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이선희 ( Seon Heui Lee ) 대한임상종양학회 2009 Korean Journal of Clinical Oncology Vol.5 No.2
연구 배경 및 목적: 우리나라의 신의료기술평가제도는 2007년 4월에 도입되어 현재까지 3년째 운영되고 있다. 신의료기술평가 결과는 건강보험법령에 의한 신의료기술 행위 결정을 위한 안전성 및 유효성 평가자료로 활용되고 있다. 본 연구는 우리나라의 신의료기술평가제도를 소개하고 이의 발전방안을 모색하고자 한다. 연구 방법: 신의료기술평가제도가 우리나라에 도입 되게된 배경 및 신의료기술평가제도를 소개하고 평가방법론 및 평가현황을 공유하며 향후 신의료기술평가제도의 발전방향을 모색한다. 연구 결과: 우리나라의 신의료기술평가제도는 2007년 4월에 도입되었다. 그러나 외국의 신의료기술평가제도와 달리 의약품 및 치료재료 자체에 대한 평가를 제외한 의료행위에 대한 평가에 국한되어있다. 또한 평가내용측면에서도 안전성?유효성에 국한되어 있으며 경제성 평가는 포함되어 있지 않다. 신의료기술의 평가 절차는 크게 신청, 평가 및 공표단계로 구분된다. 첫번째 `신청단계`는 신청자로부터 의료시장에 도입되는 시점에 있는 신의료기술을 접수받고 평가에 필요한 구비서류와 문헌적 자료조사를 통해 평가가 필요한지 여부를 신의료기술평가위원회에서 결정하는 단계까지이다. 두번째 `평가단계`는 실제 평가계획서 수립과 평가전문위원회가 구성되는 시점부터 3~4차례의 평가전문위원회 심의를 거쳐 만들어진 권고안을 신의료기술평가위원회가 심의하는 단계까지이며, 마지막 공표단계는 보건복지부장관에게 보고된 권고안에 대한 정책적 의사결정이 이루어져 최종 의료기술 평가 보고서가 완성되고 그 결과가 일반 대중을 포함하여 공표되는 시기까지이다. 신의료기술평가를 위해 신의료기술평가위원회가 보건복지부에 설치되어있다. 호주의 MSAC과 비슷한 역할을 하고 있으나 호주의 MSAC이 독립된 위원회인 반면 신의료기술평가위원회는 건강보험 심사평가원에 위탁되어 있다. 2007년 이래로 3년동안의 운영결과 무분별한 신청, 근거가 부족한 의료기술에 대한 지원 필요성, 평가방법 및 절차의 개선 등의 필요성이 제기되어 이의 개선방안을 마련하고 신의료기술평가제도의 안착을 위해 노력하고 있다. 고찰 및 결론: 2009년 9월 30일 기준 신의료기술평가는 총 522건 신청되었으며 전체 신청건 중 510건(97.7%)의 평가대상여부 심의완료 및 평가대상 231건 중 208건(90.0%) 평가완료하였다. 또한 제도 3년차를 맞이하여 문헌이 부족한 의료기술에 대한 지원 등 제도 운영상 문제점을 지속적으로 개선하는 방안을 모색중이다. 한국에서의 신의료 기술평가제도가 앞으로 잘 정착하기 위해서는 정부뿐만 아니라 국민, 학계, 의료계의 지속적인 관심과 노력이 필요할 것이다. Objectives: The new health technology assessment system was introduced in April 2007. The result of new health technology assessment is assessing safety and effectiveness for deciding a behavior of new health technology according to the Health Insurance Act. The research aims to introduce the new health technology assessment system of our country and to search for its development method. Method: This research introduces the background that the new health technology assessment system was introduced to our country shares an assessment methodology and its assessment status, and searches for a development direction of the new health technology assessment system in the future. Results: The new health technology assessment committee is being installed in the Ministry of Health and Welfare The assessment procedure of new health technology is largely divided into application, assessment and publication steps. The first `application step` is to receive new health technology in the time introducing to the medical market from the applicant The second `assessment step` is the establishment of an actual evaluation plan and discusses the recommendations through 3-4 times. In the last official announcement step, the results are reported to the minister of health and welfare and decision-makers. Conclusion: As of September 30, 2009, Assessment of 208 items(90.0%) among 231 items was completed. As the Assessment Service met the third year of the system, it is searching for a method that continuously improves problems of operation of the system such as support on health technology with insufficient literature, etc. In order to make the new health technology assessment settle down well, the continuous interest and efforts of a people, academic circles and medical profession will be necessary.
