• Title/Summary/Keyword: 의료비용

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Design and Implementation of Mobile Medical Information System Based Radio Frequency IDentification (RFID 기반의 모바일 의료정보시스템의 설계 및 구현)

  • Kim, Chang-Soo;Kim, Hwa-Gon
    • Journal of radiological science and technology
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    • v.28 no.4
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    • pp.317-325
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    • 2005
  • The recent medical treatment guidelines and the development of information technology make hospitals reduce the expense in surrounding environment and it requires improving the quality of medical treatment of the hospital. That is, with the new guidelines and technology, hospital business escapes simple fee calculation and insurance claim center. Moreover, MIS(Medical Information System), PACS(Picture Archiving and Communications System), OCS(Order Communicating System), EMR(Electronic Medical Record), DSS(Decision Support System) are also developing. Medical Information System is evolved toward integration of medical IT and situation si changing with increasing high speed in the ICT convergence. These changes and development of ubiquitous environment require fundamental change of medical information system. Mobile medical information system refers to construct wireless system of hospital which has constructed in existing environment. Through RFID development in existing system, anyone can log on easily to Internet whenever and wherever. RFID is one of the technologies for Automatic Identification and Data Capture(AIDC). It is the core technology to implement Automatic processing system. This paper provides a comprehensive basic review of RFID model in Korea and suggests the evolution direction for further advanced RFID application services. In addition, designed and implemented DB server's agent program and Client program of Mobile application that recognized RFID tag and patient data in the ubiquitous environments. This system implemented medical information system that performed patient data based EMR, HIS, PACS DB environments, and so reduced delay time of requisition, medical treatment, lab.

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Factors Affecting Medicines Expenditure Costs - Using Korean Medical Panel Data (의약품 지출 비용에 미치는 영향 요인 - 한국의료패널자료를 활용하여)

  • Kim, Yun-Jeong;Hwang, Byung-Deog
    • The Journal of the Korea Contents Association
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    • v.18 no.4
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    • pp.664-676
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    • 2018
  • This study used raw data from the Korea Medical Panel Survey for 2014 to analyze the factors affecting the cost of medicine expenditure. A total of 3,107 people with medical expenses were selected for the final analysis. Analysis methods were frequency analysis, crossover analysis, regression analysis and t-test. The significance level of all tests was p = .05. The prescription cost was 72.4%, the minimum cost was 84 won, the maximum cost was 270,653 won, and the highest amount was 'over 3,000 won~less than 10,000 won' (31.7%). The general pharmaceuticals cost was 81.8%, the minimum cost was 800 won, the maximum cost was 2,718,000 won, and the highest amount was 'less than 20,000 won' (31.4%). The herbal medicine cost was 9.4%, the minimum cost was 4,000 won, the maximum cost was 2,700,000 won, and the highest amount was 'over 100,000 won' (37.8%). The medicines expenditure was the maximum cost was 2,760,093 won, and the highest amount was 'over 100,000 won' (27.0%). Factors affecting medicine expenditure were gender, marital status, income quintile, easement, and subjective health status.

A Study of an Actual Condition and Improvement on the Emergency Treatment in the 119 EMS (119구급대의 응급처치 실태와 개선방안)

  • Roh, Sang-Gyun;Lee, Jae-Gook
    • Proceedings of the KAIS Fall Conference
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    • 2011.12a
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    • pp.185-188
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    • 2011
  • 병원 전 단계에서는 일반인 단계, 일차 반응자 단계, 기초응급의료 제공 단계 그리고 전문응급의료 제공단계로 구분되는데 각 단계의 적절한 병원 전 응급의료 서비스의 제공은 환자의 예후에 긍정적인 영향을 미치는 것으로 알려져 있다. 그러나 국내의 일반인 단계 및 일차 반응자 단계의 응급의료 제공은 매우 낮은수준이며, 응급의료체계는 전문 응급의료가 뒤따르지 않는 기초 응급의료만을 제공할 뿐인데도 그 적절성에 대하여 많은 문제점이 지적되어 오고 있다. 우리나라의 병원 전 응급의료체계는 비교적 짧은 기간 동안에 소방서를 축으로 운영되고 있다. 병원 전 단계에서 응급처치의 적절성을 높이기 위해서는 119구급대에 의한 응급처치에 대하여 체계적으로 조사를 수행함으로써 기초 응급의료에 대한 지속적인 질 관리를 해 나가는 것이 매우 중요하다. 이러한 질 관리의 평가를 위해서는 적절한 평가도구가 필요한데 객관성이 높으면서도 비용-효과적인 도구와 지표는 아직 확립되지 못하고 있는 것으로 보인다. 그동안 119 구급대에 의한 응급처치의 적절성에 대하여 몇 차례 보고가 있었지만, 단일 기관 또는 단일 질병을 대상으로 수행된 연구였거나 일개 응급의료기관으로 이송된 환자들만을 대상으로 했던 비교적 소규모의 보고들이었으며, 한 도시를 전체를 대상으로 한 광범위한 조사가 이루어진 적은 아직 없었다. 이에 이 연구에서는 대구 경북 지역의 119구급대원을 대상으로 병원 전 응급처치의 실태와 및 교육현황을 조사하여 응급처치의 질적 향상을 위한 프로그램 개발에 필요한 기초 자료를 제공하고자 한다.

