• Title/Summary/Keyword: 내원경로

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A STUDY OF NEW-PATIENT DISTRIBUTION AND THE MOTIVES FOR VISITING IN THE DEPARTMENT OF PEDIATRIC DENTISTRY AT SEOUL NATIONAL UNIVERSITY DENTAL HOSPITAL (서울대학교 치과병원 소아치과에 내원한 신환 분포 및 내원 동기에 관한 연구)

  • Kim, Hyo-Jung;Hyun, Hong-Keun;Kim, Young-Jae;Kim, Jung-Wook;Jang, Ki-Taeg;Lee, Sang-Hoon;Hahn, Se-Hyun;Kim, Chong-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.38 no.1
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    • pp.25-32
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    • 2011
  • The number of patients requesting services of pediatric dental clinics has been steadily increasing in South Korea. The pediatric dental clinics are comprised of hospital-based clinics and local clinics. The purpose of this study was to analyze new-patient distribution and to survey the motives for visiting the department of pediatric dentistry at Seoul National University Dental Hospital(SNUDH), utilizing questionnaires for parents from May to July 2010. The results are as follows: 1. Age distribution showed that 0-3 year-olds formed the largest group of 29.3%. The average age of patients was 6.2 years old. 2. In the surveys for the parents, the major reason for visiting SNUDH was the referral from other clinics(30.6%). 3. The 75% of patients previously visited other clinics before visiting SNUDH. 1) The greater number of patients(52%) visited general practitioner's clinic than pediatric specialists(48%). 2) More than 90% of the patients visited SNUDH after visiting other clinics for reassuring diagnosis and referrals. 3) The crucial deterring factor of being treated at SNUDH was difficult accessibility.

The comparison of lengh of stay between residence and Seoul area hospitalization (거주지 입원과 서울 입원의 재원일수 비교+T4)

  • Nam, Mun-Hee
    • Proceedings of the KAIS Fall Conference
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    • 2010.11b
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    • pp.509-512
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    • 2010
  • 본 논문에서는 지방환자의 서울진료의 추이와 치료결과를 살펴보기 위해 2005년, 2008년의 퇴원환자 조사 자료를 재원일수를 이용하여 분석하였다. 그 결과 2005년 퇴원환자 333,280명과 2008년 퇴원환자 419,873명의 성별, 연령별, 주진단 분포는 유사한 것으로 나타났으며 치료결과 재원일수는 2005년에 30일 이상이 7.2%, 20~29일이 5.9%인데 비해 2008년은 30일이상이 6.2%, 20~29일 6.0%로 나타나 재원일수는 절감되었다. 전체퇴원환자의 재원일수에 영향을 끼치는 요인에 대해 회귀분석 결과 연도, 성, 보험유형, 의료기관유형, 입원경로, 내원 경유, 주진단, 거주지의 효과를 통제한 후 지방환자의 진료지역에 따른 재원일수를 살펴본 결과 서울이 가장 낮은 것으로 나타났다. 또한 암환자의 재원일수에 영향을 끼치는 요인에 대해서도 연도, 성, 보험유형, 의료기관유형, 입원경로, 내원 경우, 주진단, 거주지의 효과를 통제한 후 지방환자의 진료지역에 따른 재원일수를 살펴본 결과 서울이 가장 낮은 것으로 나타났다. 즉, 지방환가 거주지에서 진료를 받는 것에 비해 서울에서 진료를 받는 것이 치료결과가 짧았다. 이는 타 지역 진료의 간접의료비 영향으로 서울지역에서 조기 퇴원하여 거주지에서 진료하였거나 서울 진료자가 중증도가 낮은 환자가 많아 재원일수가 낮을 수 있다는 것도 배제 할 수 없다. 이에 대한 중증도 보정 후 서울 진료환자의 재원일수가 낮은 요인을 분석하는 추후 연구가 필요하다.

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The Analysis of Patients in Oral Medicine and the Evaluation of Oral Medicine as a Special Field (내원경로 분석을 통한 전문과목으로서의 구강내과의 역할)

