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응급실 전담 의사의 내과 입원 결정권과 응급 병동이 응급실 체류 시간에 미치는 영향
박준성,장태창,이숙희,고승현,이경우,김균무,서영우 대한응급의학회 2022 대한응급의학회지 Vol.33 No.3
Objective: The emergency department (ED) length of stay (LOS) is related to ED overcrowding and emergency practice. This study aimed to investigate the effects of enabling an ED doctor to have the authority to make hospitalization decisions and utilization of the emergency ward on ED LOS. Methods: This retrospective observational study included patients who were admitted through a local emergency medical center. We compared the ED LOS between the periods' March to July 2018 and March to July 2019. In the latter period, ED doctors were authorized to take decisions on patient hospitalizations from the internal medicine department, and the emergency ward was operated under these new conditions. Results: A total of 6,291 patients were included in the study, with 2,934 in 2018 and 3,357 in 2019. In the comparison of ED LOS for internal medicine inpatients by year, there was a significant reduction in the total ED LOS (1,129.0 [491.0- 1,618.0] minutes vs. 539.0 [344.0-1,016.25] minutes, P<0.001), LOS before the admission decision (345.0 [198.0-634.0] minutes vs. 280.0 [176.0-442.3] minutes, P<0.001), and LOS after the admission decision (415.0 [147.0-1,089.0] minutes vs. 179.5 [80.0-422.0] minutes, P<0.001). In a subgroup analysis of internal medicine inpatients in 2019, the admission sheets of an ED doctor showed a significant decrease in LOS before the admission decision (268.0 [170.5-424.5] minutes vs. 404.0 [252.0-570.5] minutes, P<0.001). Also, the utilization of the emergency ward showed a significant decrease in LOS after the admission decision (147.0 [75.0-283.0] minutes vs. 187.0 [81.0-460.0] minutes, P<0.001). Conclusion: The delegation of hospitalization decisions to the ED doctor and the subsequent utilization of the emergency ward shorten the ED LOS of internal medicine inpatients.
박준성,최영진,정태연 한국문화및사회문제심리학회 2015 한국심리학회지: 문화 및 사회문제 Vol.21 No.4
The purpose of this study is to examine distress and difficulties experienced by multi-cultural elementary students in our society and to identify replaceable resources related to their school adjustment. For this, semi-structured interview consisting of questions related to these issues was conducted to 14 multi-cultural elementary students of 3rd to 6th grade who were living in a metropolitan area. Qualitative data were analyzed based on Giorgi’s(1985) method of phenomenological analysis, which led to three dimensions in relation to elementary school adjustment: individual, relationship, and societal dimensions. Also, for school adjustment, education was found to be needed at the level of individuals, family, and multi-cultural cognition. Lastly, as for multi-cultural elementary students to adjust well not only at the school but also in Korean society overall, they must have positive national identity and multi-cultural recognition. Finally, their school adjustment were discussed in relation to these findings. 본 연구는 우리사회에서 다문화가정 초등학생이 학교생활 적응 관련 경험하는 어려움이나 갈등 그리고 대처할 수 있는 자원에 대해 알아보고자 하였다. 이를 위해서 서울 및 경기지역에 거주하는 다문화가정 초등학생 3~6학년 학생 14명을 대상으로 그들의 학교생활적응에 대한 면접을 실시하였다. 이 내용을 Giorgi(1985)의 현상학적 분석 방법을 통해서 분석하였다. 그 결과, 학교생활적응을 위한 조건으로 세 차원 즉, 개인적 차원, 관계적 차원, 사회적 차원이 도출되었다. 그리고 학교생활적응을 위해서는 개인, 가정, 다문화 인식에 대한 교육이 필요한 것으로 나타났다. 마지막으로, 그들이 우리사회에서 학교생활적응뿐만 아니라 다른 영역에서도 적응을 잘 하기 위해서는 긍정적인 민족 정체성과 다문화 인식이 필요하였다. 이러한 결과를 토대로 우리 사회에서 다문화가정 초등학생의 학교생활적응을 논의하였다.