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한국의료복지건축학회> 의료·복지 건축(구 한국의료복지시설학회지)> 자살예방을 위한 주거환경 계획요소 및 실태 분석 - 공공임대주택을 대상으로

KCI등재

자살예방을 위한 주거환경 계획요소 및 실태 분석 - 공공임대주택을 대상으로

Design Elements of Residential Environment of Multi-family Housing for Suicide Prevention and Empirical Analysis - Focused on Public Rental Housing

이승지 ( Lee¸ Seungji ) , 이은진 ( Lee¸ Eunjin ) , 노태린 ( Noh¸ Tae Rin )
  • : 한국의료복지건축학회
  • : 의료·복지 건축(구 한국의료복지시설학회지) 27권3호
  • : 연속간행물
  • : 2021년 09월
  • : 51-60(10pages)
의료·복지 건축(구 한국의료복지시설학회지)

DOI


목차

1. 서론
2. 주거환경 계획요소 도출
3. 실태 분석
4. 결론
참고문헌

키워드 보기


초록 보기

Purpose: The purpose of this study is to derive the residential environment design elements that affect suicide, and then analyze the actual situation in terms of suicide prevention and suggest implications. Methods: The study was conducted through literature analysis, field surveys, and interviews with stakeholders. Results: As a result of extracting the variables related to the residential environment that affect suicide suggested in a total of 18 papers, 15 variables were extracted and organized into major categories such as housing type, health and welfare facilities, leisure and cultural facilities, and living environment. Next, we selected a public rental housing complex with a relatively high suicide rate among multi-family housing as the case, and conducted a empirical analysis. It was investigated that the facilities were insufficient, and apart from the quantitative satisfaction of the rest, various problems were exposed, such as the classification of users according to age and insufficient management in terms of the actual use of residents including suicide attempters. Implications: First, it is necessary to search for the design direction of the residential environment for suicide prevention. Second, it is necessary to find a way to solve the exclusion phenomenon that appears in space and programs. Third, when planning a space for suicide prevention, understanding of the behavior of high-risk groups should be reflected.

UCI(KEPA)

I410-ECN-0102-2022-500-000722093

간행물정보

  • : 공학분야  > 건축공학
  • : KCI등재
  • :
  • : 계간
  • : 2733-8649
  • : 2733-8657
  • : 학술지
  • : 연속간행물
  • : 1995-2022
  • : 983


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28권1호(2022년 03월) 수록논문
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KCI등재

1긴급 의료 대응을 위한 이동형병원의 의료공간 설정에 관한 조사 연구

저자 : 김성현 ( Kim Sung Hyun ) , 양내원 ( Yang Nae Won )

발행기관 : 한국의료복지건축학회 간행물 : 의료·복지 건축(구 한국의료복지시설학회지) 28권 1호 발행 연도 : 2022 페이지 : pp. 7-21 (15 pages)

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Purpose: As the pandemic period continues, various attempts are being made to new medical spaces in the medical society. Many hospitals, including existing general hospitals, have been effected by infected patients and are showing limitations in patient care capacity. Mobile-hospitals may be the starting point for the development of new environment in the medical society and healthcare facilities which are not replacing the role of existing hospitals. Mobile-hospitals can possibly respond to situations that require medical services and provide emergency care for various demands in connection with existing healthcare facilities. Methods: Through a total of five investigations/analysis, medical functions that can be inserted into mobile-hospitals based on modular architecture are set. The first is the analysis of domestic legal guidelines, the second is the analysis of previous studies, the analysis of emergency medical facilities and other medical spaces of hospitals to be compared, the fourth is the analysis of medical spaces of actual mobile hospital projects. Results: Through five analyses, medical functions applicable to the modular building platform were finally established. Mobile hospitals can be used not only in disaster sites such as infectious diseases, but also in medical underprivileged areas or general hospitals. Therefore, it is necessary to establish medical functions that meet the specificity of mobile hospitals along with the functions of existing fixed medical facilities. Furthermore, various studies such as use in international aid, use in normal times, and connection with other platform-based medical facilities are considered necessary. Implications: Through 5 strategies of analysis, 41 medical functions which can be applied to UNIT are decided and these functions will be placed where medical services will be required.

