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제주지역에서의 호스피스.완화의료기관과 보건소의 재가암 관리 현황
허정식,김현주,Huh, Jung-Sik,Kim, Hyeon-Ju 한국호스피스완화의료학회 2010 한국호스피스.완화의료학회지 Vol.13 No.2
목적: 본 연구에서는 제주지역내의 보건소, 지역 암센터와 말기암환자 전문의료기관 등에서 실시하고 있는 재가암환자 관리 사업의 객관적 현황을 파악하여 각 기관별의 재가암 관리를 위한 역할을 정립하고자 한다. 방법: 제주지역에서 재가암환자 관리를 실시하고 있는 각 기관을 대상으로 재가암환자 관리 사업의 시작연도와 현재 실시하고 있는 사업과 부족한 부분 등을 알아보고, 각 기관과의 연관사업 등을 파악하였다. 결과: 제주지역내의 재가암환자 관리는 6개의 보건소와 1개의 지역 암센터, 1개의 말기암환자 전문의료기관이 활동 중에 있으며, 제공되는 서비스는 약간의 차이는 있으나, 신체적, 정서적, 영적, 교육 정보적 서비스를 실시하고 있으나 보건소의 경우, 통증완화를 위한 마약성 진통제의 사용이 부족한 실정이었다. 결론: 본 연구는 재가암환자 관리 사업에서 말기암환자 전문의료기관과 보건소에서 급성기의 경우와 재가암환자 관리를 위한 인력의 교육을 위한 교육은 지역 암센터와 연계하여 재가암환자에 대한 체계적인 관리와 역할 분담을 정립시켜야 할 것으로 생각된다.
허정식,김현주,Huh, Jung-Sik,Kim, Hyeon-Ju 한국호스피스완화의료학회 2008 한국호스피스.완화의료학회지 Vol.11 No.2
Purpose: The end of one's life can be one of the most important times in human life. However, physicians, nurses and volunteer workers are not sufficiently trained to understand the end-life care with competence and confidence. The purpose of this study was to compare various education programs currently carried out for volunteer workers. Methods: Nine curricula of hospice and palliative cares for volunteer workers at hospital and palliative care settings. Results: The mean time duration of theory education at nine institutes was 21.56 hours (range; 14-30). The common curricula of hospice and palliative cares for volunteer workers included 'Understanding of hospice and palliative care', 'Understanding of life and death', and 'Understanding of psychologic problem of end-of-life'. The education method comprised lectures, off-line 8 institutes and on-line 1 instiutute. Conclusion: It is necessary to develop the standard curriculum as well as regularly updated education program for volunteer workers.
허정식,김기영,Huh, Jung-Sik,Kim, Ki-Young 제주대학교 의과학연구소 2019 The Journal of Medicine and Life Science Vol.16 No.1
Medical disputes can always arise in the medical environment. We aimed to decrease the medical disputes by analysis for causes and results of cases of medical disputes. The cases of medical dispute were found on the homepage of the Supreme Court based on the judgment data which was searched using the keyword 'Jeju, Medical accident' and it was described as the area related to each medical accident. There was total of 13 cases related medical disputes in Jeju. The final states of the patients were different in each causes, but death accounted for 10 cases (76.92%), comatose state for one and disability for two respectively. The cases were 2 related with an injury from a fall. The major cause was violation of medical care obligation. Physician have to learn recent medical knowledge, have competence, and explain the detailed procedures and complications before the procedures dependent on patient autonomy.
허정식,김기영,Huh, Jung-Sik,Kim, Ki-Young 제주대학교 의과학연구소 2019 The Journal of Medicine and Life Science Vol.16 No.3
First of all, this study shows the legal issues of hospice and palliative care, and the legal basis for lifelong medical practice is generally derived from medical, civil and criminal law regulations, and is applied to patients who are severely ill and dying in principle. In addition, those what is particularly meaningful about hospice and palliative care in terms of legal aspects are discussed the determination of the purpose of care and the provision of medical adaptability and adult guardianship, in particular the legal criteria for the work and status of patient representatives. As such, the purpose of care is to form part of the contract of care and to be agreed between the patient and the physician. In addition, the patient may not write to his/her agent in advance, and the patient may admit discretionary powers to his/her agent, but the patient's will is to be considered. In conclusion, the medical institutional ethics committee should play an active role, especially in the case of no-agents/family or no intention of the patient.
허정식 한국정보시스템학회 1996 情報시스템硏究 Vol.5 No.-
Ethics refers to the principles of right and wrong that can be used by individuals acting as free moral agents to make choices to guide their behavior. Information technology has presented our human mankind not only prosperity but also harms. This is why moral aspects should be addressed in the application of information system. First, a transforming tendency of international economy will be observed. Second, many issues regarding ethics and behavioral courses will be discussed. And a trend of information technology and five moral models will be examined. Third, traditional morals of Koreans and attitudes of Westerners about information technology will be analyzed. Fourth, it will be also discussed how private firms understand ethics and culture in the context of information handling. It is suggested that individuals who use information technology cultivate efficient and effective ethical principles contributing to public good in the society. For this purpose, the government should establish relevant legal devices.
허정식,김성대,박경기,김영주,유현욱,Huh, Jung-Sik,Kim, Sung Dae,Park, Kyung Kgi,Kim, Young Joo,You, Hyun Wook 제주대학교 의과학연구소 2020 The Journal of Medicine and Life Science Vol.17 No.3
Ultrasonography is used to examine gross or microscopic hematuria without side effects. It is one of the methods of diagnosing bladder lesions, but in some cases, the lesions are not found. We attempted to identify the problems during the ultrasonic examination by analyzing the symptoms, location of lesion, and medical history of urothelial cancer for cases of undetected bladder lesions. Thirty-three patients who underwent transurethral resection of a bladder tumor from January 1 to May 4, 2018 in one hospital were enrolled in this study. Patients who underwent preoperative ultrasonography and cystoscopy were treated. Ultrasonography did not detect bladder lesions in five patients. The size of the lesion was 0.5~2.5 cm in various locations, such as the side, front, and so on. Ultrasonic examination requires more attention if there is gross hematuria or a history of urothelial cancer, and it is necessary to detect recurrence by conducting cystoscopy at the same time, especially when there are lesions on the anterior wall of the bladder.
의과대학의 사회적 책무성 실천 사례: 8개 의과대학을 중심으로
허정식,김미경,윤유상,이근미,이종훈,홍승재,유효현 제주대학교 의과학연구소 2023 The Journal of Medicine and Life Science Vol.20 No.1
Medical schools realize their social accountability in cultivating future doctors as decision-makers of medical care in the future society as an axis of society and carrying out communication, research, and medical service (medical care). This study summarized the social accountability status of eight medical schools in Korea, including the characteristics, activities, and programs in the sociocultural context. The data from the self-evaluation research reports of eight medical schools were classified and organized according to education, research, and medical care services. The medical schools offer related subjects, community service activities, and clinical practice, allowing active participation in local health promotion and disease prevention. Community health information research was conducted considering the difference between the local natural environment in which the medical school is located and the frequency of diseases. Medical schools and hospitals collaborated to conduct domestic and foreign health education volunteer activities. Social accountability must be prioritized, considering the importance of medical schools’ functions and roles in a high knowledgeinformation society. Both doctors’ medical capacity and competence to actively participate in developing medical care and health policies for the community should be strengthened.