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pISSN : 2733-8649 / eISSN : 2733-8657

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2019, Vol.25, No.3

  • 1.

    The Analysis of Achieved Score earned by LEED Healthcare

    Jeeeun Kang | 2019, 25(3) | pp.7~14 | number of Cited : 2
    Abstract
    Purpose: The purpose of this research is to find out week and strong aspects in LEED categories based on achieved scores earned by LEED-HC(Healthcare) v.2009. Methods: The LEED-HC scorecards of 88 healthcare projects are analyzed. The analysis are focused on relationship between achieved scores, LEED categories and achieved levels. This relationship was presented by graphs and charts. Results: 1) Compare to LEED-NC, in LEED-HC, sub-categories related to public health are added. The scores are added in Energy Atmosphere and Indoor Environmental Quality. 2) Achieve scores in Sustainable Site are high and one in Energy Atmosphere and Indoor Environmental Quality are low at all levels. 3) Scores which was lost in Energy Atmosphere are recovered in Material Resource and Sustainable Site in order to keep its level. 4) Since most of scores in Energy Atmosphere are under EAc1 Optimize energy performance sub-categories, it is important to achieve more score in Optimize Energy Performance Sub-Categories to gain a higher level. Even if LEED-HC has more score in Energy Atmosphere, this is a hard to achieve scores in that categories. It is important to review Energy Atmosphere categories and its points for improvement. Implications: This study will provide basic database in order to establish Korean green building rating system for hospital.
  • 2.

    A Study on the Facility and Equipment of Laboratory Medicine in General Hospital - Focused on less than three hundred bed hospitals

    Youngaee Kim | 2019, 25(3) | pp.15~23 | number of Cited : 0
    Abstract
    Purpose: As the medical laboratories in general hospitals have made an efforts on quality management and employee health, they recognized the need of design guideline for clinical laboratory. As laboratories are prohibited to patients, their environments are becoming more congested and deteriorated as time goes by. So, this study investigates the current status of facility and equipment of laboratory medicine focusing on less than three hundred patient bed hospitals, and searches the improving matters. Methods: Questionnaires to technologist captains and field surveys to medical laboratories in korean hospitals have been conducted for the data collection. 18 answers have been analysed statistically by MS Excel program. Results: The result of this study can be summarized into followings. Clinical laboratory functions are all hematology, clinical chemistry, immunology, transfusion and urine microscopy, and except for three including microbiology for infection and bio safety level. Average man power of lab are 12.3 man including lab director and captain. Patient bed number, space area and total specimen numbers are not correlated with each other, but specimen numbers and employee number are correlated with. Work space distances are usually good, but exit distances are not adequate for escape owing to obstacles. Specimen delivery system by courier, test method by automatic analyzer, access floor for exposed plumbing and electricities are more practical. Open lab layed out in the center and lab support layed peripheral in space diagram. Lab space configuration by SD method showed that lab support area and employee support area are dissatisfied. Implications: Specialized hospital and yearly total specimen numbers are related to the space area and organization for laboratory planning and design.
  • 3.

    A Study on the Space Zoning and Area Composition of the Operation Department in Regional Public Hospitals - Focused on Net Floor Area

    yun wooyong | Chai, Choulgyun | 2019, 25(3) | pp.25~36 | number of Cited : 3
    Abstract
    Purpose: To establish guidelines for local public hospitals, the survey was conducted primarily on the current status of local public hospitals, focusing on the zone configuration and the spatial area of the operating department. Methods: 3 Methods have been used in this paper. 1) Analyzing drawings to derive the net floor area of each room. 2) A literature survey about composition of the zone by infection control. 3) Observation survey for user circulation analysis. Results: The operation department consists of the major, secondary, support and connected zones according to the user's actions. The spatial area composition ratio for each zone is major zone: 41.79%, secondary zone: 10.87%, support zone: 23.10%, and connected zone: 24.24%. Implications: This study is a basic research for guideline for the operation department in local public hospitals. In this study, zones configuration of the operation departments are classified in terms of user actions and room functions. In the future, it is required to establish criteria considering infection control and copper connection aspects.
  • 4.

