• 제목/요약/키워드: Family physician

검색결과 132건 처리시간 0.026초

의사들의 의료정보 시스템 수용도에 영향을 미치는 요인에 관한 연구 (A Study on factors affecting physician's acceptance of Electronic Health Record(EHR) System)

  • 정세영;이기혁
    • 한국인터넷방송통신학회논문지
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    • 제19권6호
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    • pp.117-125
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    • 2019
  • 성공적 EHR 구현을 위해서는 의사들의 EHR에 대한 수용도(acceptance)와 태도(attitude)를 이해하는 것이 중요하다. 본 연구에서는 사우디 아라비아에 수출된 한국 EHR에 대한 사우디아라비아 의사들의 수용도(acceptance)를 조사하여 한국 EHR의 해외 확산을 위한 기초자료를 제공하고자 하였다. 의사가 EHR을 수용하는 주요 요인인 의사의 참여도, 적절한 훈련, 의사의 자율성, 의사와 환자와의 관계, 사용편리성, 유용성, 태도 중 자율성과 의사와 환자와의 관계 요인을 제외하고는 모두 Likert 척도 3.5점으로 높게 조사되었다. 의사들의 한국 EHR을 실제 사용한 경험이 EHR 수용태도에 영향을 미쳤을 것이며, 긍정적인 연구결과로 비추어 볼 때 한국산 EHR이 해외 시장에서도 충분히 경쟁력이 있다고 판단할 수 있다.

노인병 인정의 양성 교육: 만족도와 현실성 (Certificate Education for Geriatric Physician: Satisfaction and Feasibility)

  • 이성천;김화준;박형준;윤종률;김창엽;문옥륜;장숙랑
    • Journal of Preventive Medicine and Public Health
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    • 제41권1호
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    • pp.10-16
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    • 2008
  • Objectives : Korea faces a number of challenges to meet demands in the area of geriatric professional medicine in a country with a rapidly ageing population. We evaluated the satisfaction and feasibility of the current education certification for geriatric physicians. Methods : Geriatric physicians who were deemed qualified by the Korean Geriatrics Society during the period of 2001 to 2005 (n=2,200) were asked to complete structured questionnaires sent to them by mail about their satisfaction of and need for certificates of education, as well as their opinions on their geriatric specialty training. A total of 419 physicians responded. Descriptive analysis and hierarchical regression were performed to rate the respondents' satisfaction, the characteristics of the need for clarity and utility in education certification, and the characteristics of their patients. Results : Although most respondents were satisfied with their education certification, those who had more elderly patients, aged 65 or older, and those who had more cognitively impaired patients, rated their education as significantly lower than did other physicians. Both groups expressed the need for more the comprehensive care and assessment concerning of their education. Multiple regression analysis indicated that satisfaction with geriatric physician qualification was associated with a physician's age, specialty, and percentage of elderly patients. Conclusions : This study suggests that the current system of education certification is limited in terms of feasibility and physician satisfaction.

간호대학생의 자기주장이 간호사와 의사의 협업에 대한 태도에 미치는 영향 (The Impacts of Assertiveness on Attitudes toward Nurse-Physician Collaboration in Nursing Students)

  • 이상민;류영호;김주현
    • 한국간호교육학회지
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    • 제24권4호
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    • pp.326-336
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    • 2018
  • Purpose: This study was conducted to identify the factors affecting nursing students' attitudes toward nurse-physician collaboration. Methods: The subjects were 200 nursing students from a college in K city, and the participants were recruited by posting a recruitment announcement. Data were collected from June 26 to 29, 2018 and analyzed using SPSS 22.0 and descriptive statistics, t-test, ANOVA, Sheff? test, Pearson's correlation coefficients, and hierarchical multiple regression. Results: Attitudes toward nurse-physician collaboration showed a statistically significant difference according to grade, the reflection of opinion within the family, and the number of the counselor in general characteristics. Assertiveness and attitudes toward nurse-physician collaboration showed weak positive correlation (r=.18, p=.011). In hierarchical multiple regression analysis, the most affecting factor was junior grade (${\beta}=.25$), followed by positive assertiveness (${\beta}=.18$) and the number of the counselor (${\beta}=.14$). These variables explained 12.0% of the total variance in attitudes towards nurse-physician collaboration. Conclusion: To create positive attitudes toward collaboration between nurses and physicians in nursing students, various educational programs related to assertiveness on communication skills need to be provided from the lower grades. Also, a multidisciplinary simulation program should be developed and applied to be able to experience the situation of nurses and physicians.

