• Title/Summary/Keyword: 의료인화

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The opinions of health-unrelated department university students on medical personnel of dental hygienists (비보건계열 대학생의 치과위생사 의료인화에 대한 견해)

  • Jeong, mi-ae
    • Proceedings of the Korea Contents Association Conference
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    • 2019.05a
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    • pp.279-280
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    • 2019
  • 비보건계열 대학생들을 대상으로 치과위생사 의료인화 정책에 대한 찬반의견을 조사하였다. 비보건계열 대학생들은 의료인, 의료기사의 구분에 대한 인식 수준, 치과위생사 업무에 대한 인식 수준이 낮았고, 40%의 응답자가 치과위생사 의료인화 정책에 찬성하였다. 치과위생사를 단순히 의료인으로 편입시키는 정책보다는 치과의료와 관련된 법률을 제정한다거나 치과위생사 직업의 단독법을 제정하는 등 국민구강건강을 향상시키는 데 바람직한 체계가 무엇인지 다양한 시각으로 모색할 필요가 있다.

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The Opinions of Non-health Major Students on Registered Dental Hygienists to Medical-Personnel (비보건계열 대학생의 치과위생사 의료인화에 대한 견해)

  • Kim, Seo-Young;Kim, Hyeong-Mi;Jeong, Mi-Ae
    • The Journal of the Korea Contents Association
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    • v.19 no.8
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    • pp.316-322
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    • 2019
  • The purpose of this study is to investigate the opinions of non-health science college students of Korean dental hygienists in the category of medical personnel. A self-reported questionnaire was conducted on 265 non-health science major students without information about a health and medical service personnel. The collected data were analyzed using frequency, percentage, descriptive statistics, chi squared and multinomial logistic regression analysis. About 40% of the respondents answered that dental hygienists should be medical personnel, while 17.7% think that they should not distinguish health and medical service personnel between medical personnel and medical service technologist. As the respondents' oral health management ability improved, they approves the Korean dental hygienists in the category of medical personnel(p=.022). As the longer the period of dental regular visits, they answered that dental hygienists should be medical service technologist. Presence or absence of dental regular visits, scaling experience, oral health education did not no significant difference on the opinions of Korean dental hygienists in the category of medical personnel of the pros and cons. This study can be used as a basic data for establishing the policy of medical personnel for dental hygienists.

Problems to Solve and Job Enlargement on the Inclusion of Dental Hygienists in the Category of Medical Personnel (치과위생사 의료인화에 대한 현안과제와 직무확충 방안)

  • Lee, Da-Som;Han, Gyeong-Soon
    • Journal of dental hygiene science
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    • v.18 no.6
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    • pp.340-348
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    • 2018
  • The purpose of this study was to examine the perceptions, precedent tasks, positive and negative effects, and expandable professional tasks regarding the inclusion of dental hygienists (DHs) in the category of medical personnel. This study involved a survey of 259 DHs and 128 dentists. The findings were as follows: 94.2% of DHs and 46.9% of dentists were aware of inclusion in the category of medical personnel; 95.0% of DHs and 64.1% of dentists supported the idea; and 84.9% of DHs and 51.6% of dentists recognized its legitimacy. As for precedent tasks for inclusion in the category of medical personnel, both DHs and dentists scored high points in professional consciousness in the area of occupation. Both DHs and dentists scored the highest points in the quality management of DH education and the lowest points in the unification of school systems in the area of institution. In the area of society, DHs scored high points in the persuasion of the central government, whereas dentists scored high points in collaboration among concerned organizations. Regarding the positive effects of inclusion in the category of medical personnel, both DHs and dentists scored the highest points in the expanded perception of DHs. As for its negative effects, DHs scored high points in the aggravation of salary increase, whereas dentists scored high points in the aggravation of salary increase. Regarding expandable professional tasks after the inclusion of DHs in the category of medical personnel, the management of independent periodontal care programs recorded the highest percentage both in DHs and dentists. These findings highlight the need for adequate discussions about the meanings of the inclusion of DHs in the category of medical personnel and will hopefully contribute to the rational adjustment and legalization of DHs' works with regard to their inclusion in the category of medical personnel.

