• Title/Summary/Keyword: medical management

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The Analysis of the Factors and Weights for the Performance Mesurement of Hospital CRM System (병원의 CRM시스템 성과측정을 위한 주요요인 및 가중치 분석)

  • Hong, Hyun-Gi;Chun, Je-Ran
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.8 no.4
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    • pp.915-923
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    • 2007
  • Recently we can see many cases that the CRM Systems are implemented and operated in Hospitals. The reason for such situation is the management environments in medical service market is changing rapidly one hand, and on the other hand the competitions among the Hospitals became more severe. In this paper we try to present the factors and weights as index for the measurement of Hospital CRM's System Performance. To achieve this goal, we derived the primary factors for the success of the CRM Systems based on the precedent researches, and futhermore carry out the verification of the rightness of those factors. For the verification of the rightness of the factors, we employ the Structured-Model-Analysis Method of AMOS. This enhance the meaning of the analysis result of the factors. And we use the AHP method to compare the importance grade of each success factors, because the comparison of importance level of each success factor is very crucial for the measurement of the Hospital CRM's system performance. As a result, we derived the primary factors and analyzed the weights in this paper, which might be used as the guiding Index for the measurement of the Hospital CRM' System Performance.

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Relevance of the personal characteristics of adolescents using a BMI study (중고등학생들의 개인특성과 BMI의 관련성 연구)

  • Kim, Eun Yeob;Kim, Seok Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.10
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    • pp.6150-6157
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    • 2014
  • This study evaluated the perception, school stress, psychological factors, and association of students in middle and high school groups in terms of their BMI (Body Mass Index). The '2010 Korea Youth Health Survey 'was used to study data 7187 people. The subjects were classified into the underweight group (BMI < 20), normal group (BMI 20 - 24), overweight group (BMI of 25-29), and obese group (BMI of 30 or higher). The subjects found to have experienced smoking were as follows: underweight BMI group (17.2%), normal weight group (18.4%), overweight group (21.8%), and obese group (25.8%) (p=0.016). The level of satisfaction was as follows: $14.24{\pm}3.15$ for the normal weight group, $13.67{\pm}3.13$ for the overweight, and $12.84{\pm}3.72$ in the obese group. The normal-weight group had a higher level of satisfaction (p=0.005). Underweight, normal, overweight, and obese BMI group were at school for an average of $33.57{\pm}5.76$, $33.45{\pm}5.50$, $33.12{\pm}5.34$, and $32.21{\pm}7.43$ hours per week, respectively (p=0.044). Therefore, the development of social misfit youths needs to be managed properly and effectively to improve their physical and mental health. Industry, academia and government need to collaborate with programs to achieve this aim.

A Study on User's Requirement Analysis for Improvement of OASIS (한의학술논문검색시스템 기능개선을 위한 사용자 요구 분석에 관한 연구)

  • Han, Jeong-Min;Bae, Sun-Hee;Song, Mi-Young
    • Journal of Information Management
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    • v.40 no.3
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    • pp.79-97
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    • 2009
  • Thanks to current development of many search engines and web technologies, a new semantic searching technology appears, featuring giving a relevant meaning to the keyword beyond the previous keyword search service. On the wave of advance of various search engines, the enhancement of OASIS offered by KIOM is needed as well. To do this, KIOM examined demographic and sociological analysis on their position, status, and career, the convenience of OASIS, and the value of papers offered in OASIS from members who have ever used it. Furthermore, the importance of each area involved in oriental medicine is also examined in terms of a new direction for OASIS improvement. Based on the result of the user survey, it turned out that not only an automatic search system that can find meaning of chinese character-centered key words but also a Authority-system which can distinguish homonym beyond simple keyword search system should be introduced quickly. Also, we reached the conclusion that it is necessary to interconnect a citation index information on references with laboratory information of the agencies concerned and interconnect major web sites around the world by using Open API. OASIS is the only domestic web site for offering papers that cover oriental medicine. Therefore, if requirements about the site in oriental medical circles are analyzed sufficiently and the problems of its information search system are improved, OASIS is expected to play a critical role in the development of oriental medicine.

