• 제목/요약/키워드: Doctors' awareness

검색결과 125건 처리시간 0.025초

User perception of medical service robots in hospital wards: a cross-sectional study

  • Lee, Jung Hwan;Lee, Jae Meen;Hwang, Jaehyun;Park, Joo Young;Kim, Mijeong;Kim, Dong Hwan;Lee, Jae Il;Nam, Kyoung Hyup;Han, In Ho
    • Journal of Yeungnam Medical Science
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    • 제39권2호
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    • pp.116-123
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    • 2022
  • Background: Recently, there have been various developments in medical service robots (MSRs). However, few studies have examined the perceptions of those who use it. The purpose of this study is to identify user perceptions of MSRs. Methods: We conducted a survey of 320 patients, doctors, and nurses. The contents of the survey were organized as follows: external appearances, perceptions, expected utilization, possible safety accidents, and awareness of their responsibilities. Statistical analyses were performed using t-test, chi-square test, and analysis of variance. Results: The most preferred appearance was the animal type, with a screen. The overall average score of positive questions was 3.64±0.98 of 5 points and that of negative questions was 3.24±0.99. Thus, the results revealed that the participants had positive perceptions of MSR. The overall average of all expected utilization was 4.05±0.84. The most expected utilization was to guide hospital facilities. The most worrisome accident was exposure to personal information. Moreover, participants thought that the overall responsibility of the robot user (hospital) was greater than that of the robot manufacturer in the case of safety accidents. Conclusion: The perceptions of MSRs used in hospital wards were positive, and the overall expected utilization was high. It is necessary to recognize safety accidents for such robots, and sufficient attention is required when developing and manufacturing robots.

The Institutionalization Process of the Visiting Rehabilitation System in Japan and the Challenges Faced in the Process

  • Lee, Minyoung
    • The Journal of Korean Physical Therapy
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    • 제34권2호
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    • pp.80-89
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    • 2022
  • Purpose: In Japan, the long-term care insurance and health insurance acts have stipulated the visiting rehabilitation system to provide support at the national level. The prior case of Japan would provide guidelines for seeking a suitable policy direction in South Korea. This study aims to examine the historical transition process of the visiting rehabilitation system in Japan, and the issues that emerged in the process of the institutionalization of this system. Methods: To examine the historical transition process of the system, the regulations announced by the government and their reports were reviewed. The relevant issues were qualitatively analyzed based on the opinions of scholars, therapists, and interested organizations that were reported in published papers on the topic. Result: The visiting rehabilitation system has been implemented in the following chronological order: The Health and Medical Service Act for the aged (1982-2006), the Health Insurance Act (1988-), and the Long-term Care Insurance Act (2000-). Currently, visiting rehabilitation is provided through hospitals, clinics, visiting nursing stations, etc. The following issues came to the fore in the process of the institutionalization of the system: (1) the complexity of the system, (2) the necessity of changing perceptions into a life model approach, (3) insufficient service provision by therapists, (4) the lack of human resources and an education system, (5) the lack of awareness of care managers and doctors about visiting rehabilitation, and (6) the necessity of quality enhancement through a team approach. Conclusion: It is deemed worthwhile to refer to the visiting rehabilitation system in Japan and the issues that emerged in the process of institutionalizing the system while seeking a policy direction for a similar system in South Korea.

한국의 환자중심 의사 역량 연구 (Patient-Centered Doctor's Competency Framework in Korea)