The Opinions of Dental Related Major Students on Dental Hygienists (치과관련학과 대학생들의 치과위생사에 대한 인식조사)

  • Kim, Young-Seok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.7
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    • pp.583-589
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    • 2020
  • This study investigated perceptions and opinions on medical personnel related to dental hygienists. The subjects of this study were 25 students, including dentistry students, dental hygiene students, dental technology students, and nursing students. The survey items consisted of general information, the pros and cons of medical hygienists and their reasons, the scope of legal work, medical practice, and the professionalism of dental hygienists. Frequency analysis and 𝑥2-tests were used for the analysis method. As a result of the study, the pros and cons of the dental hygienist's medicalization were 56.2% in favor and 40% in opposition. There were significant differences in the opinions of the dental hygienists involved with medical hygiene by 90% and 25% in nursing students. In addition, there was a significant difference in the perception of the legal work of dental hygienists and the rate of recognition of medical activities among the departments. In conclusion, it is expected that understanding and support for dental hygienists will be achieved only if proper knowledge and education about dental hygienists are made available in other departments.

영국의 중의학: 의사, 의사가 아닌 시술자, 중국인 시술자

  • Stollberg, Gunnar
    • Journal of Pharmacopuncture
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    • v.6 no.1
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    • pp.14-15
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    • 2003
  • 중의학은 서양의 의료 다원주의의 한 부분이 되었다. 특히 침과 같이 서양의 개념과는 분명히 다른 의료 기법에 있어서는 두드러진다. 그밖에 뜸, 안마, 기공, 중약 및 복합 처방들도 있다. 서양에서 전문직업인화는 보건의료 관련분야에서 중심적인 인력양성 방법이 되었다. 이는 대학이 기반을 다진 중세까지 거슬러 올라가는데, 19세기에는 법인들이 전문직업인 모임으로 바뀌어 가면서 개인적 환경을 변화시키고 직업의 체계를 개발하였다. 변호사, 교사, 사제, 의사가 그 예이다. 의료에 있어서 학교교육을 통해 수련된 의사들이 조산사나 안마사들을 지배하게 되었는데 이런 경향은 1950-60년대에 극에 달한다. 그러다가 이들의 지배는 대중매체, 환자, 다른 주변 의료 보조인력들에 의해 도전을 받는다. 이와 비슷한 양상을 이단적인 의료에서도 관찰할 수 있다. 전문직업인의 우세와 시점이 비슷한 생물의학의 우월적 지배는 많은 다양한 의료에 의해 도전을 받는다. 그러나 생물의학의 우월함의 약세가 시술자들의 전문직업인화 까지를 포함하지는 않았다. 실제로 침술과 같은 치료술들을 전문직업인인 의사나 의사가 아닌 시술자들이 함께 쓰고 있기 때문이다. 이는 직능간의 분쟁을 야기할 가능성이 높다. 이단적 개념을 기존 의료계로 통합하는 것이 전문직업인들인 의사들의 노력으로 이해되었다. 이 견해는 두 가지 문제를 내포하고 있는데, 첫째 의사들을 단일한 속성으로 보고 있다는 것인데, 실제로 현대의학을 배우고 가르치는 나라들 사이에도 매우 다양한 차이가 있음을 간과하고 있다. 둘째로 의료인이 아닌 시술자들도 다양한 분야로 통합되었는데, 통합은 어쩌면 하급의 전문인들의 노력의 결과로 설명되어야 하는 것이 더 알맞을 수 있다. 그러나 이들도 전문직업인의 조직구조를 가져야 만 하고, 그렇지 않으면 파편으로 남을 것이다. 전문직업인주의는 언제나 과학과 연계하고 있는데, 독일 정부와 직업인 조직은 의료과학 집단에게 이단적 시술들의 임상효과를 검증하게 하였다. 이것은 이단 의료계에 우호적인 단체나 적대적인 단체 모두에게 적용되었다. 매우 강한 힘을 가진 냉소적인 조직 가운데 하나는 National Committee of SHI-Physicians and Sickness Funds(Bundesausschuss der Arzte und Krankenkassen).2 인데, 2001년에, 이 단체에서 출판한 자료에는 침의 효용성은 침을 시술하는 사람에 달린 것 일뿐 시술자의 수련이나 침 시술의 배경 개념에 달려있는 것이 아니다. 그러므로 침은 무작위 표본추출 대조군 실험을 통해 효과를 검증받지 못한 다른 치료법들의 범주에 머물러 있다.(cf. Bundesausschuss 2001: 8). 1990년대, 무작위 표본추출 대조군 실험은 생물의학이 아닌 의료의 효과를 검증하는데 알맞지 않고 비윤리적이라고 강한 비판을 받았다. 한편 1995년에 WHO는 침의 유효성 평가를 위해 이 실험기법을 추천하며, 이어 2001년에, the International Council of Medical Acupuncture and Related Techniques(ICMART)는 침연구와 시술을 위한 헌장(Acupuncture Charter Berlin an Evidence Based Medicine (EBM)3 for acupuncture)을 채택 공표한다. 독일 보험 회사들도 침의 효과와 효율성을 검증하기 위해 대규모 실험을 시작했다. 100,000 명이 넘는 환자들이 무작위 표본추출 대조군 실험을 통해 평가되고 있는데 이 실험은 병원이나 일차의료기관의 외래에서 진행되고 있다. 영국에서는 이 분야의 유력한 Edzard Ernst가 위의 개념과 비슷한 구도를 설정 공표하는데 보완의학 분야의 많은 다른 전문가들의 견해를 무릎 쓰고, 그는 증거기반 의학에 대한 그의 신념을 표방한다. "무작위 표본추출 대조군 실험이 보환의학 분야의 시술을 검증하기 위한 알맞은 방법이 아니라고 끝없이 주장하지만 우리는 거의 모든 치료법을 포괄하는 분야에 이들 실험을 발견하였으니, 이는 보완의학도 엄정한 방법으로 검증할 수 있다는 것을 보여준다고 할 수 있다."(Ernst et al. 2001: xiii). 적어도 독일에서 진행중인 효과 검증 연구가 향후 아시아 의학의 기반 마련에 중요한 역할을 하게 될 것이다. 영국에서는 이에 대한 정치적 수렴이 전문 직업인화에 달려 있을 것이다. 여기에서 나는 아시아에서 유래한 의료의 서양에서 어떻게 사회학적 관찰의 대상으로 분류되고 정의되는지 소개하고자 한다.

