• 한국컴퓨터정보학회논문지
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• 제29권6호
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• pp.131-141
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• 2024

인구 고령화 추세와 현대인의 생활습관 악화로 인해 우리 사회는 다양한 만성질환 위험이 증가하고 있다. 이에 따라 사전에 예방관리히는 헬스케어가 부상하고 있는데, 특히 최근 데이터의 중요성 및 활용이 증가하면서 개인의 건강 데이터에 기반한 맞춤형 건강관리 서비스(플랫폼)가 주목받고 있다. 그러나 국내 디지털헬스케어산업은 아직까진 저조한 실적을 보이고 있다. 헬스케어 서비스의 경우 동일한 플랫폼에 대한 수요자와 공급자 양측면에서의 수용성이 중점 고려사항으로 작용하기에 본 논문에서는 계층화분석법 (AHP, Analytic Hierarchy Process)을 통해 건강관리 서비스 플랫폼 성공요인에 대한 수요자 및 공급자별 우선순위를 도출하였다. AHP는 복잡한 의사결정 문제를 계층적으로 구조화하고 각 요소의 상대적 중요도를 평가하여 최적의 결정을 도출하는 기법이다. 연구결과 공급자 집단에서는 데이터 분석 및 플랫폼 설계(1위), 법/제도(2위), 데이터 표준화(3위) 순으로 나타났으며, 수요자 집단에서는 시스템 안정성(1위), 법/제도(2위), 시스템 보안성(3위)로 나타나 집단간 순위 차이를 보였다. 이는 건강관리서비스플랫폼 활성화를 위해 기대격차 최소화를 위한 전략이 필요함을 시사한다.

• 약학회지
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• 제58권4호
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• pp.277-285
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• 2014

The purpose of this study is to provide the comparative study results for the purpose of the developing continuing professional educational systems for Korean pharmacists. The professional continuing educational systems of the UK, USA, Japan and Korea were analyzed. General Pharmaceutical Council in UK controls the pharmacy professions for the protection of the health of the citizens in UK and certifies the schools of pharmacy and the continuing education providers. The USA and Japan have the several accreditation bodies for the pharmacy education and the continuing pharmaceutical education. However, the quality assurance systems in Korea for the continuing education and specialty programs are not implemented, yet. The renewal system of the pharmacist license should be introduced like the health care providers like doctors to improve professionalism. Finally, it is recommended that all of these things should be done by a single administrative authority such as Korean Accreditation Council for Pharmacy Education.

• 한국보건간호학회지
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• 제20권1호
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• pp.5-15
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• 2006

Purpose: The objectives of this study was to measure the outcomes of interventions on the health and social welfare of the elderly in a rural community in Korea. The project involved integrating services of one public health center with that of one social welfare agency, which were under different administrative structures. Method: A single group pretest-posttest design was used for this research. Seventy-five elderly residents living alone in a rural community participated in the study. All of them had coverage of free basic medical care and social welfare services by the government. Major activities for the intervention included: developing partnerships among community leaders/institutes; forming committees of community residents; educating care providers and volunteers; developing 8 integrated service programs and instruments; and organizing the networks. The 20-month intervention was care-managed by a public health nurse whom collaborated with social worker, and was assisted by volunteers. The t-test was utilized to analyze the outcome variables including the elder's health, social welfare and quality of life. A major limitation of this study was the lack of a control group. Results: The outcome of the intervention was shown by improved elder's health, social welfare needs, and quality of life. Integrating the services of public health centers with those of social welfare agencies is an effective way to improve the health of the elderly in the community. Conclusion: Developing community capacity with such integrated services will pay an important role in improving the health of the elderly who live alone.

