• Title/Summary/Keyword: Medical professionalism

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2016 Competency Modeling for Doctor of Korean Medicine & Application Plans (2016 한의사 역량모델 정립 및 활용 방안)

  • Lim, Cheolil;Han, HyeongJong;Hong, Jiseong;Kang, Yeonseok
    • The Journal of Korean Medicine
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    • v.37 no.1
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    • pp.101-113
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    • 2016
  • Objectives: The purpose of this study was to develop a competency model for the Korean medicine doctors and find application plans for the future education in Korean medicine. Methods: Based on literature review, we drafted a competency model framework for modeling and defined competencies using generic model overlay method. Also we conducted a FGI with 20 extension specialists in Korean medicine to validate competency model. Results: Findings are 5 domains and 15 competencies. 5 domains have optimal patient care, reasonable communication skill, professionalism enhancement, performing social accountability, and efficient clinical management. 3 competencies are included in 5 domains each. With this model, 4 ways of application plans are shown to apply for the future competency-based education in Korean medicine. Conclusion: Developed 2016 competency model for the Korean medicine doctors can be a first huge step to innovate education in Korean medicine toward competency-based educational system.

A Model for Community Based Mother Infant Care Center - TMIC(transitional mother infant care center) using a Sanhujoriwon - (산후조리원의 모자건강관리 현황과 제도화방안 - 지역사회중심의 모자건강관리센터(TMIC) 개발을 위한 전략 -)

  • 유은광;안영미
    • Journal of Korean Academy of Nursing
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    • v.31 no.5
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    • pp.932-947
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    • 2001
  • The purpose of this study was 1) analyze the current state of Sanhojoriwon; and 2) to suggest the new model for the community based mother infants health care delivery system: strategies of TMIC are related to Public Health policy, cost-effectiveness, mother infant care provision of medical professionalism, and so on. Method: Forty-seven workers from seventeen Sanhojoriwon participated to analyze several aspects of Sanhojoriwon. Using a questionnaire developed at Korean Sanhojori Research Forum (KSARF), such as the traditional and medical concept of the Sanhojori, postpartum care, Korean traditional postpartum care, job description on women and infant care at Sanhojoriwon, professional management, health care policy and the educational need. Results: Based on the descriptive study results, the TMIC, the community based transitional mother infants care center was suggested as a new model for the cyclic public health care system related on the reproductive health, using an already existing related center, Sanhojoriwon. Also, several strategies were presented on the TMIC.

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The Effects of SNS Information Characteristics on Hospital Selection and Satisfaction Degree (SNS 정보 특성이 병원선택과 만족에 미치는 영향)

  • Sagong, Mi;Jung, Sang-Hwan;Park, Jung-Sik;Cho, Kyoung-Won
    • The Korean Journal of Health Service Management
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    • v.8 no.1
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    • pp.15-25
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    • 2014
  • This study is to confirm that SNS information characteristics have an effect on choosing hospital care and satisfaction on hospital. This study is conducted with a total of 301 respondents (150 of document investigation and 151 of mobile SNS research) from 16th January 2014 to 29th January. 168 respondents who have experience to collect SNS health information within 6 months recently was selected subject of analysis. In the results, we could confirm the followings. The reliability among SNS information characteristics has effect on convenience that is source of choosing hospital care. The reliability and agreement have effect on the professionalism among source of choosing hospital care. In the influence on having hospital satisfaction, the more reliable and agreeable, the more increasing of hospital satisfaction. In the influence between hospital choice element and hospital satisfaction, the more convenient and service available, the more increasing of hospital satisfaction. In conclusion, it is expecting to contribute SNS managers or marketer of medical institutions to taking out commitment on medical consumer's SNS.

Role Identification of Home Health Nursing Specialist (가정전문간호사의 역할 규명)

  • Kim, Hae-Young
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.13 no.1
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    • pp.33-45
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    • 2006
  • Purpose : The purpose of this study is to present the desirable level of home health care services by identifying the roles and activities by task of home health nursing specialists as well as to raise the level of professionalism in home health care services. Method : This is a methodological study. The roles and activities by task were identified through a review of literature and a state-of-the-practice survey, and were structured into a questionnaire after being reviewed and modified through a consensus of experts. The field survey was conducted on 136 home health nursing specialists at medical institutions, public health centers. public medical institutions, non-governmental organizations, and religious institutions in Seoul, Gyeonggi Province. Incheon, Busan, Daegu, and Gwanggju from June 4 to August 4. 2004. Seven roles. 34 tasks and 130 activities were identified in association with home health nursing specialists. Result : The roles of home health nursing specialists were identified as professional nursing service provider, advisor, educator, administrator, case manager, researcher and leader. Under these roles. 34 tasks and 134 task-specific activities were identified. Conclusion : The the roles and activities of home health nursing specialist identified in this study can be used in various home health care settings. These the roles and activities should provide the evaluation criteria of home health care services for institutions with existing home health care programs. An evaluation tool should be developed in order to ensure the hish quality of home health care services.

