• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제23권3호
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• pp.47-56
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• 2017

Purpose : This study is a basic research to establish guidelines for healthcare facility in Korean healthcare market. As a first step, it is a main purpose for making beginning point of ICU guideline to set a basic level of ICU facility size and quality by analysis current ICU facilities and existed domestic guidelines : law, criteria of healthcare insurance review and assessment service, credit of Korea institute for healthcare accreditation. Methods : First of all, the all requirements of existed guidelines are put together and summarized. The summary is compared with that of US, UK, and Australia to know its quality difference with international market. In addition, all hospitals in Korean market are classified based on total bed number and ICU bed number to know the most occupied facility size range in the market. Second of all, by comparing 15 ICUs' current setting of the public general hospital, a general condition of ICU facility would be extracted based on function, floor area per bed, services Results : 72.8% of hospitals in Korea are belonging below 500 beds hospital. Among them 200-299 beds hospitals occupied 35.3% and are shown as the most occupied hospital size. As 15 public general hospitals are analyzed, it is clear that the more bed size and services the more ICU area per bed. As a result it is sure that the 300~500 bed may be a clear line as a general ICU condition whose function and bed number relatively consistent in the range. Implications : to keep the qualified medical environment and contemporary hospital trend, the guideline as a minimum requirement keep naturally out from current healthcare settings and should reflect their limit to reconcile with the new trend in the market.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제25권3호
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• pp.37-46
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• 2019

Purpose: The Intensive Care Unit (ICU) is an important inpatient care area where critical patients are treated intensively with advanced medical technology. The level of care of ICU and the modernization of related facilities is an important indicator of health care quality. At the present time, when the Regional public hospitals are frequently expanding, the rational planning of the ICU has become an important part of the medical institutions treating the ICU. The purpose of this study is to present basic data with net area which can be used in the architectural planning of the ICU. Methods: The investigation and analysis of the ICUs were conducted on 24 medical facilities, based on theoretical analysis through relevant guidelines, articles, and documents, and on the basis of the actual space composition and net area analysis through the architectural drawings. Results: This study provides basic data such as bed placement type of ICU, relationship with other departments, distance between NS and bed, distance between beds, and net area of disease by type. Implications: The results of this paper are expected to be effective reference materials for future research for rational spatial organization and efficient operation of the Intensive Care Unit in regional public hospitals.

• 토지주택연구
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• 제5권1호
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• pp.1-10
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• 2014

주거 공간에 건강관리에 필요한 서비스가 제공되는 것은 'aging in place'의 실현을 가속화할 것이다. 그리고 이러한 주거공간의 변화는 의료비를 절감하고 삶의 질을 향상하는 복지 측면에서도 중요하다. 본 연구에서는 고령자가 스스로 건강을 관리할 수 있도록 헬스케어 서비스(Healthcare service)를 아파트 단지 내에 적용하는 계획방안에 대해 도출하고 주거복지동의 첫 사업 대상지인 가양 7단지 영구임대주택 단지를 중심으로 내용을 전개하고자 한다. 먼저 거주자의 헬스케어 서비스 이용의향에 대해 조사하고 관심이 높은 응답자를 중심으로 실제 시범사업이 적용된 서비스의 사용모습 관찰 및 심층 인터뷰를 통해 추후 계획시 고려할 사항에 대해 도출하였다. 가양 7단지의 경우 유헬스케어 서비스에 대한 요구는 고령자보다는 고령자 진입층에서 더 강력하게 나타나지만 공통적으로 주호의 협소함으로 기기 설치 및 측정에 어려움을 느끼고 있었다. 관찰조사 결과 주호는 사용자세의 불편함으로 입식구조의 측정공간 계획이 필요하며 장비보관장소도 필요하다. 그리고 헬스케어 서비스를 위한 프로그램은 건강측정, 건강관리, 외부 시설과 연계된 시설로 나눠 계획할 수 있으며, 이는 건강측정 공간을 기본형, 즉 최소형으로 하여 점차 확대 적용할 수 있다. 가양 7단지의 경우, 별도의 복지 건물이 신축되므로 기능을 복합적으로 구성하는 혼합형의 프로그램을 적용할 수 있으며, 반자립 사용자에 대한 서비스까지 확대 적용하는 계획이 필요하다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제14권2호
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• pp.35-42
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• 2008

Over the last 10 years several Provincial Medical Center has been carried out rapidly in the welfare facilities in Korea. Provincial Medical Center is for public and economic. So This study is an analysis of the areal composition between the Provincial Medical Center and General Hospital in Korea. The changes of Provincial Medical Center are caused by role in the environments. The Factor of economic is more important than for public in this situation. This paper analyzes architectural drawings for 4 Korean medical center which constructed in recent 10 years in aspects of the spacial composition, presents areal composition and pattern of spacial allocation for researching hospitals. According to the areal composition of Provincial Medical Center is important in healthcare facility environment.

