65세 이상 본인부담 상한 적용 노인의 의료서비스 이용 현황과 특성

박초열,박영희 보건의료산업학회 2020 보건의료산업학회지 Vol.14 No.1

Objectives: This study is the human factors and disease factors of the copayment system for the elderly (>65 years old) and to identify does the current status and characteristics of the applied elderly and conducted to provide basic data. Methods: Sample cohort data from the National Health Insurance Corporation database, from the years 2012-2015, were analyzed of 21,772 elderly people over the copayment ceiling. Results: The ratio of those who exceeded the copayment ceiling system rose sharply from progressive rates of 3.39% in 2012, 3.69% in 2013 and 5.03% in 2014, to rates of 37.13% from 2013. Factors identified that affect the instances of being over the copayment ceiling were: age, income group, region, severity, disability, sickness distribution, inpatient days, and outpatient days. Conclusions: The reorganization of the copayment ceiling system in 2014 favored low-income families of the elderly, but in 2015, the proportion of elderly was low (only 5.78%). The government's policies needs to change to allow for the amount of the deductible upper limit for low- and middle- income groups to be further subdivided in order for the elderly to receive more deductibles.

전자의무기록 인증 후 의료기관 종사자 인식과 인증제 발전을 위한 연구

박초열 한국의료정보교육협회 2023 보건의료생명과학논문지 Vol.11 No.2

In this study, senior general hospital, general hospital medical institutions certified by the Electronic Medical Record System Management Portal in 2021 were surveyed on the recognition of changes in medical information management and EMR system functionality. Through verification, it was implemented to promote future development of the certification system and long-term development of the electronic mandatory record certification system. A total of 1,189 respondents were used for final analysis using structured questionnaires, and in particular, differences in recognition of certification systems and system functionality after EMR certification were verified by conducting average analysis and ANOVA. As a result of analysis, the electronic mandatory record certification system was confirmed to affect positive work changes and perceptions on medical institution workers, and after certification of the electronic mandatory record system, it showed operational effects in many ways. Based on the results of this study in the future, communication follow-up research is needed.

EMR 인증 의료기관의 인증제 인식도 연구 - 공공의료기관의 EMR 인증 및 시스템 기능성 중심

박초열 보건의료산업학회 2023 보건의료산업학회지 Vol.17 No.4

Objectives: This study aimed to assess workers in public medical institutions who have acquired accredited certification in the Electronic Medical Record (EMR) System Certification Management Portal, categorized by job type. Methods: For data collection, 984 people were analyzed by introducing electronic medical records in public medical institutions located in the metropolitan area, Gyeonggi-do, Busan Metropolitan City, Gyeongsangbuk-do, Gyeongsangnam-do, and Jeju-do. Results: Among different occupations, health information management professionals demonstrated the highest level of awareness regarding the EMR authentication system. Conclusions: The participation rate of the physician group, which is the main user of the EMR system, in the survey was significantly low. In order to promote the interest and participation of the medical community in EMR system certification, it is judged that the certification body needs to make considerable efforts such as public relations activities and education projects.

EMR 인증 후 상급종합병원 종사자들의 EMR 시스템 보안성에 대한 인식 및 관련 요인

박초열 사단법인 한국안전문화학회 2022 안전문화연구 Vol.- No.15

From June 1, 2020, the EMR (Electronic Obligation Record) certification system was enforced based on Article 23-2 of the Medical Care Act. This study was conducted to understand the security awareness and related factors of the EMR system of senior general hospital workers certified by the Electronic Obligation Recording System Certification Institute, and to analyze the security of the certification system. From August 1, 2021 to October 31, 2021, we analyzed a total of 918 questionnaire responses for workers at 10 university hospital institutions that passed the certification in the first year. The analysis method was t-test and ANOVA to test the difference in perception of "system security after EMR certification" due to the general characteristics of the study subjects. As a result of the research, females, ages in their thirties, bachelor's degree, nursing profession, and years of service of 5 to 10 years showed a high percentage of general characteristics. The average of the technical statistics of 14 items of the Ministry of System Security is 3.72, which is a high average for "electronic signatures are performed after EMR certification", and the average for "satisfied with security certification for using cloud services after certification". Is the lowest. The results of the regression analysis of "factors related to the security of the EMR system after EMR certification" are age and occupation in general characteristics, and "I know that our hospital has received EMR certification" in EMR recognition, "Improved confidence in the EMR system" and "Complementing the EMR system with various input / output functions" were analyzed. With the implementation of the electronic medical record certification system, the department related to the Ministry of Health and Welfare will be reborn as a good system that can manage not only personal health information of local residents and even Koreans but also personal health records (PHR) of the world's population. And the efforts of medical institution officials and health care information system managers will be required.

