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김동숙(Dong-Sook Kim),김수경(Su-Kyeong Kim),장선미(Sunmee Jang) 대한약학회 2011 약학회지 Vol.55 No.3
The purpose of this study was to review foreign retrospective Drug Utilization Review(DUR), and so to suggest a development plan suitable for use with domestic situation. Literature review of foreign retrospective DUR program and domestic project such as DUR and prescribing analysis project were reviewed. To improve prescribing quality, developed countries such as US, Canada, UK, France, and Australia have implemented various forms of policy. Based on the review of foreign retrospective DUR program, we suggested to apply practical implementation of retrospective DUR program.
김동숙 ( Dong Sook Kim ),정진희 ( Jin Hee Jung ),진동찬 ( Dong Chan Jin ),김미경 ( Mi Kyoung Kim ),이규덕 ( Kyoo Duck Lee ),김선민 ( Seon Min Kim ),이병란 ( Byoung Lan Lee ) 대한신장학회 2009 Kidney Research and Clinical Practice Vol.28 No.5
Purpose: This study was a pilot study to develop structure, clinical performance and outcome measurement and criteria for increasing number of dialysis facilities and patients to provide quality of care. Methods: The six components of developing quality indicators for hemodialysis were as follows: 1) Organizing expert panel members. 2) Selecting the area: to reflect stakeholders` opinion, structured interviews were done. And literature reviews were performed to investigate guidelines and quality measurements of foreign countries. 3) Selecting clinical performance indicators: From experts` opinions and literature review. 4) Developing candidate indicators. 5) Performing demonstration survey: Systemic sampling was performed and 43 facilities were participated in self-answered medical record survey. 6) Based on preliminary evaluation model, final indicators were selected from expert panel reviews. Results: Eleven measures of structure, thirteen performance measures of process and nine monitoring measures of outcome were developed based on literature review and clinical practice guideline. As for criterion-related validity, those of process and outcome were most high and in case of face validity, those of structure and process were most high. The most valid quality indicators were the rate of internal medicine specialist, dialysis frequency per doctor, whether or not keeping emergency equipment, examination of water quality, hemodialysis adequacy (Kt/V), monitoring arterial venous graft for stenosis maintenance of iron storage, and administration of supplemental iron. Conclusion: By developing quality indicators of hemodialysis and performing demonstration evaluation, quality of care for hemodialysis patients is expected to be improved, so as to promote hemodialysis patients` health and improve on quality of life.
미취업 기혼여성의 진로장벽과 사회적 지지 인식이 진로결정수준에 미치는 영향
김동숙(Kim, Dong-Sook),이영민(Lee, Young-Min) 중앙대학교 한국인적자원개발전략연구소 2011 역량개발학습연구 Vol.6 No.4
본 연구의 목적은 구직욕구는 있으나 진로결정에 애로를 겪고 있는 미취업 기혼여성들이 지각하는 진로장벽과 사회적 지지가 진로결정에 미치는 영향을 분석하는 것이다. 경기도 소재 여성인력개발 관련 기관을 방문한 133명을 대상으로 진로장벽과 사회적 지지, 진로결정수준 척도를 활용하여 설문조사를 실시하였으며 다음과 같은 결과를 파악하였다. 첫째, 여성의 연령, 경력기간, 퇴직기간, 소득, 학력, 자녀수 등의 개인 특성 변인과 진로결정수준은 유의미한 상관이 없는 것으로 나타났다. 반면, 직업경험의 유무에 따른 분석결과, 직업경험이 없는 경우가 직업경험이 있는 경우에 비해서 진로결정수준이 낮음을 확인하였다. 둘째, 진로장벽이 진로결정수준에 중요한 영향을 미치고 있었다. 셋째, 사회적 지지의 하위요인인 정서적 지지, 평가적 지지, 물질적 지지, 정보적 지지 중 평가적 지지의 효과만이 진로결정수준에 영향을 미치는 것으로 나타났다. 넷째, 진로장벽 전체에 대한 사회적 지지 인식의 조절효과와 진로장벽의 각 하위요인에 대한 사회적 지지인식의 조절효과에 대해 분석한 결과, 진로장벽이 진로결정수준에 미치는 영향에 있어서 사회적 지지 인식은 조절효과가 나타나지 않았다. The current study was conducted to examine how the unemployed and married 133 women who desired to get a job but faced a difficulty in making a career decision perceived about career barriers. In addition, we analyzed how these perceptions of career barriers and social support have impacted on making their career decisions. The summary of this study results were as follow. First, individual traits such as women’s age, career duration, retirement period, income, academic degree, and the number of children had no correlation with career decision making level. On the other hand, low level of job experience had to do with career decision making level. Second, career barrier had significant impacts on career decision making level. Third, sub-components of social supports such as emotional supports, physical supports, and informative supports had no impacts on career decision making level, whereas evaluative support did. Fourth, regulative effects of social supports and the sub-components of career barrier regarding the social supports had no effects on career decision making level.
