• 대한치과의사협회지
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• 제57권9호
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• pp.514-522
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• 2019

In accordance with Article 33(8) of the Korean Medical Law, it is stated that a medical person cannot open or operate a medical institution by borrowing the name of another medical person. However, the publicity of medical care is threatened by the recent illegal network dental clinics. The purpose of this study is to investigate the actual condition of illegal network dentistry and to analyze the cases and to find out the reason why the prohibition of double opening & operating of medical institution. As a result, the illegal network dental clinics treated less health care insurance treatment such as dental caries and periodontal treatment than general dental hospitals. In contrast, the rate of implementation of illegal network dentistry was high in endodontics treatment and extraction, which could lead to uninsured treatments such as crowns and implants. As a result of Supreme Court precedent analysis, it is concluded that illegal act is not only the opening of a medical institution by borrowing the name of other medical personnel, but also the duplicated operation which has the authority to make decision about management matters of medical institutions. The results of the patient's case survey also showed that excessive dental treatment due to such as dental staff incentive system. In conclusion, the illegal network dental clinics not only threatens the oral health of the public, but also causes leakage of health insurance premiums. In other words, the ban on opening and operating the multiple medical institution should be strictly applied as a strong protection device for protecting the patient in dental case.

• 한국IT서비스학회지
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• 제21권4호
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• pp.63-74
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• 2022

Globally researchers at medical institutions are actively sharing COHORT data of patients to develop vaccines and treatments to overcome the COVID-19 crisis. OMOP-CDM, a common data model that efficiently shares medical data research independently operated by individual medical institutions has patient personal information (e.g. PII, PHI). Although PII and PHI are managed and shared indistinguishably through de-identification or anonymization in medical institutions they could not be guaranteed at 100% by complete de-identification and anonymization. For this reason the security of the OMOP-CDM database is important but there is no detailed and specific OMOP-CDM security inspection tool so risk mitigation measures are being taken with a general security inspection tool. This study intends to study and present a model for implementing a tool to check the security vulnerability of OMOP-CDM by analyzing the security guidelines for the US database and security controls of the personal information protection of the NIST. Additionally it intends to verify the implementation feasibility by real field demonstration in an actual 3 hospitals environment. As a result of checking the security status of the test server and the CDM database of the three hospitals in operation, most of the database audit and encryption functions were found to be insufficient. Based on these inspection results it was applied to the optimization study of the complex and time-consuming CDM CSF developed in the "Development of Security Framework Required for CDM-based Distributed Research" task of the Korea Health Industry Promotion Agency. According to several recent newspaper articles, Ramsomware attacks on financially large hospitals are intensifying. Organizations that are currently operating or will operate CDM databases need to install database audits(proofing) and encryption (data protection) that are not provided by the OMOP-CDM database template to prevent attackers from compromising.

• 보건의료산업학회지
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• 제6권3호
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• pp.13-27
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• 2012

This study aimed to identify the effects of contents, to find out the development approaches of promotion and contribute to increase the expectation on medical institutions and wills to use and improve the customer satisfaction on homepages of such medical institutions by analysis on the contents of hospital homepage. This research performed the frequency analysis, cross analysis, t-test correlation analysis, and multiple regression analysis and came to the conclusion. In accordance with the research results, since the university hospital homepages had more contents than the homepage of general hospitals and national and public hospitals, the university hospital homepage provided sufficient information to visitors and tried to satisfy the customers and activate the hospital promotion using the homepage contents. On the contrary, the homepage of general hospitals and national and public hospitals had insufficient contents and unique and differentiated contents were not sufficiently provided. On the basis of the results of this study, further study on the approaches to improve the contents of homepage of general hospitals and national and public hospitals will be of great help to activate the hospital promotion by increasing the average number of visitors and page views. Furthermore, it is required to make every endeavor for systematic management and operation and research on promotion using the homepage contents.

• 대한임상검사과학회지
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• 제48권2호
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• pp.130-136
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• 2016

제주지역 종합병원 감염관리 현황을 조사하여, 병원감염관리 실태와 문제점을 파악하고자 하였으며 감염관리의 중요성을 인식시키고 감염관리 실무자로서 임상병리사의 역할 방안을 모색하기 위하여 제주특별자치도 제주시와 서귀포시에 위치한 종합병원 7개 기관을 대상으로 감염관리 현황을 설문지를 통하여 조사하였다. 제주지역 의료기관의 감염관리는 모든 기관이 감염관리실을 운영하고 전담인력을 구성하고 병원감염관리지침을 보유하고 수행하는 우수한 점을 보였지만, 대부분의 기관이 간호사 1인 구성의 감염관리실을 운영하여 전담인력 확보 및 미생물 관련 배양 판독, 다제내성균의 출현빈도, 감염통계 등 미생물 검사에 대한 내용을 보고 받는데 많은 부분 어려움을 호소하였다. 이에 감염관리의 실질적인 업무를 담당할 수 있는 임상병리사가 의료법 시행규칙에 있는 감염관리에 경험과 지식이 있는 사람으로 충분한 자질과 경험이 있다고 생각되며 감염관리실을 운영함에 있어 감염관리간호사와 미생물에 전문적인 지식을 갖춘 임상병리사(감염관리임상병리사)가 전담자로서 업무를 수행한다면 지금보다 더욱 발전된 감염관리실 운영이 될 것으로 보이며, 향후 감염관리를 제대로 하기 위해서는 전국적으로 종합병원을 비롯한 취약한 중소병원의 감염관리에 대한 전폭적 지원과 감염관리 전문 의료시스템 도입이 중요한 과제라 사료된다.

