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복잡계의 행위자기반모형을 활용한 종합병원의 응급실 공간구조 분석에 관한연구
김효재 ( Hyojea Kim ),공순구 ( Soonku Kong ),홍기섭 ( Gisuop Hong ) 한국공간디자인학회 2018 한국공간디자인학회논문집 Vol.13 No.5
(Background and Purpose) Amid Korea’s social growth and expanding membership in the international community, the country is facing threats of epidemic from various diseases and infections. In the 2000s, the need for emergency services became critical in the wake of the swine flu and Middle Eastern Respiratory Syndrome (MERS) outbreak. In particular, the MERS outbreak in 2015 caused problems in the emergency medical system, causing serious social and economic confusion among infected patients, medical staff, and general patients. The government planned to analyze the spatial structure of emergency medical institutions to reduce the damage of outbreaks of various infectious diseases across emergency rooms operated in Korea, and create a structure that can respond to such outbreaks. This study selected an emergency medical institution in the Seoul Metropolitan Area as an example and analyzed how the space structure in the emergency room is constructed based on the model of a complex network. (Method) We used complex network model to identify problems in the spatial composition of the selected emergency medical institution. The proposed solution presented the criteria as a model for complex networks. We then analyzed the programs and the final outcome. The research method also included a direct visit to the emergency room of a general hospital in Korea, and an analysis was conducted by comparing X with the information from the survey, yearbook data, document, and web survey with the person in charge. (Results) The spatial structure system of an emergency medical institution was analyzed to be lacking in terms of the general medical system and the medical system for infected patients. The spatial structure and medical services for general emergency patients were being conducted together. In addition, the spatial structure inside the emergency room allowed for area-based communication of various types of treatment systems, and the combined flow of infected patients, general patients, medical staff, and general staff rendered these people susceptible to infection. Therefore, a more specialized space is required to separate the circulation system of general emergency and infected patients. (Conclusions) The research was intended to propose a form of spatial organization that can respond to the spatial composition of general emergency patients, medical staff, caregivers, and infected patients by drawing the composition and identifying the problems of the spatial structure of emergency rooms across the nation. This study used the analytical framework of behavioral magnetic model of complex systems to present basic data on effective and reasonable spatial composition.
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복잡계의 행위자기반모형을 활용한 종합병원의 진료부 공간구조 분석에 관한 연구
김효재 ( Hyojea Kim ),홍기섭 ( Gisuop Hong ),공순구 ( Soonku Kong ) 한국공간디자인학회 2019 한국공간디자인학회논문집 Vol.14 No.7
(Background and Purpose) South Korea is exposed to various diseases and infections due to the country' social and cultural growth, increasing the necessity of the medical system. However, general hospitals in Korea have been negatively affected by social, cultural, and economic disruptions caused by the current organizational spatial structure for emergency patients, medical staff, and general patients. Thus, this study analyzed the space compositions of departments in medical institutions which reduce various types of diseases and damages of patients in the medical spaces operated in Korea.(Method) This study was analyzed based on cases where more than 5,000 outpatients visit each day at the upper general hospital located in the capital area of Korea as defined by the Ministry of Health and Welfare, and the spatial structure system of the medical department in the hospital is analyzed. A study was conducted to identify problems in the analyzed spatial structure, and a solution was proposed by analyzing the problems of space in depth based on the acting magnetic half model of the complex system. As a method of research investigation, we visited the hospital care department of the selected case in person and compared interviews, literature, web, and almanac investigation with the person in charge to conduct an analysis of this study.(Results)The analysis results of this study are as follows. The space structure system of the medical department of the general hospital operated in Korea consists of various medical services in the form of various medical services for the patients who visited the hospital. It was analyzed that the situation is not clear. The structure of medical department space is organized by the area of medical system, and when the outpatient visits to the hospital for the first time since it has a mutual communication relationship by organizing the amount of space required by each medical department in the determined size of the general hospital It was analyzed to be very vulnerable to the perception of space. This requires the construction of a space that can deal with patients more professionally. (Conclusions) The study analyzes the form and problems of medical spaces based on the case analysis of the medical department spaces of general hospitals operated in Korea. The purpose of this study is to propose a spatial composition that can be used reasonably and to propose basic data of more effective and reasonable form of spatial composition model using agent-based model analysis of a complex system.
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