• 제목/요약/키워드: Medical organization

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병원 인력관리에 관한 관계법규 고찰 (Related Regulations of Hospital Personnel Management)

  • 김일권
    • 한국병원경영학회지
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    • 제7권1호
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    • pp.121-130
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    • 2002
  • As a hospital deals with people in their particular states, namely patients, computerization and automation in organization systems are very limited. Even though state-of-the-art medical systems such as the OCS, the HIS, the EMR, and the FACS are facilitating the computerization and informatization processes, they are for convenience and effectiveness. Ultimately, however, we should depend on specialists including doctors, nurses, pharmacists, and medical engineers. Therefore, a hospital is a representative labor-intensive body. Like other similar organizations, hospitals require a lot of manpower. But they are quite different in that hospital people hold variety and complexity in their qualifications and licenses. In personnel management, a hospital is twice controlled owing to the special characteristics that human life is at stake. First, the quota of medical manpower should be obeyed lest the quality of medical services should be lowered, and their roles and interrelations are even regulated. Second, in spite of the peculiarity of hospitals, the duties of obligatory employment and social insurances should not be neglected like other companies. In order that each hospital can preserve the proper level of medical services, securing the appropriate level of medical personnel has to be regulated. However, as the personnel cost is one of the important indices of hospital management, too much regulation in manpower supply can lead to poor hospital management and, in the end, the drop of the quality of medical services. In sum, as far as hospital personnel is concerned, some autonomy ought to be given to each hospital so that it can control the quality of hospital services. In addition to this minimum regulation of personnel, certain incentive and reward systems like the graded nursing system need to be prepared.

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Cigarette Smoking among Adolescents aged 13-15 in Viet Nam and Correlates of Current Cigarette Smoking: Results from GYTS 2014 Data

  • Le, Thi Huong;Nga, Thi Thu Vu;Nguyen, Ngoc Dung;Le, Thi Thanh Xuan;Kim, Bao Giang;Phan, Thi Hai;Doan, Thu Huyen;Luong, Ngoc Khue;Nguyen, Tuan Lam;Hoang, Van Minh;Pham, Thi Quynh Nga
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권sup1호
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    • pp.17-23
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    • 2016
  • The aim of this paper is to report the rate of current and ever cigarette smoking and explore correlates of current cigarette smoking among adolescents aged 13-15 in Viet Nam. This analysis was derived from GYTS survey, which comprised of 3,430 adolescents aged 13-15, conducted in 2014 in 13 cities and provinces of Viet Nam. We calculated the weighted rates of current and ever cigarette smoking and reported patterns of smoking behavior. We also performed logistic regression to explore correlates of current cigarette smoking behavior. The weighted rate of ever cigarette smoking was 9.5% (95% confidence interval (CI): 8.5 %-10.5%), in which the weighted rate among males (15.4%; 95% CI: 13.6%-17.0%) was higher than that among females (4.2%; 95% CI: 3.3%-5.1%). The weighted rate of current cigarette smoking was relatively low at 2.5% (95%CI: 2.0%-3.0%) with higher weighted rate among males (4.9%; 95% CI: 3.8%-5.9%) compared to the corresponding figure among females (0.2%; 95% CI: 0.0 %-0.5%). Current cigarette smoking was significantly higher among males than females, in students aged 15 versus 13 years old, and in students who had several or all close friends smoking and students with daily observation of smoking at school. For greater smoking reduction outcomes, we recommend that tobacco interventions for adolescents should consider targeting more male students at older ages, establish stricter adherence to school-based banning of cigarette smoking, engage both smoking and nonsmoking adolescents and empower adolescents to resist peer smoking influence as well as changing their norms or beliefs towards smoking benefits.

