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A study on the standardization for outpatient management and adminstration process of some regional hospitals (일부지역 의료기관의 외래원무관리 표준화에 관한 연구)

  • Kim, Jin-A;Lee, Moo-Sik;Hwang, Hye-Jung;Kim, Kwang-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.7
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    • pp.357-366
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    • 2016
  • This study evaluated the standardization of the outpatient management process in several regions of South Korea. The hospital workers in the administration department of the different medical institutions that are registered with the Korean Hospital Association were surveyed. These institutions can be standard hospitals or hospitals greater in size. A summary of the research results are as follows. There was no significant correlation in their registration procedures in relation to the institution's founder, number of sickbeds, number of staff employed in the administration department, and average number of outpatients per day. On the other hand, the prepayment of medical fees occurred more frequently when the number of sickbeds was larger. In addition, there was no large difference in their appointment procedures in relation to those features. Nevertheless, the prepayment of medical fees accounted for 11.8 % of the entire payment in institutions with less than five hundred beds, while fifty percent of the payment was made in advance in larger institutions with five hundred or more beds. From this research, there was only a small difference among the institutions' outpatient management, but a notable difference was observed in their electronic data processing systems and facilities. Therefore, more financial support should be generated for the implementation of a more integrated process. As a follow-up study, to provide patients with quality medical services, it will be necessary to apply the standardized procedure to an actual medical institution and analyze the expected effect.

A DESIGNING HEALTH EDUCATION PROGRAM -Cigarette Smoking and Health for Junior High School- (중학생의 보건교육 프로그램의 설계)

  • Lee Kyungja
    • The Korean Nurse
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    • v.22 no.1 s.119
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    • pp.47-64
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    • 1983
  • 간호원은 비록 그가 양호교사가 아니라고 하더라도 그가 처한 위치에서 거의 매일 건강교육을 실시하고 있다고 할 수 있다. 그러한 비정규직 교육은 상황에 따라 간호활동의 대상자들에게 수시로 별 준비 없이 실시한 경우도 있겠으나 효율적인 결과를 얻을 수 있는 체계적인 보건교육은 구체적인 학습목적과 교육과정이 교육적으로 미리 계획되어 있어야만 가능하다고 할 것이다. 양호교사의 기본적인 역할이 학교 구성원들의 건강증진과 질병예방에 있으며 효율적인 건강교육을 통하여 이러한 목적을 달성한다고 할 때, 양호교사는 자신을 그 학교공동체의 주된 건강교육자로 이해하고 학교에서 이루어지는 모든 보건교육 과정에 적극적인 참여를 하여야만 한다. 그러한 역할중의 하나는 보건에 관한 수업을 실시하는 학과목 교사나 담임교사들이 건강교육에 관련한 협의를 양호교사에게 요청하도록 적극적인 건강교육환경을 학교 내에 조성하여야 하는 일과 중요한 건강주제에 대하여서는 양호교사가 직접 수업을 교실에서 이끌어야 하는 것일 것이다. 이 논문에서 다룬 보건교육 교안 연구는 양호교사에게 또 건강에 관한 주제를 가지고 수업을 하는 일반교사에게 중학생의 건강교육 과정의 한 모델로써 사용하는데 도움이 될 것으로 본다. 건강교육 프로그램을 질병예방, 건강증진에 초점을 두어 설계한다고 할 때 건강교육의 주된 방향은 대상자 하나 하나의 생활에서 건강을 위한 바람직한 행위를 생활화하도록 하는 것이다. 이 목적을 학교에서 달성하기 위해서는 건강교육 프로그램을 통하여 학생들에게 건강에 대한 지식을 전달하고 그 지식 위에 건강을 위한 바람직한 행위를 하도록 동기를 부여하며 그러한 행위를 지속하도록 보강하는 것이 필요하다고 할 것이다. 사람들은 건강에 대한 지식이나 정보를 가지게 되면, 행위는, 그것에 상응하여 바람직하게 행할 것이라고 가정하기가 쉽다. 그리하여 건강에 대한 정보를 주는 것 건강교육을 했다고 간주하기도 한다. 그러나 실제적으로 건강을 위한 정보를 받고 지식을 가졌다 하더라도 바람직한 행위를 실천하지 않거나, 습관된 반건강 행위를 바꾸지 않는 경우가 많다. 그러므로 건강한 행위를 실천하기 위해서는 그에 대한 가치관이나 태도가 먼저 분명하게 세워져야 한다. 학생들의 경우에도 그 가치관이 확립되어야 하겠으므로 이를 위한 효과적인 교육방법이 제시된 교육안 모델이 있어야 할 것이다. 즉 건강문제에 대한 태도의 확립과 그에 따른 올바른 행위를 실천하도록 하기 위하여 구체적으로 치밀하게 계획된 건강교육 안이 연구되어 지는 것이 건강교육의 가장 중요한 과제중의 하나이다. 이 연구에서 제시하는 건강교육 프로그램에서는 많은 부분의 정보가 학생들 스스로에 의해서 수집되도록 하였다. 그렇게 함으로써 그들이 흡연에 관한 사실들을 스스로 명백하게 파악할 수 있었기 때문이다. 또한 소그룹 토의와 논쟁의 방법을 통해서 학생들이 흡연에 대해서 자신들의 생각하고 있는 것을 검토하여 올바른 판단을 하도록 하는 기회를 가질 수 있도록 하였다.