• 가정과삶의질연구
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• 제27권1호
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• pp.61-71
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• 2009

The purpose of this study was to resolve the issues of inferior housing environment and the population decrease in rural community by improving the environment and attracting urban inhabitants. A simulation on the costs and the local programs was operated from a point of view that Pension Insurance House with Long-term Lease and a plan for the program in connection with local resources should be accompanied to attract urban inhabitants. The study was carried out through mainly documents analysis and specialists' opinions. The simulation results are as follows. Firstly, the pre-existing rural housing development projects have only emphasized the hardware, while underestimated the post-management with operating programs. The software should be underlined when Pension Insurance House is developed. Secondly, as a result of the simulation on construction expenditure and the operating and maintenance cost for 30 years, about 82.3 million Wons are necessary residential expenses for 15 years per unit. Thirdly, in case of MUJU County, it has made the most of its pre-existing institutions. It's medical institutions provide medical care system with health education, facilities related leisure and culture offer recreational programs and the local community center and its program of each town helps new habitants adopt to the rural life. Additionally, the employment project of a local welfare center allow people living in a rural community to continue their careers with their talents and interests through local class programs for a life worth living. Lastly, guide for getting information of rural life, local community gathering and preliminary education should be carried out to reduce expectant tenants' incompatibility and assist them settle down early. The community program expansion is also required at the local government level.

• Medical Lasers
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• 제10권2호
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• pp.68-75
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• 2021

Medical lasers have been widely used for various diseases. Despite the notable benefits, lasers could cause several complications such as skin burn, eye injury, airway fire, and so on. These accidents may occur not only with patients, users of the laser, or laser handlers but also to people passing in front of the laser treatment room. Although there is a risk associated with the laser, most of them can be prevented through good training, use of proper protection equipment, and ensuring the safe operation of the laser at all times. Due to the increasing use of lasers and the growing interest in their use, medical institutions should particularly emphasize the safe use of lasers and introduce systems for laser safety.

• 한국치위생학회지
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• 제2권1호
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• pp.85-95
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• 2002

The purpose of this study was to examine dental hygienists' knowledge of implant operation, which is recently emerging as one of the important medical services in the dental treatment sector. It's ultimately intended to serve as a basis for the preparation of more effective, appropriate implant-education programs for dental hygienists and to help them, who take a crucial part in implant operation, provide better dental services to patients who are in need of implant operation. The subjects in this study were 368 selected dental hygienists who were working in the dental institutions in the region of Taegu. The results of this study were as below: 1. The largest number of the dental hygienists investigated, 34.1%, were at age 25 to 27. The second most common age was 24 and under, and the third most common age group was 28 to 30. For educational level, most of them, 91.0%, were junior-college graduates, and 9.0% were being in or graduated from four-year-course university. Concerning career, 52.7%, the greatest percentage, had worked for one to three years, and 41.3% had a four-year or higher career. 812%, most of them, were working in dental clinics, and 18.3% were serving in dental hospital or general hospital. 2. Many of the dental institutions were providing implant operation services, as the dental institutions where 64.9% of the subjects were working conducted implant operation. In relation to the necessity of implant operation, the dominant opinion, 73.0%, was thai it's needed to make oral slate healthier. So there was a strong tendency to ad mit implant as one of the necessary treatments in the dental treatment sector. 3. Their collective mean implant knowledge got $57.02{\pm}14.11$. And the collective average of 21 items was $2.7153{\pm}0.6720$ on the basis of 5 points, which was below the average(3 points of Likert scale). This meant that the dental hygienists didn't have a good knowledge or understanding of implant. When it's taken into account what role should be performed by dental hygienists, their implant knowledge should be increased. 4. As a result of examining the effect of the general characteristics on their implant knowledge, the educational level(t=-3.481, P=0.001) and the type of dental institution where they were working(F=16.476, P=0.001) made a significant difference. 5. Their implant knowledge was significantly different according to whether or not the dental institution they were serving conducted implant operation (t=7.199, P=0.001). And, whether or not they agreed to the necessity of implant operation also generated a significant difference to their implant knowledge(F=8.610, P=0.000).

