• 제목/요약/키워드: healthcare facility

검색결과 282건 처리시간 0.025초

진료환경개선을 위한 우선적 전략과제 설정 및 그 적용 (A Strategic Quality Initiative and Its Opportunities to Improve Healthcare Environment)

  • 탁관철;박현주;박창일;강진경
    • 한국의료질향상학회지
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    • 제5권2호
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    • pp.324-334
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    • 1998
  • Background : Strategic planning is an organizationwide or systemwide, ongoing look into the future usually of 2~3 years, based on objective analysis of the current environment and trends, but it can incorporate both short-term and long-term goals. The strategic planning process includes external analysis, internal analysis, issue analysis, development of mission, vision and values, and lastly development of organizational goals and objectives. As a part of the strategic quality planning process, certain service lines, important organizationwide functions, or key processes supporting these functions can be prioritized to expedite and roll out certain strategic goals. This is called strategic quality initiatives. Methods : We organized a quality improvement team, a subgroup of 21st century vision planning corps of our medical center, and pursued QI activities for improvement of healthcare environment, particularly in the admission setting. We developed a strategic quality initiative based on the results of patient satisfaction surveys, and carried out functions of self-directed work team. Results : The strategic goal was to be the benchmark for peer group hospitals in Korea for providing cost-effective best-practice. The QI team included 3 medical doctors, 1 nurse, 1 social worker, and 1 QI consultant as well as many operational members to support services and quality initiatives met every Tuesday for 18 weeks. Outcome objectives were to improve patient satisfaction score. The issues included in the objectives were comfort, temperature, noise, cleanliness of the admission wards, quality and education of patient meals, matters regarding the admission process, and an appurtenant facility such as restaurant or convenience store. Every issue was discussed and recommendations, conclusions and opportunities were implemented. Conclusions : By developing a strategic quality initiative as a part of the strategic quality planning process, and pursuing a self-directed work team, certain sen/ice lines, important organizationwide functions, or key processes supporting these functions can be improved effectively within a short period. Strategic quality initiatives serve to support, or roll out, certain strategic goals that are relevant to performance improvement and development of specific measurable outcome objectives, and associated performance measure for each initiative. Each strategic quality initiative should include a statement of intent outcome objectives, and performance measures. We will come back with follow up of the strategic quality initiative, for improvement of healthcare environment, and results of patient satisfaction re-survey.

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노인여가복지시설 주변 다중이용시설에서의 감염병 확산 취약성 분석 모델에 관한 연구 (An Analysis Model Study on the Vulnerability in the Infectious Disease Spread of Public-use Facilities neighboring Senior Leisure Welfare Facilities)

  • 김미정;권지훈
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제28권4호
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    • pp.41-50
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    • 2022
  • Purpose: This study aims to suggest an analysis model finding the relationship between building scale characteristics of Public-use facilities and infectious disease outbreaks around senior leisure welfare facilities and the features and their scopes where quarantine resources are to be concentrated. Methods: Reviewing previous studies found the user characteristics of senior leisure welfare facilities and scale characteristics of urban architectures. The data preprocessing was performed after collecting building data and infectious disease outbreak data in the analysis area. This study derived data for attributes of building size and frequency of infectious disease outbreaks in Public-use facilities around senior leisure welfare facilities. A computing algorithm was implemented to analyze the correlation between the building size characteristics and the infectious disease outbreak frequency as per the change of the spatial scope. Results: The results of this study are as follows: First, the suggested model was to analyze the correlation between the infection frequency and the number of senior leisure welfare facilities, the number of Public-use facilities, building area, total floor area, site area, height, building-to-land ratio, and floor area ratio varied as per the change of spatial scope. Second, correlation results varied between the infection frequency and the number of senior leisure welfare facilities, the number of Public-use facilities, building area, total floor area, site area, height, building-to-land ratio, and floor area ratio. Third, a negative correlation appeared in the analysis between the number of senior leisure welfare facilities and infection frequency. And positive correlations appeared noticeably in the study between the number of Public-use facilities, building area, total floor area, height, building-to-land ratio, and floor area ratio. Implications: This study can be used as primary data on the utilization of limited quarantine resources by analyzing the relationship between the Public-use facilities around the senior leisure welfare facilities and the spread of infectious diseases. In addition, it suggests that infectious disease prevention measures are necessary considering the spatial scope of the analysis area and the size of buildings.