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A Systematic Review on Studies Related to Disaster (재난관련 연구의 체계적 문헌고찰)

  • Park, Ju Young;Kim, Gaeun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.4
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    • pp.276-292
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    • 2018
  • This study was conducted to investigate the trends in domestic and international disaster-related research through a systematic review of the literature and to establish a basis for future disaster-related countermeasures and development directions. A related literature search was conducted through the domestic and foreign databases through the combination of disaster-related terms from 2000 until February 28, 2017, and 79 articles were used in the analysis based on selection and exclusion criteria of 177 total documents. As a result of the research, 31.6% of disaster research type was quantitative studies, and 29.1% of the major disciplines were medical research. In addition, there were engineering(18.9%), public administration(13.9%), and nursing(11.4%). In foreign literature, there are many triage studies for the classification of patients in multiple lesions. On the other hand, only 30.4% of total triage studies in Korea were detected. Most of them were related to triage development, triage evaluation, triage research, and reviews. In addition, according to the disaster nursing capacity framework of the International Council of Nurses, 72.3% of studies were related to the response phase. Future research on disasters requires interdisciplinary convergence, patient classification, and technology integration to improve the survival rate of multiple injuries, and an integrated system based on the results of collaborative research among interdisciplinary groups is needed.

Study on the Efficient Operation of Private Security Guarding System (한국 민간경호시스템의 효율적 운영방안)

  • Kim, Tae-Min;Kim, Dong-Je
    • Korean Security Journal
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    • no.12
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    • pp.117-147
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    • 2006
  • This study aims to propose efficient way to operate the security guarding system from the perspective of administration, policy, law, institution and operation as to the private security guarding system as the Korean security guarding system needs multifaced analysis and measure to ensure efficient operation. The growth strategy has to be restructured and segmentation market needs to be driven in order to cope with the changing conditions of company from the perspective of administration. And private security guarding service companies must refrain from excessive competition while improving the contracting method such as minimum price bidding, etc. From the perspective of policy, the functions of relevant organizations such as the National Police Agency, security association, etc, and mutual cooperation must expand. Also, the profit generation event needs to be privatized and the more positive perception toward the private security guarding service is necessary. In addition, security exhibition and seminar can be expanded to lay the groundwork for the advancement of private security system. From the legal and institutional perspective, the security guarding service related law must be revised and the certification system must b introduced to cope with the changing requirement. The security guarding instructor system must be strengthened to ensure a faithful and earnest implementation of duty to instruct, supervise and educate security guarding personnel. From the perspective of security guarding system's operation, professional security technique must be introduced and applied, and the volunteer application system must be established. In addition, standard 'security guarding manual' must be crafted, and the equipment for security guarding must be modernized to ensure an efficient operation of private security guarding services.