  • Chung, Tae-Yong;Ryu, Ji-Won;Kang, Jin-Kyu;Ahn, Hyung-Joon;Choi, Jong-Hoon
    • Journal of Oral Medicine and Pain
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    • v.30 no.4
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    • pp.391-400
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    • 2005
  • Special Practitioner exists based on the need for special fields that are required to manage difficult patients with specialized skills distinguished from General practitioner. The purpose of dental specialist system is to manage patients who are not treatable by general practitioner by training doctors specializing in one specific field, thereby, enhancing health of the public. Oral Medicine deals with orofacial pain, oral soft tissue disease, forensic dentistry, oral diagnosis. In these days, living environments of city life bring about increase in stress which ultimately lead to increase in prevalence of temporomandibular disorder, oral soft tissue disease, neuropathies such as trigeminal neuralgia, and hence, the number of patients seeking help of those symptoms tend to increase. The purpose of this study was to analyze the rate of referrals and the routes of patients seeking help by investigating 3,707 patients who visited Department of Oral Medicine, College of Dentistry, Yonsei University, from August, 2004 to April, 2005. The results were as follows: 1. The types of disease referred to the Department of Oral Medicine were orofacial pain, oral soft tissue disease, forensic dentistry, oral diagnosis. 2. The rate of referrals was 58.51% which implies that more than half of the patients visiting the Department of Oral Medicine were referred. 3. The types of institution which made referrals were analyzed, and as a result, dental clinics made most of the referrals with the rate of 83.23%, while that from medical or oriental medical institutions was 16.78%. 4. Among the patients who visited the Department of Oral Medicine on their own, 30.52% gained the information about the Department of Oral Medicine from internet and mass media, and from neighbors. From the above results, most of the patients visiting the Department of Oral Medicine were found to be referred not only from the field of dentistry but also from the field of medicine. These suggest that Oral Medicine manages patients who are not treatable by general dental practitioners, and medical specialists tend to cooperate with the Department of Oral Medicine to manage diseases associated with Oral Medicine. Therefore, the role of Oral Medicine can be considered to be important as a special field, and the results of this study should be considered when working out a policy of Dental specialist system on demand and supply of residents in the future.

Comparison of mortality on discharged to residential area inpatients with Seoul area (거주지 입원과 서울 입원의 퇴원시 사망률 비교)

  • Lim, Ji-Hye
    • Proceedings of the KAIS Fall Conference
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    • 2010.11b
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    • pp.517-520
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    • 2010
  • 본 연구의 목적은 지방 환자의 거주지 입원과 서울 입원의 퇴원시 사망률을 비교하여 치료결과를 파악함으로써 향후의 효과성 분석을 위한 기초 자료를 제시하는데 있다. 2005년, 2008년도 환자조사 자료 중 지방거주 환자 자료 333,280건과 419,873건을 연구대상으로 하였으며, 자료분석은 기술통계, 카이제곱 검정, 로지스틱 회귀분석을 실시하였다. 퇴원시 사망에 영향을 미치는 요인에 대해 연도, 성, 보험유형, 의료기관유형, 입원경로, 내원경위, 주진단, 거주지의 효과를 통제한 후 살펴본 결과 거주지 입원환자의 퇴원시 사망률이 서울 입원환자에 비해 2.2배 높은 것으로 나타났다. 암환자의 경우도 효과를 통제한 후 퇴원시 사망률을 살펴본 결과 거주지 입원환자의 사망률이 서울 입원환자에 비해 3.4 배 높게 나타났다. 정부는 지역주민의 의료의 접근성을 높이기 위해 의료공급량의 확충과 분배보다는 지역의료의 질적수준을 향상시키는 방향으로 정책을 펼쳐야 한다.

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Survey of Recognition on Periodontal Health Inpatients of Some Dental Clinics in Geoje (거제지역 치과 내원환자의 치주 건강에 관한 인식도 조사)

  • Go, Eun-Jeong
    • Journal of dental hygiene science
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    • v.9 no.2
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    • pp.203-210
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    • 2009
  • The following are the results of questionnaire research targeting 213 people at 4 dental clinics in Geoje region in order to examine recognition on the periodontal health in Inpatients of dental clinic. 1. In the item of recognition on periodontal health, the patients, who know about whether or not recognizing periodontal disease, were indicated to be 62.9%. Women were knowing better than men. The significant difference by gender was indicated(p < .01). As for a route of acquiring information on periodontal disease, a case of obtaining via television and internet was surveyed to be 31.6%. As for recognition on frequency of tooth scaling, a case of recognition as saying of the necessity of doing once a year was indicated to be 43.7%. The significant difference was indicated depending on job and academic background(p < .001). 2. As for the periodontal-health status, the patients of recognizing that the condition in the gums is mostly healthy were indicated to be 75.1%. The more professional job led to showing the significant difference depending on occupation(p < .001). As for a reason for a visit to dentistry, a case of visiting due to smell in the mouth was indicated to be 18.1%. As for kinds of dental treatment, the patients. who received the tooth scaling by visiting a dental clinic. were the largest with 46.5%. The significant difference was indicated depending on job(p < .01), academic background(p < .05), And monthly income(p < .001).

