〈延禧詩蘊〉에 나타난 1930년대 중반의 기독교 인식과 문학사적 의의

정경은(Jeong Kyoung-eun) 고려대학교 한국학연구소 2008 한국학연구 Vol.29 No.-

〈延禮詩聽〉은 1930년대 중반 연희전문의 학생기독청년회가 발간한 동인지이며, 필자들은 당시 연희전문 교수와 학생들로 이루어져있다. 〈연희시온〉에서 특이한 것은 정지용의 시 「카페ㆍ프란스」와 朱永夏의 수필 「다방ㆍ프란스」와의 연관성이다. 주영하가 정지용의 「카페ㆍ프란스」를 어느 정도 수용하고 있는데, 정지용 시의 어조를 차용하여 창백한 인테리인 정지용의 무기력함을 비판하고 있다고 볼 수 있다. 〈연희시온〉의 필자들은 기독교의 정신을 바탕으로 사회에 대해 진취적이어야 하며 행동을 보여주어야 한다는 것, 이기적이지 않고 대의를 위해 자신을 희생해야 한다는 것, 조선인이 단결해야 한다는 주장들로서 간접적으로 기독인들과 조선인들의 소극성과 행동의 이중성, 자기 안주적 삶 등을 비판하고 있다. 이는 세상에 대해 ‘정의’와 ‘의’로 대항하고 궁극적으로 이 세계를 ‘정화’하고자 하는 방향으로 나아간다. 그리고 이상적인 상태와 세계를 추구하게 한다. 〈연희시온〉의 작가 구성에서 특기할만한 것은 졸업 후에 아동문학가가 되었던 이들이 글을 싣고 있다는 점이다. 이는 필자들의 종교적 특성과 식민지 상황에서 조선의 미래가 아동들에게 있음을 의식한 결과로 해석할 수 있다. The relevancy of Jeong ji yong's poem, '까페 프란스' and Ju young ha's essay, '다방 프란스' is specially found in 〈Younhision〉. It seems that Ju young hwa admit somewhat Jeong ji yong's poem and he criticize to be spiritless of Jeong ji yong as he borrow Jeong's poem lines. The writers of this magazine pointed up progressive spirit based on christian spirit, the spirit of self-sacrifice, unity of the people and criticize their passive attitude, their duplicity, a peace-at-any-price principle. This made the people oppose against the world with justice and righteousness. And they had intention of ideal and clean world. One of the characteristic in this magazine is that the people who had been literature writer for children after graduation wrote in this magazine. This seems that writers had a consciousness that their future is based on children.

