• 품질경영학회지
• /
• 제41권4호
• /
• pp.541-553
• /
• 2013

Purpose: This study intends to offer strategic implications that can be used in emergency medical service of large-size hospital through analysis of causal relationship among factors such as emergency medical service, patient value, patient satisfaction and reuse intention. Methods: Differential model was introduced to test causal relationship. Questionnaire was developed, and data was collected and analyzed with Structural Equation Modeling. Results: As a result of empirical analysis, we found that emergency medical service qualities of general hospital could be six components. Image of hospital, medical facilities, and attitude of medical staff are positively related to patient satisfaction and reuse intention. Conclusion: This study offers practical implications to relevant managers, at the same time it has limitations to be solved through additional study in future.

• 한국응급구조학회지
• /
• 제7권1호
• /
• pp.199-212
• /
• 2003

Fire is a disaster of uncertainty, but since it is an artificial disaster essentially, this study is to emphasize that prevention and suppression of fire should be done more efficiently to develop the national love and trust of fire fighting. And it examines small neighboring living facilities which can be the typical dead ground of fire fighting based on researcher's experiences, intuition and related materials. The main course of the study defines the concept of fire fighting administration, dead ground and small neighboring living facilities. compares and analyzes fire fighting at small neighboring living facilities and the whole fire fighting cases and divides the causes of dead ground of fire fighting into preventive administration and suppressive administration sides. Those causes were resulted from discrepancies of political and social structures, but some of them can be improved depending on firemen's efforts. In addition, the means available for preventing the dead ground of fire fighting based on analyzed causes are suggested. Institutional approaches should be consulted with related agencies and legalized, but most managerial approaches can be introduced easily. Other means are approached for PR.

• 한국지리정보학회지
• /
• 제10권1호
• /
• pp.113-123
• /
• 2007

본 연구는 응급의료서비스를 제공하는 주요 시설인 소방파출소와 응급의료기관의 공간적 입지의 적절성 분석과 함께 응급처치를 위한 출동체계 및 후송체계와 관련된 119응급의료 활동권역의 진단을 연구 목적으로 한다. 이를 위해 부산시 119 구급관련 자료를 GIS상에서 분석 가능하도록 우선 환자 발생위치를 지번데이터와 주소를 기반으로 매칭시킴으로써 개별 개체로 입력하였으며 환자로의 출동 및 병원으로의 후송에 따른 시간을 초단위로 구축하였다. 또한 119 파출소의 위치 및 관할 구역, 응급의료기관 등을 입력하여 시간적 권역은 물론 공간적 권역의 분석을 실시하였다. 구축된 부산지역 16개 구군과 226개 읍면동별 GIS데이터를 활용한 분석결과 부산시 응급의료서비스의 5분이내 비율이 약 41%에 그쳤으며 각 구별로는 5분 초과 10분 이내의 비율이 가장 높음을 알 수 있었다. 또한 병원이용패턴에 있어서도 매우 비효율적인 활동이 이루어지고 있음을 알 수 있었다. 이와 같이 소방파출소와 응급의료기관의 출동시간대별, 후송시간대별 시공간적 분포에 대한 진단결과와 함께 이상적인 출동 및 후송 패턴을 제시하여 이를 비교함으로써 응급의료서비스 체계를 구성하는 공공시설들의 효율적 자원 활용방안을 제시하고자 하였다.

