• Title/Summary/Keyword: shortage of medical personnel

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A survey of private physician's opinion on utilization of nursing manpower (간호사 및 간호조무사 활용에 관한 개업의사의 의견조사)

  • Kim, Jin-Soon
    • Journal of agricultural medicine and community health
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    • v.22 no.1
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    • pp.75-83
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    • 1997
  • The medical insurance system has been adopted in 1989. Since then, the utilization of medical care services has increased rapidly. It appears that the medical institution needs more nursing manpower such as nurses and nurse aides to meet an increased demand for medical care for the residents. However, the medical care clinics run by a medical practitioners has a more shortage of nursing manpower than hospitals. The purpose of this survey was to analyze the current employment status and to obtain an opinion on the improvement of utilization such as recruitment and retention of nursing manpower. The questionnaire sent to the private physician and the response rate was 28.7% ; 87 out of 300 physicians. 82.6% of the respondents employed nurses aides rather than nurses and an average number of employees per clinic was 2.5 persons. Most physicians had difficulties in recruiting nursing manpower. It took more than one month for replacement on average, therefore, they were suffering from giving good continual care for the patient and also high resignation of nursing personnel. The low wage, long working hours, hard work and lack of incentives are the biggest reasons for the difficulty in recruiting and retaining of the nursing personnel obtained for the clinics survey. The above mentioned problems would be solved in the near future by changing those difficulties. In the meantime, the private physicians are marking an effort to retain the nursing personnel by keeping a relationship of the private physician's cooperatives.

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A Study on the Adopting Franchises System for the Improvement of Emergency Medical Services (응급진료의 효율화를 위한 프랜타이즈 시스템의 도입에 관한 연구)

  • 송미숙
    • Health Policy and Management
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    • v.2 no.2
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    • pp.152-178
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    • 1992
  • This study focuses on making recommendations for the improvement of poor emergency medical services or EMS in Korea. Problems of the current EMS system is widely reviewed. As an alternative of the current system, a franchises system is introduced to EMS. A feasibility study of the new system is carried out as follows. 1) The current EMS system shows such problem as; - Inadequacy of emergency medical fee schedule, - Shortage of emergency medical resources, - Concentration of emergency medical facilities in metropolitan area, - Unestablishment of training program for emergency personnel, - Inappropriateness of patients' behvaviro pattern in emergency care system. 2) Recommendations for the improvement of EMS are as follows: - Well organized communication and transportation system needs to be established by utilizing all the availabl EMS is to be devised for the provision of appropriate emergency care. - A franchises system can be widly adopted so that private organizations are willing to establish a free standing emergency center. - Emergency care fee schedule of the franchises system needs to be appropriate for the system to provide high standard medical services.

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A Study on the case of Application of Women's Personnel in the Australian Defence Force (호주군 여성인력의 활용과 우리군에 주는 시사점)

  • In-Chan Kim;Jong-Hoon Kim;Jun-Hak Sim;Kang-Hee Lee;Sang-Keun Cho;Sang-Hyuk Park;Myung-Sook Hong
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.5
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    • pp.269-273
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    • 2023
  • After participating in the Second Boer War in 1899, the Australian Army participated in world wars such as World War I, World War II, the Korean War, and the Vietnam War. To overcome the decline in the social recognition of soldiers and the continuous shortage of troops caused by the protracted war, the status and role of female personnel were expanded. The use of female manpower, which started as medical support during the Second Boer War, expanded to combat support missions such as communications, maintenance, driving, secret document management, and radar surveillance during World War II. After the Vietnam War, the Chiefs of Staff of the Australian Army, Navy and Air Force established a committee to expand women's participation in the military, improved service conditions for female personnel and supplemented regulations so that they were treated as soldiers, not women, and reached a turning point in expanding the role of female personnel in the Australian military. As a result, all combat positions, including special forces, were opened to women in 2014, and a plan was established to increase the proportion of women in each service by 2030. As a result, all combat positions, including special forces, were opened to women in 2014, and the Australian Armed Forces set a plan to increase the proportion of women by 2030. Like the Australian military, South Korea is also experiencing a demographic cliff and shortage of troops due to the continuing low birthrate problem. Through the history and current state of the use of female personnel in the Australian military, we would like to draw implications for the direction our military should go.

Case study on the utilization of women in the Ukrainian military

  • Jong-Hoon Kim;Sang-Keun Cho;Eui-Chul Shin;In-Chan Kim;Myung-Sook Hong;Sung-Hu Kang;Sang-Hyuk Park
    • International Journal of Advanced Culture Technology
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    • v.11 no.1
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    • pp.153-158
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    • 2023
  • Experts are concerned about the lack of troops and security vacuum due to the low birth rate in the Republic of Korea. They consider policies to expand the proportion and role of female soldiers to address these issues. In this regard, We would like to introduce the successful use of female personnel in the Ukrainian military and draw implications for the Korean military. This will provide a clue to offset the shortage of troops in the Republic of Korea.

