• Title/Summary/Keyword: Essential medical service

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Job Analysis of Hospital Coordinator Based on the DACUM Method (DACUM기법에 의한 병원코디네이터의 직무분석)

  • Yoo, Hyeong-Sik;Lee, Sun-Dong;Shim, So-Young
    • Journal of Society of Preventive Korean Medicine
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    • v.15 no.3
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    • pp.101-114
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    • 2011
  • The purpose of this study was to analyze of Hospital Coordinator based on the DACUM(Developing A Curriculum) method. The contents of this study were to extract the duties, tasks consisting of job of Hospital Coordinator and to investigate levels of importance, difficulty, frequency and entry level on each task, and to make out a job model of Hospital coordinator. A DACUM committee was composed to analyze job of Hospital Coordinator and the committee members were total 17, a facilitator, 15 hospital administrator and a recorder. The major findings of this study were as the followings ; first, duties in job of Hospital Coordinator were total 10, which were organization of Hospital Coordinator affairs, customerfacing services, consultation support, customer counsel, customer management, financial management, medical service planning, medical service marketing, organizational management, image making management, and self-development. And total tasks in job of Hospital coordinator were 76. Second, the tasks which were important, difficult, frequent and essential in entry step of occupation were counseling before consultation, explaining treatment plan after consultation, checking progress of consultation, answering teleconsultation, and finding out customer's consultation information. Third, a job model of Hospital Coordinator was constructed based on the results of DACUM job analysis.

A Proposal for a Classification System and Evaluation Standards for Ensuring the Safety of Transport Ventilator in Korea (국내 운반형인공호흡기 안전성 확보를 위한 분류체계 및 평가기준 제안)

  • Kim, Ji-Hyun;Cho, Sung-Ku
    • The Korean Journal of Health Service Management
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    • v.11 no.4
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    • pp.189-202
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    • 2017
  • Objectives : This study aims to present a new classification system using evaluation standards to ensure the safety of transport ventilators used in Korea. Due to the rapid advancement of technology, various types of ventilators have been developed and as the range of application increases, so does demand. With quick access to information and a growing economy, the technology used in Korean hospitals is equivalent to that of other countries; however, regulatory and safety consciousness are still lagging in Korea. Methods : Based on researching overseas cases, reference data and standards for improving the current system in Korea are proposed. Results : According to the review of transport ventilator use in Korea, it was found that concerns about safety is due to the absence of a standardized classification system for evaluating the safety and effectiveness of transport ventilators. Conclusions : In order to improve the safety of patients and the quality of medical care, it is essential to establish guidelines and assessment standards guaranteeing the safety of transport ventilators in Korea. Clear definitions and classifications for devices must precede the application of such standards. In addition, effective evaluation standards should be developed in order to resolve problems and improve upon the current system through continuous validation.

Full mouth rehabilitation with vertical dimension increase in patient with loss of anterior guidance due to maxillary anterior teeth wear: A case report (상악 전치부 마모로 전방 유도가 상실된 환자에서 수직고경 거상을 동반한 전악구강회복 증례)

  • Kim, Woong-Gi;Yeom, Kyeong-Yeon;Lee, Yong-Sang
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.2
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    • pp.171-179
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    • 2017
  • Severely worn dentition is frequently multifactorial. It is crucial that the etiology of excessive wear be determined, but accurately diagnosing the factors responsible for tooth wear is often confusing. Before initiating the treatment of these cases, meticulous examination and determining vertical dimension are essential. A 69-year-old male patient had the chief complaint that he has worn dentition and functional and esthetic discomfort. Based on model analysis and diagnostic wax up, new vertical dimension had been determined. Provisional restorations were cemented and after 5 months permanent prostheses were fabricated. This case reports a satisfactory functional and esthetic clinical outcome achieved by restoring the vertical dimension.

A Lifelog Common Data Reference Model for the Healthcare Ecosystem (디지털 헬스케어 생태계 활성화를 위한 라이프로그 공통데이터 참조모델)

  • Lee, Young-joo;Ko, Yoon-seok
    • Knowledge Management Research
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    • v.19 no.4
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    • pp.149-170
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    • 2018
  • Healthcare lifelog, a personal record relating to disease treatment and healthcare, plays an important role in healthcare paradigm shifts in which medical and information technology converge. Healthcare services based on various healthcare lifelogs are being launched domestically by both large corporations and small and medium enterprises, however, they are being built on an individual platform that is dependent on each company. Therefore, the terms of lifelog data are different as well as the measurement specifications are not uniform. This study proposes a reference model for minimum common data required for sharing and utilization of healthcare lifelog. Literature study and expert survey derived 3 domain, 17 essential items, and 51 sub-items. The model provides definition, measurement data format, measurement method, and precautions for each detailed measurement item, and provides necessary guidelines for data and service design and construction for healthcare service. This study has its significance as a basic research supporting the activation of ecosystem by ensuring interoperability of data between heterogeneous healthcare devices linked to digital healthcare platform.

