• 의료법학
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• 제12권2호
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• pp.317-338
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• 2011

The World Health Organization (WHO) tries to accomplish the goal of 'smoke free society', and developed countries regard the nicotine as an addictive drug. In order to better protect human health, all parties are required to adopt and implement effective legislative, executive, administrative or other measures for tobacco control in accordance with Article 4 the Framework Convention on Tobacco Control (FCTC). In order to achieve the objective of the FCTC and its protocols and to implement its provisions, Korea need to take an attention on the U.S. Family Smoking Prevention And Tobacco Control Act of 2009 and Final Rule. It is need to integrate and centralize of tobacco safety administration and smoking prevention for the national health promotion.

• 치위생과학회지
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• 제21권1호
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• pp.8-18
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• 2021

The purpose of this study is to provide the general history of fostering dentists in Japan and introducing their new roles. This research was conducted based on the government policy report on dentists and the information published by each educational institution. Based on the collected data, the official websites were used to represent the latest statistics of the institutions. The number of dentists in Japan has increased. The government established the National Examination for Dentists to guarantee the quality of dentists. After the standards for developing questions for the national examination were established in 1985, the contents of the examination have been appropriately improved by revising the standards every four years. This improvement has required dental students to study a variety of subjects for six years at dental school. Since dentists in Japan are required to respond to various demands from the nation; the Model Core Curriculum for Dental Education was developed to teach medical ethics and abilities to ensure that dentists conduct themselves professionally. Recently, the roles of dentists have been changing in Japan. When providing dental services to older patients over the age of 65, dentists and other dental professions focus on maintaining oral functions, such as saliva secretion, bite force, tongue movement, and masticatory/swallowing functions. However, oral function-related services for children are different. In addition to providing essential dental services, dental practitioners also provide special treatment, such as oral muscle training, myofunctional therapy, health guidance, and space retainers to the child patients with developmental insufficiency in oral functions. Dentistry in Japan has undergone numerous changes over the years and has continued to offer high-quality dental health services. Thus, information gained from the Japanese experience may be helpful to dental professions in other developed countries for planning oral health measures.

• 한국건축시공학회지
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• 제20권5호
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• pp.471-480
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• 2020

국내 산업재해는 점진적으로 감소하고 있음에도 불구하고 건설업에서의 사망자는 전체 산업의 49.9%를 차지하고 있으며, 그 중 추락사고 사망자는 59.7%의 높은 비중을 차지하고 있다. 이에 따라 정부차원에서 건설업의 추락사고를 예방하기 위한 다양한 안전 활동 및 정책을 추진하고 있으나 그 효과는 미비한 실정이다. 반면 미국, 일본, 영국, 싱가포르 등 해외 선진국의 경우 각국의 상황에 적합한 안전 활동, 규제 및 정책 등을 펼친 결과, 국내보다 산업재해 발생율이 저조했다. 따라서 본 연구의 목적은 국내 산업안전보건법과 해외 선진국의 법령을 추락재해에 밀접한 영향을 미치는 기인물별로 비교·분석하여 국내 실정에 맞는 개선방안을 제시하는 것이다. 비교 분석 결과, 본 연구에서는 국내 건설현장의 추락재해 저감을 위한 개선방안으로 1)추락 높이에 대한 기준 개선 2)안전난간 상부난간대 높이의 개선 3)수평안전대 부착설비 연구 및 지침의 개정 등의 개선방안을 제시하였다. 향후 본 연구는 해외 선진국의 사례분석을 위한 기초자료로 활용될 것이다.

• 의학교육논단
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• 제21권1호
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• pp.31-40
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• 2019

The Dr. LEE Jong-wook-Seoul Project (DLSP) in the Lao People's Democratic Republic (PDR) is a long-term development cooperation initiative aimed at upgrading the medical education capacity at the University of Health Sciences (UHS) in the Lao PDR. Under the project, eight faculty members from UHS were trained at the Seoul National University College of Medicine for a 12-month period during 2010-2011. Using a training-of-trainers model, we estimated the effect of DLSP on the learning outcomes of students, which was measured using the standard test scores of the students. The questionnaire developed by the Medical Education Assessment Consortium in Korea was given to the students and both the percent-correct and standardized scores were examined. The evaluation strategy was to compare the learning outcomes of the students taught by the trainees with those that were not and to compare the medical topics taught by the trainees with other topics. It was found that the first group of trainees in the DLSP was associated with an increase of 1.5 in the percent-correct test scores for basic medicine. While the interpretation requires caution, it is consistent with the view that a training program for faculty members could be effective in improving the teaching capacity of medical schools in developing countries.