  • 전우택;정한나;김영전;김찬웅;윤소정;이건호;임선주;이선우
    • 의학교육논단
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    • 제24권2호
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    • pp.79-92
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    • 2022
  • With increasing demands for medical care by society, the medical system, and general citizens and rapid changes in doctor's awareness, the competencies required of doctors are also changing. The goal of this study was to develop a doctor's competency framework from the patient's perspective, and to make it the basis for the development of milestones and entrustable professional activities for each period of medical student education and resident training. To this end, a big data analysis using topic modeling was performed on domestic and international research papers (2011-2020), domestic newspaper articles (2016-2020), and domestic social networking service data (2016-2020) related to doctor's competencies. Delphi surveys were conducted twice with 28 medical education experts. In addition, a survey was conducted on doctor's competencies among 1,000 citizens, 407 nurses, 237 medical students, 361 majors, and 200 specialists. Through the above process, six core competencies, 16 sub-competencies, and 47 competencies were derived as subject-oriented doctor's competencies. The core competencies were: (1) competency related to disease and health as an expert; (2) competency related to patients as a communicator; (3) competency related to colleagues as a collaborator; (4) competency related to society as a health care leader (5) competency related to oneself as a professional, and (6) competency related to academics as a scholar who contributes to the development of medicine.

간호사의 투약업무흐름 중단 중재전략 적합성 연구: 전문가 델파이 조사를 중심으로 (Assessing the Suitability of Interruption Intervention Strategies in Nursing Medication Administration: A Delphi Study)

  • 백승주;장승경;홍상희;한수옥;이원
    • 한국의료질향상학회지
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    • 제30권1호
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    • pp.88-104
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    • 2024
  • Purpose: This study explored the suitability of interventions for medication interruption and intervention preferences. Methods: Two rounds of Delphi surveys were conducted with 18 expert panels comprising staff (or charge) nurses, nursing managers, and Quality Improvement (QI) team nurses working in a tertiary general hospital. For 47 situations involving the location of interruption, medication step, and source of interruption, the suitability of three interventions (no-interruption zone, medication safety vest, and education) was evaluated using a 5-point scale. Results: A total of 51 interventions for each situation were found appropriate by satisfying the degree of convergence and consensus. Patients or caregivers, peer nurses, doctors, telephones, and call bells were sources of interruption and were identified as appropriate for the application of interventions. 'Responding to requests and inquiries' by patients or caregivers showed high overall suitability. The nurses' preferred color for the intervention design (no-interruption zone, medication safety vest) is blue text on a yellow background. The priority groups for education related to medication interruptions were patients or caregivers, nurses, and non-nursing staff, in that order. Conclusion: Effective implementation of tailored intervention strategies that consider the specific characteristics of medication interruptions is crucial for mitigating interruptions and enhancing patient safety. Comprehensive educational programs aimed at reducing medication interruptions by improving awareness are necessary. Moreover, future research should evaluate these strategies in clinical settings to ensure their effectiveness in enhancing patient safety.

농촌지역사회 보건요원의 교육을 통한 주민의 보건복지향상에 관한 사회의학적 연구 (Socio-Medical Approach to the Welfare of Rural Residents Through the Education of Community Health Personnel)