공공보건시설 환경색채이미지 어휘 특성 (Characteristics of Environmental Color Image Vocabulary for Public Healthcare Facility)

  • 박혜경;오지영
    • 한국과학예술포럼
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    • 제31권
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    • pp.171-180
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    • 2017
  • 본 연구는 최근 건강, 웰빙에 대한 관심이 증가함에 따라, 공공의 다수가 이용하는 공공보건시설이 국민건강 증진에 기여하는 색채환경 구축을 위한 색채이미지 특성을 분석하여 공공보건색채 계획 및 지표개발의 데이터로 활용하고자 하는 것을 목적으로 한다. 이를 위하여 기존 관련 선행연구 결과를 종합하였고, 공공보건시설을 유형별로 의료시설(종합병원), 보건시설(보건소), 준치유시설(요양시설)로 구분하였다. 총 18곳의 공공보건시설을 직접 방문하여 측색기로 환경색채를 측색하여 환경색채이미지를 분석하였고, 이에 대한 결과 및 선행연구 결과와 비교분석하여 색채이미지 특성 및 향후 보완할 점들을 도출하였다. 결과는 다음과 같다. 첫 번째, 공공보건시설의 환경색채이미지 어휘와 관련된 선행연구에서는 편안하고 밝은 긍정적인 이미지를 선호하는 것으로 나타났다. 두 번째, 공공보건시설의 환경색채를 직접 측색한 결과, 대부분 Y계열의 고명도, 저채도 색상을 사용하고 있는 것으로 나타났다. 세 번째, 공공보건시설의 환경색채이미지 어휘를 분석한 결과, '내츄럴한' 이미지가 가장 높은 빈도를 나타내었고, 그 외 '은은한', '점잖은' 등의 이미지가 나타나고 있는데, 공공보건시설의 색채이미지어휘간의 특성을 파악하기가 어려웠다. 본 연구는 색채과학과 환경디자인 분야의 융합연구로서, 디자인과 관련된 다학제적 연구 범위를 넓혔으며, 사용자 감성 중심의 환경계획에 도움이 될 것으로 사료된다.

부산 경남 지역의 주요 종합병원 병동부 면적 및 공간 구성 비율의 변화에 관한 연구 (A Study on the Change of Area and Space Organization Ratio of General Hospital Wards in Busan and Gyeongnam)

  • 박병준;이장민
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제18권4호
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    • pp.7-16
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    • 2012
  • Purpose : The purpose of this study is to look into the change of area and space organization percentage of wards in main general hospitals in Busan and Gyeongnam. Method : Patient area, nursing area, service area, training area, common area were classified for functional space organization. Patient area was reclassified to bedroom and comfort area, and common area was reclassified into vertical circulation, horizontal circulation and facility area. Also, method of area calculation was chosen standard to wall center-lines following building act 911 and functional space area of each hospital was estimated and comparatively analyzed. Result : For hospitals completed before 2000, area ratio by functional space for patient area, nursing area, service area and common area showed 53.6%, 10.2%, 0.8%, and 35.3% respectively. For hospitals completed after 2000, area ratio by functional space for patient area, nursing area, service space, and common area showed 49.2%, 12.6%, 1.1%, and 37.2% respectively. Implications : Through this study, change of percentage of space organization of main general hospitals in Busan Gyeongnam can be understood. Also because most studies on area organization of general hospital wards were focused on the capital area, this study provides basic material for future studies related to area of general hospital wards in Busan Gyeongnam.