KCI등재

2공공병원 건강검진센터의 공간과 면적구성에 관한 건축계획 연구

저자 : 최광석 ( Choi Kwangseok )

발행기관 : 한국의료복지건축학회 간행물 : 의료·복지 건축(구 한국의료복지시설학회지) 28권 1호 발행 연도 : 2022 페이지 : pp. 23-30 (8 pages)

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Purpose: Health examination centers of regional public hospitals are essential facilities for strengthening preventive medical services in local communities. This study is to organize architectural planning data related to function, space, and area composition of health examination center by the size of the regional public hospitals. Methods: The literature review on the function and spatial composition of the health examination center and the drawings of the regional public hospitals were analyzed. Results: The result of this study can be summarized into several points. 1) The function of the health examination center consists of a diagnostic area, patient area, and staff area based on general examination and comprehensive examination. 2) The type of spatial composition of the 300-bed public hospital examination center is a spatial linkage type with examination rooms of the other departments where general examination and comprehensive examination are undifferentiated. 3) The examination center of public hospitals with 500 beds or more is composed of an independent space-separated type with self-installed examination rooms, and general examination and comprehensive examination are divided. 4) The examination center of public hospitals with 300 beds around, the diagnostic area occupies most of the total area, around 80%, but in public hospitals with 500 beds or more, the proportion of diagnostic area drops to 50-60%, and patient area increases to 30-40%. Implications: The examination center planning of public hospitals requires an architectural planning approach to the function and spatial composition according to the size of the hospital.

KCI등재

3정신의료기관 평가와 인증 기준의 공간 및 요구사항 연구

저자 : 이은진 ( Lee Eun Jin ) , 이승지 ( Lee Seung Ji )

발행기관 : 한국의료복지건축학회 간행물 : 의료·복지 건축(구 한국의료복지시설학회지) 28권 1호 발행 연도 : 2022 페이지 : pp. 31-39 (9 pages)

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Purpose: The study aimed to extract the space mentioned in the criteria for evaluation and certification of psychiatric institutions in which the most specific standards for medical services of psychiatric institutions are prepared, and to organize and analyze the requirements. Method: The implied space is derived by analyzing the evaluation and certification criteria. The derived space is re-classified by departments of the hospital, and the requirements are organized and analyzed. Results: First, a total of 41 spaces were derived. The derived spaces can be considered as spaces to be treated as important in psychiatric institutions. Second, as a result of reclassifying the derived space by department, 10 spaced for the hospital as a whole, 10 for wards, 12 for central/outpatient departments, 5 for pharmaceutical departments, 2 for catering facilities, and 2 for facilities. Third, if organized by psychiatric institution, there is a total of 40 spaces for psychiatric hospitals according to certification criteria, and according to evaluation criteria, there is 38 spaces for psychiatric hospitals and departments and 19 spaces for the clinics. The difference between the certification and evaluation criteria of psychiatric hospitals is insignificant. In order to promote the qualitative improvement of psychiatric institutions, it is necessary to gradually strengthen from the certification criteria. Fourth, the requirements reflecting the characteristics of a psychiatric institution were very limited to emergency exits and treatment rooms. It is necessary to prepare the space requirements for other rooms in consideration of the behavior of the mentally ill. Implications: The derived spaces and requirements can serve as practical reference materials for practitioners preparing to receive certification and evaluation of psychiatric institutions. In addition, it has meaning as a basic data for estimating the level of space and requirements of psychiatric institutions that are currently required in Korea.

