• 대한약침학회지
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• 제24권3호
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• pp.93-106
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• 2021

This study aimed to analyze the use of Korean medicine treatments for alopecia in among clinical studies. We identified and analyzed 22 studies from Korean databases; Oriental Medicine Advanced Searching Integrated System (OASIS), Science ON, Korean Studies Information Service System (KISS), and Research Information Sharing Service (RISS) and international database; PubMed. We analyzed the Korean medical treatment in each case and determined the tendency to use each intervention. We analyzed 1,464 patients from 22 selected studies. Herbal medicine, acupuncture, external medicine or products, pharmacopuncture, and phototherapy were used for alopecia treatment. The herbal medicines mainly used to treat alopecia were Gagam Cheongyoung-tang, Gagam Hwajung-hwan, and Yukmijihwang-tang·hwan. The acupoints primarily used were GV20, EX-HN1, GB5, KI3, PC6, ST36, GV22, and A-shi. The most commonly used pharmacopuncture therapies were Hwangryunhaedoktang (HH), Carthami Fructus (CF), Bee Venom (BV), and Hominis placenta (HP). The Korean medical treatment for alopecia improved the condition of patients. However, seven studies reported the occurrence of side effects such as pruritus, dazed, drowsiness, headache, pain, and diarrhea. This study shows the potential of Korean medicine for the treatment of alopecia. Further studies with a large sample size and long-term follow-up are warranted to establish the primary treatment guidelines and objective outcome measures for alopecia.

• 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.

• 한국산학기술학회논문지
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• 제18권3호
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• pp.418-427
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• 2017

본 연구는 스마트폰을 사용하는 일반인을 대상으로 구조방정식을 이용한 모바일 헬스케어서비스의 특성에 따른 사용의도 요인을 파악하기 위해 시도되었다. 자료수집은 2014년 03월 10부터 04월 08일까지 500명 대상으로 이루어 졌으며, 수집된 자료는 SPSS WIN 23.0과 AMOS 18.0 이용하여 Path analysis, Structural equation modeling analysis로 분석하였다. 연구결과 외부변수에 해당되는 서비스 품질, 혁신성은 지각된 유용성에 통계적으로 유의한 영향을 미쳤으며, 이 두 요인은 모바일헬스케어서비스 사용의도에 긍정적인 영향을 미친 것으로 나타났다. 이용편의성 또한 지각된 유용성에 유의한 영향을 미치고 있고 또한 콘텐츠 특성과 비용합리성은 이용 편의성에 유의한 영향을 미쳤다. 유용성 또한 사용의도에 직접적인영향을 미침으로 다양한 요인이 모바일헬스케어서비스의 사용에 영향을 주는 것을 알 수 있었다. 최근 증가하고 있는 의료비 상승의 대안으로 스마트폰을 이용한 모바일헬스케어에 대한 인식의 확산과 앱을 개발하는 업체의 다양한 시도가 있어야 하며, 정부는 건강보험의 적용 등 건강관리서비스에 대한 접근성 향상을 위한 정책적 노력이 필요하다. 또한 향후 모바일 헬스케어 대상에 대한 차별적인 서비스 개발과 이에 대한 사용의도를 확인하는 후속적인 연구가 지속적으로 이루어지기를 기대한다.

• 한국산학기술학회논문지
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• 제12권9호
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• pp.4075-4082
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• 2011

항공기 승무원은 최초 반응자로 비행기내 환자 발생 시 적절하고 신속하게 응급처치를 시행하여야 한다. 승무원의 기본응급처치 의식조사 결과, 출혈 관리, 소아 고열, 경련, 심근경색, 기도유지, 부분기도폐쇄 등에 대한 대처방법은 80.5%~97.8%로 올바르게 의식하고 있었지만 의식 없는 기도폐쇄, 호흡확인 방법, 영아자동제세동기 사용 등에 대한 대처방법은 3.2%~20.0%로 비교적 낮게 나타났다. 따라서, 본 연구결과를 바탕으로 기내에서 발생되는 환자 중 발생빈도가 높은 유형, 해결하기 어려운 유형, 생명을 위협할 수 있는 유형 등에 대한 응급처치 매뉴얼이 마련되어야 된다.

• 보건의료산업학회지
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• 제10권2호
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• pp.15-23
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• 2016

Objectives : The purpose of this study was to evaluate the productivity changes of 18 public health centers in Gangwon-do from 2006 to 2013 using the Malmquist Productivity Index(MPI). Methods : Data were collected from Statistics Korea from 2006 to 2013. The input variables were the numbers of medical, nursing and administrative personnels. The output variables were the performances of health promotion programs. Along with the traditional input-oriented DEA analysis, the MPI was calculated. Results : First, among the 18 public health centers, the productivity index of 14 public health centers was increased. Second, the annual productivity showed a 6% increase. Third, the productivity improvements were mainly caused by Scale Efficiency Change. Conclusions : Improving the productivity of public health centers requires the support and external policies of the national and local government. Internally, public health centers need to maintain scale optimization of the center. Additionally, efforts should be made to effectively use limited resources.

