• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제15권4호
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• pp.13-21
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• 2009

Healthcare design is always challenged to come up with the rapid changes in healthcare system and industry as well as complicated planning requirements. This thesis aims to grab good instructions from Louis I Kahn who designed more than 15 healthcare projects during his entire life, from the winning project of the student competition in 1920 to Ayub hospital in Dhaka, Bangladesh after his death. His many hospital projects are deeply related to his famous projects such as Yale Art gallery, Philips Exeter Library, and Sher-E-Bangla Nagar national capital of assembly hall. But, it is not easy to find the researches about his hospital projects among many books and theses about him. Thus, this thesis investigates them and their contextual and historical relationships in order to find the way to apply his knowledge and philosophy about healthcare design to the modern hospital projects. We expect that it will promote more following researches for his healthcare projects.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제24권4호
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• pp.7-15
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• 2018

Purpose: The life span of a hospital building is short. This is because the building will have to be built up due to the fact that it can not cope with the new medical environment, it can not be replaced due to low floor height, lack of land. The purpose of the hospital building master plan is to find a way to fulfill its role in the long term. Methods: Comparison the proposals submitted by the master plan and the proposals submitted by the hospitals, the case of three hospitals that have established a master plan for the past three years. In addition, interviews with the designers who participated in the design competition and the administrator of hospital about the variables that occurred during the business process. Results: The result of this study can be summarized into four points. The first one is that master plan is changed by administrator of hospital so that Thy need to understand about the role of master plan. And next is to protect reduction of the project cost. Third, continuous participation of master plan researchers in following projects is good to communicate with administrator and designer. The last one is empathy of master plan by designer and users. Implications: It is necessary to reduce changing of master plan in design process for sustainable managing of hospital.

• 간호행정학회지
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• 제6권1호
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• pp.147-159
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• 2000

This paper studied the factors that influence on RN staffing level in the 43 Specialized general hospitals. Market structure was analysed using the monopsony model. The degree of competition was estimated by Herfindal Index and market was defined as Great medical zone. As the result of the estimation, in the more competitive hospital market hospitals employed the higher level of RN staffing, so monopsony model was supported. Hospitals with above 1001bed employed more RN than hospitals with below 700bed did. Hospital type, hospital union and the number of medical doctor did not affect the level of RN staffing. There was positive correlation between the level of RN staffing and the number of nurse's aid. The structure of RN market in Specified general hospitals was proved monopsony market, it seems that government regulation will be needed to improve social efficiency and equity.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제9권2호
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• pp.37-42
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• 2003

The recent project has been progressed from focusing on the establishment of having an international sense and making a symbolic building in Cheju Island. Its purpose is to provide the best medical services to the inhabitants, and to reflect the local feelings and the entire design concept based upon the role of the health promotion. This study is to explain the process of a traditional architecture method of Cheju Island applied to the modern design element and re-composition into the layout plan, the composition diagram of the exterior, the elevations, etc. of the drawings of the project.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제3권5호
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• pp.67-78
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• 1997

Recently, hospital architecture is in the transition period which faces a great change. Patients' demands on medical services have been changing and hospitals have been feeling the need to innovate their facilities in order to prepare for the upcoming challenges in the field such as global competition, market opening, etc. In addition, every hospitals requires the creative and novel design which is different from the conventional concept to deal with various circumstances. Accordingly, various space arrangements are proposed against the past unified hospital type. This study is designed to consider and evaluate the prospects of hospital architecture by analyzing the space allocation type of representative hospitals which are being recently constructed in Korea.

• Journal of Preventive Medicine and Public Health
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• 제34권4호
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• pp.399-407
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• 2001

Objectives : To investigate the current status of hospital-based health promotion programs in Korea and to elucidate the factors which affect to the process of implementation. Methods : We conducted a mail survey of all 875 hospitals in Korea from March to May 2001. In reference to 12 specific kinds of health promotion programs, hospital CEOs were asked whether their hospital have such programs, whether they are fully staffed and whether the program is paid for by the patients. Contextual factors(location, hospital type, number of beds, length of operation, public/private status, economic level of the community, the level of competition) and organizational factors (the extent of market, compatibility with vision, formalization), strategic types of the CEOs (defender/analyser/prospector) were also surveyed. The relationships between each variable and the implementation of health promotion services, activation of services, and the target groups(patient/community resident) were analyzed by univariate analysis and the independent effects of these variables were examined with multiple logistic regression. Results : 100 of 125 hospitals responding (84.8%) had mere than one health promotion program. However, they showed fluctuations in the adoption rate of each programs, meaning that comprehensive health promotion services were not provided. Many programs were not fully staffed and few hospitals had paid programs. In factors affecting health promotion service implementation, private hospitals showed a higher rate in implementation than public hospitals. In contrast, when the competition among nearby hospitals was intense, the level of implementation of service lowered. In the strategic type of the CEOs, the prospectors were shown to have instituted more health promotion programs in their hospitals and the analysers had a greater tendency to have programs for community residents than the defenders. Conclusion . Considering the above results, contextual factors may contribute greatly to the introduction of health promotion services in Korean hospital, although the CEO's personal preference and organizational factors play a larger role in the activation of services. Additionally, the CEO's personal preference may be the major influencing factor in the introduction of programs for community residents.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제13권2호
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• pp.53-60
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• 2007

