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pISSN : 2733-8649 / eISSN : 2733-8657

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2019, Vol.25, No.4

  • 1.

    A Study on the Current Status and Use of Gyungrodang in Rural Area for Community Care - Focused on Gyungrodang in Heungeop-myeon, Wonju-si, Gangwon-do

    Lee, Tae Ho | JI EON KIM | Geurum Song and 2other persons | 2019, 25(4) | pp.7~15 | number of Cited : 1
    Abstract
    Purpose: The purpose of this study is to identify the current status and use of Gyungrodang located in Heungeop-myeon, Wonju-si and to present improvement and implication for community care in rural area. Methods: The survey of the current status was conducted with interview and observations. The use status of Gyungrodang was surveyed for the elderly over 65 years old who live in Heungeop-myeon using questionnaire. A face-to-face interview was conducted to complete a questionnaire and 181 samples were collected for the study. Results: In the current status, some of the Gyungrodang did not operate during farming season. The external environment, in terms of accessibility, 74.2% of Gyungrodang were located more than 60 minutes on foot from community center, health post, and pharmacy. In addition, the interval between buses run minimum 15 minutes to 120 minutes on average. The internal structure, 35.7% was divided room and toilets. In the use status, the reason for non-use of the Gyungrodang was discomfort(29.0%), and the reason for using was because friends go to the Gyungrodang(44.6%). The most satisfying program was te health care program(65.6%). Implications: First, it is necessary to develop and operate customized health promotion program for target population and seasons. Second, it is necessary to make a plan focused on consumers’ needs through satisfaction and demand survey. Third, it is necessary to divide the space of each Gyungrodang by gender when planning the expansion or new construction of Gyungrodang.
  • 2.

    A Management Strategy for Emergency Medical Facilities in Domestic Disaster Sites

    Suh, SangWook | 2019, 25(4) | pp.17~25 | number of Cited : 0
    Abstract
    Purpose: Despite the fact that the needs for disaster emergency medical facilities to minimize casualties are increasing, research for emergency medical facilities is insufficient compared to research for DMAT investment. A management strategy for emergency medical facilities in disaster site needs to be proposed. Methods: Recently there was introduction of mobile hospital system using unit modular method, but it was found out to be used only in disaster emergency training. Emergency medical facilities in disaster site require various tasks. Examination for our research was carried out through consultations with emergency medical and mobile hospital expert because there is no practical use case to apply Emergency Medical Facilities in Korea. Result: In this research we proposed a management strategy to manage and operate emergency medical facilities composed of tent, unit module and container in the aspects of management efficiency. Implications: It is highly expected to establish a foundation for fast and accurate disaster emergency medical facilities deployment by applying the results of our research to Emergency response manual of disaster emergency medical service.
  • 3.

    A Study on Area Planning of Air Conditioning Room for Hospital Design Focused on System

    Kim EunSeok | Yang, Nae-won | 2019, 25(4) | pp.27~35 | number of Cited : 0
    Abstract
    Purpose: At the time of consensus on the necessity of appropriate guidelines for health care facilities suitable for Korea, the paper aimed to analyze the characteristics in the aspect of the system of the US Health Care Facility Guidelines(FGI Guidelines) and to suggest implications. Since the system is significant for the guidelines to be socially accepted and operated, this study focuses on the system. Methods: Literature studies focusing on the analysis of prior studies and the 2018 edition of the FGI Guidelines were conducted. Results: As a result of reviewing the history and outline of the FGI Guidelines, the derived characteristics of the system were governance, procedure, and composition. First, it had multi-layered organization and multidisciplinary members. Secondly, the focus is on the procedure of gathering opinions from industry and the public. Third, the Guidelines have been continuously evolving to reflect the needs of the times and changes in the medical environment, and the content framework and method of writing are user-friendly in order to prevent confusion caused by vast contents. Implications: First, we need to consider the composition of a private organization to prepare Korean health care facility guidelines. Second, it needs a system that can induce the participation of multidisciplinary experts. Third, a comprehensive and user friendly guideline needs to be constructed.
  • 4.

