• Title/Summary/Keyword: quality of Medical Education study

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Validity of redeveloping the paramedic education system from 3-years to 4-years (전문대학 응급구조과의 4년제 개편 타당성 조사 연구)

  • Lee, Jung-Eun;Kim, Soon-Sim;Park, Hee-Jin;Uhm, Dong-Choon;Hyun, Jin-Sook;Hong, Sung-Gi
    • The Korean Journal of Emergency Medical Services
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    • v.19 no.1
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    • pp.63-85
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    • 2015
  • Purpose: The study was to investigate the feasibility about reorganized the paramedic college into a four-year education system. Methods: Through literature review and analysis, a self-reported questionnaire was created and filled out by the professors of paramedic and analyzed. Results: An analysis of the curriculum indicated that, as paramedic schools involve practice-oriented education, reorganization of the college system is necessary to raise the quality of the actual training. The survey results found that most participants agreed with the need to reorganize the school system. Conclusion: Paramedics have a responsibility regarding the life of the nation. In order to be satisfied with its status as a national job that focuses on humanity and justice, increasing the years needed before graduation is necessary.

The Death Orientation of Paramedic Student (응급구조과 학생의 죽음에 관한 의식)

  • Lee, Jung-Eun;Koh, Bong-Yeun
    • The Korean Journal of Emergency Medical Services
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    • v.15 no.3
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    • pp.45-55
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    • 2011
  • Objective : The purpose of this study was to investigate the perception of death in paramedic student. The results of this study will help develop education program for death orientation, paramedic students education and practice. Methods : A total of 201 paramedic students filled out the questionnaire. The perception of death was examined using questionnaires designed for examining Death Orientation. The data were analyzed with SPSS 18.0 statistics program for frequency, percentage, average, standard deviation, t-test, ANOVA, cronbach alpha coefficient, factor analysis. cronbach alpha coefficient was .866. Results : The paramedic students' got a score of $2.35({\pm}.48)$ on the Orientation on death as average. The reason is that death is not yet pressing them at all and ahead of their lives they have many days to live. With respect to the Death Orientation, significant differences was found in experience of death(t=2.318, p=.021). Group of death experience was higher than group of no death experience. In view of the attitude on afterlife, students responded no afterlife(24.9%), unknown after death(22.4%). Conclusion : The results of this study suggest that paramedic curriculum should include education program on death and improve quality of prehospital care. Additional studies are needed to establish death education for paramedic.

A Study on Utilization Patterns of Oriental Medical Care (한방의료 이용실태에 관한 조사 연구 - 전국 한의원 이용자를 중심으로 -)

  • 이규식;조경숙
    • Health Policy and Management
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    • v.9 no.4
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    • pp.120-139
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    • 1999
  • The objectives of this study were to examine the utilization patterns of oriental medical care and to discover problems in its delivery. The data for this study were collected from a questionnaire survey mailed out from March 10 to April 9 1999 to 6.346 oriental medical clinic. The questionnaires were then distributed to two patients in each clinics. Of these questionnaires. 670 were completed and returned. The major statistical methods used for the analysis were the t-test. ANOVA, and x$^2$-test. The major findings are as follows: 1. Respondents reported visiting oriental doctors twice as often as they visited western doctors(All those completing the survey received the questionnaire at oriental medical clinics). 2. The number of reported visits to oriental physicians according to among gender, age, marital status, education, income and residence. Males, married respondents, the elderly and the residents of rural areas visited oriental physicians more frequently than females, singles, younger respondents and urbanites. Those people belonging to the middle income class and middle education level also more frequently visited oriental physicians. 3. There are several factors that restrict the utilization of oriental medical care, such as the limitation of the scientific diagnostic instrument use commonplace reliance upon western medical techniques, and the perception of high price for oriental medical care. It is very important to focus oriental medical care onto the fields of acupuncture, circulatory system disease, musculoskeletal system ailments, etc. to improve the utilization of oriental medical care. Other policies for the improvement of oriental medical care include the standardization of price, quality and quantity of oriental medicine.