• 한국의료질향상학회지
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• 제5권1호
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• pp.76-91
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• 1998

Background : The purpose of this study was to understand general attitudes of physicians toward hospital quality improvement activities who have been members of QA committee in 32 Korean university hospitals. Methods : A postal survey about opinions of hospital quality improvement activities and desirable policy directions was sent to 328 QA committee member physicians. The questionnaires were composed of 48 items. In total 152 physicians responded to this survey(response rate: 49.3%). This study was carried out from January to February 1996. Results : Most physicians(97.5%) recognized the necessity of hospital QA activities. The most dominant supporting reason for quality activities was to improve clinical outcome. Two thirds of physicians regarded their own hospital activities for quality improvement as inactive. They considered that the obstacles were too little concern(33.6%), unclear objectives(28.9%), lack of human resources(14.3%), and insufficient education and training for quality improvement(10.1%). The most favoring policy among respondents was to give health care providers economic incentives. Provision of education and training for implementing quality improvement was the next to it. Physicians revealed their preferences for professional society, government, health insurance societies, consumer groups, hospital labor unions, and mass media in sequence as sponsoring agencies for hospital accreditation program. Conclusion : These study suggested that the concrete means for motivating physicians and promoting constructive partnership among related parties should be developed in order to activate current hospital quality activities in Korea.

• 가정간호학회지
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• 제30권1호
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• pp.84-95
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• 2023

Purpose: This study aimed to clarify the concept of uncertainty in brain tumor patients. Methods: We used the Walker and Avant's concept analysis method. We searched RISS, MEDLINE, CINAHL, and EMBASE for published articles in Korean and English from January 2002 to December 2022. After applying the inclusion and exclusion criteria, 27 articles were selected for the final analysis. Result: "Uncertainty in brain tumor" was defined as a state in which related clues during the process of experiencing a disease after brain tumor diagnosis are unclear or difficult to understand, new experiences different from before, or a condition in which it is difficult to judge fragmentarily. Moreover, the empirical criteria for the attributes of uncertainty in brain tumor patients were ambiguity of the disease process, diversity of information, unpredictability of prognosis, and complexity of management. Conclusion: Brain tumor patients with uncertainty require strategic technology development so that brain tumor patients, their families, and health care providers can use reasonable coping methods.

• Clinical and Experimental Pediatrics
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• 제64권9호
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• pp.436-442
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• 2021

This article aimed to summarize the impact and burden of pediatric postintensive care syndrome (PICS-p) in the physical, mental, cognitive, and social health domains after a review of the current pediatric literature in MEDLINE and PubMed. We also aimed to elucidate the limitations of the current evaluation tools used in limited-resource settings. PICS-p can impact a child's life for decades. Most validated tools are time-consuming, require qualifications, and expertise, are often limited to older children, and can evaluate only one domain. A novel, simple, and comprehensive surveillance tool can aid healthcare providers in the early detection and intervention of PICS-p. Further studies should validate and refine the parameters that will enhance the outcomes of pediatric intensive care unit survivors.

• 한국산학기술학회논문지
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• 제19권4호
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• pp.203-210
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• 2018

영국은 사회복지 돌봄에서 시장화를 유럽에서 가장 먼저 추진한 나라로 유명하다. 영국의 시장화 정책은 사회민주주의 국가에게도 영향을 끼칠 정도로 여러 나라가 시장화 정책을 도입해서 추진하고 있고 우리나라도 장기요양보험제도를 통해서 시장화 정책을 적극 도입했다. 본 연구의 목적은 영국 정부가 최근에 단행한 성인 돌봄 시장의 감독 강화 개혁을 분석하고 이를 토대로 한국 장기요양보험의 정책적인 시사점을 모색하는데 있다. 연구결과에 따르면, 영국은 시장을 적극적으로 관리 감독하고 있는 것으로 나타났다. 특히, 대규모 요양시설의 갑작스러운 파산 이후에 '2014년 돌봄 법'을 제정해서 돌봄품질위원회(Care Quality Commission)가 6단계별로 대규모 서비스 제공기관의 재정 상태와 서비스 질 등 측면에서 파산의 위험성을 사전적으로 분석하고 있다. 이를 통해서 제공기관이 일정한 수준으로 위험성이 높아지면 그 결과를 지방정부에 통보해서 파산과 같은 상황에 체계적으로 대응하도록 했다. 영국의 개혁은 장기요양 시장에 문제가 있는 한국에 시장에 대한 감독 강화, 새로운 감독 시스템 구축, 공공 감독 조직의 확대, 국민건강보험공단의 정보 공개 등의 정책적인 시사점을 제시한다.