Dental Hygienists' Awareness of Medical Technician Jurisprudence (일부 임상치과위생사들의 의료기사법에 대한 인식)

  • Choi, Yu-Ri;Seo, Hye-Yeon;Ryu, Eun-Ju;Choi, Eun-Mi
    • Journal of dental hygiene science
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    • v.16 no.6
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    • pp.495-501
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    • 2016
  • The purpose of this study was to assess dental hygienists' awareness of medical technician jurisprudence. The study was conducted over a 2-month period from March 1 to May 1, 2016. A self-reported questionnaire was completed by 201 dental hygienists in Seoul, Gyeonggi, and Incheon province. The questionnaire consisted of items on the awareness of the jurisprudence pertaining to medical technician jurisprudence. Data were analyzed using the IBM SPSS Statistics ver. 19.0 program. We found that 32.8% of the respondents were aware of medical technician jurisprudence. Low awareness that result was due to "insufficient public relations efforts." The respondents thought that medical technician jurisprudence are inefficient in clinical settings. Of the dental hygienists, 75.9% replied that task distribution was unclear and 40.0% lacked awareness of the distribution of dentists' duties (40.0%). A total of 59.8% of respondents showed intention to participate in medical jurisprudence seminars. Of the dental hygienists, 77.0% agreed with the insert dental hygienists under medical jurisprudence category. In conclusion, dental hygienists' awareness of medical technician jurisprudence should be improved. In addition, the dental hygienist jurisprudence need to be revised regarding job status.

Performance Evaluation of Hyper-torus Architecture based Telemedicine System Using Acme (Acme를 이용한 Hyper-torus Architecture 원격의료시스템의 성능평가)

  • Choi In-Hwa;Cho Min-Joo;Pang He-Mi;Kim Myuhng-Joo;Lee Byung-Gul
    • Proceedings of the Korean Information Science Society Conference
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    • 2006.06c
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    • pp.211-213
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    • 2006
  • 현재 개발되어 사용되고 있는 원격의료시스템은 3계층기반의 구조를 이루고 있는데 환자들이 집중적으로 몰리는 지역에서 심각한 bottleneck현상이 발생할 수 있다. 본 논문에서는 3계층기반 원격의료시스템의 성능을 분석하고 bottleneck 현상을 해결하기 위한 방안으로 hyper-torus 구조의 4계층 아키텍처를 제안하고 Architecture Description Language인 Acme를 이용하여 성능을 비교분석 한다.

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Dental hygiene students' awareness of their legal scope and petition for medical personnel (치과위생사의 법적업무범위와 의료인화에 대한 치위생학 전공 학생들의 인식)

  • Kim, Myoung-Hee;Lim, Youn-Hee;Lee, Kyung Ae;Kim, Su Jin;Kim, Yun Ji
    • Journal of Korean Academy of Dental Administration
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    • v.6 no.1
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    • pp.36-42
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    • 2018
  • This study aimed to assess dental hygiene students' and other medical personnel's knowledge of dental hygienists' legal responsibilities. A self-reported questionnaire was conducted for 2 weeks from March 25 to April 9, 2017. One of the main questions focused on the legal scope of practice for dental hygienists according to current medical technicians. A total of 298 subjects' responses were analyzed. We found that 62.1% of the respondents were aware of dental hygienists' legal responsibilities. Of the dental hygiene students surveyed, 93.6% replied that they were aware of other medical personnel's expectations. Responses to 12 legal questions were shown to have different distributions depending upon the level of dental hygienist education. Overall, knowledge of dental hygienist legal responsibilities was more comprehensive for senior students in each legal topic. However, few students (1.7%) answered all 12 legal questions correctly. In conclusion, dental hygiene students' awareness of their profession's legal scope should be improved. In addition, the Korean Dental Hygienists Association needs to more actively promote understanding of the profession's legal scope as well as of medical personnel's expectations of dental hygienists' legal roles.

