• 제목/요약/키워드: Medical evaluation

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한 대학병원의 진료과별 업무성과 평가 도구 개발 과정 (Development of Performance Evaluation Protocols for Physicians in a University Hospital)

  • 김창엽;김선민
    • 한국의료질향상학회지
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    • 제5권2호
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    • pp.296-310
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    • 1998
  • Background : Performance evaluation of medical care providers has become more important than before in Korea. Especially in university hospitals, job contents of medical staffs are so complicated that evaluation is not easily performed. In addition, in order that the feedback of evaluation be successful, acceptance of staffs to be evaluated is essential. This study is aimed at the development of items for evaluation and weighting of each item in one university hospital, and clustering departments by different weight given by medical staffs. Methods : Through resource group meeting. performance items were listed up by categories of education, research, medical services, and other activities in and out of the hospital. For each item, all the medical staffs were asked how important they thought, compared with publishing one original article. By factor analysis, the items in each category were grouped into a few subgroups. In turn, cluster analysis was done for the purpose of grouping departments by priority the medical staffs gave. Results and Conclusion : Among five major categories, medical staffs regard education, research, and medical services more important than other activities in and out of the hospital. Five categories consisted of two or three components. Departments in hospital were grouped into three. However, characteristics of each group was not clearly delineated. This result suggests that more comprehensive tool should be developed and applied in the process of performance evaluation in university hospitals.

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의료용 표시기의 안전성 및 성능 평가를 위한 시험 항목 및 시험방법(안)연구 (Development of Standards of Tattoo Machine for Safety and Performance Evaluation)

  • 김영균;조승관;이태우;여창민;정병조;권영미;차지훈;허찬희;박기정;김동섭;김한성
    • 대한의용생체공학회:의공학회지
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    • 제32권2호
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    • pp.151-157
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    • 2011
  • Tattooing is a performance for decorative and cosmetic marking by placing permanent ink into the skin. As the cultural meaning of tattoo in Korea is changing, the tattoo machines are widely spread n permanent cosmetic market. Though the use of the tattoo machine was increased, the evaluation standards of tattoo machine were not existed. Korea Food and Drug Association regulated the electrical and mechanical safety standards which were founded on the IEC 601-1 second edition. Also they regulated he biological safety standards which were derived from the ISO 10993 series, however, these general valuations of common medical device were insufficient for evaluating tattoo machine. We developed the standards of tattoo machine for safety and performance evaluation for tattoo machine by preliminary hazard analysis in ISO 14971. The evaluation criteria of tattoo machines are focused on the mechanical invasion. We suggested the additional evaluation items of the needle speed, length, vibration with general valuation criteria of common medical device. We anticipate that this research may be a primary stage to figure a standard regulation and evaluation for tattoo machine.

의과대학 교원 현황과 업적평가제도 특징 분석 (Current Status and Performance Evaluation Systems of Faculty in Korean Medical Schools)

  • 양은배;이태선;조명자
    • 의학교육논단
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    • 제21권1호
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    • pp.41-50
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    • 2019
  • The aim of this study is to analyze the current status and performance evaluation systems of faculty in Korean medical colleges and professional graduate medical schools (called medical schools). We developed a research tool based on previous studies and distributed it to 40 medical schools from July to October 2017. The response rate was 100%. We calculated the number of faculty members and analyzed the faculty evaluation systems and awareness according to national and private medical schools. As of 2017, the number of medical faculty in Korea was 11,111 (4,973 faculty were employed by their alma mater, which is 44.76% of the total), with non-medical doctor faculty accounting for 754 of the total. The medical schools reflect research achievements as most important for re-appointment and screening to promote faculty, and the area of education is secondary excepting clinical faculty of private medical schools. However, important issues in the faculty evaluation deal with the relevance of research achievement and the need for qualitative assessment. Some medical schools revised or have been revising the faculty evaluation system in areas such as minimum standards of education for promotion and separation of promotion and tenure review. Opening non-tenure track lines for faculty show positive effects such as increasing the number of positions for hire and easing the financial burdens of medical schools. Downfalls include inconsistencies between the responsibilities and actual practices of tenure not being available and the instability of faculty's status. In conclusion, medical schools need to prepare a faculty evaluation system that fits the position of faculty members and attempt to establish a reasonable compensation system.