    A Study on the Types of Layout in the Intensive Care Unit of Regional Public Hospitals based on the Relationship between the Beds and Nurse Station

    Lyu, Cheng | Chai, Choulgyun | 2019, 25(3) | pp.37~46 | number of Cited : 1
    Abstract
    Purpose: The Intensive Care Unit (ICU) is an important inpatient care area where critical patients are treated intensively with advanced medical technology. The level of care of ICU and the modernization of related facilities is an important indicator of health care quality. At the present time, when the Regional public hospitals are frequently expanding, the rational planning of the ICU has become an important part of the medical institutions treating the ICU. The purpose of this study is to present basic data with net area which can be used in the architectural planning of the ICU. Methods: The investigation and analysis of the ICUs were conducted on 24 medical facilities, based on theoretical analysis through relevant guidelines, articles, and documents, and on the basis of the actual space composition and net area analysis through the architectural drawings. Results: This study provides basic data such as bed placement type of ICU, relationship with other departments, distance between NS and bed, distance between beds, and net area of ​​disease by type. Implications: The results of this paper are expected to be effective reference materials for future research for rational spatial organization and efficient operation of the Intensive Care Unit in regional public hospitals.
  • 5.

    A Study on the Area and Clearances around Patient Bed Space in Intensive Care Unit

    HYUNJIN LEE | Kwon, Soon-Jung | 2019, 25(3) | pp.47~55 | number of Cited : 1
    Abstract
    Purpose: This study tries to propose the dimensions and area related to patient bed and surroundings in ICU considering nurses’ observation and medical care. Methods: Literature survey, 11 Case studies, some Interviews with nurses and measuring of medical equipments’ dimension in ICU have been mobilized in order to deepen the ICU bed area standards. Results: 0.3m clearance between head wall and patient bed is necessary for emergency cases. The minimum distance at the foot of the bed should not be less than 0.9m for EMR cart and medical tray. The clear floor area of one bed and surroundings in open ward is 10.2㎡(3m×3.4m). In a single-bed patient room, the minimum clear floor area is 16.0㎡(4m×4m). Considering the control of cross infection in ICU, Single bed patient room is recommended. Implications: The result of this study can be applied to the design of ICU and legislation of ICU standard.
  • 6.

    A Study on the Analysis of Dental Spatial Composition through Michell Foucault's ‘Spatialization of Disease’ - Focused on the Case Study of Seoul National University, School of Dentistry and Dental Hospital

    Jeong Tae Jong | 2019, 25(3) | pp.57~65 | number of Cited : 0
    Abstract
    Purpose: The purpose of this study is to find the relationship between Michell Foucault's the primary, secondary, and tertiary spatialization of disease and spatial composition for the development of architectural planning of the healthcare architecture. Methods: Literature review of spatialization of disease and comparison between medical and dental disease have been conducted. The synchronic structure and diachronic change of spatialization process have been analyzed through spatial composition and history of Seoul National University, School of Dentistry and Dental Hospital. Results: The result of this study can be summed up in three points. First of all, spatialization of dental disease is similar to that of medicine but it should be more focused on the tertiary spatialization. The second one is that the process of spatialization of dental disease started the secondary spatialization first and the primary spatialization followed after a short interval and spatial composition has been followed the process of spatialization of dental disease in Korea. The third one is that the tertiary spatialization has not been actively gone along until recently and it has to be developed in near future. Implications: It is necessary to analyze spatialization of dental disease in other dental facilities to develop the relationship between spatial composition and program in healthcare system.
  • 7.

