• 제목/요약/키워드: medical doctor

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모바일 병원정보시스템 사용성에 대한 실증연구 (A Case Study of a Mobile Hospital Information System Usability)

  • 안명진;양준영;류효선;박찬석
    • 한국병원경영학회지
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    • 제18권4호
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    • pp.97-112
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    • 2013
  • This study is a proposal of quality scale and measurement for the Mobile Hospital Information System Usability used to the Chungnam National University Hospital in Daejeon Korea. This study is to provide decision- making guideline for hospital managers and to provide feedback for the users' information needs in Mobile Hospital Information System. The target people of the study were medical doctors in Chungnam National University Hospital. The service contexts of usability were request of medical Care, Vital sign check of Patient, Care Agreement of Patient, Blood management, Check of care state, Sign of choice doctors, Query of doctor order and patient measurement result. The Usability factors were the efficiency, effectiveness and satisfaction of quality model ISO9241-11. This study shows that the Mobile HIS is used for the communication and education between doctor and patients. Especially, The Care Agreement of Patient is a part of the most utilized in the Mobile HIS.

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노인병원 선택요인과 만족도가 재이용의사에 미치는 영향 - 환자보호자 관점에서 - (Possible Effects of Senior Hospital Selection Factors and Satisfaction on Revisit Intention)

  • 최영선;류황건;배성권
    • 보건의료산업학회지
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    • 제3권1호
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    • pp.33-46
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    • 2009
  • In order to analyze possible effects of senior hospital selection factors and service satisfaction on senior hospital patients' revisit of senior hospital, this study surveyed guardians of total 204 patients hospitalized in major 4 senior hospitals in Busan. As a result, this study came to the following conclusions: First, it was found that guardians considered appropriateness of medical treatment cost as the biggest factor of choice, which was followed by kindness of doctor and hospital employees, locational accessibility (traffic convenience), and doctor's medical capacity. Second, the factor analysis about patients' satisfaction showed that the influential factors consisted of satisfaction at medical staffs, satisfaction at nursing and care, and satisfaction at facilities. Third, there was not significant difference in the overall impression of hospital and the intention of revisit depending upon sociological variables. Fourth, satisfaction at nursing and care and satisfaction at facilities had significant effects on better satisfaction at overall impression of hospital, and it was noted that the shorter admission period and the less complaint led to the higher intention of revisit. Therefore, it is necessary to improve satisfaction at medical staffs, nursing and care, and facilities rather than patients' own sociological characteristics.

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응급실 환자의 응급의료센터 체류시간 단축프로그램 개발 및 효과 (Evaluation of Shortening the Stay Time of Patients in an Emergency Medical Center (EMC))

  • 김은주;임지영
    • 가정∙방문간호학회지
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    • 제17권1호
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    • pp.21-27
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    • 2010
  • Purpose: The study evaluated a program to shorten EMC stay time. Methods: The subjects were EMC patients, and comprised a control group of 8,477 and an experimental group of 8,378. Data were collected from June 2006 to August 2007, and analyzed concerning stay time for doctor visit, decision making, and discharge. The data were analyzed by $X^2$-test and ANCOVA using SPSS14.0. Result: The stay time of doctor visit, decision making and discharge of the experimental group was significantly less compared to the control group. Using second and third grade triage criteria, the stay time of experimental group was statistically reduced from the control. Conclusion: The implemented shortening program was effective in reducing EMC stay time and increasing EMC effectiveness.

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조선전기(朝鮮前期)의 '전문의녀(專門醫女)'에 관한 연구 -성종대(成宗代)의 의녀(醫女) 장덕(長德)과 귀금(貴今)을 중심으로- (A Study on Chosun Dynasty Professional Woman Doctors)

  • 이민호;안상우
    • 한국의사학회지
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    • 제21권1호
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    • pp.47-52
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    • 2008
  • The Chosun dynasty woman doctors served important roles as professional doctors. Most of these woman doctors are believed to have been either assistants to their male counterparts or specialists for certain limited fields such as gynecology. Despite such circumstances, some woman doctors such as 장덕 or 귀금 were even mentioned in the 조선왕조실록 for their outstanding abilities. In such cases where a doctor was recognized for their skills, they were entitled to higher social status and/or financial benefits.

