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하은희(Eunhee Ha),박혜숙(Hyesook Park),정최경희(Kyunghee Jungchoi),손지언(Jieun Son),김일용(Ilryong Kim),이종태(Jongtae Lee),조수헌(Soohun Cho) 한국의학교육학회 2002 Korean journal of medical education Vol.14 No.1
Purpose: This study was performed to obtain baseline information about the occupational and environmental medicine (OEM) residency programs in Korea. Methods: We surveyed 39 residents for the present training condition, satisfaction, vision of OEM, the condition and satisfaction after residency programs by self- administered questionnaire. Results: Residents want to get appropriate clinical and practical training to be a medical director in a factory or specialist of the occupational medicine based at a hospital. They report, however, that current system for OEM residency training program is not appropriate. The curricula, duration of the each curriculum, level of training hospital or institute need to be reconsidered. Conclusions: We need to develop more systematic residency program with support from government and OEM society.
하은희(Eunhee Ha),박혜숙(Hyesook Park),조희숙(Heuisug Jo),이보은(Boeun Lee),김정연(Jeoungyoun Kim),채유미(Yoomi Chae),이선희(Sunhee Lee) 한국의학교육학회 2001 Korean journal of medical education Vol.13 No.1
In order to solve the problems of traditional teaching model for medical statistics based on theoretical lecture, we developed new teaching model for medical statistics. The model was consisted of theoretical and practical lecture for 2nd grade of premedical students, Ewha Womans University. For theoretical lecture, we introduced basic concepts of medical statistics, data description and social survey method with questionnaire development. For practical lecture, we introduced the whole process from the selection for research topic to sampling, survey, data analysis, and report writing. Although students participated this class pointed out some trivial problems, they gave positive evaluation, particularly on practical lecture. We think this new model will be a good model and let medical students have ability to do medical research through basic knowledge and practical skill.
도덕적 이슈에 관한 사회적 구성(Social Construction)과 정책과정 분석 - 연명의료결정법 제정 사례를 중심으로 -
하은희 ( Eunhee Ha ),박선주 ( Sunjoo Park ) 한국정책학회 2018 韓國政策學會報 Vol.27 No.1
본 연구는 제도화되기 힘든 도덕적 이슈의 정책과정을 사회적 구성주의(social constructivism)의 관점에서 분석하였다. 이를 위해 소극적 안락사라는 도덕적 이슈를 법제화한 연명의료결정법의 제정사례를 중심으로, 도덕적 이슈가 법률로서 제정·시행되기까지의 정책과정과 정책대상집단(환자, 환자가족, 의료인 및 의료기관)에 대한 사회적 구성의 변화를 시계열적으로 비교하였다. 특히 정책대상 집단의 사회적 정체성이 어떻게 인식되고 구성되어왔는지 그 변화과정과 영향요인을 살펴봄으로써 정책대상에 대한 사회적 구성과 정책 변동 간의 관련성 및 선후관계, 정책대상 집단 간 사회적 구성 유형의 차이 또는 일치가 정책결정에 미치는 영향에 대해 알아보았다. 분석결과, 각 집단에 대한 사회적 구성이 정책결정 커뮤니티의 외부적 사건과 행위자에 의해 변화되었고, 이렇게 변화된 사회적 구성은 정책형성과정에 영향을 미치는 것으로 나타났다. 또한 정책대상 집단에 대한 사회적 인식이 대치·혼재되었던 시기에는 정책의제화 단계에서 어려움을 겪었으나, 정책대상 집단에 대한 인식이 긍정적인 방향으로 전환되어 모두 동일한 사회적 구성의 영역으로 이동한 시기에는 사회적 합의를 통한 정책형성이 이루어질 수 있었다. This study analyzes the policy process of passive euthanasia, one of the ethical issues that have been considered to hardly be institutionalized, from the perspective of social constructivism. We compare the policy process of the enactment of the Hospice, Palliative Case, and Life-sustaining Treatment Decision-making Act and the changes of social constructions of targeted policy groups (patients, patient families, and medical practitioners) in chronological order to find the relations of those two streams. In particular, this study focuses on the effect of similarities and differences in social constructions among policy target groups on policy decision making. We find that social identities of policy target groups are constructed by external actors and events outside the policy community, while those changed social constructions influence the policy decision making. This analysis suggests that the mixed and adversarial social constructions among policy target groups would impede policy agenda setting of ethical issues such as passive euthanasia while having similar and positive social constructions among policy target groups help achieve successful policy making through social consensus.
류지아,하은희,정최경희,김지은,박신원,김현주,Ryu, Jia,Ha, Eunhee,Jeong-Choi, Kyunghee,Kim, Jieun E.,Park, Shinwon,Kim, Hyunjoo 대한생물정신의학회 2017 생물정신의학 Vol.24 No.1
Occupational hazards of firefighting and rescue works include frequent exposure to emergencies and life-threatening situations. These stressful work conditions of being constantly under pressure and exposed to potentially traumatic events put them at higher risk of developing posttraumatic stress disorder (PTSD), compared to the general population. PTSD is a potentially debilitating mental disorder, due to persistent intrusive thoughts, negative alterations of mood and cognition, hypervigilance, avoidance of similar situations and reminders, and re-experiences of the traumatic event. Previous studies have shown a relatively high prevalence of PTSD among firefighters, indicating the need for a systematic approach of early detection and prevention. Therefore, a critical review of the current literature on PTSD in firefighters would provide valuable insights into developing effective prevention and intervention programs. Literature indicated that there are risk factors of PTSD in firefighters, such as pre-existing depression, anxiety, sleep disorders, occupational stress, physical symptoms, and binge drinking, whereas social support and adequate rewards are protective factors. Although there are differences in the prevalence of PTSD across studies, partly due to various assessment tools utilized, different sample sizes, and sample characteristics, over one tenth of the firefighters were estimated to have PTSD. The current review warrants further investigations to precisely assess PTSD and co-morbid mental disorders, functional outcomes, and associated factors, and to develop evidence-based preventive and interventional programs to help firefighters with PTSD.