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군 의료기관에서의 공유의사결정이 환자만족도에 미치는 영향
민현준(Hyun-Jun Min),서원식(Won S. Suh) 한국콘텐츠학회 2011 한국콘텐츠학회논문지 Vol.11 No.11
이 연구는 공유의사결정 정도와 환자만족도 간 관계를 분석하여 군 의료기관 의료서비스 만족도 제고방안을 제시하기 위해 시도되었다. 조사는 2010년 4월 9일부터 5월 10일까지 약 1개월간 S 군의료기관과 유사한 성격의 국립OO병원 2개 병원의 외래 및 입원 병사 총 514명을 대상으로 하였다. 분석결과 공유의사결정은 환자만족도에 정(+)의 영향을 미쳤으며 이는 모든 만족도 모형에서 유의하였다. 이는 의료진이 제시한 다양한 선택의 기회 중 최선안을 선택하는 수동적 형태의 참여보다 의료진에게 본인의 질병을 충분히 설명하고 의사결정에 적극적으로 참여하는 능동적인 형태의 참여과정이 환자만족도 제고에 더 효과적일 수 있음을 시사한다. 국방수호 의무를 책임지며 군 장병들의 건강 증진 및 유지를 기본 임무로 삼고 있는 군 의료기관의 발전적인 의료서비스 수행을 위해 공유의사결정은 중요한 수단이 될 수 있다고 판단된다. The purpose of this study is to provide an innovative way enhancing patient satisfaction in military hospitals by analyzing the impact of shared-decision making on patient satisfaction. The survey questionnaire has been distributed for a month in two hospitals with similar goals, serving for officers and men of the armed forces, and 514 copies has been collected for the study. The study found a positive association between shared-decision making and patient satisfaction. The results of the study suggest the military hospitals should allocate their resources on the fundamental issues such as improving quality of services they provide rather than reimburse the services to compensate the service the armed forces received from private institutions.
민현준 ( Hyun Jun Min ),이병무 ( Byoung Moo Lee ),김대용 ( Dae Yong Kim ),안평 ( Pyoung Ahn ),박상현 ( Sang Hyun Park ),한정완 ( Jeung Wan Han ),김진봉 ( Jin Bong Kim ) 대한내과학회 2013 대한내과학회지 Vol.85 No.1
The supraclavicular lymph node (SCN) is frequently involved in lymphoma and metastatic malignancies of the breast and lung, but is extremely rarely involved in pancreatic cancer. Only 10 such cases have been reported in the medical literature worldwide. We herein report an additional two cases. An 83-year-old male patient had a 7.6 × 5 cm pancreatic tumor from the pancreatic head to tail, and a 71-year-old male patient had a 2.8 × 1.9 cm pancreatic body tumor. PET-CT revealed SCN metastasis, and subsequent excisional biopsy confirmed metastatic adenocarcinoma. With the more popular use of PET-CT in patients with pancreatic cancer, the number of cases of metastasis to the SCN is expected to increase. This suggests that lymphatic spread is the main metastatic route in pancreatic cancer. Further large-scale studies along with increased numbers of case reports are needed to determine whether lymphatic spread is the main metastatic route in pancreatic cancer. (Korean J Med 2013;85:77-82)
시대흐름에 따라 전시형태와 교육프로그램이 미술관 공간에 미치는 영향
박종민(Park Jong-min),민현준(Mihn Hyun-Jun) 대한건축학회 2011 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.31 No.2(계획계)
The exhibition form and educational program are changed for the political and art historical reasons over time. So the exhibition space in an art museum has assumed the varied forms. Because of the public enlightenment, the cultural spaces were began to build to meet the needs of culture consumption politically. Besides, the exhibition form of site installation appeared through modern art getting away from flat structure art historically. It was also featured the forms such as performance and interactive art, etc to interact with visitor only over viewing. This study attempts to analyze on how the exhibition space in an art museum is varied by the exhibition form and educational program changing with the stream of times, as mentioned above.
한국 근ㆍ현대 역사적 건축물의 복원 및 재생에 관한 연구
성기민(Sung Ki-Min),민현준(Min Hyun-Jun) 대한건축학회 2007 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.27 No.1
After the period of Japanese colonization until now, Korean architecture which has evolved very quickly was focused only on construction, and there were a few concerns with regard to the restoration of historical buildings. Moreover today there is a significant amount of demolition of architectural buildings. This study is an analysis of the present state of preservations of modem and contemporary buildings. To know the buildings whose historical remains were demolished and to define the range of building restoration is significant for the data base of protection for architectural historic buildings.
석기태 ( Ki Tae Suk ),김현수 ( Hyun Soo Kim ),민현준 ( Hyun Jun Min ),박홍준 ( Hong Jun Park ),전효근 ( Hyo Keun Jeon ),김문영 ( Moon Young Kim ),김재우 ( Jae Woo Kim ),백순구 ( Soon Koo Baik ),권상옥 ( Sang Ok Kwon ) 대한장연구학회 2011 Intestinal Research Vol.9 No.2
Background/Aims: Both colorectal neoplasm (CN) and coronary artery obstructive disease (CAOD) are prevalent and major leading causes of death in Korea. Although CN and CAOD share similar risk factors such as male gender,smoking, hyperlipidemia, diabetes mellitus, and obesity, few studies of both CN and CAOD have been reported. In this study, we evaluated clinical correlations between CN and CAOD. Methods: Between June 2003 and December 2007, 176 patients (Male: 101, average age: 62.1±9.7 yr) who underwent colonoscopy after or before coronary angiography were retrospectively enrolled. The colonoscopic findings (normal, adenoma, or cancer) of patients as well as clinical and laboratory data according to the extent of CAOD (normal, minimal CAOD, or CAOD) were compared. Results: CAOD negative, minimal CAOD, and CAOD patients totaled 36, 40, and 100, respectively. The presence of CN (adenoma and adenocarcinoma) in CAOD negative, minimal CAOD, and CAOD cases was 42%,48%, and 63%, respectively, which was significantly different (P<0.05). In multivariate analysis, old age (≥60yr; P=0.03, odds ratio 2.47) and the presence of CAOD (P=0.02, odds ratio 4.11) were associated with the presence of CN. Conclusions: The prevalence of CN increased in proportion to the severity of CAOD. Colorectal cancer screening by fecal occult blood tests or colonoscopy should be a priority in patients with CAOD, particularly the elderly. (Intest Res 2011;9:112-116)