    A Study on the Characteristics of the System of the US Health Care Facility Guidelines

    Seung Ji Lee | KIM MIAE | 2019, 25(4) | pp.37~45 | number of Cited : 1
    Abstract
    Purpose: At the time of consensus on the necessity of appropriate guidelines for health care facilities suitable for Korea, the paper aimed to analyze the characteristics in the aspect of the system of the US Health Care Facility Guidelines(FGI Guidelines) and to suggest implications. Since the system is significant for the guidelines to be socially accepted and operated, this study focuses on the system. Methods: Literature studies focusing on the analysis of prior studies and the 2018 edition of the FGI Guidelines were conducted. Results: As a result of reviewing the history and outline of the FGI Guidelines, the derived characteristics of the system were governance, procedure, and composition. First, it had multi-layered organization and multidisciplinary members. Secondly, the focus is on the procedure of gathering opinions from industry and the public. Third, the Guidelines have been continuously evolving to reflect the needs of the times and changes in the medical environment, and the content framework and method of writing are user-friendly in order to prevent confusion caused by vast contents. Implications: First, we need to consider the composition of a private organization to prepare Korean health care facility guidelines. Second, it needs a system that can induce the participation of multidisciplinary experts. Third, a comprehensive and user friendly guideline needs to be constructed.
  • 5.

    Analysis of Factors and Tendency in Size Change on the Regional Public Hospitals - Focused on the Change in the Number of Beds and the Total Floor Area

    Son, Jihye | Chai, Choulgyun | 2019, 25(4) | pp.47~60 | number of Cited : 0
    Abstract
    Purpose: Regional public hospitals have implemented functional reinforcement projects, and the facilities to accommodate them have increased in size. Nevertheless users in hospital are concerned about space shortage and area imbalances. Therefore I will trace the factors and trends that influence the size, and derive the relationship between these and the uses’ critical opinion. Methods: Among the indicators for determining the size of medical facilities, the number of beds and total floor area are the essential indicators that directly affect the composition of space and allocation of area inside the medical facility. The purpose of this study is to investigate the change and the factors of change on the these two indicators in regional public hospitals and analyze the trend of changes. Results: In accordance with support undertaking, regional public hospitals have been increased the number of chronic-based beds and expanded additional facilities such as O.P.D specialized centers, emergency centers and funeral homes for reflecting the needs of the regions and times. However, as a result of analyzing the area, regional public hospitals are growing in size mainly on the ward and O.P.D is only expanded the scope of functional reinforcement division but total area level of O.P.D is lower than the recent level. In addition, the levels of D&T, Supply, mechanical/electrical equipment area related to medical support and control environment quality are very low. This is because the functional reinforcement projects have been done without concerning diagnose the whole facility. Implications: If functional reinforcement projects are conducted, to cope with problems of space shortage and imbalance of area, it is judged that an architectural planning that comprehensively analyzes existing facilities and related departments should be included.
  • 6.

    A Study on Problems of the Barrier-Free(BF) Certification Criteria Found through Assessment of Passenger Facilities Using the Certification Criteria and Methods to Improve the Certification Criteria

    Ryu, Sang-Oh | Kim, In-Soon | Ahn, Sung-Joon and 1other persons | 2019, 25(4) | pp.61~70 | number of Cited : 0
    Abstract
    Purpose: This study aims to find directions to improve the barrier-free (BF) certification criteria by assessing the current BF certification system, which is used as a method to improve access to passenger facilities and as a method for universal design planning, and by comparing BF certified facilities with non-BF certified facilities. Methods: This study assesses 20 BF certified facilities and 39 non-BF certified facilities, which were constructed in 2005 and onwards. The results of the assessment are compared and analyzed based on the following three categories: railway stations, urban railway stations and bus terminals. Results: The results of the analysis show that the total scores of the BF certified facilities are higher than those of the facilities that were not BF certified, indicating that the BF certification system is effective. Implication: However, there are some criteria items showing higher scores in facilities that are not BF certified than in BF certified facilities. This suggests the need to improve the BF certification criteria.
  • 7.

