• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.10
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• pp.115-126
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• 2020

This study focused on the development of a simulation-based educational program for communication, targeted to prevent safety accidents of patients. Application of the program to nurses working in public medical institutions was assessed to identify the effects of the program in terms of communication skill, self-efficacy, critical thinking disposition, and problem solving ability of nurses, before and after completion of the education. Method: A total of 32 nurses, working in hospitals designated as public medical institutions, were selected as subject participants in the present study. Data were collected during the period August 19 to 20, 2019, and analyzed by SPSS 23.0. Results: Results obtained from the present study reveals significant efficacy of the educational program, in respect of improved communication skill, self-efficacy, and problem-solving ability. On completion of the educational program, we observed an increase in the critical thinking disposition of nurses, although it was statistically insignificant. Conclusions: We believe that the educational program developed in the present study can be exploited as a foundation for developing other programs intending to improve the communication skill of nurses employed in clinics of public medical institutions, targeted to prevent occurrence of safety accidents of patients.

• Korea Journal of Hospital Management
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• v.8 no.3
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• pp.1-31
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• 2003

현대 복지국가에서는 의료와 교육 분야에 대해 지대한 관심을 가지고 있다. 이런 측면에서 유럽 및 미국 등에서는 특히 의료분야에 대해 정부가 직접 운영하는 비율이 높고 또한 각종 조세특례를 통해 민간을 지원하고 있다. 이 점에서 이 논문에서는 우리나라가 의료기관에 대한 조세체계와 조세특례를 어떻게 개선해야 할 것인가에 대해 연구하였다. 이 연구결과 의료기관에 대한 조세체계 및 조세특례제도에 대한 개선방안으로 여러 가지를 제시하고 있으나, 주요골간은 첫째, 우리나라의 경우 의료법인을 의료법에서는 비영리법인으로 보고 있으나 세법에서는 기본적으로 영리사업으로 보아 과세하는 것을 원칙으로 하고 조세특례규정은 아주 제한적으로 인정하고 있어, 의료서비스의 질적 향상에 도움을 주고 있지 못하므로 이를 개선하고, 둘째, 교육과 의료는 중요한 공공재로서 정부가 대등한 입장에서 정책을 수립하여야 함에도 차등 과세되고 있는 점을 개선할 필요가 있으며, 셋째, 같은 의료서비스에 대해서 운영주체에 따라 각종 조세특례를 다르게 규정해서는 안된다는 점을 지적하였다.

• Journal of agricultural medicine and community health
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• v.48 no.4
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• pp.262-274
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• 2023

Objectives: This study examined the evaluation and potential improvements of 'Integrated Healthcare and Social Welfare service model' based on the experiences of practitioners from institutions participating in the 'Dalgubeol Health Doctor Services' and the service recipients. Methods: Qualitative research was conducted from September to November 2022 in this study, focusing on 4 providers from the dedicated Dalgubeol Health Doctor Services Team, 5 contact partners from affiliated organizations, and 6 service beneficiaries. The data gathered underwent thematic analysis. Results: The evaluation indicated that Dalgubeol Health Doctor Services has proven to be effective in addressing the complex needs of vulnerable populations. By providing integrated services through quick and simple beneficiary selection and resource linkage, it has contributed to the resolution of complex demands, recovery of positive attitudes towards life, and improvement in quality of life for users who have fear the use of medical and welfare services. Dalgubeol Health Doctor Services has established an integrated health care system involving not only public but also private organizations, from the referral agency to the service provider. Centered around Daegu Medical Center and involving five tertiary hospitals, it has established a model that supports treatment appropriate to the severity of the patient, from mild to severe. Conclusions: These findings indicate an enhancement in health equity, achieved through the active identification and subsequent health and welfare issue resolution of individuals marginalized from medical benefits.

• Journal of the Korean Society for Library and Information Science
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• v.47 no.2
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• pp.265-291
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• 2013

Because of the increased interest in health, medical care, and wellness, the utilization of health-related information resources, especially those found on the Internet, has been rapidly increasing. In addition, despite encountering an increasing number of health and medical-related reference questions in public libraries, public librarians feel limitations in their ability to perform these types of reference services. Therefore, this study proposed the cooperative network system model for vitalizing CHI Services, meaning that all the related agencies, including public libraries, medical libraries, medical institutions, and the health and medical community collaboratively provide consumer health information service. This study presented in detail the key elements of the cooperation model, the subject of cooperation, target sources for cooperation, the content of cooperation, operations of CHI-providing sites, operations and roles of Cooperation Centers, and directions for cooperating with commercial institutions.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.23 no.11
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• pp.1337-1342
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• 2019

Medical institutions face the challenge of securing competitiveness among medical institutions due to the rapid spread of ICT convergence, and managing data that is growing at an enormous rate due to the emergence of big data and the emergence of the Internet of Things. The big data paradigm of the medical community is not just about large data or tools and processes for processing and analyzing it, but also means a computerized shift in the way people live, think and study. As the medical data is recently released, the demand for the use of medical data is increasing. Therefore, the research on disease detection system based on public data using open source that can help rational and efficient decision making was conducted. As a result of the experiment, unlike a simple disease inquiry or a symptom inquiry about a single disease provided by a public institution, related diseases are searched by a symptom or a cause.