Issues and Challenges of Dental Hygienist Workforce Policy in Korea (우리나라 치과위생사 인력정책 현황 및 과제)

  • Lee, Hyo-Jin;Shin, Sun-Jung;Bae, Soo-Myoung;Shin, Bo-Mi
    • The Journal of the Korea Contents Association
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    • v.19 no.2
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    • pp.409-423
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    • 2019
  • The purposes of this study was to confirm the current issues of workforce policy of dental auxiliary personnel in Korea. The literature review and data collection were conducted in terms of the auxiliary personnel supply, regional distribution, legal works, working environment. Despite the rapid increase in the number of dental hygienists, the number of active dental hygienists is less than half of the total, and the dental clinics still experience the shortage. Considering the dental hygienist's work, the available dental auxiliary personnel for the dental assistance is limited. The proportion of dental hygienists is concentrated in large cities, and the ratio of dental clinics composed of only dental hygienists is high. Thus, it is essential to look for a plan to solve the disparity. The criterion for judging the legality of the works is ambiguous because a large portion of dental hygienist's work is not specified in the Medical Technicians Act. The job life is also shortened, and occupational profession and satisfaction are lowered. Thus, job burnout is accelerating. The difference between the legal works and the practiced works of dental hygienist and the conflict between the personnel might be due to the lack of utilization plans for the dental personnel at the government level. Therefore, the government should establish the roles of dental hygienist in accordance with the demands of the dental health service, institutionalize the necessary policies accordingly, and make efforts to establish plans to improve the relevant laws and utilize the manpower appropriately.

Leision Detection in Chest X-ray Images based on Coreset of Patch Feature (패치 특징 코어세트 기반의 흉부 X-Ray 영상에서의 병변 유무 감지)

  • Kim, Hyun-bin;Chun, Jun-Chul
    • Journal of Internet Computing and Services
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    • v.23 no.3
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    • pp.35-45
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    • 2022
  • Even in recent years, treatment of first-aid patients is still often delayed due to a shortage of medical resources in marginalized areas. Research on automating the analysis of medical data to solve the problems of inaccessibility for medical services and shortage of medical personnel is ongoing. Computer vision-based medical inspection automation requires a lot of cost in data collection and labeling for training purposes. These problems stand out in the works of classifying lesion that are rare, or pathological features and pathogenesis that are difficult to clearly define visually. Anomaly detection is attracting as a method that can significantly reduce the cost of data collection by adopting an unsupervised learning strategy. In this paper, we propose methods for detecting abnormal images on chest X-RAY images as follows based on existing anomaly detection techniques. (1) Normalize the brightness range of medical images resampled as optimal resolution. (2) Some feature vectors with high representative power are selected in set of patch features extracted as intermediate-level from lesion-free images. (3) Measure the difference from the feature vectors of lesion-free data selected based on the nearest neighbor search algorithm. The proposed system can simultaneously perform anomaly classification and localization for each image. In this paper, the anomaly detection performance of the proposed system for chest X-RAY images of PA projection is measured and presented by detailed conditions. We demonstrate effect of anomaly detection for medical images by showing 0.705 classification AUROC for random subset extracted from the PadChest dataset. The proposed system can be usefully used to improve the clinical diagnosis workflow of medical institutions, and can effectively support early diagnosis in medically poor area.

IoT-based Architecture and Implementation for Automatic Shock Treatment

  • Lee, Namhwa;Jeong, Minsu;Kim, Youngjae;Shin, Jisoo;Joe, Inwhee;Jeon, Sanghoon;Ko, Byuk Sung
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.16 no.7
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    • pp.2209-2224
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    • 2022
  • The Internet of Things (IoT) is being used in a wide variety of fields due to the recent 4th industrial revolution. In particular, research is being conducted that combines IoT with the medical field such as telemedicine. Among them, the field of shock detection is a big issue in the medical field because the causes of shock are diverse, treatments are very complex, and require a high level of medical knowledge and experience. The transmission of infectious diseases is common when treating critically ill patients, especially patients with shock. Thus, to effectively care for shock patients, we propose an architecture that continuously monitors the patient's condition, and automatically recommends a drug injection treatment according to the patient's shock condition. The patient's hemodynamic information is continuously monitored, and the patient's shock generation information is recorded periodically. With the recorded patient information, the patient's condition is determined and automatically injected with necessary medication. The medical team can find out whether the patient's condition has improved by checking the recorded information through web applications. The study can help relieve the shortage of medical personnel and help prevent transmission of infectious disease in medical staff. We look forward to playing a role in helping medical staff by making recommendations for the diagnosis and treatment of complex and difficult shocks.