Current Status of Pediatric Critical Care in Korea: Results of 2015 National Survey

  • Yoon, Jong-seo;Jhang, Won Kyoung;Choi, Yu Hyeon;Lee, Bongjin;Kim, Yoon Hee;Cho, Hwa Jin;Eun, Byung Wook;Kim, Jintae;Kim, Kyung Won;Cho, Joongbum;Shin, Hong Ju;Ryu, Jeong Min;Chung, Jae Hee;Yoo, Young;Huh, June;Park, Seong Jong;Park, June Dong;Korean Society of Pediatric Critical Care Medicine
    • Journal of Korean Medical Science
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    • 제33권49호
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    • pp.308.1-308.10
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    • 2018
  • Background: The aim of this study was to describe the structure, organization, management, and staffing of pediatric critical care (PCC) in Korea. Methods: We directed a questionnaire survey for all Upper Grade General Hospitals (n = 43) in Korea in 2015. The first questionnaire was mainly about structure, organization, and staffing and responses were obtained from 32 hospitals. The second questionnaire was mainly about patients and management. Responses to second questionnaire were obtained from 18 hospitals. Results: Twelve from 32 Upper Grade General Hospitals had pediatric intensive care units (PICUs) and 11 of them had the PICU which was exclusive for children. Total number of PICU beds in Korea was 113. The ratio of the number of PICU beds to the number of children was 1:77,460 in Korea and this ratio is lower than that of other developed countries. The mean number of beds in the PICUs was $9.4{\pm}9.3$ (range, 2-30). There were 16 medical doctors who were assigned for PCC and only 5 of them were full time pediatric intensivists. In the 18 Upper Grade General Hospitals that responded to the second questionnaire survey, there were 97 patients in the PICUs with an average number of $5.7{\pm}7.2$ (range, 0-22) on the survey day. The mean age of the patients was $3.4{\pm}5.6$ years. The mean length of hospital stay was $82{\pm}271days$. The mean Pediatric Risk of Mortality score III was $9.4{\pm}7.8$ at the time of admission to the PICUs. Conclusion: There is a considerable shortage of PICU beds compared to those in developed countries. In addition, the proportion of PICUs with PCC specialists is much lower than those in the US and European countries.

In Silico Functional Assessment of Sequence Variations: Predicting Phenotypic Functions of Novel Variations

  • Won, Hong-Hee;Kim, Jong-Won
    • Genomics & Informatics
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    • 제6권4호
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    • pp.166-172
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    • 2008
  • A multitude of protein-coding sequence variations (CVs) in the human genome have been revealed as a result of major initiatives, including the Human Variome Project, the 1000 Genomes Project, and the International Cancer Genome Consortium. This naturally has led to debate over how to accurately assess the functional consequences of CVs, because predicting the functional effects of CVs and their relevance to disease phenotypes is becoming increasingly important. This article surveys and compares variation databases and in silico prediction programs that assess the effects of CVs on protein function. We also introduce a combinatorial approach that uses machine learning algorithms to improve prediction performance.

노인전문병원의 건축계획적 연구 - 주요부문별 공간구성 및 면적구성을 중심으로 - (A Study on the Architectural planning of Geriatric Hospitals - Focused on analyzing the spatial organization and size of major areas -)

  • 김성한;이종협;강건희
    • 한국실내디자인학회논문집
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    • 제36호
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    • pp.68-75
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    • 2003
  • In Korea, even though many aspects of medical care system for the elderly have been considered. Until now, most people have realized that the conceptualization range of geriatric hospital is the same as recuperation hospital. However the recent geriatric hospital includes a short term treatment like general hospitals, together with that it has a tendency to increase the propotion of rehabilitationby the Introduction of the concept of active rehabilitation treatment for returning to society. Unlike the general hospitals, geriatric hospital has got different characteristics in a managing and patient. However this is not a concrete standard of faacilities by the law of health welfare and medical. So these kinds of research will have to keep continuing. What I want to say In this study is that the prominence of information, which is based on the existing data analysis, is what forms my latest projects that engage with a wider repertoire of strategies and approaches toward architectural problem.

