• 제목/요약/키워드: Medical evaluation

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의료용 기능성 게임의 품질평가 요소 추출 (The Extraction of Quality Evaluation Elements for Medical Serious Game)

  • 윤선정;류미영
    • 한국컴퓨터정보학회논문지
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    • 제18권3호
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    • pp.19-26
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    • 2013
  • 최근에 의료용 기능성 게임의 긍정적 효과가 입증되면서 사용자를 위하여 품질평가가 중요한 이슈가 되었다. 품질평가는 객관적인 기준과 평가요소 개발이 중요하다. 기능성게임의 품질평가는 프로그램적인 기술적 영역과 콘텐츠적인 비기술적 영역으로 나누어 진행된다. 본 연구에서는 품질평가 모델 개발 프로세스에 따라 심리 치료게임과 헬스 재활 치료게임에 대해 비기술적인 영역의 품질평가 요소를 개발하였다. 두 종류의 의료용 게임에 각각 5가지의 평가 요소를 추출하고 타당성을 확보하기 위해 의료 전문가들의 인터뷰를 진행하였다. 추출된 요소는 적합도 검사를 실시하여 검증하였다. 두 집단에 대한 카이제곱검정 결과는 유의미한 차이가 없었다. 본 연구 결과는 의료용 기능성게임을 설계하고 개발하는데 활용할 수 있을 것으로 기대한다.

A Literature Review of Issues and Tasks by Period of Revision of Regulations Related to Convalescent Rehabilitation Wards in Japan: Focusing on Quality Evaluation

  • Lee, Minyoung;Jeon, Boyoung
    • The Journal of Korean Physical Therapy
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    • 제34권1호
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    • pp.26-37
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    • 2022
  • Purpose: Japan established the convalescent rehabilitation wards, corresponding to Korea's rehabilitation medical institutions, in 2000 and developed it into the present system through continuous revisions. This study sought to analyze the issues and tasks faced by Japan segregated by the period of revision of convalescent rehabilitation ward-related medical fee regulations, through a literature review and further aimed to explore the direction of development of domestic rehabilitation medical institutions. Methods: Ten revisions of the medical fee regulations were classified into three stages based on quality evaluation: (1) the quantitative expansion stage (2000-2006); (2) quality evaluation introduction stage (2008-2014); and (3) quality evaluation maturity stage (2016-2020). Results: The following issues and tasks emerged: (1) For the quantitative expansion stage; insufficient rehabilitation within the ward, insufficient after-hour rehabilitation, insufficient connection with acute-stage hospitals and maintenance facilities, and the low ratio of specialists. (2) For the quality evaluation introduction stage; disparity in the manpower between institutions, the necessity of a 365-day rehabilitation system, avoidance of critical patients, and the problem that an increase in the amount of rehabilitation did not lead to a qualitative improvement. 3) For the quality evaluation maturity stage; cream-skimming issues in selecting patients, inappropriate evaluation of rehabilitation effects, and the necessity of follow-up measures after discharge. Conclusion: It is worth referring to the established regulations in Japan, and concurrently it is necessary to strengthen the evaluation of the structures, processes, and results when operating and evaluating rehabilitation medical institutions in Korea taking into account the side effects that could be identified in Japan.

인문사회의학의 의사국가시험 도입에 대한 인식도 조사 (A Survey on the Introduction of Medical Humanities and Sociology into the National Medical Licensing Examination)