The Legal Aspect of Supreme Court Cases on the Unlicensed Medical Practice of Korean Medicine (대법원 판례로 살펴본 무면허 한방의료행위의 법리)

  • Lee, Hai-Woong
    • Journal of Society of Preventive Korean Medicine
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    • v.23 no.1
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    • pp.15-26
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    • 2019
  • Background and Aim : Health care and cosmetics as well as quality of life is now a matter of concern and many categories of complementary and alternative medicine fall into the territory of the medical practice of Korean medicine. Accordingly, penalties are being taken for unlicensed medical practices of Korean medicine in so called complementary and alternative medicine area. There is a possibility of violating the law for the public part because it is not clearly stipulated in the law as to what is a licensed medical practice. Materials and Method : The significance of the Medical Service Act and the Act on Special Measures for the Control of Public Health Crimes were reviewed, and the related supreme court cases were discussed upon the legal aspect of processing the unlicensed medical practice of Korean medicine. The legal information was provided from the National Law Information Center of the Ministry of Government Legislation, and the information websites of the Supreme Court and the Constitutional Court. Results : The concept of medical practice, which is essential in judging the case of unlicensed medical practice, is 'prevention and treatment of diseases through diagnosis, examination, prescribing, medication, or surgical procedures based on medical expertise', and the 'acts that may result in harm and injury of health unless performed by a medical person'. With respect to the medical practice of Korean medicine, the concept includes 'prevention and treatment of diseases using the principle of traditional Korean Medicine'. Conclusions : The concept of medical practice should be clearly stipulated in the law for the control over the unlicensed medical practices of Korean medicine. And it is important to move from the current concept of medical person-oriented medical practice emerging from the national system of healthcare control, to a concept that can accept the era of health managing-oriented medical environment and the co-governance of the healthcare providers and consumers for the future.

Implementation of a Remote Bio-Equipment System for Smart Healthy Housing Properties

  • Han, Seung-Hoon
    • KIEAE Journal
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    • v.14 no.6
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    • pp.23-29
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    • 2014
  • It is essential to investigate the structure and the main characteristics of BSN (Bio-Sensor Network) platform in built smart healthcare environment while designing healthy housing facilities. For this study, WSN (Wireless Sensor Network) data transmission technologies have been employed with medical sensors, and optimal medical devices would provide various Web 2.0 services by connecting to the WiBro network. The BSN platform normally recognizes in surroundings of WBAN (Wireless Body Area Network) or WPAN (Wireless Personal Area Network), and it is possible to manage sensor nodes by utilizing SOAP (Simple Object Access Protocol) and REST (REpresentational State Transfer). In addition, the feature of SNMP (Simple Network Management Protocol) for mobile gateway is also included for being adapted to huge network structure. Finally, BSN platform will play a role as important clues for developing personal WSN service models for smart healthy housing properties.

Integrated Model for Assessment of Risks in Rail Tracks under Various Operating Conditions

  • G. Chattopadhyay;V. Reddy;Larsson, P-O
    • International Journal of Reliability and Applications
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    • v.4 no.4
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    • pp.183-190
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    • 2003
  • Rail breaks and derailments can cause a huge loss to rail players due to loss of service, revenue, property or even life. Maintenance has huge impact on reliability and safety of railroads. It is important to identify factors behind rail degradation and their risks associated with rail breaks and derailments. Development of mathematical models is essential for prediction and prevention of risks due to rail and wheel set damages, rail breaks and derailments. This paper addresses identification of hazard modes, estimation of probability of those hazards under operating, curve and environmental condition, probability of detection of potential hazards before happening and severity of those hazards for informed strategic decisions. Emphasis is put on optimal maintenance and operational decisions. Real life data is used for illustration.