병원선택에 미치는 요인과 사용자 집단 간의 인식차이 - 대학부속병원 입원환자, 보호자, 간호사에 대한 분석적 계층화 의사결정 평가를 중심으로 (Factors that Affect Decisions for Selecting Hospitals and Different Awareness - Focusing on Inpatient, Care-giver, Nurse in University Hospital using AHP)

  • 김석태;오찬옥
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제18권4호
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    • pp.39-51
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    • 2012
  • Purpose: Hospitals for patients and their guardians can, from the concept of healing, be removed from just gaining profits, but suggest a future-oriented direction for the hospital. Accordingly, there have been studies related to the selection of hospitals, but most were related to preference and satisfaction, and only recently did research from the concept of tradeoffs of factors for selection began to grow rapidly. Methods: From this context, this study evaluates the level of importance for factors of selecting hospitals using the analytical hierarchy process, and identifies the correlation with users, gender, age group, and outpatient features in order to identify the difference of awareness among different groups for selecting hospitals. In the factors for selection 26 factors in six categories were set through studies of preceding research, and after surveying 144 people, the following results were attained. Results: 1) The overall analysis results were found in the order of medical level, medical service, and fame, and low for facilities, which is similar to the cases of preceding studies. 2) For user analysis, it was similar between patients and guardians, but there was a slight difference in awareness among nurses, who are also medical service providers. Nurses showed relatively high level of importance in direct factors such as medical technologies and medical services, while guardians of patients showed higher importance in indirect factors such as facility environments and convenience. 3) Women showed higher assessments of importance levels in environmental factors, while men in physical factors. 4) The older the age group, the lower level importance there was on medical level, while the importance on fame reduced the further the commute to the hospital was.

장애인 생활환경실태 조사연구 (A Study on Analysis of Actual Condition of Physical Living Environment for the Challenged People)

  • 이성규;정은영
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제12권3호
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    • pp.43-51
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    • 2006
  • This study was from the survey on the items related to the challenges, the activity frequency of the challenged people and the places where these activities take place and the satisfaction and the demands on the facilities for the challenged people from 1,284 challenged people over the age of 20 living in Korea nation wide. From the survey, it was shown that the biggest demand lied in the improvement of the facilities related to the transportation and access for their residence and social activities. They felt they are inconvenient for the perspective of the implementation rate. Additionally, they had high desire for culture and physical educational activities. Improvements to provide convenient environments where the challenged people can access to and use the facilities as conveniently as unchallenged people do by minimizing the physical hindrances are urgently needed. For time being, many facilities for the challenged people was supplied to improve the physical environments for challenged people, however, foreign regulations had to be adopted for these job due to insufficient date on physical conditions of the challenged people in Korea. Moreover, current facilities for the challenged people emphasized more on physical aspect and the facility itself without the considerations on the overall environments, as result the improvement satisfaction and efficiency were low. More flexible and humane design approaches are needed instead of relying on supply rate and try to fully consider the characteristics of the challenged people without any discrimination.

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체계중심병원설계를 위한 공조실 면적 계획에 관한 연구 (A Study on Area Planning of Air Conditioning Room for Hospital Design Focused on System)

  • 김은석;양내원
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제25권4호
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    • pp.27-35
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    • 2019
  • Purpose: As the improvement in quality of medical environment and the spatial consideration for the prevention of infection in the hospital have become increasingly important in the recent years, specific and practical planning for air conditioning room's area has become a major issue accordingly. However, the air conditioning room tends to be discussed focusing on technical factors such as air conditioning systems that are irrelevant to building plans, while discussions of most departments related to the medical functions have actively taken placed. Therefore, this study aims to investigate the factors influencing the planning for the air conditioning room area, and through subsequent analysis of the area of the air conditioning room, to propose a way to improve effective planning for the air conditioning room area. Methods: This study examines the case hospitals that fall into two types: each floor supply system and concentrated supply system, and compares and analyzes the air conditioning room area-related factors and the characteristics of changes in the interior of air conditioning room before and after remodeling through air conditioning floor plan of those case hospitals. Results: The air conditioning room can be classified into the net area of the functional space such as duct passages, and the public area such as aisle space, and of those the public area is an important factor in calculating the area of the air conditioning room. The public area of the air-conditioning room should not be planned considering only the spaces for mobile passage or maintenance activities, but should be planned taking into account internal changes such as expansion and replacement of equipment in the future from the beginning. Implications: When planning a medical facility, it is used as basic data for the planning of the air conditioning room area, which is a significant fixed factor in the initial setting.

