This empirical study examines the execution level for total quality control based on general and oriental medical service industries. This empirical study verifies a theoretical model that TQM execution level shows differences between oriental and general medical service institutes. This empirical study also verifies the relationship among TQM practices, internal employees" satisfaction, and external customer satisfaction. The methodology employed for this study was field survey using questionnaires which were distributed to physicians, nurses, medical technicians and other administrative staffs in 11 medical service institutes in Seoul. Analysis methods of this study used SPSS 10.0 WIN program.

Research activities of Russian Medical Engineering Center and Institute of Medical Materials of Shape Memory Alloys and Implants are presented as follows: The direction of elaboration of porous shape memory alloys for medicine. Medical and technical requirements and physical and mechanical criteria of porous shape memory implants elaboration. Basic laws of heat-, stress- and strain-induced changes of mechanical properties, shape memory effect and superelasticity in porous TiNi-based alloys. Methods of regulation of shape memory effect parameters in porous alloys and methods for controlling the regulation-induced changes of physical and mechanical properties. Original technologies of elaboration of porous alloys In various fields of medicine. Arrangement of serial production of shape memory porous implants and examples of their medical use.

This study attempts to analyze the factor affecting the intention of turnover among hospital medical technicians. Data was collected from 125 employees in a seven hospital and one clinic located in Kyung-gi Do, Korea, using a self-administered questionnaire. Self-administered questionnaire were given to study the hospital and socioeconomic characteristics, working conditions, job satisfaction level, and the reasons for turnover among the hospital medical technicians. The major finding were as follows; 1. Job position had a statistically significant relationship with intention of turnover to another hospital. According to age, marital status, educational level, the intention of turnover was statistically significant relationships. 2. Hospital characteristics had not a statistically significant relationship with intention of turnover to another hospital. That is, the intention of turnover was generally higher county region and small-sized hospital workers than urban region and large-sized hospital workers. 3. Generally, those who were not satisfied with the opportunity for developing the personal ability and promotional opportunity showed a higher tendency towards to turnover. Also, those who did not sustain good relationship with their superiors and co-workers showed a higher tendency towards to turnover. 4. Those who were had negative attitude on their job showed a higher tendency for turnover. 5. In the result of multiple regression, job position, job satisfaction were significantly related to intention of turnover. The above indicate that job satisfaction and organizational culture to promote their ability and form a good relationship with organization members were very important to decrease the intention of turnover. Since these results represent seven hospitals and one clinics from a limited area, more hospital nationwide, especially small-sized institutions where there is a high turnover rate of employees, need to be examined in order to investigate the various factors that affect the intention of turnover. Due to lack of avaliable research material, the doctors and the nurses group of the hospital haven't been reported in this study. However, this empirical survey of the hospital medical technicians has significant merit.

Korea will soon experience a high demand for medical rehabilitation specialists, if it tries to deliver advanced health welfare service. In order to medical rehabilitation manpower policies, this study attempts to analyse, estimate and plan a long-term supply for physiatrists, physical therapists, and occupational therapists. The study analysed both national and foreign statistical data of manpower supply for medical rehabilitation specialists. A structured category of questionnaire was developed to survey the opinions of regarding the supply for rehabilitation specialists in Korea. Based on the above data, the demand of and supply for each specialists were estimated for long term up to the year 2030. Based on the comparative analysis results of the future demand and supply, the author intended to develop a new supply plan for the three specialist categories. The major findings of the supply plan are as follows : First, the replied proper mean ratios of rehabilitation professionals(physiatrists : physical therapists occupational therapists) appeared 1 : 5.93 : 3.59, and there is no significant difference between interprofessionals (p>0.05). Secons, the estimated demand for rehabilitation services by interprofessionals appeared significant difference among the interprofessionals (p<0.05).

Purpose: The supply of and demand for medical services continue to increase as the current social environment changes. Consequently, competition among medical institutions is intensifying and hospitals must establish appropriate management strategies to improve the medical services they provide. This study suggests that the authenticity of doctors is a factor in improving medical-service quality and examines the effect authenticity has on the affective trust and satisfaction of patients. Design, methodology, and approach: The study utilized previous studies to examine the significance of potential variables, established hypotheses and used a questionnaire to confirm these hypotheses. The questionnaire was distributed to patients who had visited a hospital in the previous six months. Responses were analyzed empirically using structural equation modeling. Findings: The analysis found that a physician’s authenticity has a significant impact on the affective trust of patients. While patients’ affective trust does not have a similar strong impact on patient satisfaction, physician authenticity does have a significant impact on patient satisfaction. Conclusion and implications: This study examined the roles of authenticity, affective trust, and patient satisfaction in doctor-patient relationships in the medical services field. The implication of the findings is that physician authenticity is a prerequisite for patient satisfaction of medical services.

