노년층에 대한 원격진료 인식도 조사

이현실(HyunSill Rhee) 고려대학교 보건과학연구소 2005 보건과학논집 Vol.31 No.2

Telemedicine includes all activities that deliver long-distance medical services and information by taking advantage of an interactive information and communication technology. Objective: To study the recognition of telemedicine for aging. Method: I surveyed the 194 aged from 1st July to 15th, August 2005, using guestionnaire surveys. Results: The aged was satisfied of medical service about 40%, and sympathy of telemedicine service was 35.6%. The expectation of the service was to save of the moving time(71.1%), high accessibility(51.5%), and continuity(31.4%). The wanted place of the service for them was his/her house(58.8%) and they wanted the health insurance coverage and wanted to pay the service cost between 3,000~5,000won(70.1%). Conclusion: The aged wanted the telemedicine service by low cost. Consequently, we should effort health organization and government to develop of the service and educate the usage of the service to the aged.

종합병원의 환자만족도에 따른 재진여부 분석

이현실(HyunSill Rhee) 고려대학교 보건과학연구소 2007 보건과학논집 Vol.33 No.1

  The environment of hospital marketing is changing rapidly. The level of expectation and demand of patients have become greater andmore diversified. Therefore, marketing and strategies should be focused on patient satisfaction. This study purposes to investigate the revisiting hospital of patient satisfaction. The sample used in this study consisted of 638 outpatients. The kindness of nurses have significantly positive effects the patients satisfaction and revisiting hospital by logistic regression analysis.

원격진료에 대한 의료제공자와 이용자의 인식도

이현실(HyunSill Rhee),최만규(ManKyu Choi),김광환(KwangHwan Kim) 고려대학교 보건과학연구소 2004 보건과학논집 Vol.30 No.2

  Recently telemedicine, using information and communication technologies, continues to increase. Telemedicine includes all activities that deliver longdistance medical services and information by taking advantage of an interactive information and communication technology.<BR>  This study was conducted to investigate current telemedicine practice and the differences of opinions on telemedicine among medical providers and users. For the purpose of this study, a self-administered questionnaire was conducted with 250 medical employees, 50 public officials, and 200 residents in Seoul from July 15-24, 2004. The data for the empirical study were obtained by questionnaire using a 5-point Likert-type scale. The study sample consisted of 496(99.2% of the recipients) subjects who faithfully responded to the questionnaire. The major statistical methods included frequency and mean.<BR>  The major results of this study were as follows.<BR>  First, a preference for telemedicine, upon investigation, resulted in scores of 3.6 points for inhabitants, 3.6 points for public officials, and 3.5 points for medical employees respectively. All three groups showed similar preference. Second, the results of investigating applicable diseases by telemedicine for medical employees, inhabitants, and public officials were respectively as follows: diabetes(27.1%), diet(19.2%), cancer(15.7%); high blood pressure (31.4%), diabetes(27.2%), diet(16.7%); and diabetes(27.9%), high blood pressure (24.6%), diet(20.3%).<BR>  Third, factors to be considered for the effective practice of telemedicine were considered by medical employees, inhabitants, and public officials respectively to be as follows: correct diagnosis(32.8%), medical insurance fees(21.5%), equipment and facilities(16.0%); correct diagnosis(43.1%), medical insurance fees(23.8%), patient"s education(20.7%); and correct diagnosis (35.5%), telemedicine place(22.1%), medical insurance fees(13.9%). Overall, subjects in this study thought that a correct diagnosis should be considered the most important factor in the effective practice of telemedicine.<BR>  Fourth, subjects in this study considered that the home to be the most suitable place for telemedicine(medical employees 39.6%, inhabitants 31.9%, public officials 39.2%).<BR>  Fifth, all subjects considered a price of 3,000 to 5,000 won per use to be reasonable (medical employees 52.7%, inhabitants 51.0%, public officials 48.9%). Also, subjects thought public offices(66.5%, 70.1%, 68.1%), public health centers(30.6%, 29.4%, 23.4%), and hospitals(2.1%, 0.5%, 8.5%) to be appropriate institutions for administering telemedicine.<BR>  In conclusion, medical providers and customers all recognized the importance of telemedicine practice. Therefore, the successful introduction of telemedicine in Korea requires both an analysis of operating cases in developed countries and consideration of the unique medical characteristics and circumstances of Korea. To introduce efficient telemedicine practice, sufficient studies and practice through demonstration projects must be carried out. Also, the government and related institutions must support the development of appropriate and convenient medical equipment and must also institute appropriate legal systems such as a schedule of reasonable medical fees as well as improving the accessibility of medical services for users.

군장병과 대학생의 금연에 대한 인식도 조사

이현실(HyunSill Rhee),김주연(JuYoun Kim),최준규(JunKu Choi) 고려대학교 보건과학연구소 2007 보건과학논집 Vol.33 No.2

  This study was conducted to examine the recognition for antismoking during military service. The subjects were 121 male smoker and 73 male non-smoker among soldiers and students in Seoul Korea. The data was collected using structured questionnaires from May to June in 2007. The data was analyzed by the SPSS(ver. 12) computer program, and it included descriptive statistics, ANOVA. These results suggested that they were not satisfied to be the non-smoking area with repeal of text-free cigarettes in all military base because of economy and emotional stability.