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A Study on the Characteristics of Prematurely Discharged Patients and Establishing a Model for Predicting Prematurely Discharged Patients -Using Data Mining- (환자이탈군 특성요인과 이탈환자 예측모형에 관한 연구 -데이터마이닝을 활용하여-)

  • Kim, Kwang-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.11
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    • pp.3480-3486
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    • 2009
  • This research was based on the purpose of establishing predicted model of prematurely discharged patients using the mandatory information data, recorded in the medical institutes based on discharged patients of a University Hospital for the period of 1 year, from July. The result showed that the regression analysis model was the most excellent method of application model for preventing discharged patients, and when this is applied to discharged patients who are outpatients, the possibility of discharge can be less than staying in the emergency room. In addition, based on threshold 0.7, when we expect the discharged patients, out of 920 discharged patients, the actual patients who are discharged can become 136, showing the extract effectiveness of 14.78%. Based on the perspective of lift value, compared to random extract, this is 2.9 times (14.78/5.15) more effective.

SURGICAL REPOSITIONING OF AN IMPACTED INCISOR IN MIXED DENTITION (매복된 중절치의 재식)

  • Choi, Su-Mi;Lee, Keung-Ho;Choi, Yeong-Chul;Park, Jae-Hong
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.4
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    • pp.687-692
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    • 2005
  • Delayed eruption of a maxillary incisor results in midline shift, the space occupied by adjacent teeth and different levels of alveolar height. Extraction or surgical/orthodontic therapy is the most common treatment for a impacted maxillary incisor. Surgical repositioning provides another option for treatment of this problem. The advantages of this approach include immediate esthetic improvement, use of a single and simplified surgical procedure, simple and short orthodontic therapy, a normal gingival margin and the possibility of the developing root adapting to the new position. Autotransplantation of an immature tooth provides for possible adaptation of the developing root apex to the new position. A root with an open apex has good chance of pulp revascularization after transplantation.

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Convergence Factors of affecting Rehospitalization of Tuberculosis Patients (결핵환자의 재입원에 미치는 융복합적 영향요인)

  • Lee, Hwa-Sun;Lee, Hyun-Ju
    • Journal of Digital Convergence
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    • v.13 no.5
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    • pp.259-267
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    • 2015
  • This study is aimed at understanding the factors affecting rehospitalization of a tuberculosis patient. In a public hospital with a tuberculosis ward in Seoul, the data of 360 patients who discharged the hospital from July 1, 2012 to December 31, 2012. Data was selected from 'nursing information survey' or 'discharge analysis DB' of the department of medical records. The possibility of rehospitalization was higher in the group with those who has no job, those with medical care assistant than with health insurance, drinks about 10 times a month, personally came to the hospital, main guardian is the patient's spouse, have discharged from hospital against the doctor's advise, and principle diagnosis is not a pulmonary tuberculosis but the other respiratory disease. Therefore, it is expected that the possibility of rehospitalization would be effectively reduced if an intensive intervention is taken on the first hospitalized patients who have the features described above.

A Study on the Function of Oral Medicine as the Secondary Clinic Based on Analysis on Admissive Channel and Case Features (내원경위 분석과 환자 특성 평가에 따른 2차 진료기관으로서 구강내과 역할에 대한 연구)

  • Lee, You-Mee;Lee, Jung-Hyun;Lim, Hyun-Dae
    • Journal of Oral Medicine and Pain
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    • v.31 no.3
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    • pp.199-210
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    • 2006
  • The epidemiological researches on the inpatients hospitalized at the oral medicine ward have been continuously carried out since 1970, and most researches have been performed by centering around the oral medicine wards of college hospitals. Numerous specialists have been produced after the establishment of oral medicine, and they have been active in various fields. As dental clinics have gotten bigger, the function of oral medicine in the secondary clinics is being brought out. As admissive channel, case features, case composition and otherwise have not been researched for a long time, the related researches should be carried out from now on. Hereupon, this study was carried out by targeting the 100 inpatients hospitalized at the oral medicine ward of Sun Hospital located in Daejeon Korea, through questionnaire. As the result, the following results were derived. 1. The ages of the inpatients in Sun Hospital were $29.21{\pm}11.31$ on the average; 71 females' mean average was $29.63{\pm}11.29$ and 29 males' mean average was $28.17{\pm}11.48$. In regard of school career, the patients who finished high-school course or higher accounted for 78%; the patients' school career seemed to be relatively high. The patients who complained of temporomandibular pain accounted for the highest proportion with 65%. In motivation to visit this hospital, internet surfing was 11%, mass media was 10%, acquaintance's introduction was 38%. The patients, who were hospitalized at another hospital due to the same symptom, accounted for 56%. The dental clinics, which made the patients visit this hospital, accounted for 20%. The patients, who were previously aware that the present symptom should be treated by oral medicine, accounted for 38%. The patients, who were not aware of the fact in advance, were 62%. The respondents of 51% answered that they were aware of the fact one month or below before hospitalization. 2. The patients, who complained of craniocervical ache, accounted for 58%; the patients, whose ache aches affect dailylife, were 22%. Continuous ache was 14% and intermittent ache was 68%, and dull pain was 23%. 3. Life variations were compared with each other by using SRRS (Social Readjustment Rating Scale). In consequence, the variation within 3 years indicated a significant difference in the both groups but the variation within 6 months did not indicate any differences. 4. In regard of the questionnaire on the incidents happened for a week, the ache-group was compared with the group free from the ache. As the result, the number of strain arisen for a week, the decrease of favorite works and sudden fear indicated a significant difference. Pleasant feeling and the decrease of interests in looks did not indicate a significant difference, but came close to the significance. 5. In the questionnaire on impatience, the ache-group indicated higher value but there was not a significant difference. 6. In the questionnaire on the symptoms caused by stress, the two groups indicated significant differences in the item of 'the teethridge itches and feels a tooth rising' and 'the occiput or the nape is stiff.' In the item 'the inside of the cheek or the teethridge are widely peeled off, accompanied with ache and hemorrhage', 'the face has acne or pimple' and 'headache frequently attacks', a significant difference was not observed but the two groups came close to the significance.

