• 간호행정학회지
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• 제5권1호
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• pp.63-76
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• 1999

The main objective of this study was to develop a concept of service marketing promotion in nursing that is derived from the concepts of service marketing theory. This research was a descriptive study, at the factor isolation level. The principle of concept derivation suggested by Walker and Avant (1988) and the Hybrid model suggested by Schwarz-Barcott and Kim (1993) were employed as the research method. The data were collected from December, 1997 to April. 1998 at a large general hospital located in Seoul. The procedures of this study were as follows: First. at the theoretical phase: the meaning, attributes, and definition of service marketing promotion were identified through an extensive review of the literature. Second, at the empirical phase: fieldwork was done to identify the promotional activities and events in nursing. Top nurse managers from 4 units (Director of Nursing, Head nurses of inpatient nursing unit, outpatient nursing unit. and home care nursing unit) were interviewed and the content of the interview was analyzed to identify the meaning and attributes of promotion in nursing. Other methods such as brochures and other audio-visual materials which were relevant to nursing promotion were used to supplement the interviews. Finally, the results of the theoretical and empirical analyses were intergrated to develop a concept of service marketing in nursing practice. A final definition of service marketing promotion in nursing was identified as follows. 1. Promotion as a marketing function in nursing service is concerned with communication to target markets on all information related to nursing service in order to satisfy the objectives of both a nursing service organization and the target markets. 2. The goals of nursing service promotion include: 1) increasing visibility of nursing services and delivering the information on nursing services, 2) affirming the value of nursing services, so it can contribute to formulation of reimbursement policy for nursing services. 3) advancing the general image of the nursing profession and nursing services. 4) achieving and attaining a desirable positioning for nurses among health care professionals. and 5) creating and stimulating the demand for nursing services. 3. In order to obtain these goals it is necessary to provide information on nursing services, to persuade target markets. to remind them about nursing services. and to establish a collaborative relationship with related departments. 4. The tools used to carry out the above functions of promotion in nursing are the providing nursing services, public relations and publicity. QA of nursing, advertising, and sales promotion. 5. The target markets of nursing service include the nursing customer markets. the internal markets, the influence markets. the recruitment markets. the supplier markets. and the nursing referral markets. In conclusion, the concept of promotion in other service marketing areas can be applied to the promotion of nursing service marketing. The promotion of nursing service is more than just effective communication in nursing service. it is the effective use of the concepts of service marketing promotion. Promotion of nursing service will contribute to create and expand nursing services.

• 의료법학
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• 제10권1호
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• pp.171-211
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• 2009

Because Korea has the excellent informational technology, it was expected to be able to improve the accessibility to healthcare and compete with other nations in excellence through u-Healthcare. But we can't complete the excellent u-Healthcare because of the law to be able to use only the tele-counselling between doctor to doctor or doctor to nurse. First of all, we must complete the law to be able to use the improved u-Health containing of telemedicine between doctor to patient. Though other factors, the procurement of safe IT, the credibility to healthcare service provider containing of nutritionist and occupational therapist etc. are prepared for erecting u-Healthcare, we can get the final and decisive u-Health policy only by means of Law for supporting u-Healthcare's Activation. The important sections of Law for supporting u-Healthcare's Activation are as follows. Sec. 4 The Minister for Health, Welfare and Family Affairs and the dean of associated administrative division have to erect the combined plan for u-Healthcare's Activation. Sec. 11 Government and local autonomous entity can support the facility and equipment to be necessitated for using u-Healthcare to improve the medical accessibility of person in the region with poor medicine. Sec. 13 Doctor can support other doctor's medical action through IT and if there are not medical risk, doctor can give medical act directly to the special patients. Sec. 21 If pharmaceuticals is necessitated in u-Healthcare, remote doctor has to send the patient the electronic prescription and the pharmaceutist to receive the electronic prescription has to delivery the pharmaceuticals in accordance with patient's demand.

• 한국직업건강간호학회지
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• 제30권4호
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• pp.232-242
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• 2021

Purpose: This study investigated the occupational status and job stress of visiting nurses during the COVID-19 pandemic. Methods: Participants were 151 visiting nurses working in the public health services in Seoul and Gyeonggi-do. The study was conducted using a structured online questionnaire. Results: The average age of the visiting nurses was 49.5 years. A occupational period was 38.4% of the participants had worked for a period of 6-10 years and 34.5% of them had worked for a period of 11 years or more. In terms of employment type, 74.8% had permanent contracts and 13.9% had fixed terms. 93.4% of nurses were working on COVID-19-related work; and 57.6% of them were working more than 50% of their work. Each visiting nurse provided health services for a total of 436.4 cases on average and the per day count was 14.3 cases. The service was provided through home visits or phone consultations. The results of the job stress were relationship conflict (60.92±20.72), job demand (59.05±14.10), job autonomy (57.83±14.63), job instability (45.25±27.37), organizational system (44.97±17.21), workplace culture (42.71±18.00), and inadequate compensation (35.29±18.14). There was a significant difference in job stress according to the proportion of COVID-19 work was 'workplace culture' (p=.023), Job autonomy (p=.053) and Inappropriate compensation(p=.054). Conclusion: In order to provide a stable working environment for visiting nurses and effective public visiting health services during unexpected circumstances, such as the COVID-19 pandemic, it is necessary to promote progressive policies and systemic improvements.