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Development of the Nursing Competency Scale for Outpatient Nurses in a Tertiary Hospital (상급종합병원 외래간호사의 간호역량 평가도구 개발)

  • Lee, Mi Kyoung;Jeong, Jeong Hee;Lee, Eun A;Oh, Kyung Hwa
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.27 no.3
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    • pp.259-270
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    • 2020
  • Purpose: This study aimed to identify nursing competencies of outpatient nurses, to develop a tool to assess the same, and to verify the validity and reliability of the tool. Method: Preliminary items of the scale were developed based on a literature review and nurses' interviews. The tool's content validity was verified by an expert panel and by conducting a pilot study. Subsequently, to verify the validity and reliability of the scale, data were collected from 233 outpatient nurses from 7 certified tertiary hospitals. Data were analyzed using exploratory factor analysis, independent t-test, and internal consistency and correlation analysis. Result: The factor analysis revealed the following 9 factors for the 48 items of the scale: organizational management, customer orientation, personality and ethics, problem solving, nursing practice, interpersonal relationships, communication, crisis management, and professionalism. The Cronbach's α coefficient of the final instrument was .97. Conclusion: The tool developed in this study exhibited adequate validity and reliability. It was effective in reflecting the changing roles of outpatient nurses. Therefore, in future, this tool is expected to help improve outpatient nurses' competencies and nursing quality.

The Comparative Study on the Satisfaction of the Physical Therapy facilities in the front Military hospitals and Divisions

  • Park, Giwan;Jung, Jihye;Lee, Seungwon
    • Physical Therapy Rehabilitation Science
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    • v.10 no.2
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    • pp.217-224
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    • 2021
  • Objective: This study is about the physical therapy facilities and environmental and service satisfaction of patients visiting in the front military hospitals and divisions. Design: Survey study Methods: Prior to this survey, 28 users of the front division and military hospital were surveyed in advance to verify the survey through reliability analysis. For this survey, 1,300 questionnaires were distributed to seven frontline divisions and three military hospitals, of which 578 military hospitals and 479 divisions were collected. Among them, 1,042 pieces of data were used for the analysis, excluding 15 questionnaires that exceeded the research period of the division. Analysis methods used Cronbach-α and multiple regression for mean comparison analysis, factor analysis for validation, and reliability verification to verify differences between groups. Results: As a result of the satisfaction analysis, the division's stage satisfaction was higher than that of military hospitals, and as a result of analyzing the satisfaction items by sector, accessibility, re-visit doctors, and professionalism accounted for a large portion in the field of physical therapy services. As a result of a regression analysis, the factors that affect the satisfaction of physical therapy had the greatest impact on facility and environmental satisfaction, and expertise in physical therapy services. Conclusions: In the future, it will be necessary to improve the comfort of the physical therapy room and the expertise of physical therapy in order to improve the satisfaction level of physical therapy at military medical facilities.

A study on enhancing professionalism of civil anti-disaster organizations for public safety in Korea: with a focus on CAIND (한국 재난관리 체계에서 민간 방재조직의 전문성 제고 방안 - 지역자율방재단을 중심으로 -)

  • Chae, Jong-Sik
    • The Korean Journal of Emergency Medical Services
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    • v.25 no.3
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    • pp.163-178
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    • 2021
  • Purpose: This study explored a plan for improving the overall preventive activity of Korean Citizen-Corps-Active-in-Disaster (CAIND). Methods: The study used the documentary survey and the technical approach methods. This way, detailed information regarding civil anti-disaster organizations was found in scholarly monographs, specialty publications, and master's/doctoral dissertations. It further utilized the statistical yearbooks between 2015 and 2018 from the Korean Ministry of Public Administration, Security, and Fire Service, and the National Statistical Office, to discover practical problems through a statistical analysis. Volunteer activities being inherent, related issues were reviewed at the same time to for purposes of clarifying the characteristics of disaster prevention activity by CAIND. Results: The study provided four major suggestions for improvement. First, the quota management system of Korean CAIND considering the characteristics of rural areas should be supplemented. Second, the education and training systems of Korean CAIND should be established to satisfy regional conditions. Third, management members' readership competency in operating organizations, including that of the Korean CAIND captain in charge, should be strengthened. Fourth, the reward system for Korean CAIND activities should be improved. Conclusion: In the future, the results of this study are expected to be utilized as a basic data to develop Korean CAIND.