  • 이승희;정명현;신좌섭;정은경
    • 의학교육논단
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    • 제12권1호
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    • pp.33-41
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    • 2010
  • Purpose: This study aimed at investigating the current situation of Medical Humanities and Sociology-related-curriculum in Korean medical schools, and suggesting the courses of study for the contents and methods of the Medical Humanities and Sociology examination, which can be included in the National Examination for Medical Practitioners. Methods: We analyzed Medical Humanities and Sociology-related courses which are offered in Korean medical schools, and a survey was conducted by medical school professors and students and medical journalists. In the survey, the Medical Humanities and Sociology-related courses were divided into 8 parts, and the participants were asked to evaluate the importance of duty, necessity of education, necessity of evaluation and the evaluation method of each part using a seven-point scale. Results: A total of 207 medical school professors and students and 9 medical journalists participated in the survey. The results were similar for the importance of duty and necessity of education of each part, but those for the necessity of evaluation were different. - As a result, there seems to be a gap between the importance of duty and the importance of education of each course. Medical journalists and students group answered differently on the necessity of evaluation of each course was also reserved. Conclusion: It is necessarily recommended to include Medical Humanities and Sociology-related courses such as medical ethics, self-improvement and doctors' social responsibilities in the National Examination for Medical Practitioners.

화병 변증도구와 한의 평가도구를 적용한 화병 치험 3례 (A Case Series of Hwa-Byung Patients Using Instrument of Pattern Identification for Hwa-Byung and Instrument of Oriental Medical Evaluation for Hwa-Byung)

  • 박대명;이상룡;정인철
    • 동의신경정신과학회지
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    • 제22권1호
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    • pp.25-35
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    • 2011
  • Objectives : This case series was conducted to report the efficacy of traditional Korean medicine treatments for Hwa-Byung. Methods : Patients were diagnosed with Hwa-byung through Hwa-Byung diagnostic interview schedule(HBDIS). instrument of pattern identification for Hwa-Byung was applied to develop an individualized traditional Korean medicine treatment plan. SCL-90-R, STAI, STAXI, BDI, and instrument of oriental medical evaluation for Hwa-Byung were measured. After 2 weeks of tradiational Korean medicine treatments and K-MBSR practice, STAI, STAXI, BDI, and instrument of oriental medical evaluation for Hwa-Byung were re-assessed to determine the progress of Hwa-Byung. Results : After treatments, chief complaints have improved. STAI, STAXI, BDI and instrument of oriental medical evaluation for Hwa-Byung score have decreased. Conclusions : According to the study, traditional Korean medicine treatments using instrument of pattern identification for Hwa-Byung have shown positive results in managing Hwa-Byung symptoms evaluated by instrument of oriental medical evaluation for Hwa-Byung.

의학학술지 평가지표의 변별력 측정연구 (An Analysis of the Discriminating Power of Medical Journal Evaluation Criteria)

  • 이춘실
    • 한국비블리아학회지
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    • 제14권1호
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    • pp.199-218
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    • 2003
  • 본 연구에서는 대한의학학술지편집인협의회가 1997년부터 1999년 사이에 평가한 76종의 국내 의학학술지가 받은 총 33개 평가항목의 각 항목별 평가점수와 총평점의 분포, 그리고 이들의 상관관계를 분석하여 각 평가지표의 변별력을 측정하였다. 한국 의학학술지의 대표적인(변별력이 높은) 평가지표는 투고논문의 상호심사와 관련된 평가항목과, 학술지가 일정한 형식으로 일관성 있게 잘 만들어지고 있는지를 평가하는 항목으로 판명되었다. 논문상호심사제도(peer review system)가 학술지의 질관리에 있어서 매우 중요하다는 것은 주지의 사실이다. 학술지의 철저한 편집(quality of editorial work)과 출판품질 관리(production quality)가 학술지 평가의 좋은 척도가 될 수 있다는 것은 학술지 평가사업의 경제성과 효율성의 측면에서 매우 고무적인 일이다. 편집인 교체빈도나 연간 발행회수 등은 변별력이 거의 없는 평가지표로 나타났다. 평가대상 학술지가 우리나라 의학도서관에 비치되어 있는 정도나 권말색인 작성여부 등 변별력이 낮은 평가항목의 변별력을 높이기 위해서는 평가방법의 개선이 필요하며, 자체학술지 인용비율, SCI 인용빈도나 영향력지표 등의 평가항목은 평가배점 구간의 조정이 필요한 것으로 나타났다. SCI에서의 인용과 국제 데이터베이스 등재여부만이 아니라, 국내 학술지가 인용하는 빈도나 영향력지표, 국내에서 구축되고 있는 의학관련 데이터베이스 등재 여부, 레코드 입력율 등의 새로운 평가지표 개발이 필요하다.