Effect on the Internal Organizational Culture Attributes Job Performance and Job Satisfaction in Hospital (병원 내부조직문화속성이 직무수행능력 및 직무만족에 미치는 영향)

  • Kang, Cheon-Kook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.6
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    • pp.484-492
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    • 2018
  • The purpose of this study was to analyze the effects of internal organizational culture attributes on job performance and job satisfaction. Data collection was conducted from December 8, 2014 to December 20, 2014 through a self-enforced questionnaire at 500 general hospitals in Gyeonggi-do. First, the organizational cultural attributes of hospitals had a statistically significant effect on job performance. Second, organizational cultural attributes had a statistically significant effect on job satisfaction. Third, job performance had a statistically significant effect on job satisfaction. For communication, organizational development and the future of the organization as well as organizational attributes and systems of the organization were shown to increase job performance and job satisfaction, communication with seniors and colleagues, roles, and responsibilities between departments. Organizational culture had more organizational attributes than individual ones, which affects the work and behavior of the organization members. Therefore, in order to survive competition, hospitals require accurate diagnosis of hospital organization culture, maximize effectiveness of organization culture, and a desirable hospital culture. In addition, management should provide employees with a clear mid- to long-term vision to ensure that the objectives of the hospital and the goals they pursue are consistent.

Generation, Storing and Management System for Electronic Discharge Summaries Using HL7 Clinical Document Architecture (HL7 표준임상문서구조를 사용한 전자퇴원요약의 생성, 저장, 관리 시스템)

  • Kim, Hwa-Sun;Kim, Il-Kon;Cho, Hune
    • Journal of KIISE:Databases
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    • v.33 no.2
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    • pp.239-249
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    • 2006
  • Interoperability has been deemphasized from the hospital information system in general, because it is operated independently of other hospital information systems. This study proposes a future-oriented hospital information system through the design and actualization of the HL7 clinical document architecture. A clinical document is generated using the hospital information system by analysis and designing the clinical document architecture, after we defined the item regulations and the templates for the release form and radiation interpretation form. The schema is analyzed based on the HL7 reference information model, and HL7 interface engine ver.2.4 was used as the transmission protocol. This study has the following significance. First, an expansion and redefining process conducted, founded on the HL7 clinical document architecture and reference information model, to apply international standards to Korean contexts. Second, we propose a next-generation web based hospital information system that is based on the clinical document architecture. In conclusion, the study of the clinical document architecture will include an electronic health record (EHR) and a clinical data repository (CDR), and also make possible medical information-sharing among various healthcare institutions.

Development of Activation Program through the Evaluation of University Health Center - on the women's university in Seoul - (대학보건소의 현황과 활성화 방안 연구 - 서울시 여자대학을 중심으로 -)

  • Kwon, Su-Kyung
    • The Journal of Korean Society for School & Community Health Education
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    • v.2 no.1
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    • pp.41-52
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    • 2001
  • The purpose of this research is to plan the activation of university health business through the appraisal of the function and role of university health centers. To be more specific: Firstly, analyze the facility, personnel, health service of the health centers, Secondly, appraise the role and function of the health centers, and Thirdly, consider the activation plans of health centers. The research method taken was the study of surveys conducted and written research materials on 5 women's universities in Seoul. These materials where descriptively analyzed by converting the surveys, facility and usage of health center and current personnel status in to percentage. The major results of the research are as follows: Unlike as stated in each university's additional clause on the number of personnel were working. This lack of specialized personnel resulted into lack of specialized and various services. Medicine for external application were stocked well whereas only simple medicine for internal application were on shelf and were issued only with a doctor's prescription. Universities with a full-time doctor had various available equipments. One university conducting dental treatment was equipped with indirect chest camera, dental X-ray, unit, chair(dental treatment chair) and even supersonic, electrocardiogram were available. In the case of D women's university, the number of beds compared to the number of students was lower than that of the other 3 universities, to the total size of the university was smaller than that of the other 3 universities. Among health prevention and care matters, health consultation was the only matter practised by all universities. Uniquely, there was one university that hosted epidemic prevention business. There are various tests given by each university, with each showing many differences, but some universities did not even conduct these tests. Vaccinations were usually being conducted through commission. All universities provided basic treatment, therefore matters concerning treatment at health centers were being conducted well. Concerning the management of equipment and documents, all the matters were being conducted except one university where instead of a student medical record, they were using a daily record. Because these were women's universities, most of the educations were on women's health. The subjects of these educations included: sex, contraception, prevention and control of tuberculosis, obesity, mouth hygiene, alcohol, geriatric disease, mental health and first-aid. The rate of health center usage is growing. Being women's universities, the service and treatment practised were mostly concerning sex education.