• 한국노년학
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• 제40권4호
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• pp.599-616
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• 2020

정부는 2020년부터 기존의 6개 노인 돌봄서비스를 일괄 폐지하고, 노인맞춤돌봄서비스를 새롭게 도입했다. 노인돌봄 제도의 큰 변화로 장기요양 등급외자 노인을 위한 예방서비스로서 중요한 역할을 수행하게 되었다. 본 연구의 목적은 노인맞춤돌봄서비스의 도입 의미와 과제를 길버트와 테렐의 정책 분석틀을 활용해서 분석하는데 있다. 연구 결과에 따르면, 노인맞춤돌봄서비스는 사회서비스원의 도입과 커뮤니티 케어를 강조하는 거시 정책 환경에서 탄생한 제도로 노인 돌봄의 할당, 급여, 전달, 재정 측면에서 여러 변화를 초래하는 것으로 분석됐다. 제도적으로 등급외자를 위한 돌봄서비스의 보장성이 하위 70%로 확대되고, 보건의료와 복지의 다양한 급여가 제공될 수 있게 됐다. 또, 전달체계가 지역의 생활권역을 설정해서 수행기관이 전담해서 책임지고, 재정이 공급자 지원 방식으로 바뀌었다. 이를 통해 여러 긍정적인 변화가 기대되지만, 보장성의 여전한 취약성, 셀프케어의 모호함과 직접 대인 서비스의 축소, 서비스권역 설정의 적절성, 공급자 위주 서비스 제공 등의 과제가 발생할 것으로 분석됐다.

• 한국직업건강간호학회지
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• 제17권2호
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• pp.166-179
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• 2008

Purpose: This study was conducted to understand the situation of general hospital worker's health management and health promotion. Methods: To investigate the current situation of health management in the hospital, structured questionnaires were sent to 122 occupational health providers by post. About 79% hospitals returned questionnaires. The data were analyzed using descriptive analysis, ${\chi}^2$-test by SPSS 12.0 program. Results: A quarter hospitals responded set up separated health care office for workers, 87.5% provided health educations, and 56.5% operated health promotion projects. In the contents of health promotion program embraced both health behavior practice and disease prevention, musculoskeletal disease control, infection control, smoking cessation, and exercise program were most commonly provided to the workers in order. Occupational health care provider chose the item such as budget limitation, manager's apathy, lack of employee's participation, cooperation provider, and so on as the reason of difficulty to run health promotion program in the hospital setting. Conclusion: Hospital managers need to construct infra to manage and promote worker's health. For example, establishing Industrial safety and health committee in hospital and arranging nurses who being fully responsible to worker's health. And occupational health care provider should advertise health promotion projects both managers and workers actively.

• 한국간호교육학회지
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• 제15권2호
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• pp.274-284
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• 2009

Purpose: This study surveyed how victims with acute traumatic hand injuries received pre-hospital care and how satisfied they were with that care. Method: A total of 100 adults were interviewed using a questionnaire at one microsurgical clinic in Korea. Results: Only 12 patients (12.0%) were transported by the ambulance and the others by private or company's vehicles. Only 9 patients (9.0 %) were able to get appropriate first response from the EMTs or industrial health providers at the scene of the accidents. The mean time required for transportation from the scene of the accident to the operation room of the microsurgical clinic was $372.65{\pm}719.17$ minutes. Most of the patients were satisfied with the pre-hospital care provided by the EMT or industrial health providers but dissatisfied with that provided by lay persons. Conclusion: This study demonstrates that there is a lack in the first response provided at the scene and the activation of EMS (Emergency Medical System) for acute hand injury. It is necessary to educate the public about the appropriate first response and rapid transportation to the appropriate microsurgical clinic.