• 보건행정학회지
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• 제16권3호
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• pp.19-36
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• 2006

The purpose of this study was to assess adequately equipped with convenience facilities for the disabled in 160 healthcare institutions in Jongno district, Seoul. Healthcare institutions were equipped an average of 3.7 facilities out of 10. General hospitals had an average of 5.0 facilities, which was higher than an average of 3.6 facilities for private clinics (p<0.05). Of 160 healthcare institutions, only 13 (8.1%) offered easy access to the outpatient setting from the entrance for wheelchair users, highlighting difficult wheelchair access within hospitals. To provide easy access to medical service for the disabled, more accessible designs need to be adopted as part of the effort to improve public facilities for the disabled. Also, universal designs could be applied for newly constructed roads, structures and transportation vehicles to maximize accessibility for the disabled. Increased accessibility for the disabled in the community will eventually increase the use of healthcare institutions.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제14권3호
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• pp.1014-1025
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• 2020

Cloud computing services changed the way the data are managed across the healthcare system that can improve patient care. Currently, most healthcare organizations are using cloud-based applications and related services to deliver better healthcare facilities. But architecting a cloud-based healthcare system needs deep knowledge about the working nature of these services and the requirements of the healthcare environment. The success is based on the usage of appropriate cloud services in the architecture to manage the data flow across the healthcare system.Cloud service providers offer a wide variety of services to ingest, store and process healthcare data securely. The top three public cloud providers- Amazon, Google, and Microsoft offers advanced cloud services for the solution that the healthcare industry is looking for. This article proposes a framework that can effectively utilize cloud services to handle the data flow among the various stages of the healthcare infrastructure. The useful cloud services for ingesting, storing and analyzing the healthcare data for the proposed framework, from the top three cloud providers are listed in this work. Finally, a cloud-based healthcare architecture using Amazon Cloud Services is constructed for reference.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제18권3호
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• pp.51-59
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• 2012

Over a past century, the continuity in post-earthquake serviceability of medical facilities has been demonstrated to be essential for sustaining a society and/or a nation stable. However, not many countries including Korea have paid appropriate attention to such a lesson learned from the previous experiences of the countries located in high seismicity for various reasons, one of which may be the lack of social consensus in allocating a portion of the resources to the earthquake preparedness. As a result, an earthquake-related policy might have been pushed away out of the list of priority in the government agenda. Therefore, the present paper attempts to persuade the public general, experts and government officials together to seek a way to upgrade the seismic safety of the country a step forward by enhancing the seismic performance of medical facilities. For this the framework of seismic design codes and standards for medical facilities, and Californian experience in managing the seismic performance enhancement program and U.S.-Italian collaborative study to improve the seismic safety of Italian hospitals are reviewed. Finally, a list of further researches and practices to perform for seismic enhancement of medical facilities in Korea are suggested.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제28권3호
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• pp.27-38
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• 2022

Purpose: This study tried to present basic data for establishment of facility guidelines and facility certification standards for the comprehensive prevention of infectious diseases in buildings. Methods: This study examines the concept of architectural countermeasures for the prevention of infectious diseases through literature reviews, and then classifies and organizes the countermeasures by viewing the infectious diseases hospitals as the top-level facility in terms of responding to infectious diseases. Results: At first, this study categorized and organized infection prevention countermeasures of infectious disease hospitals, which are the highest level facilities in terms of response to infectious diseases. And by presenting the concept of step-by-step setting of countermeasures for general buildings such as welfare facilities and multi-use facilities, which are lower-level facilities in the aspect of prevention of infectious diseases, this study tried to present basic data for establishing facility guidelines and facility certification standards for comprehensive prevention of infectious diseases in buildings. Implications: In the future, it is expected that spatial changes for the prevention of infectious diseases will spread to general constructions such as public buildings, private buildings, and multi-use facilities, and comprehensive infection prevention facility guidelines are needed.

• 보건행정학회지
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• 제31권3호
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• pp.312-327
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• 2021

Background: Infection prevention and control (IPC) to manage healthcare-associated infection (HCAI) has emerged as one of the most significant public health issues in Korea. The purpose of this study is to draw implications in IPC policies by analyzing the context, process, and major actors in policy development and comparatively analyzing IPC policy contents of Korea with three other countries. Additionally, IPC policies were analyzed in the context of coronavirus disease 2019 (COVID-19) to provide implications for future pandemics and HCAI events. Methods: This study incorporates a qualitative approach based on document and content analysis, applying codes and thematic categorization. IPC policy contents are comparatively analyzed by adopting the concept model, developed by the World Health Organization, which consists of core components of IPC structure at the national and facility level. Results: National IPC policies were developed within a complex social and political context, through the involvement of various stakeholders. IPC policies in Korea place a high emphasis on establishing IPC programs and built environments in healthcare facilities, whereas there were potentials for improvement in policies involving patients and promoting a safety culture. IPC policies, which currently focus on general hospitals and certain functions of hospitals, should further be expanded to target all healthcare facilities and functions, to ensure more efficient and sustainable IPC responses in the current and future disease outbreaks. Conclusion: IPC is a complex policy arena and lessons learned from the analysis of existing policies in the context of COVID-19 should provide valuable strategic implications for future policies.

• 보건행정학회지
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• 제22권4호
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• pp.696-702
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• 2012

The purpose of this study was to evaluate the improvement of disabled access to healthcare institution located in Jongno-gu, Seoul in 2011 compared to 2003 since disabled access has been mandatory in healthcare institutions located in new buildings by the amended law in 2004. We had investigated 10 assessment items for disabled access in 166 healthcare institutions located in Jongno-gu, Seoul and the results were compared with those of 2003 survey. On average, 74.1% of the healthcare organizations has equipped with items for disabled access. However the adequately equipped rate for those items was only 39.2%. Compared with the results of 2003 survey, these rates showed a little increase by 4.1% and 8.0%, respectively. There were only 10 healthcare institutions located in new buildings which were constructed after July, 2005. Their average equipped rate(84.4%) and adequately equipped rate(46.8%) were higher than those of the other organizations because the Korean government ruled that healthcare institutions in new buildings must have facilities for the disabled. In conclusion, we confirmed that the accessibility of the disabled to healthcare institution slightly increased. In particular, the healthcare institutions in newly constructed building showed the significant increase of accessibility of the disabled. However, it is founded that disabled access is still not enough for the disabled.