• 보건의료산업학회지
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• 제13권4호
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• pp.215-228
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• 2019

Objectives: The purpose of this study is to figure out that Facilitation education can affect significant improvement in sales staff's understanding of precise pharmacokinetics, benefits, safety, and side effects, etc. and eventually lead to increase in call after taking courses. Methods: Data utilized in this study was collected from 413 sales staffs who completed Facilitation course for 5 months. This study used statistical methodologies, paired t-test, exploratory factor analysis, and logistic regression model in order to identify change in Call and after Facilitation courses. Results: The result shows that there are statistically significant increases in CALL quality after Facilitation courses based on the result of pared t-test. Moreover, Facilitation education is more effective in average time of one-time detail than average number of visits per day and average number of doctors per day from the result of logistic regression. Conclusions: In order for MR in pharmaceutical company to improve CALL quality, the education for precise pharmacokinetics, benefits, safety, and side effects is necessary. In addition, various professional training required for detail, including disease education, Selling Skills education, and literacy education are essential. Therefore, Facilitation education would be desirable choice in terms of pharmaceutical marketing strategy.

• 대한예방한의학회지
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• 제18권3호
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• pp.105-115
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• 2014

Objective : Traditional medicine (TM) has been playing its role in national healthcare system and it is taken as complementary and alternative medicine (CAM) from the viewpoint of modern Western medicine. In the UK, not a few practitioners of Traditional Chinese Medicine (TCM) are working as CAM practitioners using herbal medicine and acupuncture therapy. Cases of dispute in the TCM practice are not rare these days because patients who take TCM service are increasing by year. Method : In the UK, dispute cases of the Traditional Medicine of East Asia can be found these days, however, it is hard to find a reported court case. A medical dispute case of TCM will be analysed to see the legal management and the resolving principle in the alternative medicine practice with some cases of Korean Medicine (KM) being discussed. Results : The usual pattern of clinical negligence can be discussed from the points of a duty of care, breach of that duty by negligence, and the harm to the patient from that breach of duty. The judge followed this procedure In this case to discuss the claims. The department of health proposed to introduce regulation to provide the reasonable quality in TCM practice, and the governmental system would be essential to regulate both the TCM practice and practitioners. Conclusion : The dispute case of traditional Chinese herbal medicine (TCHM) practice is important for the clinical negligence in TCHM practice. Judging the negligence of a TCHM practitioner involves the conventional negligence principle in tort law, and the TCHM practitioners are required to keep up with the up-to-date information on the related medical specialty. The reasoning is almost the same as that shown in the court case of Korea. The TCHM practice in the UK needs to be under the regulation by the government. The standard of care we expect of a TCHM practitioner is a further matter to discuss from the healthcare and social viewpoints.

• 한국멀티미디어학회논문지
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• 제1권1호
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• pp.45-55
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• 1998

원격의료정보 시스템에서는 멀티미디어 정보의 전송을 위한 광대역 통신망과 멀티미디어 원격 의료 정보를 쉽게 사용할 수 있게 하는 단말장치가 기본적으로 구성되어야 한다. 특히 멀티미디어 원격 의료정보 시스템의 단말기에는 의료진이 쉽게 사용할 수 있도록 병원의 기존 진료 절차와 거의 동일한 형태의 진료업무가 실행될 수 있는 멀티미디어 GUI 환경이 제공되어야 한다. 본 논문에서는 ATM/B-ISDN을 기반으로 한 멀티미디어 원격의료정보 시스템에서의 PC용 멀티미디어 원격진료 GUI(TeleMe야_GUI)를 구현하였다. ATM/B-ISDN 통신망 환경에서 워크스테이션을 멀티미디어 데이터베이스 서버로 두고, 각 의료진이 사용하는 PC의 TeleMe야_GUI에서 멀티미디어 진료 자료들을 원격 검색 할 수 있도록 하기 위한 클라이언트/서버간의 통신 프로토콜을 제안하였다. 이러한 ATM 통신망과 통신 프로토콜을 기반으로 하여 PC용 GUI를 구현하였다. 본 논문에서 제시하는 TeleMedi_GUI를 이용하면 의사는 X-ray/CT와 같은 영상정보나 X-ray 판독소견과 같은 음성정보를 이용하여 환자를 효율적으로 진료할 수 있다. 이 연구결과는 1차 진료기관과 2차 종합 진료기관간의 의료정보 서비스망으로 활용될 수 있으며, 병원 내부에서도 멀티미디어 진료시스템 개발에 활용될 수있다.

