• Korea Journal of Hospital Management
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• v.23 no.3
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• pp.87-103
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• 2018

Purpose: This study investigates the best appointment pattern which can enhance customer's satisfaction and hospital's efficient management reflecting plastic surgery clinic's service characteristics. Methodology: The data of this study is obtained from Plastic surgery Clinic which is located in the civic center. By collecting and analyzing the data, we build the simulation model using ARENA. Based on 5 appointment patterns that was suggested in formal appointment scheduling studies, we experiment 3 simulation models; 'Basic Appointment Pattern' that has no restriction, 'Restriction on Second Customer' that restricts the number of second customer's in each slot, 'Restriction on Process Time' that restricts the number of second customer who has long process time in each slot. We can check robustness of the appointment patterns by experimenting on off-peak day and peak day, during peak season. Findings: This study confirms that these 2 restrictions can give a better result than 'Basic Appointment Pattern' that just simply distributes customers by number. Especially, the performance of Triangle-like pattern which is the best appointment pattern in the formal study has been improved by adding restrictions. Based on 'DET', 'Restriction on Second Customer' shows a better result. Meanwhile, based on 'E(WT)', 'Restriction on Process Time' shows a better result. Overall, based on 'DET+E(WT)', 'Restriction on Second Customer' shows a better result. Practical Implications: The purpose of each hospital may alter as demand for plastic surgery grows increasingly. Thus, each hospital should be always prepared to introduce appointment pattern for changed purpose. In order to respond flexibly to these changes, it is necessary for medical personnel to improve the awareness or for hospital to create an environment by constructing appointment program so that medical personnel does not need to put more labor on work.

• Journal of the Korea Society for Simulation
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• v.27 no.1
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• pp.75-90
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• 2018

Generally, solutions that can increase patients' satisfaction are in conflict with the solutions that can increase the satisfaction and profitability of the medical personnels. In this paper, we compare appointment patterns using multiple performance measures that take into account both hospital's position and customers' position, and propose the best appointment pattern especially for an efficient scheduling in a plastic surgery clinic. A simulation model using ARENA is designed based on real hospital data. Based on this model, we compare 5 appointment patterns. To check the robustness of the appointment patterns, we have experimented on various appointment situations by considering peak, extreme peak seasons, and peak, off-peak days. We found that Triangle-like pattern turned out to be most efficient regardless of appointment situations.

• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.9 no.2
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• pp.129-135
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• 2009

Most Hospitals develop a Medical online appointment system for u-Hospital which system based on Web Application. Web 2.0 technology has good user interface and fast response time in a web service. This paper proposed a Mobile Medical Online Appointment System using Web 2.0 Technology. This system improve the page view, convenient UI and fast response time. We test this system with evermedi, other hospital system in iwebtools service and show that it can improve the efficiency and perfomance. The proposed technology can improve the efficient mobile service because it can be extended to ubiquitous mobile application.

• Journal of The Korean Dental Society of Anesthesiology
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• v.8 no.1
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• pp.1-9
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• 2008

Common dental procedures (local anesthesia and dental treatment) are potentially stress-inducing in many patients, especially medically compromised patients. The body response to dental stress involves the cardiovascular system (an increase in cardiovascular workload), the respiratory organ and the endocrine system (change in metabolism). To minimize the stress to the medical risk patient, the stress reduction protocol was established. The obtained contents were as follows: (1) Recognize the patient's degree of medical risk (2) Complete medical consultation before dental therapy (3) Schedule the patient's appointment in the morning (4) Monitor and record preoperative, perioperative and postoperative vital signs (5) Use psychosedation during therapy (6) Use adequate pain control during therapy (7) Short length of appointment: do not exceed the patient's limits of tolerance (8) Follow up with postoperative pain/anxiety control (9) Telephone the higher medical risk patient later on the same day that treatment was given. This protocol is predicated on the belief that the prevention of or reduction of stress ought to begin before the start of an appointment, continue throughout treatment, and, if indicated, into the postoperative period. The authors used the stress reduction protocol in the care of local anesthesia infected teeth in medically compromised patients. The final prognosis was comfortable without any complications.

• Journal of radiological science and technology
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• v.47 no.1
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• pp.7-12
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• 2024

Medical institutions wishing to install and operate diagnostic radiation generators must complete appointment training within one year of appointment based on the 「Medical Act」 and the 「Rules on Safety Management of Diagnostic Radiation Generator Devices」 which will come into effect on January 1, 2024. Additionally, You must receive supplementary education every three years from the date you received it. The strengthening of safety management for diagnostic radiation generators used in medical institutions means that although the radiation exposure that may occur when using diagnostic radiation generators is low, the risk of carcinogenesis may be higher than previously evaluated. In addition, safety management of diagnostic radiation generators can be said to be an essential requirement because it has been reported that the incidence of leukemia and other diseases is increasing in diagnostic radiation tests. However, the safety management training targets and programs for radiation exposure management operated by other organizations other than diagnostic radiation generators are significantly different. In addition, since the public institutions that are responsible for radiation safety management are divided, there is a risk of duplicative, excessive, and under-administrative application to medical institutions and educational institutions that install and operate diagnostic radiation generators. Therefore, we would like to determine their consistency by comparing domestic and foreign related cases and the provisions of the 「Medical Act」 and the 「Nuclear Safety Act」.

• The Journal of Korean Medical History
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• v.14 no.2
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• pp.249-260
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• 2001

Chonggang Kim Younghoon is a person who cannot be dropped out in speaking of contemporary Korean history. "Susehyunsuh" is very meaningful since it's his early work. It was written in winter of 1904, and it was written to adjust all his medical knowledge so far, before he started lectures after appointment to a professor at Dongje medical school. In general, it's chaptersd are in form of poetry and a characteristic of the edition is that it's in the best use of searching the text for clinical practice. The content is basically sorted from "Euihakyipmun" and "Donguibogam", but prescriptions are mostly referred from Chosun medical books of those days.

