• 제목/요약/키워드: Medical organization

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사회복귀를 고려한 일본 정신과 급성기치료병동의 변화경향 (Changing Tendency of the Psychiatric Hospitals' Acute Wards for Return to Society in Japan)

  • 고상균
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제22권4호
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    • pp.19-27
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    • 2016
  • Purpose: This study shows a changing tendency of Japanese psychiatric hospitals, presenting "Visions in Reform of Mental Health and Medical Welfare", changed to "Hospitalized Medical Treatment to Living in the Community" and reducing the number of beds since 2004. Methods: This study uses a documentary survey, especially Jananese "Visions in Reform of Mental Health and Medical Welfare System" and a field survey on hospital built for early treatment and return to society after 2004. Results: Change tendencies of psychiatric hospitals are 1) diversification of isolation room and ward, 2) cluster of patient's room, 3) phased organization of space, 4)individualization. Implication: This study will be an important data for researching plan of Korea psychiatric hospital which needs to change by global tendency.

BRIEF HISTORY OF TRANSLATION IN UNANI MEDICINE WITH MAJOR MILESTONES: A GLIMPSE

  • Ansari, Shabnam
    • 셀메드
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    • 제9권3호
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    • pp.1.1-1.6
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    • 2019
  • Unani medicine has been used extensively as preventive and therapeutic healthcare in India. It mostly utilizes herbal drugs for the treatment of various conditions and ailments. It is based upon the humoural and temperament theory of Buqrat (Hippocrates). Unani medicine is one of the oldest traditional system rooted within the Greek, Iranian, Arabic, and Islamic medical knowledge and has developed as a scientific healthcare system. It is highly practiced and popular in certain parts of the world, and the World Heritage Centre, part of the United Nations Educational, Scientific, and Cultural Organization (UNESCO), and the United Nations Foundation list it as an authentic and still-living form of traditional medicine. But in the past, its survival required utmost efforts from different dynasties, scholars and organization around the world. The efforts of promotion, preservation, translation, upgradation and publication of medical knowledge has crucially given new life to Unani medicine in each era. This letter will enlighten the efforts of translations of medical knowledge in Unani medicine from its arising need in the past till present.

권역별 감염병전문병원의 통원진료부문 공간구성에 관한 연구 (A Study on the Spatial Organization of Outpatient departments in the Infectious Disease Hospital by Region)

  • 이주랑
    • 한국농촌건축학회논문집
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    • 제26권2호
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    • pp.73-84
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    • 2024
  • This study investigated the outpatient departments of Infectious Disease Hospitals by Region, which play an important role in establishing regional medical networking, to find a spatial structure that can provide a safe environment for efficient diagnosis and treatment, as well as a rational medical procedure in case of crisis. Department layout and adjacencies were derived by considering the access procedures according to patient classification, medical procedures by department, and connectivity with other departments. Based on the results derived by setting up zones according to infection control, activities, and objects, and analyzing the division of zones, the composition of areas by activities, movement flows by objects and treatment units, it can be used as basic data for the architectural plan of the Infectious Disease Hospital. Also, there are implications that can be used as basic data for planning related facilities by analyzing spatial relationships according to user behavior.

전자의무기록시스템의 수용요인 (The Acceptance Factors for Electronic Medical Record System)

  • 전제란
    • 디지털융복합연구
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    • 제13권12호
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    • pp.47-53
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    • 2015
  • 본 연구에서는 의료기관에서 진료의 질 향상을 위해 도입하고 있는 전자의무기록 (Electronic Medical Record : EMR)시스템의 수용 및 활용을 결정짓는 요인들을 분석하였다. 전자의무기록에 대한 기존 연구를 바탕으로 하여 측정변수와 요인들을 정의하였고, 현재 EMR시스템을 구축하여 운용하고 있는 종합병원으로 부터 수집된 데이터로 실증분석을 하였다. 요인들 사이의 상관관계를 분석하기 위하여 연구모델을 구축하였고, 이를 바탕으로 요인들 사이의 관계를 규정하는 가설을 설정하였고, 이 가설들을 구조방정식 (Structural Equation Model : SEM)을 통해서 분석하였다. 분석 결과에 의하면 EMR시스템의 수용 결정에 영향을 미치는 요인은 의료기관의 경영전략 이고, EMR시스템의 수용은 EMR시스템의 경영성과에 영향을 미치는 것으로 판명되었다. 본 연구의 결과는 한국의 의료기관들이 EMR시스템을 구축하거나 운용하는데 있어서 중요한 참고자료가 될 수 있을 것으로 기대한다.