• 보건의료생명과학 논문지
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• 제9권1호
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• pp.1-9
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• 2021

본 연구에서는 한국보건의료정보원에서 실시하는 EMR 인증기준울 이해할 수 있도록 보건의료정보관리 실습 프로그램에 인증기준을 추가한 모델을 연구하여 제시하였다. 실습 프로그램은 EMR 인증제의 기능성 기준에 해당하는 환자정보관리를 실습하고 이해할 수 있도록 보건의료정보관리 교육시스템에 환자정보관리에 대한 인증기준 기능을 추가하였다. 환자정보관리를 위한 EMR 인증기준 실습프로그램은 다음과 같은 인증기준으로 구성되었다. 등록번호 및 인적사항 관리, 진료예약 일정관리, 인적사항 수정이력관리, 동명이인 구분자 표시, 다중 등록번호 통합관리, 식별정보를 이용한 환자 검색, 진료형태에 따른 환자 검색, 수술시술 동의서 기록·조회, 개인정보활용동의서 기록·조회, 연명의료결정정보 표시, 외부 의료기관문서 등록·조회, 외부 검사결과 등록·조회. 이와 같이 인증기준에 의한 보건의료정보시스템의 기능을 운영하여 실습해봄으로써 인증기준의 기능성 영역에서 환자정보관리의 인증기준과 내역을 이해하고 실습할 수 있다. EMR 인증 기준에 맞춰 환자정보관리 실습을 수행해봄으로써 전자의무기록시스템에서의 표준화된 환자정보관리를 이해할 수 있다. 또한 EMR 인증기준의 기능을 확인할 수 있기 때문에 의료기관에서 보건의료정보관리사의 전자의무기록시스템의 관리 능력을 향상시킬 수 있을 것이다.

• 한국실내디자인학회논문집
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• 제23권5호
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• pp.174-182
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• 2014

As patients prefer large scale hospitals recently, the interior design of general hospitals are conspicuously improving. In the past, most patients visit hospitals to get treatment on diseases; however, recently patients visiting hospitals for the early prevention of disease is rapidly increasing. Accordingly, contemporary hospitals should meet the wish of patients who want to get medical service in more clean and comfortable environment. The existing studies on hospital interior design were mostly limited on analyzing the functionality of each space; however, studies on the interior design of common use space, which is open to all hospital users, are required now. Accordingly, this study classified the common use space in contemporary general hospitals into lobby space, corridor space, waiting space and resting space. The interior design characteristics of each space were classified into; connectivity with external environment, level change by void, introduction of natural elements, dynamics of space and variety of color. Then a case analysis was done by selecting 12 common use spaces in overseas general hospitals. According to the analysis result, the interior design characteristics were more conspicuous in the sequence of corridor space, lobby space, resting space and waiting space. The interior design elements such as overall space arrangement and material-finishing were relatively acceptable; however, the aspect of a user's environmental behavior, in other words, the psychological aspect, which can lead a patient to natural healing, was relatively insufficient. It is believed that an in-depth interior design focusing on practical users would enable various spatial behaviors. It is hoped that this study would be a help to the interior design of domestic general hospitals as a guideline.

• 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.

• 한국산학기술학회논문지
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• 제19권4호
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• pp.239-244
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• 2018

59세의 기왕력 및 가족력에 특이사항이 없는 남자가 가슴통증을 호소하다 의식을 잃고 쓰러지자 이를 목격한 가족이 119에 신고하였다. 응급의료상담원의 도움에 의해 목격자가 심폐소생술을 시행하였고 거주 중인 아파트에 설치된 자동심장충격기를 이용하여 제세동 1회를 시행하였다. 이후 도착한 119구급대에 의해 제세동 2회 실시 후 자발순환회복되어 인근 응급의료센터로 이송되었으며, 저체온 치료 15일 후 대퇴수행분류 1점으로 퇴원하였다. 현재 우리나라의 응급의료전환상담원 도움에 의한 목격자 심폐소생술 및 제세동의 시행은 시작 단계이지만 본 증례를 통해 충분한 효과를 볼 수 있다고 판단되며, 이에 따라 응급의료전화상담원의 적극적인 자동심장충격기 사용 안내와 그에 맞는 체계적인 교육이 필요하다. 특히 훈련받지 않는 목격자의 자동심장충격기의 사용을 도울 수 있고, 119구급대가 현장까지의 반응시간이 지연되는 원거리 지역에서 중요한 의미를 가질 것으로 사료된다. 또한 우리나라 PAD 프로그램의 양적인 보급뿐만 아니라 목격자의 접근성을 높일 수 있는 방안이 될 것이다.

• 약학회지
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• 제49권6호
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• pp.449-458
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• 2005

There have been rapid changes in the pharmaceutical environment after the separation of Dispensing and Prescribing practice. In the early stage of this system, outpatients had few options to choose their pharmacies due to various obstacles. Under these circumstances, this study on the defection tendency of long-term care patients was performed through the analysis of outpatients who quit visiting a pharmacy nearby general hospital. PowerBuilder ver 9.0 program was used to extract significant data, and SPSS package was employed for statistic analysis. 3,308 outpatients who visited a pharmacy nearby hospital for a month (in January, 2004) were studied. Patients' sex, age and location of residence, the class of medical insurance, the characteristic type of medication (powder, split form, medication for external use/injection), waiting time, disease (department) were considered as variable factors. It turned out that the patient revisit ratio was 80.8$\%$ and the patient defection ratio was 32.4$\%$. As was expected, those factors mentioned above influenced on the revisit and defection ratio considerably. In terms of patient factors, it proved that there was no relationship among sex, location of residence, the class of medical insurance and revisit (defection) ratio. Only age factor influenced the ratio; the older, the higher revisit ratio and the less defection ratio. In respect of dispensing factors, there were obvious relationships among the factors and the ratio: bill (money they had to pay individually), waiting time, number of medications, splitting of tablets, unit price of drug and revisit (defection) ratio showed significant relationship. The result of this study revealed an aspect of outpatients' behavior and it could be used as a reference for better patient service and customer relationship management.