여성 교육 담론의 변화 양상 연구 -『제국신문』을 중심으로

신정은 ( Shin Jeong-eun ) 한국문학연구학회 2018 현대문학의 연구 Vol.0 No.65

이 논문의 목적은 『제국신문』의 여성 교육 담론의 변화 양상을 살피는 데 있다. 『제국신문』은 1898년 8월 10일 창간되어 1910년 폐간되었지만, 현재 확인 가능한 지면은 1898년 8월 10일 창간호부터 1909년 2월 28일까지이다. 이 논문에서는 현재 확인 가능한 지면 전부를 조사하고 특징을 분석하여 시기 별로 비교하였다. 『제국신문』의 여성 교육 담론은 주필에 따라 담론의 변화 양상이 뚜렷하기 때문에 비교 시기는 주필의 변화에 따랐다. 이전까지 국가 담론 밖에 존재했던 여성은 이종일 주필 시기(1898.8.~1907.6.) 국가의 사명을 수행할 국민으로 호명된다. 하지만 여성에게는 새로운 국가 담론을 수행할 신지식이 없었기 때문에 여성 교육이 필요성이 대두된다. 그렇기 때문에 이종일 주필 시기 『제국신문』의 여성 교육 담론은 여성 교육의 필요성을 강조하는 특징을 보인다. 이종일 주필 시기 『제국신문』의 여성 교육 담론은 하나의 주제가 강조되기보다 편집진의 논설, 독자의 기서 등의 다양한 주장을 통해 다양하고 다층적으로 구성되었다. 정운복 주필 시기 『제국신문』(1907.6.~1909.2.)은 고등여학교 설립 등 여성 교육과 관련한 사회적 상황의 변화를 바탕으로 이종일 주필 시기 『제국신문』의 여성 교육 담론과 다른 양상을 보여준다. 정운복 주필 시기 『제국신문』의 여성담론은 기존의 여성 교육 담론 중심에서 풍속개량 중심으로 주제가 변화하였다. 여성담론이 여성 교육 담론 중심에서 풍속개량 중심으로 변화했다는 것은 정운복 주필 시기 『제국신문』여성담론에서 국가주의적 성향이 거의 소거되었다는 것을 의미하며, 이는 정운복의 정치적 입장에 의한 것으로 추측할 수 있다. 정운복 주필 시기 『제국신문』여성 교육의 당위성에 대한 주장이 위축됨에 따라 여학교 운영 및 여성 교육 단체 등 실제 현상에 관한 기사는 증가하였다. 관립 고등여학교에 관한 기사를 제외한 사립학교 및 단체에 관한 기사는 정운복의 개인적인 관계와 관련이 깊은 것도 이 시기의 특징이다. The purpose of this study was to investigate the changing patterns of women's education discourse in Jeguk Sinmun, which published its first issue on August 10, 1898 and discontinued in 1910. The issues available today are the ones from the first issue to the one published on February 28, 1909. The present study examined all of these available issues, analyzed their characteristics, and compared them by the period. Since the women's education discourse in the newspaper showed distinct changing patters according to its chief editors, the periods of comparison matched the tenures of chief editors. During the years when Lee Jong-il served the newspaper as the chief editor(August, 1898 ~ June, 1907), women, who used to exist outside the national discourse, were first called part of the people to fulfill the national missions. Since women had no new knowledge with which to carry out the new national discourse, a need was raised for women's education. This explains why the women's education discourse of the newspaper during Lee's tenure put an emphasis on a need for women's education. During the years, the women's education discourse of the newspaper was organized in diverse and multi-layered manners based on various arguments including editorials by the editorial staff and letters from the readers instead of highlighting a single topic. During the tenure of Jeong Woon-bok as the chief editor(June, 1907 ~ February, 1909), Jeguk Sinmun showed different patterns of women's education discourse from those during Lee's tenure based on changes to the social situations related to women's education such as the foundation of girls' high schools. During Jeong's tenure, the newspaper's female discourse changed topics from the old focus on women's education discourse to the new focus on custom reform. This shift means that the nationalistic tendency was almost removed from the female discourse of the newspaper during Jeong's tenure probably to reflect his political position. As the arguments for the legitimacy of women's education were withdrawn in the newspaper during his tenure, the amounts of articles increased about actual phenomena such as the operation of girls' schools and organizations for women's education. Another characteristic of the period was that articles about private schools and organizations were closely connected to Jeong's personal relations except for articles about girls' high schools established by the government.

