국내 종합병원의 병상규모에 따른 의료자원 분석

조준영,양내원,Cho, Junyoung,Yang, Naewon 한국의료복지건축학회 2017 의료·복지 건축 Vol.22 No.3

Purpose: This study analyzed the status of general hospitals as an expanded concept of medical resources including medical staff and equipment. The purpose of this study is to provide a basic for the feasibility study of the scale and establishment of facility guidelines at the planning stage of general hospitals. Methods: The subjects of this study were limited to general hospitals. The status of medical resources was based on the data of the Health Insurance Review and Assessment Service. The number of beds, doctors, nursing grades and major medical equipment were surveyed in 335 general hospitals. Results: 1) The characteristic of general hospitals varies depending on the number of inpatient beds. To be concrete, there were differences in the number of medical staffs and equipments in general hospitals based on 300 500 800 1,000 beds. 2) As the number of hospital beds increases, the number of medical staff increases more than medical equipment and facilities. Medical equipment and facilities remain constant, even when the number of beds increases. On the other hand, the number of medical staff increased about 1.5 times in each level. Implications: Architectural plans for medical staff should be considered differently depending on the number of beds. In particular, architectural planning and facility guidelines should be applied differently based on 300 and 500 beds.

국내 종합병원의 병상규모에 따른 의료자원 분석

조준영 ( Cho Junyoung ),양내원 ( Yang Naewon ) 한국의료복지건축학회(구 한국의료복지시설학회) 2017 의료·복지 건축 Vol.23 No.2

Purpose: This study analyzed the status of general hospitals as an expanded concept of medical resources including medical staff and equipment. The purpose of this study is to provide a basic for the feasibility study of the scale and establishment of facility guidelines at the planning stage of general hospitals. Methods: The subjects of this study were limited to general hospitals. The status of medical resources was based on the data of the Health Insurance Review and Assessment Service. The number of beds, doctors, nursing grades and major medical equipment were surveyed in 335 general hospitals. Results: 1) The characteristic of general hospitals varies depending on the number of inpatient beds. To be concrete, there were differences in the number of medical staffs and equipments in general hospitals based on 300·500·800·1,000 beds. 2) As the number of hospital beds increases, the number of medical staff increases more than medical equipment and facilities. Medical equipment and facilities remain constant, even when the number of beds increases. On the other hand, the number of medical staff increased about 1.5 times in each level. Implications: Architectural plans for medical staff should be considered differently depending on the number of beds. In particular, architectural planning and facility guidelines should be applied differently based on 300 and 500 beds.

지속가능한 병원건축 마스터플랜 전략에 관한 연구

박철균 ( Park Cheolkyun ),양내원 ( Yang Naewon ) 한국의료복지건축학회(구 한국의료복지시설학회) 2020 의료·복지 건축 Vol.26 No.4

Purpose: The purpose of this study is to derive a plan to establish a more sophisticated master plan so that the direction of master plan study can be sustained in the mid to long term. Methods: Compare and analyze the differences between the master plan and the design to identify causes and problems. First, after establishing the master plan, compare the expansion area, net area per bed, and service area with the design drawing of the first project to determine the degree of recovery to the level required by the recent medical environment. Second, the possibility of responding to future internal changes is reviewed by comparing and analyzing the arrangement and connection method of extension buildings. Third, comparing the difference between the project following the first project and the phased of masterplan. Results: The first one is that continuous participation of person or group with high understanding of the master plan. Second, establishing a master plan and proceeding with the project through the determination of the correct business budget. Third, a specific area of ​​the mechanical and electrical room suitable for the size and purpose of the hospital should be presented, and research on the arrangement method should be conducted. Finally, the feasibility of the hospital's own plan for securing parking facilities should be accurately investigated. Implications: It is important for the hospital to recover from the past to the present and respond to the future that the direction of the master plan continues after the establishment.

이용자 행태 분석을 통한 병동부 체류 공간에 관한 건축계획 연구 - 근로복지공단병원 병동부 공용공간을 중심으로

손지혜 ( Son Jihye ),양내원 ( Yang Naewon ) 한국의료복지건축학회(구 한국의료복지시설학회) 2016 의료·복지 건축 Vol.22 No.3

Purpose: This study is focus on investigation of user’s spontaneous behavior in the public space of ward where chronic patients are hospitalized. Methods: The notion and necessity of social healing environment is analyzed by literature review. User’s location and behaviour are investigated for analyzing behavior by visiting the six wards. Results: The result 1) Stay is main behavior of users. 2) The frequency of stay is high in the place where are planned as the dayroom, the program room and the balcony. 3) In the corridor, the users are staying around court and single side corridor. And the users who are staying in the ward planned middle corridor and double corridor are spreaded all over the corridor. As the result of the analysis of correlation between frequency of user for stay and area of public space, 4) The area of the dayroom, the program room and the balcony is bigger, the frequency of users are higher. 5) There is no correlation between area of corridor and frequency of users. 6) When the density of user is highest in the place for stay, one person occupied 1.96㎡. Implications: Hereafter the public space, which social healing environment is considered, is planned, this study could suggest the directions of architectural planning about area.

한국.중국.일본의 의료시설 법적기준과 그 변화 과정에 관한 연구

조준영 ( Cho Junyoung ),뢰청운 ( Lei Qingyun ),양내원 ( Yang Naewon ) 한국의료복지건축학회(구 한국의료복지시설학회) 2020 의료·복지 건축 Vol.26 No.4

Purpose: Korea, China, and Japan can be seen as a geopolitical community that has developed through various relationships in terms of history. However, nowadays, it seems that they are pursuing different societal goals resulting from the difference in political and social systems, demographic structures, and economic situations. The law provides the minimum standards for people's lives in the direction that the society pursues. Therefore, the aim of this study is to examine the architectural differences in medical facilities and their causes comparing the legal standards of medical facilities in Korea, China, and Japan. Methods: The subject of the study is Korea, China, and Japan’s legal standards of facilities corresponding to the Korean medical service act; enforcement decree of medical service act; and enforcement rules of medical service act. The scope of the study is as follows: First, the facilities standards and the reason for the revision of the standards after the 1950s when the current system of each country was established are investigated and thus the changing trends of the facilities standards that each country has pursued are analyzed. Second, the range and level presented by the current facilities standards of each country are compared and the differences are analyzed. Finally, cases in which the differences in the legal facilities standards are reflected in the actual design are compared and the effect of the facilities standards of medical facilities on the architectural plan is identified. Results & Implications: Each country differs in the legal standards of facilities because of changes in demographic structure and experience of disease. Moreover, it is identified that differences in social operating systems, especially in the operating methods of medical facilities, affect the range and level enforced by the facility standards. When investigating and researching foreign standards of facilities and cases for foreign medical facilities, it is required that they should be analyzed in consideration of the social and cultural aspects of each country.