• Journal of The Korea Institute of Healthcare Architecture
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• v.30 no.1
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• pp.47-52
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• 2024

병원은 다양한 의료서비스를 제공하기 위해 의료기관 별 운영 전략에 따라 각기 다른 방식으로 운영된다. 특히 종합의료시설은 중증도가 높은 환자를 대상으로 수술이나 입원 등의 의료서비스를 효율적으로 제공하고자 그에 따른 운영 전략이 상이하다. 이러한 병원의 운영방식에 의해 결정되는 건축 역시, 건립 시기, 유형, 중증도에 따른 병원의 규모 등에 따라 시설 수준의 차이가 나타나며 이는 최근 정부에서 요구되는 제도 및 정책의 수용 여부를 결정짓는 중요한 요인이 되기도 한다. 최근 의료법은 기존 의료시설뿐만 아니라 신규 의료시설에 대한 설치 및 운영기준이 강화 추세에 있고, 서울시 또한 공공의료 확충을 위해 감염관리시설이나 필수의료시설 설치를 위한 용적률 인센티브 정책을 추진 중이다. 병원 운영 환경이 상이함에 따라 종합의료시설 설치 및 운영에 대한 인센티브제도의 적용 기준을 일괄적으로 적용하기에는 어렵다. 그러나 공익을 위해서 종합의료시설 인센티브제도를 지속 가능하게 운영하기 위한 객관적이고 합리적인 기준은 반드시 필요하다. 공공의료 기능 확충을 위한 서울시 종합의료시설 지구단위계획 수립·운영 기준은 공공과 민간이 모두 만족하는 의료환경 구축을 위해 매우 깊은 고민이 필요했다. 본 논설은 서울시 공공필요의료시설 확충 제도의 주요 내용과 공공필요의료시설 설치 및 운영 기준에 관해 소개하고자 한다. 특히 기준의 주요 내용을 정립하게 된 배경과 이유 등을 설명하여 본 제도의 의의를 정확히 전달하고 향후 보완해야 할 부분들을 검토하고자 한다.

• Journal of the Korean Regional Science Association
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• v.37 no.1
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• pp.3-14
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• 2021

Due to COVID-19, the importance of public medical facilities, especially hospitals specializing in infectious diseases, is rising. Despite the government's strong will, the establishment of public medical facilities and infectious disease hospitals has not been properly established. This is because the overall system related to the construction of public medical facilities does not sufficiently reflect social and economic changes and the trend of the times. The purpose of this study is to derive limitations and problems related to the guidelines for preliminary feasibility studies of public medical facilities and to present alternatives. This study proposes 'Option Value' as an alternative. Since the option value is a willingness to pay for an uncertain situation, it is theoretically reasonable and reasonable to reflect it as an additional benefit. Normally, the value of existence is not seen, but the system that is seen in a crisis is in the 'medical and health'. Therefore, it is necessary to find a system that is invisible even in the feasibility evaluation in the medical and health, and constantly improve and develop a methodology that can estimate changes in the welfare of citizens within the system. I expect this study to play a role as a catalyst.

• Korean Journal of Health Education and Promotion
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• v.10 no.1
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• pp.98-105
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• 1993

