• 대한예방한의학회지
• /
• 제16권1호
• /
• pp.1-13
• /
• 2012

The objective of this study is to discuss the role of integrative medicine (IM) in contemporary health care settings, and how and which factors affect and facilitate the success of IM in terms of the integration of complementary and alternative medicine (CAM) and conventional medicine in primary health care (PHC). IM is meant to provide the best possible health care, for both patient and physician. The way of IM use in the developed countries presents various ways that IM can be provided, and it appears that strategies have been successfully developed to facilitate integration. Although few of the barriers to the integration of CAM and conventional medicine have been resolved, concerns over the legitimacy of CAM in health care (e.g., safety, biomedical evidence, and efficacy) are being overcome by the use of evidence-based practice in IM delivery. There are dominant models of IM that have been developed. The model types signify different levels of equity between CAM and conventional medicine in regard to the power, autonomy, and control held by each. However, the factors common to all IM models, whether describing CAM as supplementary or complementary to conventional medicine, is the concept of a health care model that aspires to be client-centred and holistic, with focus on health rather than disease as well as mutual respect among peer practitioners. Finally, this study concluded that the growth and viability of traditional Korean medicine(TKM) depend on evidence-based practices and identifying the successful influences on the integration of TKM and conventional medicine for recognition of its inherent value in PHC. Some recommendations for the integration of TKM and conventional medicine were suggested.

• 한국치위생학회지
• /
• 제3권2호
• /
• pp.143-155
• /
• 2003

The present study attempted to analyze the influence of the mother's demographic characteristics and knowledge on oral health as well as dental care behaviors on her practice of using dental care institutions. A self-report survey was conducted among 172 mothers of children aged 5-6 attending on three preschools located in Daegu metropolitan city. Statistical analysis was conducted using the SAS 8.01 with $X^2$-test, t-test and logistic regression. The obtained results were as follows: 1. No significant association was found among the demographic characteristics of the mother, her past experience as well as the purpose of using dental care institutions. 2. There was significant relationship between the mother's knowledge and behavior concerning oral health and her past experience of using dental care institutions; the mothers having a higher level of knowledge and who thought they themselves didn't have healthy teeth and gum tended to have more visits to dental care institutions(pE0.05). There was also significant relationship between their purpose and their actual practice of using dental care institutions: the mothers having a higher level of knowledge and who thought their own oral health was good tended to visit dental institutions more for the preventive purpose than for treatments(pE0.05). 3. As a result of logistic regression, the variables formed as models were their knowledge on oral health and their values for oral health. The standardized coefficients for the two variables were -0.19 and 0.19, respectively. For the mother's purpose of visiting dental care institutions, the variables formed as models were their knowledge on oral health and their values for oral health. The standardized coefficients for the two variables were -0.40 and -0.37, respectively. The relative contributions of the two variables to the mother's practice of using dental care institutions were on the similar level.

• 보건의료산업학회지
• /
• 제3권2호
• /
• pp.17-27
• /
• 2009

The purpose of this study was to identify the impact of e-commerce system satisfaction on e business success factors. We developed the questionnaire for measuring system satisfaction and success factors and tested internal reliability and construct validity. Cronbach's alphas of all system satisfaction factors were above .79 and that of e business success factors were above .82 except partnership (.66). In the regression models, we tried to identify all possible independent variables such as individual factors, organizational factors, system vendor size, order items in their systems and system satisfactions. Using Partial F-test, the regression model with system satisfaction factors, individual and organizational factors was identified as the optimal model in explaining the dependant variable. In the best model, system readiness and timeliness was significant determinants of e-business success evaluation. After using 7 success evaluations factors as the dependant variables, only three models were significant linear models, which were the models with partnership, CEO willingness to e-commerce and e-commerce support. In those models, system readiness and timeliness showed consistent influences to success factors.

• 보건행정학회지
• /
• 제24권4호
• /
• pp.304-311
• /
• 2014

This manuscript treats a new paradigm for the Korean health care system. We give an account of innovative health care delivery and payment models widely discussed in the contemporary US accountable care organization and coordinated care organization. In doing so, we explore a new health care model amenable to foreseeable changes to the health care system. We propose creating an integrated health care system in which the network of health care providers delivers coordinated and comprehensive care for enrolled patients residing within the geographic boundaries served by the provider network; providers may participate voluntarily in one or more networks and assume shared responsibility for patient care and cost; provider networks compete with each other based on cost and quality; and consumers are allowed to choose a network. We expect that the new paradigm will create a financially-sustainable system that assures quality of care and improves patient experience, minimizing the existing system-wide inefficiency through cross-network competition and within-network care coordination.

• Journal of Hospice and Palliative Care
• /
• 제15권4호
• /
• pp.188-192
• /
• 2012

Palliative medicine has shown demonstrated benefit for patients with serious illness, their families, and hospital systems. As such, the demand for palliative care services is growing at a fast pace, and health care facilities frequently struggle to develop and implement effective and sustainable methods of providing this care. As with any new system, challenges and barriers naturally exist to instituting palliative care. Undertaking careful assessment, planning, and resource allocation can provide the greatest likelihood of success when developing these novel yet much needed models of care. This summary paper offers a qualitative overview of the potential benefits and the rationale to implement robust palliative care systems. We briefly review the history of palliative medicine in the broadest sense and address several seminal works from the US palliative care literature. Core practices to establish and advance palliative medicine are suggested. Commentary is provided on some of the particular barriers to palliative system development that may need to be addressed in the context of Korean medical culture. Collectively, we hope this overview can contribute to a framework within which such research and development can occur, leading to increasingly effective and sustainable palliative medicine in Korea.