민성휘(閔聖徽) 가문의 장서 연구 -7대손 민경속(閔景涑)과 유만주(兪晩柱)의 서적 왕래를 겸하여-

김영진 ( Kim Young-jin ),안정은 ( Ahn Jeong-eun ) 한국한문학회 2020 韓國漢文學硏究 Vol.0 No.80

본고는 조선시대 서책문화, 그 가운데 ‘私家藏書’에 대한 사례 연구를 여흥민씨 閔聖徽(1582~1648) 가문을 대상으로 한 것이다. 연구의 주안점은 두 가지인데 첫째는 민성휘 개인이 본격적으로 형성한 ‘사가장서’의 실체와 특징이고, 둘째는 민성휘의 7대손 閔景涑(1751~1794)의 장서다. 후자의 경우엔 벗 兪晩柱(1755~1788)와의 사이에 이루어진 書冊 相互 借覽과 문학, 학술 담론을 중심에 두었다. 민성휘의 1628년 明 使行에서의 서책 구입과 민경속과 유만주의 교유는 기존 연구성과가 있다. 본고는 기존 성과 위에 민성휘 윗대 아랫대의 저술 및 장서 현황, 소론 당파보인 『簪譜』 및 민경속의 인척 鄭堉이 편찬한 印譜 『圖書譜』, 任天常의 『試筆』 등의 신자료를 추가하여 이 가문의 장서 형성 과정과 그 학술 문화사적 특성을 보다 구체화하였다. 우선 민성휘의 『肅敏書目』을 재검토하고 현존하는 민성휘 장서인이 압인된 책들을 조사하여 관련 방증을 하였다. 또한 민성휘가 수집한 장서와 서책에 대한 관심이 가까이는 민성휘의 『松京訪碑錄』, 閔晉亮의 『唐詩類選』, 閔周冕의 『(新纂)東京誌』로 이어졌고, 멀리는 7세손 민경속의 『知先錄』과 『迂叟謾錄』 및 『輸廫故人錄』, 8세손 閔魯行의 『名數咫聞』과 『咫聞別集』 등으로 이어졌음을 논하였다. 민경속과 유만주 사이에 1785년부터 1787년까지 3년간 지속된 서책 교류를 총정리하였다. 이 둘의 진지하고 진솔한 학술교류는 방문 외에 양가 장서 및 서화의 상호 대차와 감상을 기본으로 하였는 바 두 가문의 당파와 교유권의 차이로 인해 수장 자료의 성격차이 역시 컸다. 이 점이 상대방의 호기심을 일으키고, 부족한 면을 충족시켜 주면서 서로의 성장에 밑거름이 되었다. 민경속의 인척으로 특히 주목되는 것이 ‘江華學’으로 널리 알려진 전주이씨 덕천군파와 연일정씨 鄭夏彦 후손가다. 연일정씨는 또 자하 신위와 연결되어 이후 민노행이 추사 김정희와 교류를 갖게되는 계기가 되었다. 민성휘가의 『서책목록』이 발견되지 않았고, 이 가문의 장서도 다 흩어졌다는 제약과 한계 속에서도 여러 자료의 편린들을 찾아내어 민씨가의 학술문화사적 의의를 추출하여 보았다. 이 과정에서 兪晩柱의 『欽英』이 갖는 서적문화사에서의 높은 의의를 재삼 확인할 수 있었다. 여흥민씨가의 장서와 그것의 학술문화사적 효용은 ‘조선시대 사가장서’의 한 실상과 의미 부여를 하였다는 데에 의의가 있다 하겠다. This thesis focused on the book culture in the Choseon Dinasty period, particularly with the emphasis laid on the family of the Yeoheung Mins by way of the case study on the collection of books at the private family of Seong-Hui Min(1582~1648) of the Yeoheung Mins. The main emphasis is two and the first is the substance and characteristics of ‘the collection of books at private family’ purposefully formulated by the individual Seong-Hui Min and the other is the collection of books of the 7^th descendant Gyeong-Sok Min(1751~1794). In the latter case, the focus was laid on the mutual borrowing and reading of the books and academic discourse with his friend Man-Ju Yoo(1755~1788). The purchase of books by Seong- Hui Min in his envoy trip to Ming in 1627 and the exchange between Gyeong-Sok Min and Man-Ju Yoo were greatly facilitated by Ha-Ra Kim. On top of the achievements of Ha-Ra Kim, this thesis carried out a more realistic review of the background of the formulation of the collection of books at this family and the academic and cultural historical characteristics with reference to the significant new data such as the writings and the status of book collections, the newsletter of Soron Party 『Jambo』, the book of impressions of seals 『Doseobo』 published by Yook Jeong who was a member of Yeonil Jeongs which was a relative family of