• 한국치위생학회지
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• 제16권5호
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• pp.677-685
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• 2016

Objectives: The purpose of the study was to investigate the basic materials required for law revision regarding dental hygienists through perceptions and opinions of legislation amendments. Methods: The study was conducted from April 23, 2016. A self-reported questionnaire was completed by 797 dental hygienists in Seoul and Gyeonggido after receiving informed consent from institutional review board (IRB No. PO1-201602-23-001). Results: Necessity for dental hygienist-related medical law revision accounted for 92.4% and 85.4% of dental hygienists replied that specialized dental hygienist system must be established. The reasons for medical law revision were as follows; roles and education of medical technicians (60.6%), settlement of medical legal problems (48.0%), cooperation with other organizations (29.0%), political negotiations (17.4%), and national consensus (9.5%). The score for 'possible to get legal protection by the system establishment of roles and work scope of dental hygienists' was 4.11 of 5 points. Conclusions: It is important to establish the job scope of dental hygienist. The revision of dental hygienist-related law will help to enhance the status of dental hygienists as professional medical technicians in the future.

• 의료법학
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• 제11권2호
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• pp.337-361
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• 2010

In the case of Korea, both of modern medicine and oriental medicine are admitted as medical practices in the system. In other words, healthcare system is dualized. However, medical practice that corresponds to oriental medicine in Korea is substitution of medical practice in cases of foreign countries. For use of medical devices, it is provided only for doctors and medical technician relevant to use. Particularly, although oriental medicine is recognized as orthodox medicine in terms of the features of Korean medical system, superintendency of oriental doctors is not identical with that of doctors for use of medical devices and superintendency toward medical technicians. Recently, Cheongju District Court decided that superintendency of oriental doctor upon physical therapist is not acknowledged. It can be said that the judgement is opposed to the original verdict which judged that oriental doctors' employment and guidance of oriental doctors upon physical therapist is permissible. Hence this study aimed to review on domestic medical law system, which is dualized, roles of medical professionals, intent of the medical license system, provisions related to medical technician law and relevant precedents. Regulations on practices other than licensed practices by medical professionals are made because medical practices may affect on danger toward life and body of human and public health also. Therefore, the nation regulates medical professionals having licenses to perform medical practices within the range of the licenses. It is clearly prescribed that medical technicians may perform medical practices under instructions of doctors or dentists pursuant to the medical technician law. In addition, the court also judges that it is out of the license of oriental doctors if they use CT devices and limits the use of modern medical devices by oriental doctors. That is to say that it limits oriental doctors' employment of medical technicians and pursuant of oriental doctors on medical technicians as well.

• The Journal of Korean Physical Therapy
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• 제8권1호
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• pp.81-89
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• 1996

This study is to make legal suggestions concerning the legal status of the physical therapists and the their clinics io Korea. This study compares the legal status of the physical therapists with that of the optical and dental technicians, and reviews the current system of the American physical therapeutic clinic. 1. Under the supervision of the doctor or dentist' in Article 1 of Law concerning the Medical Technician should be deleted or changed into 'by the request of the doctor or dentist'. A new independent law should be mode only fer the physical therapist from the general law that stipulates the legal status of other similar medical technicians. 3. The legal status of the physical therapeutic clinic should be stipulated in the regulations for the application of the law as that of the dental technician does. The modification of the medical services, the medical expences, waiting time, the easy access to the clinic of farmers, fishermen, urban laborers, and handicapped people, and the development of the area of the physical therapy.

• 디지털융복합연구
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• 제19권11호
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• pp.397-406
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• 2021

국내 의료기사 등에 관한 법률에서 의료기사는 의사 또는 치과의사의 지도 아래 업무를 행하는 것으로 되어있다. 하지만 실제 업무행태 및 국내외적 경향, 그리고 의료기사의 교육 수준을 고려한다면 전문성을 인정해주어야 한다. 이러한 전문적이고 독립적인 운영시스템은 의료기사의 자율성을 보장해주어야 하며, 법률적으로도 변화가 필요하다고 할 수 있다. 즉, 우수한 교육과정과 많은 나라에서 "요청", "협조" 등의 개념을 적용하는 시대적 요구에 따라 "지도" 보다는 "의뢰 및 처방"으로 변경이 필요하다. 이러한 변화는 시대적 요구라 할 수 있고 의료서비스의 향상, 그리고 사회적 기여를 위한 변화라고 할 수 있다.

