• 한국콘텐츠학회논문지
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• 제13권10호
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• pp.365-374
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• 2013

본 연구는 노후에 대한 인식이 국가 민간의료기관 근로자간에 따라 차이가 있는지, 또한 노후인식이 노후준비에 어떠한 영향을 미치는지를 분석하고자 하였다. 연구대상은 부산의 보건소와 병 의원의 근로자 783명을 대상으로 진행하였다. 자료 분석은 SPSS 21.0 프로그램을 이용하여 빈도분석, t-test, 위계적 회귀분석을 실시하였다. 본 연구의 결과는 다음과 같이 나타났다. 첫째, 국가 민간의료기관의 근로자간에 노후에 대한 인식, 정부정책에 대한 만족도, 노후준비에 대해서 부분적으로 차이가 있었으며, 국가 근로자가 민간 근로자 보다 더 잘 인지하고, 만족하며, 비교적 준비하고 있었다. 또한 노후에 대한 인식과 정부정책 만족도는 모두 보통 수준 이상으로 나타났지만, 노후 준비는 미흡한 것으로 나타났다. 둘째, 노후 준비에 영향을 미치는 요인을 알아본 결과 국가의료기관과 민간의료기관 근로자에서 각각 다르게 나타났다. 또한 노후 준비에 미치는 영향은 부분적으로 차이를 보였다. 결론적으로 국가 민간의료기관 근로자간 노후준비에 미치는 영향에는 차이가 있었다. 본 연구는 노후준비에 대한 교육 및 정책수립을 위한 기초자료로 제공하려한다.

• 한국병원경영학회지
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• 제17권4호
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• pp.58-70
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• 2012

The purpose of this study is to examine the preparation of medical institutions for medical tourism and its effects. The sample of this study were 99 case which were selected from Korea Health Industry Development Institute list. Data were collected through the mail questionnaire survey from Sept. 15 to Oct. 30 in 2010. The collected data were analyzed using Chisquare test, t-test. The main findings of study are as follows: Using Chisquare test, we found statistically significant differences in resources prepared for medical tourism between hospitals and clinics. In general, hospitals were well prepared in human resources(e.g., proportion of employees with foreign language capability) and physical resources(e.g., helpdesk, brochures) compared to clinics.

• 한국병원경영학회지
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• 제20권1호
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• pp.13-24
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• 2015

The purpose of this study is to examine the preparation of medical institutions for Russian medical tourists. The data for this study include 44 cases which were selected from Korea Health Industry Development Institute list. Data were collected through the e-mail survey from Feb. 24 to Jul. 1 in 2014. The results of the study are as follows. Overall, tertiary hospitals were well prepared in hardware resources and structure(e.g. the number of coordinators and marketers, accreditation)compared to hospitals and clinics. On the other hand, hospitals were well prepared in service process protocol.

• 보건의료산업학회지
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• 제12권4호
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• pp.73-84
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• 2018

Objectives: The purpose of this study was to examine the awareness of medical institution employees of their organizational culture and conflicts, as well as the influence of organizational culture on organizational conflict, in an attempt to provide some information on the preparation of organizational conflict management methods for medical institutions. Methods: Structured questionnaires and basic hospital data were used to gather data from the employees of medical institutions. The collected data were analyzed, using SPSS 24.0. Results: First, workers whose length of employment was longer were less aware of the characteristics of their organizational culture, while employees who were older, whose length of employment was longer, and who were middle managers experienced greater organizational conflict. Second, in terms of conflicts among different kinds of occupations, conflicts with nurses were the most common. Third, there was a negative correlation between organizational culture and organizational conflict. Conclusions: As stronger awareness of the characteristics of organizational culture leads to less organizational conflict, the organizational culture of each medical institution should be created and strengthened.