• 한국의사학회지
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• 제36권1호
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• pp.23-30
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• 2023

Objective : The role of female medical personnel in traditional East Asian societies was limited. It might be said that there are no known female medical practitioners in the history of East Asian medicine. However, in the case of Joseon, there was a system for female medical personnel, Euinyeo(醫女). After the late 19th century, women's social activities in Joseon were expanded by Christian missionaries who entered Joseon In somehow, and efforts to train female medical personnel were also growing. The authors are trying to get the actual operation aspect of Gyeongseong Women's Medical College, established in 1938 after ten years of effort from establishing the Gyeongseong Women's medical school in 1928. Methods : Through the 『Gyeongseong Women's Medical College Catalog(京城女子醫學專門學校一覽)』 in 1941, owned by the Handok Museum, the authors researched the operation aspects of Gyeongseong Women's Medical College from the application for establishment in 1937 and the opening of the school in 1938 to 1941 when the College Catalog was published. Results & Conclusion : In the early 20th century, when various medical institutions were appearing in Joseon, it could be said that the role of Gyeongseong Women's Medical College is noteworthy with the fact that a specialized medical college for women has been established and operated to train female medical personnel separately.

• 한국전자통신학회논문지
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• 제10권12호
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• pp.1403-1410
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• 2015

본 연구에서는 병원정보시스템에서 분야별로 발생하는 의료 빅데이터 자료를 활용하여 가치있는 의료정보를 생성하고 활용할 수 있는 방안을 마련하고자 한다. 본 연구의 결과는 첫 번째, 의료정보시스템의 진료정보와 각종 검사장비 및 의료영상장비와 연동된 PACS의 발생자료를 통합하고 의료 빅데이터를 분석하여 새로운 의료정보를 생성한다. 이렇게 생성된 의료정보는 감염병 및 질병 예방과 질병의 치료를 위한 다양한 건강정보를 생성하게 된다. 두 번째, 환자의 접수내역과 수납내역 그리고 청구내역들을 통합하여 축적해온 의료 빅데이터를 분석하여 다양한 수익통계정보를 생성한다. 이렇게 생성된 수익통계정보는 의료기관의 운영과 수익분석에 활용하기 위한 다양한 경영정보를 생성하게 된다. 이와 같이 병원정보시스템에서 발생하는 의료정보와 공공기관의 의료정보 그리고 개인건강기록의 자료들이 통합이 되면 의료자료를 활용한 가치있는 보건의료정보를 창출하게 된다.

• 의료법학
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• 제20권3호
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• pp.143-174
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• 2019

우리 헌법은, 국가로 하여금 국민의 건강을 보호할 의무를 지우고 있고, 이에 따라 구체화된 규범인 의료법은 의료기관 개설 등에 관한 사항을 상세히 규정하고 있는데, 그 내용 중 하나가 의료인의 의료기관 복수개설·운영 금지제도이다. 이에 대하여, 종래의 판례는 '다른 의사 명의로 추가 개설하는 의료기관에서 직접 의료행위 등을 하지 않는다면 여러 개의 의료기관을 개설·운영할 수 있다'라고 해석함으로써, 사실상 복수의 의료기관을 개설·운영할 수 있었다. 하지만 일부 의료인들이 다른 의료인의 면허로 의료기관을 여러 장소에 개설하고 이익을 극대화하기 위하여, 환자유인행위를 하거나 과잉진료 및 위임치료를 하는 등의 불법의료행위를 조장할 뿐만 아니라 국민의 건강권 등을 침해하는 현실적 문제가 발생하게 되었다. 이에 입법자는 의료법의 개정을 통해 의료인은 어떠한 명목으로도 둘 이상의 의료기관을 개설하거나 운영할 수 없도록 의료기관 개설제도를 정비하게 되었다. 이와 같은 개정 의료법 제33조 제8항이 위헌인지 여부에 대하여, 헌법소원과 위헌법률심판 제청이 되어 헌법재판소에서 오랜 기간 심층심리 끝에 최근 합헌결정이 선고되었다. 헌법재판소는, 보건의료는 상거래의 대상이 되어서는 아니 되고, 공공의료기관의 비중, 영리목적 환자유인, 과잉진료 등을 방지하기 위한 점을 감안하여 '목적의 정당성'을 인정하였다. 또한 의료인이 외부 자본에 종속될 우려가 있는 점, 의료기관 개설 명의인과 실제 운영자가 분리되는 것은 우려스러운 점, 인간의 신체와 생명이 수단이 되어서는 아니 된다는 점, 현재의 의료체계상 과잉진료 확인이 불가한 점 등을 고려해 볼 때 '침해의 최소성'도 인정하였다. 나아가 '법익 균형성' 등 기본권 제한의 원칙인 과잉금지원칙을 준수하여 합헌이라고 판단하였다. 이와 같이 헌법재판소가 우려하고 있는 영리추구, 과잉진료를 현실적으로 방지하기 위해서는 입법적 보완이 필요하다. 이와 관련하여 소비자단체는 입법의 필요성에 적극 찬성하고 있고, 보건의료 공급자 단체 또한 입법의 필요성에 공감하고 있다. 따라서 입법자는 헌법재판소의 이번 결정을 존중하고, 국민들의 입장을 반영하여 빠른 시일 내에 보완입법을 마련하길 기대한다.