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학습성과중심교육과정에서의 교육과정 설계 탐색 (An Investigation on Curriculum Design in Outcome Based Curriculum)

  • 채수진
    • 의학교육논단
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    • 제11권1호
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    • pp.3-9
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    • 2009
  • Outcome based education, a competence based approach at the cutting edge of curriculum development, offers a powerful and appealing way of reforming and managing medical education. The emphasis is on the product that is to say what sort of doctor will be producted rather than on the educational process. In outcome based education, the outcomes are clearly and unambiguously specified such as Tyler's curriculum design. The design of outcome based curriculum plans in the opposite direction, starting with the good doctor and working backwards. Outcome based curriculum offers many advantages as a way of achieving this. It emphasises relevance in the curriculum and accountability and can provide a clear and unambiguous framework for curriculum planning which has an intuitive appeal. It encourages the faculty and student to share responsibility for learning and it can guide the assessment.

디지탈 내시경 영상처리 시스템의 개발 (Development of Digital Endoscopic Image Processing System)

  • 송철규;이영묵
    • 대한의용생체공학회:의공학회지
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    • 제18권2호
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    • pp.121-126
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    • 1997
  • Endoscopy has become a crucial diagnostic and therapeutic procedure in clinical areas. Over the past three years, we have developed a computerized system to record and store clinical data pertaining to endoscopic surgery of laparascopic cholecystectomy, pelviscopic endometriosis, and surgical arthroscopy. In this study, we developed a computer system, which is composed of a frame yabber, a sound board, a VCR control board, a LAN card and EDMS(endoscopic data management software. Also, computer system has controled peripheral instruments such as a color video printer, a video cassette recorder, and endoscopic input/output signals(image and doctor's comment). Digital endoscopic data management system is based on open architecture and a set of widely available industry standards, namely: windows 3.1 as a operating system, TCP/IP as a network protocol and a time sequence based database that handles both images and doctor's cotnments. For the purpose of data storage, we used MOD and CD-R. Digital endoscopic system was designed to be able to store, recreate, change, and compress signals and medical images.

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블루투스를 이용한 혈압, 혈당 측정 단말기 제작 및 원격건강관리시스템 개발 (A Development of Blood Pressure and Blood Sugar Monitor Using the Bluetooth and Tele-monitoring System)

  • 홍승범;김성진;이원근;이무호
    • 한국콘텐츠학회:학술대회논문집
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    • 한국콘텐츠학회 2008년도 춘계 종합학술대회 논문집
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    • pp.80-83
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    • 2008
  • 본 논문은 혈압, 혈당 측정 단말기에 블루투스를 부착하여 인터넷을 통하여 원격건강관리 시스템을 제안하고 구현하였다. 환자의 혈압과 혈당 데이터를 담당의사에게 실시간 전송되고 담당의사는 진료 결과를 환자에게 전송하게 된다. 혈압, 혈당 측정 단말기는 이동성을 확보하도록 제작하였다.

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Design of Medical Record Algorithms

  • So Yo-Hwan;Kim Seok-Soo
    • International Journal of Contents
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    • 제1권2호
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    • pp.18-21
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    • 2005
  • The following suggested algorithm is completed care report for the family medical history. Rn=$U\;Pnj+U\;Dn^i$ : (j=1,2,...,j), (i=1,2,...,i), (n=1,2,...,n) The Rn(completed care report) integrates comprehensive patients reports ranging from patient $P^2\;to\;P^j$ including $P^1$ (oneself) with the doctors' care reports up to the care No. no by i number of doctors ($D^1$ =doctor in charge, $D^{2,3...i}$=doctors on corporation program.) This approach, since a participation in a family membership effectuates all of family members, can minimize the membership fees, thus enabling inter-family health care on a home doctor basis.

