• 한국응급구조학회지
• /
• 제14권2호
• /
• pp.57-69
• /
• 2010

Purpose : The National Registry Exam had some problems on validity of EMT evaluation and verification. The aim of this study was to propose a New EMT National Registry Exam. Methods : Conducted using the Delphi Method(lst meeting March 29 in 2008, 2nd meeting May 31 in 2008, 3rd meeting September 20 in 2008, 4th meeting January 16 in 2009) from questionnaire data(391 from Paramedic, 317 from Basic EMT) collected between June 16-30(lst questionnaire) and October 16-30(2nd questionnaire) in 2008 and a public hearing on February 5 in 2009. Results: The subjects proposed at the request of the National Health Personnel Licensing Examination Board were Introduction, Medical+Trauma Emergencies(Paramedic & Basic) for written examination and scenarios+protocols(Paramedic), protocols(Basic) for practical examination. Conclusion : To be able to response patients' problems in various emergencies, this integrated examination was selected and proposed.

• 서비스연구
• /
• 제9권4호
• /
• pp.63-80
• /
• 2019

본 연구는 종합검진센터의 물리적 환경이 의료서비스가치와 의료서비스만족도를 매개변수로 하여 전환장벽에 미치는 영향 연구를 통해 종합건강검진센터의 경쟁력을 제고할 수 있는 전략적 시사점을 제시하는 것이다. 이러한 연구목적을 달성하기 위해 종합검진센터에서 건강검진을 받은 고객을 대상으로 총 324부의 설문조사를 실시하여 분석하였다. 가설검정 및 인과관계를 확인하기 위해 공분산구조분석을 하였다. 연구결과 물리적 환경이 의료서비스가치 및 의료서비스만족도에 유의한 영향을 미치는 것으로 나타났다. 의료서비스가치도 의료서비스만족도에 유의한 영향을 미치는 것으로 나타났다. 의료서비스가치는 전환장벽에 영향을 미치는 것으로 나타났지만 의료서비스만족도는 전환장벽에 영향을 미치지 못했다. 연구의 시사점으로는 물리적 환경이 의료서비스가치 및 의료서비스만족도에 유의한 영향을 미치는 것으로 나타났으므로 종합검진센터의 현대화를 통한 정확한 검진과 오진을 최소화할 수 있는 최신 의료장비를 갖추어야 한다. 또한 의료서비스가치가 전환장벽에 유의한 영향을 미치는 것으로 나타났으므로, 의료서비스가치를 제고할 수 있는 방안을 구축해야 한다. 경쟁 업체보다 차별화된 검진항목과 비용우위를 통해 지속가능한 고객유지 및 신규고객 창출을 도모해야 한다. 종합검진서비스와 함께 의료커뮤니케이션의 강화, 의료복합문화공간과 같은 서비스가치 향상을 위해 노력함과 동시에 우수 인력배치 및 끊임없는 교육을 통해 고객 우선의 종합검진센터 조직문화를 구축해야 한다.

• 지역사회간호학회지
• /
• 제4권1호
• /
• pp.14-24
• /
• 1993

The Purpose of this study was to explore the condition of periodic medical examination and the health care services of industries in order to offer some basic data on developing industrial nursing care. To achieve this goal a self - administered questionnaire (developed by the academic affairs of community health nursing) was provieded to the nurses in 56 industries from Dec. 10, 1992 to Jan. 20, 1993. The statistical computer package, SPSS, was used to manipulate the data along with T-test and ANOVA. The results were as follows : 1. General characteristics: The greater part of the industries were manufacturing company, and below 300 employees of industry were 55.4%. The shift system was mostly one shift(66.1%) and three shift(23.2%), and 50.0% them organized the Industrial Safety and Health Commitee. Average a number of employees was 631 person. 2. Periodic Medical Examination: Most of the workers were receiving periodic medical examination from the designated hospital (95.71%). From the about 12.89% were gone through a colse medical examination. In colse medical examination 58.41% were decided 'C' and 36.73% were decided 'D'. About 6.23% off those who had any clinical findings were work-time shortening(7.84%), work-transition(8.12%), recoverating at home. The majority of the workers receive the result of the periodic medical examination individually (78.5%). 3. Special medical examination: The rate of those who are receiving special medical examination were 76.82% and about 8.24% were decided 'C' and 1.23% were decided 'D' Those who had any health problems were receiving follow-up checking (9.10%) and medical treatment while working (15.04%). The health managers in the company can consult (85.7%) those who had any suspicious sign and symptoms of occupational disease. 4. Health care services: The average score of health care services were 17.57 point out of 28 point, and the score was lower in health assessment and environmental hygiene than medical diagnosis and health education. There were significant differences in environmental hygine (F=3.72, P=0.017), health care services(F=3.94, P=0.013) according to the size of the size of the industries The other's significancy is not shown by any type of industrial nurse. The level of health care services were higher in the wokers who had better health and showed no singificant differences(T=-0.73, P=0.470).

