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외래처방 인센티브 제도의 병원 확대 가능성 평가를 위한 의료기관 현황 및 의약품 선정 담당자의 인식도 조사
이수옥 ( Soo Ok Lee ),이승미 ( Seung Mi Lee ) 한국보건경제정책학회(구 한국보건경제학회) 2013 보건경제와 정책연구 Vol.19 No.4
본 연구는 병원급 이상 의료기관의 종별 처방관리 시스템 현황과 제도에 대한 인식을 파악하여 외래처방 인센티브 제도의 확대 적용 가능성을 평가하기 위하여 수행되었다. 이를 위하여 구조화된 설문지를 개발하여 상급종합병원, 종합병원, 병원의 의약품 선정 담당자를 대상으로 우편설문조사를 시행하였다. 조사 결과, 처방의약품 선정방식, 의약품집 보유, 개별 의사에 대한 처방평가 및 피드백 시행 여부 등 처방의약품 관리체계가 의료기관 종별로 차이가 있었다. 저가의약품 도입 용이성 및 인센티브 도입 시 약제비 절감 가능성에 대하여 상급종합병원에서 부정적인 응답이 많았다. 의료기관 종별로 외래처방 인센티브 적용에 대한 여건과 인식도에 차이가 있었으며, 제도 도입 시 불편을 최소화하고 효과를 높이기 위하여 적절한 정보제공 등 정부와 의료기관의 지원과 협조가 필요하다. This study was performed to assess feasibility for expanding of prescribing incentive system through survey for prescribing management system and awareness to the system by types of medical institutions. We conducted mail survey for the persons in charge of prescribing drug management in tertiary hospitals, secondary hospitals, and hospitals by the structured questionnaire. The survey results shows the difference in selection process of prescribing medicines, presence of drug formulary, individual assessment and feedback to clinicians by types of institutions. Tertiary hospitals had higher negative response to availability of less-priced drugs and possibility of reduction in pharmaceutical expenditure after introduction of the incentive system. Supports from the government and medical institutions will be needed to minimize the healthcare provider`s inconvenience and to improve the effect of the incentive system when it is expanded.
Tetrafluoroethylene 흡입에 의한 급성폐손상
이수옥 ( Su Ok Lee ),최은정 ( Eun Jung Choi ),김가영 ( Ka Young Kim ),김준철 ( Jun Chul Kim ),박정철 ( Jung Chul Park ),정치영 ( Chi Young Jung ),김연재 ( Yeon Jae Kim ),이병기 ( Byung Ki Lee ) 대한결핵 및 호흡기학회 2007 Tuberculosis and Respiratory Diseases Vol.62 No.3
Tetrafluoroethylene is a colorless gas that can be used to synthesize a variety of fluoride compounds by polymerization (e.g., Teflon). Fluoride compounds have many applications in industry. There are several reports of inhalation injury from the pyrolytic product of fluoride compounds. When the polymer is heated under the conditions of inadequate ventilation, the fumes can cause polymer fume fever or pulmonary edema which manifested as symptoms such as fever, chill, profuse sweating, cough and dyspnea. However there are no reports of a direct lung injury caused by tetrafluoroethylene. We report a case of a 27-year-old male presented with acute lung injury after inhaling concentrated tetrafluoroethylene. He complained of cough and dyspnea after the accidental inhalation of tetrfluoroethylene at his workplace. The symptoms improved without any complications after conservative treatment with oxygen and steroid. (Tuberc Respir Dis 2007; 62: 223-226)
병용금기, 연령금기 경고 등급화 방안과 DUR 처방변경률 분석
이수옥(Soo Ok Lee),제남경(Nam Kyung Je),김동숙(Dong-Sook Kim),천방옥(Bang Ok Cheun),황인옥(In Ok Hwang) 대한약학회 2015 약학회지 Vol.59 No.6
Abstract—The computerized prospective Drug Utilization Review (DUR) program supported by the Korean government has provided alerts to physicians and pharmacists since December 2010. This study aims to propose and apply the tiering system in “drug combinations to avoid (DCA)” and “age-precaution” alerts based on severity to improve the compliance of users. To propose the severity and clinical importance of 647 DCA alerts and 140 age precautions, a Delphi evaluation survey was conducted. An expert panel comprising 5 clinical pharmacists and 5 physicians were participated in mail surveys. Based on the results of Delphi survey, DCA pairs were classified into 3 groups; group 1 (70.6%), 2 (26.9%), and 3 (2.8%). Drug-age precaution ingredients were also classified into three groups; group 1 (53.6%), group 2 (40.7%), and group 3 (5.7%). When this grouping was applied to claim data from 2011 to 2013, the majority of alerts had occurred in the groups of high severity. Presenting DUR alerts with severity level is expected to improve the compliance of clinicians. The implementation of tiering system in DUR criteria should be considered.
발달장애 학생을 양육하는 어머니가 인식하는 자녀의 성행동에 대한 연구
이수옥 ( Su-ok Lee ),임호찬 ( Ho-chan Lim ) 한국발달장애학회 2022 발달장애연구 Vol.26 No.2
본 연구는 발달장애 학생을 둔 어머니가 인식 또는 목격한 자녀의 성행동 표출 연령을 조사하고, 성행위 표출유형과 빈도, 목격 장소를 조사한 연구이다. 연구를 위해서 A도 B시와 C시에 거주하는 59명의 응답내용을 분석하였다. 기술 통계와 항목별 백분율을 분석하였다. 연구결과를 보면, 총 59명 중 53명(89.8%)이 자녀의 성행동을 목격한 것으로 나타났으며 발달장애 학생을 둔 어머니가 인식하는 자녀의 성행동 시작연령은 평균 5.72로 자녀의 성행동 시작 연령이 낮은 것으로 나타났다. 성행동 유형은 분석결과 자위행위가 50.8%였으며, 성행동 빈도는 일주일에 평균 10.91회로 성행동이 비교적 잦은 것으로 나타났다. 응답자 58명 중 51명(86.4%)이 자녀의 성행동 지도에 관한 교육을 받을 의향이 있다고 응답하였으며, 발달장애 자녀를 양육하고 있는 부모들 대상으로 성행동에 대한 지도 및 대처방법 교육프로그램을 개발할 필요성이 있음이 시사된다. This study investigates the age of sexual behavior expression of children perceived or witnessed by mothers with developmental disabilities, and investigates the type, frequency, and place of sighting of sexual behavior expression. For the study, the responses of 59 people living in B and C cities in A were analyzed. Descriptive statistics and itemized percentages were analyzed. According to the results of the study, 53 out of 59 people (89.8%) witnessed their children's sexual behavior, and the average age of children's sexual behavior perceived by mothers with developmental disabilities was 5.72, indicating that the age of their children's sexual behavior was low. As a result of the analysis, the type of sexual behavior was 50.8% due to masturbation, and the frequency of sexual behavior was 10.91 times a week on average. 51 out of 58 respondents (86.4%) said they were willing to receive sexuality guide education for their children's sexual behavior, suggesting that there is a need for sexuality education and how to cope with their children's sexual behavior.