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pISSN : 2733-8649 / eISSN : 2733-8657

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2017, Vol.23, No.3

  • 1.

    A Feasibility Study of Hand Hygiene Status in Korea Hospitals

    Lee, Yongkyoon | Shin, Hyunhee | 2017, 23(3) | pp.9~17 | number of Cited : 5
    Abstract
    Purpose : The easiest and most cost-effective way to prevent medical-related infections is known as proper hand washing of health care workers. The experience of MERS in domestic medical institutions has increased the importance of hand hygiene for medical workers to prevent infections in hospitals. It is necessary to investigate the level of hand hygiene practice by type of medical institutions and the factors influencing the infection prevention. Methods : Domestic and overseas hand hygiene related business cases and literature data were collected and analyzed in order to investigate the hand hygiene status of medical institutions in Korea. Result : As a result of hand hygiene monitoring of all hospital-level medical institutions in 2016, the total number of observations was 24,328 and the hand hygiene performance rate was 75.9%. The hand hygiene performance rate of hospitals was 71.5% for general hospitals, 75% for general hospitals, and 81.3% for hospitals. Implications : In general hospitals and hospitals, the HR(Hand Rubbing) method is preferred as a way of performing hand hygiene, whereas the HW(Hand Washing) method is relatively high in the small hospitals. It is estimated that the HW system is preferred because of the cost burden at the hospital medical institution. Therefore, it is necessary to compensate the related expenses to improve the hand hygiene performance of the physicians who are engaged in the hospitals.
  • 2.

    A Study on the Spatial Characteristics of Public Dental Healthcare Center for the Disabled in Korea

    Jeong Tae Jong | Choi, Jaepil | 2017, 23(3) | pp.19~27 | number of Cited : 0
    Abstract
    Purpose: The characteristics of site plan and space configuration of public dentistry through examining the public dental healthcare centers for the disabled in Korea and comparison between them are necessary for the development of planning of the dental healthcare system. This study has been started to provide basic informations such as nationwide distribution, site relationship, and space configuration for the planning of public dental hospital architecture. Methods: Literature review of publicness and public dental healthcare and investigation on current status of public dental healthcare center for the disabled in Korea have been conducted. The site plan and space configuration of eight public healthcare centers for the disabled have been analyzed. Results: The result of this study can be summarized in three points. The first one is that public dentistry in Korea are distributed public dental hospital for the disabled in Seoul and public dental healthcare centers for the disabled in eight provinces. The second one is that the types of the dental healthcare center for the disabled are divided with remodeling type which is diverted from existed dental or medical out patient clinic space or independent building type which is planned with a new and exclusive usage for the disabled. The third one is that the space configuration of dental healthcare center for the disabled is needed more required programs, larger treatment unit space, and more private clinic space than typical dental treatment plan. Implications: This study is the starting point for the research of public dentistry and it is necessary to analyze the dental prevention and dental public policy to develop the public dental healthcare system.
  • 3.

    A Study on the Application of Universal Design according to Room Types of Accommodation - Through classification and analysis of room types and FGI

    RYU Sang-oh | 김인순 | 2017, 23(3) | pp.29~37 | number of Cited : 0
    Abstract
    Purpose : Due to the shortage of the room for the disabled, it may be difficult to use the accommodation for the disabled (especially wheelchair users). The purpose of this paper is to propose a universal design(UD) application for all rooms to solve the problems caused by the shortage and the decrease of the usage rate of the rooms for the disabled. Methods : Classify and analyze the type of room and bathroom according to the survey. The space of the room is classified into six types mainly based on the relation and location among the entrance, the bathroom, and the bedroom. Also, the bathroom is classified into 20 types considering the positional relationship with the entrance and between sanitary fixture. By using these types, FGI survey will be conducted and the application of UD will be reviewed and presented. Results : We analyzed by using the types of the room and the bathroom. One of majority type in the actual research and two of UD applicable types from FGI, are shown UD application. In addition, the bathroom were analyzed about four types from FGI. The room were shown about the activity space and the furniture layout for UD. The bathroom were shown about the space for the entrance, the internal activitiy space and the arrangement of the sanitary fixture. Implications : By comparing and analyzing through type classification, it was found that universal design can be applied to all rooms. Therefore, it is expected that the UD will be activated in all rooms of the accommodation.
  • 4.

    A Study on the relevant laws and regulations for Operation Department of General Hospital in China

    Lyu, Cheng | Yun, Woo Yong | Chai, Choulgyun | 2017, 23(3) | pp.39~46 | number of Cited : 1
    Abstract
    Purpose: Here is little information about China’s operation department of general hospital in Korean medical architecture papers, which is inconvenient for scholars engaged in medical building research and comparison. Furthermore, Surgery is to provide patients with surgery and rescue sites, is an important technical department of the hospital, and then with the development of medical technology and people's trust in medical science, the role of the operating room will become increasingly important. Therefore, the purpose of this research is to analyze history, changes and definitions of the operating room and China’s operation department of general hospital related laws and regulations for future research to provide effective analysis of data, and find shortcomings. Methods: This research was conducted according to the relevant laws, books, and papers of the operation department of Chinese general hospital. Results: At present hospital construction in China is in the period of rapid development and coupled with the growing medical technology, operating room layout and configuration is still in the continuous trial of continuous improvement stage. Overall, it requires more detailed guidelines to improve the quality of the operating room. Implications: Implications: It is expected that the research of this paper will provide an effective reference for the future research of the operation department of China General Hospital, which can promote and improve the work system of the operation department of China General Hospital
  • 5.