일본의 케어 노인거주시설의 원예행위의 실태와 주된 효과에 관한 연구
김동숙(Kim, Dong-Sook) 대한건축학회 2013 대한건축학회논문집 Vol.29 No.5
This study examines and analyzes four different senior housings with care facilities for the current state of gardening behaviors and their effects. The study used surveys and questionnaires, as well as field visits, to examine gardening facilities and gardening behaviors. The study produced the following outcomes: 1) Gardening behaviors and space varied by senior housings with care facilities depending on their actual environment conditions. 2) Most popular gardening behaviors included watching cherry blossoms, strolling to keep close to plants, raising plants and flower pots, and planting. 3) Many used flower gardens for gardening behaviors; in most facilities, only a half of gardening space was barrier-free. 4) The primary benefits of gardening for elderly at senior housings with care facilities are increased feeling of relief, personal contentment and satisfaction, and improved communication and social interaction. 5) Among the four senior housings with care facilities, group home had the best gardening environment and most active gardening behaviors. The study results showed that the gardening space should meet various needs of the residents, and that accommodating gardening as part of daily routine affects its benefits.
의약품 처방·조제지원서비스(Drug Utilization Review)사업이 병용금기 처방률에 미치는 영향
김동숙 ( Dong Sook Kim ),박주희 ( Ju Hee Park ),전하림 ( Ha Rim Jeon ),박찬미 ( Chan Mi Park ),강현아 ( Hyeun Ah Kang ) 한국보건행정학회 2014 보건행정학회지 Vol.24 No.2
Background: Since December 2010, online computerized prospective drug utilization review (pDUR) has been implemented in Korea. pDUR involves the review of each prescription before the medication is dispensed to the individual patient. The pDUR is performed electronically by Health Insurance Review & Assessment Service (HIRA), which is a Korean governmental agency, and then HIRA provides medical institutions and pharmacies with information that can be helpful to them in preventing potential drug problems such as drug/drug interactions or ingredient duplication. The aim of this study was to assess the impact of the Korean pDUR implementation on the proportion of drug-drug interactions (DDIs) using claims data from HIRA. Methods: A before-after comparison of the prevalence of DDIs between prescription was conducted, using HIRA administrative claims data of medical institution from January 2010 to December 2011. The analysis unit was the prescription issued and pairs before and after. The main outcome measures were the proportion of DDIs within- (control group) or between- physician encounters. To examine the difference, a paired t-test was applied. Results: We found that DDIs proportion between prescription decreased significantly (t=3.04, p=0.0026) after the implementation of pDUR, whereas there is no significant reduction within prescription (t=1.15, p=0.2518). With respect to the prevalence of DDIs between drug groups, the most dramatic reduction was occurred between 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors and anti-fungal agents. Conclusion: It seems effective that giving a direct feedback to prescribers by a prospective DUR. Further research is needed to assess the impact of DUR to final outcomes such as hospitalization.
임대주택단지 독거노인의 커뮤니티행위를 위한 공간의 필요요소
김동숙(Kim, Dong-Sook),권오정(Kwon, Oh-Jung),이옥경(Lee, Ok-Kyung) 한국실내디자인학회 2016 한국실내디자인학회논문집 Vol.25 No.2
The study aims to furnish the data for the study of invigorating communities of various ages including old people living alone. Furthermore, it seems that the laddering method and kj method can be useful for the study of various attitude survey. This study attempted to extract necessary factors for space for community behavior of elderly people living alone using laddering survey method and KJ rule on a sample of elderly people who live alone in three different rental housings. The keywords that were drawn from the perception survey through laddering were divided into small, middle and large classification using KJ rule. Mostly identical keywords were extracted in the three complexes, implying that there is no difference of perception among the three complexes in this survey. According to the large classification where KJ rule was applied, there were six necessary factors for space for community activity of elderly people living alone in rental housing including spatial consideration, communication, resting space, nature-friendliness, health promotion and Secure identity, which were the same for all of the three complexes.