• 한국임상약학회지
• /
• 제31권2호
• /
• pp.104-114
• /
• 2021

Objective: To explore the perception of drug utilization review (DUR) system and DUR modernization pilot project among healthcare professionals and patients. Methods: We conducted 8 times of focus group interviews (FGI) between August 1, 2019 to December 31, 2019. The healthcare professionals and patients who participated in the DUR modernization pilot project were included in the present study. Based on the type of project participation or medical institution, the participants were divided into the following four groups: group 1, hospital; group 2, clinic; group 3, pharmacy; and group 4, patient. Within each group, interviews were conducted under a pre-defined agenda to identify the implicit perceptions of the participants; the contents of the interviews were, then, categorized. Results: Healthcare professionals established a consensus on the positive aspects of the DUR system and DUR modernization pilot project. However, substantial concerns remain, such as additional workload associated with monitoring adverse events or acquiring consents from patients. Furthermore, a difference of opinion over the DUR convenience system was observed. Among 3 DUR convenience system, the personal medication history review service was highly utilized, but pop-up hold function and communication system was rarely used. Conclusion: We observed that systematic intervention using the DUR system is effective for both healthcare providers and consumers. Adverse events caused by inappropriate drug use can be prevented by continuous patient monitoring. Therefore, the role of DUR system needs to be expanded to establish a safe drug management system.

• 미래기술융합논문지
• /
• 제2권2호
• /
• pp.15-21
• /
• 2023

본 연구는 손상 경험(사고 및 중독)이 의료 이용 형태에 미치는 영향을 알아보고자 하기 위함이다. 본 연구는 KNHANES VIII-2의 원시자료활 활용하였다. 총 대상자수는 7,359명 중 결측값, 20세 이하 연령층, 부적절한 표기 대상자 1,287명을 제외한 6,072명으로 하였다. 6,072명중 1년간 손상경험 응답자 5,355명을 대상으로 적용하였다. 본 연구의 분석방법은 SPSS WIN 20.0 Version 프로그램으로 분석하였다. 연구결과 젊은 연령층이 손상에 영향을 미쳤고(p<.05), 주관적 건강상태는 좋은 집단 보다 나쁨 집단(약 2.0배, p<.05)이 손상에 유의한 영향을 미치고 있었다. 손상횟수는 손상치료기관으로 외래와 입원보다 응급실 이용이 약 4-5배 이상 이용하는 것으로 나타났다(p<.05). 손상은 활동제한 및 일상생활을 어렵게 하고, 더불어, 의료이용 형태에서도 쏠림현상이 있을 수 있기에 이를 위한 프로그램 강화와 정책마련이 이루어 져야 할 것으로 판단된다.

• 디지털융복합연구
• /
• 제10권3호
• /
• pp.241-250
• /
• 2012

저출산은 생산인구의 감소와 함께 보험료 부담을 가중시키는 문제 뿐 아니라, 종국에는 국가의 존립을 위협하는 묵과할 수 없는 국가적인 정책과제가 되었다. 이에 본 연구는 현 정부의 출산장려정책 중 경제적 지원인 고운맘 카드의 실효성을 알아보고 산모들의 인식조사를 바탕으로 도출된 문제점에 대한 개선안을 제언하고자 한다. 분석방법은 인식도 조사를 위해서는 빈도분석을 이용했으며, 출산장려정책에 대한 선호도를 파악하기 위해 다중응답분석, 고운맘 카드 사용에 대한 만족도와 재출산 의사정도를 알아보기 위한 카이제곱 테스트를 시행했다. 분석결과, 고운맘 카드 사용으로 인한 산모들의 만족도와 재출산 의사간에는 유의한 관련성을 보였다. 또한, 산모들은 정부기관 및 의료기관과 구전으로 전파된 내용에 의해 해당 정책에 접근하는 것으로 나타났다. 그리고 정부의 지원금액 범위 내에서 병원 청구할인서비스 정도만 활용하는 것으로 나타났다. 그러나 지원금액 및 l일 사용 한도금액과 같은 금전적 요인에서 주로 불만을 표출했다. 그에 따른 상향 조정된 희망 개선안을 요구했다. 위의 결과를 토대로, 정부는 정책시행의 궁극적 목적인 출산률의 상승을 위해 고운맘 카드를 개선 발전시켜나가야 할 것이다.

