• 한국학교ㆍ지역보건교육학회지
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• 제14권2호
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• pp.1-14
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• 2013

Objectives: The purpose of this study was to identify the relationship of internet use time and health risk behaviors among adolescents and provide data to set up a strategy for preventing internet addiction. Methods: The data of the 2011 Youth Health Risk Behavior web-based Survey Collected by Korean Center for Disease Control was analyzed using t-test, ANOVA, Chi-square test for this study. Results: There were significant differences between boys and girls in internet use time. Boy's internet use time was different according to city size(F=13.20, p<.001), grade(F=35.85, p<.001), school record(F=298.95, p<.001), economic state(F=326.75, p<.001), living with parents(t=11.60, p<.001), father's education level(F=147.92, p<.001), and mother's education level(F=110.93, p<.001). Girls' internet use time was also different according to school grade(t=-8.68, p<.001), grade(F=61.03, p<.001), school record(F=233.32, p<.001), economic state(F=185.78, p<.001), living with parents(t=10.81, p<.001), father's education level(F=86.54, p<.001), and mother's education level(F=92.64, p<.001). Regarding the health risk behaviors, present smoking, present alcohol drink, drug use skipping breakfast, eating fast food, drinking soda, sexual behavior, suicidal attempt, engagement time in physical education classes, severe exercise, and sleeping satisfaction made differences in the internet use time. Conclusions: The results suggest that health risk behaviors are influenced by internet use time of adolescents. Thus, these results may be contribute to development of programs to prevent internet addiction.

• 한국의료질향상학회지
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• 제10권2호
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• pp.204-215
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• 2003

Background : ICD-10 Classification, which is used domestically as well as internationally, has limited use in the clinical practice since it is developed for at disease statistics and epidemiology. Therefore, the purposes of this study were to improve the quality of diagnosis by constructing a new disease classification based on the diagnoses doctors currently make in the clinical setting and connecting this classification with OCS and EMR, and to meet the demands of doctors for high quality medical study data in medical research. Methods : The specialists in each ophthalmic subfield collected clinical diagnoses and abbreviations based on the ophthalmology textbooks and confirmed the classifications. Total number of clinical diagnoses collected was totaled 672, for which ideal diagnoses had been selected and a new model of disease classification model in connection with ICD-10 was constructed. The constructed classification of clinical diagnoses consisted of six steps: the first step was the classification by ophthalmic subspecialty field; the second to fifth steps were the detailed classification by each specialty field; the sixth step was the classification by site. Results : After introducing the new disease classification, research on the use and a pre-post comparison was conducted. The result from the research on the use of the clinical diagnoses in inpatient and outpatient care has shown a gradually increasing tendency. From the pre-post comparison of EMR discharge summary diagnoses, the result demonstrated that the diagnosis was stated correctly and in detail. Since the diagnosis was stated correctly, code classification became correct as well, which makes it possible to construct high quality medical DB. Conclusion : This construction of clinical diagnoses provides the medical team with high quality medical information. It is also expected to increase the accuracy and efficiency of service in the department of medical record and department of insurance investigation. In the future, if hospitals wish to construct a classification of clinical diagnosis and a standard proposal of clinical diagnosis is presented by a medical society, the standardization of diagnosis seems to be possible.

• 기록학연구
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• 제7호
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• pp.37-74
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• 2003