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Variation in Professors' Teaching Efficacy and Their Satisfaction with Faculty Development Programs (의과대학 교수의 교수효능감 및 교수개발 프로그램 만족도의 차이)

  • Jun, Soo Koung;Chun, Kyung Hee;Lee, Young Hwan;Kim, Sae Yoon;Kim, Wu Kyung;Kim, Seong Yong
    • Korean Medical Education Review
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    • v.17 no.2
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    • pp.88-93
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    • 2015
  • The purpose of this study was to examine the variation in professors' satisfaction with faculty development programs and in their teaching efficacy according to their demographic characteristics and the rate of participation in faculty development programs in a medical school. The data were collected from 59 faculty members who participated in the Professor's Seminar. The questionnaire consisted of three parts: general background of the respondent; satisfaction with the faculty development program; and teaching efficacy. The data were analyzed by methods of descriptive analysis, analysis of variance, and the Mann-Whitney U-test. The program satisfaction of faculty members was significantly different by the years of educational career but it was not different by job status, specialty, gender, and the participation level in faculty programs. The faculty members' teaching efficacy differed significantly by gender and the participation level in faculty programs, while it did not differ by educational career, job status, or specialty. The results of this study suggest that various faculty programs should be developed to increase the satisfaction level of different groups of faculty members, and that they should be more focused on teaching efficacy, as it is considered to be one of the most effective way to increase the quality of education.

Differences in oral health behavior and quality of life among the elderly depending on income and education levels (노인의 소득 및 교육수준에 따른 구강건강행태와 구강건강 삶의 질)

  • Yang, Hye-Jung;Suh, Won-Sik
    • Journal of Korean society of Dental Hygiene
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    • v.18 no.2
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    • pp.217-226
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    • 2018
  • Objectives: The purpose of this study is to find out differences in oral health status, defined as their oral health and oral health quality of life among the elderly depending on their income and education levels. Methods: This study used 922 senior citizens over 65 from the data (2015) of the 6th National Health and Nutrition Survey (NHNS). The regression analysis was adopted to identify factors affecting their oral health status which has effect on their oral health quality of life. The statistical package SPSS 21.0 was employed. Frequency analysis, chi-squared analysis and regression analysis were used, and the significance level or Cronbach's alpha value was 0.05. Results: Depending on income levels, there were differences in their oral health status as to whether they use oral hygiene products, take dental examinations, join private health-insurances, and delay dental treatments or not. And educational levels also made significant differences in their oral health status as to whether they smoke, drink alcohol, how many times they brush teeth a day, whether they use oral hygiene products, take dental treatments, and join private health-insurances. Regression analysis on the relationship between their oral health status and the oral health quality of life showed that there were significant differences depending on whether they take dental treatments, delay dental medical treatments, smoke, take oral examinations, how many times they brush teeth a day, and whether they use oral hygiene products, or join private health-insurances. Conclusions: The study shows that a comprehensive plan is needed to raise attention on proper oral health-care and ultimately to improve the quality of life by considering the daily number of tooth brushing, oral hygiene product use, regular dental treatments, and other medical uses.

A Study of the Satisfaction of Medical Service of Patients and Family in an Oriental Hospital (한방병원 입원환자 및 보호자의 의료서비스 만족도)