• 한국산학기술학회논문지
• /
• 제17권12호
• /
• pp.594-602
• /
• 2016

이 연구는 국민건강보험 이용자의 입장에서 의료전달체계에 대한 인식에 따른 진료의뢰 개선방안을 제시하기 위해 수행되었다. 국민건강보험 이용자가 1단계 의료기관에서 진료의뢰서를 받아 서울에 소재한 S대학병원(소위 '빅 4병원'중 한곳)을 방문한 207명의 외래환자를 대상으로 설문조사를 하였다. 설문 신뢰도는 Cronbach's ${\alpha}$가 0.7이상 이었고 연구방법은 인구학적인 특성은 pearson카이제곱과 Fisher's exact 검정을, 인식도와 개선요구도 간에는 pearson상관 분석을 실시하였다. 연구결과, 내원환자의 5.9%가 상급종합병원에서 의뢰되어 상급간의 의뢰를 확인하였고, 병원선택요인은 의사의 명성과 신뢰($4.40{\pm}.92$)가 가장 높았다. 진료의뢰제도에 대해 서울의 대형 상급종합병원으로 쏠리는 현상을 가장 높게 인식하였고($4.24{\pm}.97$) 서울의 대형 상급종합병원으로의 집중화현상이 최우선 개선과제로 나타났다($4.05{\pm}1.02$). 의료전달체계의 인식도와 개선요구도의 상관계수가 0.326으로 매우 유의미한 양(+)의 상관관계를 보였다(p<.01). 이번 연구를 통해 향후 의료전달체계 개선 시 공급자나 보험자가 아닌 이용자중심의 제도개선이 이루어지기를 기대해 본다.

• 한국임상약학회지
• /
• 제33권2호
• /
• pp.81-85
• /
• 2023

Background: It was to describe collaborative educational efforts under Coronavirus disease 2019 period to advocate pharmacy-based immunization delivery and meet unmet needs of partnership institution using virtual learning platforms. Methods: A partnership was established among three pharmacy schools from two countries. The class content included the history of pharmacy immunization, pharmacists' roles and contribution to public health of the USA. The class also reviewed the value of pharmacists as frontline healthcare workers to foster student insights and the scope of pharmacy. The virtual class featured an interactive video simulation and small breakroom discussion besides a lecture. Results: Participants indicated that public accessibility to pharmacy and six-year education system in South Korea as advantages. However, legislative restrictions, pharmacist burden, and interprofessional disagreements were expressed as barriers to introduce the pharmacist immunization. Conclusion: A virtual learning platform was used to advocate for pharmacy-based immunization and fulfilled an unmet educational gap at a partnership institution.

• 한국병원경영학회지
• /
• 제23권1호
• /
• pp.16-27
• /
• 2018

1) Purpose : The purpose of this research is to identify the trend of job stress of hospital nurses based on last 10 years of domestic research and to suggest directions for systematic future research. 2) Methodology : 101 studies between 2006 and 2016 were selected using key words such as registered nurse and job stress from Academic Information Service(Riss4u), the National Assembly Library and Korean studies Information Service System(KISS). 3) Findings : The researches on job stress of hospital nurses were increasing. The result showed that job stress increased for shift nurses. Especially, nurses of small-medium sized hospital showed remarkable effects to organization such as turnover intention. In addition, although the importance of approach to management is emphasized, there is little research on these aspects. 4) Practical Implications : It is necessary to develop systematic research on job stress directly effecting turnover intention of hospital nurses from hospital management aspect. The development of job stress measuring tools reflecting the characteristics of the medical institution, and the human resources management plan to resolve the imbalance in manpower for nurses should be required.