A Survey of a Present Utilization of the Parking Lot with the Introduction of a Charging System (일 대학병원 주차장 유료화에 따른 주차장 이용실태 조사)

  • Kim, Jung-Hee;Park, Jin-Sook;Joo, Chan-Uhng;Choi, Ki-Chul
    • Quality Improvement in Health Care
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    • v.4 no.1
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    • pp.116-124
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    • 1997
  • Background : As parking problem caused by increasing owner-driver and patients concentrating to a general hospital is becoming one of the dissatisfactions in medical care. It is time that a general hospital should solve the parking problem in a desirable way. The purpose of this survey is to let the clients understand the basic motivation of the pay parking and develop the better parking system. Methods : Clients of a tertiary care hospital in Chon-ju were surveyed by means of a questionnaire. All in all, 193 subjects answered the questionnaire. Results : In relation to previous experiences, 39.6% of the subjects experienced inconvenience with confused parking lot and the shortage of parking space. Under the current parking system, the subjects who felt the available parking space was enough were more than those who didn't 62.7% of the subjects answered that they could find the parking lot easily. 33.2% of the subjects mentioned that it was not easy to drive in the parking area ; The reasons were pointed out the shortage of space, disordered parking, and insufficient guide. 12.8% of the subjects satisfied with the current administering system of parking lot. The outpatients were more affirmative than the admitted patients about the charging system. As for the parking fee, 64% of the subjects answered that it is expensive, and 89.5% of the subjects thought imposing of parking fee is irrational. Conclusion : To say as a whole, the basic purpose of the charging system are more or less accepted. However, the management details like parking facilities and payment method are dissatisfactory, so it is necessary to improve the management system. It is also noted that the inpatients showed more negative attitude than the outpatients with the charging system. To secure a more convenient parking, the parking system should be considered in relation to the information service, kind guidance, improve facilities, personnel cooperation, fix outpatient scheduling system, etc.

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A Survey of Open Access Institutional Repositories in Nigerian University Libraries: The Current State

  • Victor Okeoghene Idiedo;Christopher Agbeniaru Omigie;Loveth Ebhomeye
    • International Journal of Knowledge Content Development & Technology
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    • v.14 no.1
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    • pp.53-73
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    • 2024
  • The purpose of the study is to investigate the development of institutional repositories in university libraries in Nigeria. The study adopted a survey research design. Online questionnaire, IRs investigation, and interview methods were used to collect data from the 21 university libraries that have developed IRs in Nigeria. The study revealed that only few universities have successfully developed open access IRs to preserve and manage their intellectual outputs emanating from their universities. Contents such as journal articles, theses/dissertations, and conference / workshop papers were found to be the most popular contents that are hosted in the IRs. The interview revealed that although few respondents mentioned having IR policy statements in areas such as access policy, submission policy, preservation policy, content policy and copyright policy, the majority mentioned not having any defined policy in their IR. Also in the interview, inadequate fund, challenge of collecting contents for the IR, shortage of skilled ICT personnel, and inadequate facilities were the most mentioned challenges encountered in the development of IRs in Nigeria. Findings from this study will inform University Librarians, university management and policy makers on the need to provide the necessary infrastructure and formulate policies for smooth development of institutional repositories to make research visible globally. The results will therefore provide important data and insight into the development of institutional repositories in university libraries in the context of developing countries.

Implementation of Probabilistic Predictive Artificial Intelligence for Remote Diagnosis in Aging Society (고령화 사회 원격 진료를 위한 확률론적 예측인공지능 연구)

  • Jeong, Jae-Seung;Ju, Hyunsu
    • Prospectives of Industrial Chemistry
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    • v.23 no.6
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    • pp.3-13
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    • 2020
  • 저출산 고령화 사회로의 진입은 대한민국뿐만 아니라 전 세계적으로 많은 사회 문제를 야기하고 있다. 그 중에서 고령 인구 증가로 인한 의료 수요 증가와 이를 뒷받침 할 의료인력 부족은 곧 다가올 사회문제이다. 4차 산업 혁명으로 인해 다양한 사회문제에 대한 혁신적인 해법들이 제시되고 있는데, 본 기고문에서는 다가올 고령화 사회에서 의료인력 부족 등에 의한 해결법으로 원격의료 지원을 위한 인공지능 활용을 다루고자 한다. 병 진단 및 예측을 위한 여러 가지 인공지능 알고리즘은 이미 많이 개발 되어 있으나, 일반적으로 딥러닝에 많이 쓰이는 인공신경망 구조인 합성곱 뉴럴네트워크(convolution neural network)나 기존 퍼셉트론(perceptron) 구조에서 벗어나 확률론적 인공신경망 중에 하나인 베이지안 뉴럴네트워크(Bayesian neural network)를 다루고자 한다. 그중에서 연산효율적이며 뉴로모픽 하드웨어로 구현 가능성이 높고 실제 진단 예측(diagnosis prediction) 문제 해결에 강점을 보이는 알고리즘으로써 naive Bayes classifer를 활용한 연구를 소개하고자 한다.