• 제목/요약/키워드: Communication with Medical Personnel

검색결과 47건 처리시간 0.028초

지역사회 노인의 약물복용이행과 관련된 융합 요인 (A Convergence Factors Associated with Medication Adherence among the Elderly in the Community)

  • 김명숙;김연옥
    • 한국융합학회논문지
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    • 제12권12호
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    • pp.125-137
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    • 2021
  • 본 연구는 지역사회 노인복지관 이용 노인의 주관적 건강상태, 의료인과 의사소통, 약물오남용이 약물복용이행에 대한 융합 영향요인을 파악하기 위한 서술적 조사연구이다. 본 연구 대상자는 지역사회 노인복지관 이용 노인 179명이었다. 자료는 2020년 1월13일부터 2020년 1월17일까지 수집하였다. 자료분석은 빈도, 백분율, 평균, 표준편차, t-test, ANOVA, 사후검정은 Scheffe test, Pearson's correlation coefficients, 다중회귀분석을 실시하였다. 본 연구 회귀식은 약물복용이행을 24%를 설명하였다. 대상자의 약물복용이행에 가장 큰 영향을 미치는 요인은 약물오남용(𝛽=-4.32, p=<.001)이었고 다음은 만성질환 유,무(𝛽=-3.04, p=.003), 결혼상태(𝛽=2.64, p=.009), 의료인과 의사소통(𝛽=2.26, p=.025 ) 순으로 나타났다. 따라서 지역사회 노인복지관 이용 노인의 약물복용이행을 위한 융합적 시스템 구축이 요구된다.

Communication at the End of Life

  • Onishi, Hideki
    • Journal of Hospice and Palliative Care
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    • 제24권3호
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    • pp.135-143
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    • 2021
  • End-of-life patients experience physical, mental, social, and existential distress. While medical personnel provide medication and care to alleviate patients' distress, listening to and interacting with patients remains essential for understanding their psychological condition. The most important tool, though difficult to implement in practice, is end-of-life discussion (EOLD). EOLD has been shown to have positive effects on end-of-life treatment choices, achievement of patients' life goals, improvements in the quality of life of patients and their families, and the prevention of depression and complicated grief among bereaved family members. EOLD is not often undertaken in clinical practice, however, due to hesitancy among medical personnel and patients for various reasons. In order to conduct an EOLD, the patient's judgment, psychiatric illnesses such as delirium and depression, and psychological issues such as the side effects of psychotropic drugs, denial, and collusion must be evaluated. Open and honest conversation, treatment goal setting, the doctor's familiarity with the patient's background, and attentiveness when providing information are important elements for any dialogue. Meaning-centered psychotherapy was developed to alleviate the existential distress of cancer patients, and its application may promote EOLD. The future development of meaning-centered psychotherapy in practice and in research is expected to further promote EOLD.

치과 의료 인력과 치과기공사의 업무협력에 대한 인식 - 치과기공사 중심으로 - (Perception of Dental Personnel and Dental Technicians on Interprofessional Collaboration - Focus on Dental Technicians -)

  • 김정숙;이혜은
    • 대한치과기공학회지
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    • 제36권2호
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    • pp.119-128
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    • 2014
  • Purpose: This study has been carried out to help to enhance the measures of interprofessional collaboration between Dental personnel and dental technicians, and between dental technicians themselves through the analysis of recognition of interprofessional collaboration between dental technicians. Methods: The subjects in this study were 130 dental technicians who were self-written questionnaire. The results were analyzed by SPSS 12.0. The collected data was analyzed by frequency and Correlation. Results: As a result of examining the correlation analysis of each question to explore the factors that affect interprofessional collaboration recognition of dental technicians, the group which received criticism from dental personnel showed negative (-) correlation in the interprofessional collaboration recognition (p<0.05). The following groups showed positive (+) correlations in the recognition of interprofessional collaboration : the group who replied that they can utilize information on the patients associated with the prosthesis production (p<0.01); the group who thinks that they are sharing common goals (P<0.01); and the group who replied that Dental personnel are familiar with patients (p<0.01). The following groups also showed higher positive (+) correlations in the recognition of interprofessional collaboration : the group who replied that they frequently discuss patient's information with Dental personnel (p<0.01); the group who thinks they have mutual confidence in one another (p<0.01); the group who thinks that cooperation among their colleagues in dental technique laboratories are being done well (p<0.01); and the group that has high job satisfaction (p<0.01). Conclusion: Effective communication and team work between human resources for providing medical service of the facility are essential for safe and high-quality medical service to patients. Further, such elements are directly connected to efficiency of the entire team. The reliability between dental technician and Dental personnel for cooperation should not be neglected therefore continuous interests in inter-cooperative partnership is required.