최근 경제수준 향상과 소자녀 가치관의 확립, 그리고 전국민 의료보험 실시 등으로 인하여 모자보건 대상자의 대부분은 민간 의료시설의 전문인력으로부터 서비스를 제공받게 되었고, 모자보건 수준도 급격히 향상, 1992년 시설분만율의 경우, 99%에 도달하였다. 이렇듯 의료시설 이용의 증가와 의료기술의 발전에도 불구하고, 영아사망율 및 모성사망율이 최근 몇년동안 같은 수준에 머무르고 있음은, 보다 질적인 관리측면으로 사업의 방향이 전환되어야 함을 의미하는데 이는 곧 공공성을 띠고 있는 모자보건사업을 국가가 관리하여야 할 필요성을 더욱 크게 한다. 공공부문에서는 취약대상을 위하여 민간 전문인력과의 유기적인 연계체계를 마련하여 계속적인 관리를 제공할 수 있도록 하고, 보건교육 강화를 위한 관련 홍보물(모자보건수첩 활용, 모유수유 권장, 제왕절개수술 지양 등)을 제작하며 신경아세포종 검사 등과 같은 새로운 예방사업 개발에 중점을 두어야 할 것이다. 또한 영유아관리는 저체중아 및 장애아에 대한 추구관리서비스까지 확대되어야 할 것이다. 현 우리나라 주산기구급이송체계는 응급의료체계내에서 이루어지고 있다고 볼 수 있는데 주산기관리를 위한 의료여건이 성숙되어 있지 못하고 있는데다(이 시기의 집중관리를 통하여 사망 및 장애아 예방이 가능) 관련 제도마저 취약하여 민간의료부문에서는 영아사망 및 모성사망을 낮추기 위해서는 이 부문에 대한 노력이 집중되어야 할 것이다. 첫째, 주산기학, 신생아학 전문인력의 훈련제도 확립파 주산기 관리시설의 지역적 적정분배(분만 2,000건에 1개 시설마련), 둘째, 집중적인 인력과 고가장비가 투입되는 주산기 의료활동 강화를 위한 관련 의료제도의 수정 및 보완, 세째, 질적관리가 매우 중시되는 고위험 신생아의 집중관리를 위한 '표준 의료관리지침서' 마련, 네째, 동 시설 및 관리에 준하여 주산기 의료시설에 대한 감독 및 감시기능 강화를 위한 제도적 장치가 마련되어야 할 것이다.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2017.10a
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• pp.375-377
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• 2017

전 세계적으로 공공데이터를 민간에 개방하고자 하는 노력으로 오픈데이터(Open Data) 정책을 도입하고 있다. 최근 보건의료에서는 삶의 방식과 환경의 변화로 인해 다양한 질병에 노출될 가능성이 증가하면서 예방과 진료를 목적으로 의료기관을 이용하려는 고객의 수 또한 지속적으로 증가하고 있는 추세이다. 이에 이 논문에서는 공공데이터 심사평가원에서 제공하는 보건의료 공공데이터를 활용하여 의료기관 정보에 대한 대용량 데이터를 활용하여 앱을 개발하였다. 개발된 내용은 심사평가원의 의료기관별 정보와 구글 맵 Open API를 통해 병원 위치를 지도를 통해 제공하며, 추가적으로 각 병원별 진료과목, 시설 정보 등의 상세정보를 제공한다.

• Journal of The Korea Institute of Healthcare Architecture
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• v.12 no.2
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• pp.79-91
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• 2006

The purpose of this study is to suggest institutional reformation of public office facilities by analysis the status of services on welfare for the aged and disabled. For this study, we have researched and analyzed on two different aspects. The aspects are space composition of public office facilities, welfare systems and service support within region. And we can get the following important points as conclusion; (1) We need to consider on not only access for public office facilities site but also the connection on business such as block plan on zone and connection between quarters. Architectural plan has to be considered. (2) Most of the public office facilities use human service resources as a supporting system for shortage of convenient facilities. Variety of welfare services are required. (3) We need to secure various programs and space for local peculiarities and social demand.

• Journal of The Korea Institute of Healthcare Architecture
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• v.11 no.3
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• pp.41-49
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• 2005

The purpose of this study is to analysis of convenience facilities for disabled in the municipal buildings. The physically disabled based on comparative analysis of disabilities code in Korea. For this objective, the code and guideline were analysed, and based on the analysis the checklist was developed for field observation. Convenience facilities ought to consider various aspects like size, and spatial composition of facilities, safety factors. and the present conveniences facility regulation. The research was conducted for municipal buildings located in Jeonbuk province. The procedures for research was made to investigate the finding of architectural related code and faculty standards. The results of investigation should be complemented and clarified guidelines in terms of accessibility and convenience which in detail. If the disabled would be convenient to use municipal buildings facilities, there should be no difficulties. As a result, convenience facilities for disabled in the municipal buildings has been improved that the design concept for the disabled person in general architectural planning.

