• Title/Summary/Keyword: Medical Consultation

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A Study on Health Information and Medical Consulting via Internet Focusing on the Age Group of 20s (인터넷을 활용한 건강정보 및 의료상담에 관한 연구 (20대를 중심으로))

  • Rhee, Hyun-Sill;Lee, Kyung-Sook;Kim, Mi-Sun;Hwang, Seung-Hwan;Kim, Dong-Soo;Woo, Jong-Won;Mun, Dae-Hun;Ryu, Jin-Sol;Lee, Tae-Ro
    • Journal of Digital Convergence
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    • v.10 no.2
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    • pp.255-267
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    • 2012
  • High Internet usage and the public's keen interest on health have influenced the health care system, and a potential value of the online health information and medical consultation market is immense. This study reveals results from data collected from Seoul residents in the age group of 20s in 2011. Out of 499 respondents, 75.2% answered that they used online health information; however, only 7.2% answered that they have used online medical consultation services. Findings on the purposes of using online medical consultation included treatments of symptoms(33.6%) and self-disciplines of one's health(19.5%). Mostly used Websites for health information search included search engines and blogs, but respondents preferred to use government sites and hospital sites in the future. When choosing a medical consultation, respondents preferred a certain website for different reasons including creditability of the consultant(23.7%), creditability of the organization(23.7%), rapid responses(21.2%), and more. Overall, although health information search via web is being highly utilized among people in their 20s, utilization of online medical consulting is not. Thus, promotion efforts to increase awareness and utilization of online medical consulting based on the site selection criteria, type of personal information disclosure, and other preferences are essential. Also, creating websites meeting these criteria is important.

Job Analysis of Ubiquitous Medical Electronic Device Export by the Method of DACUM (DACUM 법을 활용한 유비쿼터스 의료전자기기 전문가의 직무분석)

  • Cho, Dong-Heon;Koo, Kyung-Wan
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.62 no.8
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    • pp.1192-1197
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    • 2013
  • In this paper Ubiquitous Medical Electronic Device Export was defined, and it's job analysis. The authors have been defined the job and classified duties and tasks of Ubiquitous Medical Electronic Device Export. To fine what is the most efficient task for Ubiquitous Medical Electronic Device Export, we have been investigated the levels of importance, difficulty, frequency and entry in each task. A DACUM committee is composed of total 12 members, which are one facilitator, 10 panel members, one coordinator & recorder to analyze the job of Ubiquitous Medical Electronic Device Export. Following is the result of this study. First, The process began with the identification of a job title and definition of Ubiquitous Medical Electronic Device Export. Second, a job model of Ubiquitous Medical Electronic Device Export is constructed based on the results of DACUM job analysis. 5 duties and 33 tasks are analyzed. Third, occupational specification was drawn up in consultation with SME council. Fourth, duty specification was drawn up in consultation. 33 tasks that are essential in entry level of occupation are identified. Fifth, task specification was drawn up in consultation. Detail task component which include skill, materials, knowledge, equipment, achievement level and tool was specified in task specification.

Therapeutic Approaches to the Patients Who were Referred for Psychiatric Consultation from Medical Departments - Psychosocial Aspects in Consultation-liaison Psychiatry - (정신과에 의뢰된 내과계 환자들에 대한 치료적 접근 - 정신사회적 측면 -)

  • Park, Chong-Cheul
    • Korean Journal of Psychosomatic Medicine
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    • v.1 no.1
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    • pp.98-100
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    • 1993
  • To become an effective and successful consultation-liasion psychiatrist the psychiatrist should consider two aspects of consultation before he/she meets his/her patients. First the psychiatrist should understand the internal need and psychological state of patients who visited their physician before being refered to a psychiatrist So psychiatrists should be careful in the evaluation of the patient's intention whether they are willing to accept the psychiatric treatment approach or not Second the psychiatrist should understand the situation and the physician's internal need in the consultation. Psychiatrists should recognize whether there are any factors which interfere with the mutual understanding and cooperation between physicians and psychiatrist.

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Activities to Improve the Accessibility to clinical social work for Patients from Vulnerable/Disadvantaged/Marginalized Social Groups (취약계층 환자의 의료사회 복지서비스 접근성 증진 활동)

  • Hur, Lib;Lee, Young-Sook
    • Quality Improvement in Health Care
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    • v.19 no.2
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    • pp.80-88
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    • 2013
  • Objectives: With the increase in the number of people who are marginalized in receiving medical services, the role of Seoul National University Hospital as a public hospital is being emphasized. However, many patients are either experiencing delays in receiving medical services or simply being left out as a result of the inaccessibility to the department of social work on part of both the patients and the medical staff. Methods: In order to increase consultation from other departments and the accessibility to the department of social work for the socially marginalized group through early consultation from other departments, the following steps were taken. First, an orientation program for novice medical residents led by clinical social worker was introduced/implemented. Second, posters and brochures on various financial aids programs were produced and distributed. Third, a system of early screening was built/constructed, and once a week rounds and early screening meeting were executed/carried out. Result: The department of social work's rate of consultation from other departments increased by 4.4% compared to last year, while it showed 61% increase for those wards that had an early screening meeting. In addition, the average time of consultation from other departments was reduced by 3.1 days, securing sufficient amount of time for clinical social work services, both in terms of quality and quantity. Conclusion: It is believed that the various promotional activities, along with the strengthening of accessibility to clinical social work services and early consultation on part of social disadvantaged/marginalized group, would undoubtedly help provide quality services to patients and increase their level of satisfaction. In this way, the wards can effectively reduce the number of unnecessary hospital stay days while the hospital can prevent the accumulation of outstanding bills/fees as well as contribute to the publicness of hospitals. The promotion of clinical social work programs in various ways are crucial to ensuring the satisfaction of patients and hospital staff.

