• 제목/요약/키워드: Continuing review

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응급구조사의 보수교육에 대한 체계적 문헌고찰 (A systematic review of continuing education for emergency medical technicians)

  • 강민성;김우종;최보율
    • 한국응급구조학회지
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    • 제25권1호
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    • pp.177-191
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    • 2021
  • Objectives: This study aimed to combine the satisfaction survey results and suggestion for continuing education of the emergency medical technicians through a systematic review of continuing education of the emergency medical technicians. Methods: This review focused on previous studies published until 2020 that were associated with the continuing education of emergency medical technicians. We followed the guidelines set for each phase of the study and selected the 26 studies that met the selection criteria for the analysis. Results: The level of satisfaction with continuing education for emergency medical technicians was low. The most frequently suggested method for continuing education was patient case presentation. The answers to the desired training subjects of the continuing education program varied. Finally, studies on continuing education have not been published continuously. Conclusion: To enhance the satisfaction and competence of continuing education, we need to provide various programs that reflect the needs of emergency medical technicians attending maintenance training. In addition, various methods should be considered to improve the attendance rate for continuing education, and further investigations and research should be actively conducted on continuing education in the future.

레코드매니저의 계속교육 프로그램 개발 (A Study on the Continuing Education Program for Records Managers)

  • 장혜리;최재황
    • 한국기록관리학회지
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    • 제8권1호
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    • pp.123-142
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    • 2008
  • 본 연구는 레코드매니저의 계속교육 프로그램 개발을 목적으로 문헌연구와 설문조사를 중심으로 수행되었다. 문헌연구를 통해 레코드매니저가 갖추어야 할 필수적인 기록관리 지식범주를 살펴보았고, 설문조사를 통해 국내 기록물관리 전문요원 57명을 대상으로 계속교육에 대한 요구 및 만족도 등을 조사하였다. 문헌연구와 설문조사 결과를 토대로 레코드매니저를 위한 교육내용, 교육방법, 시간, 강사 등에 대한 구체적인 내용을 포함하는 계속교육 프로그램 모형을 제안하였다.

정신보건심판위원회 계속입원치료 심사제도 운영현황 및 개선방안 (Operation Status and Improvement Plan of Continuing Hospitalization Judgement System in Mental Health Review Board)

  • 박선주;남윤영;황태연;조근호;전진용;김은진;김철응
    • 보건행정학회지
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    • 제27권4호
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    • pp.347-358
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    • 2017
  • Background: The recent revision of South Korea's Mental Health Law emphasizes the role of the Mental Health Review Board. For this study, we examined the current status of continuing hospitalization judgement in Mental Health Review Board at the national level and aimed to determine the directions of improvement. Methods: Using a qualitative case study as the research method, we interviewed 30 Mental Health Review Board members and analyzed the results. Results: Each municipality had very different continuing hospitalization judgement methods. In our systematic review, which consisted of document inspection, we identified reliability problems due to limitations in Mental Health Review Board's operating systems, discharge orders, etc. Additionally, continuing hospitalization judgement needs to improve the objectivity, fairness, and effectiveness of their screening examinations. Conclusion: Based on the results of this study, we suggest policy proposals to improve these systems, such as standardizing examination processes, strengthening on-site inspections, increasing the independence and neutrality of judgment in Mental Health Review Board, building community mental health infrastructures, and establishing integrated management systems.

의료기관과 심사기관의 심사업무인식도 비교연구 - 종합병원 청구직원과 건강보험심사평가원심사직원을 중심으로 - (A Comparative Study on Awareness of Review Work of Medical Institutions and Review Institutions - Focusing on Insurance Claim Officers at General Hospitals and Review Officers at Health Insurance Review Agency -)