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A Study on Factors Affecting Public Health Center Workforce for Health Behavior based on Pender's Health Promotion Model (서울지역 일부 보건소 공무원의 지각된 건강상태와 건강행동과의 관련성 -Pender의 건강증진모델을 이용하여-)

  • Lee, Eun-Jeoung;Lee, Myung-Sun
    • The Journal of Korean Society for School & Community Health Education
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    • v.15 no.1
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    • pp.121-140
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    • 2014
  • Objectives: Recently, the rate of death by chronic disease, is increasing steadily. To prevent this, the public health center will have taken a leading role in the local community medical business through an establish to the national health promotion act and an amendment to the law of public health center in Korea. Results: Accordingly this research, using the Pender's health promotion model which is related with subject health behavior who government employees serve at the public health center have taken important position in the local community health promotion, have comprehended the actual condition of health behavior. For increasing the health behavior practice of subject to comprehend the factor which have effect on health behavior practice, which can be a correct role model in the local community health promotion. A survey was performed on 406 government employees who serve at five public health centers in Seoul. The period of survey was from 25th October, 2010 to 15th November, 2010. The results of this study were summarized as below. 1. Work-related stress, perceptible beneficial obstacle, and self-efficacy were composed by 5 points measure. The results show those work-related stress were $3.06{\pm}0.469$, 74perceptible beneficial obstacle were $3.74{\pm}0.471$, and self-efficacy were $3.49{\pm}0.469$. 2. As for the health behavior by general characteristic, the results have specific differences on age, education level, state of marriage, rank of the position, field of the occupation and employment forms in statics analysis. 3. As for the past health behavior by health behavior characteristic, work-related stress have specific differences on the past frequency of drinking (p<.05) in statics analysis, perceptible beneficial obstacle have specific differences on the past frequency of having breakfast(p<.05), having snacks(p<.05) and doing exercise(p<.05) in statics analysis. Self-efficacy have specific difference on the past frequency drinking(p<.01) in statics analysis. 4. According to the correlation between the factors related with health behavior and health behavior, the health behavior have specific differences on perceptible health condition(p<.01), the past health behavior and perceptible beneficial obstacle(p<.05). Work-related stress and self-efficacy don't have specific relation in health behavior practice. 5. The factors, which effect on health behavior practice have specific differences on the past health behavior, employment forms and field of the occupations. The ability of explanation occupied 54.8% what explained of the health behavior practice by general characteristic, perceptible health condition, employment forms and perceptible beneficial obstacle. Conclusions: According to the correlation between the factors related with health behavior, the health behavior have specific differences on perceptible health condition(p<.01), the past health behavior and perceptible beneficial obstacle(p<.05). The factors, which effect on health behavior practice have specific differences on the past health behavior, employment forms and field of the occupations.

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Analysis on Infertility Patients in Dept. of Oriental Gynecology of Conmaul Oriental Hospital (꽃마을한방병원 한방부인과(韓方婦人科)에 불임(不姙)을 주소(主訴)로 내원(來院)한 환자(患者)에 대한 실태분석(實態分析))

  • Wee, Hyo-sun;Kang, Jung-hee;Kwon, Su-kyung;Lee, Hee-young;Cho, Hyun-ju;Choi, Eun-mi;Kang, Myung-ja
    • The Journal of Korean Obstetrics and Gynecology
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    • v.18 no.1
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    • pp.218-233
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    • 2005
  • Purpose : To investigate clinical-epidemologic aspect of infertility patients in Conmaul Oriental Hospital. Methods : From 2003, 5 to 2004, 4, a total 1223(female 943, male 280) patients was recruited, and their medical records were reviewed retrospectively. Results : The mean age of female was $31.83{\pm}3.63$ yesrs, and $34.08{\pm}3.66$ years in male. The mean BMI of female was $20.83{\pm}2.74$, and $24.36{\pm}3.03$ in male. The most common occupation of female was profession, administration, management.The primary infertility was 52.9% and the secondary infertility 47.1%. The most common past history in female was laparotomy. The mean duration of infertility was $3.32{\pm}2.5$ years and $3.9{\pm}2.63$ years in female and male. 83.6% of secondary infertility women experienced abortion. The incidence of patients with both combinded infertility factors of female and male was the most highest, and the most common single factor was ovulatory. 92.4% of female patients took sterility tests, 71.0% of male patients took semen analysis. 50.8% female took ovulation induction, IUI, IVF before coming. 8.91% of female and 72.14% of male were accompanied by their spouse. 61.2% of female took sterility test with their spouse. Female's duration of treatment was longer than man's. The most reliable source of choices was encouragement of family members, acquaintance. Conclusion : In this study, we presented staus concerend with infertility and the characteristics of patients went to oriental hospital. Furthermore, the study about oriental treatments and the results of that treatments is required.