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의학교육 평가인증, 기회인가 부담인가? (Is the Accreditation in Medical Education an Opportunity or a Burden?)

  • 정한나;전우택;안신기
    • 의학교육논단
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    • 제22권1호
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    • pp.16-27
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    • 2020
  • The accreditation process (AccP) is both an opportunity and a burden for medical schools-which one it becomes depends on how medical schools recognize and utilize the AccP. In other words, if a medical school recognizes the AccP only as a formal procedure or as a means for continuing medical education, it will be a burden for the medical school. However, if a medical school recognizes the real and positive value of the AccP, it can be both an opportunity and a tool for developing medical education. The educational value of the AccP is to improve the quality, equity, and efficiency of medical education, along with increasing the options of choice. In order for the AccP to contribute to the development of medical education, accrediting agencies and medical schools must first be recognized as part of an "educational alliance" working together towards common goals. Secondly, clear guidelines on the accreditation standards should be periodically reviewed and shared. Finally, a formative evaluation using self-evaluation as a system that can utilize the AccP as an opportunity to develop medical education must be introduced. This type of evaluation system could be developed through collaboration among medical schools, academic societies for medical education, and the accrediting authority.

전자의료기기용 소프트웨어의 신뢰성 평가 방법 (Reliability Evaluation Method of Software for Electronic Medical Devices)

  • 박순옥;양해술
    • 한국산학기술학회논문지
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    • 제8권4호
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    • pp.758-767
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    • 2007
  • 오늘날 의료기기는 내장된 소프트웨어에 의해 제어되는 전자 의료기기의 형태로 급격하게 발전하고 있다. 따라서 전자 의료기기의 품질은 내장된 의료용 소프트웨어의 품질에 의해 크게 좌우될 수밖에 없다. 특히, 의료기기가 인간의 생명과 밀접하게 연관되어 있다는 점을 고려할 때, 프로그램 가능한 전자 의료기기의 품질 측면에서도 신뢰성 측면을 특히 고려한 평가 방법이 연구되어야 할 것으로 생각된다. 본 논문에서는 소프트웨어 제품평가에 관련된 국제표준인 ISO/IEC 9126과 ISO/IEC 12119를 기반으로 하여 국내의 프로그램 가능한 전자 의료기기의 특성을 고려하여 신뢰성에 대한 평가를 위한 방법을 구축하고 아울러 신뢰성 평가 방법인 FMEA 기법을 적용할 수 있는 체계를 구축하였다.

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우리나라 의학전문직업성 교육과정에서의 '전문직 정체성 형성' 교육 현황 (Current Status of 'Professional Identity Formation' Education in the Medical Professionalism Curriculum in Korea)

  • 이영희
    • 의학교육논단
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    • 제23권2호
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    • pp.90-103
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    • 2021
  • This study examined the current status of the medical professionalism curriculum in Korea to suggest a plan to move towards the formation of a professional identity. Professionalism education data from 28 Korean medical schools were analyzed, including the number of courses, required or elective status, corresponding credits, major course contents, and teaching and evaluation methods. Considerable variation was found in the number of courses and credits in the professionalism curriculum between medical schools. The course contents were structured to expand learners' experiences, including the essence and knowledge of professionalism, understanding of oneself, social interaction with others, and the role of doctors in society and the healthcare system. The most common teaching methods were lectures and discussions, while reflective writing, coaching, feedback, and role models were used by fewer than 50% of medical schools. Written tests, assignments and reports, discussions, and presentations were frequently used as evaluation methods, but portfolio and self-evaluation rates were relatively low. White coat ceremonies were conducted in 96.2% of medical schools, and 22.2% had no code of conduct. Based on the above results, the author suggests that professional identity formation should be explicitly included in learning outcomes and educational contents, and that professional identity formation courses need to be added to each year of the program. The author also proposes the need to expand teaching methods such as reflective writing, feedback, dilemma discussion, and positive role models, to incorporate various evaluation methods such as portfolios, self-assessment, and moral reasoning, and to strengthen faculty development.