본 연구는 대덕산･금대봉 생태계보전지역 내 분포하는 관속 식물상을 파악하여 식물분포를 밝히고, 향후 대덕산-금대봉 생태계보전지역의 주요 식물에 대한 효율적인 관리와 보전을 위해 수행하였다. 2017년 4월부터 2019년 10월까지 총 14회에 걸쳐 현지조사를 실시하였다. 대덕산-금대봉 생태계보전지역에 자생하는 관속식물상은 83과 245속 372종 4아종 45변종 8품종으로 총 428분류군이 조사되었다(Appendix 1). 이 중 한국특산 식물은 키버들, 참개별꽃, 진범, 갈퀴현호색 등 19분류군이며, 환경부지정 희귀 및 멸종위기 식물은 개병풍, 가시오갈피, 대성 쓴풀, 복주머니란으로 총 4분류군이 조사되었고, 산림청 지정 희귀식물은 19과 34속 34종 2변종 총 36분류군이 나타났다. 침입외래식물은 토끼풀, 달맞이꽃, 지느러미엉겅퀴 등 4과 8속 8종 총 8분류군으로 조사되었으며. 도시화지수(UI)는 2.5%, 귀화율(NI)은 1.9%로 나타났다. 본 조사지역의 양치식물은 7과 9속 7종 2변종으로 총 9분류군이 나타났고, 양치식물계수는 0.52로 나타났다. 대한약전 기준 약용자원식물은 16과 24속 24 종 2변종 1품종 27분류군이 확인되었다. 민속식물은 772과 175 속 216종 28변종 3품종 4아종 251분류군이 확인되었으며, 대덕산‧금대봉에서 출현한 428분류군 중 58.6%가 민속식물로 나타났다. 민속식물을 분류 별로 보면 가장 많은 213분류군이 식용 식물로 분류되었다. 약용식물은 161분류군이었으며, 향신용식물은 11분류군으로 나타났다. 환경부에서 멸종위기 식물로 지정된 대성쓴풀과 복주머니란 등의 희귀식물은 시급히 보호 및 보전에 필요한 대책을 마련해야 할 것으로 판단되며, 나도범의 귀는 북방계식물로 남한 내 자생지가 검룡소 1곳이 보고되고 있어 자생지보호의 필요성이 있을 것으로 판단된다.

The present study investigated the patients’ lexicons in unfolding migrant worker-domestic doctor interactions at a free-of-charge medical center for migrants (Center B) against those at a large general hospital (Hospital A) and those at another small free-of-charge hospital (Hospital C). In so doing, the focus was on the patients’ lexicons at Center B against those at the other institutions. Overall, the data at Center B consisted of approximately 80 consultations that the researcher himself participant-observed and audiorecorded at the three institutions over a span of two years. A qualitative investigation of the patients’ lexicons at Center B demonstrated that the patients who visited Center B initiated far more advanced scientific terminologies. Also, they adopted more nominalized forms, The lexical content and form appeared to result from the fact that the migrant patients were advanced degree seekers in agriculture, engineering, and science. Thus, the patients’ lexicons at Center B illustrated that the finding of the previous studies which argued that the patients at free-of-charge clinics were mostly unskilled laborers were oversimplistic and even stereotyping. The present study proposes a more critical applied linguistic study of migrant patient-domestic doctor consultations.

광주 선교 스테이션은 의료활동을 통해서 복음의 접촉점을 가졌을 뿐만 아니라, 당시 열악한 위생상태와 질병을 통하여 죽어가는 사람들을 치료해 주었다. 특히 광주 선교스테이션의 한센병과 폐결핵환자에 대한 치료는 헌신적이었다. 많은 사람들이 치료를 받고 새로운 삶을 살아가게 되었고, 그리스도의 사랑을 실천함으로 이를 통하여 주님께 돌아오는 이들이 많았다. 환자들을 찾아가기도 했다. 의사가 없는 지역에 순회진료를 했고, 그리고 농어촌 의료봉사, 보건예방교육 등을 통하여 국민건강 증진과 위생에 대한 인식을 변화시켰다. 의료활동은 광주지역을 넘어서 여수와 순천으로 그리고 남부지역으로 확대되었다. 또한 치료와 회복 그리고 재활 프로그램을 통하여 사회의 소중한 일원으로 살아가게 했고, 의료인재를 양성해서 장차 선교한국으로의 토대를 마련했다.

