• 제목/요약/키워드: Medical Program

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Implementation of A Hospital Information System in Ubiquitous and Mobile Environment

  • Jang, Jae-Hyuk;Sim, Gab-Sig
    • 한국컴퓨터정보학회논문지
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    • 제20권12호
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    • pp.53-59
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    • 2015
  • In this paper, we developed a Hospital Information System in which the business process is formalized and a wire/wireless integrated solution is used. This system consists of the administration office program, the medical office program, the ward management program and the rounds management program. The administration office program can enroll and accept patients, issue and reissue the RFID card. The medical office program inputs a medical examination and treatment, outputs a diagnosis, requests a hospitalization, retrieves the record of a medical examination and treatment, assigns the corresponding examination room to the accepted patients, and updates the number of an waiting patient and a patient number according to the examination room on real time. The ward management program handles hospitalizations and leaving hospital, a nurse's note, and an isolation ward monitoring. The rounds management program handles a medical examination and treatment, and a leaving hospital using PDA. This developed system can be built at low cost and increase the quality of the medical services highly by making it automated the medical administration automation. Also the small number of the medical staffs can manage the inpatients efficiently by using the monitoring functions.

국내 의학교육 교수개발 프로그램 현황과 과제 (Current Status and Tasks of Faculty Development Programs for Medical Education in Korea)

  • 박귀화;박경혜
    • 의학교육논단
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    • 제25권1호
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    • pp.17-34
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    • 2023
  • This study aimed to investigate the current status of faculty development (FD) programs operated by medical colleges and institutions in Korea, and to suggest future-oriented directions for FD. A survey was conducted targeting medical colleges and medical education institutions that operate FD programs. We investigated the reasons for selecting topics, program themes, program operation methods, longitudinal program status, program improvement and quality control methods, the evaluation of the program effects, the outcomes and problems of the programs, and opinions on the latest trends. Twenty-nine out of 40 medical colleges and three out of six institutions responded. Topics were selected based on an analysis of medical education trends and the educational environment in both groups. The most common program themes were assessments in medical colleges, and teaching/learning and curriculum themes in institutions. FD was perceived to induce professors' and administrators' interest in medical education and improve the quality of medical education. The most common program method was workshops. Three medical colleges and one institution had longitudinal programs. Participant surveys constituted the most common method of evaluating programs' effects. Difficulties in publicizing programs and inducing voluntary participation were the most common problems in both groups. New attempts for FD were perceived as the role of external institutions. Based on the results, it is necessary to develop a framework and quality improvement indications for FD programs in the future, and FD programs are expected to be developed through new initiatives, such as longitudinal programs and those focusing on the community of practice.

Ultrashort Pulse Laser Microsurgery System with Plasma Luminescence Feedback Control

  • Kim, B.M.;Feit, M.D.;Rubenchik, A.M.;Gold, D.M.;Darrow, C.B.;Silva, L.B. Da
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1997년도 추계학술대회
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    • pp.385-387
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    • 1997
  • Plasma luminescence spectroscopy was used or precise ablation of bone tissue during ultrashort pulse laser (USPL) micro-spinal surgery. Strong contrast of the luminescence spectra between bone marrow and spinal cord provided the real time feedback control so that only bone tissue can be selectively ablated while preserving the spinal cord.

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노인의료보장 및 건강관리를 위한 장$cdot$단기 대책 (Long-term Policy Development for the Aged on Medical and Health Care Security)

  • 이선자;이윤숙
    • 한국보건간호학회지
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    • 제5권1호
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    • pp.70-95
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    • 1991
  • The ageing problem of the population has been emerging in Korea since 1970's so that it is expecting the elderly 65 years and over among the total population from $4.5\%$ in 1988 to be $6.3\%$ in year 2000. This study was conducted to provide secure policy development in coming years for the aged on medical and health care aspects based on the examining current status of the aged problems and health care policies and systems. The study divided into four parts; The first part examined the medical insurance program and public assistance program of the health services in relation to the aged. The second part emphasized on reduction of medical care cost for the aged. The third part studied the regular health check-up program and health education for the aged. The fourth part examined the chronic disease management programs for the aged and strategies of the health care service quality improvement and specialized programs. The following recommendations made as the results of the study. 1. At present, the medical insurance program and public assistance program for the medically indigent is not appropriate to the elderly because it is a part of general medical insurance program so that Health Security Law for the Aged is proposed. 2. Medical cost will be increased due to the high occupancy rate of hospital beds and long stay of the elderly so that it is recommended to develop an early discharge program, home health care program, Health hospice and an althernative programs. 3. At present, a regular health check-ups for the elderly is not included in medical insurance program so that it is recommended to be included in the insurance program and at the same time health education program thoroughly developed for the aged. 4. To make proper medical and nursing services on chronic diseases for the elderly, it is recommended manpower development, specialized clinics or hospitals, nursing homes and an equivalent long term care facilitices should be established on the community based and a research institutions also to be related to supper the care programs.

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보안성을 고려한 스마트 의료기기 관리(Secure-MEMP) 방법에 관한 연구 (A Study on the Smart Medical Equipment Management Program (Secure-MEMP) Method Considering Security)

  • 김동원
    • 융합보안논문지
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    • 제21권1호
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    • pp.63-72
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    • 2021
  • 병원의 Biomedical engineering team은 의료기기가 안전하고 신뢰할 수 있도록 의료기기 관리 프로그램(MEMP, Medical Equipment Management Program)을 수립하고 규제할 책임이 있다. 기술의 발전으로 인공지능, 정밀의료 등 의료기기는 언제 어디서나 사물들 간 연결이 가능한 형태로 발전하고 있으며 다양한 기술의 융합에 따라 내외·부 보안위협이 지속적으로 증가하고 있다. 본 논문에서는 기술의 발전으로 지속적으로 증가하는 의료기기의 보안위협을 고려하여 안전한 의료기기 관리 프로그램(Secure-MEMP) 방법을 연구 제시한다.