• The Journal of Korean Physical Therapy
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• 제28권2호
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• pp.128-135
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• 2016

Purpose: The aim of this study was to compare the "Physical Therapist and Occupational Therapist Act" of Japan and the "Medical Technician's. Etc. Act" of Korea in order to establish the grounds for improvement of effective law-making. Methods: We obtained the "Medical Technician's. Etc. Act" from the Korean Ministry of Government Legislation and the "Physical Therapist and Occupational Therapist Act" from the Japanese Ministry of Health, Labor and Welfare. It was translated from an association by related Japanese and experts. Results: The laws consisted of acts, enforcement ordinances, and enforcement regulations in both Korea and Japan. In the Korean case, eight occupations were defined in one law including six types of medical technicians, as well as medical recorders and opticians. The "Physical Therapist and Occupational Therapist Act" in Japan is composed of 6 chapters and 22 articles, while the Korean Act consists of 33 articles without chapters. Among them, 11 articles covered the establishment and management of dental laboratories and eyeglass shops, and only 22 articles were related to physical therapists and occupational therapists. Conclusion: Independent laws should be established for each type of medical technician. They must be comparable to Japanese laws on physical therapists and occupational therapists as well as clinical pathologists, dental hygienists, dental technicians, radiologic technologists, medical recorders, and opticians.

• 한국치위생학회지
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• 제18권6호
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• pp.1067-1077
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• 2018

Objectives: The purpose of the study is to investigate the opinions of some local clinical dental hygienists on medical personnel of dental hygienists. It will be for provide the Future dental hygienist basic data necessary for medical personnel. Methods: A self-reported questionnaire was completed by 171 dental hygienists in Busan and Gyeongnam from December 1, 2017 to January 31, 2018. Structured questionnaires were uesd for analysis. The questionnaire consisted of general characteristics of the subjects(7 items), medical personnel necessity and opinions of dental hygienist(2 items), the opinions of distinction of the task between dental hygienists and other personnel(2 items), many frequency task in the dental clinic. The collected data were analyzed using frequency, percentage, descriptive statistics and ANOVA using IBM SPSS VER 20.0. Results: 89.5% of the dental hygienists required medical personnel of dental hygienist, the opinions on the necessity were as follows: 'role and quality improvement as oral health professionals', 'lack of legislation and application of dental hygienists duties'. There was no difference reason between dental hygienists and other personnel on duties, the reason were investigated to uncertainty of dental hygienist system, lack of dental hygienist workforce, dentists lack awareness of dental hygienist expertise. There was surveyed by the current many frequency duties in the dental clinic, assist for dental treatment, Oral health education and counselling, Preventive dental treatment. Conclusions: Legal guarantees for clinical dental hygienists work are absolutely required. Therefore, relevant government agencies and related organizations should resolve the contradiction of the legal system of medical law and medical technicians. The clinical dental hygienists should be promoted to medical personnel through the amendment of the medical law so that the duties practiced by the dental hygienist can be matched with the legal practice.

• 치위생과학회지
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• 제20권2호
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• pp.97-106
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• 2020

Background: In Korea, laws for many medical technicians were revised in the Enforcement Decree of the Medical Technicians Act (MTA), which was announced on December 2018, whereas those related to dental hygienists remained unchanged. This study aimed to determine the awareness and opinions of dental hygienists regarding MTA. Methods: Dental hygienist were recruited as participants via convenient sampling in Seoul, Gyeonggi-do, and Chungcheong-do; data from 291 self-reported questionnaire responses were used for the final analysis. We investigated the participants' general characteristics, awareness, and request for the amendment of the MTA. The compliance with the work scope specified in the MTA and level of demand for revision of the MTA were analyzed by independent t-test and one-way analysis of variance. For all statistical analyses, the significance level was set at 0.05. Results: For the 2018 MTA revision, 99 (34.02%) knew that dental treatment assistance and surgery assistance were excluded, whereas 192 (65.98%) did not know. The item "The current medical technician law must be revised" was scored 4.13±0.80 out of 5 points, and significant differences were identified according to the education level, career, and position (p<0.05). The item "It is necessary to institutionalize the expanded work scope beyond the work scope of dental hygienists specified in the MTA" was scored 4.02±1.04 out of 5 points, and significant differences were identified according to age (p<0.05). Conclusion: The participants wanted the MTA to be revised to reflect the real-world work performed by dental hygienists in the dental clinical field. The legal system must ensure the legal protection of the work area of the dental hygienist as an oral health professional, and recognize the legal work scope of the dental hygienist.

• 한국응급구조학회지
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• 제25권2호
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• pp.39-53
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• 2021

Purpose: Emergency medical technicians (EMTs) have so far been trained as professionals under the same conditions, with no change in the 1995 Act. We aimed to find ways for them to secure expertise in accordance with social needs by strengthening the quality of the EMT education. Methods: This is a descriptive study comparing the operation status of the national emergency medical examination conducted by the Korea Health Personnel Licensing Examination Institute, and the national examinations of EMT paramedic and EMT basic. The scope of the national examinations for EMT was compared by subject and area. Results: The national written exam for EMT paramedic consists of five areas. EMT basic does not include basic medicine in three related subjects, 11 areas, and 18 detail areas. Paramedic care does not include advanced pediatric life support. In addition, nine areas and 20 detail areas are not included. Conclusion: The study suggests the need for institutional supplementation so that those who have completed EMT basic and the subjects prescribed by the ordinance of the Ministry of Health and Welfare at universities, etc., in the Higher Education Act can take the EMT paramedic national exam.