진단방사선 영상을 획득하기 위해 이용되는 X-ray는 연속적인 에너지 분포를 가지지만 저에너지 광자의 경우에는 영상 형성 보다는 환자피폭에 더 많은 기여를 하는 것으로 알려져 있다. 이러한 저에너지 광자를 제거하기 위해 임상에서는 알루미늄 필터를 적용하고 있으나 이는 빔 경화 현상으로 인한 영상 품질에 악 영향을 미칠 가능성이 있다. 이에 본 연구에서는 알루미늄 필터에 의한 산란 선량이 의료 영상의 품질에 미치는 영향에 대하여 고찰하고자 하였다. 또한, 영상의 대조도 저하를 정량적으로 표현하기 위해 상대 표준 편차 및 산란 열화 인자를 평가 지표로서 활용하였다. 연구 결과, 70 kVp 이상의 전압에서 진단 영상을 확보 시 NCRP에 의해 권장되는 2.5 mmAl를 기준에서 전방산란율 분석 결과 0.69 %, 산란 열화 인자 분석 결과는 0.005, NNPS 분석 결과 3.59 mm2의 변화가 나타났다. 이러한 연구 결과를 바탕으로 알루미늄 필터의 두께가 증가함에 따라 발생하는 산란 선량이 의료 영상의 품질을 저하시키는 것을 정량적으로 검증하 였다.

Purpose - This study aims to identify the priorities of medical service quality improvement by customer satisfaction characteristics and potential customer satisfaction improvement (PCSI) index based on the dualistic quality classification of Kano Model (1984) for Comprehensive Health Screeening Center in General Hospitals and Centers only for Comprehensive Health Screening and suggest a direction for future improvement. Research design, data, and methodology - Through advanced research on health screening medical service quality, this study set four service quality factors, including tangible, human, process and supportive factors, and 39 measurement items. Based on these items, the study used 117 questions, which consist of dualistic quality factors, customer satisfaction coefficients, positive and negative questions for PCSI index and questions for current satisfaction. 300 effective samples were collected for adults in their 20s who experienced health screening service in Seoul, Gyeonggi-do and Incheon within the past two years. Collected data were input in the quality evaluation duality table to categorize quality factors and calculate customer satisfaction coefficients by Timko(1993). The study also analyzed PCSI index in comparison with current satisfaction and identified priorities in quality improvement. Results - It was found that the most urgent factors to improve the quality in both groups were adequate waiting hours and emergency response for complications, which are process factors classified as unitary quality. It is urgently needed to improve the quality as the PCSI index was high in supportive factors (complaint response team) as attractive quality in Comprehensive Health Screening Center in General Hospitals and in process factors (prevention of infection) as unitary quality in Centers only for Comprehensive Health Screening. As the PCSI index was low in space use as a tangible factor, it was found that the current level can be maintained instead of improvement. Conclusions - To improve the health screening medical service quality, it is required to focus on process factors (adequate waiting hours, emergency response for complications, prevention of infection) and supportive factors (complaint response team) among service qualities perceived by users. It is proposed to ensure continuous efforts to manage and reinforce priorities as a direction for future improvement in health screening service.

Purpose - The purpose of this study was to examine quality improvement priorities by examining not only quality classifications but also PCSI (Kano, 1984) of mobile app service qualities of general hospitals in the Metropolitan Area and offer potential improvements. Research design, data, and methodology – The study examined five of service qualities, including app design, reaction, convenience, safety and supply of information by precedent studies. 20 test items were selected. A total of 60 positive and negative questions to estimate customer satisfaction and PCSI was investigated. The author collected 300 copies from interviewees who made use of the app services of 13 general hospitals within one year, and classified quality factors by using table of quality assessment and also estimated the customer satisfaction index (Timko, 1993). The study made quality improvement priority by the PCSI index. Results - Reaction of the mobile app service quality ranked the highest PCSI, and payment safety ranked the highest, and customer support and supply of the information ranked high as well. It was observed that design ranked comparatively lower in these categories. Conclusion - Safety, reaction and supply of information should be prioritized to reorganize and improve the mobile app services.

