• Title/Summary/Keyword: 의료비 통계

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A Study on Characteristics of Medical Expenses and the Hospitalization Period of Hospitalized Patients Using Diem Payment System at Convalescent Hospitals (요양병원 일당정액제 입원환자의 입원일수 및 진료비 특성에 관한 연구)

  • Roh, Ock-Hee;Lee, Chong Hyung;Park, Arma;Kim, Kwang-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.8
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    • pp.407-414
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    • 2016
  • This study was conducted to provide basic data to evaluate the appropriateness of convalescent hospitalization treatment by investigating the number of hospitalization days and the total treatment expenses of a total of 44,037 monthly billing statements requested from the Health Insurance Review and Assessment Service. Evaluated data consisted of medical care expenses of patients of the diem payment system hospitalized at convalescent hospitals in Daejeon, Chungnam, Chungbuk and Sejong from January through December of 2014. According to the analysis result of the general characteristics of the study objects and the canonical correlation analysis of the top 15 main diagnosis names, 7 canonical functions have been deducted. Among them, six canonical functions were shown to be statistically significant (p<0.001), and canonical function 1 had a chi-squared value of 5955.49 and 98 degrees of freedom at p<0.001 level. Overall, the results indicated that if health and welfare service in the regional society is magnified, social hospitalization can be reduced.

The Importance and Performance of Hospice Volunteer's Activities Perceived by Hospice Volunteers (호스피스자원봉사자가 지각한 호스피스자원봉사자 활동의 중요도 및 수행도)

  • Jeon, Myung-Hwa;Lee, Byoung-Sook
    • Journal of Hospice and Palliative Care
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    • v.12 no.3
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    • pp.122-131
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    • 2009
  • This study was performed to identify the importance and performance of hospice volunteer's activities perceived by hospice volunteers. Methods: The subjects were 259 hospice volunteers from six hospitals in Daegu and Gyeongsangbukdo areas. A list of hospice volunteer's activities was developed by authors, based on literature, and interviews with the hospice volunteers were used to measure the perception on the importance and performance of their activities. Data were analyzed by using Descriptive statistics, t-test, One-way ANOVA with Scheffe test, and Pearson's product-moment correlation in SPSS Win 12.0. Results: The average of the importance of hospice volunteer's activities was 3.09 and the performance was 2.31, which was lower than the importance. There was a significant correlation between the importance and the performance (r=.487, P=.000). There were significant differences in total score of the importance, depending on religion, education, and period of hospice volunteer activity of subjects. There were significant differences in total score of the performance, depending on age, religion, and period of hospice volunteer activity of subjects. Conclusion: The importance of hospice volunteer's activities, perceived by hospice volunteers, was relatively high, however their performance didn't reach the level of the importance. Some characteristics of the volunteers influenced the perception of the importance and performance of the hospice volunteer's activities. The findings of this study are expected to provide useful information for the development of educational and management programs the hospice volunteers.

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A Study of Intensive Care Unit Nurses' Understanding of the Meaning of Death, Death Anxiety, Death Concern and Respect for Life (중환자실 간호사의 죽음의미, 죽음불안, 죽음관여도 및 생명존중의지에 관한 연구)

  • Kang, Jeong Hwa;Han, Suk Jung
    • Journal of Hospice and Palliative Care
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    • v.16 no.2
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    • pp.80-89
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    • 2013
  • Purpose: We investigated how intensive care unit (ICU) nurses understand the meaning of death, death anxiety, death concern and respect for life. Methods: From November 2009 through February 2010, a survey was conducted on 230 nurses working at the ICU of 10 general hospitals located in Seoul and Gyeonggi province. Participants were asked to answer a questionnaire consisted of 67 questions under four categories of the meaning of death, death anxiety, death concern and respect for life. Results: Participants scored 4.27 points on their understanding of the meaning of death, 4.43 on death anxiety, 4.12 on death concern and 4.18 on respect for life. Participants' meaning of death was negatively correlated with death anxiety and death concern and positively with respect for life. Participants' positive meaning of death was negatively correlated with death anxiety and death concern and positively with respect for life. Participants' negative meaning of death was negatively correlated with death anxiety and death concern and positively with respect for life. Participants' death anxiety was positively correlated with death concern and negatively with respect for life. Participants' death concern was negatively correlated with respect for life. Conclusion: Compared with nurses who served at ICU for a long time, nurses with less ICU experience scored lower on the meaning of death and respect for life, while they presented high anxiety and concern about death. A training course may help nurses develop their view on the meaning of death, which in turn would enhance their performance in caring dying patients.

