• Title/Summary/Keyword: 공공의료서비스

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A Study on the Types of Public Hospitals in the Region by Cluster Analysis (군집분석을 통한 지역거점공공병원의 유형화)

  • Seo, Ji-Woo;Sohn, Minsung;Choi, Mankyu
    • The Journal of the Korea Contents Association
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    • v.21 no.8
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    • pp.329-336
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    • 2021
  • This study selected indicators that can represent the characteristics of general hospitals, including local medical centers and Red Cross hospitals, which are representative public health institutions, and analyzed clusters. And we present to benchmark in each cluster. According to the analysis, 276 general hospitals were classified into 13 clusters, and local medical centers and Red Cross hospitals were classified into clusters between 1 and 7 of the total 13 clusters because of their small size. Local medical centers and Red Cross hospitals, selected as excellent hospitals in each cluster, showed significant differences in management performance despite similar regional environment and medical performance, and among them, surgical consultation and internal medical care rates, inpatient and outpatient rates. In order for local medical centers and Red Cross hospitals to play their role as secondary acute hospitals in the region, inpatient care services and surgical functions must be activated.

A Convergence Study about System of Public Health Nurse (공중보건간호사제도 관련 융합연구)

  • Lee, Young-Shin
    • Journal of Digital Convergence
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    • v.14 no.3
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    • pp.13-23
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    • 2016
  • The purpose of this convergence study was to describe Medical Service Providers and Consumers' perception of the PHN system, and of the Quality of nursing provided by male nurses. This study was a cross-sectional survey. The subject group included medical service providers and consumers. Data were analyzed using descriptive statistics, Chi-square and t-test using SPSS 19.0. 77.3% of providers and 66.2% of consumers agree with the PHN system. 81.4% of providers and 70.8% of consumers agreed with the statement that the nurse is the most qualified public health worker. Period of service showed statistically significant differences according to the group (t=7.56, p=.03). The development of nursing experts was identified as an important strength of the PHN. Quality of nursing Male wasn't statistically significants between groups. Compared to earlier studies, it is to suggest a study that confirms preliminary nurses' psychiatric, social, and communicational nursing.

A Convergence Study on the Current Managerial Status and Policy of Regional Public Medical Centers : Focusing on Jeollabuk-do Province's cases (지방의료원의 운영 현황과 정책에 관한 융합적 연구 : 전라북도 사례를 중심으로)

  • Jeong, Ji-Na
    • Journal of the Korea Convergence Society
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    • v.9 no.9
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    • pp.105-115
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    • 2018
  • The study selected two regional public medical centers(G, N) in Jeollabuk-do to recognize problems and provide solutions for regional medical centers. The medical centers were analyzed, focusing on availability of medical personnel, budget and management thereof, medical treatment performance, public project performance, and patient satisfaction. The results showed that the medical centers were understaffed with doctors compared to private hospitals or national university hospitals and suffering financial debt. The number of patient with medical benefit was increasing in the medical center G, whereas it was decreasing in the medical center N. Patient satisfaction survey showed that the medical center G was scoring similar to the national average, whereas the medical center N was scoring slightly less than the average. Policies needed for development and efficient management of Regional public medical centers are clarification of Regional medical centers identity, modernization of medical equipment and facilities, recruitment of competent medical personnels, specialization of hospitals and establishment of stronger referral system. The regional medical centers should secure financial supports for public service from regional and national governments, and establish revenues from funerary service, leasing service, and national projects participation.

A Location Model and Algorithm for Visiting Health-care Districting for the Rural Elderly (농촌지역 노년인구를 위한 방문 의료서비스 구역 설정 모델 및 알고리즘)

  • Kim, Kam-Young;Shin, Jung-Yeop;Lee, Gun-Hak;Cho, Dae-Heon
    • Journal of the Korean Geographical Society
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    • v.44 no.6
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    • pp.813-832
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    • 2009
  • As accessibility to health-care service in less populated rural areas is geographically limited and demand for public health-care by the aging is increasing, a new approach for health-care service such as a home care service is becoming more popular. For a home care service, health-care personnels directly visit to location of health-care clients. Such changes in provision of health services require developing innovative and scientific approaches for efficient allocation of health resources and managing services by public health-care organizations. The purpose of this study is to formulate a location model for visiting health-care districting for the rural elderly and to develop an Automated Zoning Procedure (AZP) to solve this model. Mobility, workload balance and contiguity criteria are considered in the model. Three different objective functions are evaluated; 1) minimizing the sum of network distance between the unit areas in a district, 2) maximizing spatial interaction between the unit areas in a district, and 3) minimizing tour distance that visits each unit area exactly once in a district. The AZP for solving the model is developed and applied to a rural area. The application results demonstrate that the AZP can generate different districting systems for each objective functions.