• 지역사회간호학회지
• /
• 제4권1호
• /
• pp.58-66
• /
• 1993

The purpose of this study was to explore the condition of periodic medical examination, and health care services in industries. This will offer some basic data in developing industrial nursing care requirements. To achieve this goal a self-administered questionnaire (developed by the academic affairs of community health nursing) was provided to the nurses working in 40 industries from Dec 20, 1992 to Jan 20, 1993. The statistical computer package SAS, along with t-test, and ANOVA was used to manipulate the date. The results were as follows : 1. General Characteristics: The greater part of the industries studied were manufacturing company, with over 500 employees. The shift system was used with most companies using one or three shifts, and 75.0% of them were organized with Industrial Safety and Health Committees. 2. Periodic Medical Examination : Most of the workers were receiving periodic medical examination from a designated hospital (96.7%). Of those 15.8% had a close medical examination. In the medical examination 9.4% were evaluated at 'C' and 3.8 were evaluated at 'D'. About 55.0% of those workers received the result of the periodic medical examination individually(95.0%). 3. Special Medical Examination : The rate of those who were receiving special medical examination was 98.4% and about 11.7% were evaluated at 'C' and 3.9% were evaluated at 'D'. Those who had any health problems (54.2%) were receiving follow-up care, 52.4% of them had medical treatment while working. The health care managers in the company consulted 97.1% of them who had any suspicious signs and symptoms of occupational diseases. 4. Health Care Services : The average score of health care services was 13.8 out of a possible 28 point. The score of health education and health assessment, was lower than medical diagnosis and environmental hygiene. There were no significant differences in health care services according to the size of the industries(F=.95, P=.429). The score of health care services was higher in the worker who had better health and showed significant differences (F=4.50, p=.025).

• 한국정보시스템학회지:정보시스템연구
• /
• 제24권2호
• /
• pp.163-188
• /
• 2015

Purpose The healthcare services have drawn so much public attention, and many organizations such as schools and companies require the individuals to undergo the periodic health examination. In general, however, the mass health examination services are not managed in systematic way, and both examinees and medical staffs often experience much inconvenience while preparing, undergoing and managing the services. To address such problems, this paper aims to design the Health Examination Management System (HEMS), an integrated management system for mass health examination operations management, and implement its prototype. Design/methodology/approach First of all, HEMS enables the medical staffs to efficiently collect and manage the examination result data by supporting examination service management. Second, the users can efficiently analyze the cause-and-effect relationships among the examination items by using the visualization tool of HEMS based on the cluster heat map. Finally, the HEMS provides the operational supports for evaluating and managing the service performances. Findings The HEMS indicates that the conventional operations management approaches can be incorporated into the mass health examination services, and it is expected that the proposed system enables the examinees and the medical staffs to participate in such services in more efficient way.

• 한국콘텐츠학회논문지
• /
• 제11권2호
• /
• pp.331-340
• /
• 2011

본 연구의 목적은 건강검진 수검자들을 대상으로 예방과 예방적 의료서비스에 미치는 공통요인을 비교 분석, 요인별 분석에 따른 원하는 건강검진 항목의 비중을 분석하여 각각의 상대적인 검진으로 예방과 치료에 소요되는 비용절감을 할 수 있도록 기초자료를 제공하고자 시도하였다. 이 조사는 건강검진 수검자를 대상으로 2010년 04월 01일부터 05월31일까지 설문조사하여 707명을 분석한 결과는 다음과 같다. 남성의 경우 연령이 높을수록, 배우자와 함께 사는 사람은 건강검진과 암검진, 예방접종을 많이 받으며, 민간의료보험 가입자, 본인건강상태 좋을수록, 학력이 높을수록 건강검진, 암검진, 예방접종을 적게 받으며, 여성의 경우 연령이 높을수록, 임금근로자는 건강검진과 암검진을 많이 받고, 민간의료보험 및 고학력 일수록 건강검진, 암검진과 예방접종을 적게 받았다. 건강상태 및 배우자와 함께 사는 사람은 암검진과 예방접종을 많이 받는 것으로 나타났다.

