• 제목/요약/키워드: Sustainable Healthcare

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진료지원인력의 확대된 업무 수행을 위한 합법적이고 합리적인 해결 방안 (Legal and Practical Solutions for the Expanding the Roles of Medical Support Staff Nurses)

  • 최수정;김민영
    • 대한간호학회지
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    • 제54권3호
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    • pp.300-310
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    • 2024
  • Purpose: Medical support staff nurses have traditionally performed various supportive tasks for physicians, often extending beyond standard nursing roles. Despite these long-standing practices, there is a notable lack of official recognition and legal protection for these expanded responsibilities, leading to increasing legal concerns. Therefore, there is a need for proposing a rational solution to address these issues. Methods: The number of medical support staff nurses is rising, particularly as they fill gaps left by the 2024 resident physician strike. The study focuses on identifying potential challenges arising from this shift and developing strategic improvements to address these challenges effectively. Results: This study proposed legally expanding the scope of nursing duties and creating a robust system for training and certifying nurses to handle these responsibilities effectively, by integrating these roles within the advanced practice nurse (APN) framework. Conclusion: Integrating these roles within the framework of APN can offer a sustainable and legally sound solution to the ongoing healthcare crisis, ensuring patient safety and safeguarding healthcare workers' legal rights.

치유환경의 행태지원성과 지속가능성 개념에 관한 연구 - 저층 친환경 의료시설 사례 중심으로 - (A Study on the Behavioral Affordance of Healing Environment and Concept of Sustainability - Focused on the Eco-Friendly Low-Rise Medical Facilities -)

  • 전종우;김광호
    • 한국실내디자인학회논문집
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    • 제22권4호
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    • pp.158-166
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    • 2013
  • The purpose of this study is to suggest a direction for eco-friendly healing space design for healthcare facilities in the future. Theoretical review and case study on the concept of sustainable design, spatial expression and behavioral affordance were used as research method. Through these reviews, the 3 elements of the total healing environment -physical, psychological and social- have correspondence with elements of spatial expression; Refuge, Flow, Prospect and Void. And these are related to the eight kinds of Behavioral affordance which are subdivided into WORK&STUDY, REST, CIRCULATION, VISUAL SEQUENCE, SOCIAL EXCHANGE, REFRESHMENT, COMMUNITY and MEDITATION. And the concept of sustainable design consists of 6 principles ; Natural system, People, Place, The cycle of life, Energy & natural resources and Process. Through correlation analysis of behavioral affordance and 6 principles, the result of this study presents that the physical elements of the total healing space was mainly associated with the principles of people, place and the cycle of life. Psychological element was related to principle of natural system, human, place and process. And social element was associated with the principles of human, place and process. According to this analysis, the case study of four low-rise eco-friendly medical facilities was undertaken. Sustainability was evaluated in total healing environmental through this case study.

Ensuring Information Security in the System of Public Management of Sustainable Development of the Region: EU Experience

  • Zahorskyi, Volodymyr;Bobrovskyi, Oleksii;Bondarenko, Dmytro;Karpa, Marta;Akimov, Oleksandr;Akimova, Liudmyla
    • International Journal of Computer Science & Network Security
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    • 제22권8호
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    • pp.163-168
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    • 2022
  • The main purpose of the study is to analyze the features of ensuring information security in the system of public administration of the constant development of the region. The actualization of the research topic is because the information has become a powerful means of manipulating the public and individual consciousness, as well as a real weapon used in new types of conflicts, confrontations, and confrontations. Creating opportunities for everyone to access information sources, developing the ability to use it, and at the same time protecting people from dirty information flows create a kind of subject-research field, one of the most relevant aspects of which is the problem of forming and implementing information security policy at the state, public and civil levels. The research methodology involved the use of theoretical and scientific methods. As a result of the study, the key features of ensuring information security in the system of public management of the continuous development of the region of the EU countries were identified.