• Journal of Preventive Medicine and Public Health
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• 제31권4호
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• pp.857-874
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• 1998

The objective of this study is to collect the opinions on the present condition and the improvement directions of urban health centers from and to make a comparison. Samples were drawn from the various sources of a district in seoul. 53 persons involved in district health's administration(the Members of a District Parliament, the senior officials of a District office, village chief) and 84 health center workers were surveyed with anonymous postal questionaires and 427 district private medical personnels with postal questionaires and 625 users of a health center with direct questionaires, from November 18 to 25, 1996. Additionally, 12,151 households were surveyed with self-reported questionaires including priorities on special district health services of health center, from September 1 to 7, 1996. The major findings were as follows : 1) Although the persons involved in district health administration tend to put lower priority on health service over other community activities, they well acknowledged the importance of health center. But health center workers strongly acknowledged the importance of both health service and heath center. 2) As to the level of human resoureces, equipments and ammenities of Health Center commpared with private medical institute, the persons involved in district health's administration and health center workers responded that health center was higher in following order : 54.9%, 41.6%, 36.5% and 88.0%, 80.7%, 44.1%. 3) Concerning the priorities of health center's improvement, the persons involved in district health's administration replied in the order of reinforcement of proffesional health workers (43.3%), improvement of equipments and ammenities(28.3%), and the health center workers replied in the order of reconstruction of organization(24.1%), public health education and promotion(22.8%), reinforcement of proffesional health workers(21.0%). 4) Both the persons involved in district health's administration and health center workers replied that Ministry Health and Welfare, District office, health center were essential as the most critical organizations in the activation of Health Center's Function. 5) Persons involved in district health's administration and health center workers chose, as the most important health center's Function, medical treatment and prevention of infectious disease, and prevention of acute and chrone disease control and special district health service, respectively. Both Groups replied that fammily planning and parasite control are no longer in need. 6) As the future health service requiring reinforcement, every human resources parties considered health conselling, health line, sex education as the most imortant elements in public health education. Concerning the reinforement of other health services such as medical checkup and visiting nurses, every human resources parties showed more than 80% approval rate, but for oriental medical care service, the private medical personels showed relatively low approval rate(52.9%). Therefore the planning for reinforcement of health center's function requires the reflection of human resources party's opinion and the implication of system which can control and combine the differences in party's opinions.

• 한국의료질향상학회지
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• 제9권2호
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• pp.176-197
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• 2002

Backgound : This study is to suggest the standardized format of the clinical sheets and the standardized items of every clinical sheet. The standardization of the medical records will increase the faithfullnes of the contents in them and it will contribute to construct the good health information system. Method : From Jan. 1st. 2001 to March 31st 2001, we gathered as many paper clinical sheets as possible by every class of institutions to review the faithfulness of the clinical contents in them. Clinical sheets of 9 tertiary care hospitals, 6 general hospitals and 56 clinics were gathered. Two experienced medical record administrators reviewed them. The review focus was to check whether the items recommend by the hospital standardization review criteria and hospital service evaluation organization were appeared in the clinical sheets and whether the contents of every item were written. Results : Tertiary care hospitals; In case of administrative data, the contents were filled well if the items were fixed. The clinical data like C.C, history,physical examiniation were filled well, but if the items were not fixed, some items were omitted. The result is that more items are to be filled if they are fixed. General hospitals Administrative data were filled more than 50%. Final diagnosis was filled about 66.7%.But other clinical data were not filled well and not many clinical related items were appeared in the sheets.In the legal point of view, the reason for visiting hosptals or the right diagnosis, patient condition at discharge could not be confirmed well.In surgery cases, surgical procedures could not be confirmed well as many surgical related information(surgery time, fluids and blood, number of sponges, biopsy, etc) were omitted. Clinics More than 70% administrative data were filled and fixed as items. Among the clinical related data, laboratory result was the most credible data. But without the right diagnosis, drug orders were given and doctors' written signatures were not appeared over 96.4%. So the clinical sheets cannot be used as a legal document. Conculusion : There was a tendency that the contents were filled well if the items were fixed in the documents, We also suggest a clinical check list to review the completeness and faithfulness of the clinical sheets. If many hospitals use the suggested clincal check list and if they make the necessary items fixed in the clinical sheets, the quality of the medical record will increase dramatically.