병원 간호현장에서의 억제대 사용실태에 관한 연구 (The Physical Restraint Use in Hospital Nursing Situation)

  • 김기숙;김진희;이선희;차혜경;신수정;지성애
    • 대한간호학회지
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    • 제30권1호
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    • pp.60-71
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    • 2000
  • This research is a field investigation to collect basic information about the safe and efficient use of physical restraint in hospitals and for the ultimate minimization of restraint use. The objects of this study were sixty-four patients. They were restrained physically. Add their 32 family members, 24 nurses of two university hospitals in Seoul were also involved in the study. From April 16, to May 27, 1999. Research data were collected throughout the observation and interview process. Also, the data was analyzed using frequencies and field study notes that were invented by researchers. Results of this study were as follows: 1. According to the sex and age distinction; male's restraint use was 75%, female's was 25% and pre-schoolage children 39.1%, middle age 26.5%, and senior citizens 20.3%. According to the disease distinction; neuro-system was 35.9%, respiratory system was 21.9%. In the Ward, 40.6% of ICU patients were restrained and 39.0% of pediatric ward children were also to restraint. 70.3% of patients were restrained under 5days, while 10.9% were restrained 10days. 2. Types of physical restraints were wrist restraint (45.21%), arm board (35.62%), leg restraint (8.22%), chest restraint (6.85%), elbow restraint (2.74%) and mitten restraint (1.37%). 3. The percentage was 3.5%, which was in 64 restrained out of 1828 hospitalized people. At 1st investigation, the ratio was 3.5%, the 2nd was 3.0% and the 3rd was 3.9%. 4. The reasons of using the physical restraint were 'to protect implements' (72.84%), 'to protect patients' (18.52%), 'to protect an operative site' (8.64%). 5. The result of the patients; family and nurses' response analysis was: 'It seems to be safe', 'It uses properly', 'It is convenient for relatives and nurses', 'It is helpful to treatment', 'Objective think it is not restraint' were 79.9%. 'It is discomfort and stuffy', 'The implement is ineffective' were 21.1%. However in interview of the patients who can do verbally communication, 6 of 7 was responded that 'It is stuffy and uncomfortable'. 6. When restraint is used, the main decision is usually made by the nurses 42.2% of the time. The statistics read as thus: nurses and the physician in charge 31.3%, nurses and family 12.5%, physician's order 7.8%, only family 6.2%. Although the record of restraint was only 15.6% so that only 10 cases out of all the 26 ICU patients restrained. This study shows that physical restraints which of infringe independent-right of patients, are used without using criterion, explaining the agreement. Also, subjective decision of physician, nurses, and family make the decision of using restraint. So development of practice manuals and rules for restraint implementation is urgent.

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농촌주부(農村主婦)들의 의료(醫療)와 항생제(抗生劑)에 대(對)한 지식(知識)과 태도(態度)에 관(關)한 조사(調査) (A Study on Knowledge and Attitude of Housewives toward Health Care and Antibiotics in a Rural Area)