청소년에 대한 PHR 인식도 조사

백은혜(Eunhae Baek),이현실(HyunSill Rhee) 서울대학교 보건환경연구소 2010 보건학논집 Vol.47 No.1

주 40시간 근무제도 도입에 따른 의료기관 종사자들의 직종별 인식도 비교

최만규(ManKyu Choi),이준협(JunHyup Lee),이준협(TaeRo Lee),이현실(HyunSill Rhee),임국환(KookHwan Rhim) 고려대학교 보건과학연구소 2004 보건과학논집 Vol.30 No.2

  Many foreign countries have made attempts to enhance working conditions for employees by reducing working hours, but it is true that Korea has focused more on economic growth rather than on the welfare of employees. However in the last few years, with increasing concern about quality of one"s life, the issue of working time reduction has become a controversial one. In July 2004 a law on working time reduction was made, and has been enforced in most work places, dependant upon the number of employees from which medical institutions should not be exempted.<BR>  This study was conducted to investigate the differences of opinion by job classification amongst employees of medical institutions. For the purpose of this study, a self-administerd questionnaire was conducted with 140 employees of 10 medical institutions located in Seoul andGyeonggi-Do province from August 1 to 7, 2004. The sample subjects  of this study consisted of 128(91.4%) employees who faithfully responded to the questionnaire and the major statistical methods included frequency, and chi-square test.<BR>  The major results of this study are as follows:<BR>  Firstly, about 90% of the respondents had knowledge of related contents of the 40 hours a week working time reduction. And the ratio of the respondents supporting introduction of working time reduction was 68.8%, and by job classification, more than half of medical doctors showed a contrary opinion, and about half of other groups such as nurses, medical technicians, administrative staffs were for it.<BR>  Secondly, the results of analyzing various factors that influence the quality of medical services and business performance is as follows: Medical doctors thought that the working time reduction would have a bad effect on the quality of medical services and business performance as a result of decreased patients. But other groups such as nurses, medical technicians, administrative staff presumed that the quality of medical services and business performance would not be changed but rather improved if strategies for operation were appropriately considered and performed.<BR>  Finally, the medical institutions preparing working time reduction need to make extra efforts to implement the system successfully such as making manpower operation more efficient, strengthening care capacity and function of emergency care centers, providing incentives for workers on Saturdays, improving the process of the working system and environment, fortifying weekday care, developing a weekend care program, and so on.

보건의료정보 도입에 따른 교육프로그램 개발

이현실,박명숙,김광환,홍경란 高麗大學校 倂設 保健大學 保健科學硏究所 2003 保健科學論集 Vol.29 No.2

It is generally recognized that colleges and universities playing a leading role in the computerized 21 century could and should educate able manpower who can comply with the so-called computerized society. As medical institutions establish health and medical information system, so colleges and universities should employ similar information system in order to educate their students. In the first stage of health information education, health information managers are taught CMS (Courseware Management System) to use various data in the EMR (Electronic Medical Record) System. In the second stage, education contents include the in-put, out-put and storage of data, either text type or image type, as well as using moving pictures as a teaching method. In addition, high quality education could be possible for health information managers to establish a database, generate various statistics and build data-warehouse and data-mining. Above all, charts for education should be developed and established in the colleges and universities. To do this, cooperation between education institutions and medical institutions together with supports of education institutions are necessary.

노인의료서비스 개선방안에 관한 연구

이춘백,전은석,김광환,이현실 高麗大學校 倂設 保健大學 保健科學硏究所 2003 保健科學論集 Vol.29 No.2

This study was intended to search the ways corresponding to the necessity of medical service for the elderly rationally and effectively. The subjects were 444 doctors and nurses of A university hospital in Daejeon and surveyed from Apr. 20 through May 30, 2003. The result is as follows: 1. 270(60.8%) respondents answered that they have much experiences in treating and nursing the elderly, and 174(39.2%) respondents answered that they have no experience or little experience. 2. 431(97.05%) respondents answered that geriatrics hospitals need to be established, and 318 nurses(99.0%) and 113 doctors(91.9%) answered that they need to be established. This means that geriatrics hospitals must be established. 3. 425(95.7%) respondents answered that the geriatricians should be trained, and 19(4.3%) respondents answered that they need not. 4. 335(76.1%) respondents answered that the special apart for the elderly must be make at the existing hospital, and 26(5.9%) respondents answered that it need not. 5. 396(89.2%) respondents answered that economical burden on nursing fee are heavy, and 48(10.8%) respondents answered that it's less. This means that nursing fee imposed a burden on the patients' families. Most of the elderly have been treated and nursed at the existing general hospital without considering the characteristics of the infirmities of age because of the insufficiency of geriatrics hospitals and geriatricians. The increasing of medical fee by the elderly patients' long-term hospitalization reduces the opportunity to use medical service from the elderly. Therefore, the geriatrics hospitals should be continuously extended, and geriatricians should be trained. Also, the special apart for the elderly should be established at the existing hospital. When the medical fee for the elderly is appropriated by tax and the resource of local government, the problems of the medical welfare for the elderly in an aging society could be solved.