• Journal of Hospice and Palliative Care
• /
• 제20권4호
• /
• pp.215-220
• /
• 2017

영적간호는 호스피스 완화의료의 중심에 있다. 심각하고 생명을 위협하는 질병에 직면한 환자는 신앙, 희망 및 실존적 관심과 관련하여 중요한 요구를 가지고 있다. 이 논문의 목적은 영성, 영적 평가 및 영적간호 중재의 정의를 포함하여 이러한 간호의 핵심 측면들을 검토하는 것이다. 호스피스 완화의료에서 영적간호와 관련된 내용을 파악하기 위해 현재의 문헌 자료들을 조사했다. 점점 더 많은 증거들이 양질의 완화의료의 핵심 영역으로서 영적간호의 중요성을 뒷받침하고 있다. 문헌은 포괄적인 환자 및 가족 평가의 핵심 측면으로서 영적 평가의 중요성을 뒷받침한다. 영성은 다른 실존적 문제들뿐만 아니라 종교적인 관심도 포함한다. 향후 연구 및 임상시험은 영적간호를 제공하기 위한 최선의 지원 모델을 검증해야 한다.

• International journal of advanced smart convergence
• /
• 제10권2호
• /
• pp.168-174
• /
• 2021

Korea is ranked as the world's No. 1 country in its aging rate. While the interest and demand for health is rapidly increasing, the health status of the elderly is in the lowest among OECD members. Increased chronic diseases, the burden of medical costs and digital/untact changes of societies after COVID-19 have caused the direction of healthcare to be changed from treatment oriented to health care and prevention oriented, along with increased income levels and a desire for a healthy life. Amid this paradigm of change, the gap in health standards and health inequality for the elderly according to local structure and social conditions affects not only socio-economic but also the quality of life for individual senior citizen. Utilizing prior data of Aging Research Panel Survey, this study aims to compare and analyze health conditions and regional gaps which are significant influences on the satisfaction of the life of the elderly, and to suggest direction of studies for health care to provide solutions for health inequalities. The findings are intended to be a basic data for researching models of the New Normal Smart Healthcare System that bridge the health gap between the elderly and enhance life satisfaction with health care models suitable for regional characteristics in aging society.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제25권1호
• /
• pp.51-60
• /
• 2019

Purpose: This study aims to analyze design guidelines for hospice facilities in the US, UK, and Canada focused on design considerations and space requirements, and utilizes them as baseline data for establishing standards for Korean hospice facilities. Methods: Comparative review was carried out to investigate hospice care models, design consideration, and room sizes and requirements for design guideline of hospice facilities in United States, UK and Canada identified on electronic database and review articles, and to examine major characteristics and tendencies of hospice facilities. Results: The hospice care models characteristics in design guidelines is generally largely divided into hospital-based hospice facility, Nursing home-based hospice facility, and daycare hospice. The design considerations in hospice facilities focused on medical efficiency, flexibility, barrier-free environment, person-centered care, and stability. There is also a need for single resident room, rooms for the patient's family, and isolation room for infection control. Implications: it is recommended to establish standards for the installation and operation of required and recommended rooms and considerations when establishing the standards of hospice facilities in Korea. This Study is limited to a simple comparative analysis of the framework of guideline.

• 한국컴퓨터정보학회논문지
• /
• 제28권12호
• /
• pp.33-40
• /
• 2023

한국이 초고령사회로 진입하면서 노인 복지에 대한 필요성이 증가하고 있으나 현재 복지 인력 부족이 사회문제로 대두되고 있다. 이에 대한 해결책으로 노인의 사회적 고립감 완화와 위급 상황 시 비상 연락 등의 기능을 하는 노인 돌봄 로봇이 활발히 연구되고 있다. 하지만 이러한 기능들은 사용자의 접촉이 있어야만 작동하여 기존 노인 돌봄 로봇의 한계점으로 자리 잡고 있다. 본 논문에서는 기존의 문제를 해결하기 위해 상용화된 노인 돌봄 로봇과 카메라를 통해 직접적인 접촉 없이도 사용자와 상호작용할 수 있는 돌봄 로봇 시스템을 제안한다. 돌봄 로봇에 연결된 엣지 디바이스에 표정 인식 모델과 행동 인식 모델을 탑재하였고, 공공데이터를 통해 모델의 학습 및 성능검증을 진행했다. 실험 결과를 통해 표정 인식과 행동 인식의 성능이 각각 정확도 96.5%, 90.9%인 것을 확인할 수 있으며, 수행 시간의 경우에는 각각 50ms, 350ms인 것을 확인할 수 있다. 해당 결과는 제안한 시스템의 표정 및 행동 인식 정확도가 높고 추론 시간이 효율적임을 확인하며, 이는 비접촉 상황에서도 원활한 상호작용을 가능하게 한다.

• 보건행정학회지
• /
• 제28권3호
• /
• pp.197-201
• /
• 2018

There is a general consensus that many health care problems are attributable to the structural defects of the health care delivery system in Korea. The basic policy aimed to address these problems is to reform the delivery system so as that it incorporates two core principles: (1) stratification of medical care institutions into primary, secondary, and tertiary care providers according to the capability to perform specialized and complex services; (2) patients seeking care starting from the primary care provider and, if necessary, to be referred to the other provider step by step. This policy has been consistently pursued for about 30 years, but the achievement is far from success. Thus it is believed that the feasibility of the policy should be questioned. Starting from this question, based upon the observation of the current structure of the delivery system and its expected changes, the reform policy was discussed focusing on the assessment of its feasibility from both practical and theoretical viewpoints. The discussion leads to cast doubt on the policy for its possibility of making planned changes and producing expected desirable effects. Therefore it is advisable to investigate a wide range of alternative strategies and models for improving health care delivery.