A Study on Research Framework and Research Trends in the Healthcare Information Technology Area (헬스케어 정보기술 분야의 연구 프레임워크 및 연구동향)

  • Lee, N.K.;Lee, J.O.;Hwang, K.T.
    • Informatization Policy
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    • v.21 no.3
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    • pp.3-32
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    • 2014
  • Recent developments of smart phone and ICT, and explosive developments of wireless sensor area drive radical changes on traditional health care service. To accommodate the changes, many researchers have studied to expand traditional healthcare service areas including home care for independent living and public care for preventive and collaborative wellness area. This study proposes a research framework for healthcare information technology area based on Mettler and Raptis's(2012) work. Then, the study analyze the research trends in the area based on the framework. The area of monitoring patients health status at home using smart phone, providing innovative healthcare service by out-patients monitoring, and implementing preventive healthcare services are identified most active and emerging research agenda. It is expected that the research framework and implications of this study can assist future research efforts and practical utilization of healthcare information technologies.

Findings from the Survey Responses by Cambodian Doctors and Patients for Telemedicine (캄보디아 환자와 의사의 원격 의료에 대한 반응 조사)

  • Yoo, Sun-gil;Oh, Dongik;Min, Sedong;Shin, Wonhan
    • Journal of Internet Computing and Services
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    • v.16 no.4
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    • pp.13-23
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    • 2015
  • In order to reduce public medical expenses as well as to provide effective medical services, telemedicine between doctors and patients is considered as an alternative to the conventional hospital visit. But the medical community has been protesting the introduction of telemedicine for the efficacy and safety reasons. Korean government has been conducting a number of pilot projects to demonstrate the efficacy and safety of telemedicine for more than 10 years. However, still the system is not yet legalized. In this study, we have conducted a telemedicine pilot project in Cambodia for one year, where telemedicine can be more freely exercised. After the project, we conducted a survey based on the 'Rogers diffusion' theory. Survey results show that both physicians and patients are positive about the relative advantage of the telemedicine. However, the complexity and high cost of the equipment used in telemedicine has been found to be a possible obstacle. In addition, we found that there is no problem for providing telemedicine services under challenged environment, such as in Cambodia.

Temporal and Spatial Distributions of Emergency Medical Services: Busan (부산시 응급의료서비스의 시공간적 분포특성)

  • Nam, Kwang-Woo;Kim, Jeong-Geon
    • Journal of the Korean Association of Geographic Information Studies
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    • v.10 no.1
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    • pp.113-123
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    • 2007
  • This study analyzed the appropriateness of the spatial distribution of fire stations and emergency medical facilities, the main providers of emergency medical care, in Busan. The area over which the 119 emergency medical services were situated in relation to the dispatch and transport of urgent rescue services was examined. Addresses of patients requiring 119 emergency services were obtained and stored as individual units so that they could be analyzed in a Geographic Information System(GIS). The time taken by emergency services to reach patients and transport them to a hospital or other facility was measured in seconds. By inputting additional information such as the location of the 119 dispatch centers, jurisdictions, and emergency medical facilities, the GIS allowed for analyses not only of the temporal but also the spatial aspects of emergency medical services. The results showed that of 16 Gu/Gun and 226 Eup/Myen/Dong in the Busan area, only 41% of Busan's emergency medical services could respond to and transport patients within five minutes. In all districts, most emergency medical services were provided within five to ten minutes. However, the pattern of hospital use to transfer patients to hospitals was inefficient. Based on the temporal and spatial distributions of fire stations and emergency medical agencies, and on their dispatch and transport times, this study sets out and compares ideal dispatch and transportation patterns for the efficient use of Busan's emergency medical services and resources.

