• Title/Summary/Keyword: health technology assessment

Search Result 861, Processing Time 0.032 seconds

Regional Hospital Medical Equipment Operation of Adequacy Assessment (지역 의원 의료장비운영에 따른 적정성 평가)

  • Won, Do-Yeon;Kim, Seon-Chil;Park, Chang-Hee
    • Korean Journal of Digital Imaging in Medicine
    • /
    • v.13 no.2
    • /
    • pp.77-81
    • /
    • 2011
  • Due to the increasing quantity of health services demand a wide range of growing medical markets and hospital through advanced, diversification can meet the needs of the patient. This hospital is having the introduction of expensive medical equipment. Because of this, hospitals are struggling to operate the hospital management. Therefore, when operating at the hospital before and after introduction of the most important factor in the interests of medical equipment through the analysis is directly related to hospital operations. CT study of the local clinics, or CR 40 where members of the medical equipment with 54 points against selected practitioners and hospital visits and interviews to investigate the expected benefits of each of the members raised an average of seven months to identify revenue performance caused by interests. Raised against the expected benefits resulting benefits to the overall average 87.43% did not meet the expected benefits. The hospital plans to introduce future when reviewing the medical equipment in consideration of the characteristics of the equipment requires a more solid plan, and whether the plan is properly implemented will be needed for the institutional verification capabilities.

  • PDF

Multi-level Analysis of Factors related to Quality of Services in Long-term Care Hospitals (다수준 분석을 이용한 요양병원 서비스 질에 영향을 미치는 요인 분석)

  • Lee, Seon-Heui
    • Journal of Korean Academy of Nursing
    • /
    • v.39 no.3
    • /
    • pp.409-421
    • /
    • 2009
  • Purpose: In this research multi-level analysis was done to identify factors related to quality of services. Patient characteristics and organizational factors were considered. Methods: The data were collected from the Health Insurance Review and Assessment Service(HIRA) data base. The sample was selected from 17,234 patients who had been admitted between January 2007 and May 2008 to one of 253 long-term care hospitals located in Seoul, six other metropolitan cities or nine provinces The data were analyzed with SAS 9.1 using multi-level analysis. Results: The results indicated that individual level variables related to quality of service were age, cognitive ability, patient classification, and initial quality scores. The organizational level variables related to quality of service were ownership, number of beds, and turnover rate. The explanatory power of variables related to organizational level variances in quality of service was 23.72%. Conclusion: The results of this study indicate that differences in the quality of services were related to organizational factors. It is necessary to consider not only individual factors but also higher-level organizational factors such as nurse' welfare and facility standards if quality of service in long term care hospitals is to be improved.

Hazards Assessment and Workplace Management of Epichlorohydrin (Epichlorohydrin의 유해성과 작업환경 관리)

  • Kim, Hyeon-Yeong;Hwang, Yang In;Kuk, Won-Kwen
    • Journal of Korean Society of Occupational and Environmental Hygiene
    • /
    • v.22 no.2
    • /
    • pp.164-173
    • /
    • 2012
  • Objectives: Epichlorohydrin is a material that has been predicted to have high volatility and strong toxicity and is used normally in working area. Therefore, the hazardous and dangerous level and the foreign management system about epichlorohydrin should be invested at home and abroad and through hazard assessment for occupational environment measurement and exposure status of industrial workers in domestic working area. Methods: To assess risk and to suggest Development and Adoption to prevent health damage of workers owing to the epichlorohydrin exposure, the hazardousness and dangerousness of epichlorohydrin and its practical examples and regulation level for domestic and abroad health impairment are researched on the base of various references. Results: The epichlorohydrin caused skin and mucus membrane irritation, respiratory paralysis, kidney and live damage under the influence of acute toxicity and in animal study, it was confirmed as a doubtful carcinogenic substance to trigger reducement of sperm number and reproduction ability, abnormal spermatogenesis, mutagen, increase of forestomach epithelium and occurrence of papilloma and so on, as well as it induced stimulus asthma and allergic contact dermatitis for exposure workers. Conclusions: Epichlorohydrin was found to occur allergic contact dermatitis, carcinogenesis doubt and reproduction toxicity and was verified as a material which would be established reinforcement of management level to care health of handlers, such as denotement dangerousness of skin absorption.

