2017, Vol.23, No.3

JOURNAL OF THE KOREA INSTITUTE OF HEALTHCARE ARCHITECTURE 2023 KCI Impact Factor : 0.46

pISSN : 2733-8649 / eISSN : 2733-8657
https://journal.kci.go.kr/ikiha

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.

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.

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.