DOI QR코드

DOI QR Code

종합병원 정신건강의학과 급성기 병동 가이드라인 수립을 위한 공간구성에 관한 연구

A Study on the Spatial Planning for the Establishment of Design Guideline for the Acute Psychiatric Ward in General Hospitals

  • 투고 : 2023.05.16
  • 심사 : 2023.05.24
  • 발행 : 2023.06.15

초록

Purpose: In Korea, the increase rate of the number of mentally ill patients increases, and the hospitalization period for severely mentally ill patients to stay in acute wards is long and the re-hospitalization rate is high. In order to improve the dignity of patients with acute mental illness and to plan a therapeutic environment for this, this study attempted to present a basic framework of spacial planning for establishing guidelines for psychiatric acute ward in general hospitals. Methods: By analyzing the acute psychiatric ward guidelines of the UK, Australia, and the US., this study analyzed the areas and required rooms of psychiatric acute ward in general hospitals, as well as the net floor area of each room, and the connection between the rooms. Results: As a result of the study, the basic framework for the ward areas and the required rooms, the net floor areas of the rooms, and the connection between the rooms were presented for the establishment of guidelines for the psychiatric acute ward in general hospitals. Implication: The results of the study will be used as a basic framework of space planning for establishing of guidelines for the psychiatric acute ward in general hospitals and will contribute to the establishment of detailed guidelines based on the space configuration through surveys and analysis of space use status, operation status, and expert interviews in Korea.

키워드

과제정보

본 연구는 보건복지부의 재원으로 한국보건산업진흥원의 보건의료기술연구개발사업 지원에 의하여 이루어진 것임(HI22C1416) 본 논문은 2022년도 광운대학교 교내학술연구비 지원에 의해 연구되었음. 본 논문은 2023년 한국의료복지건축학회 학술대회에서 발표한 내용을 토대로 작성됨.

참고문헌

  1. 국가통계포털(KOSIS), 2023a, 정신의료기관에서 치료받은 환자(입원 및 외래 포함) 현황 및 인구 10만 명당 치료받은 수, 2018~2021, https://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_920023_A004&conn_path=I2, 2023.05.15.
  2. 국가통계포털(KOSIS), 2023b, 중증정신질환자의 퇴원 후 1개월 내 외래방문율, https://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_920023_A007&conn_path=I2, 2023.05.15.
  3. 국가통계포털(KOSIS), 2023c, 중증정신질환자 퇴원 후 1개월 이내 재입원율, https://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_920023_A008&conn_path=I2, 2023.05.15.
  4. 국민건강보험, 보건복지부, 2021, 지난 10년간 건강보험‧의료급여 자료를 통해 파악한 정신질환자의 의료이용 현황, http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_SEQ=368136, 2023.05.15.
  5. 문하늬, 여정, 윤우영, 채철균, 2020, "지방의료원 정신건강의학과 운영 및 병동 환경에 관한 연구", 의료.복지 건축, 한국의료복지건축학회, 26(1), 39-49.
  6. 박경현, 김병수, 지수인, 채철균, 2023, "정신건강의학과 급성기 병동 면적 기준 수립을 위한 가이드라인 연구", 한국의료복지건축학회 2023 학술발표대회 논문집, 27-32.
  7. 보건복지부, 한국의료복지건축학회, 2018, 의료시설 건축설계 가이드라인 연구, 문서번호 11-1352000-002445-01, 2018, http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=0 32901&CONT_SEQ=349025&page=1. 2023.05.15.
  8. 보건복지부 국립정신건강센터, 건강보험심사평가원, 한국보건사회연구원, 2020b, 국가정신건강현황 보고서 2020, http://www.ncmh.go.kr/ncmh/board/boardView.do?fno=37&menu_cd=01_01&no=9113&bn=newsView
  9. 의료법시행규칙, https://www.law.go.kr, 23.05.15.
  10. 정신건강복지법, https://www.law.go.kr, 2023.05.15.
  11. 정신건강복지법시행규칙, https://www.law.go.kr, 23.05.15.
  12. 주성철, 김선국, 김광문, 1997, "우리나라 정신병원 병동부에 관한 건축 계획적 연구 (1)", 의료.복지 건축, 한국의료복지건축학회, 3(4), 7-16.
  13. 주용선, 2021, "정신요양 병동에서의 관리영역과 환자의 요양 공간영역의 관찰적 시선에 따른 병동구조와 요양 공간환경의 특성에 관한 연구", 의료.복지 건축, 한국의료복지건축학회, 27(2), 57-64.
  14. 지수인, 박경현, 채철균, 2023, "정신건강의학과 급성기 병동 공간 계획을 위한 국외 가이드라인에 관한 연구", 의료.복지 건축, 한국의료복지건축학회, 29(1), 53-62.
  15. Australian Health Infrastructure Alliance(AHIA), 2019, Adult Acute Mental Health Inpatient Unit, Australian Health Facility Guidelines, https://healthfacilityguidelines.com.au/health-planning-units, 2023.05.15.
  16. Australian Health Infrastructure Alliance(AHIA), 2018, Mental Health - Overarching Guideline, https://healthfacilityguidelines.com.au/hpu/mental-health-overarching-guideline, 2023.05.15.
  17. Australian Health Infrastructure Alliance(AHIA), Standard Components, Australian Health Facility Guidelines, https://healthfacilityguidelines.com.au/standard-components, 2023.05.15.
  18. Australian Health Infrastructure Alliance(AHIA), 2018, 1 Bed Room-Mental Health-Inboard Ensuite, 15m2, Australian Health Facility Guidelines, https://healthfacilityguidelines.com.au/component/1-bed-room-mental-health-inboard-ensuite-15m2, 2023.05.15.
  19. Department of Health, 2013, Health Building Note(HBN) 03-01: Adult acute mental health units, National Health Service, https://www.england.nhs.uk/estates/health-building-notes/, 2023.05.15.
  20. Facility Guidelines Institute(FGI), Earlier editions of the Guidelines, https://fgiguidelines.org/guidelines/earlier-editions/, 2023.05.15.
  21. Facility Guidelines Institute(FGI), 2022, Guideline for Design and Construction of Hospitals, https://fgiguidelines.org/guidelines/editions/, 2023.05.15.
  22. Faerden, Ann; Rosenqvist, Christine; Hakansson, Mats; Strom-Gundersen, Eline; Stav, Ashild; Svartsund, Jan; Rossaeg, Trude; Davik, Nils; Kvarstein, Elfrida; Pedersen, Geir; Dieset, Ingrid; Nyrud, Anders Q.; Weedon-Fekjaer, Harald; Kistorp, Kaja M., 2022, "Environmental Transformations Enhancing Dignity in an Acute Psychiatric Ward: Outcome of a User-Driven Service Design Project", Health Environments Research & Design Journal, 16(2), 1-18.
  23. OECD Stat. Health Care Utilisation: Hospital average length of stay by diagnostic categories,https://stats.oecd.org/index.aspx?queryid=30165. 2023.05.15.
  24. U.S Department of Veterans (VA), 2012, Design Guide for Inpatient Mental Health & Residential Rehabilitation Treatment Program Facilities, PG 18-12: Inpatient Mental Health (IPMH) & Mental Health Residential Treatment Program (MH RRTP) Design Guide.