Gyeong-Sok Min and others. First, this thesis aimed to establish the circumstantial evidence by conducting a review of 『Sukminseomok』 written by Seong-Hui Min and investigating the books belonging to the extant collection of books of Seong-Hui Min. It was verified that most of the pressing books from the extant collection of Seong-Hui Min are wood-block print books from Ming and discussed that the books were scattered from early stages. In addition, it was discussed that the attention to the collections and books established by Seong-Hui Min extended closely to 『Songgyeongbangbirok』 by Seong- Hui Min, 『Dangsiyuseon』 by Jin-Yang Min and 『(New Publication) Donggyeongji』 and remotely to 『Jiseonrok』, 『Osumyeonrok』 and 『Suyogoinrok』 by the 7^th descendant Grong-Sok Min and 『Myeongsuchimun』 and 『Jimoonbyeoljib』 by the 8th descendant No-Haeng Min. The thesis made an aggregate summary of the exchange of books between Gyeong-Sok Min and Man-Ju Yoo which lasted for 3 years from 1785 to 1787. The earnest and sincere academic exchange between them revealed the differences in the books and paintings stored due to the differences in faction, relatives and others apart from the collection of books in each family and these differences made great contribution to their mutual growth by invoking the intellectual curiosity and supplementing the deficient parts of each. The books of Gyeong-Sok Min can be divided between those inherited and those collected by oneself and in regard of the latter it was confirmed that the relative share of the books from Choseon Dynasty was much increased and that the relative families the Jeonju Lees (Deokcheongun family branch - Ganghwahak) and the Yeonil Jeongs inflicted a great influence on the procurement of books. By way of the connection with Jaha Wui Shin, the Yeonil Jeongs offered the opportunity for No-Haeng Min to have exchanges with Chusa Jeong-Hee Kim. Even under the limitation and restriction that 『List of Books』 of the family of Seong-Hui Min was not discovered and the collection of books of the family was all scattered around, the academic and cultural historical implications of the books of the Mins was extracted by discovering the partial fractions of a diversity of data. In this process, the high cultural historical value of the literatures retained by 『Heumyeong』 by Man-Ju Yoo could be ascertained anew. This thesis has the meaning that it highlighted the fact that the collection of books at the Yeoheung Mins and their academic and cultural historical utility reveal a realistic aspect of the ‘collection of books at private families in Choseon Dynasty Period’ and also that it gave such a meaning.