휴대형 유헬스케어 의료기기 평가방법 (Evaluation Method of Portable Handheld U-healthcare Medical Devices)

  • 남명현;김수찬;김장수;이갑노;김산;차지훈;허찬회;박기정
    • 전자공학회논문지SC
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    • 제49권2호
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    • pp.55-62
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    • 2012
  • 정보기술과 의료기기의 융합에 의해 혈당을 집에서 측정하거나 운동 시에 심박수를 측정하는 것과 같이 건강관련 정보를 언제 어디서나 측정할 수 있게 되었고, 이에 따라 의료를 장소에 구애받지 않고 쉽게 접근할 수 있게 되었다. 최근에 유헬스케어 의료기기 시장이 빠르게 성장하고 있으나 이러한 기기의 안전성과 유효성을 평가하는 가이드라인이 아직 마련되지 않은 실정이다. 이를 위해 식약청, ISO/IEEE, CE 등 국내외의 유헬스케어 관련 규정을 조사하고, 이 중 유헬스케어 의료기기에 관련된 안정성 및 성능 평가에 대한 시험 방법과 항목을 제안하였다. 유헬스케어 의료기기의 가장 큰 특성인 무선 데이터 통신에 있어 데이터 무결성과 기기 사용환경이 다양하기 때문에 환경 요인이 기기에 미치는 영향을 평가하였다. 이를 바탕으로 휴대형 유헬스케어 의료기기의 평가 가이드라인을 제안하였다. 제안하는 지침을 기반으로 휴대형 유헬스케어 기기를 개발한다면 사용자들에게 보다 안전성과 신뢰도 높은 기기를 제공할 수 있을 것으로 기대된다.

헬스케어 재활훈련기 디자인 평가 요소 개발에 관한 연구 (A Study of Evaluation Index Development of Healthcare Rehabilitation Device Design)

  • 조재상;권대규;홍정표
    • 감성과학
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    • 제17권3호
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    • pp.129-142
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    • 2014
  • 오늘날 고령인구의 증가와 장애인 인구의 증가로 인해 재활훈련기의 수요가 증가하고 있고, 재활훈련기와 사용자간의 제공받아야 할 서비스에 대한 평가 요소의 요구가 커지고 있다. 본 연구에서는 재활훈련기 디자인 평가에 있어서 평가 방안을 모색하기 위해 디자인 평가를 위한 기본 요소를 파악하고 이를 통하여 재활의료전문가, 의공학자, 디자이너들의 토의 및 분석, 실험을 통하여 새로운 평가 요소들을 도출하였다. 연구의 결과는 다음과 같이 요약된다. 첫째, 기존 디자인 평가 요소들을 수집, 분석하여 10가지의 재활훈련기 디자인 평가요소와 44개의 세부 평가항목을 구축하였다. 이는 앞으로 재활훈련기를 디자인하는데 있어서 중요한 평가 기준이 될 것이다. 둘째, 헬스케어 재활훈련기 디자인 개발 시 고려해야 할 디자인 평가요소로는 사용성, 인지성, 안전성, 학습성, 운동성, 내구성, 경제성, 공간성, 심미성, 환경성의 10가지 디자인 평가요소가 있다. 셋째, 환경성, 공간성, 인지성, 사용성, 경제성, 심미성의 디자인 평가요소는 제품디자인에서 공통적으로 고려해야 할 요소들이고, 학습성, 안전성, 운동성, 내구성의 요소는 재활훈련기 디자인 평가요소에서 매우 중요하게 고려해야 할 요소이다. 넷째, 재활훈련기 디자인 평가요소는 제품디자인요소에서 중요하게 고려되는 환경성, 공간성, 인지성, 사용성, 경제성, 심미성에 학습성, 안전성, 운동성, 내구성을 의 요소를 더해 중요하게 생각한 것이 기존 제품디자인 평가요소와 재활훈련기 디자인 평가요소의 차이점이다. 본 연구에서는 10개의 재활훈련기 디자인 평가요소와 44개의 세부 평가항목 구축에 대한 연구를 진행하였다. 이는 전체적인 재활훈련기 디자인 평가요소만을 연구한 것으로, 향후연구에서는 시 제품 제작을 통하여 평가요소들을 실제 재활훈련기 디자인에 적용해 보고, 미진한 점들을 수정 보완할 예정이다.