Decision-making of sustainable municipal solid waste management based on the SWOT analysis: A case study of Gurugram City, Haryana (India)

  • Suman Chauhan;Sandeep
    • Advances in environmental research
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    • 제12권1호
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    • pp.41-49
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    • 2023
  • In developing countries, solid waste is typically disposed of inappropriately, which has a negative impact on the environment and healthcare. One of the most serious environmental issues is the management of municipal solid waste because of the huge increase in waste generation brought on by industrialization, economic development, urbanization, and the exponential growth of Gurugram City's population. Municipal Corporation Gurugram (MCG) handles solid waste collection, transportation, and disposal. The city generates over 1100 tons of solid waste per day. In consideration of this, the current study employed the strengths, weaknesses, opportunities, and threats framework called SWOT analysis to critically examine the city's current methods for the management of municipal solid waste to provide more effective policy solutions. For conducting the analysis, the questionnaires and other interviews were conducted to gather information from households and officials in the city, and the observation made during field visits were recorded. The analysis shows that the waste management issue is getting worse for a variety of causes, including a lack of regulatory enforcement, insufficient technical and financial resources, insufficient people's participation, inadequate execution of policies, a lack of political priorities, and poor coordination between authorities.

우리나라 성인의 성별에 따른 주관적 인지 저하 관련 요인 (Factors Associated with Subjective Cognitive Decline according to Sex in Korean Adults)

  • 이은숙;서영미
    • 동서간호학연구지
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    • 제30권1호
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    • pp.31-41
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    • 2024
  • Purpose: This study aimed to identify factors affecting subjective cognitive decline (SCD) in men and women. Methods: This study was conducted based on data from the 2021 Korea Community Health Survey, and targeted a total of 80,026 men and 98,753 women aged 40 or older who responded to the SCD assessment. Multivariate logistic regression analysis using a complex sample was performed to identify factors influencing SCD. Results: Of the participants, 19,438 (22.7%) men and 30,826 (29.9%) women in the community reported SCD. Significant factors that influence SCD in both groups were age, education level, subjective health status, and depressive symptoms, and the strongest risk factor was depressive symptoms. Compared to women, men's monthly income, flexibility exercise, hypertension, and diabetes mellitus were found to be significant factors on SCD and Healthcare services affected SCD only in women. Medical services affected SCD only in women. Conclusions: When planning and providing intervention programs for cognitive function, it is necessary to reflect differences in factors associated with SCD according to sex.

보편적 건강보장을 향한 노정 : 베트남 보건의료 부문의 역사·문화적 맥락을 중심으로 (The way to achieve Universal Health Coverage: Focusing on the Historical and Cultural Context of Health Care Sector in Vietnam)

  • 백용훈
    • 동남아시아연구
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    • 제28권1호
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    • pp.173-218
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    • 2018
  • 본 연구는 지속가능개발목표(Sustainable Development Goals) 하에 보편적 건강보장(Universal Health Coverage) 달성을 목표로 전 국민의 건강보험 가입을 추진하고 있는 베트남의 보건의료 부문에 주목하여 보건의료 체계와 건강보험법의 개혁 과정에서 나타난 특징을 역사 문화적 맥락을 통해 파악해보고 개발의 관점에서 그 함의를 살펴보고자 한다. UHC의 세 가지 차원, 즉 인구 집단에 대한 보장성 확대, 다양한 의료서비스 제공, 그리고 재정적 보호를 기준으로 베트남 보건의료 부문의 현황을 요약하면 다음과 같이 정리할 수 있다. 첫째, 2015년 발효된 개정 건강보험법에서 가구 단위의 의무 가입과 그에 따른 건강보험료 정산 방식이 새로운 제도로 시행되고 있다는 점이다. 둘째, 1차 의료시설, 즉 사($X{\tilde{a}}$, Commune)급 단위의 보건소를 중심으로 예방 및 건강관리 서비스를 제공할 수 있는 의료 네트워크가 구축되어 있다는 점이다. 셋째, 의료보험법 및 다양한 제도 시행 이후 공공 지출이 증가하고 민간 지출이 감소하고 있지만 여전히 본인부담 의료비 지출(Out-of-Pocket Expenditure)이 많은 비중을 차지하고 있다는 점이다. 베트남의 사회건강보험 개혁은 현재 과도기이다. 따라서 베트남은 보건의료 체계와 건강보험 제도를 어떻게 구축해 나갈 것인가에 대한 문제가 더욱 중요할 수밖에 없는 시기적 상황에 당면해 있다. 제도와 체계에 대한 개발은 효율성보다는 그것을 고스란히 감당해내야 하는 주체, 즉 해당 사회의 구성원들에게 적절하고 정당한 방식으로 설계되어야 한다. 본 연구는 제도와 문화, 즉 제도를 공유하는 사회적 가치, 가족 문화 그리고 비공식적인 제도 등과의 상호작용 등으로부터 그 함의를 이끌어내고자 하였다.

