• Title/Summary/Keyword: 보건권

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The Association between Patient Characteristics of Chungnam-do and External Medical Service Use Using Health Insurance Cohort DB 2.0 (건강보험 코호트 자료를 활용한 충청남도 지역 환자의 특성에 따른 관외 의료이용과의 연관성)

  • Yeong Jun Lee;Se Hyeon Myeong;Hyun Woo Moon;Seo Hyun Woo;Sun Jung Kim
    • Health Policy and Management
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    • v.34 no.1
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    • pp.48-58
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    • 2024
  • Background: The purpose of this study was to investigate the association between external medical service use and the characteristics of Chungcheongnam-do patients. We aimed to provide evidence of external medical service use enhance the healthcare delivery system in Chungcheongnam-do. Methods: We used the Health Insurance Cohort DB 2.0 of 2016-2019, and 2,570,439 patients were included in the study. Multivariate logistic regression and multinomial logistic regression were used to identify the association between external medical service use and each patient characteristic. Generalized linear model was used to identify the association between medical costs and external medical service use area. Results: During the study period, 32.2% of inpatients and 12.5% of outpatients had external medical service use in Chungcheongnam-do. In comparison to patients living in Cheonan and Asan, the odds ratio (OR) for external medical services use was higher across all regions. Specifically, hospitalized patients from Gyeryong, Nonsan, and Geumsan (OR, 116.817) and Gongju, Buyeo, and Cheongyang (OR, 72.931) demonstrated extremely high likelihood of external medical service use in the Daejeon area. Furthermore, compared to medical expenses incurred within Chungcheongnam-do, patients with external medical service use in the capitol area (outpatient=17.01%, inpatients=22.11%) and Daejeon area (outpatient=16.63%, inpatients=15.41%) spent more on healthcare services. Conclusion: This study found the evidence of external medical service use among Chungcheongnam-do patients. Further study should be conducted taking into account variables including satisfaction of local medical services, different types of patient diseases, and others. The study's findings may serve as a foundation for policy proposals aimed at ensuring the financial stability of our health insurance system, ensuring the efficient delivery of medical care, and localization of medical care.

질병관리와 의료서비스에서의 공공부문의 역할

  • Jo, Hui-Suk
    • Proceedings of the Korean Society of Health Policy and Administration Conference
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    • 2011.05a
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    • pp.7-18
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    • 2011
  • 질병관리와 의료서비스에 있어서의 공공부문의 역할은 오래된 화두이다. 이번 학회에서도 중요한 주제로 자리매김을 하고 있는 데는 몇 가지 이유가 있을 것으로 사료된다. 첫째, 질병관리와 건강이 갖는 주제 자체의 중요성이다. 건강은 국민의 기본 권리이다. 국민의 기본 건강권을 유지, 향상시키는 데 있어서 질병관리와 의료서비스의 방향 모색은 시대와 장소를 불문하고 우선적으로 다루어져야 하는 주제임이 분명하다. 둘째, 공공보건의료를 전체 인구집단의 건강향상을 위한 총체적 활동으로 볼 때 건강위험요인의 변화와 질병패턴의 변화에 따라 인구집단이 필요로 하는 서비스의 내용이 변화되어야 한다. 그러므로 논의 당시의 시점에서 요구되는 공공보건의료 서비스의 내용을 검토하고 전략을 수립하는 노력은 주기적이고 연속적으로 이루어질 필요가 있다. 셋째, 최근 공공보건의료에 대한 사회적 합의가 변화하는 가운데 공공부문의 역할에 대한 논의가 제기되고 있다. 과거 "공공보건의료에 관한 법률"에서는 공공보건의료 기관만을 공공보건의료 수행자로 정하고 있었으나 최근 수행자의 범위를 민간의료기관까지 확대시키는 개정작업이 진행 중이다. 이에따라 공공부문의 역할과 활동의 범위를 검토하는 기회가 필요하겠다. 본 원고에서는 발표자가 국립대학병원의 공공보건의료 활동과 지역사회 단위의 보건사업 활동에 참여하면서 직 간접적으로 경험한 내용을 중심으로 질병관리와 보건의료서비스 제공에 있어서의 개선점을 제안하고자 하였다.

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The Effect of Clinical Training in Physical Therapy : Based on Local Area (물리치료과 학생들의 임상실습만족도에 관한 연구 : 일부지역을 중심으로)

  • Kim, Sang-Soo;Seo, Hyun-Kyu;Kim, Byoung-Gon;Lee, Jae-Hong;Kwon, Won-An
    • PNF and Movement
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    • v.10 no.1
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    • pp.19-23
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    • 2012
  • Purpose : This study was investigation of satisfaction in clinical practice of students in a college. Methods : 250 students were participated in this study for 8 weeks though getting results of clinical practice from 1, 2, 3 clinic hospitals. Results : This was for knowing about achievement, It could figure out the increasing achievement the higher satisfaction with education and environment for clinical practice of physical therapy. As a result, whole satisfactions for environment and course or education in clinical practice was higher. Conclusion : This research was not too much higher satisfaction on participated students in clinical practice. So, it needs to suggest to more study for increasing satisfaction on clinical practice.

A Basic Study on the Medical Service Boundary of the Hospital and Healthcare Facilities in a Region (지역보건의료시설의 진료권에 대한 기초연구)

  • Chae, Hee-Jae;Lee, Nak-Woon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.4 no.6
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    • pp.29-36
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    • 1998
  • Recently considerations of the location and sizes of hospitals and healthcare facilities in a region have increased in Korea. So, this study aims to explore the physical conditions of hospitals and healthcare facilities in a large scale as well as a middle scale medical service boundary. Through the analysis of existing data of the facilities, it was revealed that most of the facilities tend to concentrate in large cities. In sum, the useful data were collected, analyzed, and synthesized through this study and could be used in the relevant research in the future as reference informations.

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