• 보건행정학회지
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• 제28권3호
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• pp.294-300
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• 2018

The development and management of epidemiology intelligence service (EIS) officer with more specialized competence to cope with and prepare for health threats, including pandemic of emerging and re-emerging infectious diseases, is a high priority policy issue in Korea. First of all, we need to establish the training goal of EIS officer. It is necessary to establish manpower training and management system with at least three tiers including quantitative and qualitative targets. Second, at least 50% of all EIS officer must secure a physician and secure expertise and competence for epidemic. Third, for the ultimate purpose of EIS officer, the establishment of a public health expert should expand the scope of epidemiologist's work to health and medical care, occupational environment, and various disasters. Fourth, it is essential to expand the epidemiologist training and education program to the level of advanced countries. Especially, the training course should be expanded at least twice of current times. Fifth, it is necessary to independently install and operate the 'EIS Officer Training Center' as a mid- and long-term goal. Stewardship and governance are secured with the organization, personnel, etc. that can fully manage the planning, management, and evaluation of the EIS system. In the future, it will be necessary to establish a systematic and phased operational base of education and training programs for EIS officer, and establish a sustainable implementation system for strategy development. In addition, it is urgent to revise the guidelines for training public health professionals and strengthening competencies, and for establishing professional educational institutions.

• 한국동물위생학회지
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• 제46권4호
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• pp.293-302
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• 2023

This study provides a comprehensive analysis of the epidemiological trends and challenges in managing tuberculosis (TB) in livestock in Korea from 2013 to 2022. Tuberculosis, caused by the Mycobacterium tuberculosis complex, is a significant zoonotic disease affecting cattle, deer, and other domesticated animals. Despite the initiation of a test-and-slaughter eradication policy in 1964, TB has continued to persist in Korean livestock, particularly in cattle and deer. This study used data from the Korea Animal Health Integrated System and provincial animal health laboratories to analyze TB incidence in various livestock including different cattle breeds and deer species. The results from 2013 to 2022 showed a peak in TB cases in 2019 with a subsequent decline by 2022. The study highlighted a significant incidence of TB in Korean native cattle and the need for amore inclusive approach towards TB testing and control in different cattle breeds. Additionally, the study underscored the importance of addressing TB in other animals such as goats, wildlife, and companion animals for a holistic approach to TB eradication in Korea. The findings suggest that while the test-and-slaughter strategy has been historically effective, there is a need for adaptation to the current challenges, and learning from successful eradiation stories on other countries like Australia. A collaborative effort involving an expanded surveillance system, active private sector participation, and robust government support essential for the efficient eradication of TB in livestock in Korea.

• 전자공학회논문지CI
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• 제40권6호
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• pp.106-117
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• 2003

선진 의료정보시스템은 텍스트 기반 정보를 위한 HL7 표준과 의료 영상 정보를 위한 DICOM 표준을 기반으로 한 HIS(병원정보시스템)/RIS(방사선진단시스템), PACS(의료영상시스템)와 같은 독립적인 시스템이 상호 유기적으로 결합된 형태로 구축된다. 최근 들어 시스템(HIS/RIS, PACS) 상호간의 원활한 정보 교환의 필요성과 환자의 타 병원으로의 이송, 원격진료(Teleradiology) 서비스, 기타 의료 데이터 공유에 대한 필요성이 증가함에 따라 통합의료정보시스템의 개발과 인터넷을 통한 통합검색 및 교환을 위한 적절한 대안이 요구되고 있다. 본 논문에서는 이에 대한 방안으로 XML을 활용한 통합의료정보시스템을 제안하였다. 기존 문서의 XML화를 위하여 HL7과 DICOM 두 표준에서 제안하는 표준 문서의 특성을 분석하고 이를 기초로 통합 XML DTD를 설계하였다. 시스템 구현은 1)HL7 메시지와 DICOM 파일로부터 관련 데이터에 대한 정보의 추출. 2)통합 DTD를 기반으로 한 XML 문서 인스턴스와 XSL 스타일시트의 생성 및 저장. 3)최종적으로 ASP를 사용한 웹 검색 인터페이스를 구현함으로써 웹상에서 데이터의 공유와 상이한 두 표준간 의료 정보의 교환 및 검색을 위한 통합의료정보 시스템을 구현하였다. 본 논문에서 제안한 XML 기반 통합 의료정보 시스템은 의료정보의 통합과 인터넷을 통한 데이터의 교환 및 공유를 가능하게 함으로써 기존 의료정보시스템의 문제점을 해결할 수 있을 것으로 보인다. 또한 XML의 유용성과 확장성으로 기존의 HTML 기반 웹 의료정보 서비스와의 차별화도 기대할 수 있을 것이다.

