• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제5권8호
• /
• pp.7-14
• /
• 1999

Current Korean healthcare facilities face on a difficult period as much as financial difficulty in Korean economy. Most of all the hospitals have difficulty in minus profit margin and hospital investments are also reducing rapidly. Probably, these seem to set in the period of re-organizing its structures and enhancing productivity from the rapidly growing period, which was to concentrate its resources and prefer large scaled structures. Analyzing the developing process and future trend in the U. S. health care facilities, already experienced in financial difficulty of current Korean health care facility in 70s thru. 80s, this paper is to present directions in future Korean health care policy and healthcare facility planning.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제1권1호
• /
• pp.61-67
• /
• 1995

The purpose of this study is to define the problems associated with ambulatory care facilities, to classify the types of ambulatory care facilities, to examine significant architectural case studies, and to point the way toward enhanced architectural solutions for healthier ambulatory health care service environments for the patients. The case study will provide a brief introduction to the selected cases and examine planning concepts and design factors.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제8권1호
• /
• pp.37-43
• /
• 2002

Healthcare systems around the world are struggling to cope with the pressures of rising costs, aging populations, and decisions about how to allocate and pay for seemingly limitless advances in high-technology medical procedures. Today healthcare environments are also changing greatly in Korea. The United States healthcare is being reinvented by reducing the costs and bringing service close to the consumer, and multi-strategies are being used to strive in the market driven shift. This study is aiming to get the lesson and direction of the future healthcare facilities in Korea by analysing the past and current trends of healthcare facilities in U.S..

• 한국보건간호학회지
• /
• 제14권1호
• /
• pp.61-67
• /
• 2000

뉴욕시 정부의 이민자들에 대한 다각적인 접근과 시도에도 불구하고 의료 서비스 제공자들과 대상자간에 언어적 장벽과 문화적 차이로 인한 상호협조의 어려움은 계속되고있다. 본 연구는 뉴욕시 보건국 소속 다민족 다문화 계층의 의료수준 향상을 위한 노력의 일환으로 실시된 프로젝트 중 일부이다. 뉴욕시의 한국 이민자들이 뉴욕시에서 증가하는 추세를 감안할 때, 이들의 의료시설 이용 및 서비스 수혜에 대한 기초 조사를 실시하여 한국 이민자들의 문화적 배경과 그로 기인한 건강 신념을 알고자하는 시 정부 차원의 요구가 이 연구의 배경이다. 즉, 한국이민 사회의 독특한 특성을 뉴욕시 정부 관련 의료서비스 제공자들에게 그 이해를 높여서 한국 이민자들의 미국에서의 의료서비스 수혜의 기회를 높이고자 한 것이다. 기초 관련 연구가 전무한 한국 이민자들의 건강관련 이슈를 다루기 위해 미국 센서스와 병원 입퇴원 기록 현황에 나타난 한국인 혹은 아시안의 의료보장 실태 등을 고찰하였고, 한국이민사회의 주요 기관의 대표들과의 면담과 이민자들을 대상으로 한 직접 설문조사로 자료를 수집하여 분석한 결과는 다음과 같다. 한국 이민자들은 한국어를 주요 언어$(83\%)$로 사용하는 것으로 나타나 문화의 동화율이 낮았고, 낮은 문화 동화율은 의료 서비스 접근도를 낮추는 요인으로 나타났다. 또한, 의료 보험이 없는 것$(55\%)$이 가장 큰 요인으로 지적되었는데, 이는 미국 직장에 적응하기 어려운 이민생활로 자영업을 주로 하는 생활 양태가 비싼 사 보험(private health insurance)을 사지 못하는 요인과 관련되어있다고 본다. 따라서, 주로 이용하는 의료 서비스의 종류에도 많은 제한점이 있어서, $60\%$가 한국인 의사를 선호하며, $31\%$가 한국인 약사에게 건강관리를 의존하는 것으로 나타나 미국사회의 의료 서비스 접근도는 극히 취약한 것으로 드러났다. 의료서비스 접근을 막는 주요 장벽으로는 비싼 의료비 $(53\%)$ , 의사소통장애$(37\%)$로 나타났다. 보건의료 서비스를 위해 주로 이용하며 생활의 정보를 얻는 통로로는 한국어 신문$(69\%)$과 한국어 TV$(61\%)$, 한국어 라디오 $(57\%)$로 밝혀졌다. 결론적으로 한국 이민자들에게 좀더 나은 의료 서비스 수혜를 위해서는 문화 친밀도가 높은 의료환경 조성 및 의료 서비스 제공자들의 이해를 높이는 일 등과 함께 한국 이민자들이 의료보험을 살수 있도록 한국어로 된 의료 서비스 정보를 제공하는 등의 노력이 필요할 것으로 생각한다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제11권2호
• /
• pp.55-62
• /
• 2005