4종 『어약원방(御藥院方)』에 대한 비교연구 -치소아제질문(治小兒諸疾門)을 중심으로- (A Comparative Study of the Four Editions of 『Eoyakwonbang』 -Based on the Chapter of Pediatric Diseases-)

  • 송지청;엄동명
    • 대한한의학원전학회지
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    • 제33권2호
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    • pp.33-49
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    • 2020
  • Objectives : While the original version of 『Eoyakwonbang』 does not exist, its contents have been introduced in several studies. The existing editions are the Joseon versions 『SinganHyeminEoyakwonbang』(Eulhaeja edition) and 『GyesaSinganHyeminEoyakwonbang』(Gapjinja edition), and a Japanese version, 『GyesaSinganHyeminEoyakwonbang』(Gwanjeong edition). In a recent research, it has been discovered that there is a fourth edition of the book, 『SinganHyeminEoyakwonbang』(Jeonggadang edition), in the Japanese Parliament Library collection. Methods : Contents of the chapter on pediatric diseases were compared among the four editions to clarify their relation with each other. Results : Based on the organization of the chapter, formula names in the list and body, explanatory methods of the formulas, application, formula construction and methods of application, we found that there were great similarities between Eulhaeja edition and Jeonggadang edition, and between Gapjinja edition and Gwanjeong edition. Conclusions : 1. Jeonggadang edition is similar to Eulhaeja edition in contents and form. 2. Although the exact publication date of Jeonggadang edition is unknown, based on the fact that it was mostly circulated in the Qing period, it can be assumed to have been published after the Eulhaeja edition which was published in the 15th century. 3. Gapjinja edition was published in the 16th century and shares little similarity in form, organization and contents with Eulhaeja edition, indicating that a different version was used as the original script. 4. Gwanjeong edition was published in the 18th century, and is very similar in form, organization and contents with Gapjinja edition, repeating the same errors made in the Gapjinja edition. This indicate that Gapjinja edition was the mother script of Gwanjeong edition.

공공기관의 공공성 이행 검토: 의료분쟁조정중재원 사례를 중심으로 (The Publicness of Public Institutions: Case Study on the Korea Medical Dispute Mediation and Arbitration Agency)

  • 양화인
    • 보건행정학회지
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    • 제31권3호
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    • pp.280-291
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    • 2021
  • Background: Based on the fact that the Korea Medical Dispute Mediation and Arbitration Agency is a public institution established by social demands for medical disputes, this study reviews the publicness of public organization and discusses its policy implications. Methods: Through Moore's strategic triangle, which consists of legitimacy and support, public value and operational capacity, the process of creating public value is examined. For the analysis, case studies were conducted using related literature data from 2012, when the agency was established, to the present. Results: As a result of the analysis, first, the related law examined in the operational capability has been revised dozens of times, but the revised law has its own contradictions and limitations. The human resource system is also being improved, but there is a problem with the fairness and reliability of the arbitration process, especially due to the limitations of the appraiser system. Second, in terms of legitimacy and support, a regional gap occurred despite efforts to improve accessibility through the expansion of the organization. And the arbitration agency failed to reconcile conflicts caused by stakeholders' perception of each other as a trade-off relationship. Third, the public value result shows that, despite many explicit (statistical) achievements, citizens' use of the past dispute resolution means (litigation) has not decreased. Likewise, the perception of value makers (citizens) is important for creating public value as an invisible result, but it has not yet been formally investigated, so the performance can not be recognized. Conclusion: While the organization's efforts for continuous change and improvement are encouraging, it is not perceived as a better means of resolving disputes and improving quality of services. Therefore, it is necessary to reconsider the institutional design centered on value creators.

과제 지향적 기능 훈련이 뇌졸중 환자의 균형에 미치는 영향 (The Effects of Task-Oriented Functional Training on Standing Balance in Stroke Patients)

  • 김재욱;김수민;박래준
    • The Journal of Korean Physical Therapy
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    • 제15권4호
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    • pp.65-81
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    • 2003
  • The purpose of this study was to investigate the balance of stroke patient appling Task-Oriented Functional training program. Sixteen subjects were recruited from KeiMyung university Dongsan Medical Center inpatient satisfying requirement for this study. They were divided into Task-Oriented Functional training group and Conventional therapy group. They were measured by Sensory organization test and Motor control test items using EquiTest Version 8.0 machine before and after the test. The result of this study were to follow: 1. In Sensory organization test, there were no significant differences in static eguibrium score in both groups(p<.05). 2. In Sensory organization test, there were significant differences in dynamic eguibrium score in both groups(p<.05). 3. In Motor control test, there were significant differences in both groups(p<.05). 4. In exercise group, there were no significant differences in static Sensory organization test(p<.05). 5. In exercise group, there were significant differences in dynamic Sensory organization test(p<.05). 6. In exercise group, there were significant differences in Motor control test(p<.05). 7. In control group, there were no significant differences in static Sensory organization test(p<.05). 8. In control group, there were no significant differences in dynamic Sensory organization test(p<.05). 9. In control group, there were no significant differences in Motor control test(p<.05).