  • 이수연;하호욱;손태용
    • 한국병원경영학회지
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    • 제9권3호
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    • pp.71-97
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    • 2004
  • This study conducted a comparative analysis of awareness level of review standards, continuing education, and awareness about the need for speciality and educational courses in order to improve quality of Korean health insurance review work and to present directions for policies of personnel development and continuing education to smoothly perform hospital's insurance claim work and Agency's review work. The analysis unit of the study is individuals, and survey was conducted among hospital's claim officers and Agency' review officers by distributing questionnaires. The major results of the study are as follows: First, it is found that hospital's claim officers and Agency's review officers have conflicting awareness about review standards; more Agency's review officers think that current review standards are universal and reasonable, while more hospital's claim officers believe that they need to be revised. Especially, hospital's claim officers replied that it is possible that review results can differ according to government's policies. Second, there is no significant difference between the two groups in the opinion that there are individual differences in awareness level of review standard. In particular, both groups share the opinion that review results can differ according to officer's interpretation of review standards. Third, Both review officer groups feel the need for further training and continuing education. Fourth, there is no difference between the two groups in the opinion that both groups members should be educated in review related educational institutions. However, while 81.5% of Agency's review officers the education should be offered at the Agency, only 45.2% of hospital's claim officers agreed to it. Fifth, both review personnel do not show any difference in awareness of needed experience to successfully perform review work; both groups replied that three to four years experience is necessary to smoothly perform claim work and review work. This study was tried in order to search for directions to improve Korean insurance review work in quality rather than to explore characteristics themselves of individual factors. In this sense, this study presupposed an intention that the educational subjects for further training and continuing education for the two groups should be the same in order to narrow the awareness gap between hospital's claim officers and Agency's review officers. Thus, this study suggests that it is desirable to offer beginner courses at junior colleges or in undergraduate courses and advanced courses in professional graduate school for six to twelve months. In that a comparison of awareness level of hospital's claim officers and Agency's review officers who are actually in practice should precede appropriate presentation of directions for the qualitative improvement of insurance review work in Korea, the significance of this study lies in comparatively analyzing the awareness level of hospital's claim officers and Agency's review officers and in presenting the establishment of future further training and continuing education.

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임상시험심사위원회의 임무와 운영 (Mission and Operation of Institutional Review Board)

  • 김용진
    • Journal of Yeungnam Medical Science
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    • 제30권2호
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    • pp.73-78
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    • 2013
  • An institutional review board (IRB) should independently safeguard the right, safety, and well-being of all clinical trial subjects. It should consist of members who are qualified and experienced to review and evaluate the science, medical aspects, and ethics of the proposed trial. They have to pursue continuing efforts to improve the standards of review. The levels of review include the full board review, expedited review, continuing review, or exempt from review, while the levels of decision-making include approval, conditional approval, deferred approval, and disapproval. Investigators must follow the approved protocols and regulations honestly, and it is the IRB's mission to audit clinical trial sites as well.

항공기 지속감항성 유지에 관한 연구 (A Study on the Continuing Airworthiness of Aircraft)

  • 김일영
    • 항공우주시스템공학회지
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    • 제3권3호
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    • pp.1-6
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    • 2009
  • The first Type Certificate project for small airplane is in progress in the Republic of Korea. Therefore, it is necessary to prepare the circumstances that the airplane developed and certificated by this country will exported to foreign countries and operated in the world. One of the main items to be prepared is the systems related with continuing airworthiness of aircraft during the operation. From this point of view, the systems and corresponding capabilities to maintain the aircraft to continue the flight and safe landing will be the immediate work. This study is to review the continuing airworthiness system established by foreign countries such as USA FAA and European EASA and to propose how we will setup our continuing airworthiness system for the airplane developed and certificated by the Republic of Korea.