전자식체온계 기준규격 개발 연구 (Research of Developing of Standards for Electronic Thermometers)

  • 김은주;이민정;이병영;박기정;김동섭;이인수;박해대;정희교
    • 대한의용생체공학회:의공학회지
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    • 제31권2호
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    • pp.123-128
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    • 2010
  • The thermometers is widely used in diagnostic medical devices, and the safety and accurate performance of these devices are important in the diagnosis and monitoring of personal health. Especially, the accuracy of infra-red thermometer is highly emphasized. Here two typical thermometers are utilized for this purpose: the electronic thermometers measure body temperature by contacting to subject while infra-red thermometers measure by no contacting to subject. Therefore, the evaluating items of each thermometer are different, and the standard for each temperature is highly needed. But, there have been no international standards of each thermometer such as IEC. In this paper, we developed the standards of electronic and infra-red thermometer based on national standards such as KS, ASTM, EN, JIS and FDA guidance. The new standards focused on the safety and suitable performance for health care. This standards were applied to enact and revise the electronic medical device standards. So it can be applied to evaluate the safety and performance on technical file review. We predict that this standard will improve the quality of diagnostic medical devices (thermometers) and increase the international competitive power of domestic product.

응급구조(학)과 학생들의 구급현장실습 표준 평가도구의 유용성에 관한 연구 (A study on the usefulness of standard evaluation tools for ambulance ride practices of paramedic students)

  • 홍성기
    • 한국응급구조학회지
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    • 제24권3호
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    • pp.41-53
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    • 2020
  • Purpose: This study tests the validity of a standard evaluation tool of ambulance ride practices with new evaluation items and supports its application by 119 preceptors. Methods: We tested the validity of standard evaluation items collected from 19 on-site professionals assessing ambulance ride practices. New evaluation items, 'understanding of emergency rescue equipment' and 'ability to communicate', were added as additional criteria. The modified Delphi technique was used to test the three evaluation areas and ten evaluation items. We used the analytic hierarchy process to analyze the weighting value of the reconstructed evaluation tool model. Results: All three evaluation areas and 10 evaluation items within the standard evaluation tools used for ambulance ride practices corresponded with the consistency index, degree of convergence, and agreement in the modified Delphi panel. Conclusion: These results provide evidence of the consistency and usefulness behind preceptors' use of this standard evaluation tool in ambulance ride practice.

역량바탕의학교육을 촉진하기 위한 교육평가: 통합평가모형 적용 (Adapting an Integrated Program Evaluation for Promoting Competency-Based Medical Education)