  • 염용태;이명숙;조병희
    • 농촌의학ㆍ지역보건
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    • 제17권1호
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    • pp.34-45
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    • 1992
  • In this county, the gap between the urban 'haves' and the rural 'have-nots' continues to be an increasing problem. WHO and UNICEF see primary health care(PHC) as the key to achieving an acceptable level of health throughout the world as a community development. PHC is essential health care made accessible to individuals and families in the community by means acceptable to them. It is the first level of contact of individual, the family, and community with the national health system. It includes at least education on health system. It includes at least education on health problems, promotion of food supply, MCH including family planning, immunization against infectious diseases, control of endemic diseases, treatment of common diseases and injuries, promotion of mental health, and provision of essential drugs. However, of the aboves, education concerning of mental health problems and the methods to identify, prevent, and control them is the principal step of establishment. In Korea, the category of PHC worker includes the physician as public doctor and nurse as primary health care practitioner and community health leader as village health worker. PHC workers of the aboves will thus function best if they are appropriately trained to respond to the health needs of the community. However in this country, since the national PHC service project launched in 1980, the government has not developed and performed appropriate and enough education and training activities. In light of above reasons, several categories of health education activities had been planned and performed being aimed at above specific target groups and the main focus was on the village health workers for about one year from July 1991 to July 1992 in Yeoju Kun of Kyonki Province. At the end of the period, evaluation of education input was carried out to measure the improvement of healthful life of people in terms of awareness, attitude, and practice. At the end of the period, evaluation of education input was carried out to measure the improvement of healthful life of people in terms of awareness, attitude, and practice. The totals of 80 village health workers, 13 public health practitioners and 9 public docters took in the course of health education for a few hours at every month and the evaluation works of educational effect were taken. The results the study were as follows. 1) Number of persons who realized the maxim "health care of the people is a duty of the government" increased after the education course, On the other hand, the rate of satisfaction on the effort of government for health promotion of the people decreased. 2) Public doctors and primary health care practitioners(nurses) liked and enjoyed the education schedule as a meeting of peer group. It provided chances of communication with staffs of Korea University Hospital. It was said that lectures covered great deal of knowledge and technic they urgently needed in the field. 3) After finishing the education course, more of village health workers(VHW) thought they adapted themselves to their roles and functions showing increased number of home visit and contact with primary health care practitioners by month. 4) In case of patient refer, VHW preferred primary health care practitioners to public doctors. 5) Capability of VHWs in most of their functions increased dramatically after when the education course finished except tuberculosis control.

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일개 공공병원 종사자의 공공보건의료에 대한 인식과 기능수행에 대한 조사연구 (A Survey of Role Perception and Function Performance Related to Public Health Service among the Medical Staff in a National Hospital)

  • 조영혜;이상엽;정동욱;최은정;김윤진;이정규;고유영;이유현;배미진;김창훈
    • 농촌의학ㆍ지역보건
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    • 제37권2호
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    • pp.67-75
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    • 2012
  • 최근, 정부차원의 공공보건의료 개선을 위한 노력이 진행 중이지만 실제 의사, 간호사, 보건직등 의료기관 종사자들의 공공보건의료에 대한 역할의 필요성에 대한 인식과 책임감에 대한 조사는 부족한 실정이며 성공적인 공공보건의료의 역할 수행을 위해서는 모든 의료 종사자들의 역할 인식과 직종간의 유기적인 협력이 필요하다. 이에 일개 국립병원 의료 종사자들을 대상으로 공공보건의료에 대한 역할 인식과 기능수행에 대한 조사를 시행하였다. 일개 국립대학병원 직원을 직종별로 20%를 무작위 추출하여 323명을 대상으로 설문 조사를 시행하였다. 의사직 103명(38.9%), 간호직 98명(37.0%), 기타직 64명(24.1%) 등 총 265명(80.2%)이 참여하였다. 의료 종사자들은 공공보건의료시책의 수립 시행 및 평가 지원사업, 국가 또는 지방자치단체의 보건의료 활동에의 참여 및 지원사업, 민간보건의료기관에 대한 기술지원 및 교육사업, 취약계층에 대한 보건의료, 노인, 장애인, 정신 질환자 등 타 분야와의 연계가 필수적인 보건의료, 아동과 모성에 대한 보건의료 등 공공보건의료의 필수적인 6가지 항목에 대하여 공공보건의료 기관으로서의 역할 인식이 부족하였다. 반면 주요 질병관리사업, 공공보건의료에 관한 전문적인 연구 및 검사사업, 보건의료인의 교육훈련사업, 전염병 예방 및 관리, 응급환자의 진료, 민간보건의료기관이 담당하기 어려운 예방보건의료 등 6 가지 항목에 대해서는 중요하게 인식하고 있었다. 대체적으로 보건의료기관 종사자의 공공보건의료기관으로서 역할과 책임의식에 대한 인식이 부족하며 앞으로 공공병원의 공공성 강화를 위하여 공공보건의료 전담인력 확보와 계획적인 공공보건사업에 대한 교육이 필요할 것으로 사료된다.