• 한국생산제조학회지
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• 제24권2호
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• pp.211-216
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• 2015

Recently, because of the growth in the leisure industry and interest in health, the demand for bicycles has increased. In this research, considering the vertical load on a bike frame under static state conditions, the deflection and mass of the bike frame were minimized by satisfying the service condition and performing optimization. The thickness of the bicycle-frame tube was set to a design variable, and its sensitivity was confirmed by an analysis of means (ANOM). To optimize the solution, a response-surface-method (RSM) model was constructed using D-Optimal and central composite design(CCD). The optimization was performed using a non-dominant sorting genetic algorithm (NSGA-II), and the optimal solution was verified by finite-element analysis.

• 조명전기설비학회논문지
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• 제26권1호
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• pp.87-93
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• 2012

Due to the development of information and communication, there is a rising interest on WBAN(Wireless Body Area Network) that maintain and check the human being health. According to the application of different quality of service and a special mechanism for transferring medical data are required in WBAN environment. In this paper, we proposed the new formed superframe that has CSMA/CA based TDMA scheduling and CSMA/CA used IEEE 802.15.4 in order to process emergency data and on-demand data in WBAN environment. We estimated performance of the proposed MAC protocol by compared performance of other MAC protocols that are IEEE 802.15.4 MAC protocl and Z-MAC protocol has contention access period based TDMA scheduling.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제14권3호
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• pp.23-33
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• 2008

The purpose of this study was to propose the Guidelines for the Program and Space of Adult Day Care Center. Recently the Adult Day Care Center is extremely on demand caused by the increasing population of the elderly. In order to provide the affordable and efficient rehabilitation program the architectural setting should be turned to that purpose. In particular, the adult day center program must have the programs for three kinds of the elderly in terms of health status, for example, Altzheimer's disease, paralysis, and sickly elderly. Therefore this study propose the way of planning the program and spaces to give the appropriate care for Adult Day Care Center.

• 한국학교ㆍ지역보건교육학회지
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• 제15권3호
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• pp.95-103
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• 2014

Objectives: To identify work stress and affecting factors of the emergency medical technicians(EMT) and to provide basic data for work circumstance improvement and emergency medical service and duty efficiency elevation. Methods: The data were collected by questionnaire from 635 emergency medical technicians throughout the whole country from August 5 to September 20 2013 and analyzed by using the SPSS(version 18.0) program. Factors affecting stress were analyzed by Multiple Linear Regression Analysis(${\alpha}=0.05$). Results: Mean level of job stress was markedly high in the spot situation(3.43 point), user awareness(3.31 point), burden related to work(3.21 point), role and conflict as a professional job(3.10 point), unsuitable treatment(2.95 point) but was lowest in specialty demand of knowledge and skill(2.76 point). Conclusions: To diminish work stress, understanding and cooperation of the residents and reduction of burden related to work must be improved. Above all, positive interest of 119 and related organ and duty environment improvement will and effort and continuous measure establishment and support and cooperation of the government are needed.

• 식품과학과 산업
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• 제54권3호
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• pp.145-159
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• 2021

Conventional nutrition services involve producer-oriented approaches without considering the differences in the characteristics and circumstances of each individual, whereas personalized nutrition services are consumer-oriented concepts that provide products and services for maintaining optimal health conditions based on the genetic, physiological, and metabolic characteristics of individuals, with these products based on balanced nutrition and healthy living. Currently, methods for evaluating dietary habits, monitoring dietary behaviors, deep phenotyping, and metabotyping via microbiota profiling, as well as methods for predicting big data by using machine learning, have been previously studied in Korea and abroad. With the development of medical technology and the improvement of hygiene, the demand for personalized nutrition and health services for healthier, happier, and more satisfying lives is rapidly increasing. Therefore, based on scientific technologies, attempts are needed to advance these services into global personalized markets and to boost the global competitiveness of countries and companies.

• 농촌의학ㆍ지역보건
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• 제28권2호
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• pp.1-14
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• 2003