Satisfaction of the aged with their dental treatments and consideration of the necessity for dental hygienic education about the aged (노인환자의 치과진료만족도 및 노인에 대한 치위생교육의 필요성에 대한 고찰)

  • Yun, Kyoung-Ok;Kim, Jin-Soo;Kim, Sook-Hyang
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.4
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    • pp.765-775
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    • 2010
  • Objectives : 노인 환자들이 제공받고 있는 치과 의료서비스 만족도를 평가하여 노인 환자에게 양질의 구강보건진료 서비스를 제공하고 노인의 구강보건향상에 기여하기 위하여 실시하였다. 이와 같은 연구목적을 달성하기 위하여 노인관련 일반적 특성을 알아보고, 치과 병 의원을 이용하는 노인 환자의 만족도에 미치는 요인 및 병 의원 선택이유를 조사하였다. Methods : 서울특별시와 경기도, 경상도, 전라도 일부지역의 치과병원 및 치과의원을 이용하는 노인 환자 300명을 편의추출 하였으며, 2009년 4월 1일부터 5월 8일까지 면접 및 자기기입법으로 설문조사를 실시하였다. 설문지는 4개영역으로 구분하여 치과 의료서비스 만족도 22문항, 치과위생사의 의료서비스 만족도 14문항, 재이용 권유의사 4문항 및 일반적 특성과 치과이용에 관한 8문항으로 구성하였다. 노인환자의 일반적인 특성에 따른 치과 의료서비스 만족도, 연구대상자의 병원인지경로, 치과선택이유에 따른 치과의료서비스 만족도는 일원배치분산분석(One-way ANOVA)을 실시하였다. 치과의료서비스 만족도 영향인자, 만족도에 미치는 치과위생사 요인 등은 다중회귀분석을 실시하였다. 연구대상자의 성별과 병원내원기간에 따른 치과선택이유는 카이제곱 (${\chi}^2$) 분포를 따르는 정확검정(exact test)을 실시하였다. Results : 1. 노인환자들이 병원을 선택할 때 가족, 친척으로부터 추천을 받는 경우가 가장 많으며 이 경우 다른 인지경로에 비하여 치과에 대한 만족도가 가장 높았다. 2. 치과선택 이유에 따른 만족도를 비교하였을 때 첫째, 의사의 높은 진료수준, 둘째, 친절한 서비스에 만족도가 높았다. 또한 치과선택이유가 의사의 높은 진료수준과 친절함을 포함한 의사요인이 가장 중요한 것으로 나타났다. 3. 치과위생사의 높은 진료수준과 친절도는 치과의료서비스 만족도에 유의한 차이를 나타내었다. 노인환자들의 만족도를 높이기 위해 노인에 대한 치위생교육이 필요하고 노인에 대한 지식뿐만 아니라 태도에 대한 교육도 실시되어야 한다. 4. 동일한 치과를 계속적으로 다니는 이유는 첫 번째 의사의 높은 진료수준, 두 번째 친절도로 의사요인과 관련이 가장 높은 것으로 나타났다. 또한 3-4년 이상의 장기내원환자는 의사의 높은 진료수준 다음으로 친절도를 중요한 이유로 선택하였다. Conclusions : 이상의 결과로 노인 환자가 만족하는 치과는 치과의사와 치과위생사의 진료수준이 높아야 하겠고, 다음으로 친절한 서비스가 중요함을 알 수 있었다. 또한 노인환자들의 만족도를 높이기 위해 노인에 대한 치위생교육이 필요하고 노인에 대한 지식뿐만 아니라 태도에 대한 교육도 실시되어야 한다.