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A Study on the Use and Circulation of Comprehensive Care Ward in S Public Hospital (S 공공병원 포괄간호병동내 공간 이용 및 동선에 관한 연구)

  • Lee, Hyun Ji;Chai, Choul Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.21 no.1
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    • pp.27-36
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    • 2015
  • Purpose : Ministry of Health & Welfare started to 'Comprehensive care ward' project for patient hospitalization in order to help the economic and medical By providing comprehensive care services through professional nursing staff since 2013. Many physical environments changes are expected by providing comprehensive care services. The purpose of this study is to investigate the comprehensive care services and identify the problems of the corresponding physical environment usage. Methods : Data were collected through research, field surveys, and expert interviews to analyze and investigate the physical environment of the 'Comprehensive care ward'. Results : Physical environments changes in accordance with the comprehensive care services provided in 'Comprehensive care ward' are being only partially achieved. It have to considered not only ward environmental improvement for nursing services provided directly to the patient, but Including nurses warehousing space, work space. Implications : Comprehensive care ward project is scheduled to be operational even some wards throughout the hospital since 2018. This study is basic research for architectural planning of the future ward with comprehensive care services in public hospital.

Organisation des Rettungsdienstes in Deutschland (독일의 응급구조업무의 조직)

  • Kim, Ki Young
    • Proceedings of the Korean Society of Disaster Information Conference
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    • 2015.11a
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    • pp.300-302
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    • 2015
  • 독일의 응급구조업무의 조직은 독일 기본법(GG) 제30조, 제70조에 따라 오로지 연방부들에게 있다. 유럽 연합은 기술적 조직적 통일성과는 별도로 각각의 국민들의 건강보호의 일부분으로 응급구조의 조직과 재정에서 상당히 광범위하게 재량을 인정하고 있으며 이에 따라 유럽연합의 시스템과 정책들의 입법적 조화를 사실상 포기하고 있는 실정이다. 독일연방주들은 자신들의 주응급구조법률(LRDG)에서 응급구조업무의 보장을 일반적으로 재차 지방자치단체(주 근교도시중심)에게 독자적인 업무로서 인정하고 있다(가령 슐레비히 홀스타인주 응급구조법(RDGSH) 제6조). 이러한 주들은 응급구조를 자신의 관할지역에 대해 준비하고 스스로 운영하거나 운영통제할 수 있는 구조목적의 단체들(RZV)과 공동협력을 할 수 있다. 각각의 업무능력과 법적인 기준에 따라 구조 목적의 단체들(RZV)은 자신의 이름으로 응급구조를 운영하거나 하나 또는 다수의 기관(공공 구조서비스 혹은 사설 구조서비스)에게 시행을 위임할 수 있다. 이러한 측면에서 본 연구에서는 독일의 경우 의사가 직접 현장 의료를 담당하고 있다는 점에서최근 입법을 통해 응급구조사의 교육과정을 개편하고 있으며, 질적 향상을 통해 응급의사와 응급구조사의 권한범위에서 독일 응급구조사의 권한확대가 시도되고 있다는 시사점을 도출하고 있다.

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RFID/USN 서비스 시장 전망 및 적용 사례 분석

  • Im, Myeong-Hwan;Park, Yong-Jae
    • The Proceeding of the Korean Institute of Electromagnetic Engineering and Science
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    • v.19 no.6
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    • pp.3-12
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    • 2008
  • 본 논문은 RFID/USN 서비스의 국내외 시장 전망 및 적용 사례를 분석하였으며, 향후 서비스를 확대 할 수 있는 방안을 제시하였다. 국내외 RFID/USN 서비스 시장 규모는 기기 시장보다 더 커질 것으로 전망되며, 국방/안보, 항공/항만, 도로/교통, 유통/물류, 산업/건설, 제조/공정, 식품/농수 축산, 의료/보건, 도서/출판, 교육/문화/엔터테인먼트, 보안/방범, 재난/재해/환경 등의 분야에서 다양하게 적용되고 있는 것으로 나타났다. RFID/USN 서비스를 확대하기 위해서는 공공 분야를 중심으로 한 대규모 선도 수요 창출이 선행되어야 하며, 모바일 RFID 등 신규 서비스의 창출 및 활성화를 위한 정책 대안이 마련되어야 한다. 그리고 RFID/USN 서비스의 시장 규모와 보급시기 등을 고려하여 우선적으로 적용해야 할 서비스의 발굴을 확대하고, RFID/USN 도입 성과를 가시화하여 민간의 수요를 촉발할 필요가 있다.