Expansin으로 형질전환 된 담배의 생장 특성

신하정, 성현정, 백승준, 김보미, 엄유리, 조은정, 정찬문, 이이 충북대학교 연초연구소 2008 煙草硏究 Vol.21 No.-

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급성 심근경색증 환자에서 혈전용해요법의 시간지연에 영향을 미치는 요인

정진옥,김윤철,성보영,김준경,전준용,류정곤,성인환,전은석 대한순환기학회 1997 Korean Circulation Journal Vol.27 No.8

전쟁기 문학을 통한 정체성의 재구성

김은정(Kim, Eun-jeong) 한국비평문학회 2014 批評文學 Vol.- No.52

전쟁은 살인이 용인된다는 점에서 전쟁에서 인간의 죽음은 인권의 문제가 아닌 숫자나 통계로 수치화되는 것이 일반적이다. 현재 학살에 대한 국제규범은 통속적 정치화와 인도주의적 개입으로 정의되고 있다. 그런데 인도주의적 개입은 전쟁을 야기하거나 확장시켰지, 구제를 한 예는 거의 찾기 힘들다. 미국은 학살을 건설적인 학살, 자비로운 학살, 사악한 학살, 가공의 학살 등 네 가지 유형으로 분류하고 있다. 북한은 전시문학을 통해 전쟁 초기 자행된 학살을 소설로 재구성하는데 북한 내부에서 벌어진 학살이 아닌 남한 내 학살을 소재화하고 있다. 북한이 남한에서 미군에 의해 자행된 학살에 초점을 맞춰 작품을 구성하는 이유는 집단주의와 연관이 있으며, 한국전쟁에 대한 북한의 조국해방전쟁이라는 용어 표기에서도 알 수 있듯이 미제에 지배와 착취를 받고 있는 남한 민중들을 해방시켜야 한다는 공감대 형성을 위해 보여주기 미국의 야만성을 보여주기 가장 쉬운 사건이 학살이었기 때문이다. 이글에서 주목하고 있는 것은 피해자로서의 경험과 가해자로서의 경험을 가지고 있는 북한이 문학에서 가해자로서의 역사는 왜 기술하지 않는가와 작가들이 자기를 표현하는 주체로서 자기 이야기를 기록하는가 대한 문제이다. 이글에서는 먼저 학살의 양상에 대해 살펴보고, 1951년 『문학예술』에 실린 북한 작품에 주로 등장하는 경남서부지역과 경북지역 학살 중 ‘마산양민학살’과 우리에게는 잘 알려지지 않는 ‘충북지역양민학살’ 학살을 통해 그 양상과 주체 그리고 역사적 실재성에 대해 검토하면서 작가들이 자기를 표현하는 주체로서 자기 이야기를 어떤 방식으로 기록하는가 대한 문제를 검토하였다. 북한은 남한에서 미군에 의해 자행된 마산양민학살과 충북지역 양민 학살은 소재화하고 있지만 정작 비슷한 시기 북한에서 일어난 신천 대학살을 소재화한 작품이 보이지 않는 것은 첫째, 대다수의 작가들이 종군작가로 동원되어 남한에서의 체험하거나 들었던 사건을 재현하고 있기 때문이며, 둘째, 북한이 수행하고 있는 전쟁이 조국해방전쟁이었기 때문이다. 뿐만 아니라 한국전쟁에서 남북은 모두 피해자로서의 경험과 가해자로서의 경험이 있다. 그럼에도 북한 작품에는 가해자로서의 역사는 보이지 않는다. 이처럼 피해자의 역사만 기록되고, 문학으로 재생산되는 것은 북한이 한국전쟁을 통해 자기 정체성을 재설정하려 하고 있기 때문이다. 문학에서 피해자로의 역사만이 존재하고 가해자의 역사가 없는 것은 북한이 미국과는 다른 ‘나’에 대한 규정을 반미를 매개로한 자기를 반정립하는 형식으로 보여 주고 있기 때문이다. 이것은 미국의 학살행위를 폭로하고 비난함으로써 역으로 자신들은 그렇지 않다는 가짜 정체성과 명분을 만들어 과정이라 할 수 있으며 문학 역시 여기에 동원되고 있음을 확인할 수 있었다. Murder that happens during war is considered acceptable and a death of a person is often neglected and regarded as just a part of a statistical data during war. Severe crimes such as murder and massacre are often justified without considering the importance of the human right. Among the international communities, the massacre in a war is defined as a conventional political participation and humanitarian intervention. While it is hard to find a case where the humanitarian intervention brings peace to the affected country, the intervening action often triggers war or even expands the range of battlefield. In the United States, massacre is generally categorized into four types: Constructive, Benign, Nefarious, and Mythical bloodbaths. The aspect shown in the civilian massacres during the Korean War can be classified into three different groups and they are, ‘strategic massacre’, ‘execution massacre’, and ‘retaliation massacre.’ This paper will focus specifically on the aspect and subject of the civilian massacre in the Masan and Chungbukarea appearedintheliteraryworks 『Munhakyesul』, and will further explain the historical reality of the two massacres in terms of ‘strategic massacre’ and ‘retaliation massacre’. Here notes the ‘execution massacre’ which is the method of execution by a civil-military and the left is excluded from the discussion. The details of Masancivilianmassacredescribedin 「Jonggungi」 by Kim Sa-Ryang corresponds to the testimony from the victims of the incident. In addition, the massacre in Chungbukarea, the geographical background of the novel by Hyunduk, is also confirme dastrue. The novels mentioned above depict the atrocity perpetrated by military forces during the Korean War. Regarding ‘strategicmassacre’, the brutal actions?sexual violation toward women, live burial, and firing squad execution-are described in the novels. When it comes to‘ retaliationmassacre’, however, it is hard to find the scene showing sexual violation or other atrocities depicted in <Figure2> from 『Joseontongsa』 and 『Hyeondaejoseonryeogsa』. Since these atrocious behaviors are normally conducted under the situation while the partisans arrested by the U.S. military are being tortured, it is necessary to take into account the types of massacre when examining the atrocities in civilian massacres. The North Korean government understood the Korean War as not a war between ethnic groups, but a war against American imperialism. In addition, the main theme of the novels created during this period mainly deals with the topic of the fight against the U.S. military, the main enemy. Hence, the subject of the novels who are undergoing the brutal actions and the atrocities are the U.S. military, not the Korean army.