• 대한임상독성학회지
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• 제15권1호
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• pp.17-23
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• 2017

Purpose: Activated charcoal (AC) has been widely used as a universal antidote. Currently, emergency medical centers in Korea cannot administer AC due to discontinuation of the supply of commercial ready-mixed AC suspension. This study was conducted to investigate the proportion of emergency medical centers that administer AC to poisoning patients and provide basic information for emergency physicians and toxicologists. Methods: A prospective telephone survey of all of the included emergency medical institutions was conducted. The type of emergency medical institution, average annual number of patients admitted to the emergency department, annual average number of patients who were poisoned and whether the hospital currently utilizes gastric lavage and administration of AC were determined. Results: AC was administered to poisoning patients in 40% of regional emergency medical centers, 59.3% of local emergency medical centers, and 45.9% of local emergency medical rooms. Overall, 37% of total emergency medical institutions did not administer AC due to discontinuation of the commercial ready-mixed AC suspension. Additionally, 77% of emergency physicians in institutions without AC knew AC is necessary for poisoning patients. The rate of vomiting experienced by the medical staff according to types of charcoal showed that the average rate of vomiting was 33% for commercial ready-mixed activated charcoal suspension and 51% for self-prepared charcoal powder (p=0.02). Conclusion: AC should be secured promptly in emergency medical institutions. Before the supply of commercial ready-mixed AC suspension becomes again it is essential to develop a standardized regimen for self-preparation of charcoal powder and to educate emergency physicians and toxicologists to its use.

• 한국병원경영학회지
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• 제25권3호
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• pp.38-52
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• 2020

Purpose: The purpose of the study is to suggest the main functions and implications of public hospitals to effectively respond to the future epidemic crisis based on analyzing the accessibility to designated Coronavirus Disease 2019 (COVID-19) medical institutions of Seoul and examining the main features of the quarantine of Seoul municipal hospitals. Method: To analyze the response and function of Seoul municipal hospitals, we reviewed the Infectious Disease Control and Prevention ACT, 258 articles of Seoul Metropolitan Government press releases from January to the end of April, 48 articles of Seoul Metropolitan Government's daily newsletters, 2019 Health Bureau Budget report. We also referred to internal data of Seoul Children's Hospital, Seoul Seobuk Hospital, and Seoul Eunpyeong Hospital during the same period. Besides, the accessibility to medical institutions was analyzed by using the COVID-19 data which was announced daily basis. Results: The accessibility of COVID-19 patients living in the Southeastern part of Seoul to a medical institutions was 16.2km on a distance basis, and it was the lowest accessibility among four regions of Seoul since it took about 40 minutes by car. On the other hand, patients living in the Northeast part had the highest accessibility, as the access to medical institutions was 10.7km and 27 minutes by car. Also, the main functions of the municipal hospital of Seoul against COVID-19 were to shift the public hospital function to COVID-19 patients only hospitals, to perform the epidemiological investigation by medical doctors, and to support the operation of self-isolation facilities, community treatment centers and triage rooms of community health centers. Conclusion: Through the experience of COVID-19, we suggested that the functions of public hospitals will be reorganized as the reinforcement of infectious disease treatment and mental health for quarantined patients, cooperation with private hospitals, supporting for strengthening community health capacity and preparation for another epidemic.

• 보건의료산업학회지
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• 제6권3호
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• pp.53-66
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• 2012

The main purpose of this research is to gain full understanding of how well people are aware and prepared for after retirement. To reach the goal to learn more about the upcoming aging society, professionals from variety of medical fields were employed as subjects to this research. In order to get a detailed result, and to provide an ideal suggestion, the research was conducted with 406 professional workers from 31 different medical institutions as its subjects. Obtained results were summarized as follows. First, in terms of government policies in the field, the idea of long term recuperation insurance gained more support than the belief that the public annuity is a sufficient economic countermeasure. Second, there is a causal relation between the economical preparation for retirement and the reason why people do not prepare for their after retirement. The more one feel short of money, the more one is obtuse towards the necessity of preparing for retirement, the more ignorant one is about preparing for retirement, the higher the chance that there will be no preparation done for his/her after retirement.