병원행정의 정보화 전략특성에 관한 연구 (A Study of Informational Strategy Character of hospital Administration)

  • 김태성
    • 경영과정보연구
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    • 제1권
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    • pp.413-443
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    • 1997
  • In today's hospital-management, information system and the information by it will be a necessary administrative materials of organization with man-power, funds, equipment and resources. This study is for figuring out steps to utilize information-system, an important strategy to grow the hospital applying to the change of surroundings, improving the service for patients, accelerating medical examination, improving it in quality and suggesting a basis be able to manage it effectively by putting information system in practice such as economic effect by shorting time and the effect of medical study by computerizing clinical data. And the result of it is as follows: From the Nolan's 6 step - model about the degree using information system in hospital-management, the 1st group of hospital-size came to 1st and 2nd step, the 2nd group to the 3rd and 4th step and the 3rd group to the 5th and 6th step, which correspond to the survey- results that information system increases with the size of the hospital to propagation, regulation and integration step and that the number of the hospital developing to the step managing information is increasing.

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A Hypermedia Design Methodology for the Knowledge Capitalization on Data Warehousing System

  • Kim, Jongho;Woojong Suh;Lee, Heeseok
    • 한국지능정보시스템학회:학술대회논문집
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    • 한국지능정보시스템학회 2001년도 The Pacific Aisan Confrence On Intelligent Systems 2001
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    • pp.448-455
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    • 2001
  • Recently, many enterprises have attempted to capitalize knowledge assets on data warehouse (DW). It has been recognized as strategic core process to create corporate competitive advantage and implement enterprise e-biz strategies. However, most approaches to represent knowledge and decision process have limits in considering various knowledge types, their relationships and continuity in knowledge formulation. In addition, they are so inclined to one side such as concept-oriented frameworks or technology-oriented ones. They lack universal and wide-ranging features. This paper presents a comprehensive methodology to accumulate knowledge capital on DW via a properly grained hypermedia model. The methodology consists of three phases: knowledge requirement elicitation, hypermedia modeling, and system implementation. A real-life case for medical DW development is presented to demonstrate the usefulness of the proposed methodology. This methodology is effective when an organization accumulates knowledge assets to put the corporate e-biz or cre-biz strategy into practice.

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의미 네비게이션을 지원하는 온톨로지 기반 한의학 논문 검색 시스템 설계 연구 (The study on the design of Korean Medical Article Retrieval System Supporting Semantic Navigation based on Ontology)

  • 고유미;엄동명
    • 한국한의학연구원논문집
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    • 제11권2호
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    • pp.35-52
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    • 2005
  • This study is to design a Semantic Navigation Retrieval System for Oriental Medicine Articles based on a XTM so that people can search and use them more effectively than before. Keywords extracted from articles are categorized 4 topics : herbs, prescription, disease, and action. Keywords analysis Ontology is modeled based on 4 topics and their relations, and then represented Topic maps. Next, Article analysis Ontology is consist of title, author, keywords, abstracts and organization Topics from metadata. Keywords and Article analysis Ontology were integrated through Keywords Topic. Korean Medical Article Retrieval System is optimistic in terms on search results supporting semantic navigation in the information service aspects and easier accessibility because all related information are semantically connected with each different DBs.

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Medical Management of Drug-Resistant Tuberculosis

  • Jeon, Doosoo
    • Tuberculosis and Respiratory Diseases
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    • 제78권3호
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    • pp.168-174
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    • 2015
  • Drug-resistant tuberculosis (TB) is still a major threat worldwide. However, recent scientific advances in diagnostic and therapeutic tools have improved the management of drug-resistant TB. The development of rapid molecular testing methods allows for the early detection of drug resistance and prompt initiation of an appropriate treatment. In addition, there has been growing supportive evidence for shorter treatment regimens in multidrug-resistant TB; and for the first time in over 50 years, new anti-TB drugs have been developed. The World Health Organization has recently revised their guidelines, primarily based on evidence from a meta-analysis of individual patient data (n=9,153) derived from 32 observational studies, and outlined the recommended combination and correct use of available anti-TB drugs. This review summarizes the updated guidelines with a focus on the medical management of drug-resistant TB.