KCI등재

4여성전문병원에서 이용자의 피난행태를 고려한 과밀화 공간 비교분석모델 연구

저자 : 정채민 ( Jung Chaemin ) , 권지훈 ( Kweon Jihoon )

발행기관 : 한국의료복지건축학회 간행물 : 의료·복지 건축(구 한국의료복지시설학회지) 28권 1호 발행 연도 : 2022 페이지 : pp. 41-51 (11 pages)

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Purpose: The purpose of this study is to compare variant analysis results regarding overcrowded spaces and suggest a space analysis model for women's hospitals at the outpatient clinic department, central treatment department, and inpatient ward considering evacuation capability of newborns unable to perform automotive evacuation, pregnant patients and maternal patients with limited mobility. Methods: Firstly, precedent studies on women's hospitals and evacuation in hospitals were reviewed. Secondly, the analysis conditions and necessary set values for simulation were designed after analyzing the design documents of the research target hospital. Thirdly, evacuation simulation was conducted by adjusting the variables related to the evacuation behavior of inpatients and newborns. Fourthly, based on the derived results, overcrowded spaces were compared and analyzed according to evacuation behavior. Result: The study results are as follows: (1) It is necessary to check the main escape routes for occupants and to expand and adjust the size of mainly used entrances. (2) It is necessary to widen the stairs' width to alleviate overcrowding caused by patients with non-autonomous walking. (3) Due to overcrowding of the main escape route, it is necessary to identify the bypass route and adjust the width of the corridor. (4) It is necessary to plan an evacuation route for newborns to escape from the main escape route for occupants. Implications: The study result is expected to be used as primary data for research that considers the evacuation behavior of newborns and pregnant women in women's hospitals.

KCI등재

5대도시 종합병원의 15년간 규모 변화 - 2005년 이후 서울특별시 소재 종합병원의 병상수와 연면적 변화

저자 : 조준영 ( Cho Junyoung )

발행기관 : 한국의료복지건축학회 간행물 : 의료·복지 건축(구 한국의료복지시설학회지) 28권 1호 발행 연도 : 2022 페이지 : pp. 53-61 (9 pages)

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Purpose: As the medical environment changes, the size of medical facilities continues to change. Of course, it is not easy to analyze the correlation between changes in the medical environment and changes in facility size in a rigorous scientific method. However, the results of investigating and analyzing changes in the size that occurred for any cause be able to serve as important references for future medical facility architectural plans. Methods: This study surveyed 68 general hospitals in Seoul for 15 years from 2005 to 2020. The change in the number of beds was investigated with data from the Ministry and Welfare. The gross area change was confirmed by analyzing the < building register > of all hospitals. Results & Implications: As a result of the survey, general hospitals in Seoul show a common phenomenon in which all hospitals except one case have expanded their size in the direction of increasing the gross area per bed over the past 15 years. However, in the method, a relatively small hospital with less than 500 beds mainly chose to reduce the number of beds. Large hospitals increased both the number of beds and the gross area, however showed a significant increase in the gross area.

KCI등재

6노인 요양병원에서 화재 시 군집유형에 따른 피난 성능 분석 모델에 관한 연구

저자 : 김미정 ( Kim Mijung ) , 권지훈 ( Kweon Jihoon )

발행기관 : 한국의료복지건축학회 간행물 : 의료·복지 건축(구 한국의료복지시설학회지) 28권 1호 발행 연도 : 2022 페이지 : pp. 63-74 (12 pages)

