• Journal of Preventive Medicine and Public Health
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• v.42 no.4
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• pp.251-260
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• 2009

Objectives : To estimate the annual socioeconomic costs of stroke in Korea in 2005 from a societal perspective. Methods : We identified those 20 years or older who had at least one national health insurance (NHI) claims record with a primary or a secondary diagnosis of stroke (ICD-10 codes: I60-I69, G45) in 2005. Direct medical costs of the stroke were measured from the NHI claims records. Direct non-medical costs were estimated as transportation costs incurred when visiting the hospitals. Indirect costs were defined as patients and caregivers productivity loss associated with office visits or hospitalization. Also, the costs of productivity loss due to premature death from stroke were calculated. Results : A total of 882,143 stroke patients were identified with prevalence for treatment of stroke at 2.44%. The total cost for the treatment of stroke in the nation was estimated to be 3,737 billion Korean won (KRW) which included direct costs at 1,130 billion KRW and indirect costs at 2,606 billion KRW. The per-capita cost of stroke was 3 million KRW for men and 2 million KRW for women. The total national spending for hemorrhagic and ischemic stroke was 1,323 billion KRW and 1,553 billion KRW, respectively, which together consisted of 77.0% of the total cost for stroke. Costs per patient for hemorrhagic and ischemic stroke were estimated at 6 million KRW and 2 million KRW, respectively. Conclusions : Stroke is a leading public health problem in Korea in terms of the economic burden. The indirect costs were identified as the largest component of the overall cost.

• Journal of Preventive Medicine and Public Health
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• v.42 no.3
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• pp.190-198
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• 2009

Objectives : The objective of this study is to estimate the economic costs of cancer on society. Methods : We estimated the economic burden of people with cancer in South Korea. To perform the analysis, we reviewed the records of people who were cancer patients and those who were newly diagnosed with cancer. The data was compiled from the National Health Insurance Corporation, which included the insurance claims database, a list of cancer patients, a database that records the cancer rates, the Korea Central Cancer Registry Center s cancer patient registry database and the Korea National Statistical Office s causes of death database. We classified the costs as related to cancer into direct costs and indirect costs, and we estimated each cost. Direct costs included both medical and non-medical care expenses and the indirect costs consisted of morbidity, mortality and the caregiver's time costs. Results : The total economic costs of cancer in South Korea stood at 14.1 trillion won in 2005. The largest amount of the cost 7.4 trillion won, was the mortality costs. Following this were the morbidity costs (3.2 trillion won), the medical care costs (2.2 trillion won), the non-medical care costs (1.1 trillion won) and the costs related to the caregiver's time (100 billion won). As a result, the economic cost of cancer to South Korea is estimated to be between 11.6 trillion won to 14.1 trillion won for the year 2005. Conclusions : We need to reduce the cancer burden through encouraging people to undergo early screening for cancer and curing it in the early stage of cancer, as well as implementing policies to actively prevent cancer.

• Proceedings of the Korea Water Resources Association Conference
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• 2007.05a
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• pp.774-779
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• 2007

