• 의학교육논단
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• 제19권1호
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• pp.1-9
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• 2017

For the last half-century, interprofessional education (IPE) has been identified and discussed as a critical educational process to facilitate collaboration in order to improve healthcare outcomes for healthcare participants. While the concept is not new, outcome-based research has provided few valid and reliable explanations of whether and how IPE can be effective in healthcare quality improvement. This challenge stems from the struggle to understand the epistemological meaning of IPE. The purpose of this literature review paper is to provide a synthesized understanding of IPE, its meaning, and to provide practical guidance for medical educators. The paper reviewed several key aspects of IPE. Professionalility was discussed to understand the historical background of IPE, followed by an explanation of the international trend of embracing the complexity of health care practice and the need for interprofessional collaboration. Additionally, several theoretical perspectives, such as general systems theory, social identity theory, and community of practice were reviewed to pinpoint what constitutes IPE. Several existing definitions were discussed with similar concepts (i.e., disciplinary vs. professional, and multi-, inter-, vs. trans-) to clarify the nature of knowledge and collaboration in IPE. Three concepts, including practice, authenticity of context, and socialization were proposed as key constructs of IPE, followed by appropriate timing of IPE, outcome research, directions for future research, and guidance for implementation. Community-based medical education practice, professional socialization within a community, and longitudinal system-based outcome research are recommended as future directions for research and practice.

• 의학교육논단
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• 제21권1호
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• pp.22-30
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• 2019

Team communication, teamwork, and interprofessional collaboration are critical and the basis for patient safety in a more diverse and complex clinical environment. This study explored the current status of teamwork, team communication, and interprofessionalism in the context of patient safety within undergraduate medical education. A scoping review of the literature published since 2010 was undertaken. Fifteen papers were included for final review. The most commonly used educational methods were off-line lectures and simulations. Standard team communication tools suggested in TeamSTEPPS (team strategies and tools to enhance performance patient safety) were covered in some of the research. Knowledge, skills, and teamwork attitudes, interprofessional collaboration, and/or patient safety were improved in most of the papers. In the previous studies of team communication, the content and method of education, and the change in knowledge and attitudes of the individuals have been widely reported, but more research is needed regarding the method of evaluating the teamwork itself. In addition, education on team communication as well as patient safety and interprofessionalism is lacking. As the importance of team communication in patient safety increases, more attention is needed on this topic in undergraduate medical education.

• Journal of Information Science Theory and Practice
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• 제8권3호
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• pp.64-76
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• 2020

Scientometrics and social network analysis (SNA) measures were used to analyze the international scientific collaboration (ISC) of All India Institute of Medical Sciences (AIIMS) for a period of 10 years (2009-2018). The dataset consists of 19,622 records retrieved from the Scopus database. The mean degree of collaboration 0.95 implied that researchers of AIIMS tend to collaborate domestically (80.29%) and internationally (14.67%). The data exhibits a hyper authorship pattern, and a medium-size research team consists of 4 to 10 authors who contributed a maximum of 62.08% (12,182) publications. 71.97% of research findings are scattered in journal articles. The most preferred journals published 58.55% of medical literature. An undirected collaboration network is constructed in Pajek to study the ISC of AIIMS during the period 2009-2018 which consists of 179 vertices (Vn) and 11,938 edges. The degree centrality (Dc) identified that the United States of America (Dc - 54; CC - 0.99) and United Kingdom (Dc - 41; 0.98) are the most collaborative countries in the whole network as well as the most influential countries. The Louvain community detection method is used to detect influential research groups of AIIMS. The temporal evolution of ISC of AIIMS studied through scientometrics and SNA measures shed light on the structure and properties of ISC networks of AIIMS. It revealed that AIIMS, India has taken keen steps to enrich the quality of research by extending and encouraging the collaboration between institutions and industries at the international level.

• 한방재활의학과학회지
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• 제29권3호
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• pp.129-139
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• 2019

Objectives The purpose of this study is to investigate present status of cooperation through Korean medicine and Western medicine collaboration process. Methods We have established Korean medicine and Western medicine collaboration process to examine the status of cooperation. The medical records were investigated retrospectively, the general characteristics of gender, age of cooperative patients, classification of disease, frequency of medical treatment and type of insurance were analyzed. Results The Korean medicine and Western medicine collaboration process conducted in 4 stages, the convenience of patient movements is considered. A total of 245 people received cooperative medical treatment, 156 were out-patient department (OPD) patients and 89 were hospitalized patients, both group have more women than men. When classified as disease, OPD patients were most diagnosed with Sprain and strain of lumbar spine, while hospitalized patients were most diagnosed with lumbar and other intervertebral disc disorders with radiculopathy. A total of 72.7% patients were received cooperative medical treatment at once. In a survey of cooperative satisfaction, 68.5% of all medical staff responded positively to the treatment effect, and 68.6% said the need for cooperation was necessary. Conclusions As a result of this study, we were able to see the present status of cooperation, and through this, we found an improvement in the continuation of the cooperation. Based on the present study, It is hoped that a cooperative process will emerge that can improve the problems shown in this study.