헬스케어 패러다임 변화에 따른 형사법적 쟁점과 과제 (Criminal Law Issues and Challenges Due to Changes in the Healthcare Paradigm)

  • 선종수
    • 의료법학
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    • 제24권1호
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    • pp.43-65
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    • 2023
  • 헬스케어 산업은 제4차 산업혁명 기반 기술과 접목된 디지털 헬스케어로 개인의 건강과 의료에 관한 정보 등을 다루는 분야로 건강관리 서비스와 의료 과학기술이 융합된 형태이다. 패러다임 변화에 따른 디지털 헬스케어는 기존 「의료법」상의 의료행위 개념에 포섭되어 논의가 가능한 것인지 의문이 생긴다. 「의료법」상 의료행위의 개념에 관한 명확한 정의 규정은 없지만, 판례를 통해서 그 개념을 정립하고 있다. 그리고 「의료법」상 의료행위의 주체는 의료인으로 한정하고 있다. 그러나 디지털 헬스케어는 의료인에 의 한 디지털 기술을 이용한 질병 진단과 치료행위를 하는 경우가 있다. 이와는 달리 비의료인에 의해서 가능한 것이 디지털 헬스케어이다. 왜냐하면 디지털 헬스케어는 운동, 식습관 그리고 체중조절 등과 같은 건강관리를 포함하는 개념으로 이해되기 때문이다. 이로 인하여 디지털 헬스케어에 대한 「의료법」상 의료행위 개념에 포섭하는 경우 「의료법」 제27조에 규정된 '무면허의료행위'로 형사처벌의 대상이 된다. 보건의료산업은 디지털 전환과 정보통신기술과의 융복합이 빠르게 진행되고 있다. 이로 인하여 기존의 의료행위와 구분하여 '디지털화된 의료행위' 또는 '정보통신기술(ICT) 기반 의료행위'로 새롭게 규정할 필요성이 대두되고 있다. 의료행위 개념은 고정불변한 개념이 아닌 가변성을 가진다. 그렇다고 이러한 요구에 따라 의료행위 개념의 무한 확장이 아닌 그 범위의 재설정을 요청하는 것이다. 따라서 의료서비스체계에 대한 수요자의 요구를 반영하여 의료행위 개념을 법제화하여야 할 것이다.

ARM11 기반의 의료용 무선 데이터 전송 플랫폼 구현에 관한 연구 (A Study on Implementation for Wireless Data Transmission Platform for Medical care using ARM11)

  • 서재길;김영길
    • 한국정보통신학회논문지
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    • 제13권2호
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    • pp.425-430
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    • 2009
  • 의료분야에서 많은 정보가 디지털화 되고 있으며 개인의 건강에 대한 관심은 점점 높아지고 있다. 이에 발맞추어 U-health 시스템을 구축하기 위한 고속의 개인용 헬스케어 모니터링 플랫폼이 요구된다. 본 논문에서는 이러한 요구를 충족시키기 위해 고속의 ARM11 기반의 최신 프로세서인 S3C6400 CPU를 이용한 플랫폼 구현에 관한 연구를 진행하였다. 더불어 무선의 의료용 데이터 전송을 위해 802.11기반의 무선 랜을 이용한 네트워크 시스템 환경을 구축하였다.

