• 제목/요약/키워드: Medical organization

검색결과 1,250건 처리시간 0.025초

구급대원의 리더십에 대한 인식 유형 (Leadership perception types among 119 emergency medical technicians)

  • 이가연;최은숙
    • 한국응급구조학회지
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    • 제23권1호
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    • pp.71-85
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    • 2019
  • Purpose: The purpose of this study was to provide basic data for developing strategic programs based on 119 emergency medical technicians leadership perception types. Methods: The subjects were thirty six 119 emergency medical technicians working for out-of hospital in Jeollanam-Do, Korea. Data were collected from July 20, 2017 to October 30, 2017. Q sample of 40 statements and P sample of 36 persons using PC QUANL software. Results: Three types of leadership styles were identified from the explanation (71.5% of the variables). The relationship oriented progressive type (the most common), the performance and value oriented type (the second most common), and the experience oriented filed participation type (the third most common). Conclusion: The fire department will need to develop and implemented leadership improvement programs based on the leadership types in order to meet the organization's goals.

Healthcare Workers' Knowledge and Attitudes Regarding the World Health Organization's "My 5 Moments for Hand Hygiene": Evidence From a Vietnamese Central General Hospital

  • Van Nguyen, Huy;Tran, Hieu Trung;Khuong, Long Quynh;Van Nguyen, Thanh;Ho, Na Thi Nhi;Dao, An Thi Minh;Van Hoang, Minh
    • Journal of Preventive Medicine and Public Health
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    • 제53권4호
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    • pp.236-244
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    • 2020
  • Objectives: Although the World Health Organization (WHO) initiative "My 5 Moments for Hand Hygiene" has been lauded as effective in preventing hospital-associated infections, little is known about healthcare workers (HCWs)' hand hygiene behavior. In this study, we sought to assess knowledge and attitudes towards the concepts in this initiative, as well as associated factors, among Vietnamese HCWs at a general hospital. Methods: A structured questionnaire was administered to HCWs at a central Vietnamese general hospital in 2015. Multiple logistic regression analysis was used to identify factors associated with HCWs' knowledge and attitudes towards hand hygiene. Results: Of 120 respondents, 65.8% and 67.5% demonstrated appropriate knowledge and a positive attitude, respectively, regarding all 5 hand hygiene moments. Logistic regression indicated better knowledge of hand hygiene in workers who were over 30 years old, who were direct HCWs (rather than managers), who had frequent access to clinical information, and who received their clinical information from training. Those who worked in infectious and tropical disease wards, who had frequent access to clinical information, and who received information from training were more likely to have a positive attitude towards hand hygiene than their counterparts. Conclusions: Although many Vietnamese HCWs displayed moderate knowledge and positive attitudes towards the WHO hand hygiene guidelines, a key gap remained. Regular education and training programs are needed to increase knowledge and to improve attitudes and practices towards hand hygiene. Furthermore, a combination of multimodal strategies and locally-adapted interventions is needed for sustainable hand hygiene adherence.

토픽맵 기반 의학 정보 검색 시스템 구축을 통한 온톨로지 구축 및 방법론 연구 (Ontology Implementation and Methodology Revisited Using Topic Maps based Medical Information Retrieval System)

  • 이명호
    • 정보관리학회지
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    • 제27권3호
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    • pp.35-51
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    • 2010
  • 트위터, 블로그, 위키 등과 같은 web 2.0 서비스는 구조화가 덜 되어 있고, 정보량 폭증을 감당하기 어렵다는 한계를 갖고 있는 기존의 정보조직 방법을 향상시킬 것을 요구하고 있다. 이 같은 정보조직 방법을 향상시킬 수 있는 방안의 하나로 지난 10년간 온톨로지가 연구자의 주목을 받았음에도 불구하고 현행 시스템에까지 이것이 적극 활용되고 있지는 않은 것으로 보인다. 이 연구는 온톨로지 구축 및 방법론을 제안함으로써 향후 온톨로지의 방향성을 제시하는 것을 목적으로 한다. 이를 위해 이 연구는 기존의 정보조직 방법론의 한계점을 살펴보고, 온톨로지 표현을 위한 데이터 모델을 서로 비교하고 분석하였다. 또한 토픽맵 기반 의학 정보시스템을 통해 온톨로지 구축 단계 및 방법론을 기술하였다.