The dentists' perceptions and current prosthodontic treatment status for the disabled in Korea (치과의사의 장애인 보철 진료 실태와 인식)

  • Shim, Su-Hyun;Kim, Seok-Gyu;Choi, Bohm
    • The Journal of Korean Academy of Prosthodontics
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    • v.47 no.3
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    • pp.286-294
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    • 2009
  • Statement of problem: In spite of increasing dental treatment for the disabled, there was no collected data on prosthodontic treatment status and dentists' perceptions in Korea. Purpose: The purpose of this study was to research the dentists' perceptions about current prosthodontic treatment status for the disabled in Korea and to suggest public health policies for the disabled. Material and methods: Total of 68 dentists who have regularly treated the disabled were asked to fill questionnaires regarding prosthodontic treatment for the disabled. Results: 1. 45.6% of dentists felt the necessity of an esthetic prosthesis for the disabled. However, 54.3% of dentists reported the improvement of access to implant,orthodontic and esthetic treatment is needed. 2. Most (79.4%) of the dentists thought it is imperative for the government to support the disabled to maintain adequate oral health by providing at least 50% of charge in their prosthesis. Conclusion: Through this research, 97.1% of dentists answered that the current prosthodontic treatment status for the disabled in Korea is poor. This indicated the necessity of the financial support from the government for the disabled.

An analysis of behavioral characteristics in drivers in roll-over accident (전복사고 운전자를 대상으로 자동차 안전장치에 대한 행동특성 분석)

  • Lee, Hyo-Ju;Kim, Ho-Jung;Lee, Kang-Hyun;Lee, Myung-Lyeol;Choi, Hyo-Jueng
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.11
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    • pp.7329-7334
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    • 2015
  • This is to analyze of driver behavioral and the accident characteristics in rollover. The study period was January 2011 to May 2014 and the subject of study was 102 person who were drivers visited the emergency room. Research tool includes a damage information of the vehicle, accident mechanism, damage to the patient clinical information with the injury data from the ROAD Traffic Authority. For data analysis, SPSS 18.0 was used for t-test, ANOVA and Chi-square test. Injury Severity Score average score according to the vehicle type is 6.00 points in the smaller vehicle, at high vehicle 11.78 points, from the other vehicle that showed 14.70 points. Significant differences between the three groups did not show (P=.267). Men did not use a seat belt significantly compared to women(P=.007). Vehicle type and weather, this was no correlation with whether or not use the seat belt(P=.755, P=.793). But showed a tendency to smaller size vehicles drivers do not use a seat belt, the weather could see a little more inclined to use a seat belt rather than a sunny day. Finally, in rollover accidents as in other types of accident it was confirmed that the seat belt has a great influence on the damage.

Effects of a Well-dying Program on Nursing Students (간호대학생에 대한 웰다잉 교육프로그램의 효과)

  • Moon, Hyunjung;Cha, Sunkyung;Jung, Sungwon
    • Journal of Hospice and Palliative Care
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    • v.18 no.3
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    • pp.188-195
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    • 2015
  • Purpose: We examined the effects of a well-dying program on nursing students in terms of death preparation, death recognition and perception of well-dying perception. Methods: The design of this study was quasi-experimental and non-synchronized with a non-equivalent control group. The study was conducted with nursing students: 32 in the experimental group and 36 in the control group. The well-dying program was consisted of five sessions: introduction, thinking about meaning of death, organizing things to do before dying, looking back on my life, and leaving a trail of my life. Descriptive analysis, t-test, ${\chi}^2$ test and ANCOVA were used with SPSS 18.0 program to analyze the data. Results: After attending the program, a difference was observed in death preparation of the experimental group (t=2.61, P=0.014). The death recognition (F=154.15, P<0.001) score of the experimental group was significantly higher than the control group. There was no significant difference between the groups in perception of well-dying (F=0.11, P=0.747). Conclusions: The well-dying program helped nursing students build positive death recognition. Therefore, this study is expected to contribute to development of a death education program for nursing students.

Guidelines and Status of Hospital Library in Korea: for Patients and Carers (국내 병원도서관 관련 기준 및 현황)

  • Rhee, Hey Young
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.29 no.4
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    • pp.179-202
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    • 2018
  • This study examined and analyzed the related study, Library Law, comparison of Korean Library Standards and IFLA guidelines and the status of domestic hospital library provision in order to grasp the regulations and status of domestic hospital library. As a result, the related study is very insufficient compared to overseas, and the Law and Standards for hospital libraries are not clearly and in detail in the Library Law. It is impossible to grasp the statistics and actual condition of the hospital library through the Yearbook of the Korean Library. The Korean Library Standards and IFLA guidelines also show differences in composition and key elements. According to the survey, 49 hospitals (1.3%), 8 hospitals (0.2%), 5 nursing hospitals (0.1%), 4 children's hospitals (0.1%), and 1 military hospital (0.0%) were among the 67 hospitals surveyed. Of the 49 general hospitals, 42 were advanced general hospitals, of which 17 were providing hospital libraries. The most urgent issue for providing hospital libraries is the revision of the Library Law and the Korean Library Standards, and the mandatory provision of hospital libraries, publicity through library magazines, and related research should be carried out.