시각장애인의 실내안내시설 설치 이용만족도에 관한 연구 (A Study on User Satisfaction of Information Facilities for the Visually Impaired)

  • 김인배;김원필
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제26권2호
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    • pp.19-30
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    • 2020
  • Purpose: The ratio of the visually impaired is gradually increasing due to various causes such as natural aging, accidents, and environmental changes. Therefore, this study has two folds. Firstly, it aims to analyze the current satisfaction level with information facilities for the visually impaired. Secondly, it aims to examine the factors affecting the satisfaction with indoor information facilities. Through this study, it helps to identify problems of information facilities for the visually impaired and it works as a practical data for further improvements. Methods: For 50 visually impaired people, a telephone survey was conducted on the satisfaction with the braille blocks, braille signboards, braille information boards with tactile map, audio guide devices, and safety egress devices. Microsoft Excel and SPSS 26.0 were used for the analysis. Results: It was confirmed that the overall satisfaction with the indoor information facilities was very low. The more the visually impaired people recognized the installation standards, and the better the maintenance was, the higher the satisfaction. In the case of braille blocks and braille signboards, the effect of information transfer on satisfaction was relatively high. In the case of audio guide device and safety egress device, the standard suitability influenced satisfaction. Implications: The low level of satisfaction with the overall information facilities can impede visually impaired people from receiving practical help through the information facilities. Factors influencing the satisfaction level of each facility were identified, which makes it possible to prepare effective improvement measures.

농촌지역 공공보건시설의 잠재적 접근성 측정 (Potential Accessibility of Public Healthcare Facilities in Rural Areas)

  • 이준모;조순철;황정임
    • 농촌지도와개발
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    • 제20권2호
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    • pp.431-450
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    • 2013
  • 본 연구의 목적은 우리나라 농촌지역 공공보건시설의 잠재적 접근성을 측정하고 지역 간의 차이를 분석하는 것이다. 공공보건시설의 수요에 해당하는 인구를 대시메트릭 매핑기법을 활용하여 공간적으로 미시적인 수준에서 구축 분석하여 보다 정확한 접근도를 측정하였다. 최소거리 기반의 공공보건시설의 접근도 측정결과, 군지역과 읍면지역은 거주지로부터 각각 1,845m와 1,777m가 떨어져 있었다. 강원도와 경상북도에 입지하고 있는 지역들이 상대적으로 접근도가 낮았으며, 면지역의 접근도가 읍지역보다는 다소 우수한 것으로 나타났다. 본 연구의 결과는 농촌지역 공공보건시설의 잠재적 접근도의 현황과 지역 간의 격차를 구명하였다는 점에서 의의가 있다. 아울러, 향후 공공보건시설의 입지를 탐색하고 의료시설의 전달체계를 높이기 위한 기초자료로서 활용이 가능하다.

Aging in Place를 위한 노인주거시설 선호에 관한 연구 (A Study of the Senior Citizens' Preferences over housing for Aging in Place)

  • 이현진;박재승
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제16권1호
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    • pp.55-63
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    • 2010
  • The study was initially designed to look into the soon-to-be senior citizens' preferences for the life after retirement in aging society. Its outcomes are to be contributed to grading up the quality of housing culture through examining the expected changes of housing types in the future. The increasing number of the soon-to-be senior citizens becomes leading subjects in information, culture and consumption areas. Therefore it is significant to present a model of housing types for those citizens by analyzing their preferred residence after retirement. To complete those objectives, a set of questionnaires concerning sex, age, district, education and income of those subjects in 40's-50's, who are expected to be more than 20 percent of national population by 2030, were collected and analyzed to find out their preferences over housing types, residential welfare facilities, and co-housing. The results show that the preferences over the residential welfare facilities and co-housing for those who are able to move for themselves are low, while the preferences over single-unit houses in the suburbs within 2 hours from a city are very high. Preferences for apartments in the urban areas are high for those with high income and education. In contrast preferences for life in their hometowns are high for those whose income and education are relatively low. Most of those with some difficulties in moving for themselves want to get help with welfare facilities for the elderly people. And the preferences of those who want to receive help from assistants are different from those preferring to get help from their offsprings, which tells a need for further study of the convertible housing types according to their family members.