• 대한임상검사과학회지
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• 제49권4호
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• pp.366-373
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• 2017

소변검사는 다른 검사에 비해 쉽고 간편하면서도 환자에게 부담이 없는 검사로 신장 및 요로계 질환의 진단, 치료 및 예후 결정에 중요한 정보를 제공한다. 요 침전물은 일반적으로 원심분리된 소변을 검사자가 현미경을 통한 검경에 의해 이루어진다. 대한임상검사정도관리협회에서 제안한 가이드라인과 실제로 의료기관에서 시행되고 있는 내용이 다르고 임상병리학을 전공하는 학생들이 사용하고 있는 서적에 제시된 내용도 서로 차이가 있었다. 따라서 요 침전물 표본제작에 따른 차이가 검사결과에 영향을 주는지 확인하기 위하여. 요시험지봉검사에서 잠혈반응과 백혈구 에스터라아제 검사 결과 양성으로 확인된 검체를 무작위로 선별하여 현미경적 검사를 시행하였다. 요 침전물 표본제작 차이는 요 농축 배수에 영향을 주어 cell grade나 시야 당 평균 세포 수 결과에 영향을 미쳤다. 침전물의 농도를 결정짓는 첫 번째 요소는 원심력이다. 그러나 많은 의료기관에서 원심분리기 반경을 고려하지 않는 채 1,500 rpm을 사용하고 있었으며 이는 400 G라는 정확한 원심력을 얻을 수 없었다. 결과적으로 요 농축에 있어 차이가 발생하여 결과에도 영향을 미쳤다. 두 번째 요소는 요 침사물의 양이다. 제거하고 남은 요의 상청액의 양은 요 침사물의 농축 계수에 영향을 주어 다른 결과를 초래하였다. 뿐만 아니라 피펫을 사용하여 제시된 정확한 용량을 취하지 않고 대략적으로 한 방울을 떨어뜨린 후 경검했을 때도 결과에 영향을 주었다. 따라서 일관성 있고 보다 정확한 검사결과를 위해 반드시 표본제작 과정이 표준화가 되어야 할 것이다.

• 한국응급구조학회지
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• 제16권2호
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• pp.53-66
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• 2012

Purpose : Emergency medical services in China are increase in demand by people and under the greater pressure than ever before. So it is, necessary to advance the pre-hospital system in order to promote the development of emergency medical services. Methods : This is based on China-related articles, books, journals, reports, statistical data and other literature. Results : First, pre-hospital emergency medical care with the introduction of specialist training program should be established. Second, to strengthen pre-hospital emergency services and to develop the EMS guidelines. Third, the "120" reporting systems unification and awareness activation. Fourth, the preparation of the EMS facilities equipment system. Fifth, the rapid transport system establishment to the selected medical institutions. Conclusion : It is necessary to strengthen the emergency medical personnel at the scene, rapid transport, rapid patient triage and to improve the survival rate of the patients.

• 한국응급구조학회지
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• 제25권1호
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• pp.125-134
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• 2021

Purpose: The purposes of this study were to determine the changes in the pattern of patients who were transferred to the emergency room through inter-hospital private institutions and to determine how long transport takes following the COVID-19 outbreak. Methods: This retrospective observational study analyzed the emergency medical services reports of private institutions following the COVID-19 outbreak in South Korea. The study was conducted in Busan between January 19, 2019 and January 18, 2020, and between January 19, 2020 and January 18, 2021. Results: Upon comparing the patient transport times during the "Pre-COVID-19 period" and "COVID-19 period," a significant delay was noticed in the preparation for transfer of patients during the "COVID-19 period" (p<.05). There were significantly more patients with respiratory infections and patients who complained of general symptoms during the "COVID-19 period." Moreover, there was a higher frequency of patients who were transferred to a 'Level I' emergency room during the "COVID-19 period" compared to during the "Pre-COVID-19 period" (p<.05). Conclusion: Following the COVID-19 outbreak, there is a delay in patient transport to the emergency room through private institution inter-hospital transport and an increase in the number of patients complaining of respiratory infection symptoms. Thus, emergency medical services need additional administrative and economic support to transport infected patients.