• 서비스연구
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• 제12권3호
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• pp.26-44
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• 2022

업무 중 경험하게 되는 직무스트레스는 성과 향상 등 조직에 긍정적인 영향을 미치는 반면, 적절히 관리되지 않으면 소화기 질환 등 다양한 신체 질병을 유발하고 우울증, 신경 질환 등 정신 질환을 일으키기도 한다. 특히 환자의 건강과 밀접히 관련된 일을 하는 의료기관 종사자는 타 직업군 근로자에 비해 직무스트레스의 정도가 높기 때문에 그 위험성이 더욱 크다. 직무스트레스가 오랫동안 지속되면 정서적 소진과 우울을 유발하게 되는데 이는 개인과 조직에 상당한 악영향을 미치기 때문에 반드시 올바른 관리를 통해 스트레스를 감소시켜야 한다. 이에 본 연구에서는 의료기관 종사자의 직무스트레스, 정서적 소진과 우울의 관계에서 정서적 소진의 매개효과를 알아보고자 자가 보고식 설문 조사법을 이용하여 서술적 조사 연구를 실시하였다. 총 298부의 유효 설문지를 통계분석 자료로 이용하였으며, 수집된 자료는 코딩 과정을 거쳐 IBM SPSS statistics version 25 및 AMOS 20.0 프로그램을 이용하여 분석하였다. 분석 결과, 의료기관 종사자의 직무스트레스가 정서적 소진과 우울에 일부 유의한 정(+)의 영향을 미치는 것으로 나타났으며 의료기관 종사자의 정서적 소진이 우울에 일부 유의한 정(+)의 영향을 미치는 것으로 나타났다. 본 연구를 통해 의료기관 종사자의 직무스트레스와 정서적 소진, 우울 간에 유의한 관련성이 있다는 사실을 알 수 있었으며, 직무스트레스와 우울의 관계에서 정서적 소진이 매개변수로서 작용한다는 것을 알 수 있었다. 의료기관 종사자의 직무스트레스는 근로자의 정신건강과 신체 건강을 위협하고 의료서비스의 질적 저하를 유발하는 등 조직적 측면의 악영향 등을 일으킨다는 점을 미루어 볼 때 의료기관 종사자의 직무스트레스를 해소하고 적절히 관리할 수 있도록 조직적 측면에서의 노력이 필요할 것이다.

• 대한물리치료과학회지
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• 제10권2호
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• pp.246-257
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• 2003

Even though the automation of industrial machinery has dramatically increased, most industries still require human hands for the production of goods. Our hands are essential to our existence. For this reason, hand injuries caused by industrial accidents have become an important issue lately. Most hand injuries are external wounds and constitute 38.6% of disabling industrial accidents. This significant statistic cannot be ignored by rehabilitation programs. The rate of success in operations of finger and hand injuries has increased, but relatively less consideration has been given to physical therapy, rehabilitation, research, or systematic installment in terms of welfare, which would help the injured carry on the nominal life they lived before their injury. Therefore, it is necessary to study systematically all related aspects to provide patients with physical therapy, rehabilitation, and social welfare, in order to restore their social, professional, and economical capabilities. Physical considerations, functional usability, and cosmetic restoration, as well as the patients' mental state must be addressed. The results of the study shows several problems. Medical appliances, manpower, and the environment of the treatment rooms are very poor. The patients cannot receive treatment early enough nor enough treatment because of too many patients for too few physical therapists. Close cooperation between physical therapists and doctors, nurses, or related departments is lacking. Furthermore, it is irrational that industrial accident premiums for the exert; e treatment of hand injury patients are not itemized. Lack of recognition of the importance of specialty in hand injury therapists leads to the lack of professionalization of systematic hand injury treatment In order to solve these problems, the professonalism of physical therapy should be acknowledged and particular treatment courses should be available and/or required. Based on the understanding of the hand injury patients' needs, new theories of physical therapy should be developed and modem medical appliances and facilities should be available, in order to provide the patients with qualitative medical treatment, which then will facilitate the patients' recovery.