A Study on the Compliance of the Occupational Safety and Health Act by Busan and Gyungsangnam-do Province Working Environment Measurement Institutions (부산·경남지역 작업환경측정기관의 산업안전보건법 준수 실태 및 준수율 제고를 통한 측정기관 종사자 건강보호 방안 고찰)

  • Lee, Hyunseok
    • Journal of Korean Society of Occupational and Environmental Hygiene
    • /
    • v.31 no.4
    • /
    • pp.440-450
    • /
    • 2021
  • Objectives: This study aims to investigate whether working environment measurement institutions(WEMIs) are conducting safety and health education, risk assessment, and oversight of special management materials, and whether working environment measurement and special medical examinations are being conducted as prescribed in the Occupational Safety and Health Act(OSHA). Methods: In of February 2021, a questionnaire was prepared and distributed to 33 WMEIs registered with the Ministry of Employment and Labor(MoEL) in Busan and Gyeongsangnam-do Province. The responses were collected and then analyzed. Results: The findings show that 5 WEMIs(15%) complied fully with OSHA. Risk assessment was conducted by 13 WMEIs(39%) and safety education by 11 WMEIs(33%). Eighteen WMEIs(55%) conducted working environment measurement, and 29 WMEIs(88%) conducted special medical examinations. The implementation rate of the risk assessment in the health industry(85%) was higher than the one in the special technology industry(11%)(p<0.05). The implementation rate of the special medical examination in the examiners(54%) was not as high as the one in the analysts(91%)(p<0.05). Conclusions: The MoEL needs to check whether basic OSHA requirements are being observed during regular inspections by WEMIs. These findings indicate that it is necessary to prepare a plan to improve the rate of compliance with OSHA regulations.

The Application of an EU REACH Protocol to the Occupational Exposure Assessment of Methanol: Targeted Risk Assessment (메탄올 작업장 노출 평가에의 EU REACH 프로토콜 적용: Targeted Risk Assessment)

  • Ra, Jin-Sung;Song, Moon Hwan;Choe, Eun Kyung
    • Journal of Environmental Health Sciences
    • /
    • v.47 no.5
    • /
    • pp.432-445
    • /
    • 2021
  • Background: The European Centre for Ecotoxicology and Toxicology of Chemicals' Targeted Risk Assessment (ECETOC TRA) tool has been recognized by EU REACH as a preferred approach for calculating worker health risks from chemicals. Objectives: The applicability of the ECETOC TRA to occupational exposure estimation from industrial uses of methanol was studied by inputting surveyed and varied parameters for TRA estimation as well as through comparison with measured data. Methods: Information on uses of methanol was collected from seven working environment monitoring reports along with the measured exposure data. Input parameters for TRA estimation such as operating conditions (OCs), risk management measures (RMMs) and process categories (PROCs) were surveyed. To compare with measured exposures, parameters from the surveyed conditions of ventilation but no use of respiratory protection were applied. Results: PROCs 4, 5, 8a, 10, and 15 were assigned to ten uses of methanol. The uses include as a solvent for manufacturing sun cream, surfactants, dyestuffs, films and adhesives. Methanol was also used as a component in a release agent, hardening media and mold wash for cast products as well as a component of hard-coating solution and a viscosity-controlling agent for manufacturing glass lenses. PROC 8a and PROC 10 of a cast product manufacturer without LEV (local exhaust ventilation) and general ventilation as well as no respiratory protection resulted in the highest exposure to methanol. Assuming the identical worst OCs and RMMs for all uses, exposures from PROC 5, 8a, and 10 were the same and the highest followed by PROC 4 and 15. The estimation resulted in higher exposures in nine uses except one use where measured exposure approximated exposures without RMMs. Conclusions: The role of ECETOC TRA as a conservative exposure assessment tool was confirmed by comparison with measured data. Moreover, it can guide which RMMs should be applied for the safe use of methanol.

Indoor Radon Risk Assessment by Applying Measurement Concentrations and Exposure Times for Military Facilities and Underground Shopping Malls near Subway stations (군부대 시설 및 지하철 역사 주변 지하상가의 측정농도와 노출시간을 이용한 실내에서의 라돈 위해성 평가)

  • Kong, Jin Seok;Kim, Younghee
    • Journal of Environmental Health Sciences
    • /
    • v.42 no.5
    • /
    • pp.345-351
    • /
    • 2016
  • Objectives: The objective of this study was to conduct risk assessment using indoor radon concentration and exposure times. Methods: The target facilities were military facilities before and after the application of radon reduction processes and underground commercial facilities in major subway stations in Seoul. Indoor radon concentrations were measured by passive sampler. Results: Radon concentrations in 13 military facilities were initially higher than the guidelines, but the levels were below guidelines after the application of radon reduction processes. Underground shopping mall radon concentrations near subway stations in Seoul satisfied the guidelines. However, indoor radon effective doses after radon reduction processes in some military facilities and those in underground shopping malls belonged to International Commission on Radiological Protection (ICRP) groups needing control management. Conclusion: Indoor radon management requires risk assessment data that takes into account working time (or residence time) in addition to management according to concentration guidelines.