An Old document(Diploma) is a historical and unique record, so it must be collected, arranged, and preserved for research as soon as possible. Especially, for the effective use of the Old Document(Diploma), it is needed to arrange and describe the material systematically on the ground of modern archival theory. The Kyujanggak Archives in the Seoul National University has published 23 volumes of Old document(Diploma) material Old Document(Diploma). But they seem to cause the readers inconvenience, because the materials are classified and gathered only by genre, the titles or the orders of the materials are not standardized, and there is no description about the content of each Old document(Diploma). Jangseo-gak Library in The Academy of Korean Studies has also published the series of Old document(Diploma) material Old Document(Diploma) Collection. However the case is not different, since they are all mixed up with materials classified and gathered by genre, family, academy, or local school. And a great part of the materials have no titles and no description about the content of each Old document(Diploma), either. About the arrangement and description of the records, European and American archival science has established the theory of l)the principle of provenance, 2)the principle of original order, 3)levels of control, 4)collective description. These theories are valuable for the effective use of Old document(Diploma). On the viewpoint of the principle of provenance, Old document(Diploma) materials should not be classified by subject and genre, but by family and person. Then, the Old document(Diploma) materials, after collected by the unit of family or person on the viewpoint of the principle of provenance, should be arranged in their original order for more detailed arrangement and furthermore, for the work to find their relationship. This is so called the principle of original order. The hierarchical management of the Old document(Diploma) materials, for example, classifying by record group, sub-group, series, item and so on, is the concept of the levels of control, and comprehensive description of the each hierarchical structure is the concept of the collective description. Let's apply these archival theories to 34 pieces of the Chung, Man-Seok's material in the series of Old document(Diploma) material Old Document(Diploma). First, collect the Old document(Diploma) materials into Chung, Man-Seok's collection(the principle of provenance), which were scattered in the series classified by genre. Secondly, rearrange them chronologically(the principle of original order), and then we can find the comprehensive information about Chung, Man-Seok. For the hierarchical management of the Old document(Diploma) materials, we should establish a few concepts from the general, large group to specific, small item. The concepts can be organized as following; l)record group(Chung, Man-Seok record group) - 2)sub-group(personnel document, property document, family document, social activity document, political activity document, etc) - 3)series(gyoji-series, gyoseo-series, yuji-series etc. in the personnel document) - 4)folder(document with additions) - 5)item(one document). According to the the theory of the collective description, in the level of record group, there should be a collective description of Chung, Man-Seok's biography or a summary of record group. Similarly, there should be a collective description of a summary of sub-group in the level of sub-group and a summary of series in the level of series.

• 경영정보학연구
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• 제25권1호
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• pp.165-187
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• 2023

기대수명의 지속적인 증가와 건강에 대한 높은 관심은 인터넷과 스마트폰의 대중화로 일반인들의 건강정보에 대한 이용에 큰 변화를 가져왔다. 모바일 헬스 환경으로 의료시장이 확대되면서 많은 건강관련 앱이 만들어져 유통되고 있지만, 각종 규제로 서비스 제공이 어려워지면서 그 수용속도가 더딘 상황이다. 이에, 본 연구는 프라이버시 계산모형을 바탕으로 개인건강기록 앱 수용저항에 영향을 미치는 요인으로 지각된 가치와 지각된 위험요인(심리적 위험, 시간손실 위험, 제도적 위험) 및 지각된 혜택요인(유용성, 상호작용성, 자율성)을 도출하고 이들 간의 영향 관계를 검증하였다. 또한, 제조사에 대한 신뢰의 조절효과를 분석하여 지각된 위험과 지각된 혜택이 지각된 가치에 미치는 영향이 어떻게 달라지는지를 추가적으로 살펴보았다. 개인건강기록 앱을 인지하면서도 사용하지 않는 국내 대학생을 대상으로 설문조사를 진행한 후, 구조방정식모형을 활용하여 분석을 진행하였다. 가설검증 결과, 지각된 가치는 수용저항에 부(-)의 영향을, 지각된 위험(시간손실 위험)은 지각된 가치에 부(-)의 영향을 미치고, 지각된 혜택(유용성, 상호작용성, 자율성)은 지각된 가치에 정(+)의 영향을 미치는 것으로 확인되었다. 또한, 제조사에 대한 신뢰는 지각된 위험(제도적 위험)이 지각된 가치에 미치는 영향력을 약화시켰다. 본 연구결과는 개인건강기록 앱의 수용저항을 줄이기 위한 세부기준을 확인하고 제안함으로써, 개인건강기록 앱 시장 환경에서 경쟁우위를 확보하기 위한 지침 마련에 기여할 수 있을 것으로 기대한다.