EMR 인증 의료기관의 직종별 EMR 인증 및 시스템 기능성에 대한 인식

박초열 한국의료정보교육협회 2022 보건의료생명과학논문지 Vol.10 No.1

본 연구는 전자의무기록시스템 인증관리포털에서 인증을 받은 의료기관 종사자들을 대상으로 직종별 “전자의무기록시스템 인증제에 대한 인식도”, “시스템 기능성(Functionality)”의견을 수렴하여 전자의무기록시스템 기능에 대한 국가적 표준과 적합성 검증을 통해 EMR 시스템 표준화사업의 목표인 의료의 질 향상, 국민건강 증진에 기여할 수 있는 기초자료를 제공하기 위하여 수행되었다. 연구분석자료는 922건의 설문조사가 이용되었으며 여성이 74%, 연령은 30∼39세가 32.1%, 간호직이 48.9%, 근무연수는 5년∼10년 27.4%로 가장 높은 비율로 나타났다. EMR 인증제도 인식에 대한 직종별 인식은 간호직에서 가장 높게 나타났으며, EMR 시스템 기능성에 대한 직종별 인식에서도 6개의 항목 중 5개 항목에서 간호직이 가장 높게 나타났다. EMR 시스템의 주된 이용자인 의사직에서는 전체 항목에서 낮은 평균을 보였으며, EMR 시스템의 인증제도뿐만 아니라 EMR 시스템 인증제도의 각 항목별 인증기준에 대한 교육이 필요한 것으로 사료된다.

EMR 인증제 시행 후 상급병원 종사자들의 EMR 인증제 및 영향에 대한 인식

박초열 보건의료산업학회 2022 보건의료산업학회지 Vol.16 No.1

Objectives: This study aimed to investigate the perceptions of certified medical institutions after the implementation of the electronic medical record (EMR) certification system. Methods: Data were collected from 918 workers in eight tertiary hospitals. Results: Awareness of the EMR certification system was highest for the occupation of health and medical information manager who directly prepares and manages the EMR certification and low in other occupations. Conclusions: The higher the perception of the EMR certification system and the certification acquisition of the medical institutions for which one works, the greater the effect on trust and communication between departments and education is considered necessary.

의료기관의 복리후생제도가 여성근로자의 직무만족 및 조직몰입에 미치는 영향

박초열,서영우,임복희 보건의료산업학회 2018 보건의료산업학회지 Vol.12 No.2

Objectives : The purpose of this study was to analyze the effect of welfare system of medical institutions on job satisfaction and organizational commitment of female workers. Methods : A survey was performed with 556 female workers of 11 general hospital and 7 acute period hospital in Busan. Data were collected from October to November 2017 with a self-report questionnaire and analyzed using SPSS 24.0. Results : Among those aged over 40 years, high awareness of obligatory welfare, job education, free use of the annual leave, and flexible working system was a positive factor in job satisfaction. Among managers, free use of the annual leave, job education, flexible working system and child-care facilities was a positive factor in organizational commitment. Conclusions : In medical institutions with a relatively high proportion of married women, although interest in welfare for childbirth and child rearing is high, execution is sluggish, hence, policy support of government and medical institutions in this field is necessary.

