• Title/Summary/Keyword: 보건의료인

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A Study on Network Hospital and the Ban on Opening and Operating the Muliple Medical Institution (네트워크병원과 의료기관 복수 개설·운영 금지 제도에 관한 고찰)

  • KIM, JOON RAE
    • The Korean Society of Law and Medicine
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    • v.17 no.2
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    • pp.281-313
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    • 2016
  • 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 In the past, there was a provision stipulating the same purpose. But because the Supreme Court interpreted that several medical institutions could be opened if the medical treatment was not made at the additional medical instition which was opened in the another doctor,s license, multiple medical institutions could be opened and operated. However, some health care providers opened the several medical institutions to another doctor's license just by the excuse of the business management and then did illegal medical cares like the unfair luring of patients, overtreatment, and commition treatment for more profits. So, the health rights of the people came to be infringed on. Accordingly, lawmakers amended the Medical Law for medical personnel not to open and to operate more than one medical institution. As the amended medical law prohibited a medical personnel to open multiple medical institution, some medical personnels insisted that the amended medical law is unconstitutional under which they could not be able to open and operate medical institutions on based on free investment and bring out the benefits of network hospitals. But the regulation to prohibit multiple institutions does not apply only to a medical personnel. Many other experts like lawyer and pharmacist can open only one office under such a restriction. If the regulation goes out of force, the procedure that multiple medical institutions should be opened and operated in the capacity as a medical corporation or a non-profit corporation does not have to be followed. And we should keep in mind that the permission for medical personels to open multiple medical institutions could lead virtually to commercial hospital. If in the nation with a very low rate of public medical service, If only a few medical personnels with capital own many medical institutions and operate commercially them, this could cause a falling-off in quality of medical service, ultimately infringe on the health rights and the life right of the people.

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Community Health Practitioner (새로운 건강요원$\cdot$보건진료원)

  • Kim S J
    • The Korean Nurse
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    • v.23 no.1 s.124
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    • pp.25-35
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    • 1984
  • 인간 궁극의 목적은 ''행복한 생활''이며 이를 위한 가장 중요한 조건이 ''건강''이라는데 이론을 제기할 사람이 없다. 그간 우리나라는 1970년대를 거치면서 절대빈곤을 해결하느라고 경제개발계획을 수립하는 등 최선의 노력을 해 왔으며, 따라서 보건정책은 등한시 해 왔던 것이 사실이며 이는 극히 당연한 일이라고 생각한다. 최근 경제 개발 계획의 성공적인 시행으로 중진국의 대열에 서게 되었다. 산업 전략이 빚는 인구 이동의 불가피성, 인구의 도시집중 현상과 사회 구조의 변화는 생활방식 뿐 아니라 의식구조의 변화와 가치관의 변화를 가져왔으며 질병 양상과 건강 문제의 양상을 변화시켰다. 이로 말미암은 경제적, 지역적, 심리적 및 문화적 불균형 상태는 건강관호와 보건의료제도에도 불균형 상태를 갖고 와 불가피하게 된다. 이러한 불균형은 해소되어야 하는 시점에 온 것이며 정부가 목표로 하는 복지사회 건설을 위한 가장 중요한 보건 정책에 정부가 역점을 두게 된 것은 극히 당연하다. 이에 1976년 발족한 한국 보건 개발 연구원이 1977년부터 시작한 시법 사업을 실시한 결과, 지역 주민의 반응, 수용성, 의료 이용도, 의료비 절감 등을 분석하고 그 효율성을 인정받아 1981년 12월 31일 농어촌 보건의료를 위하여 특별 조치법을 제정하고 의료시설, 요원의 도시편중 교통의 불편, 고가의 의료 수가로 소외되어 오던 보건의료 취약지역 주민에게 기본권으로서의 기초 건강 서비스를 제공하기에 이르렀다. 이 건강 관호 제도에 그 바탕을 두며 보건 진료원이 그 척추의 역할을 담당한다. 1981년도와 1982년도에 선발되어 교육을 받고 배치된 738명의 보건 진료원은 38만명의 벽오지주민에게 현재 의료의 손길을 펴고, 질병의 예방을 위한 조치를 취하며 건강의 유지, 증진을 위하여 활동하고 있다. 건강관호는 시설이나 장비가 하는 것이 아니고 건물이 하는 것은 더욱 아니며, 지식과 기술을 갖춘 자격있는 의료인이 소명의식을 갖고 임할 때만 가능하다. 오랜숙원이었던 보건의료의 지역간 경제, 사회적, 문화적 계층간의 불균형을 해소하고 온 국민에게 기본권으로서의 건강을 갖도록 하는 이 새로운 제도는 패기에 넘치는 열정을 지닌 많은 젊은 간호학도들의 참여없이는 성공을 기대할 수 없다. 어떠한 제도이건 새로운 제도가 사회에 정착되기까지는 여러 해 동안의 시행착오와 고난이 반드시 수반되어 왔다는 사실을 우리는 역사를 통해 알고 있다. 그러나 그 제도가 다수를 위해 정의롭고 바람직한 제도일 때 반드시 성공을 거두었다는 사실도 알고 있다.