    A Study on Improvement of the Standards for the Manoeuvring space at Doors

    Dong Hong Shin | Kwang-jae Park | 2019, 25(4) | pp.71~79 | number of Cited : 0
    Abstract
    Purpose: The manoeuvring space at doors must be secured for users of walking aids, wheelchair users, stroller users, luggage carriers, etc., so clear criteria must be established. The korean standards for the manoeuvring space at doors need to be improved to present clear criteria depending on the type of entrance and the direction of opening and closing. Method: Korean standard, International Standard(ISO 21542, 2011), German Standard(DIN 18040-1, 2010), Austrian Standard(OENORM B 1600, 2017) and Swiss Standard(Norm SIA 500, 2009) were investigated and analyzed. A comprehensive improvement of the criteria for the manoeuvring space at doors is proposed. Results: The manoeuvring space at doors, which is essential for the disabled to use the door, shall be installed with a comprehensive consideration of the width of doors, the Circulation space, the direction of access, and the method of opening and closing of the door. Korean standards, such as the width of doors, the Circulation space, and the manoeuvring space at doors, are different from international and international standards, which require improvement of standards. The criteria for the manoeuvring space at doors shall be clearly improved so as not to be misinterpreted during the installation of doors and the BF-certification. Implication: The criteria for the installation of doors shall be presented as a comprehensive alternative through continued study of details. In addition, improvements in standards that reflect changes in international standards should be made.
  • 8.

    A Study on the Architectural Planning of Spatial Composition and Circulation in Private Regional Infectious Disease Hospital

    Choi, Kwangseok | JeongDawoon | Kwon, Soon-Jung | 2019, 25(4) | pp.81~91 | number of Cited : 3
    Abstract
    Purpose: Since infectious disease hospitals are premised on emergency operations, the operational efficiency of secured personnel, equipment, facilities, etc. is relatively low. In order to increase such normal operational efficiency, it is necessary to flexibly operate facilities and operations during normal and emergency times. The purpose of this study is to suggest the architectural planning method focusing on the space composition and circulation of the regional infectious disease hospital which can increase the operational efficiency in the private hospitals. Methods: Through literature review, functional requirements of infectious disease hospitals were identified, and related personnels inter-views and field surveys were conducted to understand the spatial composition and circulation requirements of infectious disease hospitals. Results: Through the complete separation between the negative pressure zone and the general zone, even when the negative pressure zone is completely closed, the general zone should be operated separately to achieve operational efficiency. In addition, the separation of the negative pressure zone and the general zone should simultaneously consider the optimal space configuration and movement for each function while the zone settings match in the floor plan of each department and the overall cross-sectional configuration of the hospital. Implications: Infectious disease hospitals intended to be installed in private hospitals should not apply excessive space just for safety reasons and should plan to ensure their operational efficiency.
  • 9.

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

    yun wooyong | Chai, Choulgyun | 2019, 25(4) | pp.93~104 | number of Cited : 0
    Abstract
    Purpose: To establish the building guidelines and to analyze the function of Regional Public Hospitals, the survey was conducted primarily on the current status focusing on the location and relationship of the department, area composition ratio, area per bed, and area per operating room. Methods: The research methods of this paper are as follows. 1) A literature survey on the function of the operating and related departments, 2) A drawing analysis for spatial composition and net area calculation. Results: The area of the Operation Department in the Regional Public Hospitals with 200 to 300 beds are as follows. Area ratio: 3.35%, area per Bed: 2.53㎡/bed, the number of beds per operating room: 64.37bed, area per operating room: 146.46㎡/n, area per operating room by plan type: integration corridor 133.84㎡/n, separation corridor 184.82㎡/n. Implications: This paper analyzed data on the current state of Operation Departments for setting up the function and role for the Regional Public Hospital. In the future, it is also required to provide size that takes into account user behavior and the user's psychological aspect in order to suggest appropriate area.