인공신장실의 특수성을 고려한 진료과정 및 이해관계자에 관한 연구

Abstract

Background Each medical department has its own special characteristics depending on the patients or guardians visiting the hospital, the medical treatment specifics or methods of medical professionals and their consequential behavior patterns. However, existing medical services provide across-the-board and standard-ized services that do not consider the particularities of the medical department which ultimately limits stakeholders from offering uninterrupted medical activities among each other. Method This study analyzed the differences between the rehabilitation medicine treatment and the hemodialysis center in terms of their medical treatment process and the medical treatment activities and behavior patterns of their stakeholders, and developed a treatment process and a stakeholder model considering the particular-ity of the hemodialysis center. Result The analysis showed that the treatment process of the hemodialysis center is more complex and requires more treatment time compared to the rehabilitation medicine treatment. Also, the guardians, who care for and protect the patients and act on their behalf, and the nurses, who care for and follow-up on the patients after their hemodialysis treatment, were identified to play major roles in the medical services rather than the patients and physicians. This implies that there are significant differences in the tasks and roles of stakeholders and that their direct relationships are much more complicated. Conclusion As the medical treatment process and stakeholder interests of the hemodialysis center are clearly different from those of the general medical department, a study on how to narrow the gap between their roles and responsibilities based on an analysis of the treatment activities and behavior patterns of each stakeholder should be conducted.