이선희 ( Seon Heui Lee ) 한국보건행정학회 2018 보건행정학회지 Vol.28 No.3
Since the introduction of new health technology assessment in 2007, benefit coverage process of health insurance related to new health technology has become an upgraded system through the evidence-based decisions. As a result of enforcing this system for 10 years, however, there have been several rising concerns. It needs to support the insufficient evidence of medical technologies, introduce reassessment system for post management of market entry technologies, and improve evaluation methods and process. In addition, there is the possibility of emerging an unheard-of medical technology, fused various categories like artificial intelligence, robot, information technology, physics and life science in the fourth industrial revolution. Now, new updated system introduced to improve new technology assessment, such as ‘limited health technology assessment system,’ ‘system for postponement of new health technology assessment,’ ‘one-stop service system,’ and ‘integrated operation of approval for medical devices and new health technology assessment.’ Therefore it needs to prepare the improvement plan for new health technology assessment to be established more advanced system, and we have to resolve concerns by communication with various healthcare experts and patients now and for ever.
간호·간병통합서비스 병동 간호사의 감정노동 파악 및 개선방안: 초점집단인터뷰 적용
김찬희 ( Kim¸ Chan Hee ),이선희 ( Lee¸ Seon Heui ) 경희대학교 동서간호학연구소 2021 동서간호학연구지 Vol.27 No.2
Purpose: The purpose of this study was to investigate the status of emotional labor of nursing personnel working in comprehensive nursing service ward and to suggest the way service improvement can be achieved. Methods: A total of 28 nurses working in comprehensive nursing service ward were divided into four groups to conduct focus group interview. All interviews were recorded and transcribed after the interview to perform data analysis in the order of data classification, topic categorization, and keyword derivation. Results: The five categories of subjects and relating keywords drawn from the focus group interviews are as follows: 1) Emotional labor experience: suppressing emotions, expressing emotions or actions that are different from reality, 2) Situations of emotional labor: verbal abuse and assault, sexual harassment, personal needs and errands, 3) Responses to emotional labor: responding directly, responding directly, receiving senior’s help, using the organizational system, persevering, 4) Problems caused by emotional labor: work exhaustion, job change intention, job stress, 5) Protection plan against emotional labor: manual or education for nurses, education for patients and carers, compensation, tough sanctions though system strengthening. Conclusion: This study shows that although nurses working in comprehensive nursing service ward generally experience high levels of emotional labor, the problem solving of them relies mainly on personal response. Therefore, it is necessary to develop various measures to protect nurses in an organizational level response, thus to improve the comprehensive nursing service system.
조용애 ( Cho Yong Ae ),이선희 ( Lee Seon Heui ),김경숙 ( Kim Kyeong Sug ),임효민 ( Im Hyo Min ),김태희 ( Kim Tae Hee ),최미영 ( Choi Mi Young ),서현주 ( Seo Hyun Ju ),박효선 ( Park Hyo Sun ),왕금현 ( Wang Keum Hyun ),김찬희 ( Kim 병원간호사회 2020 임상간호연구 Vol.26 No.2
Purpose: This study aimed to update the previously published nursing practice guideline for oral care. Methods: The guideline were updated according to the manuals developed by National Institute for Health and Care Excellence (NICE) and Scottish Intercollegiate Guidelines Network (SIGN), and a Handbook for Clinical Practice Guideline Developer Version 1.0. Results: Updated nursing practice guideline for oral care was consisted of 10 domains and 79 recommendations. The number of recommendations in each domain were: 5 general issues, 2 oral care indications, 9 oral assessment, 16 general oral care, 12 oral care for critically ill patients, 16 oral care for cancer patients, 12 oral care for cancer patients with oral complications, 5 oral care education, 1 oral care referral, and 1 documentation and report. In terms of grades for recommendations, 11.4% was grade A, 17.0% was grade B, and 68.2% was grade C. Twelve new recommendations were developed and 7 previous recommendations were deleted. Conclusion: Updated nursing practice guideline for oral care is expected to serve as an evidence-based practice guideline for oral care in South Korea. It is recommended that this guideline be spread to clinical nursing settings nationwide to improve the effectiveness of oral care practice.