  • 김순기
    • Journal of Preventive Medicine and Public Health
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    • 제9권1호
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    • pp.147-151
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    • 1976
  • A study was conducted during the period of August 13 to August 18, 1974 to obtain information on knowledge and attitude of the rural area housewife toward health care and antibiotics using. Interviewed 242 housewives dwelling in Soodong and Hwado Myun, Yangju Gun, Kyunggi Do, a typical rural area in Korea and the following results are obtained: 1. Of 242 housewives interviewed, 20.2% were illiteracy, 68.2% was graduated from primary school, 9.1% from middle school and 2.5% from high school. 2. Of those interviewed, 8.7% were Christian, 5.0% Bueldist, 2.9% Confucianism, and 83.4% of those were no religious preference. 3. Utility rate according with the kind of mass media in home was 85.1% of respondants possessed radio, 16.1% of magazine, 12.8% of newspaper, and 4.1% of television. 4. In the case of patients occure in a family, 13.0% out of 242 respondants had chosen physician's clinics for inicial medical care place, 58.4% drug stores, 0.9% herb medicine and 27.7% of those had chosen folk medicine at home. 5. Antibiotics effective complaints listed by the respondants were skin diseases with 43.8%, suppurated wound 30.0%, URI like symptoms 18.2%, diarrhea 14.5%, low back pain 12.9%, fever 6.2%, loss of appetite 3.3%, all kind of diseases 2.5%, urethral discharge 2.1% and tuberculosis 0.8% respectively. 6. Only 14.7% of respondants had obtained antibiotics for medical care from physician's clinics and 85.3% of the respondants had obtained antibioties from drug store (70.7%), village shop (10.4%), and salesmen in street market without any physician's prescription. 7. Eighty-nine percent of the respondants were understanding on patient care activity as the local health subcenter but only 11.0% of those on M.C.H., 29.0% of those on family planning, 21% on vaccination, and only 6.6% on tuberculosis control activity. 8. Utility rate of the local health subcenter was 71.9% out of the patients indicated medical care of medical facilities.

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건강보험환자와 의료급여환자 간 의원 외래 의료이용 차이와 공급자 진료행태 (Difference in Outpatient Medical Expenditure and Physician Practice Patterns between Medicaid and Health Insurance Patients)

  • 주정미;권순만
    • 보건행정학회지
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    • 제19권3호
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    • pp.125-141
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    • 2009
  • The purpose of this study was to examine the role of provider practice patterns in the difference in health expenditure between the two types of patients: Health Insurance and Medical Aid type 1. The study used the outpatient claim data for all Medicaid and health insurance patients of hypertension who received medical services from 8,454 primary care physicians during the first half of 2006. The data were stratified by patient's gender and age for the two groups of patients who received care from the same physician. The dependent variables were the differences in medical expenditure per case, patient days per case and medical expenditure per patient day between Medicaid patients and health insurance patients. Empirical results showed that physician characteristics, such as physicians under age 50, greater proportion of pediatric Medicaid patients, lower proportion of new Medicaid patients and the greater number of comorbidity of Medicaid patients are associated with the greater difference between the two types of patients (i.e., greater expenditure of Medicaid patients relative to health insurance patients). This study shows that factors associated with provider practice patterns need to be taken into account in Medicaid policy.

소비자 중심 의료 관점의 만족도 조사에 기초한 가정의 도입에 대한 탐색적 연구 (An Exploratory Study on the introduction of family physician based on Satisfaction Survey from a customer centered care principle)

  • 오동일
    • 한국산학기술학회논문지
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    • 제21권12호
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    • pp.456-468
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    • 2020
  • 본 연구에서는 소비자 중심 의료 관점에 기초해 미국·캐나다 재외국민들을 대상으로 진행된 의료 만족도 비교 조사를 바탕으로 가정의 도입과 관련된 탐색적 연구를 수행하였다. '16년 -'18년 사이에 설문조사지 배포 및 회수 방식으로 수집된 493개의 실증자료에 기초한 통계적 분석 결과 본 연구의 주요 결과는 다음과 같다. 첫째, 미국·캐나다 가정의에 대한 만족도가 한국의 1차 의료 의사에 비해 높다는 증거를 발견할 수 없었다. 둘째, 치료기술 및 수준, 진료예약 신속성 등에서 한국 1 차 의료 의사 만족도가 높았으며 가정의 제도에 비해 약점으로 언급되는 충분한 상담 및 설명 측면에서도 가정의 제도가 더 우수하다는 증거를 발견할 수 없었다. 셋째, 미국 재외국민은 캐나다 재외국민에 비해 가정의 제도에 대한 만족도가 더 낮게 나타났다. 넷째, 미국·캐나다 재외국민은 가정의를 거쳐 병원에 가도록 강제하는 제도에 대한 부정적인 평가가 높았고 질병 발생 시 가정의를 통하지 않고 병원을 직접 방문하는 것을 선호하였다. 결론적으로 미국·캐나다 가정의 만족도가 한국 1차 의사에 비해 높다는 충분한 증거가 없으므로 서구식 가정의 제도 도입 전 이 제도로 인한 효익과 비용에 대한 보다 심층적인 추가적인 분석이 수행될 필요가 있다.