IDF 곡선은 전통적으로 지점에서의 과거 관측 강우량 시계열 자료를 수집하여 작성하여 왔으며, 이때 과거 강우량 자료는 정상성을 지니고 있고 미래를 대변한다는 가정을 전제로 한다. 그러나 이미 많은 연구자들에 의해 기후변화가 전구적으로 발생하고 있으며 우리나라에서도 더 이상 기후변화의 사실여부는 이제 더이상 논란 꺼리가 아니다. 특히, 기후변화의 영향을 직접적으로 받을 수밖에 없는 수자원 분야에서는 1990년대부터 잦은 홍수와 가뭄의 반복으로 곤란을 겪고 있다. 특히, 우리나라는 협소한 국토면적과 과다한 인구로 토지나 수자원 등 국토자원 이용의 강도가 다른 나라에 비하여 현저하게 높기 때문에 지구온난화에 따른 기후변화와 같은 약간의 기후변동으로도 심각한 문제가 발생할 가능성이 내포되어 있다. 특히, 기후변화는 유역 규모의 강우 발생 패턴과 강우량의 증가 및 감소에 영향을 미치게 되며 이로 인해 강우 시계열 자료는 비정상성과 경향성을 지니게 된다. 그러나 지금까지는 IDF 곡선의 작성시 강우의 경향성을 무시해 왔다. 본 연구에서는 기후변화가 IDF 곡선에 미치는 영향을 분석하기 위하여 GCM 기후변화 시나리오를 이용하여 IDF 곡선을 작성하였다. 이를 위하여 먼저, YONU CGCM의 제한실험과 점증실험을 실시하여 전구적 규모의 기후변화 시나리오를 작성하였으며, 통계학적 축소기법과 추계학적 일기발생기법을 이용하여 대상지점의 일 수문기상 시계열을 모의하였다. 그리고 BLRP(Bartlett Lewis Rectangular Pulse) 모형과 분해(koutsoyiannis, 2000) 기법을 이용하여 모의된 일 강우 자료를 시자료로 분해하였으며 이를 이용하여 IDF 곡선을 작성하였다. 그 결과, 기후변화 시 지속기간별 재현기간별 강우량이 현재에 크게 비해 증가됨을 확인할 수 있었다.으며 여러명이 동시에 서버에 접속을 하기 때문에 컴퓨터에 부하가 많이 걸리는 모델링이나 복잡한 분석은 실시하기 어려우며, 대용량 데이터를 전송할 수 있는 대역폭이 확보 되어야 한다. 또한, Internet 환경으로 개발을 해야되기 때문에 데스크탑용 GIS에 비해 개발속도가 느리며 개발 초기비용이 많이 들게 된다. 하지만, 네트워크 기술의 발달과 모바일과의 연계 등으로 이러한 약점을 극복할 수 있을 것으로 판단된다. 따라서 본 논문에서는 인터넷 GIS를 이용하여 홍수재해 정보를 검색, 처리, 분석, 예경보할 수 있는 홍수방재정보 시스템을 구축토록 하였다.비해 초음파 감시하 치골상부 방광천자가 정확하고 안전한 채뇨법으로 권장되어야 한다고 생각한다.應裝置) 및 운용(運用)에 별다른 어려움이 없고, 내열성(耐熱性)이 강(强)하므로 쉬운 조건하(條件下)에서 경제적(經濟的)으로 공업적(工業的) 이용(利用)에 유리(有利)하다고 판단(判斷)되어진다.reatinine은 함량이 적었다. 관능검사결과(官能檢査結果) 자가소화(自家消化)시킨 크릴간장은 효소(酵素)처리한 것이나 재래식 콩간장에 비하여 품질 면에서 손색이 없고 저장성(貯藏性)이 좋은 크릴간장을 제조(製造)할 수 있다는 결론을 얻었다.이 있음을 확인할 수 있었다.에 착안하여 침전시 슬러지층과 상등액의 온도차를 측정하여 대사열량의 발생량을 측정하고 슬러지의 활성을 측정할 수 있는 방법을 개발하였다.enin과 Rhaponticin의 작용(作用)에 의(依)한 것이며, 이는 한의학(韓醫學) 방제(方劑) 원리(原理)인 군신좌사(君臣佐使) 이론(理論)에서 군약(君藥)이 주증(主症)에 주(主)로 작용(作用)하는 약물(藥物)이라는 것을 밝혀주는 것이라고 사료(思料)된다.일전 $13.447\;{\mu}g/hr/g$, 섭취 7일중 $8.123

• Journal of Korea Port Economic Association
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• v.30 no.4
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• pp.199-217
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• 2014

There have been relatively lots of studies on the relationships beteen port and city. And, most of the recent studies on the subject shows that the relationship between the two parties is weakening. The contributions of a port to the city economy such as convenience of logistics service utilization, cost reduction, creation of job opportunities and value added production etc. are diminishing, whereas negative effects of port such as environmental effects, limitation of waterfront activities etc. have been increasing. On the other hand, port logistics service demand from city economy is decreasing. As for Busan city, the trend of major economic indicators and growth factor analysis results show that there is hardly any relationships between the development of transportation industry(including port logistics) and the regional economy. Especially, it is identified that most regional industry sectors excluding transportation industry failed to secure competitive advantage. Accordingly, it can be concluded that Busan city economy fails to take advantage of advanced transportation industry sector, which supports overall economic activities. On the other hand, it can be a problem for enhancement of port-city relationships that related and supporting industries of transportation industry such as information and communication industry, financial and insurance industry, and processing and assembling manufacture industry fail to secure competitive advantage in Busan city.