분자역학적 방법을 이용한 부산시내 대형건물 냉각탑수의 레지오넬라균의 형별 분류

김정만,정석훈,서대영,박은희,송은주,최재철,이은엽,장철훈 대한임상미샐물학회 2004 Annals of clinical microbiology Vol.7 No.1

대학생 흡연자의 금연경험에 따른 건강신념차이

구정일,김민정,김동희,백정희,안현실,은가희,우혜령,이명희,이수현,김수지 이화여자대학교 간호과학대학 2003 이화간호학회지 Vol.- No.37

It has been generally known that smoking is one of the worst factor increasing disease and mortality in human health since in 1950's and nowadays. But regardless of various proofs about social or economical problems due to smoking, current smoking rate has not been decreased in our country. Until now, most of tobacco use and its addiction researches have been focused on the adolescent or adult women smokers not on the university students. Therefore, the purpose of this study was to investigate smoking cessation of university smokers and analyze the health belief-perceived sensitivity, severity, benefits and barriers- difference, then to provide basic data for effective smoking cessation strategy for university smokers. The subjects were comprised of 181 university smokers from 15 universities in Seoul. The data were collected by structured questionaires. The questionaires were designed to measure general characteristics, smoking cessation and health belief, based on Ahn(2003)'s result on the Study of Smoking attitude, Behavior and Smoking Cessation of Adult Male and Lee(1987)'s result on Relationships Between the Health Belief Model and Smoking Habits. The data were collected from May 5 to 16. The collected data were analyzed by SPSS program. The actual number, percentiles, means, standard deviation, t-test and ANOVA were done. The result of this study were as follows; 1. The general characteristics of the subjects of this study The range of age was from 18 to 34 and the averaging age was 23. The subjects of this study were 141 males and 40 females. The religions were Christianity 25.4%(46), Buddhism 12.7%(23), Catholic 23.2%(42), no religion 37.0%(67). The residential forms were living with family 59.1%(107), cooking food for oneself 28.7%(52), dormitory 5.0%(9), boarding house 1.7%(3). Smoking starting age were university 43.1 %(78), high school 29.8%(54), middle school 14.9%(27), in the army 6.1 %(11), elementary school 1.1 %(2). 2. The smoking cessation of the subjects 80% of current smokers showed quitting smoking decision and 20% have not tried. The frequency of quitting smoking decision were from 1 to above 8 and mean was 3.06. As for smoking cessation plan, 54.7%(99) current smokers answered yes, 3.9%(7) said no, 35.4%(64) had no idea and 6.1 %(11) didn't answer. As for the reason of never quitting smoking decision, 71.42%(25 among total 35) have no need to quit smoking and the others said difficulty of smoking cessation. As for the main reason of smoking cessation decision, 54.7%(99) answered for the health, 7.2%(13) family advice, 15.5%(28) girl/boy friend's advice, 1.7%(3) to save money. As for the reason to fail smoking cessation, 56.7%(68) were will-lack, 17.5%(21) stress, 15%(18) smoking mood, 10%(12) withdrawl symptom. As for the smoking cessation method, 85.0%(125) were oneself-will, 2.7%(4) way acquired by mass-media, 2%(3) doctor's prescription, 2%(3) religion's help, 0.7%(1) smoking cessation school. As for the difficulty in smoking cessation, 42.2%(62) were drinking meeting, 23.1 %(34) no alternative of stress release, 12.2%(18) withdrawl symptom, 11.6%(17) having nothing to do, 7.5%(11) friend's encouragement. As for the most difficult cigarette to quit, 67.8%(99) were all-day smoking except the first smoking in the morning, 32.2%(47) the first smoking in the morning. 3. Health belief as for general characteristics Gender - The total point in benefits showed higher in male(28.5177) than female(26.6750). There was significant difference(t=.778, p<.05). The total point in health belief showed higher in male (105.8298) than female(l00.5000). So there was significant difference(t=.345, p<.05). Age - There was significant difference in benefits between age(10's-25.83, 20's-28.39, 30's-32.00)(F=3.73, p<.05). Smoking starting age - There was significant difference in total point of sensitivity and health belief(sensitivity F=4.00, p<.Ol, health belief F=2.843, p<.05). As for sensitivity, subjects who started smoking in the army showed the highest(33.36) and ones in high school showed the lowest(26.96). The total point in health belief showed the highest in elementary school(l19.00) and the lowest in high school(100.98). 4. Health belief as for smoking cessation There was significant difference in health belief as for smoking cessation(t=0.189, p=0.OO2). Sensitivity point showed higher in smoking quitting trial smokers(29.2) than non-trial smoker (26.9). Severity point showed higher in trial smokers (30.7) than non-trial smokers(28.9). Benefit point showed higher in trial smokers(28.6) than non-trial smokers(26.2). There was no significant difference in barriers point.

