• Title/Summary/Keyword: 환자중심의료

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A Study on Influencing Factors and characteristics of Basic Forms of Pediatric Facilities - Focused on the cases in the U. S. A - (소아 의료시설의 형태결정 인자 및 기본형태 특성에 관한 연구 - 미국의 사례를 중심으로 -)

  • Son, Seung-Hwan;Lee, Sung-Won;Park, Jae-Seung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.11 no.2
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    • pp.55-62
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    • 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.

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한국형 의료서비스 품질지수(HCMQI) 개발;A병원 사례를 중심으로

  • Yeo, Hyeon-Jin;Lee, Sang-Cheol;Seo, Yeong-Ho;Han, Sang-Suk;Jang, Seong-Gu
    • Proceedings of the Korean Society for Quality Management Conference
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    • 2006.11a
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    • pp.8-12
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    • 2006
  • 본 연구는 말콤볼드리지 의료서비스 분야 평가기준을 기반으로한 한국형 의료서비스 분야 국가품질상 평가도구의 타당성을 검증 하고자 한다. 이를 위해 미국의 말콤볼드리지 국가품질상(The Malcolm Bladrige National Quality Award)의 평가기준인 리더십, 전략계획, 환자 ${\cdot}$ 고객 ${\cdot}$ 시장 중시, 측정 ${\cdot}$ 분석 ${\cdot}$ 지식관리, 인적자원 중시, 프로세스 관리, 사업성과의 7 개 항목과 21 개의 세부항목을 토대로 국내 산업에 맞는 측정항목을 개발하였고, 이러한 평가항목들을 이용해 한국 의료서비스 기업들이 국가품질상에 대한 자체평가를 위해 활용할 수 있는 한국형 경영품질지수를 개발하고, 실제로 한국의 병원들의 사례를 통해 한국 의료서비스 산업 품질경영상태를 파악하고자 한다.

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Hospice and Palliative Care in Chronic Obstructive Pulmonary Disease (만성 폐쇄성 폐질환의 호스피스 완화의료)

  • Shin, Jinyoung;Park, Hye Yun;Lee, Jungkwon
    • Journal of Hospice and Palliative Care
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    • v.20 no.2
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    • pp.81-92
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    • 2017
  • Chronic obstructive pulmonary disease (COPD) is characterized by persistent airflow limitation that is usually progressive. It is a major cause of morbidity and mortality worldwide, leading to substantial and increasing economic and social burden. Palliative care for COPD patients aims to reduce symptoms and exacerbations and improve exercise tolerance and quality of life. It is difficult to make a prognosis for COPD patients due to the variable illness trajectory and advanced care of patients. However, severity of breathlessness, assessment of lung function impairment, and frequency of exacerbations can help to identify palliative care needs and determine effective methods to mitigate symptoms, which is discussed in this paper. In these patients, it is recommended to provide individualized palliative care along with curative/restorative care at the onset of COPD symptoms. Before launching a palliative care system in Korea, it is necessary to prepare pulmonary rehabilitation resources, patient-centered communication, timely palliative responsiveness, and a program for effective advanced care planning. A multidisciplinary approach involving collaboration with not only the respiratory and palliative care teams but also primary care offers a new model of care for these patients and should be considered with a priority.

Spiritual Care in Hospice and Palliative Care

  • Ferrell, Betty R.
    • Journal of Hospice and Palliative Care
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    • v.20 no.4
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    • pp.215-220
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    • 2017
  • Spiritual care is at the center of hospice and palliative care. Patients facing serious and life-threatening illness have important needs in regard to faith, hope, and existential concerns. The purpose of this article is to review the key aspects of this care, including the definitions of spirituality, spiritual assessment, and spiritual care interventions. A review of the current literature was conducted to identify content related to spiritual care in hospice and palliative care. A growing body of evidence supports the importance of spiritual care as a key domain of quality palliative care. The literature supports the importance of spiritual assessment as a key aspect of comprehensive patient and family assessment. Spirituality encompasses religious concerns as well as other existential issues. Future research and clinical practice should test models of best support to provide spiritual care.

A Study of the Medical Practice and the Right of Patients to Self-determination - Focusing on Supreme Court Decision 2009DO14407 Delivered on June 24, 2014 - (의료행위와 환자의 자기결정권에 관한 고찰 - 대법원 2014. 6.26. 선고 2009도14407 판결을 중심으로 -)

  • Kim, Young-Tae
    • The Korean Society of Law and Medicine
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    • v.15 no.2
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    • pp.3-29
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    • 2014
  • The Supreme Court made a decision that the doctor cannot be punished for not taking a blood transfusion to the patient, depending on the patient's will to refuse the blood transfusion on June 24, 2014. The reason is that, in a special situation of conflict between the right of patients to self-determination and the duty of care, and when it was impossible to compare whether which has the superior value, if the doctor made a medical practice to respect either of those two values according to the professional sense, he cannot be punished. In principle, the doctor should make medical practices according to the patient's will. However, if the patient's life was at stake, I think, the doctor is obliged to try his best to save the life of patient. Yet to entrust the patient's life to the doctors professional sense, is to give up the obligation of the country to protect lives. In this regard, I think that the Supreme Court Decision should be reviewed, and that an ongoing research is needed.