• 기록학연구
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• 제79호
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• pp.121-168
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• 2024

기록학의 핵심에는 기록관리가 있다. 기록관리에 충실해야 한다. 그러나 기록관리에 충실할수록 발생하는 역설이 하나 있지 않을까. '책임있는 관리자가 되어, 관리적 차원에서 기록을 효율적으로 관리하는 일'이 그런 기록을 만들고 이용하는 인간이라는 사회적 존재에 대한 관심은 오히려 축소시킨다는 역설. 인간은 왜 기록을 생산하고 이용하는가. 그것은 인간이란 존재가 특이하게도 기록이라는 개념을 가지고 살아가는 존재이기 때문일 것이다. 개념은 '생각의 설계도 같은 것'이다. 기록관리가 발전할수록 가치 있는 기록이 더 많이, 보다 체계적으로 보존되며, 폭넓음과 유효적절함으로 서비스가 되는 것이어서 이 방향성을 의심할 필요는 없다. 그러나 기록관리가 아닌 인간의 시선에서 이런 상황을 관찰하게 되면, 기록관리에 등장하는 인간은 기록을 이용하는 대상으로 제한된다는 것을 알게 된다. 원점에서 재검토한다는 가설에 입각해 인간을 다르게 인식할 경우, 인간과 기록의 관계, 또는 기록과 인간의 관계에 대해 특이한 맥락을 접할 수 있다. 인간은 누구에게도 양도할 수 없는 존엄성을 지닌 존재, 행복을 추구할 권리를 가진 존재, 자유와 평등, 사회적 기본권을 향유하며 살아야 하는 존재라는 규범에까지 이르게 된다면, 요컨대, 헌법적 관점에서 인간을 인식한다면, 기록의 사회적 역할과 방향성에 대해 새롭게 인식할 수 있다. 국내외 헌법과 국내외 인권규범은 인간의 기본권을 최종 규범으로 문서화 하고 있으며, 이를 보장하고 실천하는 것이 국가의 의무임을 명확히 하고 있다. 헌법적 관점에서 기록의 역할은 인간의 기본권을 증식하는 기록실천이다. 또는 인간의 기본권을 옹호하고 지지하며 지원하는 일이다. 인간의 기본권을 증식하는 기록실천은 전문가에게 요구되는 시민의식이기도 하겠지만, 다른 한편으로는 기록학의 직업적 통로가 될 수 있다. 기록관리가 2차선 왕복도로라고 한다면, 기록관리와 인간의 기본권을 증식하는 기록실천이 상호작용하는 것은 4차선 왕복도로를 개척하는 일이라고 할 수 있겠다. 이 글은 헌법적 관점을 기록학의 관점으로 명확히 잡아, 그간 기록관리 안팎으로 전개된 인간의 기본권을 증식하는 기록실천을 점검하고, 이런 기조에서 기록학의 사회적 역할을 재검토한 글이다. 기록학의 사회적 역할에는 기록에 관한 새로운 언어적 규칙을 제공하는 것이 있다.

• 디지털융복합연구
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• 제12권5호
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• pp.311-323
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• 2014

본 연구는 간호학과 학생의 스마트폰 이용 동기와 중독, 자기 통제력의 관계를 파악하여 중독을 예방할 수 있는 기초자료를 마련하고자 2013년 6월 10-18일까지 자료를 수집, 분석하였다. 여학생이 남학생보다, 성적 하위학생이 상위 학생보다 이용 동기와 중독(일상생활장애, 가상세계지향, 금단, 내성)에 높은 점수를 나타내었고 자기 통제는 낮은 점수를 나타내었다. 스마트폰의 고위험 사용자군이 오락/여가, 서비스, 기능성의 이용 동기에 높은 점수를 나타내었고 자기 통제력(특히 즉각적 만족)은 낮은 것으로 나타났다. 성적과 중독 하위요인 중 내성, 금단, 일상생활장애, 가상계지향과 학년 특성이 중독의 88.2%를 설명하였고 이용 동기의 하위요인 중 오락/여가와 과시/유행이 중독의 12.9%를 설명하였다. 결론적으로 스마트폰 이용 동기(특히 오락/여가와 과시/유행)는 중독과 정적 상관관계를, 중독은 자기 통제력과 부적 상관관계를 나타내었다. 따라서 스마트폰의 긍정적이고 바람직한 이용을 유도하고, 자기 통제력을 향상시킬 수 있는 방안을 강구하여 중독에 이르는 것을 예방해야 할 것이다.

