• Korean Journal of Social Welfare Studies
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• v.43 no.2
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• pp.319-344
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• 2012

This study decomposed Concentration Index(CI) and Hiwv Index(HI) of medical care utilization by subgroups: sex, age group, and region. CI and HI were decomposed into "the between group" component, "within group" component, and a residual. The results of analysis are summarized as follows; First, there was no influence of sex on the equity of medical care utilization measured by the numbers of visiting clinic. However, "within group" component of female explained .0441 among HI, .1035. This means that poor women's underutilization of medical care is the important factor in determining its degree of equity. Second, age groups had a decisive effect on the equity of medical care utilization measured by the numbers of visiting clinic. they explained -.0085 among HI, -.0170. Third, internal equality within elderly group was the most important factor in determining HI measured by the medical care cost. Finally, "within group" component of urban area explained .0535 amomg HI, ,1035 measured by medical care cost. This indicated that the urban poor's underutilization of medical care was very important factor in explaining its degree of equity. There was the poor's underutilization of medical care within the groups as female, the elderly, and urban areas. This significantly explained the equity of medical care costs.

• Electronics and Telecommunications Trends
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• v.26 no.6
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• pp.37-46
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• 2011

최근 고령화가 사회적인 이슈로 떠오르고 있다. 노인 인구의 증가는 급격한 의료 서비스의 수요 증가를 초래하고 이로 인해 의료비용의 급증을 야기하고 있다. 또한, 평균 수명의 연장은 노인의 삶의 질 저하를 막기 위한 수단을 요구하고 있으며, 전문 의료진의 부족현상이 심화되고 있다. 이러한 문제들을 해결하기 위하여 최근 IT 기술이 의료 분야에 다양한 형태로 융합되고 있다. 의료기기에 IT가 융합되어 기존의 의료기기를 고도화하거나 새로운 형태의 의료기기를 만들어 내고 있으며, 유헬스와 같이 새로운 개념의 서비스가 등장하고, 병원의 정보화를 통해 효율화를 극대화하는 디지털병원, 대규모로 축적되는 의료정보의 효율적 활용을 추구하는 Health 2.0 등 혁신적인 의료 IT 융합기술들이 연구되고 있다. 본 고에서는 국내외에서 진행되고 있는 의료 IT 융합기술의 연구개발 동향에 대하여 알아보고, 한국전자통신연구원(ETRI)에서 연구하고 있는 내용을 소개한다.

• 한국노년학
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• v.25 no.2
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• pp.109-126
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• 2005

Recently it has been encouraged in developed countries that labor force participation of the elderly is one of the means to cut down the cost of social welfare for them. However, empirical studies have rarely explored how work in later life contributes to national economy. Especially, even though 56.6 percent of elderly workers aged 65 and older engaged in agriculture and forestry in Korea, their contribution has been socio-economically overlooked. This study aims at examining the effect of farming labor in later life on social welfare expenditure. For this purpose, social welfare expenditure was defined as social benefits provided for the elderly by the social security in public sector and measured as transportation allowance, pension, livelihood aid, medical aid, and health insurance in 2003. Data were obtained from National Health Insurance Cooperation and 37 town/village offices and analyzed by 3 age groups; 65~74, 75~84, and 85 and over using SPSS/PC windows program. Results showed that both livelihood and medical support in all age groups were expended more to non-farm than to farm workers. The amount differences per person between them were 113,959~361,132 won in livelihood support and 15,644~51,418 won in medical support. Also, participation in farming influence reduction of livelihood expenditure for the group 65~74 and 75~84 and that of medical expenditure only for the group 65~74. Based on these results, it was estimated the amount of social welfare expenditure reduced by farming labor in later life. The limit of this study and the policy implications of the results are discussed.

• Journal of Digital Convergence
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• v.12 no.1
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• pp.491-500
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• 2014

The purpose of this study was to examine the health status of marriage immigrants and naturalized people, their health service utilization and barriers to that in an effort to seek ways of getting rid of their difficulties in health service utilization. The raw data of a 2012 Survey on the State of Multicultural Families were used, and a survey was conducted on 15,001 marriage immigrants and naturalized people from July 10 to July 31, 2012. As a result, the marriage immigrants and the naturalized people got a mean of 3.96 in subjective health status, which showed that they were in good health. The main medical institutions that they used in times of sickness were hospitals and clinics(82.7%). 39.1 percent of the respondents answered they had difficulties in using health service, and the most dominant difficulty they faced at that time was communication problems(52.0%), followed by high expense(28.9%). The respondents who answered they found it most difficult to use health service due to communication lagged behind the others in terms of Korean proficiency, and the respondents who cited expense as the biggest difficulty fell behind the others in terms of living standard. To make health service more accessible to marriage immigrants and naturalized people, the government should take measures to ensure their right of health. Specifically, how to relieve their financial burden should carefully be devised, and medical institutions should provide interpretation service to guarantee their easier health service utilization.

• Journal of Hospice and Palliative Care
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• v.2 no.2
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• pp.109-113
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• 1999

Purpose : Because we don't have inappropriate health care system for the terminal cancer patients, there were abnormal behavior patterns of health care utilization. So, There were needs to develop the comprehensive care for terminal cancer patients. Increased attention is being paid to the futility of life-sustaining treatment and high cost of management of terminal cancer patients Materials and Methods : This study was performed on cancer patients, registered in 1996 Central Cancer Registry, who were as insured person of Korea Medical Insurance and died from January 1997 to June 1998. We studied the day of medical care and medical expenses of 151 cancer patients evaluable. Results : The mean day of inpatient care was 39 days, and the mean days of outpatient care was 14 days in study subjects. Mean expenses per day of medical care, day of inpatient, and day of outpatients care were 85,392 won, 105,908 won, and 40,173 won. 95% of medical expenses is paid to the general hospital, and 85% of medical expenses was paid for inpatient care. About half of all medical expenses in th last 6 months were incurred in the last 60 days of life, and about 30 percent were incurred in the last 30 days. Expenses of outpatients care increased between 6 month and 3 months, after which they decreased. Expenses of inpatients care increased during all last 6months Conclusion : The distribution or medical expenses during the last 6 months in our study is similar to the distribution of American Medicare costs. We need to study medical expenses during the last year of life with large scale and details in order to develop the plan about the management of terminal cancer patient.