Impacts of the Journal Evaluation Program of the Korean Association of Medical Journal Editors (KAMJE) on the Quality of the Member Journals

  • Yang, Hee-Jin;Oh, Se Jeong;Hong, Sung-Tae
    • Journal of Korean Medical Science
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    • 제33권48호
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    • pp.305.1-305.5
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    • 2018
  • Background: In 1997 the Korean Association of Medical Journal Editors (KAMJE) instituted a program to evaluate member journals. Journals that passed the initial evaluation were indexed in the KoreaMed. Here, we report changes in measures of quality of the KAMJE member journals during the last 20 years. Methods: Quality measures used in the study comprised 3 assessment categories; self-assessment by journal editors, assessment of the journals by KAMJE reviewers, and by Korean health science librarians. Each used detailed criteria to score the journals on a scale of 0 to 5 or 6 in multiple dimensions. We compared scores at baseline evaluation and those after 7 years for 129 journals and compared improvements in journals indexed vs. not-indexed by the Web of Science (Science Citation Index Expanded; SCIE). Results: Among 251 KAMJE member journals at the end of 2015, 227 passed evaluation criteria and 129 (56%) had both baseline and 7-year follow-up assessment data. The journals showed improvement overall (increase in median [interquartile range; IQR] score from baseline, 0.47 [0.64]; 95% confidence interval [CI], 0.44-0.61; P < 0.001) and within each category (median [IQR] increase by editor's assessment, 0.17 [0.83]; 95% CI, 0.04-0.26; P = 0.007; by reviewer's, 0.45 [1.00]; 95% CI, 0.29-0.57; P < 0.001; by librarian's, 1.75 [1.08]; 95% CI, 1.77-2.18, P < 0.001). Before the foundation of KAMJE in 1996, there were only 5 Korean medical journals indexed in the MEDLINE and none in SCIE, but 24 journals in the MEDLINE and 34 journals in SCIE were indexed by 2016. Conclusion: The KAMJE journal evaluation program successfully contributes improving the quality of the member journals.

심혈관계 시뮬레이터 개발 동향 분석을 통한 맥파검사용기기 성능평가 시뮬레이터 연구개발 방향 모색 (A Study on the Direction of Developing a Simulator for Performance Evaluation of Pulse Wave Detectors Through a Review of the Development Status of Cardiovascular Simulators)

  • 이주연;김재영;고동현;이지원;이태희;박창원;이수경
    • 대한의용생체공학회:의공학회지
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    • 제43권3호
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    • pp.136-146
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    • 2022
  • In this study, it is intended to provide basic data that can help develop a cardiovascular simulator for performance evaluation of pulse wave detectors by identifying the development status of domestic and overseas cardiovascular simulators. A total of 119 papers were selected by excluding duplicate literature, gray literature, and literature not related to a cardiovascular simulator. Based on the selected literature, the research trend of cardiovascular simulators was analyzed. As a result of analyzing the purpose of the study, most of the simulators were developed to evaluate the hemodynamic properties of artificial hearts and valves. In addition, it was used for simulation evaluation or hemodynamic studies such as pulse wave studies. As a result of analyzing configurations of the simulators, a heart most often consisted of only one left ventricle. For blood vessels, the Windkessel model was most often constructed using chambers and valves. In most studies, blood was reproduced by mixing glycerin and water to reproduce both density and viscosity. In addition, as a result of analysis from the perspective of medical device performance evaluation, simulators for evaluating artificial heart and artificial valves have been studied a lot, whereas simulators for blood pressure, pulse wave, and blood flow devices have been relatively insignificant. Based on the review results, we suggested considerations when developing a simulator for performance evaluations of a pulse wave detector.