• Journal of the Korean Institute of Rural Architecture
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• v.17 no.4
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• pp.33-40
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• 2015

This study is aimed at exploring the direction and characteristics of Japanese medical facility improvement in each area, a move to strengthen local medical services. Also, this study is intended to establish implications for Korea, which has similar social conditions as Japan's. Based on the findings, Japanese medical facility improvement has the following characteristics. First, as for medical service supply system, the linkage between facilities was being strengthened. The purpose is to share the functions and roles of limited medical facilities. It allows patients to receive complete medical services in one area. Second, local public health facilities were consolidated to boost their management efficiency and to improvement their original functions. Third, local medical facility roles were divided into different levels. The purpose is to treat patients more efficiently depending on their diseases. In other words, the cooperative medical system was strengthened by dividing the roles of medical facilities. It is aimed at treating each patient more systematically depending on their conditions in line with the treatment stage. The findings suggest the following for Korea. In order to supply and maintain stable medical services regionally in line with social changes, functional issues of medical facilities should be tackled consistently and systematically.

• Journal of Agricultural Extension & Community Development
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• v.20 no.2
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• pp.431-450
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• 2013

The present study aims to evaluate the potential accessibility of public healthcare facilities in rural areas. Population is prepared and analyzed in spatially microscopic level using dasymetric mapping method. According to the analysis on the accessibility to public facilities which is conducted using shortest distance, Gun areas and Eup/Myeon areas are 1,845m and 1,777m from residential areas respectively. Areas in Gangwon-do and Gyeongsangbuk-do have relatively low accessibility while Eup areas tend to have higher accessibility. The present study is meaningful in that it shows the status quo of and regional differences of potential accessibility of rural public facilities in Korea. Furthermore, the findings are also meaningful as they can be utilized as fundamental data to locate the facilities and improve the service delivery of medical facilities.

• Korea Science and Art Forum
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• v.31
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• pp.171-180
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• 2017

The purpose of this study is to analyze the characteristics of color image for establishing the color environment contributing to the promotion of public health in the public health facilities and to utilize it as data of public health color plan and index development. For this purpose, the results of the previous precedent studies were integrated and public health facilities were classified into medical facilities (general hospitals), health facilities (public health centers), and sub - healing facilities (elderly care facilities). We visited 18 public health facilities in total, measured the environmental color of with a spectroscopic, compared the results and the precedent studies results, and identified color image characteristics and future supplement points. The results are as follows. First, the previous studies related to the environment color image vocabulary of the public health facilities, it prefer comfortable, bright and positive image. Second, as a result of direct measurement the environmental color of the public health facilities, it is found that most of them use the high brightness and low saturation color of Y series. Third, as a result of analyzing vocabulary of environmental color image of public health facilities, 'natural' image showed the highest frequency, and other images such as 'gentle' and 'decent' appeared. It was difficult to understand the characteristics of the color image vocabularies of public health facilities. This study is a convergence study of color science and environmental design, and it extends the scope of multidisciplinary research related to design and it will be helpful in environmental planning on user's emotion.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.12
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• pp.6275-6283
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• 2013

The aim of this study was to provide the basic data for the betterment of public medical services. A questionnaire survey on the quality of the services and the intention of revisiting the hospital was administered to 330 patients in a public hospital located in Seoul. The mean satisfaction of hospital medical services was 4.11, whereas that of the revisiting intention was 3.94. The relationship between the satisfaction of medical services and the intention of revisiting was significant (t=11.335, p<.001). The intention of revisiting increased with increasing satisfaction of medical services of a hospital. Therefore, to enhance satisfaction, a hospital should identify the needs of people looking for a public hospital, increase rapport with the neighboring communities, and provide public amenities.