• 보건행정학회지
• /
• 제23권2호
• /
• pp.145-151
• /
• 2013

Background: The objective of this study was to explore patient family's evaluation of emergency department (ED) service satisfaction and to compare these with ED staff perception of patient family's evaluation. Methods: Based on two surveys of the National Emergency Medical Center: the 2008 National Survey for Recognition and Satisfaction towards Emergency Medical Services and the 2008 Opinion Survey of Emergency Medical Service Providers, satisfaction gaps among physicians, nurses, and patient family were evaluated by Kruskal-Wallis tests and Wilcoxon-Mann-Whitney tests. Furthermore, the factors associated with satisfaction of emergency medical service were identified by ordinal logistic regression models. Results: There were statistically significant gaps among physicians, nurses, and patient family in overall satisfaction with ED visit, length of stay in ED, enough explanation, physicians/nurses kindness, and ED facilities. Age and income in the patient family model, the number of beds in hospital, job satisfaction and year of service in the physicians model, and the number of beds in hospital, job satisfaction and the number of patients per duty hour in the nurses model were statistically significant factors associated with evaluation/ perception of ED service satisfaction. Conclusion: Patient satisfaction is an important indicator of the quality of care and service delivery in the ED. To improve and understand satisfaction in ED service, a dyadic view of the evaluation of service quality and satisfaction-that is, from the perspectives of both the patient and the emergency medical service providers-should be concerned.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제29권2호
• /
• pp.49-60
• /
• 2023

Purpose: This study aims to establish detailed spatial planning by identifying the needs for a seclusion module for emergency psychiatric patients. Methods: The necessity of medical space with seclusion function was analyzed from spatial, medical, and social perspectives. The needs for a space capable of performing three medical functions: protection, isolation, and treatment, was analyzed. Among various types of mobile medical facilities, seclusion space was considered suitable for utilizing modular construction methods, as it is the most rational method that can satisfy the environmental level of fixed healthcare facilities' space. Therefore, seclusion modules based on modular construction were planned, consisting of two protective units for stabilizing patients with psychiatric illness, one for treatment unit that can accommodate both internal and external treatment, and another one for an infectious disease isolation unit equipped with negative pressure equipment. Implications: This study analyzed the necessary medical functions of the interior space of the mobile stabilization module based on the spatial analysis of existing medical facilities, and proposed alternative spatial configurations according to treatment, seclusion, isolation functions.

• 한국병원경영학회지
• /
• 제18권4호
• /
• pp.78-96
• /
• 2013

The purpose of this study is to analyze the emergency health care utilization using status according to income class. The target was the 2011 data out Korea Health Panel's raw data. 2011 data composed of total 17,035 people from total 5,741 households. This study set total 1,101 adults over full-20-years old having used an emergency health care utilization as its analysis target. In order to find out the number of emergency health care utilization use according to income class and the influential factors on emergency health care utilization cost, this study conducted the multiple regression analysis. And in order to more accurately analyze the emergency health care utilization use status depending on the income class and the features of emergency health care utilization use status, this study developed Models. As the result, this study found following findings. First, as the income class was lower, the gender was male, the age was lower, and the user has spouse, the user was not a business owner or a paid worker, the user is a house owner, the emergency medical facility type was a clinic, the means of transportation was others rather than 119 ambulance, the reason visiting emergency medical facility was belonged to others rather than accidents or poisoning, then the number of emergency was increased. Second, as the user was in higher income class, received the health insurance benefits, the using medical facility was general hospital, used 119 ambulance more often, stay days in emergency was shorter, then health care utilization cost was increased. In this study investigating the data out of Korea Health Panel, it was found that while the number of emergency health care utilization use was increased in the lower income class, but the emergency health care utilization cost was increased for higher income class. It is considered that this finding was caused from the facts that lower income class was more often exposed to dangers for physical health, so the number of emergency health care utilization use was increased, but their health care utilization cost was decreased because of their economic burdens against various examinations and their difficulties to pay such costs, comparing to that of higher income class. Therefore, in order to solve unequal problem of emergency health care utilization use between lower and higher income classs, it is required to set suitable solutions like the disease prevention effort by facilitating national health check-up programs, the enhancement of public health services in quantity and quality, the emergency health care utilization securing policy at using medical facilities, the promotional, educational activities about emergency health care utilization delivery system, the enhanced accessibility of emergency health care utilizations and emergency medical facilities.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제6권10호
• /
• pp.77-94
• /
• 2000

The purpose of this thesis is to lay groundwork for the development of emergency care system in metropolitan area. It compares the performance and outcome of the current system with foreign counterparts and investigates the changing aspects of future medical environment. Emergency medical system can be divided into two parts of both pre-hospital care, which refers to the emergency measures taken before arriving at a hospital, and hospital care that is given within a hospital. Pre-hospital care includes on-the-spot expedients, information system and delivery system, whereas hospital care is related to the classification and specialization of medical care facilities. This research focuses on the evaluation of the performance of a rescue party, which is part of pre-historical care system. As a result, it provides valuable material for the development of the emergency medical system in Seoul.

