임상전문분야별 의사 설문조사를 통한 병원서비스 평가 방법 연구

장원기,문옥륜,Jhang, Won-Gi,Moon, Ok-Ryun 대한예방의학회 1996 Journal of Preventive Medicine and Public Health Vol.29 No.4

A physician survey was done by mailing for the purpose of performing hospital services evaluation and ranking. A slightly over one thousand samples were drawn from the list of professional societies, and 324 physicians(about 32 percent) replied. This study has focused on developing easy and simple method to evaluate hospital services, and providing patients with useful information. Hospital service structure and process were evaluated without outcome evaluation, because it is difficult to obtain reliable data regarding health services outcome indicators. Clinical specialty was targeted to evaluate, and three specialties were chosen, that is obstetrics & gynecology, cardiology, and proctology. Among 16 structural indicators, four indicators were finally chosen in each specialty by respondent specialists. And then using these indicators, structural score was calculated for study hospitals. For process evaluation, physicians were requested to nominate five most famous hospitals. The nomination score and structural score were summed up to produce final score and hospital ranking. This method is very easy to conduct rather than other hospital services evaluation methods prevailing in Korea. And it is more useful for patients to choose hospitals, according to his/her own purpose, because it gives high ranking hospitals with specific clinical specialty.

모든 정책의 건강: 건강증진과 부문 간 협력의 진화

장원기 ( Won Gi Jhang ) 한국보건행정학회 2016 보건행정학회지 Vol.26 No.1

‘Health in All Policies’ is a new strategy for governance for health in 21st century. The evolution of health promotion has affected the creation of the strategy through the efforts to tackle health inequalities by addressing social determinants of health. More concern about health inequalities, involving wider policy areas, and higher level of institutionalization distinguish the strategy from the old intersectoral collaboration such as intersectoral action for health and healthy public policy. Making intersectoral collaboration the mainstream of policy making is important to address integrated policy agendas such as ‘Health in All Policies’ and ‘Sustainable Development Goals.’ Political leadership and interpersonal skills are also required to strengthen the capacity of public health sector for implementing ‘Health in All Policies’ in local, national, and international circumstances.

한국의 의사인력 수급과 정부규제

장원기 ( Won Gi Jhang ) 건강정책학회 2021 비판건강정책 Vol.1 No.1

The social controversy over the government’s plan to increase the number of physicians in 2020 has made a medical workforce plan the subject of a political agreement with stakeholders, including people. In the absence of public consensus on the nature of the future health system, an estimation study without an assessment of the current situation would present a conservative result containing the current problems unchanged. Therefore, it is necessary to conceive the future health system before planning its workforce. If the priority policy goal is to suppress the increase in health care expenditure by limiting the number of physicians as at present, it is not necessary to increase the number of physicians. But if we want to improve the quality of health care services, we have to increase the number of physicians to reach the level of advanced countries in the long term, and we also have to bear significant financial requirements, such as a corresponding increase in medical fees.

중-대규모 집단 토론을 위한 조별 경쟁 방식의 도입

장원기(Won Gi Jhang) 한국의학교육학회 2006 Korean journal of medical education Vol.18 No.3

Purpose: To motivate students to participate in debates and to secure the quality of discussion, score-keeping team competition was introduced to middle- to large-sized discussion groups. Methods: 95 students of a medical ethics class were divided into 20 teams. After each team presented its opinion on a few ethical issues debatable, all teams began debating on the issues. In each session, a certain number of points was given to the presenters. Randomly selected nine students made up a jury. The jury decided on the quality of the debate and judged whether the teams participated lost or kept their points. At the completion of the module, the students were surveyed about their experiences with the score-keeping competition. Results: The motivation for participation from a score-keeping competition was so powerful that in most sessions, many students did not have a chance to speak due to overwhelming number of debaters. Students who participated less eagerly ascribed their experience to their lack of ability to speak out. A major problem expressed by many students was that they felt morally bad about taking away points from their friends. In actuality though, this moral inhibition was weaker than the motivation for competition they felt. The opinion survey showed that the students who felt moral inhibition participated even more eagerly in the debates than those who did not feel bad. Conclusion: In middle- to large-sized groups, score-keeping competition was a strong motivation for students to participate. And lessening the moral inhibition would lead to livelier debates. Thus, it would be helpful to develop modified methods of distributing points such as giving out new points and not simply relocating those already given out.