한 농촌보건지소에서의 보건관리 실태에 관한 고찰 -수동면 보건지소의 조직과 인력을 중심으로- (A Study on Status of Health Care for Community Residents in a Rural Health Subcenter - With special Reference to Organization and Man Power of Su Dong Myun Health Subcenter -)

  • 위자형
    • 농촌의학ㆍ지역보건
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    • 제16권1호
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    • pp.3-9
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    • 1991
  • In order to find out status of health care for community residents with special reference to organization and man power in a rural health subcenter, a study was carried out, through analyzing the data, operated by health subcenter during 1973~1990 in a rural area, Su Dong-Myun, Nam Yang Ju-Gun, Kyung Gi-Do, Korea. The following results were obtained : l) The Number of Population in Su Dong-Myun is decreasing and household is increasing chronologically. 2) In 1989, the characteristics of population composition rate in Su Dong-Myun were shown : the groups of Age, 65 and over was high rate(9.8%) and 0~4 was low rate(5.3%) decreasing chronologically. 3) Since 1972, services of Su Dong-Myun health subcenter have been carried in the 3 functions(medical treatment, health care management and clerical work) with supports of Ewha Woman's University through the participation of community residents organization. 4) The Number of Su Dong-Myun health subcenter personnel in 1990 was 5 persons(public health doctor l, public health dentist l, health worker l, dental technician l and assistant nurse l) and of these, health worker who must have the huge charge of health care management, has been worked at Myun-office as a public official, in condition, decreased from 3 in 1980 to 2 in 1981 and from 2 to 1 in 1985. 5) Health service Activities of Su Dong Myun health subcenter obtained good results in it's achievement during 1975-1985, but since 1986, it has been in condition of lower stepping. 6) Since 1977, annual medical utilization rate showed decreasing tendency such as 900 per l,000 population in 1977, 846 in 1979, 723 in 1981, 343 in 1973 and 34l in 1987. 7) A proposal : (l) Organization of health subcenter must be unified and systematized by government, so that health subcenter can carry out primary health care for community residents through responsibilities and authorities. (2) Teaching programs in educational process must be reorganized, according to periodical request. considering relative importance to primary health care in health care needs of community residents.

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농어촌 보건소의 기능별 공간구성 및 면적배분에 관한 연구 (A Study on the Functional Space Configuration and Area Distribution of Rural Public Health Center)

  • 조희영;윤소희;김석태
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제22권1호
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    • pp.51-61
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    • 2016
  • Purpose: To improve and establish functions for public health centers in rural public, an analysis will be done on arrangement plan and area by function for public health centers in farming and fishing villages. After finding out this relationship and architectural characteristics, spatial organization and area ratio for providing efficient medical service and the relationship between the two will be examined. Methods: 8 of them were selected and site visit and interview with the person in charge were conducted to investigate the current status. The drawings collected for analysis were input as CAD data and schematized. The relationship between the arrangement type and area for the public health centers in farming and fishing villages was analyzed and based on this, an analysis was done on agricultural scale and characteristics, and putting these analyzed results together, an appropriate method of improvement was proposed for spatial organization by function for public health centers in farming and fishing villages and to provide efficient service. Results: Firstly, the Plan types found in the public health centers in farming and fishing villages could be classified into three including single-type, multiple-type and radial-type. Secondly, according to an analysis of areas by function, in the case of treatment function, there was a difference in the area ration for selective treatment. This ratio is considered to be greatly influenced by the project each public health center focuses on. Thirdly, I could become aware of the relationship between spatial organization and area ratio based on the analysis of arrangement and area derived above. Implication: As the data to refer to in future research on spatial organization for public health centers, if the object of analysis becomes more expanded and investigated, it will be utilized in detail for spatial planning of public health centers, thereby being expected to contribute to more efficient and qualitatively enhanced medical service provided by public health centers.

진단검사의학과의 검사기능과 공간구성에 관한 연구 - 1000병상급 종합병원을 중심으로 (A Study on the Laboratory Function and Spatial Organization for Laboratory Medicine - Focused on the Tertiary Level General Hospitals having more than 1000 Beds)

