료 및 공공병원 정책에 대한 부정적인 평가는 공공병원의 부정적 인식에 유의한 영향을 미치는 것으로 나타났다. 구체적으로, 공공의료 정책에서 필수의료 제공이 부족하다고 느낀 경우(aOR, 4.14; 95% CI, 2.59-6.62), 지역 간 격차가 크다고 느낀 경우(aOR, 1.59; 95% CI, 1.02-2.49), 보장성(aOR, 1.99; 95% CI, 1.25-3.16)과 의료의 질(aOR, 2.39; 95% CI, 1.50-3.80)이 낮다고 평가한 경우 공공병원에 대한 부정적 인식이 증가하였으며, 공공병원 정책에서는 시설·장비가 열악하다고 느낀 경우(aOR, 3.74; 95% CI, 2.36-5.94), 진료과목 및 서비스가 부족하다고 느낀 경우(aOR, 1.91; 95% CI, 1.21-3.01), 진료수준이 낮다고 평가한 경우(aOR, 2.71; 95% CI, 1.72-4.25) 공공병원에 대한 부정적 인식이 증가하는 것으로 나타났다. 결론: 이 연구는 공공병원 이용 경험과 공공의료 및 공공병원 정책 평가를 고려한 공공병원 인식 제고의 필요성을 강조한다.