MRI 분포와 관행수가 현황 및 촬영실적 분석

문옥륜 ( Ok Ryun Moon ),장원기 ( Won Gi Jhang ),이상이 ( Shang Yi Lee ),김철웅 ( Chul Woung Kim ),최경혜 ( Kyung Hye Choi ) 한국보건행정학회 1998 보건행정학회지 Vol.8 No.1

판매 및 서비스업에 종사하는 소상공인의 업무특성 및 건강수준

정혜선 ( Hye-sun Jung ),장원기 ( Won Gi Jhang ) 한국산업보건학회 (구 한국산업위생학회) 2020 한국산업보건학회지 Vol.30 No.4

Objectives: This study was conducted to identify the job characteristics and health status of sales and service workers at micro-enterprises. Methods: Multivariate analyses were conducted using data on respondents to the 5th Korean Working Conditions Survey who were business owners (7,572 persons) or employees (3,317) working in sales or service positions at micro-enterprises. Results: Among those analyzed, business owners were found to experience worse health conditions than employees. Business owners also differed from workers in terms of job characteristics. More than employees, they engaged in tiring or painful postures that negatively affected subjective health condition, experience of muscle pain, and experience of depression or anxiety. While employees' health was negatively affected by dealing with angry customers, the health status of business owners was negatively affected even by dealing with ordinary customers. Conclusions: These results show that the owners of micro-enterprises were in a more vulnerable state of health rather than their employees. In order to address this, it is necessary to correct work posture and reduce the stresses that come from customers.

건강영향평가를 위한 건강결정요인 분류

장원기 순천향대학교 의학연구소 2009 Journal of Soonchunhyang Medical Science Vol.14 No.3

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65세 이상의 노령층에서 고지혈증의 위험요인

김용배,장원기,황보영,김화성,안규동,이병국,이용진,김세훈,김승수,김승훈,김영록,김웅빈,이성수 순천향의학연구소 2006 Journal of Soonchunhyang Medical Science Vol.12 No.1

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골다공증의 위험인자 : 아산시 지역 주민을 대상으로

김용배,장원기,황보영,김화성,안규동,이병국,이용진,이남수,이상건,이상범,이상우,이선정,이성수 순천향대학교 2006 Journal of Soonchunhyang Medical Science Vol.12 No.1

Objective : As the average lifespan of human increases, osteoporosis and osteoporosis-related fractures have become major health care problems. Despite recent advances in medical treatment, few studies have assessed the recognition of osteoporosis in general adults. This study examined the recognition of osteoporosis and analyzed the relating factors. Method : A population-based sample of 1086 adults in Asan-city, Korea was investigated with questionnaires and height, weight, Information regarding the general characteristics(gender, age, economic state), lifestylef exercise, smoking, alcohol),medical history(progestin, GH, steroid, calcitonin, PTH), demographic parameter, obesity, stress, and family history was collected through an interview using a structural questionnaire. The level of obesity was measured by the body mass index(BMI). BMD(Bone mineral density) at the lumbar spine and femoral neck was measured by dual energy X-ray absorptiometry. Osteoporosis was considered to be T-score below -2.5. Results : The prevalence of osteoporosis increased progressively with age, decreased with BMI and predominant in women by the result of x^(2) -test, T-test. Age, weight, BMI were significantly correlated with osteoporosis by the result of Pearson correlation ana1ysis(P<0.05). And age, gender, BMI, family history of osteoporosis were proved to be significant risk factors of osteoporosis by the result of multiple logistic regression(P<0.05). Conclusion : These results suggest that age, gender, BMI might be the most important risk factors of osteoporosis. And the history taking about family history of osteoporosis is helpful for diagnosing osteoporosis.

고요산혈증의 위험인자 : 아산시 지역 주민을 대상으로

김용배,장원기,황보영,김화성,안규동,이병국,이용진,이종은,이준숙,이찬구,이한정,이성수 순천향대학교 2006 Journal of Soonchunhyang Medical Science Vol.12 No.1

Objective : Serum uric acid has now been identified as a marker for a number of metabolic and hemodynamic abnormalities. The aim of this study is to evaluate risk factors which influence hyperuricemia in the citizens of Asan. Method : The study design was cross-sectional and research subjects were 1086 citizens of Asan. General characteristics, cigarette smoking, alcohol consumption, and past history were obtained by interview using a structural questionnaire. Also, we measured height, weight and blood pressure, and serum uric acid of the subjects. Results : The mean serum uric acid level was 5.27 ㎎/㎗ in men and 4.01 ㎎/㎗, in women, In the multiple logistic regression analysis, statically significant risk factors of hyperuhcemia were gender, body mass index, blood lead concentration, and serum creatinine. Conclusion : Our results suggest that gender, body mass index, blood lead concentration, and serum creatinine might be the most important risk factors of hyperurcemia. Education program as well as routine check-up for serum uric acid was highly recommended for the effective prevention of hyperuricemia.