  • 주현정;오민경;이종태;윤보영
    • 의학교육논단
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    • 제23권1호
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    • pp.56-67
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    • 2021
  • Educational program evaluation can improve the quality of the curriculum, instructional methods, and resources and provide useful data for making educational decisions and policies. Developing and implementing a program evaluation system is essential in competency-based medical education. The purpose of this study was to explore and establish an educational program evaluation system adapting an integrated program evaluation model to promote competency-based medical education. First, an Educational Evaluation Committee was organized, consisting of faculty, staff members, and students. The committee established an integrated program evaluation model, combining Stufflebeam's Context, Input, Process, and Product (CIPP) model of a process-oriented approach and Kirkpatrick's four-level model of an outcome-oriented approach. Kirkpatrick's model was applied to the product evaluation of the CIPP model. The committee then developed evaluation criteria, indicators, and data collection methods according to the components of the CIPP model and the four levels (reaction, learning, behavior, and results) of Kirkpatrick's model, and collected and analyzed data. Finally, the committee reported the results of evaluation to a Medical Education Quality Improvement Committee, and the results were used to improve the curriculum and student selection. To enhance the quality of education, identifying educational deficiencies and developing various elements of education in a balanced way through educational evaluation will be needed. Furthermore, it will be necessary to listen to opinions of various stakeholders, work with all members involved in education, and communicate with decision-makers in the process of educational evaluation.

1주기 의료기관 평가에 대한 평가대상 기관 실무자들의 인식과 태도 조사 (The Opinion and Attitude of Hospital Managers toward Hospital Evaluation Program)

  • 이선희;김현미;하귀염;조희숙;채유미
    • 한국의료질향상학회지
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    • 제14권1호
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    • pp.77-91
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    • 2008
  • Objectives : The purpose of this study was to survey the opinion and attitude of hospital managers toward the hospital evaluation program. Method : Managers of 157 hospitals which had participated in the hospital evaluation program were requested to respond to structured self-administered questionnaire. The questionnaire was composed with five categories: the preparation for the hospital evaluation program, the expertise levels of surveyors, the process and contents of the hospital evaluation program, the applying strategies for the result of the hospital evaluation to manager's work at their hospitals, and the main points to improve the hospital evaluation program. Result : 135 out of the 157 subjects completed the questionnaire, and the overall response rate was 86%. The hospital managers answered that they didn't have enough information such as the scoring rule of the standards, the process of the evaluation, and how to ask and get an answer to prepare the hospital evaluation. Furthermore, they estimated that the surveyors weren't specialized enough and didn't give a chance of checking over the result of the evaluation. In addition, they experienced that the result and feedback of the evaluation weren't enough information to be used as a guideline to improve in hospital management. Managers of the hospitals responded that the standards and method of survey in the hospital evaluation system should be reformed. Conclusion : Most of the responded managers seemed to have negative opinion on the hospital evaluation system, even though they were pushed up for interest in quality. Further studies and extensive evaluation of the hospital evaluation program are needed to bring up various information such as receptiveness and effectiveness.

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위염치료제의 임상시험평가지침 연구 (Guideline for the Clinical Trials Evaluation for Gastritis)

  • 송윤경;진선경;한의식;안미령;정주연;이이다;조일영;김동섭;지은희;박효영;오정미;신원;이선희;김인규
    • 약학회지
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    • 제55권4호
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    • pp.345-351
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    • 2011
  • Gastritis is the most common disease among Korean. The demand for the development of gastritis drugs has been increasing. Currently, however, there is no guideline available for the clinical evaluation of gastritis drugs worldwide. As a consequence, domestic and international pharmaceutical companies make errors in the drug development processes, and it becomes difficult for them to establish the scientific validity and objectivity of newly developed drugs. The objective of this study was to develop the Guideline for Clinical Trials Evaluation of Gastritis which can be used in improving the quality and consistency of clinical trials. First, we collected and reviewed the clinical trials on gastritis drugs that were available from Japan Pharmaceuticals and Medical Devices Agency and Korea Food and Drug Administration (KFDA), and investigated the recent research trends on clinical trials of gastritis drugs. Reviewers from KFDA and National Institute of Food and Drug Safety Evaluation and scientific experts from the pharmaceutical industries developed the guidelines through regularly scheduled meetings. Opinions and consultation from academic fields and industry experts were also obtained. This project will provide the clinical trial practitioners, investigator and reviewers the scientific and rational guidelines for performance and evaluation of clinical trials for gastritis drugs. Furthermore, we hope this guideline contributes to establishing the national competitiveness, improving the quality of clinical trial, and encouraging researches on drug development for gastritis.