• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제21권3호
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• pp.37-45
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• 2015

Purpose: The main objective of this paper is, to evaluate the unit design for patient-centered care and to draw lessons-learned for further improvement. Methods: This study conducted a case study of the intensive care unit, designed to fulfill patient-centered care in the US. It evaluated the effectiveness of the unit by incorporating several study methods such as plan analyses, direct observations through nursing tracking and behavior mapping, and focus group interviews. Results: The major design decision made in this patient-centered unit was the use of patient rooms with designated family areas and distributed nursing stations. Both design features appeared to be a success on a variety of research metrics and outcomes. The study identified that the patient rooms ultimately help family members to spent more time with their loved ones, which leads to increased satisfaction of family members and nurses also report that they generally enjoy the distributed nurses' stations, which provide a comfortable environment to complete their regular lines of work such as charting, monitoring patients, and collaborating with their colleagues. Implications: Certain design features in intensive care units such as patient rooms with designated family areas and distributed nursing stations could appropriately support hospitals to fulfill patient-centered care.

• 의료법학
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• 제20권3호
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• pp.211-233
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• 2019

2019년 10월 24일 보건의료인력지원법이 시행되었다. 보건의료인력은 가장 핵심적인 국가보건의료자원으로서, 보건의료인력의 양과 질은 국가의 보건의료 수준과도 연결된다. 본 논문은 보건의료인력지원법의 제정배경 및 주요내용을 살펴보고, 주요쟁점을 분석하여 향후 개선방안을 제시하고자 하였다. 보건의료인력지원법은 보건의료인력의 원활한 확보와 근무환경 개선 등을 지원하기 위해 제정되었다. 이 법은 보건의료인력 종합계획의 수립, 보건의료인력의 수급관리, 보건의료인력의 근무환경 개선, 이들의 지원을 위한 정책기반 조성 등의 사항들을 규정함으로써 보건의료서비스의 질을 제고하고 국민의 건강증진에 이바지하고자 하였다. 보건의료인력지원법은 보건의료환경 및 인력에 관한 사회적 이슈들을 고려하여 발의된 법으로서 보건의료인력의 수급 관리, 근무환경개선 및 복지향상 그리고 우수인력 양성 등에 중점을 두어 보건의료인력을 지원하고자한 데 의미가 있다 할 것이다. 그러나 동법이 가지는 의의를 살리면서 보건의료인력지원을 위한 실효성 있는 법으로 발전하기 위해서는 '입법목적의 달성 및 법의 실효성, 적용 대상자 범위의 적절성, 종합계획과 실태조사의 중복성과 실현가능성, 위원회 설치의 타당성, 보건의료인력지원전문기관의 업무범위와 운영방식의 적절성 측면'에서 제기될 수 있는 쟁점사항들을 검토하여 시급히 개정할 필요가 있다.

• International journal of advanced smart convergence
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• 제7권4호
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• pp.1-9
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• 2018

With developments in science and technology and improvement in living standards, human life expectancy is steadily increasing worldwide. For effective healthcare, it is necessary to check health conditions according to individuals' behavior and acquire prior knowledge on possible diseases. In this study, we classified the diseases that are major causes of death in Korea by referring to data provided by the Korea National Health and Nutrition Examination Survey. We selected indexes that could be used as indicators of major diseases and created the LCBB-SC. In the LCBB-SC, the data are systematically subdivided into related fields to provide integrated data related to each disease and to provide an infrastructure that can be used by researchers. In addition, by developing a web interface allowing for self-symptom assessments, this resource will be beneficial to people who want to check their own health condition using a list of diseases that might be caused by their behaviors.