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A Path Analysis of Variables Influencing Turnover Intention Among Healthcare Providers (보건의료인의 이직의도 경로모형 분석)

  • Song, Jung-Hee;An, Ji-Yeon
    • Journal of muscle and joint health
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    • v.19 no.2
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    • pp.142-151
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    • 2012
  • Purpose: This study was to explore the relationships among emotional labor, social support, job satisfaction, organizational commitment, and turnover intention in healthcare providers. Methods: Participants were healthcare providers (54 male and 328 female) with a mean age of 30.28 years old. Data analysis were done with PASW 18.0 for descriptive statistics and AMOS 5.0 for path analysis. Results: The hypothetical path model showed a good fit to the empirical data (${\chi}^2$=4.178, df=2, p= .124, GFI= .997, NFI= .995, NNFI= .987, RMSEA= .053). Emotional labor, job satisfaction, and organizational commitment had significant direct effects on turnover intention. Social support had a significant direct effect on emotional labor, job satisfaction and organizational commitment, and indirect and total effect on turnover intention. Conclusion: These findings suggest that turnover prevention or education programs for healthcare providers should include maintaining good mood when interact with patients or visitors with various negative moods in healthcare setting. Further strategies may need to resolve emotional labor, enhance job satisfaction and organizational commitment, and provide social support.

Effective Education Contents of Hospice for Medical Students (예비의료인을 위한 효과적 호스피스 교육컨텐츠 구성)

  • Seo, Young-Jun;Kim, Hyun-Ju;Bae, Sung-Kwon
    • The Korean Journal of Health Service Management
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    • v.4 no.2
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    • pp.85-95
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    • 2010
  • This study was to understand perception level and education need on hospice, and to development effective education contents of hospice for medical students. Descriptive survey research design was used. Participants were 426 and the data collecting period was from July. 22. to July. 29. in 2008. The data were analyzed using descriptive analysis, chi-square test, Wilcoxon's signed rank test. The participants experiencing in hospice education program demonstrated higher perception level and education need about hospice than non-participants. Also, The participants experiencing in hospice education showed more concerning on effective education contents of hospice than non-participants. Therefore, hospice education program must be prepared in a continual and systematic way in order to provide for effective education of medical students in Korea.

General Consciousness on Medical Ethics of Korean Clinicians (임상의(臨床醫)들의 의료(醫療) 윤리관(倫理觀))

  • Kim, Doo-Hie
    • Journal of agricultural medicine and community health
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    • v.24 no.2
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    • pp.369-385
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    • 1999
  • This is carried out to study on the general consciousness for medical ethics of Korean local and hospital clinicians from March to May, 1999. The subjects are 288 respondents out of 1,500 those who selected by systemic random sampling method from the list of physicians published on 1997. An adequate questionnaire with 21 questions made by author was distributed through mail for those. The characteristics of respondents are as follows. Women are 15%. For like this questionnaire, those who were graduated from. The national universities were more actively concerned than those graduated from the private universities. Christian was 35.4%, Catholic was 28.5% and buddhist was 14.9% and 17.4% had no religion. Now a day in generally, it is clearly confusing status between an ideal thinking and actuality in medical ethical aspects in Korea. They want more developed medical delivery system. The most of physicians are improving on four mind-sets, the mind of love, pity, joy and abandonment as much as they are cognizing that the pains of patients are themselves pains. But they do not want to be the ministry. On the problems of the easy to die, it seems that they have somewhat different opinions according to their religions, respectively;- christians are more responsible than others to keep to the terminal point of life of patients.

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Development of Ethics and Service Education Program for Students Majoring Health Care and Effect Analysis (보건의료 직업윤리 및 서비스 교육 프로그램의 개발과 효과 분석)

  • Cho, Kyoung-Won
    • The Journal of the Korea Contents Association
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    • v.8 no.10
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    • pp.224-233
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    • 2008
  • This study is planned and designed to develop an education program for students majoring health care in order to improve their knowledge and attitudes of ethics and service. First, this study examine the educational needs of 505 students majoring health care and 175 field workers through literature reviews, survey of questionnaire, and opinions of experts. And then, the educational goals, contents, methods are selected and established in this study. Lastly, the effects of the ethics and service education program shown by their knowledge and attitudes are examined. In the effect analyses, we can see there is meaningful difference in average variation of knowledge level in before and after the education, and also find that average scores after education was higher than before education in the field of intrinsic, social, and altruistic compensations. We can conclude that the developed education program in this study, has an effect on increasing a standard of value of the students participated in the program.