    Research on the Trend of Welfare of Children with Disabilities and Facility Reorganization in Japan - Focused on Medical-type Facility for Children with Disabilities

    BAE MIN JUNG | Takemiya, Kenji | 2019, 25(3) | pp.67~74 | number of Cited : 0
    Abstract
    Purpose: In 2012, the Child Welfare Act was revised to provide better support to children with severe disabilities in Japan. Previously, inpatient facilities had been classified according to the type of disabilities of patients. After the revision of the Act, however, these facilities were assigned into the category of “medical-type facilities for children with disabilities”, or “welfare-type facilities for children with disabilities.” The focus of the study is to evaluate the reorganization of the Child Welfare Act and to analyze the new layout of Center K after its transition from a facility for children with motional disabilities to a medical-type facility for children with disabilities. Methods: A literature review was conducted to identify the trend in the treatment for persons with disabilities and the process of policy making in Japan. Field research was performed twice in 2015 and 2016, before and after the renovation of the Center K facilities depending upon the revision of the Child Welfare Act. Results: There is an increasing tendency of the population of persons with disabilities in Japan, and the severity level of disability of children with disabilities. In the case of Center K, two types of ward constructed to meet the two types of disability has been reconstructed into three types of unit following the various severity level of disability. Implications: As a result, it could be argued that it is also necessary in Korea to reorganize the facilities for persons with disabilities to deal with the fact that the population of persons with disabilities in Korea has been growing and their degree of disabilities also getting severe.
  • 8.

    A Study on Floor Slip Resistance Standard and Test Method for BF Certification

    Dong Hong Shin | Ki-Chang Seong | Kwang-jae Park | 2019, 25(3) | pp.75~83 | number of Cited : 0
    Abstract
    Purpose: There are no clear criteria for slip performance in the BF certification process, so the evaluator relies on subjective judgments depending on the field situation. Physical criteria for determining the slip performance of various floor finishes are not clear. C.S.R., the only criterion currently being used to check slip performance, may raise questions about its coverage, feasibility and reliability. Method: For an analysis of domestic standards and status, KS L 1001, KS M 3510, and KS F 2375. External standards are analyzed for ADA Standard, ANSI Standard, and BS EN Standard. Analyze the test methods and evaluation criteria of O-Y-PSM, BPT, and the dynamic slip resistance test used in these criteria. It also presents an improvement plan for the rational presentation of standards. Results: To date, various kinds of test methods and measuring devices of the slip resistance coefficient have been developed, but there are not many ways to trust useful results related to user safety. Reliability and thoroughly verified test methods and criteria should be used to assess the slip performance of the floor. In order to improve the standard for the evaluation of slip performance in Korea, the existing standard should first be raised to the same level as the overseas standard, and the application of the discriminatory standard should be applied considering the characteristics and usage patterns of each space. Implication: Currently, Korean standards propose various test methods, but the proper use of test methods, scope and assessment criteria are not established, so improvement of the comprehensive standard is necessary.
  • 9.

    A Study on the Remodeling effectiveness of old low-rise residential areas for Senior Living

    Kwon, Soon-Jung | JeongDawoon | 2019, 25(3) | pp.85~97 | number of Cited : 0
    Abstract
    Purpose : The purpose of this study is to evaluate the remodeling effectiveness on old town in Songpa-Gu, Macheon-Dong in the point of elderly living. Methods : Main research method is interview with older residents living in Macheon-Dong. The surveyed district of old town is divided into two groups, one is experimental group and the other is control group. The interviews have been conducted two times; before the remodeling(September, 2017) and after the remodeling(May, 2019). Total number of questionnaire is about 400. Correlation analysis, T-test, regression analysis have been used for the interpretation of collected data. Results : The number of accident and road confusion of older residents in experimental group have been decreased after remodeling. Most preferred space is resting area, and older residents considers convenience and practicality as more important. 47.7% of respondents have evaluated dwelling site as good after remodeling. Implication : This study sends a meaningful message in that remodeling effect of old town has been analyzed quantitatively and dwelling area regeneration project of old town is positive for the improvement of dwelling environment