• 보건의료산업학회지
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• 제1권1호
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• pp.125-137
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• 2007

The current hospital industry is showing relatively low profitability in comparison with other industries due to the low medical fees and high costs. Therefore, our government presented the direction of improvement through model execution and support of the specialized hospitals. However, it is estimated that the specialized hospitals also will show differentiated management performances in accordance with their specialized fields due to the characteristics of medical treatment. Therefore, this study had attempted an analysis on the financial index in accordance with the weight of medical treatment items for the rehabilitative medicine department among the whole hospital groups through getting out of analyzing financial indices of individual hospitals centered at their costs. For this p개pose, this study had carried out its research by partially reciting the study on the plan for utilizing participations of private health resources to expand rehabilitative medicine services into the private people of the Korea Health Industry Development Institute(KHIDI). As its results, it was shown that the stability, profitability, activity and productivity of hospitals with high weight of medical treatment for the rehabilitative medicine department were lower than those for the general hospitals. To support smooth operations of these hospitals 'with high weight of medical treatment for the rehabilitative medicine department or of specialized rehabilitation hospitals, it is judged that the plan such as the support for hospital management fund and the additional recognition on the rehabilitative fees, etc. together with the actualization of medical fees must be provided for the institutions which are providing rehabilitative medical services more than the fixed percentage and being equipped with the sufficient medical equipment and personnel to do them.

• 의학교육논단
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• 제16권2호
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• pp.88-91
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• 2014

Medical students often need high levels of specialized institutional and personal support to recover from a burnout experience and to prevent student failure. This study aimed to present approaches to supporting medical students who had experienced burnout using case studies. The study subjects were 45 burnout cases who had been supported by the student support system and committee in one medical school. The factors associated with burnout include poor social network: the lack of belongingness, immature sense of identity, poor mental health, a lack of intrinsic motivation and aptitude, or a major personal crisis. We summarized some tips according to the factors associated with burnout. These tips should provide guidance to organizations and individual support providers to encourage the best quality support for medical students with burnout experiences.

• 한국사회복지학
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• 제61권1호
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• pp.263-291
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• 2009

성폭력피해자를 위한 의료지원에 대한 전문가 의견조사로서, 의료서비스 제공 주체인 의사의 성폭력 피해자 및 진료에 대한 태도, 의료서비스 제공실태 및 필요한 의료지원에 대한 의견을 조사하였다. 남녀의사 83명으로부터 수집된 설문조사 자료를 토대로, 피해자 치료경험여부와 해당 진료과여부에 따라 의사유형을 분류하여 비교하였다. 치료경험이 있는 의사(type1)는 성폭력피해자 치료비 보장과 정액반응검사, 다양한 법정증언지원에 대한 필요도가 높았다. 치료경험이 없지만 해당 진료과인 의사(type2)는 피해여성에 대한 부정적 견해, 진료에 따르는 현실적 어려움을 예상하는 정도가 높았다. 특화의료지원 및 사정지원방안에 대한 필요도는 낮은 반면, 법정증언 지원방안에 대한 필요도는 높게 나타났다. 치료경험이 없고 해당진료과가 아닌 의사(type3)는 피해여성에 대한 이해도가 높았고 성폭력관련 법지식과 관련기관에 대한 인지도도 높았다. 반면, 진료시 예상하는 어려움의 정도가 가장 높았으며, 피해여성 진료에 필요한 의료지원방안, 사정지원방안, 법정지원방안에 대한 필요도가 대체로 높게 나타났다. 연구결과를 토대로 의사유형별 차이점에 따라 성폭력피해자 진료가능성을 증진시킬 수 있는 방안과 성폭력피해자를 위한 의료지원방안이 제시되었다.

• 한국비블리아학회지
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• 제35권1호
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• pp.243-272
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• 2024

본 연구는 세계 최대의 의학도서관인 미국 국립의학도서관과 국내 국립의학도서관인 국립의과학지식센터 서비스 비교·분석을 통해 그 개선점 제언을 목적으로 수행되었다. 개선해야 할 핵심적인 서비스는 주제특화 서비스, 지역사회 서비스, 이용자 유형별 서비스, 교육 서비스, 기술 및 시설·공간 서비스, 연구지원 서비스, 마케팅 및 홍보와 협력 서비스이다. 주제특화 서비스와 대국민 서비스는 전문도서관에서도 점차 많은 관심을 가지고 있다. 이용자 유형별 서비스를 통한 접근의 효율성이 필요하며 대상의 제한을 두지 않는 다양한 유형의 교육 서비스도 필요하다. AI, 가상현실 그리고 장애인 지원을 위한 기술·시설·공간 서비스, 연구윤리와 연구 보조금 및 프로그램 중심의 연구지원 서비스, 국내외 관종별도서관, 타 관련 분야 학회, 기관, 지역사회와의 협력 서비스를 통한 마케팅 및 홍보도 필요하다.