• 보건행정학회지
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• 제32권4호
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• pp.368-379
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• 2022

Background: This study aimed to establish a strategy to improve the poor working environment and working conditions among long-term healthcare workers in Korea. Methods: A total of 600 questionnaires with which long-term health care workers participated in the targeted base areas of each city and province nationwide were distributed directly and 525 responses were collected and 506 responses were analyzed. Surveys, on-site field visits, and in-depth interviews were also conducted to understand the working environment as well as conditions and establish a strategy for improving the working environment among long-term healthcare workers to understand the demands of working conditions and working conditions. Results: Korean long-term care workers firstly and mostly enumerated their risk factors for ill-health when lifting or moving elderly recipients directly by hand (69.9%), followed by increased physical workload with old beds, tools, and facilities (42.3%) in the workplaces, shortage of manpower (32%), and source of infection (30%). To improve the working environment as well as conditions, Korean long-term care workers considered improving low-wage structures, ergonomic improvements to solve excessive physical loads, and increasing various bonus payments as well as implementing the salary system, positive social awareness, and increasing resting time. Of 506 responses, 92.3% replied that the long-term care insurance system for the elderly should be developed to expand publicization at the national level. Conclusion: This study proposes to improve the low-wage structure of Korean long-term care workers, automation and improvement of facilities, equipment, and tools to eliminate excessive physical loads (beneficiary elderly lifting), and reduction of night labor.

• PNF and Movement
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• 제11권1호
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• pp.27-33
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• 2013

Purpose : The purpose of this research was to research on Needs for the Construction of the CSFT(Cluster with a Strongpoint for Field Training) on students and professors of health-related majors. Methods : We investigated 164 students and professors using a self-reporting method with experience of Field Training. A statistical analysis was performed using SPSS 17.0 for window version. Results : It showed that educational satisfaction had scored 4.05 in curriculum, 4.00 in environment, 3.52 in schedule, 3.71 in evaluation and 3.71 in teaching and 3.84 in industrial-college systems for Field Training. Needs for the Construction of the CSFT had scored 4.17 in $mean{\pm}standard$ deviation. Conclusion : Characterization of Nursing, Department of Health and local health care environment and conditions, if you think the quality of education for the Department of Health Nursing, gradually, the acquisition and improvement of the base hospital is necessary. Therefore, it is considered to be institutionalized by installing the strongpoint hospital at least one in each region, so that they can contribute to the improvement of people's health.

• 벤처창업연구
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• 제14권1호
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• pp.167-185
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• 2019

대부분의 G20 국가에서 향후 수십 년 동안 의료 지출이 급격하게 성장할 것으로 예상하고 있듯이, 고연령 인구와 만성질환자의 증가로 인해 전 세계적으로 의료비 부담은 지속적으로 늘어나고 있으며 의료서비스의 지속적인 질 개선도 해결해야 할 과제로 대두되고 있다. 그러나 헬스케어와 IT 융합의 급변하는 기술 환경 하에서 이런 변화를 제대로 인식하지 못하고 적절한 대비를 하지 않는데서 그 문제가 더 커질 수 있다. 패러다임 변화와 의료 분야 문제 증대 상황에서 기술적, 제도적, 사업적 측면에서의 복합적인 대응이 절실히 필요하다. 핵심은 의료분야에 IT를 융합한 사업에 적합한 비즈니스모델의 도출이라 할 수 있다. 4차 산업혁명시대의 도래와 함께 사물인터넷 등의 신기술이 e헬스케어에 적용되면서 새로운 비즈니스모델의 필요성이 대두 되었다. 기존 인터넷 시대의 e헬스케어에서는 전통적인 조직 기반 (Firm-centric) 비즈니스모델이 되었으나 사물인터넷 시대에는 사물인터넷의 역동성 (Dynamics) 및 복잡성 (Complex)의 특성으로 인하여 단위 조직 (Firm-Centric)보다는 비즈니스생태계 (Business Ecosystem)기반의 접근이 필요하다. 본 논문에서는 사물인터넷 등 이머징 기술 (Emerging Technology)기반의 e헬스케어의 비즈니스생태계에 대한 연구 결과로 e헬스케어 비즈니스생태계의 3-레이어 (Layer) 구조에 기반한 생태계의 주요 발전 인자를 분석 제시한다. 3-레이어 비즈니스생태계는 (1) 인프라 스트럭처 레이어 (Infrastructure Layer), (2) 특성 레이어 (Characteristics Layer) 및 (3) 이해당사자 레이어 (Stakeholder Layer)로 정의하여 분석하였다. e헬스케어 비즈니스생태계의 주요 발전 인자측면에서는 (1) i헬스케어 개념의 도입, (2) 비즈니스생태계의 확장, (3) 비즈니스생태계 변화 프로세스 혁신, (4) 비즈니스생태계 리더쉽 혁신의 4가지 인자를 제안한다.