    A Study to define the range of sample size for setting Intensive Care Unit(ICU) facility guidelines - Focused on analysis of guidelines and present of ICUs facilities by general hospitals size

    yoonhyunjin | Cho, Jun-Young | 2017, 23(3) | pp.47~56 | number of Cited : 1
    Abstract
    Purpose : This study is a basic research to establish guidelines for healthcare facility in Korean healthcare market. As a first step, it is a main purpose for making beginning point of ICU guideline to set a basic level of ICU facility size and quality by analysis current ICU facilities and existed domestic guidelines : law, criteria of healthcare insurance review and assessment service, credit of Korea institute for healthcare accreditation. Methods : First of all, the all requirements of existed guidelines are put together and summarized. The summary is compared with that of US, UK, and Australia to know its quality difference with international market. In addition, all hospitals in Korean market are classified based on total bed number and ICU bed number to know the most occupied facility size range in the market. Second of all, by comparing 15 ICUs' current setting of the public general hospital, a general condition of ICU facility would be extracted based on function, floor area per bed, services Results : 72.8% of hospitals in Korea are belonging below 500 beds hospital. Among them 200-299 beds hospitals occupied 35.3% and are shown as the most occupied hospital size. As 15 public general hospitals are analyzed, it is clear that the more bed size and services the more ICU area per bed. As a result it is sure that the 300~500 bed may be a clear line as a general ICU condition whose function and bed number relatively consistent in the range. Implications : to keep the qualified medical environment and contemporary hospital trend, the guideline as a minimum requirement keep naturally out from current healthcare settings and should reflect their limit to reconcile with the new trend in the market.
  • 6.

    A Chronological Study on the Transformation and the Spatial Characteristics of Inpatient Care Facilities in the United States

    Lee, Sukyung | Yoon Kyung Choi | 2017, 23(3) | pp.57~69 | number of Cited : 1
    Abstract
    Purpose: This study aims to emphasize interrelation between healthcare policies, design standards and hospital architecture of the United States since 1950s; to examine spatial characteristics of inpatient care facilities through case studies; and to consider the social implication of these spatial changes. Methods: In this study, reviewing the overall healthcare system, design standards and inpatient care facilities of the United States since 1950s, a total of five inpatient care facilities, one for each period, were selected in order to analyze the spatial characteristics. The spatial maps of Space Syntax were employed for analyzing five case studies. Results: The distance between the nursing station, the support service, and inpatient room were getting closer. The spatial structure of inpatient care facilities is transformed from tree structures to annular tree structures. This result shows that the efficiency between patient, staff and support service is higher and the depth of the spaces is getting deeper, which indicates that efficiency for improving healthcare quality affect the spatial structure of inpatient care facilities. Implications: In the future, if Korea's health policy is changed to a demand-oriented health care policy, this conclusion predicts medical planning of hospital will be focused on the efficiency.
  • 7.

    A Study on the Medical Program and Space Configuration for Veterinary Medical Teaching Hospital - Focused on the Analysis of Veterinary Medical Teaching Hospital built in the last ten years of Korea

    김도현 | 2017, 23(3) | pp.71~80 | number of Cited : 0
    Abstract
    Purpose: At the moment prevention and treatment of animal related diseases is becoming a social concern as the demand for animal increases. Furthermore, The design of the veterinary medical teaching hospital are even more complex because they have to accommodate medical program for animal and education and research program for students. However, there are a few experience and useful guidelines for the planning of the veterinary medical teaching hospital. So it is not easy for the regional hub universities to work out the proper plan for the construction of the veterinary medical teaching hospital for their own. This study has been started in order to provide basic informations for the planning of Korean veterinary medical teaching hospital. Methods: Interview to veterinarian, intern and employee of the veterinary medical teaching hospital and Field surveys to veterinary medical teaching hospital in Korea have been conducted for the data collection. The drawings of three universities of veterinary medical teaching hospital have been analysed and diagramed. Results: The result of this study can be summarized into three points. The first one is that the veterinary medical teaching hospital spaces are divided into five areas (ambulatory care, central medical care, hospitalization, education and research, operations and support) and each area is divided independently and connected properly. The second one is that the veterinary medical teaching hospital differs from hospital in the detailed space plan in the sense that the animal is a patient. The third one is that each hospital has different operating practices and programs according to local conditions Implications: It is meaningful as a basic source of veterinary medical teaching hospital design in the future.
  • 8.

    A Study on the Architectural Planning of Spatial Configuration and Area Composition for Regional Trauma Center in Korea

    Park Su Roh | Park,Jae-Seung | 2017, 23(3) | pp.81~90 | number of Cited : 2
    Abstract
    Purpose: The regional trauma center should be a trauma treatment center equipped with facilities, equipment, and manpower capable of providing optimal treatment such as emergency surgery to a severely traumatized patient upon arrival at the hospital. In order to establish a medical system for effective severe diseases, it is necessary to prepare architectural planning guidelines for the regional trauma centers. Methods:: Analyze the spatial configuration, and the area composition of the regional trauma center, And to provide basic data for building a more efficient regional trauma center. The spatial composition analysis divides the space into initial care, resuscitation, patient area, nursing area, diagnostic test, staff training, staff support, public, and analyzes the area and interconnection of each space. Results: The area that must be included in the regional trauma center is the resuscitation area, the patient area, the diagnostic examination area, architectural planning should be designed to enhance the interconnection of the areas. IIn addition, a regional trauma center should be planned as a separate from the existing facility so that it can be installed and operated independently. Implications: A regional trauma center should be built as a stand alone operation and the space should be planned as a more efficient route.