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Prevention of Pressure Ulcer using the Pressure Ulcer Risk Assessment Based on Braden Scale (Braden Scale에 기초한 욕창발생 위험군 선별도구를 이용한 욕창의 예방)

  • Oh, Deuk Young;Kim, Jee Hoon;Lee, Paik Kwon;Ahn, Sang Tae;Rhie, Jong Won
    • Archives of Plastic Surgery
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    • v.34 no.4
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    • pp.466-470
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    • 2007
  • Purpose: Active prevention is an essential component in reducing the development of pressure sores. For the high-risk patient group, following the certified pressure sore screening scale as well as educating the patient and the nurses who care for them can lead to optimal management of these patients. Applying a risk assessment scale along with a prevention strategy can reduce medical costs and length of stays at the hospital. The purpose of this study is to evaluate the efficacy of a new pressure sore risk assessment scale based on the universally recommended Braden scale and our prevention program. Methods: From June to August, 2003, our pressure ulcer risk assessment scale was applied to a total of 1882 patients admitted to the experimental group (intensive care unit, neurosurgery, general surgery, and oncology units). It was based on Braden scale. We analysed sensitivity, specificity, positive and negative predictive value and ROC curve to evaluate its efficacy. Pressure ulcer prevention program was composed of patient's education using protocol and specific nursing care. The incidence of pressure ulcers was also measured during the 3 months period, and those were compared to the control group of 1789 patients from March to May, 2002. Results: 118(6.27%) of the experimental group were high-risk with an incidence of pressure ulcers measuring 4 (0.21%). Sensitivity, specificity, positive and negative predictive value of our scale were 100%, 94%, 4%, 100%, respectively, and AUC(area under the curve) was 0.992. In the control group, the incidence of pressure ulcers was 11(0.61%). Statistical analyses using chisquared tests with a significance level of 5%, the results were such that ${\chi }^2=3.6482$(p=0.0561). The results proved to be statistically significant in borderline. Conclusion: The results from this study proved that pressure sore risk assessment scale based on Braden scale has an excellent efficacy, and shows that our pressure ulcer prevention program is partially effective in reducing pressure ulcer incidence.

Surgical Management of Multidrug Resistant Pulmonary Tuberculosis (다제내성 폐결핵 환자에서의 수술적 치료)

  • 성숙환;강창현;김영태;김주현
    • Journal of Chest Surgery
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    • v.32 no.3
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    • pp.287-293
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    • 1999
  • Background: Medical treatment of multiple drug resistant(MDR) pulmonary tuberculosis has been quite unsuccessful. We analyzed our experience to identify the benefits and complications of the pulmonary resection in MDR pulmonary tuberculosis. Material and Method: A retrospective review was performed in 27 patients who unerwent pulmonary resection for MDR pulmonary tuberculosis between January 1994 and March 1998. Mean age was 40 years and the average history of diagnosis prior to surgery was 3.1 years. All had resistance to an average of 4.4 drugs, and received second line drugs selected according to the drug sensitivity test. Most patients (93%) had cavitary lesions as the main focus. Bilateral lesions were identified in 19 patients (70%), however, the main focus was recognized in one side of the lung. Eleven patients (41%) were converted to negative sputum smear and/or culture before surgery. Result: Pneumonectomy was performed in 9 patients, lobectomy in 16 and segmentectomy in 2. There was no operative mortality. Morbidity had occurred in 7 patients (26%), prolonged air leak in 3 patients, reoperation due to bleeding in 2, bronchopleural fistula in 1, and reversible neurologic defect in 1. Median follow up period was 15 months (3-45 months). Sputum negative conversion was initially achieved in 22 patients (82%), and with continuous postopertive chemotherapy negative conversion was achieved in other 4 patients (14%). Only one pneumonectized patient (4%) failed due to considerable contralateral cavity. Conclusion: For patients with localized MDR pulmonary tuberculosis and with adequate pulmonary reserve function, surgical pulmonary resection combined with appropriate pre and postoperative anti-tuberculosis chemotherapy can achieve high success rate with acceptable morbidity.

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