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Use Characteristics of Health Examinations Services from Health Insurance Subscribers (건강보험 건강검진 대상자들의 예방적 의료서비스 이용 특성)

  • Choi, Ryoung;Hwang, Byung-Deog
    • The Journal of the Korea Contents Association
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    • v.11 no.2
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    • pp.331-340
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    • 2011
  • The purpose of this research is to target the health examination examinees to compare and analyze the common elements that influence prevention and preventive medical services and to analyze the share of the physical examination categories desired following the analysis by element. Likewise, this research was attempted to provide base data so that it is possible to reduce cost required for the prevention and treatment of each examination. This research targeted health examination examinees and conducted survey from April 1to May 31, 2010. The key findings after conducting analysis on 707 examinees are as follows. In case of men, those who are older and who live their spouses tended to be subjected to health examination, cancer examination and preventive injections. Those who had subscribed to the medical policy from the private sector, those with healthy state, those with higher educational level, tended to get health examination, cancer examination and preventive injections less. In case of women, those who are older, tended to get health examination and cancer examination more while those who had subscribed to the medical policy from the private sector and those with higher educational level tended to get health examination, cancer examination and preventive injections less. Those who are healthy and who live their spouse tended to get more cancerexamination and preventive injections.

A Study on the Legislation of Telemedicine in France (프랑스 원격의료 법제에 관한 고찰)

  • JUNG, Kwanseon
    • The Korean Society of Law and Medicine
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    • v.23 no.2
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    • pp.141-169
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    • 2022
  • Article 34 of 'Medical Service Act' of Korea provides telemedicine service between medical personnel. Telemedicine between medical personnel and patients, therefor, in principle, is not recongnized. Increasing demand for telemedicine fueled by COVID-19 pandemic and accumulation of telemedicine experience lead a change in stubborn opposition of the medical community, tenuous though it may be. This article focuses on the telemedicine legislation in France, which can be used as a reference for the telemedicine legislation premised on telemedicine between medical personnel and patients. The legislation stipulates the concept, types, and conditions of telemedicine performance through 'Code de la santé publique'. The principle that telemedicine shall be performed alternately with direct medical treatment to a patient and details relating to such telemedicine performance as telemedicine costs, medical fees, and telemedicine equipment support are stipulated through an agreement between the medical community and health insurance organizations. From this point, the implications for our legal system were presented.

Cost Comparison of Androgen Deprivation Therapy and Radical Prostatectomy for Prostate Cancer (전립선암의 남성호르몬 박탈 치료와 근치적 전립선적출술의 비용 분석)

  • Kim, Jang Mook;Rho, Mi Jung;Jang, Kwang Soo;Park, Yong Hyun;Lee, Ji Youl;Choi, In Young
    • Korea Journal of Hospital Management
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    • v.23 no.3
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    • pp.28-38
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    • 2018
  • Purpose: To evaluate the medical expenditures for prostate cancer patients, including out-of-pocket costs, and compared the costs between androgen deprivation therapy and radical prostatectomy treatment. Methodology: This study combined clinical data from 357 prostate cancer patients from the Smart Prostate Cancer Database and the medical expenditure data from the claims and cost databases. We used the independent two-sample t-tests to compare androgen deprivation therapy and radical prostatectomy. Multivariable logistic regression analysis was conducted to identify determining factors for androgen deprivation therapy and radical prostatectomy treatments. Findings: The medical costs of androgen deprivation therapy treatment were much lower than radical prostatectomy treatment at the one year and remained lower until the fourth-year. However, after four years, the accumulated medical expenditures of androgen deprivation therapy become significantly higher than radical prostatectomy treatment. Patients with a higher cancer stage and older age had higher chances of being treated using androgen deprivation therapy treatment than radical prostatectomy treatment. Practical Implications: Our results show that early detection of cancer reduces the treatment cost for both patients and insurance payers. It also demonstrates that cost comparisons should be conducted over long periods of time in order to most accurately assess the costs.

The Study on HL7 Message Improvement for Supporting of Efficient Healthcare Service (효율적인 헬스케어서비스 제공을 위한 HL7 메시지 개선에 관한 연구)

  • Heo, Sung-Uk;Choi, Sung-Wook;Kim, Gwan-Hyung;Oh, Am-Suk
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.18 no.6
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    • pp.1388-1394
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    • 2014
  • Recently, medical expenses are increasing because of the accelerated aging phenomenon, thus study for the medical service of high quality and reduction of medical expenses should be continued as yet. Especially, U-health is performed by intelligent medical service which is derived by smart devices, wireless network, sensing technology and it could be more extensible in the medical fields as time goes on. On this study, we analyze message transmission structure of HL7 standard and will suggest improved processing methodology of HL7 message.

Wireless Power Transfer Technology for Implantable Medical Device (인체 삽입 의료기기용 무선 충전 전원 모듈)

  • Lee, S.Q.;Youm, W.S.;Hwang, G.
    • Electronics and Telecommunications Trends
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    • v.28 no.5
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    • pp.72-82
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    • 2013
  • 인구 고령화와 복지증진에 따라 인체 삽입형 의료기기에 대한 연구가 활발히 진행되고 있으며, 더 다양한 기능을 제공하는 제품들이 출시되고 있다. 반면, 이러한 다양한 기능의 요구로 인해 인체 삽입형 의료기기의 전력소모가 커지고 있어 일차전지만으로는 충분한 기능을 제공하지 못하거나 한정된 사용시간으로 말미암아 환자들이 삽입형 의료기기의 전원공급만을 위해서 추가적인 비용과 고통을 감수하고 있는 현실이다. 본고에서는 무선 전력 전송 기술을 활용하여 인체 삽입용 의료기기로 전력을 무선으로 전송하고 재충전이 가능한 인체 삽입용 의료기기의 기능과 사용 시간의 확대를 가능하게 하는 무선 충전 전원 모듈 기술의 동향과 전망을 살펴봄으로써 관련 국내 산업계가 기술 전환기를 대비하는데 필요한 기초 정보를 제공하고자 한다.

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