This study is to suggest the proper standards of the pediatric facilities. We need to have the medical treatment standard focusing to the architectural concept because the living and medical treatment level and the demand of citizen is increasing. The way of research is mainly referring to USA's hospitals and the patients. This study is for the psychological stability of child. We found the form decisive elements and the basic form characteristic with analysing cases. This elements are emerging to the sociality, privacy, control, recognition and territoriality. We have to improve the satisfaction of the patient through this element. In the future, the role of the improved medical environment will have to be emphasized.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제4권7호
• /
• pp.39-46
• /
• 1998

The purpose of the study is to define disabilities, to introduce the historical background, to classify the types of rehabilitative services, to examine significant architectural case studies, and to point the way toward enhanced architectural solutions for healthier rehabilitative service environment for the patients. The case study will provide a brief introduction to the selected cases and examine design concepts and planning factors.

• 한국건설관리학회논문집
• /
• 제18권6호
• /
• pp.38-46
• /
• 2017

최근 전 세계적으로 다양한 유형의 재난이 발생하고 있으며, 재난으로 인한 피해를 최소화하기 위한 재난관리 체계구축의 중요성이 대두되고 있다. 국내에서도 마우나리조트, 세월호 사건 이후 국민안전처 신설, 국가안전관리기본계획 발표 등 재난안전과 관련하여 많은 정책적 개선을 추진하였으며, 재난거점병원을 확충하는 등 시설 확보에도 많은 노력을 기울였다. 그러나 미국, 유럽, 일본 등 선진국과 비교하여 인구 당 응급의료시설이 부족한 실정이며, 재난 시 다양한 기관의 미흡한 협조체계로 효율적 재난관리가 이행되지 못하고 있는 실정이다. 따라서 본 연구에서는 재난상황에 요구되는 응급의료시설의 효율적 구축과 체계적 운영방안을 제시하고자 하며, 이를 위해 선진국 대비 국내 응급의료시설의 현황을 파악하고, 재난현장 응급의료시설 유형 및 상황별 구축 방안을 제시하고자 한다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제25권1호
• /
• pp.51-60
• /
• 2019

Purpose: This study aims to analyze design guidelines for hospice facilities in the US, UK, and Canada focused on design considerations and space requirements, and utilizes them as baseline data for establishing standards for Korean hospice facilities. Methods: Comparative review was carried out to investigate hospice care models, design consideration, and room sizes and requirements for design guideline of hospice facilities in United States, UK and Canada identified on electronic database and review articles, and to examine major characteristics and tendencies of hospice facilities. Results: The hospice care models characteristics in design guidelines is generally largely divided into hospital-based hospice facility, Nursing home-based hospice facility, and daycare hospice. The design considerations in hospice facilities focused on medical efficiency, flexibility, barrier-free environment, person-centered care, and stability. There is also a need for single resident room, rooms for the patient's family, and isolation room for infection control. Implications: it is recommended to establish standards for the installation and operation of required and recommended rooms and considerations when establishing the standards of hospice facilities in Korea. This Study is limited to a simple comparative analysis of the framework of guideline.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제22권3호
• /
• pp.17-26
• /
• 2016

Purpose: As the concerns for the environment are gradually prioritized, increasing interests of environment-friendly buildings are drawn. The Green Standard for Energy & Environmental Design (G-SEED) has been strengthened. However, there are no specific assessment criteria that reflect the special situation of healthcare facility. UK, US and Japan have green building certifications specially designed to evaluate sustainable healthcare facilities. This study has been started in order to provide basic information for developing assessment criteria for healthcare facilities in Korean Green Standard for Energy and Environmental Design. Methods: In this study, we investigated three foreign green building certifications and compared their assessment system and criteria for healthcare buildings. Results: Each of the three foreign certification standards showed the difference in the system, but all contained the contents specific to healthcare facilities. Evaluation items were affected by regional cultural environment and also medical environment. Patient safety and integrative planning were the most important assessment contents. Implications: Based on this analysis, Korean Green Standard for Energy & Environmental Design for healthcare facilities will be developed.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제24권3호
• /
• pp.17-27
• /
• 2018

Purpose: This study aims to examine spatial characteristics of emergency department Chronologically through case studies; and to consider the social implication of these spatial changes. Methods: In this study, a total of eight emergency departments, one for each period, were selected in order to analyze the spatial characteristics. The spatial maps of Space Syntax were employed for analyzing case studies. Results: The spatial configuration of emergency department has been changed from five or more emergency department specialties to four or less specialties such as psychiatric, pediatrics, emergency, and trauma. In the case of care initiation area, the concentrated arrangement mode was switched from the distributed arrangement mode. The spatial maps indicate that it can be seen that the tree structure changes to an annular structure emphasizing the connection between the spaces in the emergency department. This shows that the space efficiency, safe, visual control and flexibility in the planning of the emergency department are important factors affecting the spatial structure of the emergency department. Implications: In the future, it is expected that Korean emergency department will be more focused on efficiency, safe, visual control, and flexibility in the planning as in the case studies of the United States.