중학교 체질검사 실태에 관한 연구 (A study on physical examination of middle school students)

  • 박성희
    • 한국학교보건학회지
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    • 제14권1호
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    • pp.131-143
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    • 2001
  • The primary aim of this dissertation is to contribute to the improvement of methods in physical examination by providing quality information for the current school system and advice for improving status. Present status, controversial points and possible remedies in physical examination were analyzed on a frequency and percentage basis. An $x^2$-test was used to verify the statistics between the results from the examination and each variable. In case of multiple categories of variables, an $x^2$ cs was adopted. Chronological data as well as both total and sampling physical examination data verified the statistics using an $x^2$-test. This thesis is based both on the data from middle school health care specialists in Gyunggi Province and on the analysis of physical examinations reported from local schools to the municipal education agency from 1997 to 1999. The results of the study are as follows: First, according to the survey, only 29.0% of the total schools had their school doctors examine all the students while most of the educational institutions failed to implement the whole process of physical examination on the list. It also turned out that the more students the schools have, the lower the rate of implementation of physical examination by school doctors(p=0.014). Second, the average time a school doctor spends for checkup turned out to be approximately 1.7 minutes per student This means that the quality of the physical examination is not guaranteed in the process. Third, 47.7% of those surveryed say that a dental examination was performed, each taking 21.24 seconds on average. In addition, it shows that some 31.5% wanted to have a task force team for dental checkups at the local health center. Given the fact that dental caries among students is progressively on the rise, the dental health centers that are now set up in some elementary schools should be expanded to cover the whole educational institution in order to raise awareness of the importance of dental care. Fourth, 48.5% of those surveyed say that a comprehensive physical examination should be adopted to promote the health of high schoolers. Since it takes a lot of public funds to implement a comprehensive method, it is essential to make sure that in-depth studies should be based on the frequency and methods of physical examination. Fifth, regarding such diseases among 3rd year middle school students in 1999, statistics shows that there was a slight difference in the prevalence rate of color blindness, and allergic diseases for male students ; and color blindness, hearing disturbance and allergic disease for female students. For those items, however, it is too little to say that there is a significant difference and accordingly it is assumed to be a problem of the measuring process. Sixth, the result of analysis on the sample physical examination and the total physical examination of the year 1999 shows as follows: For male students in the 3rd year of middle school, a slight difference appeared to those students in 11 items including eye problems and eye disease, otitis media, tonsillar hypertrophy, spinal shape, respiratory urinary allergic disease and other abnormal diseases(p<0.05). Particularly, the prevalence rate between students with and without disease was shown to be two times more in the following: eye problems, otitis media, tonsill hypertrophy, allergic diseases, etc. For female students in the 3rd year, prevalence rate showed little difference in 14 items(p<0.05). For items including eye problem, otitis media, tonsill hypertrophy, allergic disease, etc. it was shown that the rate was two times more between students with and without diseases. Physical examinations under the current school system are not producing any fundamental results for the health of the students. Methods and results are not trustworthy. Accordingly, a drastic overhaul of the current practices is needed in frequency, methods and items on the list in order to promote the health of the students. Cost-benefit studies as well as political considerations to ensure the development of efficient methods for physical examination are urgently needed at this moment.

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농촌지역 보건소 한방진료실 확대설치 요구도 및 관련요인 - 일개 군 보건소 한방진료실 내소자를 대상으로 - (Need Assessment for Enlargement of Oriental Medical Care Service Room in Rural Community Health Center)