특수망에서 통신 에러율을 줄이기 위한 알고리즘에 관한 연구 (A Study on Algorithm for Reducing Communication Error Rate in Special Network)

  • 손동철
    • 디지털융복합연구
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    • 제14권11호
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    • pp.325-331
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    • 2016
  • 휴대폰 망과 같은 이동망이나 와이파이망, 주파수공용통신(Trunked Radio System)과 같은 망은 시설기반(Infra Structure)망이어서 핸드오버같은 것은 문제가 되지 않는다. 그러나 무전기 같이 수명에서 수십 명 내외의 그룹간 이동을 하면서 서로 통신을 해야 하는 경우는 망을 구성하고 있는 노드들이 실시간으로 이동하고, 토폴로지가 늘 변하고 있으며, 특히 무선으로 통신할 경우는 전파환경이 좋지 않아서 망을 구성하기란 쉽지 않다. 특히 특수목적망은 인프라 시설이 없어서 구성원들 간에 핸드오버(handover)가 필요한 경우가 많으며, 핸드오버하는 대상노드를 결정하는 것은 반드시 필요하며 중요하다. 어느 노드가 핸드오버 역할을 할지에 따라 다양한 토폴리지의 통달거리, 수신감도, 음질 등에 영향을 주게 된다. 본 고에서는 토폴로지 경우의 수를 다양하게 분석하여 전파간섭 및 핸드오버 프로토콜에 따라 데이터 전송을 원활하게 할 모델을 제시하고, 시뮬레이션을 통해 분석한 결과를 제시한다.

What Do Korean Women Know and Want to Know about Thyroid Cancer? A Qualitative Study

  • Lee, Bomyee;Park, Jae Young;Shin, Hye Young;Park, Sang Hee;Choi, Eun-Bi;Yoo, Jisu;Choi, Kui Son;Jun, Jae Kwan
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권6호
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    • pp.2901-2907
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    • 2016
  • Background: Despite increasing debate about overdiagnosis and overtreatment of thyroid cancer in Korea, information to guide decisions on whether or not to undergo screening for and treatment of abnormal lesions of the thyroid is lacking. Moreover, studies have yet to outline what lay people know and want to know about thyroid cancer. The primary aim of this study was to explore general awareness of thyroid cancer among Korean women, their sources of information, and their satisfaction with the information they are provided. The secondary aim was to investigate information needs about thyroid cancer. Materials and Methods: A qualitative study using focus group interviews was conducted. Twenty-nine women were divided into four groups: (1) participants who had never undergone thyroid ultrasound screening; (2) those who had undergone screening, (3) those who continued to undergo regular check-ups with ultrasonography for benign nodules of the thyroid; and (4) participants who had undergone surgery for thyroid cancer. Results: A widespread lack of awareness of information on thyroid cancer was noted among participants in groups 1 and 2 who were not well aware of thyroid cancer and generally recognized it as a 'good cancer'. Surprisingly, instead of doctors and medical personnel, most participants reported obtaining information from acquaintances and media outlets. Moreover, most participants described dissatisfaction with their experience with screening and a lack of explanation on treatment and test results from medical personnel. Conclusions: Women in Korea seek reliable information on thyroid cancer that could help them to better understand the disease and make informed decisions regarding screening and treatment. More effort is needed from medical personnel to communicate the implications of thyroid cancer, screening results, and treatments thereof to lay people.

제주도 119구조·구급대의 활성화 및 전문화 방안 (A Study on the Activation·Specification of 119 Rescue & Care in JeJu)

  • 고재문;김태민;김효식;이영아
    • 한국응급구조학회지
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    • 제6권1호
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    • pp.153-168
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    • 2002
  • Since 1992, conventional fire fighting businesses have been converted into a metropolitan autonomous fire fighting system to be ready for a variety of disasters. However, the corresponding investment has been overlapped due to the non-integration of businesses to prevent any potential disasters, and a series of collaborative systems have been not functioning so well. In the meantime, our fire fighting sector has been trying to set up its own clean and faithful position by abolishing any inconvenient system or outsourcing private sectors, and expanded its work scope from conventional fire fighting even to rescue and emergency works. While focusing on handling disaster, the fire fighting sector has been widely trusted and reliable throughtout our nation. Moreover, our fire fighting sector has secured nation wide mobile organizations, technical personnel by field, special equipments and independent communication network. In addition, the fire fighting sector has knowledges, expertise and capabilities required for managing disasters, while in charge of almost every disaster management works including fire, explosion, collapse, disaster and flood. It becomes an organization for comprehensive disaster management under an absolute national trust, which is based on the system for prevention, preparation and countermeasure against a variety of disasters. Thus, our fire fighting sector must make many efforts and try to modernize conventional education and training. The ways to facilitate rescue and emergency works may include the nurture of technical fire fighting personnel along with modernized equipments, the reinforcement of rescue and emergency education, the facilitation of operating civil defense corps, the facilitation of operating volunteer fire fighting corps, the better arrangement of 119 briefing room for public healthcare in provincial offices, the sterilization of rescue instruments and equipments the better repair education for emergency rescue member, the establishment of regional emergency assistant system and the expansion of fire fighting personnel and equipments. In terms of reinforcing the functions and services of rescue 119 and emergency corps, we must review the following considerations: Building up security system along with operational expansion, building up a system for emergency medical treatment, building up a comprehensive information management system for rescue and emergency, constructing a provincial safety museum and so forth. For the ways to better the works of rescue 119 we can review the following considerations : Improving the education for fire fighting training corps under Jeju Provincial Fire and Disaster Management Department, providing rescue members with more opportunities for clinical practices, enhancing the morale of rescue members, installing a comprehensive briefing room for emergency rescue members, building up medical networks along with reasonable policies for information service, operating the consulting system for rescue 119 and so on. If these requirements are met, it is expected that the fire fighting departments in Jeju province can cope with every accident and disaster a little more rapidly and quickly in compliance with local needs, so that they can keep their own position as a public fire fighting organization which may be trusted by the public.