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 Study on the Tele-medicine Robot System with Face to Face Interaction

  • Shin, Dae Seob
    • Journal of IKEEE
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    • v.24 no.1
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    • pp.293-301
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    • 2020
  • Consultation with the patient and doctor is very important in the examination. However, if the consultation cannot be done directly, such as corona virus, it is difficult for the doctor to determine the patient's condition more accurately. Recently, an image counseling system has been developed based on the Internet, but in the case of heart disease, remote medical counseling cannot be performed because it is not possible to stethoscope the heart sounds remotely. In order to solve this problem, it is necessary to develop an interactive mobile robot capable of remote medical consultation, and a doctor and a patient should be able to set a planting sound during consultation and transmit it in real time. In this paper, we developed a robot that can remotely control a medical counseling robot to move to a hospital room where patients are hospitalized, and to consult a patient in the room remotely from a doctor's office. A remote medical imaging stethoscope system for real-time heart sound transmission is presented. The proposed system is a kind of P2P communication that transmits video information, audio information, and control signal independently through webRTC platform, so that there is no data loss. Consults and sees doctors in real time and finds it more effective than traditional methods for patient security. The system implemented in this paper will be able to perform remote medical care in the place where the spread of diseases between humans like the recent corona 19 as well as the remote medical care of heart disease patients in the future.

Psychiatric Consultation for 5 Years in a University Hospital (일 대학병원에서 5년간 시행된 정신과 자문의뢰 분석)

  • Kim, Sung-Wan;Kim, Seon-Young;Kim, Sung-Jin;Kim, Jae-Min;Shin, Il-Seon;Yoon, Jin-Sang
    • Korean Journal of Psychosomatic Medicine
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    • v.19 no.1
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    • pp.28-33
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    • 2011
  • Objective: This study aimed to investigate the pattern of psychiatric consultation-liaison in a new general hospital over a 5-year period. Method: Retrospective chart review was conducted for psychiatric consultations performed from May 2004 to December 2008 in a new general hospital in Hwasun, Korea. Results: A total of 1,852 patients who were referred to the Department of Psychiatry for consultation were included in the analysis. The main reasons for psychiatric consultation were changes in mental status(20.5%), depression(16.8%), insomnia(12.8%), and anxiety(7.9%). Psychiatric consultations were conducted with diagnoses of delirium(39.7%), depressive disorder(28.2%), adjustment disorder(7.9%), and anxiety disorder(4.1%). Patients with delirium were significantly older than were those with other psychiatric diagnoses(p<0.001). Delirium was more common in male patients than in female patients(47.1% vs. 29.9%, respectively), and depression was more common in female patients than in male patients(48.3% vs. 33.9%, respectively)(p<0.001). Delirium was more common in patients who underwent surgical operation than those who did not(p=0.010). Conclusion: Delirium was the most common diagnosis for psychiatric consultation followed by depression in a university hospital. Delirium was more prevalent in men than in women, while depression was more common in women.

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Psychosomatic Management of Medically Ill Elderly : Focused on Consultation Psychiatry (신체질환이 있는 노인 환자의 정신신체 의학적 치료 : 자문정신의학을 중심으로)

  • Ryu, Seong-Gon;Kwon, Hee-Jung
    • Korean Journal of Psychosomatic Medicine
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    • v.16 no.1
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    • pp.25-30
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    • 2008
  • With the rapid growth of geriatric population, geriatric psychiatric consultation has come to play a more important role in recent years. It is necessary to find out characteristics of psychiatric consultation-liaison in elderly and applicate practical guideline of consultation in medical setting. Management of medically ill elderly in psychiatric consultation requires different guideline from that of other age group patient. Because aging and each organ-specific diseases change the pharmacokinetics of psychotropic drugs variably. These pharmacokinetic changes should be considered in psychosomatic treatment in medically ill elderly. The relatively low consultation rates for psychiatric disorders in the elderly indicate that research is needed into factors that both prevent and facilitate elderly patients with psychological symptoms from consulting their general practitioners.

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Analysis of Factors Delaying on Waiting Time for Medical Examination of Outpatient on a Hospital (일 병원의 외래진료대기시간 지연요인 분석)

  • Park, Seong-Hi
    • Quality Improvement in Health Care
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    • v.8 no.1
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    • pp.56-72
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    • 2001
  • Background : To shorten processing time for variety of medical affairs of the patient at the outpatient clinic of a big hospital is very important to qualify medical care of the patient. Therefore, patient's waiting time for medical examination is often utilized as a strong tool to evaluate patient satisfaction with a medical care provided. We performed this study to investigate factors delaying related with waiting time for medical examination. Methods : The data were collected from June 26 to July 30, 1999. A total 275 case of medical treatment and 5,634 patients who visited outpatient clinics of a tertiary hospital were subjected to evaluate the waiting time. The data were analyzed using frequency, t-test, ANOVA, $X^2$-test by SPSS Windows 7.5 program. Results : The mean patient's waiting time objectively evaluated ($30.9{\pm}33.9$ min) was longer than that subjectively by patient evaluated ($25.1{\pm}26.2$ min). Patient waiting time objectively evaluated was influenced by the starting time of medical examination, consultation hours, patients arriving time etc, as expected. The time discrepancy between two evaluations was influenced by several causative factors. Regarding the degree of patients accepted waiting time with the medical examination is 20 min. Conclusion : The results show that, besides the starting time of medical examination, consultation hours and patients arriving time, influence the patient's subjective evaluation of waiting time for medical examination and his satisfaction related with the service in the big hospital. In order to improve patient satisfaction related with waiting time for medical examination, it will be effective examination rather than to shorten the real processing time within the consultation room.

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