• 보건행정학회지
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• 제25권3호
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• pp.185-196
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• 2015

Background: Issues concerning with the classification accuracy of Korean Outpatient Groups (KOPGs) have been raised by providers and researchers. The KOPG is an outpatient classification system used to measure casemix of outpatient visits and to adjust provider risk in charges by the Health Insurance Review & Assessment Service in managing insurance payments. The objective of this study were to refine KOPGs to improve the classification accuracy and to evaluate the refinement. Methods: We refined the rules used to classify visits with multiple procedures, newly defined chemotherapy drug groups, and modified the medical visit indicators through reviews of other classification systems, data analyses, and consultations with experts. We assessed the improvement by measuring % of variation in case charges reduced by KOPGs and the refined system, Enhanced KOPGs (EKOPGs). We used claims data submitted by providers to the HIRA during the year 2012 in both refinement and evaluation. Results: EKOPGs explicitly allowed additional payments for multiple procedures with exceptions of packaging of routine ancillary services and consolidation of related significant procedures, and discounts ranging from 30% to 70% were defined in additional payments. Thirteen chemotherapy drug KOPGs were added and medical visit indicators were streamlined to include codes for consultation fees for outpatient visits. The % of variance reduction achieved by EKOPGs was 48% for all patients whereas the figure was 40% for KOPGs, and the improvement was larger in data from tertiary and general hospitals than in data from clinics. Conclusion: A significant improvement in the performance of the KOPG was achieved by refining payments for visits with multiple procedures, defining groups for visits with chemotherapy, and revising medical visit indicators.

• 대한임상검사과학회지
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• 제55권3호
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• pp.203-212
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• 2023

코로나19가 창궐한 후 임상병리사(medical technologists, MT)가 병원에서 PCR 검사를 수행하고 있을 뿐만 아니라 차세대 염기서열분석(next-generation sequencing, NGS)도 수행한다는 사실을 일반적으로 알고 있다. 하지만, 많은 사람들은 유전자검사 분야에 대한 임상병리사의 업무로 의료법에 명시되어 있지 않다는 사실을 인지하지 못하고 있는 실태이다(MT 72.5%, N=200; 학생 62.8%, N=123). 이러한 이유로, NGS에 대한 임상병리사의 업무 적절성을 검증하기 위해서 온라인 설문지를 작성하도록 설계하여 설문조사 결과를 분석하였다. NGS가 포함된 유전분야에 대한 임상병리사의 업무범위에 대한 법제화가 필요하다(MT 99.5%, N=200, 학생 86.8%, N=123)고 나타났다. 그리고 임상병리사 국가면허시험 문제은행에 세포유전학 및 분자유전학 관련 임상유전학 문항이 모두 포함돼야 한다(MT 97.5%, N=200; 학생 72.3%, N=123)고 조사되었다. 이러한 조사를 바탕으로 임상병리학 분야의 발전을 위해 임상병리사와 학생 모두를 위한 유전자 교육 및 법제화를 위해 대한임상병리사협회는 교수협의회와 적극 협력할 필요가 있겠다.

• 대한임상검사과학회지
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• 제55권4호
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• pp.314-323
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• 2023

본 연구는 한국 16개 시·도 1차·2차 의료기관의 임상병리사의 근로실태와 임금수준을 분석하여 희망임금 가이드라인을 제시하고자 한다. 전국 16개 시·도 1차·2차 의료기관의 임상병리사 1,327명을 대상으로 2022년 8월 1일부터 2022년 9월 30일 까지 구조화된 구글 설문지를 활용한 설문조사를 실시하였다. 연구 결과, 임금수준은 성별, 연령, 학력, 경력, 직책, 근무지역, 고용형태에 따라 차이가 있는 것으로 나타났다. 경력 1년 미만의 성별, 지역별에 따른 현재의 임금과 희망 임금은 차이가 있으며, 임금의 격차는 상대적으로 여성이 크게 나타났다. 임금만족도, 업무성과에 적합한 임금 및 보상인식, 기술가치 대비 보상에 대한 인식도는 각각 2.01, 2.23, 2.30으로 낮게 나타났다. 본 연구는 1차·2차 의료기관이 임상병리사가 안정적인 일자리와 업무를 제공받을 수 있는 환경을 조성하기 위해 임상병리사 업무에 대한 합당한 임금을 제공해야 하고, 대한임상병리사협회는 1차·2차 의료기관의 임상병리사의 초임임금은 3,400만원의 희망 급여를 받을 수 있도록 협력체계를 구축해야 함을 시사한다.