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Community Integration Study through Rehabilitation Medical Support for People with Disabilities

  • Eun-Mee CHOI;Chang-Gun LEE;Lee-Seung KWON
    • Journal of Wellbeing Management and Applied Psychology
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    • v.7 no.1
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    • pp.51-65
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    • 2024
  • Purpose: This study is to propose the establishment and direction of a public health-medical cooperation system for rehabilitation medical services for people with physical and brain disabilities in Gangneung, Korea. Research design, data and methodology: The study focused on 30 individuals with these disabilities registered. Data was collected from December 20, 2021, to December 31, 2021, through structured surveys administered by researchers visiting disability-related facilities, utilizing convenience and random sampling methods. Descriptive statistics and cross-analysis were applied for analysis. Results: Specifically, among respondents with physical disabilities, a total of 20 needs were identified, with 'Visiting health services' (25.0%) and 'Oral health services' (20.0%) ranking highest. The survey results regarding visit-based rehabilitation services for disability support showed a high demand, emphasizing the necessity of service provision tailored to the needs of recipients, focusing on disability prevention, health management, and motor function recovery, rather than solely medical or therapeutic concepts. Conclusions: Gangwon National University Hospital, as the regional referral hospital in Gangwon, should collaborate with Gangwon Province Rehabilitation Hospital to provide prompt acute rehabilitation services. Moreover, cooperation and collaboration with Gangneung Asan Hospital, the tertiary hospital in the region, are essential to ensure continued acute and recovery phase rehabilitation therapy for a certain period in the Gangneung area.

Home Healthcare Service Awareness Survey for Korean Medicine Doctors: a survey study

  • Hye In Jeong;Taegwang Nam;Minhui Hong;Kyeong Han Kim
    • Journal of Pharmacopuncture
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    • v.26 no.1
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    • pp.60-66
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    • 2023
  • Objectives: Discussions regarding "medical blind spots" in Korea's "aging society" are continuously rising. In addition, the demand for medical attention and care for the elderly and vulnerable populations continues to increase. Given this, the government is promoting the "home healthcare service" project. This study aims to lay the foundation for promoting this project by investigating the perception of clinical Korean Medicine (KM) doctors in the "community health care" project. Methods: With the cooperation of the Association of Korean Medicine, we sent a questionnaire to all KM doctors through e-mail. The survey included personal information, awareness, appropriate disease and intervention, proper visit location, and pros and cons. Results: A total of 602 responses were collected and analyzed. Approximately 20% of the doctors answered that they were well aware of the service, while 55% responded that they did not know about it. For a visit, a KM doctor selected the appropriate diseases in the order of stroke, dementia and Parkinson's disease, osteoarthritis, and chronic diseases. Among treatments, acupuncture, moxibustion, and herbal medicine exhibited similar results. The most common opinion was that KM doctors should schedule their visits once a week for 6-12 months, which was the most prolonged period among the given options. More than 80% (84.1%) of the doctors replied that care projects were highly essential, and about 63.8% expressed their willingness to participate in these projects. Conclusion: To provide appropriate home health care, we must raise awareness among Korean medicine doctors. In addition, the healthcare budget must be increased to provide the required support.

Improvement of Night Pharmacy Service by Automated Dispensing Cabinet System Implementation in Emergency Medical Center (응급의료센터 자동약품분배 캐비닛시스템 운영으로 인한 야간 약국업무개선)

  • Kim, Kyung Hee;Kim, Sun Ah;Rhie, Sandy Jeong
    • Korean Journal of Clinical Pharmacy
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    • v.28 no.1
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    • pp.51-56
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    • 2018
  • Objective: An automated process for medication preparation and dispensing is essential to improve the quality of work. To reduce night pharmacy workload, a new automated dispensing cabinet system was implemented in a hospital emergency medical center. The purpose of this study is to verify that implementation of an automated dispensing cabinet system will influence the efficiency of night pharmacy work. Methods: To evaluate the new system implementation, a retrospective study and survey was performed in the Ewha Womans University medical center. We compared the dispensing and near-miss error rates between the automated dispensing cabinet system and a night pharmacy. The degree of satisfaction of night shift workers with the new system was surveyed. Results: This study showed significantly reduced dispensing rates of night medications (56.1% and 37.3%; p < 0.01) and near-miss night medications (0.27% and 0.17%; p<0.01). Thirty-two persons responded to the survey, and the satisfaction score for the new system was 4.0 (${\pm}0.8$). The scores were high in order of efficiency, management, and convenience. Time requirement was also reduced because of the simple step of only reviewing in the pharmacy with the new system. Conclusion: Due to system implementation, workload was reduced and time was saved for not only night shift workers but also patients receiving emergency discharge medicine. It was suggested that this will have a positive effect on pharmacist medical service and patient safety.