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Resources for assigning MeSH IDs to Japanese medical terms

  • Tateisi, Yuka
    • Genomics & Informatics
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    • 제17권2호
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    • pp.16.1-16.4
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    • 2019
  • Medical Subject Headings (MeSH), a medical thesaurus created by the National Library of Medicine (NLM), is a useful resource for natural language processing (NLP). In this article, the current status of the Japanese version of Medical Subject Headings (MeSH) is reviewed. Online investigation found that Japanese-English dictionaries, which assign MeSH information to applicable terms, but use them for NLP, were found to be difficult to access, due to license restrictions. Here, we investigate an open-source Japanese-English glossary as an alternative method for assigning MeSH IDs to Japanese terms, to obtain preliminary data for NLP proof-of-concept.

AHP기법을 이용한 의료기관 성과요인의 우선순위 분석 (The Analysis of Order Priority of Management Performance Factors in Medical Organization)

  • 전제란
    • 한국산학기술학회논문지
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    • 제11권10호
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    • pp.3733-3739
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    • 2010
  • 본 논문의 연구목적은 의료기관에서의 경영성과측정에 사용하는데 사용되는 성과 요인들의 우선순위를 연구하고자 하는데 있다. 이를 위하여 계층분석기법을 사용하였다. 또한 의료기관의 경영성과를 측정하는 성과측정요인과 그에 따른 핵심성과 요인(Key Performance Indicator : KPI)은 Kaplan과 Norton의 균형성과표(BSC) 측정방식을 응용하였다. 이를 위해서 연구자는 실험적이고 확정적인 요인 분석을 실시하여 성과측정요인을 생성하였고, 이들 측정요인들의 신뢰성과 타당성을 조사하였다. 92개 종합병원급 의료기관 중에서 56개의 병원으로부터 유효한 설문지에 대한 답을 얻었다. 요인분석으로 성과측정지표를 개발한 후에는 이들 요인들 사이의 우선순위를 결정하기 위하여 계층분석기법(AHP)을 사용하였다. AHP 분석의 결과로 우리는 성과측정요인과 그의 핵심성과지표들의 중요도에 따라 정렬된 리스트를 볼 수 있었다. 본 연구의 결과는 급변하는 의료환경에서 각 의료기관들이 경쟁력을 확보하기 위한 경영전략의 하나로 채택하고 있는 경영성과분석 전략의 방향과 기준을 제시할 수 있다.

미국의 책임의료조직(Accountable Care Organization) 운영현황 분석과 국내 의료정책에서 정책적 함의 평가 (An Evaluation of Accountable Care Organization in USA and Policy Implications for Korean Health Care System)

  • 서경화;정유민;김민지;이선희
    • 보건행정학회지
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    • 제24권4호
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    • pp.396-412
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    • 2014
  • Background: As a reform plan of health care system, Accountable Care Organization (ACO) has became an object of attention in the United States after Patient Protection and Affordable Care Act was enacted. ACO is a group of various health care providers and provide coordinated care to its assigned beneficiaries. If ACOs improve the quality level and reduce the cost of care, they can get financial incentives. Under the discussion for a quite long time and demonstration projects, ACO has been established. We aimed to analysis and discuss the history, policy mechanism, contents, status and outcomes of ACO. Also, we intended to suggest political implication Korean health care system with regard to ACO. Methods: We searched the articles related ACO in PubMed and selected several available papers about ACO. Total 56 studies were reviewed and categorized three parts; demonstration projects for formation of ACO, policy mechanism and agenda, empirical results of ACO performance. Results: As a result, establishment of ACO was successful partly in the US. It seems to be due to various project and pilot test for verification in the long time. The empirical effect of ACO was also identified in a few study but it needs more evidences to judge its positive effect. Conclusion: In Korea, there are arguments for the application of ACO. However it is difficult to implement a ACO by different political conditions between Korean and US. Nevertheless ACO proposed us the necessity of paradigm shift in our health policy and could be significant to national policy orientation in the future.