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말기 환자에서 사망 전 의료비 지출 현황과 환자관리 대책
김기경,Kim, Gi-Gyeong 한국호스피스협회 2005 호스피스 학술지 Vol.5 No.1
Purpose: To know for what the medical expenditure had been used and to seek the way how it can be efficiently redistributed, I investigated total medical expenditure according to the time period to death in the expired patients for recent 2 years. Methods: 21patients were enrolled in this study. Total medical expenditure including benefit charge and non-benefit charge charged to patients in in-patient department(IPD) and out-patient department(OPD) was counted according to the period for one year by death. Results: 94.7% of the total medical expenditure had been payed for admission-related expenditure and 89% during period 3 and 4 for 6months before death, which may be due to the more days of admission during those periods. 70.1% of the total expenditure had been charged on the admission-fee, room charge, diet, and administration of the fluid, medicines, and blood etc. Conclusion: Majority of medical expenditure has been used in the affairs being unable to improve the survival or quality of life of patients and during the periods closer to death. Here, it would be needed heartily to look for the best ways in detail how the idea of hospice can come true through nation-wide and social consensus.
김기경,Mee Yeon Hong,김민지,Hyun Hwak Im,Man Il Kim,Chang Hwan Bae,서숙재,Sang Hyun Lee,김익수 한국분자세포생물학회 2009 Molecules and cells Vol.27 No.4
We have determined the complete mitochondrial genome of the yellow-spotted long horned beetle, Psacothea hilaris (Coleoptera: Cerambycidae), an endangered insect species in Korea. The 15,856-bp long P. hilaris mitogenome harbors gene content typical of the animal mitogenome and a gene arrangement identical to the most common type found in insect mitogenomes. As with all other sequenced coleopteran species, the 5-bp long TAGTA motif was also detected in the intergenic space sequence located between tRNASer(UCN) and ND1 of P. hilaris. The 1,190-bp long non-coding A+T-rich region harbors an unusual series of seven identical repeat sequences of 57-bp in length and several stretches of sequences with the potential to form stem-and-loop structures. Furthermore, it contains one tRNAArg-like se-quence and one tRNALys-like sequence. Phylogenetic analysis among available coleopteran mitogenomes using the concatenated amino acid sequences of PCGs appear to support the sister group relationship of the suborder Poly-phaga to all remaining suborders, including Adephaga, Myxophaga, and Archostemata. Among the two available infraorders in Polyphaga, a monophyletic Cucujiformia was confirmed, with the placement of Cleroidea as the basal lineage for Cucujiformia. On the other hand, the infraorder Elateriformia was not identified as monophyletic, thereby indicating that Scirtoidea and Buprestoidea are the basal lineages for Cucujiformia and the remaining Elateriformia.
김은경(Eun Kyung Kim),김세영(Se Young Kim),정면숙(Myun Sook Jung),장금성(Keum Seong Jang),김진현(Jinhyun Kim),김종경(Jong Kyung Kim),김영미(Young Mee Kim),박은준(Eun Jun Park),김기경(Ki Kyong Kim),이해정(Hae Jung Lee) 한국간호행정학회 2011 간호행정학회지 Vol.17 No.2
The purpose of this study was to explore the current status of education for nursing management in Korea. Methods: A descriptive study was done using a questionnaire developed by the investigators. The data were collected by survey from 96 out of 129 nursing schools, between December 2010 and February 2011. Results: For 22.9% of nursing schools, there was no faculty for nursing management. The credits and subjects included in nursing management varied among the nursing schools. Lectures in subjects related to nursing management were given not only by nursing management faculty but also by faculty with other majors. There were more faculty and credits for nursing management courses in 4-year nursing schools than in 3-year schools. Conclusion: To improve the quality of education in nursing management, there is a need to standardized courses and provide nursing faculty who have majored in nursing management.
김기경(Kim, Ki Kyong),김기연(Kim, Gi Yon),김보경(Kim, Bo Kyoung) 한국간호행정학회 2020 간호행정학회지 Vol.26 No.2
Purpose: The aim of this research was to identify, appraise and synthesize available evidence exploring new nurses" experiences of turnover. Methods: The qualitative meta-synthesis method suggested by Thomas and Harden was used. Qualitative research articles considered for inclusion in the review were identified through an extensive search of relevant literature in scientific databases. Data were extracted from the aforementioned articles, and qualitative research findings were pooled according to Thomas and Harden"s review process. This process involved the categorization of findings according to similarity of meaning and aggregation of these sub-themes to produce a comprehensive set of synthesized themes. Results: A total of 4 research articles met the inclusion criteria and were included in the review. The review process resulted in 30 sub-themes that were aggregated into 10 themes: ineffective education; overwhelming work; personal maltreatment by doctors, career nurses, patients and caregivers; lack of professional vision; suffering; fear; loss of confidence; isolation; cynical reaction to turnover; new beginning and growth. Conclusion: These findings illuminated the necessity of educational, organizational, emotional and social support for new nurses to help them accomplish their developmental tasks during their transition, as well as the need for this support to continue even after the turnover.
미국 NCSBN 간호법모델과 한국 간호협회 간호법(안) 비교
김기경 ( Ki Kyong Kim ) 한국의료법학회 2004 한국의료법학회지 Vol.12 No.1
This study would compare and analyse the draft of the Nursing Act developed by the Korean Nurses Association (KNA) in 2004 and the Model Nursing Practice Act developed by the National Council of State Boards of Nursing (NCSBN). The objectives of this study are to show the Korean characteristics and its weakness to adopt the strength of foreign legislative model by comparing the foreign legislative model and the draft of the Nursing Act by the KNA. As a result of comparing two in terms of 11 legislative factors, the Korean draft revealed its weakness in quality control after licensing. There are two measures introduced to complement this. First, the introduction of license renewal system, solidification of duties, and diversification of publishment are presented as a legislative plan for quality constrol after licensing. Second, the development of self-regulation system of nursing professional group is suggested as a measure to insure the effectiveness of regulation. Therefore, it is necessary to strongly consider the way to encourage the formation of cooperative relationship with the government by adding the self-regulation system into the draft of the Nursing Act suggested by the Korean Nurses Association.