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      • KCI등재

        증ㆍ개축을 고려한 종합병원 중앙수술부의 공간계획에 관한 연구

        채철균 한국의료복지시설학회 2000 의료·복지 건축 Vol.6 No.10

        This paper is the hospital planning and design considerations for the hospital expansion, renovation and new construction by the development of medical science during the last ten years, considering the operation policies, architectural provisions and economic conditions of operating department, by the interviews and questionaires for sanitary and medical personnels in hospitals. This study suggest new operation method and its planning guidelines.

      • 알코올 중독자를 위한 의료시설의 최근동향

        채철균 한국의료복지시설학회 2001 한국의료복지시설학회 국제학술심포지엄 Vol.- No.5

        According to the concept of Core Dependence Syndrome (CDS) and Alcohol Dependence Syndrome (ADS) by World Health Organization, people start drinking to physiological, mental, social, and environmental stimulus reasons. These reasons induce alcohol addiction or constraint behavior and alcohol dependence for continuous and periodical drinking. Alcohol dependence is a chronic and serious disease that has high return-rate. It is a mental disease which has negative effect on family relationship as well. The result of recently analyzed alcohol use indicates that one out of five people in Korea is alcohol abuser. With the result, economic expense for drinking is 9 thousand billion and 7,840 billion won in 1995 and expense of alcohol consumption per year is 4 thousand billion and 556 billion won. When two expenses are added, social expense for drinking is about 13 thousand billion 8,396 billion won of the same as much as 3.97% of Gross National Product (GNP). These results imply that research is needed in order to address the aspect of social, cultural, and simultaneously mental cure and counter plan. Moreover, medical expert and Healthcare facilities for cure and rehabilitation alcoholic should be provided. It was not a long time ago that Healthcare facilities appeared in Korea. Those who are treated at the mental hospital still go with social and mental pain. Therefore, changing from closed ward to opened cure environment in local community is needed. It means to provide Therapeutic Milieu to patients for speedy rehabilitation of alcoholic. For special healthcare facilities, gradually reducing scale of hospital and specializing each function, converting from type of closed ward to opened one, and active hospitalization system for preventing sequela after being hospitalized should be considered. In fact, the existing mental hospital has a strict and lonely surrounding. Therefore, it should change an active cure space for easy access with patient and his/her family through light and warm color composition, which spread natural light deeply the inside of the building. Also it proposes closed and opened garden as an exercise space and outdoor space for taking a walk freely. In addition, the networking among healthcare facilities for the alcoholic should form for preventing preliminary and return after leaving the hospital. In other words, continuous protection and cure environment should be provided on the base of alcohol special hospitals with the networking between facilities: alcohol counsel center, alcohol rehabilitation center, residential facilities for chronic alcoholic and a meeting group in local community such as AA (alcoholic Anonymous), Al-anon, Al-ateen.

      • KCI등재

        종합병원의 수술유니트 계획에 관한 연구

        채철균 한국의료복지시설학회 2001 의료·복지 건축 Vol.7 No.1

        This study provide the Planning guidelines for the existing and the new alternative. On the bases of survey and analysis, the basic data for OP-Unit have been proposed in consideration of the development of medical science and hygiene, economic conditions during the last twenty years in Germany. The results of the study were firstly, general basic data, secondly, guidelines of the architectural design for OP-Unit und rooms, thirdly, new alternative OP-Unit with 2 and 3 operation rooms.

      • KCI등재
      • KCI등재

        지역거점 공공병원의 인공신장부 공간구성에 관한 연구(1)

        채철균,박경현 한국의료복지건축학회 2022 의료·복지 건축 Vol.28 No.2

        Purpose: This study presents the results of the analysis on space utilization of kidney dialysis units in regional public hospitals, which plays a key role in local public medical services. The result aims to achieve safety from infection, allow comfort for the dialysis environment, and stability for medical support. The purpose of this study is to present fundamental data for architectural plans for the kidney dialysis unit, as well as to alleviate potential infectious diseases such as COVID-19. Methods: For research purposes, the investigation and analysis of space utilization were based on architectural floor plans, research papers and literature, related legal systems, and public statistics. Of the main 35 regional public hospitals, in regards to data accessibility, 15 facilities were selected to conduct the survey and analysis for the objective. Results: The space composition by area research results of kidney dialysis units in public hospitals are as follows: Firstly, most targets do not have required rooms in the access and support area, except for the hemodialysis beds in the treatment section. Secondly, the access area requires necessary room and space design that took into consideration of convenience and accessibility for patients. Thirdly, in regards to infection prevention and control, proper circulation and room plan is essential for storage and disposal of contaminated products and linen after use. For the treatment area, the arrangement plan needs to establish a visual connection between the isolation room, the nursing station, and the bed area. Additionally, consideration of circulation in the preparation, treatment, observation, examination, and all other rooms in the facility is required. Lastly, for the support area, the room is designed to consider adequate working and meeting spaces for the medical staff, consultation space for patients or guardians, separate storage and disposal of clean and contaminated items, and the storage of various equipment for dialysis. Implications: In preparation for the increase in chronic kidney failure patients and the spread of infectious diseases, such as COVID-19, the researched data demonstrates the basic guidelines for space composition of kidney dialysis units and the significant role of regional public hospitals.

      • 수술유니트의 유형 및 규모 산정을 위한 건축계획 프로그램에 관한 연구

        채철균 한국의료복지시설학회 2002 의료·복지 건축 Vol.8 No.2

        By reason of development of anesthesia, advent of new surgical operation type and change of hygiene criterion and economical index is increasing recently request about alteration of existing unit or new surgical operation-unit type. The purpose of this study is to provide of architectural planning program for the type decision and the scale computation of operating-unit in healthcare facilities. As a result of this study, presented program of six type according to surgical operation process including space and time side.

      • KCI등재

        재활체육센터의 건축계획에 관한 연구 : 휠체어사용자를 중심으로

        채철균,성기창 한국의료복지시설학회 2008 의료·복지 건축 Vol.14 No.2

        Rehabilitation sports center is one of the sports center for the disabled that offers and operates programs to live with ordinary people through activities including various sports. This center must offer an environment that users be able to lead an sports activity by a removing physical and psychological obstacle. But most centers get in trouble using facilities that are so excessive or partly negative. Because, this center is offering a physical environment that absents correct comprehension of a standard plan and circulations of disabled. To takes part in physical exercise programs actively and encourages living sports activities, this study, will analyze circulations of disabled in accommodation and propose considerations at planning of rehabilitation sports center.

      • KCI등재

        베를린 노인의료 환경요인과 시설특성에 관한 연구

        채철균 한국의료복지건축학회 2011 의료·복지 건축 Vol.17 No.1

        Nowadays, a proportion of healthcare service for the elderly has been improved due to the factors, such as a prolonged life expectancy, a growth of aging population and a change of member of family. For these factors, it is necessary for the elderly to receive treatment for multidisciplinary diseases, associated with psychological care of sociological concept. It is quite difficult in an acute-care hospital to accommodate the elderly patient because of the fact that an acute-care hospital is required to maintain a high level of medical care and technical standard. That is why specialized medical service is needed for the elderly. In the case of Germany, they are at the stage of the change from large scale facilities to specialized facilities applying the integrated concept. This paper addresses the medical environmental factor and distinction of medical facilities for the elderly through survey and analysis relating to all change in Germany. Therefore, it aims to suggest a fundamental resource for architectural planning and network of medical facilities for the elderly.

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