• Journal of radiological science and technology
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• v.33 no.3
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• pp.231-237
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• 2010

Computed tomography (CT) has been established as an important diagnostic tool in clinical medicine and has become a major source of medical exposure. A nationwide survey regarding CT examinations was carried out in 2007. Thanks to the appeasement policy regulating the import of CT scanners, there are 1,825 CT scanners across the country as of the end of March 2010, which means that we have 36.8 CT scanners per one million people. The annual number of examinations was 3.29 million, the number of examinations per 1000 population was 68. The most part of examinations was abdomen and pelvis. and the collective effective dose was in these parts. The effective dose per one population was evaluated as 0.952 mSv.

• Journal of Preventive Medicine and Public Health
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• v.39 no.2
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• pp.149-158
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• 2006

Objectives : We wanted to evaluate the economic value of a pharmaceutical product, Kremezin, for treating patients with chronic renal failure (CRF) by estimating the amount of cost savings due to its effect for delaying the initiation of dialysis treatments. Methods : We defined a conventional treatment for CRF accompanied by Kremezin therapy as 'the treatment group' and only conventional treatment as 'the alternative group.' The types of costs included were direct medical and nonmedical costs and costs of productivity loss. The information on the effect of Kremezin was obtained from the results of earlier clinical studies. Cost information was derived from the administrative data for 20 hemodialysis and 20 peritoneal dialysis patients from one tertiary care hospital, and also from the administrative data of 10 hemodialysis patients from one free-standing dialysis center. Per-capita cost savings resulting from Kremezin therapy were separately estimated for the cases with delay for the onset of hemodialysis and the cases with immediate performance of peritoneal dialysis. By computing the weighted average for the cases of hemodialysis and peritoneal dialysis, the expected per-capita cost savings of a patient with CRF was obtained. Using a discount rate of 5%, future cost savings were converted to the present value. Results : The present value of cumulative cost savings per patient with CRF from the societal perspective would be $18,555,000{\sim}29,410,000$ Won or $72,104,000{\sim}112,523,000$ Won if Kremezin delays the initiation of dialysis by 1 or 4 years. Conclusions : The estimated amount of cost savings resulting from treating CRF patients with Kremezin confirms that its effect for delaying the onset of dialysis treatments has a considerable economic value.

• Health Policy and Management
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• v.34 no.1
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• pp.17-25
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• 2024

Background: This study aimed to assess the appropriate allocation of emergency medical beds across 17 provinces and presume the economic benefits associated with such allocation. Methods: To estimate the optimal allocation of emergency medical beds by province, data from the Statistics Korea's "cause of death statistics (2014-2021)," regional statistics on "area, population, gender, age," and "population projections" were utilized. The "number of emergency beds by city and district" provided by the Health Insurance Review and Assessment Service was also used. In estimating the economic benefits of preventing avoidable emergency deaths due to the expansion of emergency medical facilities, guidelines from the Korea Development Institute and the Korea Transport Institute were referenced to calculate the wage loss costs associated with emergency deaths and estimate the economic benefits. Results: The optimal ratio of emergency medical beds allocation by region was highest in Gyeonggi, Seoul, Gyeongnam, Gyeongbuk, and Busan, while Daejeon, Jeju, and Sejong showed lower ratios. Additionally, the prevention of avoidable deaths and economic benefits resulting from the increase in emergency medical facilities were highest in Gyeonggi, Seoul, Gyeongbuk, Gyeongnam, and Busan. However, when standardized by population, the prevention of avoidable deaths and economic benefits were analyzed to be highest in Gyeongbuk, Chungnam, Jeonnam, Gyeongnam, and Busan. Conclusion: The results of this study can serve as foundational data for future policy measures aimed at addressing the imbalance in the supply of emergency medical facilities across regions. Considering regional characteristics in the distribution of emergency medical facilities is expected to ultimately increase the efficiency of national finances and yield economic benefits.