• The Korean Society of Law and Medicine
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• v.20 no.3
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• pp.143-174
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• 2019

Our Constitution obliges the state to protect the health of the people, and the Medical Law, which embodied Constitution, sets out in detail the matters related to open the medical institution, and one of them is to prohibit the operation of multiple medical institutions. By the way, virtually multiple medical institutions could be opened and operated because the Supreme Court had interpreted that several medical institutions could be opened if medical activities were not performed directly at the additional medical institution which was opened under the another doctor's license. However, some health care providers opened the several medical institutions with another doctor's license for the purpose of the maximization of profit, and did illegal medical cares like the unfair luring of patients, over-treatment, and commission treatment. Also, realistic problems such as the infringed health rights have arisen. Accordingly, lawmakers had come to amend the Medical Law to readjust the system of opening for medical institution so that medical personnel could not open or operate more than one medical institution for any reason. For this reason, the Constitutional Court recently declared a constitutional decision through a long period of in-depth deliberation because the constitutional petition and the adjudication on the constitutionality of statutes had been filed on whether Article 33 paragraph 8 of the revised medical law is unconstitutional. The Constitutional Court acknowledged the "justice of purpose" in view of the importance of public medical institutions, of the prevention from seduction of for-profit patients and from over-treatment, and of the fact that health care should not be the object of commercial transactions. Given the risk that medical personnel might be subject to outside capital, the concern that the holder of the medical institution's opening certificate and the actual operator may be separated, the principle that the human body and life should not be just a means, and the current system's inability to identify over-treatment, it also acknowledged the 'minimum infringement'. Furthermore, The Constitutional Court judged it is constitutional in compliance with the principle of restricting fundamental rights, such as 'balance of legal interests'. In this regard, legislative complements are needed in order to effectively prevent the for-profit management and the over-treatment the Constitutional Court is concerned about. In this regard, consumer groups actively support the need for legislation, and health care providers groups also agree on the need for legislation. Therefore, the legislators should respect the recent Constitutional Court's decision and in the near future complete the complementary legislation to reflect the people's interests.

• Proceedings of the Korea Contents Association Conference
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• 2008.05a
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• pp.352-355
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• 2008

I argue that the National University Hospital has to take its responsibility as the third health care service center for leading other public health care corporations, as well as its responsibility for educating, researching, and serving as a health center, as it written on its act of incorporation. As its management system had changed from a state-owned enterprise system to a self-supporting accounting system of a special corporation, the National University Hospital has pursued more heavily upon the profitability without showing any differences with the private university hospitals, even though the National University Hospital is a state-owned and public health care corporation. Therefore, after I have specifically analyzed the correlation between public service and profitability in a National University Hospital, I present my ideas on how to assign the public health care responsibilities to the National University Hospital in the current situation of pursuing heavily on profitability. Also how to partake in the service roles of the National University Hospitals in harmony with other health care corporations, and how to balance public service and profitability in the National University Hospitals.

• Journal of agricultural medicine and community health
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• v.49 no.2
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• pp.132-145
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• 2024

Objectives: This study compares cases of Dalgubeol Health Care Project, 301 Network Project, and 3 for 1 Project based on program logic models to derive measures for promoting integrated healthcare and welfare services centered around medical institutions. Methods: From January to December 2021, information on the implementation systems and performance of each institution was collected. Data sources included prior academic research, project reports, operational guidelines, official press releases, media articles, and written surveys from project managers. A program logic model analysis framework was applied, structuring the information based on four elements: situation, input, activity, and output. Results: All three projects aimed to address the fragmentation of health and welfare services and medical blind spots. Despite similar multidisciplinary team compositions, differences existed in specific fields, recruitment scale, and employment types. Variations in funding sources led to differences in community collaboration, support methods, and future directions. There were discrepancies in the number of beneficiaries and medical treatments, with different results observed when comparing the actual number of people to input manpower and project cost per beneficiary. Conclusions: To design an integrated health and welfare service provision system centered on medical institutions, securing a stable funding mechanism and establishing an appropriate target population and service delivery system are crucial. Additionally, installing a dedicated department within the medical institution to link activities across various sectors, rather than outsourcing, is necessary. Ensuring appropriate recruitment and stable employment systems is needed. A comprehensive provision system offering services from mild to severe cases through public-private cooperation is suggested.

• Journal of Korean Society of Archives and Records Management
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• v.23 no.1
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• pp.127-132
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• 2023

The Incheon Medical Center Institutional Review Board (IRB), a department that reflects the characteristics of Incheon Medical Center, a medical and public institution, was established in 2013. IRB contributes to performing its role as a local accountable care hospital and protecting researchers and subjects by proving the ethics of research conducted at the medical center. So far, IRB has reviewed a total of 80 research proposals for human subject research and human-derived material research, and it currently exists as an independent department directly under the president of the medical center. This paper aims to explain the registration and preservation of IRB-related records, the maintenance of the Records Management Standard Table and related regulations, and archives, as well as to present limitations and improvements in the disclosure, utilization, and classification of records.

• Review of KIISC
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• v.22 no.1
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• pp.47-57
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• 2012

미국의 개인정보보호 정책은 시장의 자율규제에 입각하여 소비자의 권리를 보호하는 것에 초점을 맞추고 있다. 관리되는 법률로는 연방정부기관이 보유하고 있는 개인정보에 관한 보호법규인 1974년의 프라이버시법(Federal Privacy Act 1974)과 각 주단위로 규정된 프라이버시권 관련 법률들이 있다. 현재 공공과 개인을 아울러서 총괄하는 법은 존재하지 않지만 다양한 영역별로 접근 방식을 택하여 세부적으로 공공, 금융, 통신, 교육, 의료, 비디오 감시, 근로자 정보 등 각 영역별로 제정하여 시행하고 있다. 본고에서는 미국의 개인정보보호 법제 현황에 대해 살펴보았으며, 최근에 국내에서도 수행기관이 지정된 개인정보영향평가에 대한 내용을 분석하였다.