  • Sok, So-Hyune R.;Kim, Kwuy-Bun
    • Journal of East-West Nursing Research
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    • v.12 no.1
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    • pp.68-77
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    • 2006
  • Purpose: This study was conducted to describe and analyze about the satisfaction of medical service of patients and family in an Oriental hospital. Methods: Design was the descriptive survey study. Sample was 50 patients and guardians in K Oriental hospital, and convenient sampling was used. Measure was the satisfaction tool of medical service developed by Kang(2004). Data were collected from March 2005 to July 2005, and analyzed using SPSS PC+12 program. Findings: Thirty-two(64.0%) of all subjects were female and 18(36.9%) subjects were male. Score of medical service in Oriental hospital was mean 3.70. Scores in categories of the satisfaction were ranked for medical treatment(4.12), administration service (3.58), and environment and facilities service(3.41) in order. Expectancy for quality, quality after use, general satisfaction, and sufficiency after use in Oriental hospital were 7.34, 7.56, and 7.20, and they were above the average. There were significant differences in education and "I will recommend this oriental hospital to other patients" in differences of medical service by general characteristics and characteristics related to job. Conclusions: On the findings, we suggest that the team for oriental medical service should endeavor for development of professionals and techniques in oriental medical treatment. Simultaneously, institutional administrative resources are persistently needed for supporting of oriental medical team.

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Association between Socioeconomic Status and Altered Appearance Distress, Body Image, and Quality of Life Among Breast Cancer Patients

  • Chang, Oliver;Choi, Eun-Kyung;Kim, Im-Ryung;Nam, Seok-Jin;Lee, Jeong Eon;Lee, Se Kyung;Im, Young-Hyuck;Park, Yeon Hee;Cho, Juhee
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.20
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    • pp.8607-8612
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    • 2014
  • Background: Breast cancer patients experience a variety of altered appearance - such as loss or disfigurement of breasts, discolored skin, and hair loss - which result in psychological distress that affect their quality of life. This study aims to evaluate the impact of socioeconomic status on the altered appearance distress, body image, and quality of life among Korean breast cancer patients. Materials and Methods: A cross-sectional survey was conducted at advocacy events held at 16 different hospitals in Korea. Subjects were eligible to participate if they were 18 years of age or older, had a histologically confirmed diagnosis of breast cancer, had no evidence of recurrence or metastasis, and had no psychological problems at the time of the survey. Employment status, marital status, education, and income were assessed for patient socioeconomic status. Altered appearance distress was measured using the NCI's cancer treatment side effects scale; body image and quality of life were measured by the EORTC QLC-C30 and BR23. Means and standard deviations of each outcome were compared by socioeconomic status and multivariate linear regression models for evaluating the association between socioeconomic status and altered appearance distress, body image, and quality of life. Results: A total of 126 breast cancer patients participated in the study; the mean age of participants was 47.7 (SD=8.4). Of the total, 83.2% were married, 85.6% received more than high school education, 35.2% were employed, and 41% had more than $3000 in monthly household income. About 46% had mastectomy, and over 30% were receiving either chemotherapy or radiation therapy at the time of the survey. With fully adjusted models, the employed patients had significantly higher altered appearance distress (1.80 vs 1.48; p<0.05) and poorer body image (36.63 vs 51.69; p<0.05) compared to the patients who were unemployed. Higher education (10.58, standard error (SE)=7.63) and family income (12.88, SE=5.08) was positively associated with better body image after adjusting for age, disease stage at diagnosis, current treatment status, and breast surgery type. Similarly, patients who were married and who had higher education had better quality of life were statistically significant in the multivariate models. Conclusions: Socioeconomic status is significantly associated with altered appearance distress, body image, and quality of life in Korean women with breast cancer. Patients who suffer from altered appearance distress or lower body image are much more likely to experience psychosocial, physical, and functional problems than women who do not, therefore health care providers should be aware of the changes and distresses that these breast cancer patients go through and provide specific information and psychosocial support to socioeconomically more vulnerable patients.