  • 김대필;송미숙;송현종
    • 농촌의학ㆍ지역보건
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    • 제28권1호
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    • pp.39-51
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    • 2003
  • 본 연구는 2002년 5월부터 9월까지 5개월간 경상남도 일개 군 보건소 한방진료실에 내소한 재진 환자를 대상으로 한방진료실 직원이 직접 설문지를 통한 일대일 면접 조사를 실시하였고, 면접 조사를 꺼리는 대상자에 대해서는 자기기입식 방법으로 자료를 수집하여 한방의료 이용 실태와 주민들의 이해도와 만족도를 파악하고 한방진료실을 한방의료서비스 부족지역으로 확대 설치하는 것에 대한 의견을 수렴하는데 그 목적을 두었다. 총 조사 대상자는 163명이었으며 본 연구의 결과를 요약하면 다음과 같다. 첫째, 보건소 한방진료실을 이용하는 주된 대상은 61세 이상이 전체의 65.0%로 과반수 이상을 차지하고 있으며 대상자의 13.5%만이 자신의 건강상태가 좋다고 인지하고 있었다. 둘째, 보건소 한방진료실의 치료법에 대한 사전인식 분석 결과 보건소 한방진료실에서 시행하는 치료법에 대해 올바르게 인식하는 비율은 54.0%로 나타났으며, 특히 침 시술의 경우에는 조사 대상자 모두가 보건소 한방진료실에서 시술한다는 것으로 인식하고 있었다. 셋째, 보건소 한방진료실 이용행태에 관한 분석 결과로는 한의학적인 치료를 받고 싶어서 한방진료실을 찾은 경우가 66.9%로 가장 많았으며 집에서 보건소까지의 소요시간이 1시간에서 2시간 사이까지 많은 시간이 걸린다고 응답한 사람도 9.2%나 되었다. 넷째, 보건소 한방진료실 이용자의 한방보건의료에 대한 요구도를 조사한 결과 이동진료, 금연프로그램, 거동불능자 방문 프로그램 순으로 한방지역보건사업에 대한 요구률이 높았으며 다른 면지역으로의 한방진료실 확대 설치에 대한 요구도 조사에서는 조사 대상자의 73.7%가 한방진료실 확대 설치가 필요하다고 응답하였다. 다섯째, 한방진료실 확대설치 요구도는 학력이 높은 집단, 집과 보건소와의 거리가 멀다고 생각하는 대상자, 치료비에 대한 만족도가 높은 집단에서 높은 것으로 나타났다. 이상의 결과를 볼 때 농촌지역의 한방진료서비스에 대한 이용도가 높은 것으로 나타났으며 도시지역에 비하여 한방의료자원의 분포가 낙후되어 있는 농촌지역 실정으로 보건소에 한방진료실을 설치하여 시행한 한방진료서비스에 대한 이용자들의 만족도 또한 매우 높다는 것을 파악할 수 있었다. 이러한 주민들의 높은 한방진료서비스에 대한 요구에 부응하기 위해 한방지역보건사업을 합리적으로 실시하고 한방진료실이 설치되어 있지 않은 면지역 보건지소로의 적극적인 확대설치가 적극 검토되어야 할 것이다.

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치매, 경도인지장애의 한의진료 현황, 진단 및 치료에 대한 한의사의 인식도 조사 연구 - 한방신경정신과 전문의와 일반의의 차이를 중심으로 - (A Survey of the Recognition on the Practice Pattern, Diagnosis, and Treatment of Korean Medicine of Dementia and Mild Cognitive Impairment - Focusing on the Differences between Neuropsychiatrists of Korean Medicine and General Physicians -)