  • 최창대;김영애
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제23권4호
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    • pp.37-53
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    • 2017
  • Purpose: As the structure of the disease has been changed and the infectious disease has been increased, the demand for diagnostic examination has been increasing. So, the department of laboratory medicine in hospital has playing the important role accounting for about nineteen percent of total medical expenses in korea. This study is to investigate the laboratory function and spatial composition of the department and figure out the space area and space organization. Methods: Explore the literature review to identify the laboratory function. Limit to five cases of tertiary level general hospital having about a thousand bed and analyze the space layout and floor area to confirm the spatial composition. Classify the exam function and check the spatial composition and spatial organization. Results: This study allows 5 conclusions to be summarized. Laboratory medicine divided into nine part in regulation, but in space allocated into core lab, emergency lab and six part lab. Total laboratory area is $2,036m^2$ in average, and is composited with 60% for lab, 17% for office and 20% for public. Lab area per a bed presents $1.88m^2$. Microbiolgy and molecular lab area are getting large. Laboratory space organized into the four zone, like an entrance zone, core zone, rear zone and peripheral zone. Emergency and transfusion lab are allocated in entrance zone, hematology chemistry and immunology in core lab, microbiology and molecular lab in rear, support offices in peripheral zone. The most important point was to check the spatial composition of the Laboratory Medicine according to the inspection function. Implications: This study can be used as a useful data in planning and designing a Laboratory Medicine Department.

EMR시스템 구축 사례연구: 조선대학교 병원 (The Case Study of EMR System Implementation)

  • 최광석;구철모;이대용
    • 경영정보학연구
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    • 제15권2호
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    • pp.41-58
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    • 2013
  • 최근 국 내외 의료계와 정부는 병원에서 발생하는 진료기록들을 디지털화하여 모든 의료 기관의 전자의료기록을 네트워크로 통합하여 공유하는 첨단 의료정보화에 많은 관심을 가지고 있다. 본 연구는 의료기관의 정보시스템 구축 사례연구로서 조선대학병원의 전자의무기록(EMR: Electronic Medical Record)시스템의 구축 과정을 소개하고 있다. 정보 시스템의 도입에서부터 활용단계까지 Cooper and Zmud(1990)가 제시한 정보시스템 구축 모델을 기반으로 조선대학병원의 EMR 구축 사례를 연구하여 병원정보시스템의 특성과 이슈들을 명확히 하고, 향후 EMR시스템을 도입하고자 하는 의료기관에 유익한 정보를 제공하고자 한다.

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DACUM 기법에 의한 병원코디네이터실장의 직무분석 연구 (The Job Analysis of Head Hospital Coordinators Based on the DACUM Method)

  • 유형식;심소영;김미숙
    • 한국병원경영학회지
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    • 제21권3호
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    • pp.37-52
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    • 2016
  • The purpose of this study was to analyze the job of Head hospital coordinators based on the DACUM(Developing A Curriculum) method. The contents of this study were to extract the duties, tasks and performance standards consisting of the job of a Head hospital coordinator and to investigate levels of importance, difficulties, frequency and entry level on each task, and to make out a job model of Head hospital coordinators. A DACUM committee(seven members) was composed to analyze the job of Head hospital coordinators and the committee members were totally nine : a facilitator, seven Head hospital coordinators and a recorder. This study was conducted in Seoul and Gyeonggi Province from August to December, 2015. The major findings of this study were as follows; first, a Head hospital coordinator is defined to be an expert to create values and culture of a hospital, plan and manage hospital's efficient management methods to maximize customer satisfaction and improve the management of a hospital. Second, the job of Head hospital coordinators was categorized into total nine duties and sixty eight tasks. Third, duties in the job of Head hospital coordinators were classified into organization of medical management planning, medical management analysis, medical service quality management, hospital marketing, hospital customer management, hospital human resource management, hospital organization management, hospital financial management and self development.

병원의 위기관리 시스템 (Crisis Management System in Hospitals)

  • 김형진
    • 한국병원경영학회지
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    • 제spc호
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    • pp.85-95
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    • 2016
  • This study is to introduce a comprehensive framework of a crisis management system developed at a prominent hospital in South Korea. Throughout recent decades, especially in the recent years, the way in which to cope with both internal and external challenges has been one of the most critical issues. Since the incident management system in the U.S. is acknowledged as the most advanced crisis management model in the world, a portion of this study refers to the Hospital Incident Command System(HICS) provided by the California Emergency Medical Services Authority(EMSA). Nevertheless, the framework suggested in this article was designed based on a distinctive Korean hospital setting. The main contents of this study are as follows; categorization of each type of crisis, organization of a crisis management team in a non-crisis or crisis state, crisis assessment by life cycle stage, and establishment of crisis management protocol. Even though many types of crises are unspecified, those can be categorized into external crisis, medical crisis, and utility & activity failure. A crisis management organization should be operated and consisted differently- depending on a crisis or non-crisis situation. From a life-cycle perspective, the range by which the crisis should be managed extends from pre-stage to post-stage of the crisis. It is important to set proper scenarios and manuals by crisis type to develop a crisis management framework of high quality. With continuous efforts, hospitals can prepare for the uncertainty to better concentrate on core business operations.