• Journal of Korean Medical Science
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• 제33권46호
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• pp.288.1-288.12
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• 2018

Background: Diarrheal and intestinal infectious disease caused by inadequate drinking water, sanitation, and hygiene (WASH) is not only a great concern in developing countries but also a problem in low-income populations and rural areas in developed countries. In this study, we assessed the exposure to inadequate WASH in Korea and estimated the burden of disease attributable to inadequate WASH. Methods: We used observational data on water supply, drinking water, sewage treatment rate, and hand washing to assess inadequate WASH conditions in Korea, and estimated the level of exposure in the entire population. The disease burden was estimated by applying the cause of death data from death registry and the morbidity data from the national health insurance to the population attributable fraction (PAF) for the disease caused by inappropriate WASH. Results: In 2013, 1.4% of the population were exposed to inadequate drinking water, and 1.0% were living in areas where sewerage was not connected. The frequency of handwashing with soap after contact with excreta was 23.5%. The PAF due to inadequate WASH as a cluster of risk factors was 0.353 (95% confidence interval [CI], 0.275-0.417), among which over 90% were attributable to hand hygiene factors that were significantly worse than those in American and European high-income countries. Conclusion: The level of hand hygiene in Korea has yet to be improved to the extent that it shows a significant difference compared to other high-income countries. Therefore, improving the current situation in Korea requires a continuous hand washing campaign and a program aimed at all people. In addition, continuous policy intervention for improvement of sewage treatment facilities in rural areas is required, and water quality control monitoring should be continuously carried out.

• 정보화정책
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• 제25권1호
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• pp.60-81
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• 2018

보건의료와 ICT가 결합된 형태인 디지털 헬스케어는 보건의료 패러다임을 진단 치료에서 예방 관리로 변화시키고 있다. 또한 부가가치가 매우 높은 경제 발전의 신성장 동력으로 인식되고 있으며, 우리 정부도 이의 발전을 위해 관련 제반 기술 및 정보에 대한 합리적 법적 기준과 규제체계를 마련하고자 노력하고 있다. 하지만 이러한 노력에도 불구하고, 정부의 디지털 헬스케어 발전을 위한 규제 개선 전략에 변화가 필요하다는 주장이 지속적으로 제기되고 있다. 이에 본 연구에서는 우선 우리나라와 해외 주요국의 디지털 헬스케어 발전을 위한 규제 개선 전략을 비교 분석하여 차이점을 확인하였다. 이어서 본 연구는 디지털 헬스케어와 관련된 신문기사 분석과 전문가 인터뷰를 실시하여 국내 디지털 헬스케어 관련 규제 쟁점과 발전을 위한 규제 개선 전략을 도출하였다. 전문가들은 디지털 헬스케어 관련 규제 개선을 위해 특히 부처 간 협업구조의 구축, 부처의 전문역량 강화와 전문가 확보, 폭넓은 이해관계자의 참여 보장, 그리고 의료 정보의 처리에 대한 명확한 기준 마련을 중요하게 인식함을 확인하였다. 마지막으로 본 연구는 전문가 인터뷰 결과를 중심으로 하여 연구의 시사점을 제시하였다.

• 한국전문물리치료학회지
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• 제30권2호
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• pp.87-91
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• 2023

Most advanced countries that are members of the World Physiotherapy have established a 4-year education system or specialized graduate school system for physical therapists based on national standards. They have also expanded their laws and systems to provide physical therapists with the autonomy and independence to offer services in their clinics. However, compared with developed countries in North America and Europe, there are issues with the autonomy and independence of physical therapists in Korea related to national regulations. Social status and recognition of the profession are also lagging. Korea is expected to become a super-aged society by 2025. To reduce the financial burden of healthcare and welfare on the government, it is necessary to extend the time spent by older adults on independent activities and minimize their time spent using medical services. To achieve this goal and maximize the active life of older adults, a plan to efficiently use licensed physical therapists in the country should be prepared. Korea should increase the license utilization rate of physical therapists to reduce waste at the national level and increase the professional hope of the younger generations of physical therapists. To create a healthcare policy focusing on the use of physical therapy personnel, similar to that in advanced countries, it is necessary to unify educational systems and produce excellent physical therapists. Providing professional autonomy can help physical therapists develop a sense of job satisfaction. Outstanding talent will choose physical therapy as a profession if they can see hope for their future careers, and if physical therapy services in Korea are similar to those delivered in advanced countries, physical therapy in Korea can develop into a healthcare service that people desire.

