선택병의원제가 의료급여 수급권자의 건강에 미치는 영향

최정명,오진주 한국지역사회간호학회 2012 지역사회간호학회지 Vol.23 No.4

Purpose: Medical Aid Beneficiaries were surveyed to identify differences in health behaviors, adherence to drug regimen, and quality of life between those people in the Designated Doctor System and those who are not. Methods: A total of 1,327 study subjects were separated into three groups: those in the Designated Doctor System for 2 years, those in for 1 year, and those not in the system. Results: After the introduction of the Designated Doctor System, 55.8% and 67.9%, respectively, of the subjects in the Designated Doctor System complained of inconvenience in relation to hospital use and the patient referral process. Also, the rate of emergency room use or hospitalization guided by the Designated Doctor System was only 8.7% and 6.5%, respectively. There were no significant differences in health behaviors and adherence to drug regimens between those in the Designated Doctor System and those who are not. Conclusion: This study was carried out early in the introduction of the system. Therefore, it is necessary to monitor the positive and negative effects of the Designated Doctor System for a full reflection of its impact.

노인에서 호발하는 의료기인성 질환의 원인과 간호에 대한 고찰

崔貞明 혜전대학 1992 論文集 Vol.10 No.-

The elderly are particulayly susceptible to the effects of iatrogenic and nursing-induced phenomena because of their increasing incidence of frailness and chronic disease, preca￢rious hemeostasis, changes in body composition and function, and widespread use of drugs. Iatrogenic disease can take many forms. The most commonly reported iatrogenic problems occurring in long-term care include immobilization, adverse drug reactions, falls, pressure ulcers, and nosocomial infections. To complicate clinical and reseach efforts, these conditions often represent a vicious cycle, with one treatment or lack of treatment causing the other. Gerontological nurses need to identify the causes of these disorders, and to develop and test nursing interventions as well as effective means of education that would reduce or eliminate the incidence of iatrogenic disorders. In addition, more health-care professionals must be educated in the care of the aged, including aspects of normal aging and age-related physiological changes, proper exercise and mobility, causes and prevention of infection, and appropriate drug use in the elderly. Further education and research are essential to increase awareness of the health-care problems cuased by treatment, but also to inform health-care professionals of the incidence and preventabiliy of these disordes.

법원보안관직무집행법의 합리적 입법방안에 대한 고찰

최정명,장인호 한국공안행정학회 2022 한국공안행정학회보 Vol.31 No.4

대법원장공관이 근접한 한남동 공관촌 내 구외교부장관공관으로 대통령공관이 이전하는 것에 맞추어 대법원장 공관경비임무를 수행하고 있는 법원보안관리대 직무집행 관련법규를 전반적으로 재검토할 필요성이 생겼다. 법원보안관리대가 제대로 기능하기 위해서는 직무집행의 법률적 근거인「법원조직법」제55조의2가 현장실무에 적합해야 한다. 그런데 현행법상 법원청사 외부에서 법원보안관리대가 어떠한 보안관련 활동도 할 수 없는 문제가 있다. 그렇다면 법원외부에 위치란 대법원장공관 경비임무 역시 아무런 법적근거 없이 행해지고 있는 것이며, 결국 정상적인 업무수행이 이루어지지 못하고 있는 것이다. 조직 내부에서도 이러한 문제를 인지하고 있으며 「법원조직법」제55조의2의 전면적인 수정이 필요하다는 공감대가 형성되어 있다. 그런데 어떤 형태와 방식으로 입법해야 하는 지에 대해서는 구체적인 대안이 존재하지 않는다. 이를 극복하기 위해서는 본 연구에서는 치안법의 표준이 되는「경찰관직무집행법」에 관한 선진적인 연구결과를 수용하여 법원보안관리대가 보다 효율적으로 기능할 수 있도록 (가칭)「법원보안관직무집행법」제정(안)의 입법을 위한 개선방향을 제안하고자 한다.