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.

An FGI Study on the Adaptation of Beginning Health Teachers During the COVID-19 Era (코로나-19 유행 시기 신규 보건교사의 교직 적응에 대한 FGI연구)

  • Choi, Sung-Kwang;Choi, Mi-jung
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.6
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    • pp.317-326
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    • 2022
  • In this study, three health teachers assigned to J-do were analyzed through the FGI research method to find out the difficulties, resolution process, and implications of new health teachers in adapting to teaching during COVID-19. As a result of the study, first, there were difficulties in relationships with parents, especially in the course of numerous calls and daily school status reports in the course of handling infectious diseases. After getting used to the COVID-19 work to some extent, beginning health teachers were burdened with having to think about health room work alone, difficulties in health classes for various students, and the burden of showing expertise as the only medical personnel in emergency situations. Second, new health teachers continued to share and communicate related information through online health teacher groups and YouTube to solve the difficulties of teaching. Third, this teaching adaptation process suggests that specific training to provide practical help to new health teachers is needed at the education office level, and it is necessary to support infrastructure such as class contents related to health classes.

Road Safety Strategy Corresponding to Development: The Need for Participation of Medical Professionals (발전에 상응하는 교통안전 전략: 의료인의 참여 필요성)

  • Lee, Sang-Wan
    • Journal of Korean Society of Transportation
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    • v.25 no.4
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    • pp.43-56
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    • 2007
  • Since the 1970s, along with an increasing number of motor vehicles in Korea, road crashes and casualties started to increase and eventually resulted in a serious public health problem starting from the beginning of the 1990s. Government authorities, however, have been not so proactive with reducing road crashes and injuries as well as deaths and have been reluctant to design effective safety strategies that could be established in collaboration with relevant multidisciplinary professionals. This paper aims at showing the status of road safety versus socioeconomic development in Korea and highlighting safety strategies that particularly need the participation of medical professionals. Six indicators to measure socioeconomic development and two indices for road safety were examined and international comparisons were made, finding road safety in Korea has been not corresponding to its level of development. The imbalance between socioeconomic development and road safety will certainly require the government authorities to look for effective safety strategies necessitating cooperation and collaboration with relevant experts including medical professionals. To make a provision for such needs in the near future, studies and experiences previously reported in the literature of traffic medicine and the world congresses of the International Traffic Medicine Association since 1984 were reviewed and categorized to focus on the strategies as well as measures that would be most effective in a mid-income country such as Korea.

A study on the improvement of educational evaluation system in dental technician using Delphi technique (델파이 기법을 이용한 치과기공사의 교육 평가 시스템 개선 방안에 관한 연구)

  • Kim, Won-Soo;Kim, Ki-Baek;Nam, Sang-Yong;Jung, Jae-Kwan;Cho, Mi-Hyang;Jeoung, Su-Ha;Kim, Jae-Hong
    • Journal of Technologic Dentistry
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    • v.40 no.4
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    • pp.273-281
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    • 2018
  • 목적: 본 연구는 실무 현장과 교육 현장의 조사를 통한 종합적인 의견을 수렴하여 합리적인 치과기공사 양성 및 배출을 위한 개선안을 도출하고자 한다. 방법: 3회에 걸쳐 설문조사가 진행되었으며, 1차는 개방형 문항으로 조사되었고, 2차, 3차는 폐쇄형 문항으로 조사되었다. 델파이 조사를 위한 조사 인원 선정을 100명(정책집단: 20명, 교육집단: 20명, 임상가 집단: 60명)으로 지정하였다. 1차 개방형 조사결과를 토대로 2차 설문문항을 작성하였으며, 2차 설문조사 결과를 토대로 3차 설문문항을 작성 후 조사하였다. 수집된 자료의 분석은 통계패키지 프로그램 SPSS Ver. 21.0를 활용하여 델파이 기법(Delphi Method)을 활용한 연구 결과에서 전문가 집단의 의견을 수렴하기 위해 빈도분석과 기술통계분석을 실시하였다. 결과: 현 교육체계의 문제점은 임상현장과의 차이와 실무능력저하, 국가시험위주의 교육이 문제점으로 대두되었으며, 현행 평가제도의 문제점은 임상현장을 충분히 반영하지 못한 점, 실무능력이 미 반영된 실기평가로 지적되었다. 결론: 결론적으로 치과기공사의 교육과정과 평가제도는 현실적인 내용을 고려하면서 임상 실무와의 연계성을 높이는 방향으로 개선되어야 할 것으로 사료된다.