의료기관 종사자들의 전자의무기록 인증제 시행 목적에 대한 인식

박초열 사단법인 한국안전문화학회 2024 안전문화연구 Vol.- No.26

This study was conducted to examine the perceptions of employees at tertiary and general hospitals, which have passed the certification of Electronic Medical Record (EMR) systems, regarding the objectives of the EMR certification program. The study was conducted from the perspectives of the public, medical institutions, and the industry. Data collection spanned from August 1 to October 31, 2022, involving responses from 1,187 employees across 11 or more accredited hospitals. The analysis included descriptive statistics, mean analysis, regression analysis, and Scheffé's analysis to understand the perceptions from the three different perspectives. The results revealed that from the public's perspective, the highest recognition was for "enhanced information security in medical information leading to the prevention of personal data breaches and security incidents" (t=-3.827, p<.01). From the perspective of medical institutions, the highest but not statistically significant recognition was for "improved clinical decision support such as medication warnings and effective history management of medical information, enabling safer and higher quality medical services" (f=-1.612). From the industrial perspective, there was high recognition for "the capability to meet market quality demands due to national recognition of EMR system quality standards" (f=-3.154, p<.01). Linear regression analysis was conducted to identify factors influencing the recognition of the objectives of the EMR certification system. The results showed that the model explained 27.4% of the variance for the public perspective, 26.9% for the medical institution perspective, and 28.6% for the industrial perspective, with all models being significant (P<.05). Following the implementation of the EMR certification system, medical institution employees positively perceived it from the perspectives of the public, medical institutions, and the industry. Future efforts should focus on enhancing system functionality awareness among employees, improving quality, and government and medical institutions should work together to enhance user interoperability of the system.

본인부담상한제 등급 조정 전·후의 노인 1인당 총 진료비 현황과 영향 요인 분석

박초열 보건의료산업학회 2021 보건의료산업학회지 Vol.15 No.2

Objectives: The study aims to provide basic data on the elderly care cost policy by analyzing the total medical cost of over 65 years of age, and analyzing the total medical cost of the elderly who exceed the upper limit of copayment. Methods: The data for the four years were generated based on the actual number of people per person for each year, and a total of 481,252 senior citizens aged 65 and 21,772 exceeded the upper limit of copayment. Results: In 2014-2015, the older the population, the higher the total cost of medical treatment, giving benefits to the older people. The significant factors influencing the total medical expenses of the elderly over 65 years were age, income group, region, serious illness, the presence of disability, total hospitalization days, total outpatient visits, and classification of disease. Conclusions: The average medical expenses of elderly who exceed their own burden limit were reduced overall after grade change of copayment, and the oldest and the low-income class was positively affected by adjustment of copayment grade.

코로나백신 접종 영향 요인 및 백신접종에 따른 건강 행태

박초열(Cho-Yeal Park),이소은(So-Eun Lee) 한국의료정보교육협회 2022 보건의료생명과학논문지 Vol.10 No.2

본 연구는 2021년 지역사회건강조사 자료를 활용하여, 인구사회학적 특성 및 건강상태 등 코로나백신 접종 영향 요인에 대해 분석하고, 코로나백신 접종여부에 따른 방역수칙의 준수 및 건강행태 영향, 감염에 대한 인식을 알아보았다. 연구대상자는 지역사회건강조사 대상자 중 203,449명으로 하였고, 분석은 카이제곱분석, 로지스틱 회귀분석을 실시하였다. 조사대상자 중 92.4%가 코로나백신접종을 하였고, 성별, 연령, 교육수준, 가구소득, 기초생활수급, 경제활동, 결혼상태, 미충족의료, 건강검진, 인플루엔자예방접종, 고혈압, 주관적 건강상태가 코로나백신 접종에 영향을 미치는 것으로 나타났다. 코로나백신 비실시군에서 방역수칙 및 건강행태 수준, 코로나 감염 염려가 백신 실시군보다 낮게 나타나 조사결과를 활용하여 코로나백신 접종 유도를 위한 정책수립, 교육 및 홍보 방법 등의 연구가 요구된다. This study analyzed the factors influencing COVID-19 vaccination, such as demographic characteristics and health status, and examined the compliance of quarantine rules, health behavior effects, and awareness of infection. The subjects of the study were 203,449 among the subjects of the community health survey, and chi-square analysis and logistic regression analysis were conducted for analysis. 92.4% of the survey subjects were vaccinated against COVID-19, and gender, age, education level, household income, National basic living secured, economic activity, marital status, unmet medical care, health check-up, influenza vaccination, hypertension, and subjective health conditions were found to affect COVID-19. The level of quarantine rules, health behavior, and concerns about COVID-19 infection are lower than those of the vaccine implementation group, so research on policy establishment, education, and promotion methods to induce COVID-19 vaccination is required using the survey results.