Various changes in medical environments including growing elderly population, chronic diseases, deepening competition among hospitals since opening to foreign medical service, economic strategy for improvement of profit system have caused hospitals to be specialized. In this backgrounds, the purpose of this study is to receive basic data for architectural planning on the spatial organization of outpatient department in general hospital. The results of this study were as follows; First, major changes of outpatient department in general hospital are composed of 'co-work in medical examination and treatment', 'decentralization of diagnosis and treatment(D/T)' and 'patient-oriented medical service'. Changes by co-work system include appearance of medical offices for co-work, activation of specialized clinics, grouping of E/T section for outpatient and various types of specialized centers. Second, the grouping of E/T sections means the modification of E/T system and organization in general hospitals, and a new spatial organization will be needed. Third, the types of specialized centers are getting varied. they are classified into several types including disease-resource, social stratum-resource, human organ-resource, health-resource, rehabilitation-resource, alternative medical center and so on.

• Journal of Microbiology and Biotechnology
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• 제34권7호
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• pp.1544-1549
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• 2024

This study presents a fluorescent mechanism for two-step amplification by combining two widely used techniques, exponential amplification reaction (EXPAR) and catalytic hairpin assembly (CHA). Pseudomonas aeruginosa (P. aeruginosa) engaged in competition with the complementary DNA in order to attach to the aptamer that had been fixed on the magnetic beads. The unbound complementary strand in the liquid above was utilized as a trigger sequence to initiate the protective-EXPAR (p-EXPAR) process, resulting in the generation of a substantial quantity of short single-stranded DNA (ssDNA). The amplified ssDNA can initiate the second CHA amplification process, resulting in the generation of many double-stranded DNA (dsDNA) products. The CHA reaction was initiated by the target/trigger DNA, resulting in the release of G-quadruplex sequences. These sequences have the ability to bond with the fluorescent amyloid dye thioflavin T (ThT), generating fluorescence signals. The method employed in this study demonstrated a detection limit of 16 CFU/ml and exhibited a strong linear correlation within the concentration range of 50 CFU/ml to 10⁵ CFU/ml. This method of signal amplification has been effectively utilized to create a fluorescent sensing platform without the need for labels, enabling the detection of P. aeruginosa with high sensitivity.

• 한국병원경영학회지
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• 제8권4호
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• pp.1-25
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• 2003

The wave of globalisation initiated by marketisation has increasingly penetrated into all sectors across the world, accordingly, the health & hospital service sector could not be made no escapes, and it currently faces the order of more marketised competition more than ever. Traditionally, the characteristic of the hospital services in the UK has considered as a model of social provision by government. However, contrary to our knowledge, the sphere of the hospital service in the UK has already been immersed in by the marketisation, in which the private actors have been embedded in order to tweak the activities of the hospital service with in the European Union. As the methodology of this research, the qualitative analysis, namely the interview with some doctors in Surgery, NHS Trusts staffs and relevant specialists in has been performed on April to May, 2003. And on the other hand, the various documents related to its service have been analysed. Thus, this paper will review the characteristics of the health service sector in the UK. In doing so, it will illuminate what would be the structural factors derived from its existing system, as a result, it will shed light on how the UK government makes an effort to resolve the problematic situation by reviewing the policy direction of Foundation Hospital proposed recently. In the next stage, it will analyse how all elements consist of the hospital management in the UK has been adjusted and be likely to be changed within Europe. More specifically focuses on how the private hospital service has been managed and related with the activities of its public hospital service-NHS Trusts. Also, under the circumstance, what private health insurance companies function will be studied. In conclusion, it will be concluded that what will be the implication of Korean hospital service market so as to correspond to globally open market by WTO. Now the UK health service system has faced a turning point of becoming more health care market internally and externally pressed by global and regional factors. Thus it is meaningful to scrutinize how a key part of social provision in the health care market system tends to adjust to globally marketised regulation.

• 한국콘텐츠학회논문지
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• 제10권6호
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• pp.344-351
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• 2010

최근 병원은 의료에 대한 수요가 점차 증가하면서 신설과 확장을 통해 다양한 경쟁상황에 직면하고 있는 실정이다. 이러한 현실에서 병원서비스에 대한 품질 유지는 곧 병원의 생존과 발전을 위해, 병원 본래의 기능뿐만 아니라 경쟁력을 확보하기 위한 핵심 요인으로 평가되고 있다. 따라서 본 연구는 병원의 서비스 품질에 초점을 두고 서비스 내용을 중심으로 고객과의 접촉으로 나타나는 결과들을 종합 평가하였다. 본 연구에서 투입된 변수 즉, 병원서비스 품질과 고객만족, 재이용의도 등의 관계정도는 병원의 전략적 병원경영의 기초가 될 수 있기 때문이다. 본 연구결과 병원서비스 품질과 고객 만족, 재이용의도간의 영향 관계에서 병원서비스 품질은 고객 만족, 재이용의도에 매우 유의한 것으로 나타났다. 향후 이러한 결과는 고객중심적 병원경영에 지침을 제공할 수 있으며, 더 나아가 경쟁력 강화에 응용될 수 있을 것으로 기대된다.