• The Journal of Korean Physical Therapy
• /
• 제23권4호
• /
• pp.7-13
• /
• 2011

Purpose: The purpose of this article is to identify whether the physical therapists perceive the important factors influencing the motor development in children with cerebral palsy differently. Methods: Study participants included 58 pediatric physical therapists. They were recruited from the internet communities for physical therapists. The data was collected through a web-based questionnaire using Google Documents tool. Questionnaire was focused on the importance (10-point scale) of each factor influencing the motor development in children with cerebral palsy. The mean scale of each factor was compared by itself and according to the participants' career characteristics. Results: The personality characteristics received the least importance rating (6.77) in comparison with other domains (healthcare service: 7.70, family ecology: 7.53, secondary impairment: 7.53, primary impairment: 7.45). In the detailed items, home exercise (8.33) received the highest mean importance rating, while sociability (6.03) received the lowest mean importance rating. Comparing the importance of factors by the type of work institution, subjects working in the welfare institutions perceived the contextual factors (personality characteristics, family ecology, healthcare service) as more important than those working in the medical institutions. Conclusion: The authorsuggests that pediatric physical therapists should try to have an identical approach by reaching a consensus. Also, the support for family-centered service to children with cerebral palsy should be strengthened.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제12권1호
• /
• pp.27-39
• /
• 2006

This study was intended to present the proper operational scheme and present the criterion for establishment of proper convenient facilities and its planning method and the proper method of laying all sorts of teaching aids out. For this purpose, it attempted to investigate the type of crippled disorder and the behavioral characteristics of schoolchildren with crippled disorder with a focus on the descriptive study on disabled schoolchildren receiving complete integrated education. And it sought to analyze the present situation of complete integrated education and the case of integrated education and dissect the realities of its operation and the realities of the establishment of convenient facilities for disabled schoolchildren with a focus on the survey research.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제16권2호
• /
• pp.17-28
• /
• 2010

The considerable increase of the elderly with dementia is expected annually and when we think about the family members' and the patients' suffering, it could be painful. Above all things, it imposes heavy economic burdens on the family members that have patients who suffer from diseases of age like dementia or paralysis that caring them at home and also, it is not desirable for those old people in point of physical or environmental circumstances for medical care. Thus, it is needed urgently that the expansion of specified facilities and improvement of services for these old people. Under this present condition, it is the special feature that the subject of research is people/facilities that offer services, not the elderly with dementia-the main user of those facilities. This proposal aims to make a study of expansion and improvement the old people's welfare facilities by using remodeled closed Small and Midium Hospitals which are the bad effect of economic growth. Also, it can save money with re-using abolished buildings which is property of the nation and protect environment too. In this study, We examine the present conditions of old people's welfare institution, and research a factor of remodeling for welfare facilities. Then we will verify remodeling-possibility which is concrete and working by using the product of this study.

• Journal of Hospice and Palliative Care
• /
• 제25권1호
• /
• pp.50-54
• /
• 2022

Antibiotics are commonly prescribed medications in the hospice and palliative care setting, as well as in many other healthcare settings. The overuse or negligent use of antibiotics is associated with the harmful consequence of fostering the development of antibiotic-resistant pathogens. Thus, there is an urgent need to critically examine and audit antibiotic use in all aspects of healthcare. In the status quo, there is a lack of consistent standards and guidelines surrounding the use of antibiotics in hospice and palliative care settings, leading to significant variations in how antibiotics are prescribed and administered in end-of-life care. It is apparent that greater thought needs to go into antibiotic decisions for patients receiving hospice or palliative care, especially considering the harmful consequences of the overprescription of antibiotics. The literature suggests that many clinicians prescribe antibiotics inappropriately for patients who would not benefit from their use or prescribe them without adequate documentation. Clinicians should be deliberate about when they prescribe antibiotics and adhere to the appropriate documentation standards and procedures within their institution or community. Future research should seek to generate generalizable knowledge about which patients will benefit most from antibiotic therapy during end-of-life care.