• 한국비블리아학회지
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• 제29권1호
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• pp.233-252
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• 2018

1884년 한국에 온 최초의 의료선교사 Horace Allen이 우리나라 최초의 서양식 병원인 제중원을 세운 뒤에 John Heron, Oliver Avison 등 외국인 의사들이 선교를 목적으로 차례로 입국하였다. 이들은 병원과 의과대학을 설립하고 진료와 교육활동을 통하여 근대의학을 보급하고 발전시켰다. 또한 체류기간동안 파송기관과 교회에 공적 기록물을 작성하여 보고하였고 동료, 후원자, 그리고 가족들에게는 개인적인 기록물을 남겼다. 개화기 이후 내한선교사들의 기록, 즉 보고서, 기행문, 편지, 일기, 사진, 구술자료 등은 우리나라 근대사 연구에 필수적인 사료이다. 특히 일기나 기행문이 자세한 기록이기는 하지만, 일방적인 기록이기 때문에 과장되거나 불확실한 경우가 있는 것에 비해 편지는 수신자와 발신자 사이의 기록이기 때문에 사실 확인이 가능하고 회고록처럼 후일의 상황변동에 따라 수정하거나 변개할 수 없다. 그러나 이러한 학술적 가치에도 불구하고 내한 의료선교사들의 1차적인 기록인 편지를 보다 포괄적으로 발굴하고 이를 체계적으로 정리하는 일은 본격적으로 이루어지지 않았다. 이 연구는 북미지역 29개 기관에 소장된 49개의 기록물 컬렉션을 조사하고 분석한 것이다. 또한 이들의 자료적 가치를 살피고 이를 바탕으로 한 디지털 인문학적 활용 방안을 모색하여 향후 근대사 연구에 활용하고자 하였다.

• 대한간호학회지
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• 제6권1호
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• pp.12-22
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• 1976

Amongst varieties of clinical nursing role, the administration of medication is often highlighted as of prime importance. In order to attain data for the improvement of teaching strategies of medication, diagnostic evaluation of the knowledge level is a necessity. This study was performed from August through December 1975. 449 registered nurses, randomly sampled from general hospitals:16 of Seoul and 7 of Taegu and Pusan, were tested through 54 test questionaries based on 4 practical dimensions of administration of medication. Results are as follows ; 1. Status of respondents: Length of clinical experiences; the average length revealed to be 2 years and 7 months, 72% revealed to have had less than 3 years of experience; 38.6%-less than 1 year, 19 .2%-over 1 year and less than 2 years, and 14, 2%-over 2 years and less than 3 years. Type of Nursing education received ; 9.4% revealed to have graduated technical high school of nursing, 67.5o/o the 3 year diploma school and 21, 7% the baccalaureate degree program. The knowledge Level; Degree of self-satisfaction on knowledge level revealed that;27, 4% responded to "more or less satisfied", 48.8% "more or less un-satisfied" and 19.8% to "not satisfied". The average level of basic knowledge revealed to be moderate by 66.95 points. The level of knowledge of 4 questionnaire categories revealed that; drug action category by average of 66.5 points, methodology category by 65.4 Points, safety measure category by 71.4 points and terminology and concepts category by 64.6 points, Questionnaire items which revealed high points are of;6 of drug action category, 4 of methodology, 4 of safety measure, and 3 of terminology. The items of low points are: 8 of drug action, 3 of methodology, 3 of safety measure and 5 of terminolology categories. 3. The type of nursing education revealed to have no significant influence on the level of knowledge on the administration of medication. 4. The length of clinical experience revealed to have no significant influence on the level of knowledge. 5. 75. l% responded that the actual practice of medication modes are "similar" to that included in the fundamentals of nursing course. 6. In-service education on medication; 54.0% revealed to have some incidental in-service education on medication while 34.0% receive programmed in- service education. 61.8% revealed to have expressed the need of systemic In-service education as one of the means for improvement of medication. 32.7% revealed to obtain information concerning medicine by reading commercial publications on drug package, while only 20.9% by reading specific information channel.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제39권1호
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• pp.9-13
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• 2013