• Journal of Radiation Protection and Research
• /
• 제38권2호
• /
• pp.52-59
• /
• 2013

전베타 방사능 분석법을 이용한 내부오염 스크리닝법을 검증하였고 실제 의료용 동위원소 생산시설 종사자 내부오염을 판단하는데 적용하였다. 종사자의 작업 종료 후 첫 번째로 채취된 뇨시료(spot 시료)와 24시간 동안 취합된 뇨시료(24 h 시료)를 채취하여 측정하였다. 특정 종사자의 경우를 제외하고 대부분의 측정결과는 일반인 체내 기저준위인 100 Bq $kg^{-1}$을 기준으로 22% 이내로 변동폭이 작았다. 측정결과 작업종료 후 수 시간 이내 종사자 뇨시료의 전베타 농도가 전반적으로 35% 이상 상승하는 경향이 있었다. 또한 스크리닝 결과와 작업일지를 바탕으로 작업장내부 구조상 오염을 유발하는 요인을 추정 할 수 있었으며 추가 세부 핵종별 분석법을 바탕으로 내부피폭선량을 평가해야 할 것으로 판단되었다. 한편 사업장에서 신속히 적용 가능한 내부오염평가 절차를 수립하였다.

• 한국건설관리학회논문집
• /
• 제18권6호
• /
• pp.38-46
• /
• 2017

최근 전 세계적으로 다양한 유형의 재난이 발생하고 있으며, 재난으로 인한 피해를 최소화하기 위한 재난관리 체계구축의 중요성이 대두되고 있다. 국내에서도 마우나리조트, 세월호 사건 이후 국민안전처 신설, 국가안전관리기본계획 발표 등 재난안전과 관련하여 많은 정책적 개선을 추진하였으며, 재난거점병원을 확충하는 등 시설 확보에도 많은 노력을 기울였다. 그러나 미국, 유럽, 일본 등 선진국과 비교하여 인구 당 응급의료시설이 부족한 실정이며, 재난 시 다양한 기관의 미흡한 협조체계로 효율적 재난관리가 이행되지 못하고 있는 실정이다. 따라서 본 연구에서는 재난상황에 요구되는 응급의료시설의 효율적 구축과 체계적 운영방안을 제시하고자 하며, 이를 위해 선진국 대비 국내 응급의료시설의 현황을 파악하고, 재난현장 응급의료시설 유형 및 상황별 구축 방안을 제시하고자 한다.

• 한국지역지리학회지
• /
• 제10권3호
• /
• pp.606-623
• /
• 2004

응급의료 서비스는 국가가 형평성있게 적절한 서비스를 제공하여야 하는 공공성이 놀은 영역이라고 될 수 있다. 우리나라의 응급의료기관은 매우 불균등하게 분포되어 있을 뿐만 아니라 인력, 장비, 시설 면에서도 지역간에 상당한 차이를 보이고 있다. 된 연구에서는 응급의료 서비스의 수급 현황을 공간적 관점에서 분석하기 위해 서울시를 대상으로 하여 응급의료 서비스에 대한 잠재적 수요 표면도와 공급 표면도를 구축하였다. 이렇게 구축된 응급의료 서비스 수요 표면도와 공급 표면도를 연산 기능을 이용하여 응급의료 서비스의 수급 표면도를 생성하였다. 그 결과 응급의료 서비스의 공간적 격차가 매우 두드러지게 나타났다. 수요력이 공급력보다 크게 나타난 지역은 응급의료센터의 추가 지정이 잠재적으로 요구되며, 수요력이 공급력보다 작게 나타난 지역은 응급의료 서비스의 과잉 공급으로 인해 병원운영의 어려움을 잠재적으로 안고 있다고 풀이할 수 있다. 본 연구 결과는 바람직한 응급의료 서비스의 제공과 적정 수준의 진료권의 범위를 설정하는데 필요한 정보로 활용될 수 있을 것이다.