• 의학교육논단
• /
• 제16권1호
• /
• pp.11-15
• /
• 2014

A number of medical schools in Korea have been using computer-based testing (CBT) for evaluating their students' scientific and/or clinical performance since the early 1990s. Introducing CBT to medical education would have several advantages: first, presenting figures and audio-video files of clinical content is simple with CBT, making it possible to evaluate medical students' competency with navigating more realistic clinical situations at minimum cost; second, CBT enables automatic item analysis and score reporting. To establish CBT, constructing an item bank with item parameters such as difficulty or discriminating parameters will be needed. To select more psychometrically sound items, analysis of the items according to item response theory is necessary. CBT has already been introduced in high stakes tests like the United States Medical Licensing Examination and the Medical Council of Canada Qualifying Examination. The National Health Personnel Examination Board in Korea is also planning to introduce a CBT-based version of the National Medical Examination soon. Thus all medical schools in Korea will need to introduce CBT and construct item banks to prepare their students for their licensing examinations and to measure the students' competency more accurately.

• 한국직업건강간호학회지
• /
• 제11권1호
• /
• pp.52-62
• /
• 2002

Purpose: This study was to analyze changes of motivation and health-promoting lifestyle in 3 months after medical examination, and to identify the influencing factors on the change of health-promoting lifestyle. Methods: The subjects of this study were 81 adults who took medical examination at a general hospital health clinic in Cheonan city. The instruments used in this study were the motivation scale and modified HPLP. For data collection, the first survey was conducted from March 16 to April 19, 2001, and the second survey was carried out by mail three months after the medical examination from June 16 to July 19, 2001. Results: 1. The age of the subjects ranged from 26 to 66 years, 71.6% were male, and the major group was office workers(43.2%). 2. The average score of motivation scale was significantly improved in three months to 520.7(SD=82.7). All sub-scales of motivation scale, self-efficacy(t=-4.204, p=.000), perceived benefits(t=-4.263, p=.000), perceived barriers (t=4.305, p=.000), and emotional salience (t=-6.169, p=.000) showed significant improvements in 3 months. 3. The average score of health-promoting lifestyle was significantly increased to 62.5 (SD=9.8) (t=-5.111, p=.000) after 3 months. Health responsibility(t=-6.098, p=.000), eating habit(t=-3.625, p=.001), exercise(t=-2.557, p=.012), and smoking habit(t=-2.157, p=.034) showed significant improvement. But stress management was not changed at the significant level in 3 months(t=-1.832, p=.071). 4. As the result of multiple regression analysis, it was found that perceived barriers, self-efficacy and monthly mean income had a significant influence on health-promoting lifestyle in 3 months after the medical examination. These variables explained 42.4% of variance in health-promoting lifestyle in 3 months after the medical examination. Conclusion: Periodic medical examination and guidance for healthy lifestyle was effective to change the motivation and to improve health promoting lifestyle.

• 사상체질의학회지
• /
• 제29권4호
• /
• pp.299-310
• /
• 2017

The Sasang Constitutional Examination, which is a medical treatment for Korean medicine, is a insurance non-coverage item. It is necessary to diagnose the constitution for medical treatment and to know the health regimen according to the constitution. We plan this project in order to expand the insurance guarantee reinforcement for Sasang Constitutional Examination and Counselling. This study was to investigate the status of insurance coverage and non-coverage items and to investigate objectivity and standardization of Sasang Constitutional Examination and Counselling. In addition, according to medical field, the items of Sasang Constitutional Examination and Counselling were divided. We reviewed the status of constitutional health care services and applied it to the financial budget for the medical care costs. Finally we propose Sasang Constitutional Examination and Counseling of Korean Medicine Act Classification (plan) and propose Insurance Coverage of Sasang Constitutional Examination and Counselling (plan).

• The Journal of Korean Physical Therapy
• /
• 제25권2호
• /
• pp.43-48
• /
• 2013

Purpose: The aim of this study was to demonstrate that non-participation of physical therapists on the political decision-making committee results in invasion of their interests. Methods: To demonstrate the effects, we analyzed the change of medical insurance score decided by the Health Insurance Policy Deliberation Committee between 2001 and 2012 years, focusing on medical examination as the interest of the participation group and physical therapy cost as interest of the non-participation group. Results: Total medical insurance cost increased by 23.72%, on average. Medical examination cost increased by 23.90% and 37.66% in medical examination for new and established patients, respectively. However, physical therapy cost was reduced by 5.01%. The medical examination cost for physical therapy without medical checkup increased by 2.62%. Conclusion: This study shows that the physical therapy cost, related on the interest of the non-participative group in the Health Insurance Policy Deliberation Committee, rather decreased while the total medical insurance cost increased.These findings demonstrate the invasion of the non-participative group on the Health Insurance Policy Deliberation Committee. Thus, aggressive participation in political decision-making committee is necessary in order to protect and increase rights and interests of Korean physical therapists.