국내 의료기관 핵 의학과에서는 환자에게 방사성 의약품을 주입하기 위해 체내검사의 80% 이상이 99Mo/ 99mTc Generator에서 방사선 핵종인 99mTc 용출하여 사용한다. 사용이 종료된 Generator 중 외국으로 부터 수입한 국외용 Generator는 각 의료기관에서 자체 처분을 시행한다. 각 의료기관에서는 자체처분을 시행 할 때에는 방사성 폐기물이 자체처분 허용 농도 이하를 만족하여야 한다. 국내에 제시된 자체처분에 대한 지침은 방사선 감쇠 계산식으로 도출된 값으로 Generator 사용 후로부터 80일 이후 자체처분이 가능하다는 내용을 제시하였다. 이러한 지침이 직접 Generator를 가지고 측정한 데이터를 통해 비교 분석하여 타당성이 있는지에 대하여 연구하고자 한다. 결과적으로 1000 mCi 용량의 Generator 의 경우 Generator 구성 요소 중 반감기가 가장 길며, 방사능이 많은 99Mo(몰리브덴) column을 가지고 실험하였을 때, 방사성 폐기물로 차체 처분 허용농도 이하가 되는 일수는 99mTc을 용출하여 유도한 기간은 72일, 직접 칼럼을 측정하여 도출한 처분 일은 71일이였다. 직접적으로 연구한 결과는 지침의 내용에서 제시한 자체처분 일수보다 8~9일 정도 보 관 일수 차이가 있으나, 국내 차체 처분 보관 일수의 범위 안에 속하므로 국내 자체처분에 대한 지침이 타 당성이 있음을 확인 하였다.

Purpose - This study attempted to construct and validate a structural model of the relationship between the quality of medical services, perceived risk, reputation and customer satisfaction, which is the main concept of the relationship between large hospitals as well as small and medium hospitals and medical consumers. Through this verification, the small and medium hospitals are to find the way for wise coping in competitive situation with large hospitals. Research design, data, and methodology - This research developed a hypothesis by constructing a structural equation that reaches the satisfaction and the relationship between reputation of perceived risk and perceived risk of service quality perceptions of customers of small and medium hospitals. Research data were collected through a questionnaire survey of respondents who had medical service experience from small and medium hospital. A total data of 252 respondents were used as the sample for the final analysis and analyzed using SPSS 23.0 and AMOS 23. Results - As a result, the relationship of quality of medical service, reputation, and customer satisfaction among small and medium hospitals was consistent with the results of precedent studies, and the perceived risk has a significant impact on reputation, so the greater the perceived risk, the higher the preference for reputable medical institutions as large hospitals. In addition, it was found that the direct route from perceived risk to customer satisfaction was not significant, and reputation was found to have a full mediating effect on perceived risk and customer satisfaction. Customers who use small and medium hospitals prefer to use reputable medical institutions if their perceived risk is high, which is different from risk perception when specific targets are specified. Conclusions - In terms of the effect from customer satisfaction, not only the path of perceived risk → reputation → customer satisfaction, but also the quality of service quality → reputation → customer satisfaction. These findings suggest that small and medium hospitals are appropriately responding to competition with large hospitals, rather than focusing on the perceived risks and reputation of customers in establishing and utilizing competitive strategies to create new customers and preserve existing customers

의학은 서양 고대 그리스부터 인간의 삶에서 중요한 영역이었다. 중세시대 모체 대학인 볼로냐대학에서부터 의학부가 시작되었고, 의학교육은 교육과정을 가지게 되었으며, 학위를 취득할 수 있었다. 그러나 의학교육은 20세기이후 양적 발전과 함께 질적 발전을 모색하면서, 이후 의학교육은 눈부신 발전을 하게 된다. 20세기 과학을 강조한 의학 교육이 이루어졌고 최근 의학교육에서는 의료인문학 교육과정을 강조하고 있다. 의료인 문학은 문학, 철학, 예술 둥 기존의 인문학을 의학에 포함하는 것이고, 의학교육에서 그 중요성을 인식하고 교육적 적용에 대한 많은 노력이 있다. 의료인문학 교육의 중요한 방법 중 하나는 내러티브를 적용한 교육이라 할 수 있다. 그러나 내러티브를 현재 의과대학 교육과정에 실제 적용하는데 구체적인 방법과 평가 등의 문제로 대한 많은 어려움이 있다. 따라서 이후 내러티브 의학교육에 대한 이론과 실제 의과대학에서 내러티브 교육을 적용할 수 있는 많은 후속 연구가 될 수 있기를 기대한다.

Medical schools have a social accountability to educate competent medical trainees and to improve the quality of medicine. Accreditation Board for Medical Education in Korea was established as an accreditation board in 1993. Now, Korean Institute of Medical Education and Evaluation (KIMEE) was opened and assessed the medical curricula and environments of each medical school which included medical educational contents, teaching-learning methods, assessment, students’ elections, medical facilities and the supporting system. KIMEE will assess each medical school with new items, called ‘ASK 2019’ starting from Year 2019. According to ASK 2019, KIMEE will assess 92 basic items and 51 excellence items which are 9 domains of mission and outcome, educational curriculum, students’ assessment, students, medical professors, educational resources, educational assessment, administration and management of school, continual improvement. We will actively prepare the budget, human resources, new medical curriculum, various teaching-learning and assessment methods, administration supporting system and medical facilities to pass the accreditation of medical education and evaluation.