• Women's Health Nursing
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• v.24 no.1
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• pp.24-32
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• 2018

Purpose: To determine traits related to pregnancy and delivery, length of stay, health care cost, postpartum discomfort, and satisfaction with medical service of puerperas giving birth in midwifery clinic and hospitals. Methods: This study used a comparative survey design. Data were collected from a total of 140 postpartum mothers composed of 70 mothers who gave births in two hospitals and another 70 mothers who delivered in one midwifery clinic. Results: Delivery in midwifery clinic had higher Apgar score at 1 minute and 5 minutes after birth than hospital. Those who delivered in midwifery clinic had shorter stay in the clinic, fewer health care cost, less postpartum discomfort in physical, environmental, social, and cultural areas, higher satisfaction with medical services than those who delivered in hospitals. Conclusion: Results of this study can be used as a basis for studies on giving birth in midwifery clinic and hospitals. They might increase the autonomy of women in giving birth with positive effect on the delivery experience of the mother and her spouse.

• Proceedings of the Korean Operations and Management Science Society Conference
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• 1987.10a
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• pp.3-3
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• 1987

현재 국내에서의 의료 부분의 전문가 시스템에 대한 개발이 시작 단계에 있다. 의료부문 전문가시스템 개발에 있어서 주요 촛점은 관련분야의 전문의들로부터 어떻게 시간적, 비용적 낭비없이 효과적으로 지식 획득(Knowledge acquisition)을 knowledge engineers가 하겠는가이며, 또한 어떠한 체계(Framework)로 전문가 시스템을 구성할 것인가이다. 본 발표에서는 현재 본 연구실에서 CASNET 및 INTERNET를 바탕으로 개발중인 산부인과의 불임 진료 및 내과의 갑상선 질환 진단, 치료에 관련된 전문가 시스템 개발의 초기단계를 보임으로써 의료 관련 전문가 시스템 개발의 일반적인 기본 방향을 제시하고자 한다.

• Proceedings of the Korea Multimedia Society Conference
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• 2003.11a
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• pp.224-227
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• 2003

컴퓨터와 공학 분야에서의 빠른 기술적 진보는 의료정보의 처리에 있어 새로운 패라다임을 제시함으로써 의료정보사회의 변화를 가속화시키고 있다. 본 논문에서는 단일 플랫폼에서 운영하기 위한 컴퓨터지원진단, 음성인식과 의료영상저장전송시스템의 통합을 제안한다. 단일 플랫폼에서 운영되는 통합시스템은 세 시스템의 장점을 최대로 하는 향상과 시너지효과를 가져왔다. 컴퓨터지원진단과 음성인식은 시간과 비용 절감 면에서 두드러진 개선을 가져왔으며, 제안한 시스템은 병원의 디지털화와 병원경영의 효율을 높일 수 있을 것이다.

• The Journal of Society for e-Business Studies
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• v.19 no.4
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• pp.169-193
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• 2014

This paper attempts to analyze how the psychological factors would have an effect on the user's intention to make use of the mobile care via smart-phone, identifying the relationships among individual motivation propensity that consists of prevention propensity and promotion propensity, perceived usefulness and ease of use, perceived cost, behavioral use attitude and use intention based on technology acceptance model, and verifying them empirically through the structural equation modeling. The findings are as the followings. First, prevention motivation propensity affects positively on usefulness of smart-phone for mobile care service, but there are no significant indications that it affects on the ease of use and perceived cost. Second, promotion propensity affects positively on perceived ease of use and perceived cost of smart-phone for mobile care service, but there is no significant indication that it affects on perceived usefulness. Third, perceived usefulness and ease of use, and perceived cost affects positively on the use attitude. In sum, this paper confirms that the prevention propensity and promotion propensity might be used as antecedent variables for developing new smart-phone services of mobile care.

• Proceedings of the Korea Contents Association Conference
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• 2014.11a
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• pp.477-478
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• 2014

최근 급변하는 한국 보건의료환경 가운데 저출산과 고령화로 인한 생산가능 인구 감소와 보건의료재정의 적자 및 막대한 비용 상승이 전망되면서 보건의료체계에 위기감이 조성되어왔다. 도입 초부터 줄곧 형평성과 접근성을 강조했던 구 건강보험 패러다임에 대해 사회 일각이 지속적으로 수정을 요구해왔으며 보건의료당국은 최근 "선진형 패러다임"으로의 전환을 공식 선언하고 보건의료체계의 개혁을 예고하였다. 이 논문은 한국 보건의료환경을 진단하여 패러다임 전환의 당위성을 제기하며 신 구 패러다임의 비교분석을 통해 신 패러다임의 특징을 도출하고 정책적 시사점을 제시하는데 목표가 있다. 이를 위해 다양한 국내 외 문헌자료와 전문가들의 인터뷰 자료 등 2차 자료를 수집하여 분석을 시도한다. 비교분석결과, 전환된 패러다임 하에서 한국의 향후 보건의료개혁의 방향은 효율성(equity) 강화와 보건의료에 대한 책임주의(stewardship)를 구현할 것임을 도출하였다.