• 기록학연구
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• 제12호
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• pp.81-135
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• 2005

The release of administrative information has been the challenge of our age following the maturation of democratic ideology in our society. However, differences of opinion and conflict still exist between the government and private sectors regarding the issue, and it seems that the technical and policy-related insufficiencies of information and record management that actually operate the release of information are the main causes. From the perspective of records management, records or information are variable in their nature, value, and influence during their life span. The most controversial issue is the records and information in the current stage of carrying out business activities. This is because the records and information pertaining to finished business are but evidence to ascertain the past, and have only a limited relationship to the ideal of the 'democratic participation' by citizens in activities of the public sector. The current information release policies are helpless against the 'absence of information,' or incomplete records, but such weakness can be supplemented by enforcing record management policies that make obligatory the recording of all details of business activities. In addition, it is understood that the installation of 'document offices("Jaryogwan")' that can manage each organization's information and records will be an important starting point to integrate the release, management, and preservation of information and records. Nevertheless, it seems that the concept of 'release' in information release policies refers not to free use by all citizens but is limited to the 'provision' of records according to public requests, and the concept of 'confidential' refers not to treating documents with total secrecy but varies according to the particulars of each situation, making the actual practice of information release difficult. To solve such problems, it is absolutely necessary to collect the opinions of various constituents associated with the recorded information in question, and to effectively mediate the collective opinions and the information release requests coming from applicants, to carry out the business more practically. Especially crucial is the management of the process by which the nature and influence of recorded information changes, so that information which has to be confidential at first may become available for inquiry and use over time through appropriate procedures. Such processes are also part of the duties that record management, which is in charge of the entire life span of documents, must perform. All created records will be captured within a record management system, and the record creation data thus collected will be used as a guide for inquiry and usage. With 'document offices(Jaryogwan)' and 'archives' controlling the entire life span of records, the release of information will become simpler and more widespread. It is undesirable to try to control only through information release policies those records the nature of which has changed because, unlike the ones still in the early stages of their life span and can directly influence business activities, their work has finished, and they have become historical records or evidences pointing to the truth of past events. Even in the past, when there existed no formal policy regarding the release of administrative information, the access and use of archival records were permitted. A more active and expanded approach must be taken regarding the 'usage' of archival records. If the key factor regarding 'release' lies in the provision of information, the key factor regarding 'usage' lies in the quality and level of the service provided. The full-scale usage of archival records must be preceded by the release of such records, and accordingly, a thorough analysis of the nature, content, and value of the records and their changes must be implemented to guarantee the release of information before their use is requested. That must become a central task of document offices and "Today's information" will soon become "yesterday's records," and the "reality" of today will become "history" of the past. The policies of information release and record management share information records as their common objective. As they have a mutual relationship that is supplementary and leads toward perfection, the two policies must both be differentiated and integrated with each another. It is hoped that the policies and business activities of record management will soon become normalized and reformed for effective and fair release of information.

• 대한예방한의학회지
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• 제18권3호
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• pp.11-21
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• 2014

