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박일환 ( Eal Whan Park ),강봉진 ( Bong Jin Kang ) 대한의료커뮤니케이션학회 2021 의료커뮤니케이션 Vol.16 No.1
Difficult patients who meet in the clinic may have a negative effect on the patient’s clinical outcomes by leading to difficulties in history taking, relationship building, diagnosis and treatment. Factors that contribute to non-cooperative patients include physician factors, patient factors, environmental factors, and communication factors. In order to communicate with non-cooperative patients, efforts to prepare for interviews and build relationships, self-reflective attitudes, empathic listening, the use of preceptors or reflective teams, and the maintenance of identity as medical professionals should be emphasized. Multi-party conversations, including family members, may be difficult in patient interviews, and physician should check the emotional responses and expectations that families feel about patient care. Within a family, there are many hidden strengths that could become valuable resources for healing the patient. But they will most likely to come out when families are faced with challenges for which their present repertoire of responses seems inadequate. Health care providers can become a significant part of this process that can result in better patient care and rewarding relationships with families.
의무기록 완성도의 입원환자 진료적정성에 대한 예측도 평가
박운제,박일환,Park, Un Je,Park, Eal Whan 한국의료질향상학회 1997 한국의료질향상학회지 Vol.3 No.2
Background : Medical records are used to assess clinical performance of physicians and quality of care. The contents which are written in medical records are considered as the objective evidences to know what the doctors think about the patient's problems. But the problem to use medical records as the assessment tools is the incompleteness of medical recording. The purpose of this study is to know if the completeness of medical recording is correlated to quality of care for inpattients and it can predict physicians's quality of care. Method : 32 clinical physicians reviewed 200 patients' medical records who were selected randomly from the inpatients who were admitted to the university hospital during July, 1995 and June, 1996. The reviewers used the structured evaluation questionnaires which were composed of two part. One part evaluated the completeness of the medical recording and the other evaluating appropriateness of diagnosis and treatment processes. We summated the scores of each items and calculated percentile scores. Results : The mean percentile score of completeness of the medical recording was 67.9% in 1995 and 79.8% in 1996. The mean percentile score of appropriateness was 52.2% in 1995 and 69.5% in 1996. This change between 1995 and 1996 was statistically significant. In non-surgical patients, the percentile scores of the completeness and those of the appropriateness were correlated positively and this correlation was statistically significant(p<0.05). In surgical patients, the positve correlation between the completeness and the appropriateness was also statistically significant(p<0.05). Discussion : In conclusion, the completeness of medical recording is considered as the good predictor of the quality of care for inpatients.
Health-Promotion and Disease-Prevention Behaviors of Primary-Care Practitioners
Hwa-Yeon Seong,Eal-Whan Park,정유석,최은영,Ki-Sung Kim,Sang-Wook Seo,박일환 대한가정의학회 2014 Korean Journal of Family Medicine Vol.35 No.1
Background: In the 1990s the primary focus of medicine was shifted to disease prevention. Accordingly, it became the responsibility of primary-care physicians to educate and counsel the general population not only on disease prevention specifically but health promotion generally as well. Moreover, it was, and is still today, considered important that physicians provide positive examples of health-promotion behaviors to patients. The purpose of this study was to investigate physicians’ health-promotion behaviors and to identify the factors that influence them.Methods: We conducted a postal and e-mail survey of the 371 members of the Physician Association of Cheonan City between May 16th and June 25th, 2011. The questionnaire consisted of 18 items, including questions relating to sociodemographic factors, screening tests for adult diseases and cancer, and health habits.Results: There were 127 respondents. The gender breakdown was 112 men (88.2%) and 15 women (11.8%), and the mean age was 47.8 years. Fifty-nine (46.4%) were family physicians or interns, and 68 (53.6%) were surgeons. Twenty-six percent (26%) were smokers, and 74.8% were drinkers; 53.5% did exercise; 37% had chronic diseases; 44.9% took periodic cancer screening tests, and 72.4% took periodic screening tests for adult diseases.Conclusion: It was found that general characteristics and other health-promotion behaviors of physicians do not affect physicians’ practice of undergoing periodic health examination.
Modified Delphi 법을 이용한 의료 커뮤니케이션 교재 범위 설정
김대현 ( Dae Hyen Kim ),노혜린 ( Hey Rin Roh ),신좌섭 ( Jwa Seop Shin ),박훈기 ( Hoon Ki Park ),박일환 ( Eal Whan Park ),성낙진 ( Nak Jin Sung ),임인석 ( Inseok Lim ),이건호 ( Geon Ho Lee ) 대한의료커뮤니케이션학회 2011 의료커뮤니케이션 Vol.6 No.1
To determine the contents and range of the textbook of communication in healthcare, using Modified Delphi method, experts committee group was launched by Korean Association of Medical College and Korean Academy on Communication in Healthcare. Basic contents was composed after review of 4 international guidelines (SEGUE, Kalamazoo Consensus, Calgary-Cambridge Guides, Macy guide) and 2 domestic guidelines. The basic contents was revised according to professors who is in charge of medical communication in 41 Korean medical schools. 15 chapters (4 introduction chapters, 2 practice process chapters, 9 challenging situations chapters) was decided by 4 committee group meetings and 2 review questionnaires. Revision and update need to be done according to the medico-social consensus. And more specific guideline need to be formulated by many healthcare personnel.
종합 건강진단을 실시한 정상성인에서의 혈청지질 분포에 관한 연구
박일환,유선미,정유석 단국대학교 1997 論文集 Vol.31 No.-
Background: Hypercholesterolemia and dyslipidemia are regarded as the risk factors of atherosclerosis of the coronary arteries. The purpose of this study is to measure the serum lipid levels of the normal persons and to calculate the cut-off values of serum lipid levels to predict the occurence of coronary events. Methods: We investigated the serum lipid profiles of the normal adults who had visited the health promotion center of Dankook University Hospital. The mean values of serum lipids were evaluated according to the groups of age, we calculated the percentile values of serum total choleterol. Results: In normal adult persons, the means of total cholesterol increased according to age. The cut-off values of serum total cholesterol for the risk of atherosclerotic coronary events were 189 ㎎/dl for the moderate risk group(75∼90 percentile of normal persons) and 225 ㎎/dl for the high risk group(over 90 percentile of normal persons). Conclusions: This study shows that the mean and the cut-off values of serum lipid in the persons who are not obese and have normal blood pressure are significantly lower than those values of normal Korean adult persons.