직사각형 통에 설치된 축류 홴의 소음 특성

최정명,구정호 한국소음진동공학회 1991 소음 진동 Vol.1 No.2

최근의 사회적 경제적인 급속한 발전에 따라 환경 소음에 대한 사람들의 관심도가 점차 증가되고 있다. 이로 인하여 사람들이 항상 접촉하게 되는 가전 제품 에 대한 소비자의 욕수도 제품의 성능적인면도 물론이지만 소음진동 및 디자인에 대하여도 지대한 관심이 모아지고 있다. 가전 제품에 있어서 주된 소음원은 홴 및 압축기 덮개의 진동등으로 파악할 수 있다. 특히, 홴은 냉각용, 송풍용으로서 거의 모든 가전제품에 쓰여지고 있다. 냉각용으로 사용되는 형식은 주로 축류 홴이다. 축류 홴은 다른 종류보다 소음이 크기 때문에, 저소음 축류 홴의 BPF(Blade Passing Frequency; 날개 통과 주파수)가 갖는 소음 특성을 연구하여야 한다. 이를 위해 축류 홴의 날개 갯수를 조절하면 설치된 통내에서의 BPF가 어떠한 형태로 변화하는가를 알아보고, 이에 따른 저소음화 대책을 검토하고자 한다. 홴은 그 덮개에 대하여 유량 및 소음에 관한 최적의 위치가 존재하는데, 문이 잠겨 있을 때에는 그 소음 레벨의 편차가 몹시 크게 된다. 한편 날개 갯수, 모터의 회전속도 및 통의 전달 함수 등을 감안하여 날개 통과 주파수(BPF)를 조정하면, 각종 가전 제품의 홴에 의한 방사를 저감시킬수 있다.

정서인식명확성과 주관적 안녕감 간의 관계에서 자기효능감의 매개효과

최정명,김선미 한국의료정보교육협회 2021 보건의료생명과학논문지 Vol.9 No.2

The purpose of this study was to examine the relationship between emotional clarity and subjective well-being in college students, and to test whether self-efficacy had a positive effect on subjective well-being as a mediating effect. The study subjects were students attending a college located in C province, and the final 200 copies recovered were used for analysis. After statistical processing using SPSS 21.0, the collected data were analyzed by hierarchical regression analysis. The results of this study are as follows. When examining the effect of stage 1 emotional clarity on self-efficacy, it was found that emotional clarity was significant on self-efficacy. When examining the effect of stage 2 emotional clarity on subjective well-being, it was found that emotional clarity was significant on subjective well-being. Level 3 emotional clarity and self-efficacy had a significant effect on subjective well-being, and since the influence of emotion clarity decreased compared to level 2, self-efficacy was partially mediated. And when looking at the effect of self-efficacy on subjective well-being, self-efficacy was found to be significant on subjective well-being.

의료급여대상자의 의료이용형태와 건강행위에 관한 연구 - 선택병의원제 적용여부를 중심으로 -

최정명 한국농촌간호학회 2013 한국농촌간호학회지 Vol.8 No.1

의료급여제도는 일정수준 이하 저소득층을 대상으로 그들이 자력으로 의료문제를 해결할 수 없는 경우 국가 재정으로 의료보장을 해주는 사회보장제이다. 1977년 의 료보호법의 제정과 함께 도입된 의료급여제도는 매우 제 한적인 무상의료 제도로 시작한 후 저소득계층의 보건·복 지증진을 위해 적용대상, 급여 확대 범위 확대 등을 지속 적으로 추진하여 왔다. 그 결과 의료급여 진료비는 2001 년 약 1.8조원에서 2010년 약 4.9조원으로 급격히 증가하 여 재정부담을 가중시키며 의료급여 제도의 지속 가능성 을 크게 약화시킬 수 있다(보건복지부, 2011). 의료급여비 증가는 수급자의 증가와 급여의 보장성 확 대와 밀접하게 관련이 있으나, 2003년까지는 의료이용에 관한 규제 및 관리가 거의 없었다. 즉, 건강보험과는 달 리 의료급여에 대해서는 불필요한 의료수요를 적절하게 제한하는 방법이 없는 상황에서 공급과 수요 양측 모두 에서 도덕적 해이가 발생하여 불필요한 의료비용 낭비가 있음이 빈번하게 보고되었다(신영석, 최병호, 신현웅, 황 도경 및 윤석준, 2005).