• 한국의료질향상학회지
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• 제27권2호
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• pp.2-17
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• 2021

Purpose: The purpose of this study is to seek in-depth perspectives of stakeholders on the necessity and specific criteria for designating a specialized hospital for urologic diseases. Methods: Eight participants experts in urology medicine and specialized hospital system were divided into four groups. Following the semi-structured guidelines, an in-depth interview was conducted twice and a focus group discussion was conducted three times. All the interviews were transcribed verbatim and analyzed. Results: The majority of participants predicted that there would be demand for specialized hospitals for urologic diseases. The criteria of designating a specialized hospital, such as the number of hospital beds and quality of health care, have to be modified in consideration of the specificity of urology. The introduction of a specialized hospital would improve the healthcare delivery system, positively affecting hospitals and patients. Furthermore, government support is essential for the maintenance of specialized hospital systems as urology hospitals experience difficulties in generating profits. Conclusion: This study is expected to be used as base data for introducing and operating a specialized hospital for urologic diseases. In addition, it is expected that the methodology and results of this study would encourage follow-up studies on specialized hospitals and provide guidelines to evaluate the effectiveness of such hospitals in other medical fields.

• 한국응급구조학회지
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• 제26권3호
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• pp.71-91
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• 2022

Purpose: This study aimed to provide baseline data for implementing advanced life-support for 119EMTs. This is done with an in-depth examination of the emergency care experiences of the 119EMTs on-site and during transportation. Methods: Interviews were conducted with twelve 119EMTs, and the data were analyzed using the phenomenological method. Results: The 34 topics had 19 sub-components and were analyzed according to seven categories: 'A work environment where you cannot focus only on emergency care on-site and during transportation', '119EMTs struggling with manpower shortage', 'Current status of education blocking the upward standardization of 119EMT', 'Implementation of professional emergency care was held back due to the limited legal scope of 119EMT', 'Medical oversight makes it difficult to implement emergency care due to low flexibility', '119EMTs who cannot choose hospital selection and find it difficult to receive help', 'An evaluation system not reflecting reality at all that only leaves high scores'. Conclusion: This study was undertaken to implement specialized emergency care for 119EMTs; not only the necessity of reviewing the expansion of the work scope of 119EMTs but also the necessity of effective 'Medical Oversight system' reorganization raised as well.

• 지역사회간호학회지
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• 제14권3호
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• pp.397-406
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• 2003

The purpose of this study is to provide the basic data in order to improve the quality of charged recuperation facilities which are specialized in the old. after finding out the satisfaction degree for the services which are provided in the current charged recuperation facilities specialized in the old and surveying the services which are demanded by users. As for the research method. the subjects were 88 family members of the users in the five charged recuperation facilities, which are specialized in the old and located in Seoul and Incheon. The survey research was executed from 27th July to 15th September, 2002. Then the collected data were analyzed by using the SPSS 10.0 for windows program. The research results are as follows. Firstly, in the satisfaction degree of the user's family about the daily service showed the highest satisfaction degree for the kind service of the staff to the users. In the satisfaction degree about the specialized service of the user's family, the satisfaction degree was high in bedsore prevention, periodical health care, proper medical treatment, family counsel, and adequate disease management. In the satisfaction degree about the facility and environmental service, the satisfaction degree about the surrounding environment of the facility or safety facility, and the comfort condition was high. In the satisfaction degree about the services related to the local society, it was high in the hospital and medical-related field. Secondly, in the demanded services, the demanding degree for worship, mental and spiritual nursing, hospice, funeral service, family meeting, and support for the special vehicle were not so high, but it was shown that they were generally demanded. Thirdly, it was shown that the provided services had an overall high satisfaction degree. In the service satisfaction degree according to the general characteristics of the user's family, it was recognized that there was a significant difference between the distinction of sex and local society related services. Also, there was a significant difference in the satisfaction degree between age and specialized service. Through the above research results, detailed rehabilitation programs such as linguistic treatment and working treatment should be more and more compensated in order to supplement the insufficient points of the services provided by the charged recuperation facility specialized in the old. Additionally, the correlation with the local society such as education and training for specialized human labor, close cooperation among the facilities, and positive participation in local society events are thought to be reinforced.