코로나19 기간 동안 보건진료전담공무원의 직무스트레스와 소진의 관계: 혼합연구방법 (Relationships between Job Stress and Burnout of Primary Health Care Practitioners during COVID-19: A Mixed Methods Study)

  • 하영미;임은실;김영남;최현경;고영숙;정미라;이지선;최영미;신은지;김윤경;이고운;정애리;장지희;김다은;김경희;신소영;양승경;박송란
    • 한국농촌간호학회지
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    • 제19권1호
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    • pp.25-34
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    • 2024
  • Purpose: This study investigates the relationship between job stress and burnout among primary healthcare practitioners during COVID-19 pandemic through mixed methods study. Methods: Data were collected from October to November 2022 using Qualtrix, a web-based survey platform. 1,082 primary health care practitioners participated in the survey. Quantitative data were analyzed using correlation analysis using IBM SPSS/WIN 27.0. Qualitative data were analyzed using content analysis through open-ended questions. Results: Job stress and burnout among primary healthcare practitioners during COVID-19 were positively correlated. Four categories and seven subcategories were identified. Conclusion: Based on these findings, it is necessary to develop a support system for primary healthcare practitioners according to the type of residential area and the number of peopleto reduce job stress and burnout.

머신러닝을 통한 잉크 필요량 예측 알고리즘 (Machine Learning Algorithm for Estimating Ink Usage)

  • 권세욱;현영주;태현철
    • 산업경영시스템학회지
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    • 제46권1호
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    • pp.23-31
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    • 2023
  • Research and interest in sustainable printing are increasing in the packaging printing industry. Currently, predicting the amount of ink required for each work is based on the experience and intuition of field workers. Suppose the amount of ink produced is more than necessary. In this case, the rest of the ink cannot be reused and is discarded, adversely affecting the company's productivity and environment. Nowadays, machine learning models can be used to figure out this problem. This study compares the ink usage prediction machine learning models. A simple linear regression model, Multiple Regression Analysis, cannot reflect the nonlinear relationship between the variables required for packaging printing, so there is a limit to accurately predicting the amount of ink needed. This study has established various prediction models which are based on CART (Classification and Regression Tree), such as Decision Tree, Random Forest, Gradient Boosting Machine, and XGBoost. The accuracy of the models is determined by the K-fold cross-validation. Error metrics such as root mean squared error, mean absolute error, and R-squared are employed to evaluate estimation models' correctness. Among these models, XGBoost model has the highest prediction accuracy and can reduce 2134 (g) of wasted ink for each work. Thus, this study motivates machine learning's potential to help advance productivity and protect the environment.

만성질병에 있어 다원적 진료팀의 지속가능 모델개발에 관한 실증적 연구 (An empirical study on the sustainable modeling of the multidisciplinary care teams : focus on the chronic disease)

  • 유병남
    • 대한안전경영과학회지
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    • 제15권4호
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    • pp.209-216
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    • 2013
  • By means of the model competition, this research analyzed the factor of patient management, the factor of policy support, and the factor of medical treatment system. Concretely, the factor of policy support forms a positive effects on the factor of medical treatment system. Practically, well-established healthcare policy provide and facilitate the effective medical treatment system. of the hospital. And, in the effective medical treatment system, hospitals try to develop the patient management of the chronic disease. From the empirical research, this paper concluded that the factor of medical treatment system. mediated by the factor of policy support. Also, the factor of medical treatment system promotes the development of patient management in the chronic disease.

IT를 활용한 기업-지역사회 혁신모델 사례연구 : Samasource의 Microwork를 중심으로 (A Case Study on Social Innovation Model of Samasourse Using IT Microworks)

  • 이중원;박철
    • 한국IT서비스학회지
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    • 제15권2호
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    • pp.219-233
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    • 2016
  • As social problems including aging, depopulation, healthcare, poverty, a lot of government, organizations is trying to solve the problems. Recently, social innovation is emerging as strategy for solving social problems around the world. Social innovation means more effective, sustainable and new solutions that increase total values of society. This study attempts to introduce microworks of the Samasource as a case of the business-community innovation model using IT. Samasource is one of three social ventures under the nonprofit organization Sama Group established in 2008. Its mission is to alleviate worldwide poverty by connecting unemployed people in impoverished countries to digital work. Based on the internet model "microwork", they split huge digital projects into small scales, and deliver them to BOP(Bottom Of Pyramid) groups through the internet. This case describes a business model, revenue model, and impact of Samasource's Microwork. Implications of the case were suggested in the conclusion. To this end, I would like to provide a meaningful implication to researchers and founders of the South Korea.