이 연구는 농촌지역 정신보건의료서비스의 필요도와 공급수준을 파악하고 일차정신보건시설로서 보건소가 운영하는 정신보건사업을 평가하고자 하였다. 필요도는 유병률과 정신보건서비스 이용률로 한정하여 2001년도에 보건복지부가 주관하여 실시한 정신질환 실태 역학조사 결과를 이용하여 도농간 차이를 비교하였다. 공급수준은 입원 및 요양 병상수와 일차정신보건의료시설의 기초자치 단체별 설치율로 한정하여 전자는 2002년도에 보건복지부 산하 지역사회 기술지원단이 작성한 보고서 결과내용 중 일부를 발췌하였고 후자는 보건복지부의 2003년도 정신보건사업 안내서와 정신보건의료기관 총람의 내용을 토대로 재구성하였다. 농촌지역의 보건소 정신보건사업을 평가하기 위하여 2002년도에 각 기초자치단체가 중앙에 제출한 제3기 지역보건 의료계획서들 중 농촌형지역과 도농복합형지역으로 구분하여 각각 중앙 및 광역자치단체 정부의 지원 여부에 따라 지원한 경우 1-2개, 지원하지 않는 경우 광역자치단체별로 각각 2개소를 무작위 추출하여 정신보건사업내용부문을 사업대상 및 등록, 구조, 과정으로 나누어 정신보건사업안내서에 제시한 기준을 가지고 평가하였고 담당자들이 작성한 정신보건사업의 문제점들을 분석하였다. 이 연구는 2003년 4월 1일부터 5월 10일까지 이루어졌고 그 결과는 다음과 같다. 첫째, 니코틴 장애를 제외한 평생유병률과 일년유병률은 도시지역이 24.9%, 13.2%, 농촌지역이 28.2%, 17.7%이었으며 정신분열증, 주요우울증, 불안장애, 알코올 사용장애 등 주요 정신질환 역시 도시보다 농촌지역이 더 높은 것으로 나타났다. 또한 지난 일년간 정신보건의료서비스 이용률은 전체적으로 8.9%에 불과하였다. 둘째, 입원 및 요양 병상수는 2001년 현재 인구 천명당 0.97병상이며 요양시설을 포함할 경우 1.27병상으로 세계 보건기구가 권장하는 인구 천명당 1.0병상, 그리고 병상 감소정책을 추진하고 있는 유럽이 0.93병상임을 고려할 때 양적으로 부족하지는 않다. 그러나 광역자치단체간 편차가 큰 것으로 나타났는데 서울, 인천, 울산 등 대도시지역이 충북, 충남, 경남, 전남지역의 1/6내외수준이었다. 셋째, 일차정신보건의료시설의 기초자치단체 충원율을 살펴보면, 정신과 의원은 광역시 및 특별시형은 100%인 반면 농촌형지역 89곳 중 15곳(16.9%)만이 설치되어 있었으며 사회복귀시설은 전반적으로 낮았으며 농촌지역의 충원율이 7.9%로 가장 낮은 것으로 나타났다. 보건소 정신보건사업에 대한 중앙 및 광역자치단체의 지원율이 광역시 및 특별시형이 42%인 반면 농촌형지역은 22.5%인 것으로 나타났다. 다섯째, 농촌형지역과 도농복합형지역 모두에서 지원을 받지 않은곳이 자체예산을 추가로 확충하지 않아 사업인력 및 예산이 매우 취약하고 중앙정부가 제시하는 기본사업에 대한 충실도가 매우 낮은 것으로 나타났다. 이상의 결과를 종합해볼 때 농촌지역이 도시지역에 못지 않게 정신보건의료서비스에 대한 필요도가 높으나 서비스 이용률은 매우 낮았으며 도시지역에 비해 농촌지역의 일차정신보건의료시설들이 매우 부족한 것으로 나타났다. 또한 일차정신보건의료시설로서 보건소가 도시지역 보다 농촌지역에서 더 중요한 역할을 수행해야 하나 중앙의 지원율은 오히려 농촌지역 보다 도시지역이 더 높았고 지원을 받지 않는 보건소의 정신보건사업프로그램은 매우 형식적으로 진행되고 있었다. 앞으로 중앙정부는 일반의료서비스에 있어서 농어촌의료서비스 개선정책을 추진하듯이 정신보건정책에 있어서도 이러한 고려가 필요하다.

• 문화기술의 융합
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• 제6권4호
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• pp.591-598
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• 2020

2020년 2월 COVID-19의 1차 대유행 이후 국내외적으로 원격의료에 대한 수요가 크게 증가하였고, 이에 대부분의 국가에서는 원격의료 관련 규제를 완화하였다. 우리나라 역시 2월 이후 한시적으로 '비대면진료'라는 이름으로 원격의료를 허용하고 있다. 원격의료는 만성질환 관리에 매우 효과적이고 정보통신기술의 발전에 따라 적용 가능한 진료과목이 점차 확대되고 있어, 의료서비스 질 향상 및 새로운 진료모형의 창출에 기여할 것으로 기대된다. 그러나 원격의료 참여를 매개로 한 의료공급자 간 차별화 효과를 낳을 수 있고 이는 대형병원 쏠림의 왜곡된 의료서비스산업구조의 문제점을 더욱 악화시킬 우려가 있다. 따라서 일차 진료기관을 중심으로 한 만성질환 관리 주치의제도의 정착을 통해 원격의료의 확대와 지역의료기반의 안정화를 동시에 도모하고, 상급종합병원 및 외국인환자유치기관에 대해서는 재외국민과 외국인 대상 원격의료 제공 능력을 지원하는 이원적 지원 정책 추진이 필요하다.