데이컴(DACUM)기법을 이용한 의료급여관리사의 직무분석

최정명 한국직업건강간호학회 2011 한국직업건강간호학회지 Vol.20 No.3

간병요양중인 산재환자의 일상생활수행능력 및 간병인에 대한 만족도

최정명,오진주,김춘미,이현주 한국직업건강간호학회 2008 한국직업건강간호학회지 Vol.17 No.1

산재장애인의 특성에 따른 가족기능정도

최정명,오진주,현혜진,이현주,윤순녕 지역사회간호학회 2003 지역사회간호학회지 Vol.14 No.3

Purpose: This study was attempted to provide the basic data in order to develop a supportive system for the family by investigation of the general and disability-related features of the industrial accident disabled and their family function. Method: Three hundred and forty six industrial accident disabled were randomly selected among those who resided in the Seoul, Incheon, and Gyeonggi areas, and who were confirmed as disabled according to its severity from the first to fourteenth grade from January, 1998 to December, 2000. The data were collected for one month from August 1 to August 31, 2001. Each study team consisted of two members out of 20 researchers and they interviewed the disabled individually by visiting their homes. Collected data were analyzed using frequency, percentages, t-test, ANOVA, and Correlation, etc. Results: The average score for family function was 102.60. The adaptability represented the highest score among the concepts dependent on the family function. The concepts were cohesion, adaptability and communication, which scored as 33.59, 35.38,33.34, respectively. The family function was significantly different in education, marital status and subjective health status. In particular, the family function was excellent from the industrial accident disabled who had graduated from middle school, was married, and felt healthy. Depression and quality of life were other factors, which were also correlated significantly with the family function. The lower the degree of depression and the better the quality of life, the better the family function. Conclusion: The industrial accident disabled who had been in poor health or faced with difficulties in daily activities even after the therapy for the disability was completed. In particular, their family always had a great burden to care for the disabled and to take financial responsibility. Therefore, the rehabilitation program for the disabled should be family oriented.

소규모사업장에서의 근로자 위장질환 관리 프로그램의 효과

최정명,김춘미,현혜진,윤순녕 한국직업건강간호학회 2002 한국직업건강간호학회지 Vol.11 No.1

The purpose of this study, as a project for health management at small workplace by Korean association of occupational health nurse, was to evaluate the program for correction of eating habits to prevent digestive disorders of workers. The study cases were twenty nine workers who voluntarily participated in the above program and they were from small(under fifty employees) workplace at Youngdeungpo-gu, Seoul. The study was done between January, 2000 and May, 2000. This program was concerned with daily menu for correction of eating habits and was composed of individual health education and distributing guide books and video. Nurses visited the workplace for the program once a week or two weeks. The result of this program was evaluated by paired t-test of digestive symptoms, eating habits, and self-efficacy before and after the fulfillment of the program. The result could be summarized as below. 1) There were decrease in digestive symptoms and improvement in eating habits and self-efficacy from study cases after fulfillment of the program. 2) The most common digestive symptoms were heartburn, upper abdominal pain, indigestion. The symptom which had been improved through the program were indigestion, heartburn and anorexia in the order. 3) The most improved eating habit was to eat flat foods instead of salty and spicy foods. The most improved self-efficacy was 'I can follow any helpful guides for my health'. The result indicated the program was successful for workers at small workplace. The continual management by nurses' regular visit once a week or two weeks was the most important thing for the successful program.