Physical Therapy Status and Job Satisfaction of Physical Therapist in Residential Facilities for the Disabled (장애인 거주시설 물리치료사의 직무 만족도와 물리치료 실태)

  • Roh, Hyo-Lyun
    • Journal of the Korean Society of Physical Medicine
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    • v.17 no.2
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    • pp.63-73
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    • 2022
  • PURPOSE: This study examined the actual condition of physical therapy in residential facilities for the disabled and determined the degree of job satisfaction of physical therapists. METHODS: In this study, data were collected using a structured questionnaire targeting 117 physical therapists (male: 49, female: 68) working in residential facilities for the disabled. The questionnaire consisted of 21 items, including six general characteristics, one job satisfaction, and 14 actual situation-related items. RESULTS: The job satisfaction of the physical therapists working in residential facilities for the disabled was 3.81 ± .83, which was between 'normal' and 'satisfactory'. One physical therapist worked in 91.5% of places. The physical therapy room was used only by the physical therapist, occupational therapist or speech therapist, and a nurse and other departments in 65.8%, 9.4%, and 23.1% of cases. On average, six to 10 patients per day were treated the most with 45.3%, followed by physical therapy alone at 19.7%, and work related to medical rehabilitation and other departments at 72.7%. A higher number of overtime hours and nurses resulted in lower job satisfaction. CONCLUSION: The job satisfaction of physical therapists working in residential facilities for the disabled was similar to those of physical therapists working in medical institutions, but the factors affecting the job satisfaction were different. Professionalism in physical therapy was not secured, and the relationships with colleagues were an important factor in increasing job satisfaction.

Education Topics for the Development of Doctors' Public Healthcare Competencies (의사의 공중보건 역량 개발을 위한 교육주제)

  • Ahn, Ducksun
    • Korean Medical Education Review
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    • v.24 no.1
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    • pp.35-45
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    • 2022
  • Needs for public healthcare have recently increased. This paper proposes education topics for competency development in public healthcare in line with the needs of the times. In Korea, various lifelong education providers have already provided public health-related education. For example, the Research Institute for Health Policy (RIHP) under the Korean Medical Association provided an "executive course for physicians' public health care competencies" in 2019 and 2020. At the end of the course, the RIHP published a comprehensive report, entitled "Curricular development and evaluation for doctors' public healthcare competencies." This article is based on a summary of that report. To develop a curriculum for public healthcare, the RIHP adopted the following methodologies for a needs analysis; reviewing already-existing education subjects, evaluating end-of-course reports, and conducting in-depth focused group interviews and questionnaire surveys with doctors at public healthcare-related institutions. The results from the needs analysis can be categorized into two domains of education topics for public healthcare. The first domain includes education subjects related to the theory and practice of public healthcare, as follows: a general overview, community or population health, organizational administration, planning and evaluation, budget and finance, responses to disasters such as infectious diseases, health policy, and the legal system. The second domain contained education topics related to general professional competencies: leadership, communication, cooperation, teamwork, and professionalism. In conclusion, the curricular content for public healthcare will be an appropriate combination of competencies specific to public healthcare and core competencies for health professionals.

Definition and Strategy of Community Involvement in Health (보건의료 주민참여의 정의와 전략에 대한 연구)

  • 김용익
    • Health Policy and Management
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    • v.2 no.2
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    • pp.90-111
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    • 1992
  • Community involvement is to be the keystone of primary health care, Unfortunately, efforts to promote it failed in many countries. Author inquired into the reasons why such efforts fail, and the alternative strategies for effectively promoting it in Korean situation today. In doing so, the concept of community involvement is clarified as an amalgamation of two different concepts; one is that of the community development, and the other is that of approaches for overcoming the alienation of the people from the health care process. Stategies of community involvement in Korea so far followed the line of the community development, e.g. village health worker. It loses, however, the feasibility as Korea has experinced so cial and economic developpment. The strategies of the second line of thought is now more feasible; empowering the people by providing more information and enhancing comitment to health, improving acceptabilty of community involvemt on the part of the health professionals and the bureaucrats, and building the mechanism of community involvement into the health policy-making process.

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