• 대한치과기공학회지
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• 제36권2호
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• pp.119-128
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• 2014

Purpose: This study has been carried out to help to enhance the measures of interprofessional collaboration between Dental personnel and dental technicians, and between dental technicians themselves through the analysis of recognition of interprofessional collaboration between dental technicians. Methods: The subjects in this study were 130 dental technicians who were self-written questionnaire. The results were analyzed by SPSS 12.0. The collected data was analyzed by frequency and Correlation. Results: As a result of examining the correlation analysis of each question to explore the factors that affect interprofessional collaboration recognition of dental technicians, the group which received criticism from dental personnel showed negative (-) correlation in the interprofessional collaboration recognition (p<0.05). The following groups showed positive (+) correlations in the recognition of interprofessional collaboration : the group who replied that they can utilize information on the patients associated with the prosthesis production (p<0.01); the group who thinks that they are sharing common goals (P<0.01); and the group who replied that Dental personnel are familiar with patients (p<0.01). The following groups also showed higher positive (+) correlations in the recognition of interprofessional collaboration : the group who replied that they frequently discuss patient's information with Dental personnel (p<0.01); the group who thinks they have mutual confidence in one another (p<0.01); the group who thinks that cooperation among their colleagues in dental technique laboratories are being done well (p<0.01); and the group that has high job satisfaction (p<0.01). Conclusion: Effective communication and team work between human resources for providing medical service of the facility are essential for safe and high-quality medical service to patients. Further, such elements are directly connected to efficiency of the entire team. The reliability between dental technician and Dental personnel for cooperation should not be neglected therefore continuous interests in inter-cooperative partnership is required.

• 의학교육논단
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• 제26권2호
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• pp.81-82
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• 2024

• Asian Pacific Journal of Cancer Prevention
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• 제16권9호
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• pp.3703-3708
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• 2015

Background: The neutrophil-to-lymphocyte ratio (NLR) is a strong predictor of mortality in patients with colorectal, lung, gastric cancer, pancreatic and metastatic renal cell carcinoma. We here evaluated whether preoperative NLR is an independent prognostic factor for non-metastatic renal cell carcinoma (RCC). Materials and Methods: Data from 327 patients who underwent curative or palliative nephrectomy were evaluated retrospectively. In preoperative blood routine examination, neutrophils and lymphocytes were obtained. The predictive value of NLR for non-metastatic RCC was analyzed. Results: The NLR of 327 patients was $2.72{\pm}2.25$. NLR <1.7 and NLR ${\geq}1.7$ were classified as low and high NLR groups, respectively. Chi-square test showed that the preoperative NLR was significantly correlated with the tumor size (P=0.025), but not with the histological subtype (P=0.095)and the pT stage (P=0.283). Overall survival (OS) and disease-free survival (DFS) were assessed using the Kaplan-Meier method. Effects of NLR on OS (P=0.007) and DFS (P=0.011) were significant. To evaluate the independent prognostic significance of NLR, multivariate COX regression models were applied and identified increased NLR as an independent prognostic factor for OS (P=0.015), and DFS (P=0.019). Conclusions: Regarding patient survival, an increased NLR represented an independent risk factor, which might reflect a higher risk for severe cardiovascular and other comorbidities. An elevated blood NLR may be a biomarker of poor OS and DFS in patients with non-metastatic RCC.

• Journal of Multimedia Information System
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• 제8권4호
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• pp.295-300
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• 2021

Recent advances in Internet-of-Things and wearable computing have established computationally sufficient infrastructure to remove the barriers of physical locations. The recent COVID-19 pandemic has accelerated the use of remote collaboration, work-from-home, teleconferencing, online education, digital twin, and metaverse enriched with various configurations of augmented reality, virtual reality, mixed reality, and extended reality. Beyond specialized niche wearable applications in the medical and entertainment domains, we aim to identify the underlying characteristics of smartglass-enabled killer applications for everyday use. In this paper, we analyze intermediary roles in remote collaboration consisting of authoritative supervisors, synergetic collaborators, and speculative explorers. We also propose technical components for smartglass-assisted interactive remote collaboration composed of personal tracking, teleconference, and interaction components. More specifically, the application tasks of each intermediary role and objectives of three functional components are defined and elaborated.

• Korean Journal of Acupuncture
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• 제27권3호
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• pp.57-65
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• 2010

Objectives : The purpose of this study is to investigate for rhinitis of middle school students and to confirm the effect of oriental medical treatments on rhinitis. We proceeded with this oriental medical treatment programs in collaboration with community health center. Methods : We have given oriental medical treatment, such as herbal medicines(pillet type Gamisinicheongpye-um and ointment) and intradermal acupuncture therapy at Hapgok (LI4), Yeonghyang (LI20), Indang, Bi-ik points, to patients for 9 weeks. Results of this treatment program were evaluated on a 4-point-scale depends on symptoms ; 'severe ()', 'moderate (++)', 'mild (+)' and 'no symptom (-)'. Results : After oriental medical treatments, rhinitis symptoms (sneezing, rhinorrhea, nasal obstruction, nasal itching and dysosmia) were improved significantly compared to before treatments (p<0.05). Conclusions : We confirmed rhinitis treated with oriental medicine should significant improvement and suggest that it is necessary to expand oriental medical treatment programs in collaboration with community health center.

• 간호행정학회지
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• 제15권4호
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• pp.601-609
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• 2009

Purpose: This study aimed to investigate and analyze the state of the relationship among nurse-doctor collaboration, job autonomy and organizational commitment. Method: The 304 participants were obtained who were working at a General ward, Intensive care unit and Operation room in three university hospitals located in Seoul and Kyunggi-do. The data were collected using a structured questionnaire from March 2d to April 10th, 2009. The collected data were analyzed with t-test, ANOVA, Scheff$\acute{e}$ test and Pearson's correlation on SPSS Win 16.0. Result: There was a significant relationship among nurse-doctor collaboration, job autonomy and organizational commitment. The level of appointment, clinical experience and current hospital experience of nurses affected significantly nurse-doctor collaboration, job autonomy and organizational commitment. The age of nurse had the relation nurse-doctor collaboration and organizational commitment. The relationship between the nurse's working area and job autonomy had positive correlation. Conclusions: The findings of study suggest that the program enhancing the collaborated relationship between nurses and doctors is important to improve nurse's job autonomy and organizational commitment under the situation of citizen's demanding more advanced medical service.