대만의 호스피스(Hospice) 수가제도

주지수 건강보험심사평가원 심사평가연구소 2007 HIRA 정책동향 Vol.1 No.3

호주의 의료기술 평가제도 현황

주지수 건강보험심사평가원 심사평가연구소 2009 HIRA 정책동향 Vol.3 No.1

유럽의 완화의료 동향

주지수 건강보험심사평가원 심사평가연구소 2011 HIRA 정책동향 Vol.5 No.2

중국 차산업 발전 현황과 특징

주지수(xiu zhou Zhi),강미애(Mi ae Kang),단문화(wen hua Duan) 국제차문화학회 2016 차문화ㆍ산업학 Vol.34 No.-

백색도 측정 센서 시스템 구현

주지수(Ji-Su Joo),장민석(Min-Seok Jang),이연식(Yon-Sik Lee) 한국컴퓨터정보학회 2017 한국컴퓨터정보학회 학술발표논문집 Vol.25 No.1

제품 생산 공정에서 주로 사용하는 담체에 인디케이터나 제품 용액 등을 코팅할 경우 온도 습도 조도 등 외무 요인에 의해 제조조건이 상이해지고 공정 시간 및 품질에 영항을 준다. 본 논문에서는 RGB 값을 통하여 백색도를 측정하여 담체에의 코팅 균일도를 측정할 수 있는 센서 시스템을 구현한다. 구현 시스템은 대량으로 발생되는 센서 데이터 정보를 저장 분석 및 기술적 해석을 통한 다양한 파라미터들을 조정함으로서 공정 진행과 코팅 결과의 최적합성을 유도하고, 다양한 유사제품들의 생산 공정의 모니터링 및 자동화 시스템 개발에 적용이 가능하다.

한국 호스피스.완화의료 기관 현황 및 과제

이건세,주지수,김정회,김건엽,Lee, Kun-Sei,Joo, Ji-Soo,Kim, Jung-Hoe,Kim, Keon-Yeop 한국호스피스완화의료학회 2008 한국호스피스.완화의료학회지 Vol.11 No.4

목적: 본 연구는 현재 호스피스완화의료 기관의 인력 및 시설, 제공서비스 등이 말기 암환자 전문의료기관 지정 기준에 부합하는 정도를 조사하고 분석하여 향후 정책수립을 위한 기초자료를 제공하고자 실시되었다. 방법: 자료는 2007년 10월부터 12월까지 수집되었으며 설문내용으로는 호스피스 완화의료 기관의 일반현황, 인력현황, 시설현황, 장비현황, 호스피스 서비스 운영현황 등을 포함하였다. 총 62개 의료기관이 응답하였다. 결과: 전체 62개 기관 가운데 42개 기관이 종합병원 이상인데 비하여 의원의 경우 9개 기관에서 호스피스를 제공하고 있었다. 호스피스 의료기관은 수도권 지역 위주로 분포하고 있어 지역적인 불균형 공급을 보이고 있다. 의사의 경우 환자 10명당 1인의 의사를 갖추고 있는 기관은 종합병원 이상(80.0%)인데 비하여 의원의 경우 이 기준을 충족하는 비율은 낮았다(42.9%). 간호사의 경우 호스피스 간호를 위해 필요한 조건인 환자 1.5 명당 1인의 기준에 충족하는 기관은 의원급(71.4%)이 종합병원 이상의 기관(65.0%), 병원(50.0%)에 비해 높게 나타났다. 호스피스 지원기관의 기준에 해당하는 1병실 4인 기준을 충족하는 기관은 전체 62개 기관에서 14개 기관으로 22.6%를 차지하고 있었다. 호스피스 환자들을 위한 특수요법의 경우는 의원급(66.7%), 병동 및 독립형(64.9%), 지원 사업 기관(73.9%)일수록 2개 이상의 특수요법을 실시하고 있는 것으로 나타났다. 임종 및 사별관리 프로그램에 해당하는 임종관리, 장례준비, 유가족지지모임, 사별가족 관리 프로그램을 실시하는 기관의 비율이 높았으며, 의원급, 병동 및 독립형, 지원 사업 수록 실시율이 높게 나타났다. 팀 인력에 대한 교육은 의원급(55.6%), 병동형 및 독립형(55.8%), 지원기관(65.2%) 이 상대적으로 높은 비율로 시행하고 있었다. 현재 가정 호스피스 서비스를 운영하고 있는 곳은 절반 수준인 32개(51.6%) 기관으로 나타났다. 결론: 본 연구를 통해 확인한 것은 호스피스 기관을 양적으로 확대하는 것과 함께 지역적인 분포를 동시에 고려하는 것이 필요하다는 점과 아직도 호스피스 지원 기관의 인력, 시설 수준을 충족하지 못하는 비율이 높다는 것을 확인하였다. 또한 호스피스 기관의 종별 특성에 따라 인력 및 시설 확보 수준, 프로그램 운영에 차이가 있으므로 시설의 특성을 고려한 개선 방안을 고려하여야 할 것이다. Purpose: The purpose of this study was to evaluate the current status of hospice palliative care facilities, and to identify problems and improve hospice palliative care in Korea. Methods: The questionnaire survey was implemented from October to December, 2007. It was consisted of general characteristics of organization, health manpower, facilities & equipments, service programs, and so on. Sixty two (79.5%) out of 78 hospice palliative care facilities returned the questionnaires. Results: They were 42 hospital-based hospice palliative care hospitals and 9 clinics, and most of them are located at central metropolitan areas (Seoul and Gyeonggi Province). more than 80% of hospitals met with the requirements (one doctor per 10 patients and one nurse per 1.5 patients), whereas 42.9% of clinics met the requirements. Approximately 22% of them met the requirement of sick room (4 patients for 1 room). Most of them provided various hospice palliative care programs. The proportion of giving regular education programs to hospice palliative care personnels were about half (41.9%). Thirty two (51.6%) facilities provided home visiting hospice palliative care service. Conclusion: There were lack of enough health manpower, rooms, and programmes and they varied among facilities. It is necessary to increase the number of hospice palliative care facilities with consideration of regional fair distribution and standardization of programmes.