Liberal arts curricula for the 3-year emergency medical technology course: A comparative study (국내 3년제 응급구조과의 교양교육과정 분석)

  • Kang, Hyun-Hee;Kim, Hyo-Sik
    • The Korean Journal of Emergency Medical Services
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    • v.18 no.2
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    • pp.73-94
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    • 2014
  • Purpose: This study aims to provide suggestions for improving the liberal arts curriculum for the 3-year emergency medical technology course by conducting a comparative research on the liberal arts curricula across 10 colleges. Methods: Various aspects of liberal arts subjects, such as basic directions set out by the curriculum, credit scores, and distribution, were studied. Results: Of the 10 colleges, 9 did not stated purpose of liberal arts education. All 10 offered courses including foreign language, computer, and self-management, however each subjects did not have reflections of course visions. Findings revealed the credit score ratio of liberal arts subjects to be relatively lower than the major subjects. Students had limited opportunity to choose liberal arts subjects, with only a small proportion of the course available for elective subjects. Most liberal arts subjects were completed in the first year. Subjects' experience was not expanded and deepened gradually. Subject choices often overlapped, with limited variety of available subjects. Conclusion: For competent emergency medical technicians, the 3-year emergency medical technology course should improve the quality of its liberal arts offerings. The study of liberal arts provides the opportunity to develop broad perspectives and mature attitudes.

Assessment of Diet Quality by Weight Status and Its Association with Obesity in Children and Adolescents (소아청소년 체중상태에 따른 식사의 질 평가 및 비만과의 연관성 분석)

  • Yang, See-Won;Lee, Hyang-Suk;Kim, JiEun;Kim, YoonMyung;Seo, Young-Gyun;Park, Kyung Hee;Jang, Han Byul;Lee, Hye-Ja;Park, Sang Ick;Lim, Hyunjung
    • Journal of the Korean Dietetic Association
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    • v.23 no.3
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    • pp.263-273
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    • 2017
  • Numerous studies have investigated quantifying dietary intake according to the weight status of children and adolescents. However, studies on differences in quality among diets remain scarce. This study compared diet quality by weight status and examined correlations between quality of diet and obesity in children and adolescents. Two hundred fourteen children and adolescents aged between 9 and 18 years participated in this study (Normal weight n=104, Obesity n=110). The data related to food intake were investigated by dietary records, Diet Quality Index-International (DQI-I), and Nutrition Quotient (NQ) and then compared with Dietary Reference Intakes for Korean (KDRIs). In DQI-I, moderation factor (control of unhealthy foods) score was 21.7 in the normal weight group and 19.5 in the obesity group. The normal weight group showed a higher score for moderation factor than the obesity group (P<0.001). Compared with KDRIs, vitamin $B_6$, folate, vitamin C, vitamin E, calcium, potassium, and zinc intakes were insufficient in both groups. Multiple logistic regression analysis revealed that DQI-I moderation was negatively associated with obesity (OR=0.77, 95% CI 0.69-0.87) after adjustment for age, gender, income, and total energy intake. Our results suggest that children and adolescents require nutritional education to understand the importance of vitamin and mineral consumption. Especially, education for children and adolescents with obesity needs to emphasize moderation of nutrient intake that can cause diseases with hyper-ingestion such as sodium and high calorie-low nutrition foods.

A Case Study of a Mobile Hospital Information System Usability (모바일 병원정보시스템 사용성에 대한 실증연구)

  • Ahn, Myong-Jin;Yang, Joon-Young;Ryu, Hyo-Seon;Park, Chan-Seok
    • Korea Journal of Hospital Management
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    • v.18 no.4
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    • pp.97-112
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    • 2013
  • This study is a proposal of quality scale and measurement for the Mobile Hospital Information System Usability used to the Chungnam National University Hospital in Daejeon Korea. This study is to provide decision- making guideline for hospital managers and to provide feedback for the users' information needs in Mobile Hospital Information System. The target people of the study were medical doctors in Chungnam National University Hospital. The service contexts of usability were request of medical Care, Vital sign check of Patient, Care Agreement of Patient, Blood management, Check of care state, Sign of choice doctors, Query of doctor order and patient measurement result. The Usability factors were the efficiency, effectiveness and satisfaction of quality model ISO9241-11. This study shows that the Mobile HIS is used for the communication and education between doctor and patients. Especially, The Care Agreement of Patient is a part of the most utilized in the Mobile HIS.

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