• 대한간호학회지
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• 제41권4호
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• pp.558-567
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• 2011

Purpose: The purpose of this study was to monitor the use of health-related quality of life (HRQOL) instruments in Korean studies of patients with diabetes. Methods: Of 86 Korean studies initially identified, 17 studies met the inclusion criteria. For each study, a description of the instrument and its psychometric properties were monitored by the Instrument Review Criteria of the Scientific Advisory Committee. These criteria include conceptual definition, attributes, taxonomy, reliability, validity, responsiveness, administrative mode, and language adaptations. Results: Five generic and one diabetes specific type questionnaires were identified from the 17 studies. Of those studies, conceptual definitions with the attributes of multi-dimension and subjectiveness were provided for 11 studies (71%). In the analysis of conceptual taxonomy, only 6 studies were classified as HRQOL, while other studies were done as QOL or health status. In monitoring of psychometric properties, reliability, validity, and responsiveness were reported for 88.2%, 64.7%, and 29.4%, respectively. One generic instrument was developed with a Korean population, while the other instruments were developed for Western countries. However, language adaptations were performed for only a few of the instruments. Conclusion: The psychometric properties including responsiveness of most instruments warrants further research, and the development of diabetes-specific HRQOL measurements should be sought to facilitate intervention outcomes across Korean studies of patients with diabetes.

• 디지털융복합연구
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• 제11권12호
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• pp.537-549
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• 2013

본 연구는 주요 선진국의 군인 건강조사 실태 및 특징을 살펴보고, 우리나라 군인 건강조사의 나아갈 방향을 제시하는 것이다. 이를 위해 군인 건강조사를 실시하고 있는 미국, 호주, 캐나다의 군인 건강조사 현황을 파악하였다. 구체적으로 건강조사의 배경, 목적, 대상, 참가인원 수, 방법, 내용, 관련기관, 주기 등을 심층 고찰하였다. 고찰결과 주요 선진국의 군 건강 설문조사의 특징은 다음과 같다. 첫째, 군인 건강조사는 건강 위험요인을 줄이는 방향으로 단계적으로 발전해왔다. 둘째, 정신건강에 대한 관심과 중요성이 강조되고 있다. 셋째, 외국의 군 건강조사는 정부의 협력뿐만 아니라 전문조사기관이나 대학과의 협력을 통해 데이터 수집 및 분석에서 익명성과 전문성을 보장하고 있다. 마지막으로, 제도화를 통해 건강 설문조사를 정기적으로 시행하고 있다는 것이다. 앞으로 군 보건의료 관계자뿐만 아니라 국가적 차원에서 군 건강조사에 대한 필요성과 중요성을 인식하고 법적, 제도적 환경을 구축하는 것이 중요하다 하겠다.

• 대한간호학회지
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• 제32권6호
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• pp.855-866
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• 2002

The purpose of study is to develop a home nursing care project model suitable for Korea's heath care system and policy directions for expansion and establishment of home nursing care. Method: The first, status of home nursing care program in medical institution and public health center was evaluated respectively in view of structure, process and performance. And then, issues of the program were analyzed in view of accessibility, safety, and sufficient supply. The second, demand projection of home nursing care according to income level and technical level of service that is needed to the subject was tried. In addition, the level of supply for home nursing care at present was estimated. The third, home nursing care program in advanced countries (Japan and U.S.A.) was examined. Result and Conclusion: Community-based home nursing care program is developed into public-operation model and private-operation model from above the sub-subject result. Functional network for referral system among related institutions is built up to meet various needs, regardless of accessibility to distance and economy. And prior settlements and policy directions for expansion and establishment of home nursing care are suggested.