The rapid development and distribution of information communication industry facilitates the changes of hospital administration, introducing EMR(Electronic Medical Record) instead of paper-based medical record in the medical field. The developed countries such as U.S. have established EMR system after in the middle of 1970s because the primary advantages of EMR is to store and handle vast amounts of records efficiently and increase the quality of health care. Most of health organizations in Korea also apply medical record system to their administration. As the result, they have accomplished a scientific administration system through the use of medical record to handle a variety of patient's information including patient's confidentiality and privacy such as family history, social status, income level, and so on. However, access to and the misuse of EMR causes illegal infringement of patient's information and finally it becomes a very serious medical issue. Potential leakage and misuse of records may seriously infringe patient's privacy rights. In this respect, the related agencies in the public and private sector have been making efforts to prevent patient's records leakages. Especially, the revision bill of Medical Law in 2002 establishes the ways on the security and standards of electronic records. However, it does not provide the proper guidelines which is applied to the rapid changes of the medical environment. One of the most priorities in the hospital administration is the production and maintenance of an accurate medical records fulfilled by medical recorders. Therefore, it is very important for health care providers to hire ethical-based medical recorders. But, unfortunately most of hospitals overlook the importance of their roles. All parts including government, physician and patient must have more concerns on the problems related to EMR. Therefore, this study aims to propose the proper ways to resolve the problems coming from EMR.

• 기록학연구
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• 제68호
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• pp.243-279
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• 2021

고(故) 노회찬 의원은 한국 진보정치의 대표적인 정치인이다. 노동운동, 노동자 정치조직화 운동, 진보정당 건설 운동에 매진하였으며, 17, 19, 20대 국회의원으로 의정활동을 수행했다. 그가 남긴 기록은 노동자 정치세력화의 기록이고, 진보정당의 기록이며 고뇌하고 실천하는 정치인의 기록이다. 또 실향민의 아들로써, 유신시기 고민하는 학생운동가로, 그러면서도 첼로를 켰던 문화적 소양의 한 인간의 기록이기도 하다. 이 연구는 노회찬이 남긴 기록의 수집, 관리 현황과 기록을 둘러싼 맥락과 기록의 내용에 대한 기초적인 연구를 통해 노회찬 아카이브 구축의 과제를 생각해보는 연구이다. 아키비스트의 이러한 기초적인 연구는 아카이브를 구조화하고 이용자들에게 다양한 접근점을 제시함으로써 이후보다 다양한 콘텐츠 개발 및 연구에 이용될 수 있도록 함으로써 아카이브 운영의 선순환이 이루어지도록 하는 역할을 할 것이다.

• 한국의료질향상학회지
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• 제9권2호
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• pp.176-197
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• 2002

Backgound : This study is to suggest the standardized format of the clinical sheets and the standardized items of every clinical sheet. The standardization of the medical records will increase the faithfullnes of the contents in them and it will contribute to construct the good health information system. Method : From Jan. 1st. 2001 to March 31st 2001, we gathered as many paper clinical sheets as possible by every class of institutions to review the faithfulness of the clinical contents in them. Clinical sheets of 9 tertiary care hospitals, 6 general hospitals and 56 clinics were gathered. Two experienced medical record administrators reviewed them. The review focus was to check whether the items recommend by the hospital standardization review criteria and hospital service evaluation organization were appeared in the clinical sheets and whether the contents of every item were written. Results : Tertiary care hospitals; In case of administrative data, the contents were filled well if the items were fixed. The clinical data like C.C, history,physical examiniation were filled well, but if the items were not fixed, some items were omitted. The result is that more items are to be filled if they are fixed. General hospitals Administrative data were filled more than 50%. Final diagnosis was filled about 66.7%.But other clinical data were not filled well and not many clinical related items were appeared in the sheets.In the legal point of view, the reason for visiting hosptals or the right diagnosis, patient condition at discharge could not be confirmed well.In surgery cases, surgical procedures could not be confirmed well as many surgical related information(surgery time, fluids and blood, number of sponges, biopsy, etc) were omitted. Clinics More than 70% administrative data were filled and fixed as items. Among the clinical related data, laboratory result was the most credible data. But without the right diagnosis, drug orders were given and doctors' written signatures were not appeared over 96.4%. So the clinical sheets cannot be used as a legal document. Conculusion : There was a tendency that the contents were filled well if the items were fixed in the documents, We also suggest a clinical check list to review the completeness and faithfulness of the clinical sheets. If many hospitals use the suggested clincal check list and if they make the necessary items fixed in the clinical sheets, the quality of the medical record will increase dramatically.