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Purpose: The purpose of this study is to present an evacuation performance analysis model that can derive vulnerable evacuation spaces with considering the movement behavior as per the elderly groups in the event of a fire in a geriatric hospital. Methods: The evacuation characteristics of geriatric hospital users were investigated through the review of precedent studies. First, the occupant conditions and the evacuation scenario were set to analyze a study target hospital. Then, the evacuation simulation was carried out considering the group types and the density of each group. Finally, an evacuation performance analysis model according to the group type was presented based on the simulation results. Results: The results of this study are as follows: (1) The evacuation performance according to the group type is to be clarified through the suggested study model. (2) It is necessary to secure a ramp or an emergency elevator to distribute the evacuation personnel at the design stage because congestion occurs due to collisions between evacuees on the stairs and delays the evacuation time. (3) It is necessary to consider the evacuation stairs and openings of sufficient size by analyzing the frequency of congestion occurrence and the escape routes of occupants in advance to identify the space where the evacuation flow overlaps. Implications: It is expected that the study result is to be used as primary data for studies that consider the elderly and clustering evacuation behavior in the event of a fire in a geriatric hospital.

1
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1의과대학의 학습 및 학습공유공간에 관한 건축계획 연구

저자 : 최광석 ( Choi¸ Kwangseok )

발행기관 : 한국의료복지건축학회 간행물 : 의료·복지 건축(구 한국의료복지시설학회지) 27권 3호 발행 연도 : 2021 페이지 : pp. 7-16 (10 pages)

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Purpose: This study identified the planning trends for formal and informal learning spaces in the college of medicine through literature reviews. And then, by the analysis of the actual condition of existing domestic facilities, It was organized the architectural planning baseline data and future directions for the formal and informal learning spaces in the college of medicine. Methods: This study was conducted using literature reviews on the existing medical education method and learning space planning. Subsequently on-site surveys and questionnaires were conducted at existing facilities. Results: In the past, learning space of the college of medicine was considered only a formal learning space such lecture rooms, labs. But lately it has been turned into a total learning concept that embraces shared learning spaces such as libraries, student spaces, amenities and common spaces such as lobbies and hallways. ① Formal learning spaces are composed of teaching and practice areas. Since It is the basic functions that comprise the college of medicine, this paper conducted a functional analysis based on the current operating system of the College of Medicine and provided baseline data on architectural planning such as function, layout, zoning, and detailed planning. ② The informal learning sharing space was divided into a library area and a student well-being and convenience area to analyze the real conditions of domestic medical college. In addition, by comparing the trends and differences in foreign medical colleges identified by literature analysis, this paper summarizes the need to revitalize informal learning spaces and their integration into formal learning spaces, architectural planning considerations, etc. Implications: the evolution of the learning method and the flexibility of the learning space bring about changes in the learning space.

KCI등재

2정신의료시설 내 외래부 및 건강검진센터의 환경디자인 개선 사례 및 시사점 연구 - 국립정신건강센터 건강증진과를 대상으로

저자 : 노태린 ( Noh¸ Tae Rin ) , 이승지 ( Lee¸ Seung Ji ) , 서수경 ( Suh¸ Swoo Kyung )

발행기관 : 한국의료복지건축학회 간행물 : 의료·복지 건축(구 한국의료복지시설학회지) 27권 3호 발행 연도 : 2021 페이지 : pp. 17-26 (10 pages)

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Purpose: This study is a case study in which the space was improved by applying the design direction derived through the theoretical basis and service design process to the outpatient department and health examination center in mental health facilities used by various stakeholders. And it aims to present implications through this. Methods: The research method is based on the analysis of the service design process with a focus on literature review. Results: As a result of deriving the design direction, it was organized into 1) improvement of spatial arrangement, 2) improvement of wayfinding system, and 3) creation of comfortable environment. The design improvement plan suggested division of areas, change of nurse station location, creation of a pleasant waiting space for the outpatient department, reinforcement of access, improvement of room relocation and flow, and increased comfort of common spaces for the health examination center. Implications: First, it is necessary to expand research and application of spatial planning and environmental design reflecting the characteristics of patients and environments of mental health institutions. Second, in the medical environment, the divided territoriality should be reviewed for various stakeholders as well as the coexistence. Third, it is necessary to promote medical service and environmental improvement through the service design process.

