• Title/Summary/Keyword: 선택진료

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A Study on the Status of Utilization and Criteria for Selection of Medical Care Facilities of Elementary School Children (초등학생들의 의료기관 이용양상 및 선택 기준에 관한 연구)

  • Han, Seung Pyo;Kim, Eun Young;Rho, Young Il;Yang, Eun Seok;Park, Sang Kee;Park, Yeong Bong;Moon, Kyung Rye
    • Clinical and Experimental Pediatrics
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    • v.45 no.2
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    • pp.166-173
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    • 2002
  • Purpose : The aim of this study is to find out the distribution of illness, patterns of medical care utilization and factors determining medical care utilization in elementary school children. Methods : We performed the questionnaires in Gwangju city on 2,036 children of two elementary schools from June 1 to June 30, 1998. Results : The prevalence rate of illness was 32.3%. The distribution of illness was respiratory disease(64.7%), gastrointestinal disease(12.8%), injury & poisoning. The rate of persons having received medical treatment when they were sick, was 89.8%. The selection distribution among various medical facilities was pediatric hospital(46.7%), otolaryngologic hospital(19.8%), pharmacy (13.2%) and internal medicine in the decreasing frequency sequence. The major factors influencing the selection of medical facility were geographic accessibility and good results. The most common reason for the first visit to the pediatric hospital was geographic accessibility. The most common reason for a visit and to otolaryngologic hospital was a good result. The most frequently utilized medical facility for respiratory symptoms and gastrointestinal symptoms was pediatric hospital. The persons influencing the selection of medical facility in the children were mother(73.3%), father( 10.8%), doctor and others in decreasing sequence. The persons answering the questionaire thought that the optimal age of pediatric care was from 0 to 12 years(47.8%), to 10 years(22.4%) and to 15 years(18.5%) in decreasing rate. Conclusion : Other departments instead of pediatrics have treated children. Children have particular growth and development process, which is different to those of adults. So, it is necessary to choose special medical care and adequate medical facilities for children.

Implementation of Electronic Accupuncure using Intelligence (지능을 이용한 전자침 구현)

  • Hong, You-Sik;Kim, Hong-Kyun;Kim, Chun-Sik;Chung, Myoung-Hee
    • Journal of the Institute of Electronics Engineers of Korea CI
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    • v.49 no.2
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    • pp.20-28
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    • 2012
  • Recently, the scientific study from traditional oriental medicine is being progressed. Moreover, through both oriental medicine and medicine are cooperated with medical examination and treatment, the study in cooperation of merits from oriental medicine as well as from medicine is progressed. In this paper, we will develop automatic needle shot using fuzzy rules and USN techniques, which a user can choose meridian pathways from the menu items built in the cellular phone, so it can perceive patient's body conditions and launch an aneurysm electric pressure of a cycle.

Design and Implementation of Support System for Personalized Medical Service Based on Mobile (모바일 기반 개인 맞춤형 의료서비스 지원 시스템 설계 및 구현)

  • Seo, Jung-Seok;Park, Seok-Cheon
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.13 no.6
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    • pp.37-45
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    • 2013
  • In this paper proposes the latest network-assisted online telemedicine service to coincide with the point being discussed for health care providers to match patients, patients with personalized medical service support system. In order to design the system, to understand the requirements of the patient personalized medical support service system, the data were normalized and were designed architecture client server structure. Further, in order to implement the system that was designed to define the structure of server and client, ontology repository, we implement the system. In this paper, as a result of the test by creating a scenario and prerequisites for testing patient personalized medical service support system that is design and implementation, selecting a patient's condition, department of symptoms by the selected but it was confirmed that the inference is, inference medical institutions that fits department inferred one following upon the items medical patient has the required.

The Spatial Characteristics of Clinic Distribution by Specialty Subject (진료 전문과목별 개원 의원의 공간적 분포 특성)

  • Seo, Wee-Yeun;Lee, Keum-Sook
    • Journal of the Economic Geographical Society of Korea
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    • v.10 no.2
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    • pp.153-166
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    • 2007
  • This study attempts to investigate the spatial characteristics of medical hospital distributions in Korea. For the purpose we examine the inter- and intra regional variations in the distributions of clinics by specialty subject. In particular, we analyze the distribution patterns of Location Quotients of clinics for 12 specialty subjects in Seoul. Medical services tend to be concentrated on the large cities, especially in the Metropolitan Seoul Area. In particular, clinics and medical doctors as well as large scale general hospitals have been strongly concentrated on the Metropolitan Seoul area. These circumstace may be related with the fact that medical hospitals are established and operated by private sector in Korea, and thus they attempt to find their location where they can get maximum profit. The distribution patterns of clinics of 12 specialty subjects can be classified to several characteristic patterns. In particular, clinics of plastic surgeon tend to be strongly concentrated on the Gangnam area in Seoul. Finally, clinics of plastic surgeon tend to be located on the areas near the subway stations along the subway Line 2 and Line 3 in the beginning. The existence of plastic surgeons turns out to have significant role on determining the location for the newly opening plastic surgeons in the later. Therefore, their agglomeration has been getting more strongly.