Objectives: Bisphosphonates (BP) are widely used in medicine for inhibiting bone resorption; however bisphosphonate-related osteonecrosis of the jaw (BRONJ) is a major side effect of BP. To date, there have been no specific reports on the incidence of BRONJ among Koreans. This study investigated the preliminary results from a nationwide survey of BRONJ in the Departments of Oral and Maxillofacial Surgery (OMFS) at individual training hospitals. Materials and Methods: A total of 15 OMFS departments (10 from dental schools, 4 from medical schools, and 1 from a dental hospital) participated in a multi-centric survey. This study assessed every BRONJ case diagnosed between January 2010 and December 2010. The patient age and BP type were evaluated. Results: A total of 254 BRONJ cases were collected. The majority of BRONJ cases were associated with oral BP therapy, while 21.8% of the cases were associated with intravenous administration. Alendronate was the drug most frequently related to BRONJ (59.2% of cases), followed by risedronate (14.3%) and zolendronate (17.0%). The average age of BRONJ patients was $70.0{\pm}10.1$ years, with a range of 38-88 years of age. With the number of BP patients in Korea reported to be around 600,000 in 2008, the estimated incidence of BRONJ is at least 0.04% or 1 per 2,300 BP patients. Conclusion: The results suggest that the estimated incidence of BRONJ in Korea is higher than the incidence of other countries. Future prospective studies should be carried out to investigate the exact epidemiological characteristics of BRONJ in Korea.

• 여성건강간호학회지
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• 제4권2호
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• pp.187-202
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• 1998

This study was carried out to identify the difference between educational needs and levels of satisfaction of primigravida during the antepartum period. The goal of the study was to obtain data needed to develope educational programs and to improve the nursing quality for antepartal clients. The subjects were 106 primigravida who attend antenatal clinic at 3 general hospitals in the Seoul area. The data was gathered using a questionnaire which, consist of 71 items, was developed by the researcher from May 4 to June 3, 1998. Results found are as follows : 1. The characteristics of subjects : The majority of subjects were aged 25-29 years(73.6%), college graduates(61.3%), jobless(68.9%), had no religion(38.7%), attended antenatal clinic regularly(91.5%), duration of pregnancy was 38-39 weeks(49.06%), pregnancy was planned(67%), and 42.5% have had some sort of prenatal education. 2. Over all level of educational needs was relatively high(Mn. 3.97) but the level of satisfaction was of average level(Mn. 3.01). Therefore, differences between the level of educational needs and satisfaction was significant(P=.0001). 3. The educational needs by category, the highest need was on birth preparation(Mn. 4.18), self care of the mother and infant care(Mn 4.10), health maintenance and promotion(Mn. 3.79), the lowest was care of discomfort(Mn 3.66). The level of satisfaction was higher on postpartum self care(Mn 3.15), but the lowest was infant care(Mn 2.84). Differences between educational needs and satisfaction by categories was significant(P=.0001). 4. Relationship between educational needs and levels of satisfaction among primigravida of different characteristics were as follows : 1) Educational needs of minor discomforts area were significantly high among age of 25-29(P=.0108), and over 35 years of age, was satisfied on preparation of labor & delivery, postpartum self care (P=.036, .02). 2) With regard to different level of education, middle school graduates had higher educational needs on discomfort care and postpartum self care(P=.0014, .014). College graduates have had higher educational needs on health maintenance(P=.008) and were more satisfied on preparation of birth(P=.0025) 3) With regard to whether pregnancy was planned or not, no difference was found on educational needs. But the levels of satisfaction was significantly higher in the group of planned pregnancy(discomfort care P=.0454, birth preparation P=.0256, postpartum self care P=.0092). 4) with regard to antenatal education, those who have had some sort of antenatal education, educational needs on birth preparation(P=.0345) was significantly high. And also the levels of satisfaction were significantly higher on every category(P=.0004-.0001). 5) No difference was found on educational needs or level of satisfaction by Job, religions, regularity of antenatal care and complication of pregnancy.

• 기본간호학회지
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• 제3권1호
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• pp.37-49
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• 1996