요양병원 환자분류체계 개발

이지윤,윤주영,김정회,송성희,주지수,김은경 대한간호학회 간호행정학회 2008 간호행정학회지 Vol.14 No.3

Purpose: To develop the patient classification system based on the resource utilization for reimbursement of long-term care hospitals in Korea. Method: Health Insurance Review & Assessment Service (HIRA) conducted a survey in July 2006 that included 2,899 patients from 35 long-term care hospitals. To calculate resource utilization, we measured care time of direct care staff (physicians, nursing personnel, physical and occupational therapists, social workers). The survey of patient characteristics included ADL, cognitive and behavioral status, diseases and treatments. Major category criteria was developed by modified delphi method from 9 experts. Each category was divided into 2-3 groups by ADL using tree regression. Relative resource use was expressed as a case mix index (CMI) calculated as a proportion of mean resource use. Result: This patient classification system composed of 6 major categories (ultra high medical care, high medical care, medium medical care, behavioral problem, impaired cognition and reduced physical function) and 11 subgroups by ADL score. The differences of CMI between groups were statistically significant (p<.0001). Homogeneity of groups was examined by total coefficient of variation (CV) of CMI. The range of CV was 29.68-40.77%. Conclusions: This patient classification system is feasible for reimbursement of long-term care hospitals.

간호대학생의 학습성과기반 온라인 프로그램러닝을 이용한 온라인 실습과 현장중심 지역사회간호실습의 비교연구

이영란,윤희상,전소연,남은정,주지수,최복순 한국간호연구학회 2022 한국간호연구학회지 Vol.6 No.4

Purpose : This study was to compare the effects of field experienced practice program and online based practice program in community health nursing. Method : This is a descriptive investigative design comparing two groups of nursing students who participated in online based practice and field experienced practice. The subjects consisted of 95 students in each group, who were 3rd year students. The data were analyzed through the SPSS 24.0 version program. Results : 27.3% of the field experienced practice group and 18.9% of the online based practice group changed their career path to becoming a public official in nursing after practice. There was no significant difference between the two groups in terms of the awareness of program outcome-based practice content suitability. There was no significant difference degree of achievement on course between the field experienced practice group and the online based practice group. Among the program outcomes, the online based group had a significantly higher level of understanding of health care policy than the field experienced group. Conclusion : It is suggested that the strength of programmed learning be applied to the community nursing practice. Also, a practical education program should be developed according to the characteristics of the program and course outcomes.

Willingness to Pay for Hospice Care Using the Contingent Valuation Method

Mee-Ok Kim,이건세,김정회,주지수 연세대학교의과대학 2011 Yonsei medical journal Vol.52 No.3

Purpose: It is necessary to develop a proper payment system for more health care facilities to provide hospice and palliative cares. In deciding the proper level of payment for hospice per diem fee, willingness to pay (WTP) may provide one of the critical information. This study was conducted to determine WTP for hospice care and to analyze those factors affecting WTP. Materials and Methods: A contingent valuation method with a double-bounded dichotomous-choice model was used. Interview survey was organized and conducted by a survey company from April 4 to 18, 2008. The mean WTP was calculated through an infinite integration of survival functions. Results: The average willingness to pay was found to be 42,240 Korean won (KRW) (USD 35), with the amount becoming higher as hospice services were deemed more necessary or where average monthly household income was higher. The amount was also higher among male respondents than females. Conclusion: To compare this WTP with actual cost (32,500 KRW) (USD 27) for hospice care. To facilitate hospice service, hospice specific payment system should be developed. This study provides information regarding the general public’s preference of hospice service and their WTP for hospice care, and it may be useful in the decision-making process.

허핀달-허쉬만지수를 이용한 병원시장의 경쟁 수준 측정

노진원 ( Jin Won Noh ),권영대 ( Young Dae Kwon ),강성욱 ( Soung Wook Kang ),주지수 ( Ji Soo Joo ) 경희대학교 경영연구원 2007 의료경영학연구 Vol.1 No.1

Objective: A new index, the Herfindahl Hirschman Index (HHI), is developed to measure competition between hospitals within a district. This study investigated the differences in competition between hospitals using the HHI and compared the index with the indirect indices measuring the degree of competition. Method: Hospital markets were divided into small regions using the healthcare catchment area and geographical/administrative boundaries. Annual medical revenue from the income statement is used to analyze the market share of each hospital in its respective market area. Market share was estimated by the ratio of each hospital`s revenue to the total medical revenue of the selected hospitals in the areas investigated. Correlation analysis was performed to compare the HHI with the indirect measurements of the level of competition presently used. Results: The HHI revealed different competitive levels (high, medium, low) over the regions. The result of the analysis for the local government areas was similar. A few small areas within the same healthcare catchment area had disparately larger differences in market share. There was a high correlation between the existing indices that indicate the medical resource allocation in the medical market and the HHI that measures the competition levels. Conclusion: This study could measure the competition levels more macroscopically using an area-based method rather than a hospital-based method. The results justify the use of HHI as an evaluation standard index to represent the level of competition. This index could be used as basic data to verify the effect of the competition between hospitals.