Differences in Health Status-related Characteristics Before and After Falls in Adult Hospitalized Patients (성인 입원 환자의 낙상전후 건강상태 관련 특성의 차이)

  • Kim, Myo-Youn;Lee, Mi-Joon;So, Hye-Eun;Youn, Byoung-Sun
    • Journal of Industrial Convergence
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    • v.20 no.10
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    • pp.51-59
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    • 2022
  • This study aims to investigate the changes in health status of inpatients before and after a fall accident, and it is a retrospective study using data from 328 inpatients who fell from January 1, 2016 to December 31, 2020, reported to the patient safety reporting system. The average age of the study subjects was 68.57(±14.13), and those in their 70s accounted for the most at 30.49%. Falls occurred on average 13.86(±25.03) days after hospitalization, and the time when the most falls occurred was between 22:30 and 06:59 with 42.99%. Before and after a fall during hospitalization, bowel problems (x2=314.0, p<.001), urination problems (x2=284.0, p<.001), intravenous fluid therapy (x2=85.16, p<.001), and walking (x2=69.77. p<.001), bedridden state (x2=51.60, p< .001), mental state and performance (x2=17.52, p<.001) patient's attitude (x2=220.17, p<.001), there was a statistically significant difference. It is necessary to develop an appropriate method and education program for fall prevention in hospital by considering the individual characteristics of inpatient.

Infection Control Analysis Research in Angiography Room (혈관조영검사실 감염관리 분석 연구)

  • Kim, Kyung-Wan;Im, In-Chul
    • Journal of the Korean Society of Radiology
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    • v.16 no.2
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    • pp.77-85
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    • 2022
  • The purpose of this study was to investigate the status of infection control of angiography room workers through a survey, and to find out their awareness and performance. A survey was conducted from January 3 to February 28, 2022 on 126 workers working in angiography room of 10 hospitals at or above general hospital level located in Busan City. The questionnaire consists of 10 general characteristics of the subject and 56 items in total, divided into 4 main items of infection control in an angiography room: infection control system in a medical institution, personal hygiene, angiography room environment, and angiography room equipment. was measured on a Likert 5-point scale. Data analysis was performed statistically using SPSS for WindowTM release 25.0. t-test and one-way ANOVA were used to analyze the awareness and performance of each domain according to general characteristics, and Pearson correlation analysis was performed for the relationship between variables. As a result, the awareness level was higher than the performance level in all areas, indicating that the performance level was lower than the awareness level. In addition, awareness and performance showed a positive correlation, suggesting that the degree of awareness of workers is an important variable in infection control that has a significant effect on performance. Therefore, for effective and systematic infection control, workers in angiography room must improve the performance of infection control. In order to do that, infection control education is needed, and it is judged that infection control guidelines for angiography room should be systematized in the future.

Effects of Communication Competency, Self-efficacy for group work, and Learning Transfer Motivation of Nursing Students in Psychiatric and Mental Health Nursing Practice Education based on Blended Learning (블렌디드 러닝(Blended learning)을 기반으로 한 정신간호학 실습교육이 간호대학생의 의사소통 능력, 협력적 자기 효능감 및 학습전이동기에 미치는 효과)

  • Suh, Yujin;Han, Eun-Kyoung
    • Journal of Industrial Convergence
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    • v.20 no.2
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    • pp.61-70
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    • 2022
  • The study developed a psychiatric and mental health nursing practice program based on blended learning as nursing students' field practice in psychiatric and mental nursing practice was limited due to the prolonged COVID-19 pandemic. This is a study to evaluate the effect on communication competency, self-efficacy for group work, and learning transfer motivation through a psychiatric and mental health nursing practice program based on blended learning. From October 18, 2021 to December 11, 2021, 64 nursing students participated in the study using a structured Google questionnaire. The collected data was analyzed by descriptive statistics and paired t-test using the SPSS 25.0 program. As a result of the study, based on blended learning, the subjects' communication competency, self-efficacy for group work, and learning transfer motivation were significantly increased after compared to before psychiatric and mental health nursing practice education. Through the results of this study, it was possible to confirm the effect of the psychiatric and mental health nursing practice program based on blended learning.