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Intention to Medical Facilities Selection according to Medical Service Experience of Serviceman (현역병사의 의료이용 경험에 따른 진료의료기관 선택 의향)

  • Hwang, Byung-Deog
    • The Journal of the Korea Contents Association
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    • v.10 no.4
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    • pp.247-256
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    • 2010
  • This study, using questionnaires to target Servicemen were investigating. Study period of 2009 October to 24 was 20 days. All 600 questionnaires distributed affair, but 565 cases were collected. The purpose of the this study was serviceman investigate the actual conditions of utilization of private hospitals and awareness for the level of military hospital medical service as well as to the selection of future for the private hospitals is to finding. Results of the study are as follows: Outpatient utilization rate of each other the military hospital and private hospitals was 60.7% and 18.9%.(p<.000) The results of frequency study of the factors which affect the private hospital is satisfaction of medical workforce(58.9%), medical equipment and facilities(49.6%), etc. The choice of hospital were inpatient and outpatient both the selected by private hospitals. Had to prefer a private hospital were statistically significant (p<.005). In conclusion, to increase the preference of the military hospital is level of private hospital health care level of should be to developed. More support to financial should provide for medical workforce and setting of cutting edge medical equipment in the military hospital. Military hospital is should be competition with private hospital. Also should be improve the quality of military medical service.

Adoption of CDA(Clinical Document Architecture) for reporting laboratory results (검사실 정보 교류를 위한 임상문서표준규격의 적용)

  • Song, Joon-Hyun;Kim, Il-Kon;Lee, Sung-Hyun;Do, Hyoung-O;Yeah, Jung-Hoon
    • Proceedings of the Korean Information Science Society Conference
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    • 2007.06b
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    • pp.21-26
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    • 2007
  • HITSP(Healthcare Information Technology Standards Panel)은 헬스 케어 관련 산업의 상호 운용성을 위해 일반적으로 수용되고 유용한 표준들을 선별하여 표준 세트를 제공하는 것을 목적으로 한다. HITSP에서는 평생전자건강진료정보(EHR, Electronic Health Record)의 활성화를 위해 첫 번째 해결해야 할 영역으로 검사실 결과 정보 교류를 정하였다. 이에 본 논문에서는 검사실 결과 정보 교류를 위한 방법으로 HITSP에서 제시하는 HL7 버전 2.x 메시지와 CDA 방법 중 인증(authentication) 처리가 가능하고 영속성(persistence)이 있는 CDA 방법을 선택하였다. 또한 CDA를 작성하고 처리하는 방법을 제시하고, 더 나아가 평생전자건강진료정보(EHR)를 위해 CDA를 적용하여 검사실 결과 정보를 교류하여 보았다. 이에 병원과 EHR 시스템의 상호 운용성이 높아져 진료 과정의 효율성을 높일 수 있었고 환자와 의료진에게 양질의 검사 결과 정보를 제공할 수 있었다.

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A Study on Civil Liability as to Medical Practices Against the Premium Medical Treatment System (선택진료제를 위반한 의료행위의 민사책임에 관한 고찰)

  • Baek, Kyounghee;Chang, Yeonhwa;Lee, Injae;Park, Dohyun
    • The Korean Society of Law and Medicine
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    • v.15 no.2
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    • pp.227-251
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    • 2014
  • In current law, the premium medical treatment system gives patients the right of choice between normal medical treatment service and premium medical treatment service. Only the doctors having a career more than a certain period of time fixed in the law are eligible for providing the premium medical treatment service. So, the premium medical treatment system is highly related to the patients' right to know and the right of self-determination. The system is also relevant to the so-called 'economic explanation' notion because patients should pay additional fee when they want to use this system. Meanwhile, the situation as follows is problematic as to this system. Although a patient applied for using the premium medical treatment system and the patient also chose his or her own doctor specifically, another doctor who was not selected as premium doctor could make a medical accident. Then, is the another doctor liable for damages because the accident was a medical malpractice or a breach of medical contract? In this study, we are going to examine the problems related with the premium medical treatment system. First, we examine the current law related to the system. Second, we look into the economic explanation duty and its application to the premium medical treatment system. Finally, we examine a real judgment case about a medical practice against the premium medical treatment system and we propose our solution to this case.