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의료서비스경험조사의 신뢰도 및 타당도 검토: 의료기관 특성별 차이를 중심으로 (Review of Reliability and Validity of Medical Service Experience Survey: Focused on the Differences by Type of Medical Institutions)

  • 김희년;최용석;문석준;신정우
    • 보건행정학회지
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    • 제32권1호
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    • pp.94-106
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    • 2022
  • Background: The efforts to build more "people centered," "patient centered" health system has been emerging all over the world. Aligning with it, the Korean government is conducing the survey called "Medical Service Experience Survey (MSES)." There are critics, however, that MSES is not scrutinizing the medical experiences of patients in various healthcare settings. For this reason, this study aims to perform an empirical analysis of the differences in answers of patients responding to various healthcare settings. Methods: There are two steps in this study. First, explanatory analysis is conducted to compare the tendency of statistical concentration on questionnaires by divided healthcare settings. Second, confirmative analysis is carried out to evaluate the construct validity, reliability, and discriminant validity of the questionnaire in each healthcare setting. The raw data of MSES, which was conducted in 2020 by the Ministry of Health and Welfare in Korea and the Korean Institute for Health and Social Affairs is used. Results: As a result of exploratory factor analysis for all outpatients, the items were classified into four factors statistically: "doctor experience," "nurse experience," "outpatient service experience," and "patient satisfaction." It was confirmed that the reliability of all factors extracted was secured. However, for patients who visited hospitals, questionnaires related to personal privacy, such as "experiences on medical staffs considering physical exposure" or "experiences related to personal information exposure," were answered in conjunction with items of "nurse experience." Besides, patients responded that administrative elements of medical services, such as "experiences of comfort in medical institutions" and "experiences of satisfactory administrative services," were related to the items of "nurse experience." The answers of patients who visited traditional medical hospitals and clinics about "doctor experience" and "nurse experience" were not discerned statistically, and the answers to "doctor experience," "nurse experience," and "medical institution experience" were entangled with the responses of patients who visited dental hospitals and clinics. On the other hand, as a result of the confirmatory factor analysis, it was found that the inquiries of MSES generally had intensive validity. Conclusion: The collection of objective and scientific data is the prominent component to enlighten the patient-centered healthcare system alongside with change of the worldwide paradigm of measuring the healthcare system performance as follows the transition of perspective of health care from provider-centered to patient-centered. This study empirically shows that the patient experience can vary as the healthcare settings. Furthermore, to make an advance in measuring the experience of patients with medical services, this article proposes the deliberate consideration of the different kinds of healthcare settings and articulate design of the survey.

한의원 래원환자의 한방의료 선택과 이용에 관한 연구 (A Study on the Selection and Usage of Traditional Medicine Based on the Outpatients of Oriental Medicine Clinic)

  • 이정택;박영재;이상철;허영;박영배
    • 대한한의진단학회지
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    • 제10권1호
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    • pp.153-165
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    • 2006
  • Objectives: The purpose of this study is to obtain basic data about medical consumer's behavior by the examination of the demographic characteristics, experience of medical service and attitude toward traditional medicine based on the outpatients of oriental medicine clinic. Methods: The participants of this study are outpatients in 5 oriental medicine clinics located in the metropolitan area. The resources were collected from the self-administration questionnaire survey. 202 samples were collected. The SPSS 13.0 for windows was used for statistical analysis: One-way ANOVA, $x^2-test$, correlation analysis were used to verify the results. Results & Conclusions: The results from this study are as follow. 1, The group which are in low-ade educational background and income selected traditional medicine for the promotion of health. In this group, traditional medicine was consumed with higher purchasing frequency and more satisfaction and considered more safe and effective, on the other hand western medicine was consumed with lower frequency. People In this group highly evaluated the kindness of oriental medicine doctor and more interested in health. 2. The group which selected traditional medicine for the treatment of disease more frequently consumed traditional medicine. People In this group highly evaluated the efficacy and economical efficiency of traditional me야cine and the kindness of oriental medicine doctor. 3. The group which selected traditional medicine for the management of disease iess : frequently consumed western medicine. People In this group highly evaluated the efficacy of traditional medicine. 4. Purchasing frequency on traditional medicine was higher in the 50year above group than $30{\sim}39year$, 29year and below group.(P<0.1) 5. Purchasing frequencyy on traditional medicine slightly correlated with the satisfaction of traditional medicine and the kindness of oriental medicine doctor. The satisfaction of traditional medicine strongly correlated with the kindness of oriental medicine doctor. 6. The efficacy of traditional medicine and the kindness of oriental medicine doctor were highly evaluated in the $10{\sim}19times$ experience group and 20times above experience group than $1{\sim}4times$ experience group.

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