• Asian Pacific Journal of Cancer Prevention
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• 제17권6호
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• pp.2841-2846
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• 2016

Background: Tobacco use is the single most important preventable risk factor for cancer. Surveillance of tobacco-related cancers (TRC) is critical for monitoring trends and evaluating tobacco control programmes. We analysed the trends of TRC and evaluated the population-based cancer registry (PBCR) in Delhi for simplicity, comparability, validity, timeliness and representativeness. Materials and Methods: We interviewed key informants, observed registry processes and analysed the PBCR dataset for the period 1988-2009 using the 2009 TRC definition of the International Agency for Research on Cancer. We calculated the percentages of morphologically verified cancers, death certificate-only (DCO) cases, missing values of key variables and the time between cancer diagnosis and registration or publication for the year 2009. Results: The number of new cancer cases increased from 5,854 to 15,244 (160%) during 1988-2009. TRC constituted 58% of all cancers among men and 47% among women in 2009. The age-adjusted incidence rates of TRC per 100,000 population increased from 64.2 to 97.3 among men, and from 66.2 to 69.2 among women during 1988-2009. Data on all cancer cases presenting at all major government and private health facilities are actively collected by the PBCR staff using standard paper-based forms. Data abstraction and coding is conducted manually following ICD-10 classifications. Eighty per cent of cases were morphologically verified and 1% were identified by death certificate only. Less than 1% of key variables had missing values. The median time to registration and publishing was 13 and 32 months, respectively. Conclusions: The burden of TRC in Delhi is high and increasing. The Delhi PBCR is well organized and generates high-quality, representative data. However, data could be published earlier if paper-based data are replaced by electronic data abstraction.

• 사회복지연구
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• 제45권3호
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• pp.97-125
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• 2014

연구의 목적은 장애뉴스에 특화된 인터넷 독립언론매체 에이블뉴스의 장애인활동보조서비스 갈등 보도에 나타난 주요 주제를 분석하고, 활동보조서비스 갈등에 관한 보도에 내재된 관점을 비판적으로 분석하는 데 있다. 이를 위해 본 연구는 에이블뉴스의 장애인활동보조서비스 갈등 관련 기사들을 자료로 하여 귀납적 질적 내용분석, 인과요소와 책임귀인분석, 장애패러다임분석을 실시하였다. 내용분석결과 에이블뉴스는 장애인활동보조서비스 갈등을 충실히 보도하고 있었으나 책임귀인 분석에 의하면 갈등의 원인과 해결을 장애인이용자와 활동보조인에게 귀인하는 경향이 두드러졌다. 또한 장애패러다임 분석결과 재활모델의 관점을 반영한 텍스트들이 적지 않아 자립생활모델과 밀접한 활동보조서비스 갈등을 보도하면서 독자들에게 재활모델의 관점을 전달할 우려가 있는 것으로 나타났다. 이러한 연구결과를 토대로 장애에 특화된 독립언론매체로서 보다 전문적인 보도를 위해 전문기자의 활용, 외부 전문기고자의 활용, 편집회의를 통한 기사 게재 등을 제안하였다.

• 보건행정학회지
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• 제31권4호
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• pp.518-530
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• 2021

Background: This study examined the effect of having a usual source of care on the degree of patient-centered communication among persons with disability. The role of the usual source of care has been emphasized to improve patient experience, especially for patients with complex health conditions. Methods: This study used the 2017-2018 Korean Health Panel data, and the final study observations were 22,475 (20,806 people without disability and 1,669 people with disability). We applied generalized estimating equation model to show the effect of having a usual source of care on patient-centered communication, and subgroup analysis considering the types and severity of disabilities. Results: Persons who have disabilities, compared with ones without it, significantly had more usual sources of care (32.4% vs. 24.6%). By type of disability, persons with mental (51.4%), internal organ (43.8%), visual (37%), and physical disabilities (31.6%) had more usual sources of care than hearing/speech (26.6%), and developmental disabilities (18.6%). The average score of patient-centered communication was higher among who had a usual sources of care (3.2 vs. 2.7), and the regression analysis showed that having a usual sources of care was positively associated with higher patient-centered communication score (𝛽=0.476, p<0.05). However, the positive effects of usual sources of care was not observed among persons with severe hearing/speech, developmental, and mental disabilities. Conclusion: This study showed that role of patient-centered communication was limited in persons with severe hearing/speech disabilities, developmental, and mental disabilities. The education programs and supports are needed to improve communication skills between medical staff and persons with specific types of disabilities.