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A Study of the Relationship between Personality Traits and Job Satisfaction of Community Health Practitioners in a Rural Area (일부 보건진료원의 성격특성과 직무만족도에 관한 연구)

  • Lee, Soon-Ryae;Park, Sang-Hag
    • Journal of agricultural medicine and community health
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    • v.24 no.2
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    • pp.331-350
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    • 1999
  • This study was attempted to examine relationship between personality traits and job satisfaction of community health practitioners(CHPs) working in remote rural area in order to suggest some methods to enhance their lob performance and the degrees of job satisfaction. The General Personality Test and the revised version of Job Satisfaction Questionnaire were administered to 200 of 348 CHPs in the Kwangju-Chonnam area and then the percentages, means, standard deviations and Pearson's correlation coefficients of these data were obtained, ANOVA and logistic analysis were used. The results of study were as follows : 1. CHPs without religion were more satisfied with their salary than those with religion. 2. CHPs who hoped for continuous education showed higher scores than the others on necessary job, professional pride and autonomy. Those who chose for independent job showed higher scores than the others on both necessary job and professional pride. Those who hope for long duration showed higher scores than the others on both necessary job and professional pride. Those who were satisfied with the present occupation showed higher scores than the others on pay satisfaction, necessary job, professional pride, interaction, autonomy and demand from organization. 3. Their autonomy scores differed significantly according to work status, both interaction and autonomy scores did so according to the fields of the past job in CHP, and their autonomy scores according to location of clinics. Their interaction scores differed significantly according to the frequency of home visits per mouth, both the degrees of salary satisfaction and professional pride scores did so according to the frequency of counseling education per mouth, and their professional pride scores did so according to total income per year. 4. The levels of their responsibility and self-confidence showed the highest of all personality traits variables. 5. The professional pride score of CHPs showed the highest of all job satisfaction variables. 6. Dominance were mostly correlated with autonomy and responsibility were mostly associated with professional pride. Both emotional stability and self-confidence were mostly related necessary job. In conclusion, religion, location of clinics, clinical experience, opportunity for education, dominance, self-confidence, the duration of services hoped for, satisfaction with the present occupation, the field of past job and administrative affairs were found to be the important factors in the degrees of their job satisfaction. Therefore, the methods to consider these variables will be necessary to develop for enhancing the efficiency of their Job performance and the degrees of job satisfaction.

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Classification Modeling for Predicting Medical Subjects using Patients' Subjective Symptom Text (환자의 주관적 증상 텍스트에 대한 진료과목 분류 모델 구축)

  • Lee, Seohee;Kang, Juyoung
    • The Journal of Bigdata
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    • v.6 no.1
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    • pp.51-62
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    • 2021
  • In the field of medical artificial intelligence, there have been a lot of researches on disease prediction and classification algorithms that can help doctors judge, but relatively less interested in artificial intelligence that can help medical consumers acquire and judge information. The fact that more than 150,000 questions have been asked about which hospital to go over the past year in NAVER portal will be a testament to the need to provide medical information suitable for medical consumers. Therefore, in this study, we wanted to establish a classification model that classifies 8 medical subjects for symptom text directly described by patients which was collected from NAVER portal to help consumers choose appropriate medical subjects for their symptoms. In order to ensure the validity of the data involving patients' subject matter, we conducted similarity measurements between objective symptom text (typical symptoms by medical subjects organized by the Seoul Emergency Medical Information Center) and subjective symptoms (NAVER data). Similarity measurements demonstrated that if the two texts were symptoms of the same medical subject, they had relatively higher similarity than symptomatic texts from different medical subjects. Following the above procedure, the classification model was constructed using a ridge regression model for subjective symptom text that obtained validity, resulting in an accuracy of 0.73.

Design of Bio-signal Acquisition and Transmission System for Ship Telemedicine (선박 원격진료를 위한 생체신호 획득 및 전송시스템의 설계)

  • Lee, Geun-Sil;Jeong, Eun-Seok;Moon, Serng-Bae;Jun, Seung-Hwan
    • Journal of Navigation and Port Research
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    • v.28 no.5
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    • pp.449-454
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    • 2004
  • These days ships medical treatment is under unfavorable circumstances, because there is no professional doctor who can diagnose and treat the patients accurately on the ships. Therefore, ship's telemedicine should be urgently actualized to elevate the crew's my of boarding life and welfare. A purpose of this research is to develope the telemedicine system which can acquire the patient's informations like ECG and phonocardiogram used for the diagnosis and transmit those to the doctors of shore medical center. In this paper, we designed the communication part which could transmit the bio-signals acquired from the developed ship's digital ECG and stethoscope based on personal computer by the INMARSAT Also we inspected data errors through the comparison between the sent and received data And we confirmed the possibility and compatibility of the telemedicine using ship's communication system.