  • 서영경;유동근;김환;김시연;이고은;김상호;강형원;정인철
    • 동의신경정신과학회지
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    • 제28권3호
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    • pp.263-274
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    • 2017
  • Objectives: To identify the current status of Korean medical practice pattern, diagnosis and treatment of dementia through recognition survey, and to use it as a preliminary data for various dementia research. Methods: Questionnaires were developed through expert meetings. The disease was defined as dementia and mild cognitive impairment, and areas were designated to practice pattern, diagnosis and treatment. From December 18, 2016-January 18, 2017, 221 respondents, including 36 neuropsychiatrists of Korean Medicine and 185 general physicians (including other medical specialists) were included. Results: 1. In both groups, the most commonly used KCD (Korean standard classification of disease and cause of death) were in the order of Unspecified Alzheimer's Dementia (F00.9), Mild Cognitive Impairment (F06.7), and Unspecified Dementia (F03). 2. The most commonly used pattern identification were zang-fu and qi-blood-yin-yang in both groups. 3. Diagnostic evaluation tools were mainly conducted by MMSE, radiologic examination, K-DRS, GDS and CDR in both groups. 4. Both groups reported using acupuncture and herbal medicine mainly. 5. In both groups, the acupuncture method was used extensively in the order of Body, Scalp, and Sa-Am. 6. Neuropsychiatrists used a variety of herbal medicines such as Wonjiseokchangpo-san (Yuanzhushichangpu-san), Yukmijihwang-tang (Liuweidihuang-tang), Palmijihwang-won (Baweidihuang-won), Sunghyangjungki-san (Xingxiang Zhengqi-san) and Ondam-tanggami (Wendan-tangjiawei). General physicians used a variety of herbal medicines such as Ondam-tanggami (Wendan-tangjiawei), Bojungikgi-tang (Buzhongyiqi-tang), Yukmijihwang-tang (Liuweidihuang-tang). 7. Neuropsychiatrists used a variety of Korean herbal preparation products (benefit and non-benefit) such as Ekgan-sangajinpibanha (Yigan-sanjiachenpibanxia), Yukmijihwang-tang (Liuweidihuang-tang), Jodeung-san (houteng-san), Palmijihwang-won (Baweidihuang-won). General physicians used a variety of Korean herbal preparation products such as Bojungikgi-tang (Buzhongyiqi-tang), Banhabaegchulcheonma-tang (banxiabaizhutianma-tang), Yukmijihwang-tang (Liuweidihuang-tang), Ekgan-sangajinpibanha (Yigan-sanjiachenpibanxia), Palmijihwang-won (Baweidihuang-won). Conclusions: By confirming awareness of Korean medical doctors treating dementia in clinical fields and understanding differences between neuropsychiatrists of Korean medicine and general physicians, it can be used to understand guideline users' needs and confirm clinical questions during development of future clinical practice guidelines for dementia.

병원 학대피해아동보호팀의 아동학대 사망사건 개입경험 연구 (A Qualitative Study on Intervening Work Experiences of Hospital-Based Child Protection Team on Child Abuse Death Cases)

  • 김경희;이희연;정익중;김지혜;김세원
    • 한국사회복지학
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    • 제65권4호
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    • pp.61-88
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    • 2013
  • 이 연구는 아동학대 예방과 개입의 큰 축을 담당하는 병원 학대피해아동보호팀의 아동학대 사망사건 개입경험을 탐색할 목적으로 수행되었다. 이를 위하여 전국적으로 등록된 62개 병원 학대피해아동보호팀과 접촉하였고, 최종적으로 아동학대 사망사건을 경험한 5개 병원 학대피해아동보호팀 구성원들(의료사회복지사와 의사)과의 인터뷰를 통해 자료를 수집하였다. 수집된 자료를 질적연구방법을 사용하여 분석한 결과, 팀의 개입에도 불구하고, 학대 피해 아동이 매우 위중한 상태에서 병원에 도착했거나, 보호자의 거짓말이나 치료 거부로 인한 치료적 대응의 지연 때문에, 아동의 사망 진행을 막기 어려웠던 것으로 나타났다. 그럼에도 학대피해아동보호팀의 의심과 개입을 통해 사망 원인이 학대임을 밝혀낸 것은 팀 활동의 의미 있는 성과로 간주되었다. 이 과정에서 신고의무자 역할에 대한 인식 부족과 부담은 의료진의 적극적인 개입을 막는 장애물이며, 개입을 지속하기 위해서는 학대 인과관계 규명에 필요한 증거자료의 확보가 중요하다는 점이 확인되었다. 이러한 연구 결과를 토대로 학대 상황에 대한 조기 발견과 증거 확보 조치, 사망 원인 규명을 위한 실천적 및 정책적 방안에 대해 제언하였다.

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