• 한국콘텐츠학회논문지
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• 제19권1호
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• pp.587-597
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• 2019

우리나라 인구의 빠른 고령화와 일상생활이 어려운 노인들이 증가하여 사회적 연대를 위한 노인장기요양 제도가 실시되었다. 제도 도입 후 나타난 장기요양제도의 구조적 문제 해결을 요구하고 있으며 기관 및 급여유형별로 통합된 요양서비스 제공체계, 노인의료-요양의 연속성 부족에 따른 요양병원-시설 간 기능정립 문제 등도 제기되고 있다. 이 연구에서는 문제점을 개선하기 위하여 입소정원, 종사인력, 제공서비스와 관련한 연구문제를 설정하였으며 FGI를 실시하였다. 연구결과 지역 내 노인 인구와 인정자 수, 노인성 질환자수 등 장기요양 수요를 반영, 지역별 적정 기관 및 인력 수급 정책 방향 제시하고, 지자체별 목표와 수급계획을 수립하여, 장기요양기관 지정요건 절차 강화 및 지정 갱신제 등 인증제도 도입이 검토되어야 하며, 남성요양보호사 육성 및 수가 인상 등을 통한 종사자 처우개선을 통하여 원활한 인력수급이 필요하다고 보았다. 급식비의 보험적용과 유관기관과의 연계를 통한 프로그램 확대제공, 원활한 입소관리를 위한 의료외 사고 중재기구가 필요하다고 나타났다.

• 산업진흥연구
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• 제6권4호
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• pp.83-93
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• 2021

본 연구는 중국 동부지역 11개 성의 요양원 경쟁력을 비교분석하기 위하여 산업 경쟁력 이론에 근거한 평가지표체계를 설정하고, 계층분석법(AHP)을 이용하였다. 자료는 "중국민정통계연감 2020"의 데이터를 이용하였고, 그 결과 장쑤성은 중국 동부의 11개 성 중 요양원의 경쟁력이 가장 높고 하이난성은 가장 낮은 것으로 나타났다. 경쟁력은 중국 동부의 11개 성에서 차이가 있었다. 요양원 산업 전반에 걸쳐 '의료인력 대비 병상 비율', '요양원 비율', '요양시설 1인당 고정자산', '와상 노인의 수' 등이 크게 영향을 미치는 4대 요인으로, 요양원의 경쟁력에 영향이 있는 것으로 나타났다. 요양원 산업이 합리적으로 발전하고 요양원의 효율성 그리고 서비스의 질이 향상될 수 있도록 지역마다 차별화된 전략을 세워야 한다.

• 인터넷정보학회논문지
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• 제20권5호
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• pp.37-47
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• 2019

본 논문은 의료진에게 영상정보를 제공하는 데 있어, 환자의 질병정보와 의료영상뷰어를 매칭 지원해주는 시스템을 구축하는 데 목적을 둔다. 현재 상용화된 의료영상정보시스템들은 대부분 하나의 뷰어로 다양한 질환들의 영상정보들을 제공하거나 호환성이 없는 벤더사의 전용뷰어를 사용하고 있다. 따라서 본 논문에서 질환별로 선택이 가능한 전용뷰어들을 통합한 의료영상정보 뷰어 매칭 시스템, 즉 질환별 뷰어 매칭을 위해 의료영상정보 표준인 DICOM 파일 내부에 메타데이터로 저장되는 태그정보에서 추출한 질환 정보를 기반으로 의료영상 전용뷰어들을 매칭하고, 매칭된 뷰어 상에서 디스플레이하는 시스템을 설계 및 구현하였다. 제안 시스템으로부터 의료영상정보의 검색서비스를 통해 수행성능을 분석하고, 다양한 뷰어들과의 호환 및 뷰어제어가 가능함을 보였다.

• 한국치위생학회지
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• 제21권4호
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• pp.427-440
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• 2021

Objectives: We classified items required for dental hygienists' ethics training by domains. We administered a survey on experts using the Delphi method to collect opinions for guiding future trainings. Methods: 33 participants were selected and analyzed using the Delphi method thrice. Results: For relationships with patients, the item "1.3.1.1 I can keep the confidentiality of the information obtained from patients, including mature minors, related to their specific disease and treatment during medical care as well as other personal information of the patients." had the highest mean value (mean=4.88). For medical and social relations, "2.3.2.2 I can understand how staff provide dental services as a team and explain a dental hygienist's roles and responsibilities that enable a team to function effectively." had the highest mean value (mean=4.85). For individual specialized fields, "3.1.1.1 I can explain the roles and responsibilities in public health of individuals, the public, the state and professional dental hygienist." showed the highest mean value (mean=4.82). Conclusions: We identified 3 categories, 14 sub-categories, and 53 items on the scope of training and standards for ethical competencies for practical applications in professional ethics training of dental hygienists.