위절제술 환자의 표준진료지침 개발 및 적용 효과

김은희,김철규,이순교,김순덕,이혜옥,권정순,이경미,이민미,심순미,유용만,신종식,강은희,이상일,김병식,오성태,육정환,박수길 한국의료QA학회 2003 한국의료질향상학회지 Vol.10 No.2

Background : Gastric cancer is the most common malignant tumor in Korea. surgical operation is one of the major treatment modalities for gastric cancer patients. Therefore, gastrectomy is one of the most common procedures in General Surgery. There were variation in length of hospital stay and medical treatment for gastrectomy between three surgeons at Asan Medical Center. Clinical pathways have received considerable attention as a tool for recucing the medical practice variation, increasing the efficiency of care process, and improving the quality of care. The aim of this study was to evaluate the effect of a clinical pathway for gastrectomy in gastric cancer patients. Methods : The clinical pathway for gastrectomy was developed and implemented by a multidisciplinary group in Asan Medical Center. A computerized clinical pathway program was developed and revised after a pilot test. A total of 145 patients underwent gastrectomy by three surgeons at Asan Medical Center. We compared the length of hospital stay, patient satisfaction, and unplanned readmission rate between the pre-pathway group(n=67) and the post-pathway group(n=78). We also investigated the degree of satisfaction among the physicians and nurses who were main end-users of the clinical pathway. Results : The clinical pathway was applied to all target patients. The average length of hospital stay was shortened from 12.7days to 10.6days(p<0.01). The degree of patient satisfaction with the care process changed from 90.3% to 89.2% after the implementation of the clinical pathway, but the difference was of satistically significant(p=0.761). Unplanned readmission rate was 2.9% in the pre-pathway group. More than 90% of physicians and nurses answered that the clinical pathway had been a useful tool in their medical practice. Conclusions : The findings of the study demonstrated that implementation of the clinical pathway for gastrectomy produced substantial reduction in the length of hospital stay while improving the quality of patient outcomes. The computerized clinical pathway program can be used as one of the powerful patient management tools for reducing the practice variations and increasing the efficiency of care process in Korea hospital settings.

병원급식 체계에 관한 조사 연구

이정윤,서정숙,방병호,정은자,강남이,이진영 서울보건대학 1995 서울보건대학 부설 병원경영연구소 논문집 Vol.1 No.1

This study was conducted to evaluate the hospital foodservice management practices in Seoul and to suggest the guideline for the effective foodservice management. Questionnaire survey method were used in this study. Questionnaire were administered to dietitians in twenty hospitals. Data were analyzed for frequency, percentage, χ^(2)-test, and one-way ANOVA using SAS PC Package program. The results were summerized as follows : The number of dietition were less than the required number for efficient foodservice. Centralized foodservice method was adopted in most hospitals and conventional foodservice system was taken in all the hospitals. The space of a kitchen and a dining room were confined and sanitary facilities and working condition revealed problems. Equipped facilities in surveyed foodservice operations were assessed as the insufficient condition, especially, efficient facilities such as a cutting machine were scarecely make up.