KCI등재

3환자안전을 위한 병원건축 설계지침과 디자인 기본구조 비교조사 - 미국과 영국을 중심으로

저자 : 김영애 ( Kim¸ Youngaee ) , 이현진 ( Lee¸ Hyunjin ) , 송상훈 ( Song¸ Sanghoon )

발행기관 : 한국의료복지건축학회 간행물 : 의료·복지 건축(구 한국의료복지시설학회지) 27권 3호 발행 연도 : 2021 페이지 : pp. 27-37 (11 pages)

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Purpose: The purpose of this study is to compare the changes in hospital accreditation evaluations, the changes in hospital building design guidelines, and the development of design indicators for reducing medical accidents in the state-of-the-art healthcare providers. Methods: The changes and tools were carefully investigated and compared that had been taken place and used in the building certification standards, design guidelines, and patient safety design standards to reduce accidents in the United States and the United Kingdom. Results: First, medical accidents are recognized as multiple defense layers rather than personal ones, and a public reporting and learning system is created, reporting the accidents in question publicly and suggesting ways to improve them based on the data at a time. Second, for the accreditation institute that secures the service quality of medical institutions, detailed standards for patient safety are continuously updated with focus on clinical trials. The United States is in charge of the private sector, but on the other hand the United Kingdom is in charge of the public sector. Third, the design guidelines are provided as web-based tools that complement various guidelines for patient safety, and are improved and developed as well. Fourth, detailed approaches are continuously developed and provided to secure patient safety and reduce medical accidents through appropriate research, evidence-based design and strict evaluations. Implications: When medical institutions make efforts to strength patient safety methods through valid design standards, accidents are expected to decrease, whereby hospital finances are also to be improved. A higher level of medical quality service will sure be secured through comprehensive certification evaluation.

KCI등재

4거주 후 평가를 통한 국가지정 입원치료병상 시설 개선 방향 도출에 관한 연구

저자 : 정다운 ( Jeong¸ Dawoon ) , 권순정 ( Kwon¸ Soonjung )

발행기관 : 한국의료복지건축학회 간행물 : 의료·복지 건축(구 한국의료복지시설학회지) 27권 3호 발행 연도 : 2021 페이지 : pp. 39-49 (11 pages)

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Purpose: The negative pressure isolation ward is a key facility in preparedness and response to infectious diseases. For the sustainable operation of the facility, appropriate facility improvement is required. The experience of medical staff responding to infectious diseases in the COVID-19 pandemic provides effective informations for facility planning. Methods: The post occupancy evaluation (POE) was conducted by interviewing medical staff who is working on Nationally designated negative pressure isolation ward in general hospital. Floor plan analysis was conducted before field surveys for identifying facility characteristic and spatial composition. After that, field surveys were conducted at 3 hospitals, and interviews and fieldwork were conducted together. Results: It is necessary to increase the standard size of ward area from 15㎡ to 20㎡. The size of the doffing room has to be planned for accommodation of two or more people. Equipment storage, clean storage and waste storage also should be properly planned. There were almost no problems with the circulation in the ward. There was not enough space for medical staff. Implications: For a sustainable and safe negative pressure isolation ward planning, it is necessary to exploit learning from the medical staffs who have many experiences of coping with infectious diseases.

KCI등재

5자살예방을 위한 주거환경 계획요소 및 실태 분석 - 공공임대주택을 대상으로

저자 : 이승지 ( Lee¸ Seungji ) , 이은진 ( Lee¸ Eunjin ) , 노태린 ( Noh¸ Tae Rin )

발행기관 : 한국의료복지건축학회 간행물 : 의료·복지 건축(구 한국의료복지시설학회지) 27권 3호 발행 연도 : 2021 페이지 : pp. 51-60 (10 pages)