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국내·외 응급구조사의 보수교육프로그램 비교조사 (Comparison of Continuing Education Program for Emergency Medical Technician in Korea and Abroad)

  • 신동민;장문순;강보라;윤병길;탁양주;이인수
    • 한국응급구조학회지
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    • 제14권3호
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    • pp.95-105
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    • 2010
  • Purpose: This study aims to investigate the operation of continuing education system and continuing education program for emergency medical technician in Korea, Japan and United States and develop reasonable operating scheme of continuing education and curriculum in order to provide the base data for the improvement of continuing education for the improved practice capability and its maintenance, Method: The overall review of continuing education for domestic 1st class emergency medical technician was performed and also the content of continuing education for Emergency Medical Technician - Paramedic in the United States and Paramedics of Fire Department with the license for the paramedic in Japan, have been analyzed through literature, books, articles, agencies' data, laws, and internet date. Result: Hours for domestic continuing education was 4-8 hours and it was only 3-11% compared to 72 hours in the United States and 128 hours in the Japan. And with respect to the types and methods of programs, there were differences both in quantity and quality. Conclusion: As an education, providing and supplementing the changed content and technical information for the improvement of the capability and qualification of emergency medical technician, selection of education hours and various continuing education should be continuously and regularly provided and conducted. The introduction of various continuing education system and programs for this is considered to be required.

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간호사의 보수교육 프로그램 평가에 대한 중요도 인식 (Nurses' Perception of the Importance of Evaluating Continuing Education Programs)

  • 조미영
    • 성인간호학회지
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    • 제25권1호
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    • pp.1-12
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    • 2013
  • Purpose: The purpose of this study was to explore the nurses' perception of the importance of evaluating continuing nursing education programs. Methods: Subjects were 465 nurses enrolled in continuing nursing education programs at five university hospitals in Seoul and Gyeonggi-do. Data were collected from September 20, 2011 to October 13, 2011. The instrument was developed by the author through a literature review. Content validity was established from a panel of six experts. Data were analyzed using SPSS/WIN 18.0 program. Results: The purpose of the program was rated as the most important domain by the subjects. Interestingly, 'program outcome' and 'effectiveness of program' were ranked below the mean (M=$3.64{\pm}0.75$). These two domains were influenced by the district of work and the type of institution. The position of the participants at their institutions made the significant differences on their perception of 'program purpose.' Conclusion: The results of this study might aid us to have better understanding for what nurses perceive the importance of evaluating continuing nursing education programs. This information might be able to be used for improving programs. Further studies are needed to explore the validity of the instruments to evaluate continuing nursing education programs.

Long-Term Efficacy of Anti-Tumor Necrosis Factor Agents in Pediatric Luminal Crohn's Disease: A Systematic Review of Real-World Evidence Studies

  • Rheenen, Hanna van;Rheenen, Patrick Ferry van
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제23권2호
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    • pp.121-131
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    • 2020
  • Purpose: To determine the long-term efficacy of the anti-tumor necrosis factor (TNF) agents, infliximab (IFX) and adalimumab (ADA), in pediatric luminal Crohn's disease (CD) by performing a systematic literature review. Methods: An electronic search was performed in Medline, Embase, and the Cochrane Library from inception to September 26, 2019. Eligible studies were cohort studies with observation periods that exceeded 1 year. Studies that reported time-to-event analyses were included. Events were defined as discontinuation of anti-TNF therapy for secondary loss of response. We extracted the probabilities of continuing anti-TNF therapy 1, 2, and 3 years after initiation. Results: In total, 2,464 papers were screened, 94 were selected for full text review, and 13 studies (11 on IFX, 2 on ADA) met our eligibility criteria for inclusion. After 1 year, 83-97% of patients were still receiving IFX therapy. After 2 and 3 years the probability of continuing IFX therapy decreased to 67-91% and 61-85%, respectively. In total, 5 of the 11 studies subgrouped by concomitant medication consistently showed that the probabilities of continuing IFX therapy in patients with prolonged immunomodulator use were higher than those in patients on IFX monotherapy. Conclusion: This review of real-world evidence studies confirms the long-term therapeutic benefit of IFX therapy in diverse cohorts of children with luminal CD. Moreover, it supports the view that combination therapy with an immunomodulator prolongs the durability of IFX therapy in patients who previously failed to recover following first-line therapy. The limited number of time-to-event studies in patients on ADA prevented us from drawing definite conclusions about its long-term efficacy.