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의료통역전문인력 업무범위에 대한 소고 -의료통역능력검정시험 출제범위 중심으로 (A Study on the Past that Work Scope of Medical Interpreter Professional Personnel -Focusing on the Range of Possible Questions for the Medical Translation Ability Test)

  • 김승철;김태형;이연경
    • 한국콘텐츠학회논문지
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    • 제20권4호
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    • pp.571-581
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    • 2020
  • 의료통역전문인력의 검정시험 평가항목으로는 대항목, 중항목, 소항목이 있으며, 그 기준 및 수준이 명확하지 않아 시험을 준비하는 자로 하여금 혼란이 야기될 수 있다. 이에 의료통역능력 검정시험 자격요건과 평가항목의 출제기준을 우리나라의 의료체계와 부합할 수 있도록 제안하고자 한다. 시행되고 있는 의료통역능력 검정시험에 대한 조사는 국내·외 자료를 수집하였으며, 유사검정시험과 비교 및 국외 시험과 비교하였다. 또한 의료통역능력 검정시험 문항개발, 출제경험이 있는 전문가들에게 검정시험에 대한 인식을 조사 하였다. 그 결과 국제문화 평가항목에 대하여 언어권문화는 의료권문화로 통역윤리는 의료통역윤리로 수정하였다. 병원시스템 평가항목은 대항목의 「의료관련법」에서 중항목인 「의료분쟁조정법」을 「의료사고피해구제 및 의료분쟁조정등에 관한법률」로 「의료관광관련법」 4개 항목을 2개로 축소하고, 「의료해외진출 및 외국인환자유치지원에 관한법률」을 추가하였다. 우리나라 의료문화와 부합되게 의료통역능력 검정시험이 마련된다면, 검정시험에 합격한 전문인력에게 전문가로서 활동할 수 있는 안정적인 기회가 마련될 것으로 판단된다.

의료분야에서 인공지능 현황 및 의학교육의 방향 (Current Status and Future Direction of Artificial Intelligence in Healthcare and Medical Education)

  • 정진섭
    • 의학교육논단
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    • 제22권2호
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    • pp.99-114
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    • 2020
  • The rapid development of artificial intelligence (AI), including deep learning, has led to the development of technologies that may assist in the diagnosis and treatment of diseases, prediction of disease risk and prognosis, health index monitoring, drug development, and healthcare management and administration. However, in order for AI technology to improve the quality of medical care, technical problems and the efficacy of algorithms should be evaluated in real clinical environments rather than the environment in which algorithms are developed. Further consideration should be given to whether these models can improve the quality of medical care and clinical outcomes of patients. In addition, the development of regulatory systems to secure the safety of AI medical technology, the ethical and legal issues related to the proliferation of AI technology, and the impacts on the relationship with patients also need to be addressed. Systematic training of healthcare personnel is needed to enable adaption to the rapid changes in the healthcare environment. An overall review and revision of undergraduate medical curriculum is required to enable extraction of significant information from rapidly expanding medical information, data science literacy, empathy/compassion for patients, and communication among various healthcare providers. Specialized postgraduate AI education programs for each medical specialty are needed to develop proper utilization of AI models in clinical practice.