• Journal of Korean Academy of Nursing
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• v.11 no.2
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• pp.33-54
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• 1981

The purposes of this study were to determine the relevant nursing needs of patients following discharge; to identify the degree of their nursing needs; to identify types and status of discharge order and information given to patients; and to determine their specific nursing needs according to their diagnosis. In addition, opinions toward home care services provided by hospitals or by public health nurses and appointment plans with their physicians were also asked in order to determine the necessity of follow-up care for the patient after discharge. Nine hundred and eighty eight subjects were collected among patients being discharged from one national university hospital and four city hospitals. Data were collected from June,1979 to December,1979 using questionnaires and interviews. On the bases of these data the following findings were observed; 1) Almost 40 percents of total subjects discharged from the hospital with some or great degree of nursing needs in general. The most problematic nursing needs were needs for comfort which include needs for releaving pain, for sound sleep and rest, because these needs can only be met by professional help. More than 50% of total subjects have this problem. 2) Needs for mental health, general metabolism, general hygiene and activities and safety were observed in more than 20 percent of subjects. 3) Discharge orders on diet and oral medication were recorded in patients' charts in 70% of all cases. However, more than fifty percents of patients have not been told these information from doctors or nurses. Even though some of them might have had appointment plans with their physicians, they would not keep the appointments unless they completely understood the necessity of the follow-up care. If they have not had any appointment or would not visit the out-patient clinic, there is no method of caring them and prerenting funther discomfort or complications. Even in injection, ski care, dressing and bath, only one thirds of the subjects having recorded discharge orders understood what they need after discharge. The rest of cases have not known what to do for their further care. 4) More than 80 percents and 70 percents of total subjects agreed to a system of home care services provided by hospitals or public health nurses respectively. That is, regardless of sources of medical expenses, most of patients wanted to be taken care of at home following discharge. 5) While more than half of the patients having benefit of medical insurance or paying fully by themselves had appointment plans with their physicians, only one thirds of the patients fully or partially paid by government had appointment plans with their physicians. These results ex-plain that the appointment plan is directly associated with their economic power. This indicates that the home care services are more needed to the people with lower economical status. 6) Those who have been in the hospital more than 24 days wanted !o have home care services more than those who had less hospital days. They also had more appointment plans than other groups. 7) More than 70 percents of the subjects who had been in a university hospital and approximately 30 percents of the subjects in the city hospitals had appointment plans with their physicians. 8) Those who had the cerebrovascular disease, cancer or hypertension demanded more nursing needs such as needs for comfort, for general metabolism and for mental health. 9) Factors which were associated with the degree of patients' nursing needs were age, duration of hospitalization, opinion toward home care services given by public health nurses, hospital appointments and types of hospital. That is, the older they were and the longer the periods of hospitalization were, the higher were their nursing needs. The more they had nursing needs, the more they wanted to have nursing services and had appointment plans. It can be concluded that there is a great demand for a positive and systematic home care services to the people who have been discharged from hospitals following critical care. This program is definitely demanded for the low income groups of people with less education with the financial assistance of the government or other funding agencies.

• Convergence Security Journal
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• v.12 no.3
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• pp.107-113
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• 2012

Due to the development of communications technology, it is now possible to be offered online from remote places. This kind of communications technology can be applied to the medical field. The medical treatment appointments in hospitals can be its typical example. But still, in most of hospitals, patient or guardian have to physically visit or call to the hospital to set up an appointment for the medical treatment. In addition, they have to wait in line in order to pay after receiving the medical treatment. The patient or guardian, after paying, receive a paper prescription and they go to a nearby pharmacy to take the medicines. They must wait in line again there in order to receive the medicine from the pharmacy. In this paper, we would like to suggest a smart medical treatment system in order to solve the problems discussed above. With this proposed system, the user will be able to make an appointment, make payments and receive medication quickly and easily without spending extra time. Also, there will be no need for paper prescriptions with this system. We discuss about the security of medical information for this proposed smart medical treatment system proposed.

• The Journal of Korean Medical History
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• v.34 no.1
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• pp.47-57
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• 2021

The appointment of medical officials during the Joseon Dynasty was conducted through medical testing. To date, most of the research done on these tests has focused on the testing system and its formal qualities without any study of actual test cases. This paper considers the significance of the medical examination format and contents through a test paper contained in the book "Joseonuihaksageupjilbyeongsa (朝鮮醫學史及疾病史)" by MikiSakae (三木榮). The literature confirms that the medical exam paper is the same format as "Gangji (講紙)," and that the test format called "Gangseo (講書)" is a very high-level test. Therefore, analysis of the case suggests that the format of the medical examination reflects the demand for high-quality medical learning for applicants. This consideration is meaningful because existing medical test papers are very rare.

• The Journal of Korean Medical History
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• v.14 no.1
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• pp.167-175
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• 2001

Chonggang Kim Younghoon is a person who cannot be dropped out in speaking of contemporary Korean history. "Susehyunsuh" is very meaningful since it's his early work. It was written in winter of 1904, and it was written to adjust all his medical knowledge so far, before he started lectures after appointment to a professor at Dongje medical school. In general, it's chaptersd are in form of poetry and a characteristic of the edition is that it's in the best use of searching the text for clinical practice. The content is basically sorted from "Euihakyipmun" and "Donguibogam", but prescriptions are mostly referred from Chosun medical books of those days.