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A Study on Modeling Instruction And Training Program for Korean Private Security Guard (한국 민간경호원 교육프로그램 방향에 관한 연구)

  • Lee, Sang-Chul;Shin, Sang-Min
    • Korean Security Journal
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    • no.9
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    • pp.201-235
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    • 2005
  • This study is designed to contribute for development of Private Security Business by fact-finding in instruction and training of private security guard serviced in this realm and domestic and foreign guard service and modeling effective and rational instruction and training program based on drawn problem. For this study, basically I collected and analyzed documents, theses, and papers of the inside and outside of the country. For practical use of data, I used materials of private security related institutes and police agency. And for private security educating training programs of the inside and outside of the country, I collected materials on internet, and with the help of police agency and interpol. For korean private security company's educating training programs, I made a study with the interview of private security company's businessmen. This study's conclusion is as follows. In a domestic private security enterprise, when set theory instruction minimize instruction and training program and must set up instruction and training program as practical affairs center enemy instruction, and theory instruction must be composed for instruction me that it is connected to practical affairs instruction too. The instruction course of private security guard instruction and training program composed with a security outline, a security plan, an information-gathering, civilian expenses, a security way, terror and terrorism, a related law, security trial, electronic security, a security analysis technique, company introduction, instruction and training program about a professional tube with theory instruction. Practical affairs instruction composed with the selection and a preventive security, close contact attendance security, vehicle security, security driving the security martial arts and self-protection liquor, first aid, security equipment, a gun and shooting, a security protocol, customer satisfaction, facilities security and expenses, a fire fighting instruction, teamwork training, explosive and a dangerous substance, physical strength, a documentation practical affairs, service, instruction and training program about foreigh language instruction.

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The Analysis of Raw Data of Completion of Off-Line Continuing Education in Nursing in Seoul, 2008-2012 (서울지역 간호사 보수교육 실시 분석 -오프라인교육 중심으로-)

  • Go, Jeong-Hee;Han, Mi-Ra;Hu, Jung
    • Journal of Digital Convergence
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    • v.12 no.6
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    • pp.527-538
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    • 2014
  • The purpose of this paper was to analyze the Data of Continuing Nursing Education(CNE) in Seoul from 2008 to 2012. The subjects were collected from the data of Seoul Nurses Association. Descriptive statics, t-test, ANOVA were performed using SPSS 12.0 program for a total of 165,759 subjects' data. The number of continuing education recipients increased about 28% by the year of 2012. Over 50% of subjects worked at advanced hospitals and about 80% of subjects received education in self-developed program type. According to years since licensed, more than half(55.5%) of the subjects were under 7 years since licensed, followed by 4-6years since licensed(18.5%), 2-3years since licensed(16.2%), and 1year since licensed(9.7%). This study showed significant differences in contents, continuing education programs, workplace, type of continuing education. The findings of this study will contribute to identifying current trends of continuing education for nurses and provide fundamental data for developing continuing nurses education.

A Study on Factors to Periodontal Diseases in Patients with Metabolic Syndrome in Health Examination Examinees (일부 건강검진 수검자에서 대사증후군 대상자의 치주질환 발생에 영향을 미치는 요인)

  • Lee, Jae-Sung;Kang, Hyun-Kyung
    • Journal of the Korea Convergence Society
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    • v.9 no.7
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    • pp.259-268
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    • 2018
  • The purpose of this study was to identify effective ways to prevent periodontal disease in adults with risk factors for metabolic syndrome based on health examination examinees of some area. The study participants included 9,902 subjects who had received health checks at the Korea Association of Health Promotion from January 1 to December 31, 2014. All data were analyzed by descriptive statistics, chi-square test, logistic regression using IBM SPSS 24.0 Ver. As a result, it was found that regular oral examination (0.579), use of oral products (0.499), and oral health education (0.358) are most likely to affect the incidence of periodontal diseases among those affected by metabolic syndrome. The odds ratio of periodontal disease increased 1.79 times without regular oral examination, 1.61 times without oral products, and 1.43 times without oral health education (p<0.001). In conclusion, the results suggest that people with metabolic syndrome have a high risk of periodontal disease and that regular checkups, use of oral products, and oral health education are very important to prevent periodontal disease.