• 한국응급구조학회지
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• 제5권1호
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• pp.89-97
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• 2001

Recently, natural disasters happened to the Korea frequently. Disaster in the present society has been changed and increased it impacts and extent of danger as the society develops. So, Korean people feel uneasy about the unpredictable disaster. Therefore the capability of administration system, and cooperation and support between related organization become more necessary. This study aims to find out better ways of disaster management system which can protect people's lives and fortune from all sort of national disasters. To research policy reform, it is necessary to analyze disaster response organization(national disaster prevention countermeasures headquarters and so on), interorganizational relationship, law system etc. Especially, in this study, role appreciation of government was analyzed to get the rational policy reform measure. Suggestion : First, it is necessary Establishing a consolidated organization for disaster managing and united response organization is necessary such as Federal Emergency Management Agency(FEMA) which controls an over all aspects of disaster management. And it is necessary to develop Integrated Administrative Control System based on comprehensive plan. When the accidents happen, it needs to be many equipments and various specialized personnel. So, to manage a large scale of disaster, it is necessary to have interorganizational network system which many specialized organization including volunteer group are integrated. Also, as soon as the natural disaster happen, many professionals and volunteers are distributed to the spots of disaster in the right man in the right place. Finally, All the citizens have to keep safety rules, and also to take a safe action in ordinary daily life.

• 한국실내디자인학회논문집
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• 제13권5호
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• pp.133-142
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• 2004

Recently, the Korean medical system changed with diversification & specialization and the field of medical service is also specialized in these days. And healing environment is proposed as a general concept in the hospital architecture. There is a trend that a establishment of women's hospital is increasing as specialized type. In difference from general hospital, they are providing specialized and integrated services in response to the women's disease and demand. Particularly, Outpatient department space in women's hospital has been changed in terms of area, shape and program. However, there used to be not enough research efforts of responding these changes. This study includes the Outpatient department of s women's hospital in the form of small and medium sized building over a certain level in Korea. And the methods of the study adopted the theoric examination based concept and features of women's hospital, the abstraction of distinctions in the Outpatient department through the analysis of the drawing, and the analysis of distinctions in the Outpatient department of women's hospital with the structural space classified and the analysis of space relation. Therefore, the purpose of this is to study investigates and analyzes the spatial characteristics of the Outpatient department space in women's hospital through a analysis of case study. To conclude, the space composition can be classified into the entry space, the clinic space for patients, the support space of patients' check-up, the reception and waiting space, the rest and convenience space, and the link space in the Outpatient department of women's hospital. The level space can account for the waiting space type, the clinic office type, the type based on the relation between the waiting room and the clinic office with its features. As a result, the results will be applied for the planning & design for the future women's hospital.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제25권1호
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• pp.17-27
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• 2019

Purpose: Clinical laboratory in hospital has taken a great role in protection of chronic disease. as well as diagnosis and treatment, And laboratory layout has been considered by the management and laboratory section more than the function and workflow. Methods: So this study figures out the workflows of laboratory sections in the recently upgraded Laboratory Medicine, and searches the functional relationships and spatial block diagram between each disciplines as follows. Literature review and expert adviser has been conducted. Results: 1) Laboratory type of Laboratory Medicine is divided into routine and specialized laboratory according to the workflow by automated or specialized test. 2) The general workflow consists of specimen collection, specimen classification, test by discipline, test report, and specimen disposal. 3) Though the function of each laboratory section is very complicated and specific, the characteristics and the workflow can be shown in detail by each lab through [Figure 4], [Figure 5], [Figure 6], [Figure 7], and [Figure 8]. 4) Functional relationship diagram can be displayed to the adjacency and relation between each laboratory and support spaces. 5) The spatial block diagram could be presented as shown in [Figure 10], in which the emergency lab lay in front side, routine lab in the central open area, and specialized lab in the behind side. Implications: This study can be used as a useful data in planning and designing a Laboratory Medicine Department.