• 한국병원경영학회지
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• 제23권3호
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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.

• 한국시뮬레이션학회논문지
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• 제27권1호
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• pp.75-90
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• 2018

일반적으로 고객의 만족도를 높이는 방안은 병원의 이익 및 병원 의료진들의 만족도를 높이는 방안과는 상충된다. 이에 본 논문은 병원과 고객을 함께 고려한 평가지표를 사용하여 여러 가지 예약 패턴들을 비교해보고 병원의 효율적인 운영을 위해 성형외과에 적절한 예약 패턴을 제안하고자 한다. 본 논문에서는 도심에 위치한 실제 성형외과의 고객 및 진료 데이터를 이용해 시뮬레이션 모델을 설계하고, 이 모델을 대상으로 5가지 예약 패턴을 비교하였다. 예약 패턴의 강건성을 체크하기 위하여 성수기와 극성수기, 피크 요일과 한적한 요일 등 다양한 상황 하에서 실험을 진행하였다. 실험 결과, 본 연구에서 새롭게 제안하는 Triangle-like Pattern이 예약 수와 관계없이 가장 좋은 결과를 보여주었다.

• 한국인터넷방송통신학회논문지
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• 제9권2호
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• pp.129-135
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• 2009

국내 병원들은 u-Hospital 서비스 구현을 위한 진료예약시스템을 구축, 운영하고 있고, 운영되고 있는 시스템의 대부분은 웹 기반의 방식을 사용하고 있다. 최근 등장하고 있는 Web 2.0 기술은 웹 방식에 있어서 편리한 UI 구조 제공, 빠른 응답서비스 등의 장점을 가지고 웹 영역의 많은 부분을 변화시켜 나가고 있다. 이 기술은 웹 영역을 넘어 모바일 영역에서 일부 응용이 시도되고 있다. 본 논문에서는 Web 2.0 기술을 적용하여 모바일 진료예약 시스템을 구축하였다. 이 시스템은 기존의 모바일 및 웹 기술에 비해 적은 페이지 뷰와 빠른 로딩속도로 인해 사용자의 편리성 및 응답속도를 개선하였고 성능실험을 통해 이를 증명하였다.

• 대한치과마취과학회지
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• 제8권1호
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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.

• 대한방사선기술학회지:방사선기술과학
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• 제47권1호
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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」.

• 한국의사학회지
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• 제14권2호
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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.

• 대한간호학회지
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• 제11권2호
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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.

• 융합보안논문지
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• 제12권3호
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• pp.107-113
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• 2012

최근 데이터 통신기술의 급속한 발전은 초고속 전송 네트워크의 대중화를 가져왔으며 이는 통신 기술의 발달로 인해 기존에 오프라인에서 직접 행해지던 여러 가지 서비스를 원격지에서 온라인으로 수행 가능하도록 하는 기반이 되고 있다. 이러한 통신기술은 의료분야에도 적용 또는 응용되고 있는데 대표적으로 병원의 진료예약을 들 수 있다. 그러나 진료예약의 경우 대부분 환자 또는 환자의 보호자가 직접 해당병원에 방문하거나, 전화접수를 통해서만 이루어지고 있다. 또한 진료를 받고 줄을 서서 진료비용을 납부해야만 하며 병원의 진료비용을 납부한 환자가 다시 의사로부터 종이처방전을 발급받아 근처 약국에 가서 줄을 서서 처방약을 받아야한다. 본 논문에서는 최근 대중화되어 있는 스마트폰을 이용하여 환자가 진료접수 및 진료비용 수납 등의 진료절차를 진행할 때 별도의 시간소모 없이 신속하고 편리하게 진행할 수 있고 종이 없는 처방전을 받을 수 있는 스마트 진료 시스템을 제안한다. 또한 의료데이터가 인터넷을 통해 전송될 때 환자의 의료정보가 유출되지 않도록 하는 보안대책에 대해 논의한다.

• 한국의사학회지
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• 제34권1호
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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.

• 한국의사학회지
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• 제14권1호
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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.