한의약 건강증진 사업의 현황과 발전방안 연구 (A Study on the Status and Development Plan of the Korean Medical Public Health Program)

  • 차종열;김원일
    • 대한한방내과학회지
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    • 제42권3호
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    • pp.239-258
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    • 2021
  • Objectives: We conducted research on 100 cases of Korean medical health promotion programs to determine how they work. The objective was to report trends in such programs and, by extension, to suggest a development plan for the Korean medical public health program. Methods: To research 100 Korean medical health promotion programs, we analyzed source data published by the Korea Health Promotion Institute in 2014-2018 using 10 criteria. Results & conclusions: Based on effective trends, the development of a Korean medical public health program requires the following options. First, we should complement the systems with related legislation and deal with Korean medical doctors who mainly participate in public health programs. Second, we should improve the infrastructure of the program with internal support from the Korean medical association and clarifying the legal basis of the national budget. Third, we should seek substantiality of public health programs. Korean medical doctors should actively participate in the program, and related agencies should support the public health care center for the development of Korean medical public health programs in which many people can participate.

필리핀 뚜게가라오 지역에서의 마을보건원 훈련 프로그램 개발 사례 (Development of Village Health Worker Training Program in Tuguegarao, Phillipines)

  • 김정민;이혜연;박대진;옥철호;전만중;유병철;고광욱;이용환
    • 농촌의학ㆍ지역보건
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    • 제33권3호
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    • pp.324-334
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    • 2008
  • Objectives: The purpose of this study was to develop and execute the village heath worker(VHW) training program which based on short term overseas medical volunteer and medical mission. Methods: Through case studies of previous VHW program and review articles about the state of medical volunteer and medical mission, we developed the VHW training program. Pilot test of the program was carried out in Tugeugarao city, Phillipines on July, 2008. The subject were 32 persons from 15 villages around Tuguegarao city. After training we surveyed regarding the satisfaction of training and the degree of getting knowledge and skills. Results: Through article review, we got the common subjects of previous VHW training program and the limitations of overseas medical volunteer and medical mission. We developed VHW training program aiming to community health promotion through community participation and community change. The main text was "Where There Is No Doctor" of Hesperian Foundation. The program executed through 1 day intensive lecture and practice. The satisfaction of the program was 8.95±1.70 on 10 point rating scale. Conclusions: We strongly expect VHW training program can be available as new model of short overseas medical volunteer as well as medical mission if we could systemize it with the confirming subject before training , management after training and continuous support through connection with the field.

암을 처음 진단받은 환자를 위한 신환 네비게이션 프로그램 개발 및 효과 평가 (Development and Evaluation of a Navigation Program for Newly Diagnosed Cancer Patients)

  • 권인각;홍진영;백혜진;김성;남석진;김임령;김혜정;김애란
    • 임상간호연구
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    • 제18권1호
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    • pp.111-125
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    • 2012
  • Purpose: The purposes of this study were to develop a navigation program for newly diagnosed cancer patients and to evaluate its effects. Methods: The navigation program was based upon Professional Navigation Framework. Patients were asked to complete self-administered questionnaires on satisfaction, distress, anxiety and depression for evaluating the program. Results: The navigation program consisted of facilitating two concepts: continuity of care and empowerment of patients. Information-education package, telephone counseling and navigator's phone number were provided to the newly diagnosed cancer patients for care continuity. Self-care diary and emotional support by telephone counseling were provided to the patients for empowerment of patients. A total of 163 patients - 78 control and 85 experimental participants - were included in the study. The mean scores of satisfaction, distress, anxiety and depression had no statistical differences between the two groups after program implementation. In patients with longer waiting days, the experimental group with the navigation program showed higher relational continuity than the control group after program implementation(p=.023). In patients with longer waiting days or with higher distress, satisfaction of relational continuity was improved after program implementation in the experimental group. Conclusion: The navigation program in this study has applied the concept of patient navigation into oncology clinical setting in Korea. Navigation program can play a significant role in assisting patients navigating across the care continuum.

노인 암환자의 건강보험과 의료급여 이용차이 분석 (Differences of Cancer Patient's Health Care Utilizations between Medical Aid Program and National Health Insurance in the Elderly)

  • 이용재
    • 한국콘텐츠학회논문지
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    • 제11권5호
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    • pp.270-279
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    • 2011
  • 본 연구는 건강보험심사청구자료에 대한 공변량분석과 다중회귀분석을 통해 노인 암환자의 건강보험과 의료급여 이용차이를 분석하고, 의료보장유형이 노인 암환자의 의료이용량에 미치는 영향을 분석함으로써 의료급여 환자의 도덕적 해이가 존재하는지 파악하는 데 목적이 있다. 연구결과, 첫째, 노인 의료급여 암환자가 건강보험 환자에 비해서 장기간 입원으로 총진료비를 많이 사용하고 있었다. 그러나 진료건당 외래진료비와 진료일당 입원진료비는 건강보험 암환자가 많아서 비용이 많이 소요되는 의료서비스를 더 많이 이용하고 있었다. 둘째, 노인 의료급여 암환자일수록 의료기관을 자주 외래방문하고 장기간 입원하여서 총진료비를 많이 사용하고 있었다. 그러나 진료건당 외래진료비와 진료일당 입원진료비는 건강보험 암환자일수록 증가하였다. 노인 의료급여 암환자들의 의료이용량 증가원인이 높은 비급여본인부담을 피해서 본인 부담이 없는 보험급여 의료서비스를 많이 이용 것에 있음을 알 수 있다.