The opinions of some local clinical dental hygienists on medical personnel of dental hygienists (일부지역 임상치과위생사들의 치과위생사 의료인화에 대한 견해)

  • Ryu, Hae-Gyum
    • Journal of Korean society of Dental Hygiene
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    • v.18 no.6
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    • pp.1067-1077
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    • 2018
  • Objectives: The purpose of the study is to investigate the opinions of some local clinical dental hygienists on medical personnel of dental hygienists. It will be for provide the Future dental hygienist basic data necessary for medical personnel. Methods: A self-reported questionnaire was completed by 171 dental hygienists in Busan and Gyeongnam from December 1, 2017 to January 31, 2018. Structured questionnaires were uesd for analysis. The questionnaire consisted of general characteristics of the subjects(7 items), medical personnel necessity and opinions of dental hygienist(2 items), the opinions of distinction of the task between dental hygienists and other personnel(2 items), many frequency task in the dental clinic. The collected data were analyzed using frequency, percentage, descriptive statistics and ANOVA using IBM SPSS VER 20.0. Results: 89.5% of the dental hygienists required medical personnel of dental hygienist, the opinions on the necessity were as follows: 'role and quality improvement as oral health professionals', 'lack of legislation and application of dental hygienists duties'. There was no difference reason between dental hygienists and other personnel on duties, the reason were investigated to uncertainty of dental hygienist system, lack of dental hygienist workforce, dentists lack awareness of dental hygienist expertise. There was surveyed by the current many frequency duties in the dental clinic, assist for dental treatment, Oral health education and counselling, Preventive dental treatment. Conclusions: Legal guarantees for clinical dental hygienists work are absolutely required. Therefore, relevant government agencies and related organizations should resolve the contradiction of the legal system of medical law and medical technicians. The clinical dental hygienists should be promoted to medical personnel through the amendment of the medical law so that the duties practiced by the dental hygienist can be matched with the legal practice.

The opinions of health care workers on the inclusion of dental hygienists in the category of medical personnel (치과위생사의 의료인화에 대한 의료종사자들의 견해)

  • Hyeong, Ju-hee;Jang, Yun-Jung
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.6
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    • pp.1013-1024
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    • 2017
  • Objectives: The study investigated health professionals working in the metropolitan area and Jeolla-bukdo, South Korea, from April 30 to May 17, 2017 to understand their views on the issue of including dental hygienists in the scope of medical personnel of South Korea. Methods:A total of 270 surveys were analyzed in this study. The survey consists of 5 questions on general issues; 10 on the awareness of present work of dental hygienist; and 1 on opposition or approval about including dental hygienist in medical personnel. The collected data were analyzed using SPSS for Windows 18.0, as well as frequency analysis, cross analysis and logistic regression analysis. Statistical significance level (${\alpha}$) is 0.05. Results: 1. Broken down by gender, male subjects showed more oppositions against including dental hygienists in the category of medical personnel while female subjects showed more favorable opinions (p<0.05). In terms of academic background, those who had graduated from graduate school or higher showed a higher propensity for opposition while those who had graduated from a 3-year college showed a higher tendency for approval on the idea (p<0.05), In terms of occupational type, health professionals showed more opposing views whereas medical technologists showed more approvals than others (p<0.001). 2. With respect to the awareness of work specialty and proficiency of dental hygienist according to general characteristics, the higher the age, the higher the awareness level was. In terms of the occupational type, medical technologists were found to have higher awareness level than health professionals (p<0.001). 3. With respect to the relationship between general characteristics and view on including dental hygienists in medical personnel, the occupational type of health professional was found to have 6.33 times more oppositions than medical technologists. When the awareness level on proficiency of dental hygienist was low, opposition was 6.52 times more frequent (p<0.05). Conclusions: Based on the findings above, the inclusion of dental hygienists in medical personnel seems necessary in properly establishing the specialty and role of dental hygienist in the dentist medical environment of the country in order to enhance national oral health related preventive dental service and expand the demand. To this end, it is necessary to provide nationwide promotion, work to change the awareness of health professionals in other occupational types, and facilitate public promotion for legal ground establishment.