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Volume 9(1); January 1988

서울특별시일원의 구급업무에 관한 실태분석
J Korean Acad Fam Med 1988;9(1):1-12.   Published online January 1, 1988
To obtain basic data for the establishment of the public emergency medical service facilities, daily records of twelve 119 ambulance units of regional fire station in Seoul metropolitan area were collected and analyzed from Mach, 1982 to June, 1987.
The findings obtained were as follws.
1. The daily average number of emergency call and emergency transport were increased from 17.9, 12.8 cases in 1982 to 57.9, 43.7 cases in 1987, repectively and the ratio of call and transport was 1.4:1 without annual variation.
2. There was a seasonal variation which was winter, spring, autumn and summer in the order of the number of emergency call.
3. Emergency call was concentrated at night time, so overnight duty must be emphasized.
4. Round-trip time and service time of all emergency transport was within 30 minutes in 54.8 percent and 92.6 percent respectively. These times showed no differences by calendar year or size of jurisdiction area.
5. Male and female patients are equal in number and 22.3 percent of all patients was in age 20-29.
Compared with age-specific population size, age group over 50 was greater and age group under 19 was lesser than any other groups.
6. Major problems of the patient are medical and surgical diseases(62.2 percent), accidents(33 percent) and delivery(8 percent).
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모 형광등 제조공장에서의 집단수은 중독에 대한 역학조사
J Korean Acad Fam Med 1988;9(1):13-19.   Published online January 1, 1988
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노인병관리와 노화억제
J Korean Acad Fam Med 1988;9(1):20-26.   Published online January 1, 1988
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시청각 기재를 이용한 면담기술 평가에 관한 연구
J Korean Acad Fam Med 1988;9(1):27-33.   Published online January 1, 1988
In training family physicians, skills in interviewing out-patients are very important.
An interview-skill training programme, which can help the doctor to reach a good diagnosis by properly grasping the patient's problems through interviews, maintain a good doctor-patient relationship, and provide opportunities to aquire the skills and attitide required in personalized care, is urgently necessary.
After an observation and evaluation of videorecordings by 11 residents of 22 new patients who visited the out-patient clinic, the department of family medicine, Seoul National University Hospital, during March-October 1986, authors present the following report concerning whether education through video-recordings can bring about the increase of interview skills expected. Our results are as follows:
1) Compared with before-feedback, the course in which video-recordings were used was found to have a significant feedback effect. (p<0.0005) In the case of 4 residents out of 11, the score was significantly increased.
2) In terms of evaluation items, the number of items which showed low scores before feedback was 8 : Avoidance of leading questions, support and reassurance for patients, confrontation, giving expectation before physical examination, explanation and summary after physical examination confirmation of patient's understanding and participation of patients in decision-making of treatment plan.
3) Significantly improved items after feedback were : facilitation, clarification, giving summary after physical examination, relatively improved items : avoidance of leading questions, support and reassurance for patients, giving expectation before physical examination.
4) Items which were not improved even after feedback were confrontation, confirmation of patient's understanding, participation of patients in decision-making.
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새로운 고혈압치료제의 개발(Ⅰ)
J Korean Acad Fam Med 1988;9(1):34-39.   Published online January 1, 1988
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해외문헌초록
J Korean Acad Fam Med 1988;9(1):40-46.   Published online January 1, 1988
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