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An Empirical Study on Emergency Medical Care Transportation Policy (응급의료 이송정책에 관한 실증적 연구)

    • Fire Science and Engineering
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    • v.17 no.4
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    • pp.42-56
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    • 2003
  • This research made a survey to 119 EMT laying stress on general contents connected with job in a frame of mutually organic cooperation system between the processes, composing Emergency Medical Care Transportation Policy in Korea, as a step before hospital, of happening emergency patients, 119 first-aid service of the spot, transportation of patients, construction of communication network etc.. As a result of analysis to that, it is found that there must be systematic devices which makes EMT not to be caught on medical dispute, a modernization of emergency equipments, professional first-aid agents, a proper personnel arrangement. Consequently, it suggests policy plan focusing on structural and functional aspect to improve an Emergency Medical Care Transportation system into a realistic one.

Medical Image Data Standardization for Machine Learning and Its Application Software (기계학습을 위한 의료영상 데이터 표준화 및 응용 소프트웨어)

  • Kim, Ji-Eon;Han, SeongMin;Park, Minki;Kim, Seung-Jin;No, Si-Hyeong;Jun, Hong-Yong;Lee, Chung Sub;Kim, Tae-Hoon;Jeon, Chang-Won
    • Proceedings of the Korea Information Processing Society Conference
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    • 2019.05a
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    • pp.346-347
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    • 2019
  • 의료영상은 환자의 질병을 진단하고 치료방침을 결정하는데 중요한 도구로 자리매김하고 있다. 최근 의료영상을 인공지능 연구가 국내외에서 활발하게 진행되고 있다. 특히 대규모의 의료영상들을 학습시켜 질병과 상태를 정밀 진단할 뿐만 아니라 예측하는 소프트웨어를 개발 하는 상황이다. 그러나 의료영상은 DICOM 표준에 따르고 있지만 태그정보의 사용은 의료기기와 의료기관마다 상이하다. 따라서 의료영상에 대한 메타 데이터의 표준화에 어려움이 있다. 본 논문은 이러한 의료영상 데이터를 표준화 할 수 있는 방법을 제안한다. 그리고 제안한 표준화 데이터로 변환할 수 있는 ETL 소프트웨어의 수행결과를 보이고, 조건에 따라 머신러닝 학습 데이터셋을 생성하는 결과를 제공한다. 향후 제안한 의료영상 표준화와 ETL 소프트웨어는 다양한 수요자 중심의 표준화된 데이터셋을 제공할 수 있는 플랫폼의 주요기능으로 활용 될 것으로 기대한다.

Infection Control practices in accordance characteristic of Dental institutions -Daegu and North Gyeongsang Province around- (치과의료기관의 특성에 따른 감염관리실태 -대구, 경북지역을 중심으로-)

  • Sung, Mi-Ae;Yoon, Sung-Uk
    • Journal of Digital Convergence
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    • v.16 no.5
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    • pp.299-307
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    • 2018
  • This study survey research of infection control, wastewater management, and instrument disinfection according to characteristic at Daegu, Gyeongbuk Province In 2012 and 2017, the same 114 dental clinics to identify the infection management behavior and prevent infection of dental medical institutions. Scored mean 3.37 points on 8 items of infection control, 95.5% in "records of the patient's medical history", 1.8% in "presence of a wastewater facility." Scored 94.7% in "disinfection of metal trays", 17.5% in "storage from a spitting receptacle in the waste bin and commissioned management.", Scored higher in of infection control, wastewater management and instrument disinfection according to general characteristics and dental characteristics in 2017 than in 2012. Points were higher dental hygienist, University graduation, Type of duty was counseling and management, hospital or higher, Number of dentist(dental hygienist, chair, patient) was high. Therefore raise a need for infection control into consideration the dental characteristics and education and promotion regardless of the hospital size.

Relationship between Hospital Use Satisfaction and Medical Service Provision Process (입원환자들의 병원이용 만족도와 의료서비스 제공과정 간의 관계)

  • Ha, Au-Hyun;Park, Ki-Hyeok
    • Journal of Convergence for Information Technology
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    • v.10 no.1
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    • pp.235-242
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    • 2020
  • This study aims to provide direction for improvement of the hospital's management environment for customer satisfaction management, which is ultimately consumer-oriented in practice. this study was analyzed the relationship between hospital use satisfaction relative to expected level and medical service provision process for inpatients. The study method collected data from September 10 to September 30, 2018 for patients with inpatient care at hospitals and general hospitals under 300 beds, and conducted a t-test, ANOVA, and logistic regression. According to the analysis, hospital brands were the most frequently chosen reason for hospitalization, followed by doctor brands. The satisfaction level of the inpatient medical service provision process showed no statistical differences depending on the general characteristics. It has been confirmed that the hospital's satisfaction level relative to the expected level of inpatients has a causal relationship that significantly affects the hospitalized procedure the course of the provision of medical services.

Application of digital software as a medical devices in dental clinic (치과 임상에서 디지털기반 소프트웨어 의료기기의 적용)

  • Woo, Keoncheol;Baik, SaeYun;Kim, Seong Taek
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.4
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    • pp.203-210
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    • 2020
  • By facing the era of the 4th industrial revolution, personalized medical services for patients are expanding with the development of information and communications technology. With these changes, digital medical devices have begun to be used to support diagnosis, patient monitoring, and decision-making of diseases, and recently software medical devices for the purpose of preventing, managing, or treating disorders or diseases have become popular. The aim of this article is to understand the current concept and status of Software as a Medical Device (SaMD), which are actively being carried out in the United States, and to find out what fields can be applied in the future. In addition, it intends to find out the Korean domestic policy trends related to smart healthcare and find out the application of digital software as a medical devices that can be used in dental clinic to keep pace with the upcoming changes in the medical field.