안락사 (Euthanasia)

  • 홍영선;염창환;이경식
    • Journal of Hospice and Palliative Care
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    • 제2권1호
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    • pp.1-6
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    • 1999
  • 배경 : 안락사는 조절되지 않는 고통을 경감시킬 목적으로 한 사람의 생명을 끝낼 의도를 가지고 가해지는 중재를 말한다. 안락사를 합법화하고 규정을 만드는데 대한 논쟁이 의학 논문들을 통하여 계속되어 왔다. 방법 : 지난 수년간 발표된 안락사에 대한 논문들을 정리하였고 안락사를 시행하는 이유들을 알아보았다. 또한 네덜란드에서 안락사를 정책적으로 허용한 이후에 빚어진 결과를 문헌 고찰을 통하여 소개하였다. 결과 : 안락사가 아닌 행위가 종종 안락사로 불리어 왔으나 그 안에 내포된 윤리적 원칙들을 조사함으로써 구분이 가능하다. 네덜란드에서 안락사를 시행하는데 사용하였던 지침들은 부적절하였고 남용된 바가 컸는데도 렘멜링크 위원회의 보고서는 네덜란드에서는 안락사가 적절히 잘 이루어 졌다고 소개하였다. 결론 : 안락사를 합법화 해야할 임상상황은 어디에도 존재하지 않는다. 총괄적이고 여러 분야의 전문가가 협동하는 완화의학은 안락사를 시행해야 할 이유라고 불리는 말기환자들의 고통의 대부분을 효과적으로 조절해 줄 수 있다.

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정신과 환자 퇴원시 가족들이 느끼는 불안에 관한 연구 (A Study of Anxiety of Families of Psychiatric Patients at Discharge)

  • 김기숙
    • 대한간호학회지
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    • 제7권2호
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    • pp.31-42
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    • 1977
  • This study investigated the anxiety of families of psychiatric patients at discharge. The purpose was to contribute to the improvement of psychiatric nursing care, rehabilitation and social adjustment of psychiatric patients and community mental health. The objectives of this study were to identify the acceptance of the psychiatric nurse by the families, their anxiety at the time of discharge, whether any help was wanted to reduce anxiety, the attitude toward the patient after discharge and feelings about the patients. The population studied consisted of 180 family members of patients from 10 mental hospitals (including local clinic) in Seoul and Kyung- Ki province, from March I to April 30, 1977. The date were collected by an interview schedule, and compared and analysed by Computer usings х$^2$- test. Results were as follows : 1. Many of the families(83.6%) expressed a acceptance of psychiatric nurse. 2. A little more than half of the families(51.1%) expressed happiness but a largo portion (38.9%) had "anxious" feelings at discharge. 3. Almost all families(92.6%) wanted a physician′s help to reduce discharge anxiety. Younger families tended to want the physician′s help more. 4. Many of the families(83.1%) wanted a nurse′s help. Families of parents patients admitted for the 1 st time wanted the nurse′s help more. 5. Comparing the feelings at a previous discharge with the present discharge, 49.1% of the family expressed greater happiness at tile latter than the former. 6. More than half the families responded positively toward the patient. Unmarried family members responded more positively than married Families of 1 st admission patients responded more positively than families of readmission patients. 7. Many families(78.8%)had positively feelings toward the patients. More negative responses came from women than from men, from lower education levels, lower incomes and readmission patients.

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