The Purposes of this study were to understand the types of appellations used by nurses and doctors for patients in a hospital and to analyze satisfaction and reason about appellation for patient. This would enable us to provide basic data on culturally suitable appellations for admitted patients. 454 patients at K University hospital in Seoul were subjects for this study. Subjects were interviewed individually using a questionnair and frequency $X^2-test$. Results are as follows. 1. The most frequently used type of appellations in hospitals was '-ssi ; -sir' used by 88.1% of the nurses and 83.9% of the doctors. About 3 quaters of the medical staff used '-ssi' while none used job position. 2. 93.2% of the patients were satisfied with the appellations used by nurses and 93.0% of the patients were satisfied with the appellations used by the doctors 43.7% didn't think appellations were important and 44.3% thought it natural to use the appellation. The most satisfactory form of appellation used by nurses was '-ssi' to 93.3% of patients. All were satisfied with '-nim ; -sir', '-teacher' and there was no statistically significance. On the other hand, the level of satisfaction and the appellation used by doctors showed a relationship($X^2=19.72$, p=.000). Every patient was satisfied with '-nim' and '-teacher' but 19.9% were dissatisfied with the others of appellations. 3. Most patients preferred to be called '-ssi' by nurses(77.3%) and doctors(78.7%) respectively. The dominant reason being accuracy(45.8%), naturalness(33.9%) for nurses and 43.8% and 45.4% respectively for doctors. 4. The relationship between the type of appellations requested of nurses and general characteristics showed that age($X^2=83.91%$ p=.000), level of education($X^2=33.35$ p=.000), and occupation($X^2=38.22$ p=.033) were related to the type of appellation. The type of appellation requested of doctors was related to the age($X^2=72.56$ p=.000), level of education($X^2=30.01$ p=.000), and occupation($X^2$=42.90 p=.010). Generally, '-ssi' was requested of doctors and nurses, but lower age group or higher age group(over 61), those in elementary schools or elementary school graduates snd students preferred being called by their first names or grandfather, grandmother. From the results above, we can see that the most general type of appellation used for patients by the medical staff is '-ssi' and most patients were satisfied with the appellation but, the reason being that such appellations were accepted without concern. This shows that most are not adequately satisfied with the appellation. Only a small number of people use '-nim' and '-teacher' but is the preferred and frequently used types of appellation. Therfore, a continuous research of appellations used for patients with patients using '-nim' and an investigation with nurses' opinions of appellations for patients as the subject are required.

• 성인간호학회지
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• 제16권1호
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• pp.5-16
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• 2004

Purpose: The purpose of this study is to evaluate the knowledge and attitudes of oncology ward nurses toward cancer pain management and to find ways to improve the educational program for nurses. Method: A total of 209 nurses working at the oncology ward of three hospitals in Seoul and a Gyenggi Province. The survey instrument used was the 32-item scale for evaluating nurses knowledge and attitudes originally developed by McCaffery and Ferrell'(1990), that was by Kim'(1997). Result: In terms of the nurses knowledge of pain management, the result showed that the nurses scored an average of 67.8 out of 100 for phamacokinetics of opioids, 84.8 for classification of analgesics, 60.1 for pain assessment, and 70.7 for drug administration. 18.2% of the nurses hesitate to inject the narcotic agent because of concerns regarding the drug's potential side effects. there was significant difference in the knowledge of pain management according to the general characteristics of pain in terms of the nurses age(p=.001), position (p=.016), years of experiences(p=.002), experience of cancer pain education(p=.001). Conclusion: The also showed that nurses working at cancer ward lack knowledge. It is important to provide intensive education to nurses about cancer pain management.

• 동서간호학연구지
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• 제4권1호
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• pp.21-33
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• 1999

This study is a descriptive research to identify lifestyle for health promotion, health condition, and degree of life satisfaction based on Korean elderly's physical constitution. The interviewee of this research was 53 outpatients of Oriental herbal medicine hospitals who are the residents either in Seoul or Taegu city. The data collection was performed during the March to the November of 1999. The research tools used for the measurement of the lifestyle for health promotion was "The Health Promoting Lifestyle Profile" developed by Walker, Sechrist and Pender. Measurement of the health condition was carried out using CMI(Cornell Medical Index) developed by Brodman, Erdmann, Lorge and Wolff. The Index for degree of the life satisfaction of elderly developed by Yun Jin was utilized to measure the degree of life satisfaction. Data analysis was performed using SPSSWin 9.0 software. In some cases, frequency, percentile, t-test, ANOVA or Pearson Correlation was also used to meet the specific research purposes when necessary. Tukey test was done for the post test. The conclusions are as follows. 1) The ANOVA test showed a significant difference in the lifestyle for the health promotion depending on physical constitutions of the interviewee. According to the Tukey test, 태음인 ($103.67{\pm}16.81$) performed better lifestyle for the health promotion than SOEMIN(少陰人, $85.34{\pm}12.69$) and 소양인($88.47{\pm}16.81$) (F=6.72, p=.003). 2) The result of the Pearson Correlation showed a positive correlation between the lifestyle for health promotion and health condition. As a result, the group practicing lifestyle for health promotion maintained a good health condition. Result of the Pearson Correlation also showed a proportional correlation between the lifestyle for health promotion and life satisfaction. Accordingly, the group practicing lifestyle for health promotion maintained a high degree of life satisfaction. Finally, the result of the Pearson Correlation showed a proportional correlation between the health condition and the degree of life satisfaction. Consequently, the group in a good health condition showed the high degree of life satisfaction.