• 디지털융복합연구
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• 제19권2호
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• pp.307-314
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• 2021

본 연구는 척추·관절질환 환자 만족도와 병원 추천 의향을 분석하고 만족도에 영향을 미치는 요인을 확인하기 위해 수행되었다. 이에 2019년 서울지역 소재 척추·관절 전문병원에서 환자 만족도와 추천 의향을 조사하였고, 인구·사회적 특성과 환자 만족도와의 관련성, 만족도 영향요인 및 추천 의향 등을 분석하였다. 분석 결과 외래의 경우 직원 용모·복장의 단정함과 청결도, 직원 친절도, 시설환경 쾌적성에서 환자 만족도가 높게 나타났고, 대기시간 관련 문항에서 환자 만족도가 낮게 나타났다. 입원의 경우 간호 영역과 병원환경 영역에서 여성의 만족도가 높았다. 하위 영역별로는 간호 영역 중 고객 존중 및 예의, 고객 경청, 담당 간호사에서 환자 만족도가 높게 나타났고, 병원환경 영역은 전반적인 병원 청결도와 안전 문항에서 만족도가 높았다. 환자 만족도와 주변에 해당 병원을 추천할 의향이 있는지를 묻는 문항 간 상관관계 분석에서는 환자 만족도와 병원 추천 의향은 양의 상관관계가 있는 것으로 나타났다. 척추·관절 질환 환자 만족도와 추천 의향 평가 결과는 척추·관절 전문병원에서 의료서비스 질 향상과 병원경영 전략 수립을 위한 기초 자료로 활용될 수 있을 것이다.

• Journal of Information Science Theory and Practice
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• 제10권2호
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• pp.30-44
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• 2022

The primary function of an electronic records management system (ERMS) is to support organisations in providing effective records management services by enabling efficient remote access to the organisations' records. This helps the organisation to continue running during emergency events, such as the COVID-19 pandemic. The need to study ERMS for accessing records remotely has increased dramatically, due to the increase in daily use. The situation arising from the COVID-19 pandemic has increased the need for implementing proper digital systems, such as ERMS, to enable efficient work processes and enhance business continuity. An ERMS has the potential to allow organisations to create records and workflows off-site. During a pandemic, the ability to structure processes digitally helps in maintaining operations remotely. This study aims to provide a narrative review of the ERMS literature with an emphasis on explaining the primary components of ERMS that act as enablers for the implementation of the system in the oil and gas sector of developing countries. The current study proposes ERMS roles and responsibilities that could enhance business continuity. The authors use a qualitative narrative review and analyse the literature related to this study and its findings. The results show that, in cases of risk or crises, staff members need to have easy access to their records and documents to remain productive. An ERMS allows professionals to remain active and work off-site. Thus, ERMS play a significant role in protecting an organisation's content through the monitoring and control over who has authorisation to access its records.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제28권2호
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• pp.31-38
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• 2022

Purpose: This study presents the results of the analysis on space utilization of kidney dialysis units in regional public hospitals, which plays a key role in local public medical services. The result aims to achieve safety from infection, allow comfort for the dialysis environment, and stability for medical support. The purpose of this study is to present fundamental data for architectural plans for the kidney dialysis unit, as well as to alleviate potential infectious diseases such as COVID-19. Methods: For research purposes, the investigation and analysis of space utilization were based on architectural floor plans, research papers and literature, related legal systems, and public statistics. Of the main 35 regional public hospitals, in regards to data accessibility, 15 facilities were selected to conduct the survey and analysis for the objective. Results: The space composition by area research results of kidney dialysis units in public hospitals are as follows: Firstly, most targets do not have required rooms in the access and support area, except for the hemodialysis beds in the treatment section. Secondly, the access area requires necessary room and space design that took into consideration of convenience and accessibility for patients. Thirdly, in regards to infection prevention and control, proper circulation and room plan is essential for storage and disposal of contaminated products and linen after use. For the treatment area, the arrangement plan needs to establish a visual connection between the isolation room, the nursing station, and the bed area. Additionally, consideration of circulation in the preparation, treatment, observation, examination, and all other rooms in the facility is required. Lastly, for the support area, the room is designed to consider adequate working and meeting spaces for the medical staff, consultation space for patients or guardians, separate storage and disposal of clean and contaminated items, and the storage of various equipment for dialysis. Implications: In preparation for the increase in chronic kidney failure patients and the spread of infectious diseases, such as COVID-19, the researched data demonstrates the basic guidelines for space composition of kidney dialysis units and the significant role of regional public hospitals.