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Purpose: The purpose of this study is to derive the residential environment design elements that affect suicide, and then analyze the actual situation in terms of suicide prevention and suggest implications. Methods: The study was conducted through literature analysis, field surveys, and interviews with stakeholders. Results: As a result of extracting the variables related to the residential environment that affect suicide suggested in a total of 18 papers, 15 variables were extracted and organized into major categories such as housing type, health and welfare facilities, leisure and cultural facilities, and living environment. Next, we selected a public rental housing complex with a relatively high suicide rate among multi-family housing as the case, and conducted a empirical analysis. It was investigated that the facilities were insufficient, and apart from the quantitative satisfaction of the rest, various problems were exposed, such as the classification of users according to age and insufficient management in terms of the actual use of residents including suicide attempters. Implications: First, it is necessary to search for the design direction of the residential environment for suicide prevention. Second, it is necessary to find a way to solve the exclusion phenomenon that appears in space and programs. Third, when planning a space for suicide prevention, understanding of the behavior of high-risk groups should be reflected.

KCI등재

6노인요양시설 방역을 위한 시설 개선 방안

저자 : 강지은 ( Kang¸ Jeeeun ) , 권순정 ( Kwon¸ Soonjung ) , 이현진 ( Lee¸ Hyunjin )

발행기관 : 한국의료복지건축학회 간행물 : 의료·복지 건축(구 한국의료복지시설학회지) 27권 3호 발행 연도 : 2021 페이지 : pp. 61-69 (9 pages)

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Purpose: Senior long-term care facilities are vulnerable to a cluster infection because of frequent physical contact, large group dining, communal living, and room sharing. This study aims to provide architectural improvement plans for a quarantine system in the facilities. Methods: Actual quarantine action data, guidelines from governments and institutes, in-depth interviews with facility staff are analyzed. Results: To prevent a cluster infection in the senior facilities, it is necessary to provide an architectural plan focusing on increasing the number of single rooms and isolation rooms, providing isolation rooms for staff, separation of a soiled room from a clean room, planing an entry vestibule and a visitor's room. Implications: It is important to analyze the existing condition of facilities that had been going through cohort isolation and provide the architectural solution to strengthen infection control.

KCI등재

7병원 외주부 디자인에 따른 병실모듈 연구

저자 : 이현진 ( Lee¸ Hyunjin ) , 박원배 ( Park¸ Wonbae )

발행기관 : 한국의료복지건축학회 간행물 : 의료·복지 건축(구 한국의료복지시설학회지) 27권 3호 발행 연도 : 2021 페이지 : pp. 71-78 (8 pages)

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Purpose: It is important to plan the ward module at a time when the size of beds, the floor area, and the construction budget are all set prior to the hospital design. In this context this study aims (1) to derive various factors affecting the ward module, and (2) to analyze the appropriate room module according to the type. Methods: Design factors related to hospital modules are derived through precedential studies, and the types of ward elevation are classified by reviewing the drawings of 18 case hospitals. And the detailed dimensions and area of the derived elements are analyzed. Results: The X-axis modules of the ward are switched to long span structural columns of 9.9 m, 12.6 m and 13.2 m, but the ward modules still represent 6.6 m. The Y-axis module of the ward shows a dimension of 9 to 9.9m in the process of changing a multi-person room into a four-person room. Type A of curtain wall with columns located on the wall of the room and type B of curtain wall located in the center of the room are analyzed due to their variations. The square window type, which forms the elevation of the square window by exposing the columns to the elevation, and the outframe type, which protrudes from the structural columns and beams, have elevation designs limited. There are, however, no obstacles to the interior space of the hospital room, so the wall composition and furniture arrangement are expected to be free. The ward area of Curtain Wall Type A, which can secure an effective area of 5.9m*5.0m, are 52.1㎡. The Curtain Wall Type A, Square window type, and the outframe type are 49.8㎡. Implications: As part of the hospital standard module plan for economical and reasonable hospital building planning, a type was proposed in this study in conjunction with the external design. It is hoped that it be a base for standard module research linked together to the Central Treatment department, Outpatient department and underground parking lot.

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