• 대한수사과학회지
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• 제2권2호
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• pp.30-49
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• 2007

부검은 검안만으로 사인 또는 사망의 종류를 확인할 수 없는 경우 시체를 해부하여 이를 확인하는 검시(檢屍)방법이다. 본 연구자는 대학병원 직원들의 부검에 대한 인식도를 알아보기 위해 설문지를 이용하여 2007년 4월 2일부터 5월 4일까지 1개월간 대구광역시 영남대학교의료원의 직원들을 대상으로 설문조사를 실시하였다. 전체 286 명 중 남자가 121 명(42.3%), 여자가 165 명(57.7%)이었으며, 의사 57 명(19.9%), 간호사 71 명(24.8%), 의료기술직 83 명(29.0%), 행정사무직 58 명(20.3%), 기타 직종 17 명(5.9%)이었다.대상자들의 설문조사를 살펴보면 부검에 대한 교육정도에서 의사는 2회 이상이 61.4%인데, 간호사는 1.4%, 의료기술직은 15.7%, 행정사무직은 1.7%, 기타 직종은 5.9%로 의사들에 비해 교육정도가 많이 부족하였다. 본인이나 가족이 갑자기 쓰러져 사망했을 때 부검을 의뢰하겠는가라는 질문에 의사는 의뢰한다가 59.6%로 높았으나, 간호사는 22.5%, 의료기술직은 39.8%, 행정사무직은 41.4%, 기타 직종은 35.3%로 낮게 나타났다. 직장 동료가 근무 중 갑자기 쓰러져 사망한 경우 부검을 해야 한다고 생각하는가라는 질문에서도 의사는 그렇다가 66.7%로 높았으나, 간호사는 33.8%, 의료기술직은 39.8%, 행정사무직은 43.1%, 기타 직종은 17.6%로 낮게 나타났다. 병원내 환자가 병사했을 때 부검을 해야 한다고 생각하는가라는 질문에서도 의사는 그렇다가 50.9%, 간호사는 8.5%, 의료기술직은 19.3%, 행정사무직은 24.1%, 기타 직종은 17.6%로 낮게 나타났다. 부검은 어떤 곳에서 해야 하는가라는 질문에 의사는 의과대학 법의학교실이 73.7%로 가장 높았고, 다른 직종에서는 국립과학수사연구소가 가장 높게 나타났는데, 간호사는 62.0% 의료기술직은 59.0%, 행정사무직은 46.6%, 기타 직종은 58.8%이었다. 부검의 주체는 모든 직종에서 대부분의 대상자들이 전문 법의병리의사가 되어야 한다고 생각하는 것으로 나타났는데, 의사는 98.2%, 간호사는 94.4%, 의료 기술직은 96.4%, 행정사무직은 89.7%, 기타 직종은 88.2%이었다. 평소 부검의 필요성은 의사는 73.7%, 간호사는 23.9%, 의료기술직은 47.0%, 행정사무직은 34.5%, 기타 직종은 23.5%로 의사들이 평소 부검의 필요성을 많이 느끼는 것으로 나타났다. 사후 본인의 사체를 의과대학이나 연구기관 등에 기증할 용의가 있는가라는 질문에 의사는 22.8%, 간호사는 11.3%, 의료기술직은 24.1%, 행정사무직은 22.4%, 기타 직종은 23.5%만이 있다라고 답했다. 대상자들의 설문조사를 분석한 결과, 의사들에 비해 다른 직종의 대상자들이 부검에 대한 교육정도나 거부감이 더 큰 것으로 나타났다. 부검에 대한 부정적 의식의 개선을 위해 전문 인력의 양성과 관련 법률을 정비하여 우리나라 실정에 맞는 올바른 검시제도의 정착과 국민들에 대한 체계적인 법의학교육에 힘써야 할 것이다.

• 대한물리치료과학회지
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• 제22권1호
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• pp.19-27
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• 2015

Purpose : The purpose of this study is to check the current status of accessability to rehabilitation therapy in local areas and to review how to improve the accessability. In fact, first, it is very hard for patients to find out a local medical center with rehabilitation therapy capability. Moreover they needs to wait long time to get a treatment they need, because of lack of nearby rehabilitation centers. The best way to enhance the accessability to the rehabilitation therapy service is to allow therapists to set up rehabilitation centers in local areas on their own, physically independent from medical doctors. Basically, the current law does not prohibit therapists' own sole practice. However, it needs to be amended by inserting an explicit legal basis on the setting-up process. If it is legally permissible for the therapists to set up rehabilitation centers to perform a rehabilitation treatment with referrals from of medical doctors (though physically independent from the doctors), it would result in the increase of profits for the doctors and at the same time raise therapists' freedom of occupation, a constitutional right. Furthermore, with their own places to practice, therapists will have to compete with other therapists, that would raise the quality of their treatments, which will in turn benefit patients ultimately. A proposed bill of amendments to the Act on Medical Technicians and etc. is pending for review at the National Assembly. I look forward to vigorous discussion on the bill based on this article, and resulting in revision of the law for the benefits of patients.