The Effect of Active Learning on Critical Thinking Disposition, Problem Solving Ability, and Self-leadership of Nursing Students in Online Nursing Health Assessment Practice Class (온라인 건강사정실습 수업에서 능동학습이 간호대학생의 비판적사고성향, 문제해결능력, 셀프리더십에 미치는 효과)

  • Ma, Hyunhee
    • The Journal of the Convergence on Culture Technology
    • /
    • v.8 no.5
    • /
    • pp.39-50
    • /
    • 2022
  • The Purpose of this study was to confirm the effects of Active learning application on thecritical thinking disposition, problem-solving ability, and self-leadership of nursing students in the online health assessment practice course in the COVID-19 pandemic situation. Data collection was conducted from September 1st to December 17th, 2021 for 78 nursing students in the Department of Nursing at University D, and the collected data was analyzed using the SPSS/WIN 20 program. As a result of this study, the critical thinking disposition (t=-2.11 p=.038) and self-leadership (t=-2.07 p=.042) were statistically significantly increased after active learning was applied to the online nursing health assessment practice class. SOAP, Outcome-Present-Test(OPT) worksheet, clinical reasoning webs, mind map writing are confirm to improve critical thinking disposition, problem solving ability, self-leadership of nursing student, so research to confirm the effect in face to face classed should be conducted.

The Effects of Health Assessment Practical Education through Scenario on Communicative Competence, Critical Thinking Disposition and Academic Achievement among Nursing Studuents' in University (시나리오를 통한 건강사정 실습교육이 간호대학생의 의사소통능력, 비판적 사고 성향 및 학업성취에 미치는 효과)

  • Kim, Hey-Kyoung;Kim, Hyang-Soo
    • Journal of the Korean Applied Science and Technology
    • /
    • v.36 no.3
    • /
    • pp.930-941
    • /
    • 2019
  • The purpose of this study was to investigate the effect of health assessment practical education through scenario on communicative competence, critical thinking diposition and academic achievement among nursing students' in university. A nonequivalent control group pretest-posttest design was used to measure. A survey was held to the students who are taking a health assessment practical class for 2grade in J university in Chungbuk and P university in G-do. Participants in a health assessment practical through scenario class and traditional health assessment class were 35 experiment group students and 34 control group students who attended 16 weeks. Effects were evaluated through pre and post tests that included measurements. As a result, the experimental group is more capable of communicative competence (t=2,797, p=.007), critical thinking disposition(t=2,406, p=.019), ability to collecting information(t=2,977, p=.004), problem awareness competence(t=3.584, p=.001) has increased statistically significantly than the control group. Therefore, Therefore, this study could be used that health assessment practical education through scenarios to improve nursing students' communicative competence, critical thinking disposition, collecting information competence, and problem awareness competence.

Evaluation of analytical methods for several metals and fluoride by certified reference materials (인증표준물질을 이용한 중금속류와 플루오르화물 전처리방법 비교 연구)

  • Jeon, Tae Wan;Chung, David;Shin, Sun Kyoung;Choi, Hun Geun;Chung, Young Hee
    • Analytical Science and Technology
    • /
    • v.19 no.2
    • /
    • pp.172-180
    • /
    • 2006
  • This study was performed to establish new methods for hazardous substances and to develop an analytical method in specified wastes for preventing the environmental pollution caused by hazardous wastes. Therefore, the trends of international management, regulatory criteria, and items of hazardous wastes in various countries were investigated. Based on this study, target priority of new hazardous substances in specified wastes was established. An analytical method was developed using the waste standard reference materials of sludge, oil, bottom ash, etc., which contain the new hazardous substances (Ba, Be, Cr(VI), F, Ni, Sb, Se, and V). A total of 37 waste samples from the representative facilities, which are emitting new hazardous substances, were analyzed.

Advanced Korean Industrial Safety and Health Policy with Risk Assessment

  • Kwon, Hyuck-Myun;Cho, Jae-Hyun;Moon, Il;Choi, Jae-Wook;Park, Doo-Yong;Lee, Young-Soon
    • Safety and Health at Work
    • /
    • v.1 no.1
    • /
    • pp.29-36
    • /
    • 2010
  • This article describes a systematic roadmap master plan for advanced industrial safety and health policy in Korea, with an emphasis on. Since Korean industries had first emergence of industrial safety and health policy in 1953, enormous efforts have been made on upgrading the relevant laws in order to reflect real situation of industrial work environment in accordance with rapid changes of Korean and global business over three decades. Nevertheless, current policy has major defects; too much techniques-based articles, diverged contents in less organization, combined enforcement and punishments and finally enforcing regulations full of commands and control. These deficiencies have make it difficult to accommodate changes of social, industrial and employment environment in customized fashion. The approach to the solution must be generic at the level of paradigm-shift rather than local modifications and enhancement. The basic idea is to establish a new system integrated with a risk assessment scheme, which encourages employers to apply to their work environment under comprehensive responsibility. The risk assessment scheme is designed to enable to inspect employers' compliances afterwards. A project comprises four yearly phases based on applying zones; initially designating and operating a specified risk zone, gradually expanding the special zones during a period of 3 years (2010-2012) and the final zone expanded to entire nation. In each phase, the intermediate version of the system is updated through a process of precise and unbiased validation in terms of its operability, feasibility and sustainability with building relevant infrastructures as needed.