Quantitative Analysis of LTE Essential Patents (LTE 표준특허의 정량적 분석)

  • Lee, Kyoung-Shil;Song, Young-Keun
    • The Journal of the Korea Contents Association
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    • v.12 no.12
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    • pp.721-732
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    • 2012
  • Patent information, which is generated under a specific, objective rule for a prolonged period of time, has the properties of technology, right, and management. Because of these characteristics of patents, patent analysis is used to identify R&D capacities and performances, and management strategies of a given nation or enterprise. In this paper, we analyze LTE essential patents which are key IPRs for implementing standardized LTE technology and major weapons in a global patent war. Total of 2,307 LTE essential patents, published and registered applications from European Telecommunications Standards Institute(ETSI)'s online IPR database as of January 2011, are analyzed in quantitative methods. The analysis results present status and statistics of LTE essential patents by major countries, applicant companies and technical fields. And a comparative study is done using 4 patent indices limited to the LTE essential patents issued in the United States. It is expected that results herein are useful for not only figuring out the technological competitiveness of countries and companies in LTE market, but also suggesting a guide to strategic IPR management for related industries.

A Study on the Automated Compatibility Standard Test System for eBook DRM (전자책 DRM을 위한 자동화된 표준정합성 검사 시스템에 관한 연구)

  • Kim, Tae-Hyun;Kang, Ho-Gap;Ahn, Chang-Ju;Cho, Seong-Hwan
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.13 no.2
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    • pp.127-136
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    • 2013
  • The study of the compatibility of EPUB DRM, granted by the Korea Copyright Commission, as a CT R & D project (Project Title: The Development of the standard reference software technology for International Standard EPUB-based eBook DRM) developed standards such as profile standards for encryption digital signature and authentication certificates and standards for technical terms of rights information. In 2012, these four standards have been established as the Korean Industrial Standards under the names of 'Encryption specification for EPUB DRM,' 'the Digital signature specification for EPUB DRM,' 'the Certificate specification for EPUB DRM,' and 'Definitions of Right Terms for EPUB DRM' through the ODPF(Open Digital Standardization Forum) and the TTA(Telecommunications Technology Association). The research project also proposed standards of ebook DRM license protocols in order for the four standards to practically apply to ebook DRM compatibility. It is necessary for technology standards to require a compatibility standard test process for testing whether implementations which were developed on the basis of the standard specification, comply with standards. This study suggests an automated compatible standard test method and a test model under the ebook DRM standard technical specification.

말기암환자 가족에 대한 호스피스 케어의 정보적 지지 제공 효과

  • Kim, Hyeon-Suk
    • Korean Journal of Hospice Care
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    • v.2 no.1
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    • pp.21-40
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    • 2002
  • Cancer is the second leading cause of the death in Korea. Family caregivers of dying patients manifest many psychological and physical symptoms of stress, and they often seek for informational support from health care providers. Unfortunately, however, few systematic studies identify the actual effect of such support on family caregivers. This study, thus, intends to evaluate the effect of informational support for hospice care. One group pretest-posttest design was used, employing the stress-coping model by Cohen and Wills as a conceptual framework. This research was conducted from July 1 to November 15, 1998, initially with 32 subjects sampled from hemato-oncology department of two general hospitals in Seoul, but reduced to 18 at the end due to the untimely death of patients or caregiver's refusal during the course of study. Informational supports were programmed to provide the family caregivers with 8 times of education and counseling as well as 24-hour hot-line for 4 weeks. A booklet that explains the various problems of hospice care was also prepared and distributed to all subjects. Data were collected by using self-report questionnaires and reviewing medical records. The tools used in this study were based on the Weinert's PRQ-II(scale of perceived social support), Spielberger's state anxiety inventory, and CES-D. Also included in the data collection were the general characteristics of family caregivers and patients, and the pain intensity and the performance status of patients. The data were analyzed with descriptive statistics, Wilcoxon sign rank test and paired t-test using SPSSWIN program. The results of the study were as follows: 1.The perceived social support of family caregivers was not significantly increased with informational support for hospice care(t=1.64, one tailed p=.060). 2.The anxiety of family caregivers was significantly reduced following informational support for hospice care(t=3.48, one tailed p=.002). 3.The depression of family caregivers was significantly reduced following informational support for hospice care(t=-2.18, one tailed=.022). 4.The pain intensity of patients with terminal cancer was significantly reduced following informational support for hospice care(t=-2.41, two tailed p=.027). The results suggest that the informational support provided to family caregivers of patients with terminal cancer reduced not only their anxiety and depression but also the pain intensity of patients. Further study is necessary to consolidate the conceptual framework of this study with expanded number of subjects. Nevertheless, it was certain that the informational support program for hospice care was very helpful to both caregivers and patients. Thus, the informational support program is strongly recommended for the hospitals which have no hospice unit yet.

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