• 융합정보논문지
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• 제7권2호
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• pp.83-90
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• 2017

최근 대기업을 중심으로 가전제품, 스마트폰, 헬스케어 제품에 IoT를 부착한 제품을 출시하여 IoT에 대한 관심이 증가하고 있는 추세이다. 그러나, 우리나라 중소기업 환경은 다른 나라보다 IoT 기술을 적용하기 어려운 환경이기 때문에 IoT 기술을 중소기업 환경에 쉽게 접근할 수 있는 환경 개선 프로세스가 무엇보다도 절실한 상황이다. 본 논문에서는 우리나라 중소기업에서 현재 운영중인 제조 공정을 IoT 기술과 융합하였을 때 생산 효율성을 향상시킬 수 있는 서비스 운영모델을 제안한다. 제안 모델은 전체 제조 공정과정에서 제조 제품 정보와 센서/다바이스 정보를 이용하여 IoT 기술을 활용하는 것을 목적으로 한다. 성능평가 결과, 제안 모델은 기존 모델보다 제조 프로세스의 효율성이 23.1% 향상되었다. 또한, 제조 프로세스가 증가할수록 기존 모델에 비해 업무 처리시간이 평균 17.3% 단축되었다. 마지막으로 제조 공정에 사용되는 인력 감축 비용이 기존 모델보다 평균 19.8% 감소되는 것으로 나타났다.

• 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.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제25권4호
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• pp.7-15
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• 2019

Purpose: The purpose of this study is to identify the current status and use of Gyungrodang located in Heungeop-myeon, Wonju-si and to present improvement and implication for community care in rural area. Methods: The survey of the current status was conducted with interview and observations. The use status of Gyungrodang was surveyed for the elderly over 65 years old who live in Heungeop-myeon using questionnaire. A face-to-face interview was conducted to complete a questionnaire and 181 samples were collected for the study. Results: In the current status, some of the Gyungrodang did not operate during farming season. The external environment, in terms of accessibility, 74.2% of Gyungrodang were located more than 60 minutes on foot from community center, health post, and pharmacy. In addition, the interval between buses run minimum 15 minutes to 120 minutes on average. The internal structure, 35.7% was divided room and toilets. In the use status, the reason for non-use of the Gyungrodang was discomfort(29.0%), and the reason for using was because friends go to the Gyungrodang(44.6%). The most satisfying program was te health care program(65.6%). Implications: First, it is necessary to develop and operate customized health promotion program for target population and seasons. Second, it is necessary to make a plan focused on consumers' needs through satisfaction and demand survey. Third, it is necessary to divide the space of each Gyungrodang by gender when planning the expansion or new construction of Gyungrodang.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제24권4호
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• pp.27-35
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• 2018

Purpose: The diverse users and the increase of power wheelchair users have made it difficult to apply the standards of Wheelchair user accessible toilet rooms for the existing law and BF-certification. To address these issues, the standards of the relevant laws have been improved (Ministry of Health and Welfare, 2018), but there are still many problems. In this study, problems with the standards for Wheelchair user accessible toilet rooms in Korea are analyzed by comparing national and international standards. In addition, improvements to standards for Wheelchair user accessible toilet rooms will be suggested. Method: It presents improvement for standards of Wheelchair user accessible toilet rooms by comparing national, international standard and standards of many countries. Korean standard, International Standard(ISO 21542), American Standard(ADA Standards), German Standard(DIN 18040-1), Austrian Standard($\ddot{O}NORM$ B 1600) and Swiss Standard(Norm SIA 500) were investigated and analyzed. Results: Korea's standards differ from the ISO and the Standards of other countries in many ways, so there is a need for realignment. Specifications for disabled toilets and clear criteria for the size, shape, and location of sanitary appliances in toilets that are practically available to wheelchair users should be provided. Considering the increasing number of disabled toilet users, the installation of various disabled toilet rooms should be considered considering the user characteristics of those who can walk and wheelchair users. Implication: Recent partial improvements to relevant laws cannot meet the requirements of various users. Therefore, comprehensive and clear standard should be presented that take into account changing society and the environment.