• Title/Summary/Keyword: 의료이용률

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The Changes in Patients and Medical Services by Separation of Prescribing and Dispensing Practice in Health Center (의약분업 실시 전후 보건소 내소환자 진료내용 변화)

  • Chun, Jae-Kyung;Kam, Sin;Han, Chang-Hyun
    • Journal of agricultural medicine and community health
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    • v.27 no.2
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    • pp.75-86
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    • 2002
  • This study was conducted to investigate the changes in patients and medical services before and after the Separation of Prescription and Dispensing in Health Center. For the purpose of this study, prescription data of 5,890 prescribed patients in March 2000(before the Separation of Prescription and Dispensing) and 3,496 prescribed patients in March 2001(after the Separation) in 4 Health Centers located in Gyeongsangbuk-do and Gyeongsangnam-do were collected. For investigation of the change of character of prescribed patients and the disease, sex, age, chief diagnosis, the hind of medical insurance, days of visit, days of prescription were investigated by using National Health Insurance claim data. And for investigation of change of prescription, prescribed drugs per each claim, the use rate of antibiotics, injection, and high-price antiphlogistic drug were investigated for acute respiratory disease and musculoskeletal disease. The major results were as follows: For the changes of prescribed patients of each disease, patients with acute respiratory disease were decreased by 49.7% after the Separation of Prescription and Dispensing than before the Separation of Prescription and Dispensing and patients with hypertension(18.1%), patients with musculoskeletal disease(70.5%), patients with diabetes(8.5%), patients with digestive organ disease(71.2%), patients with chronic respiratory disease(76.4%) were decreased. But patients with urethritis were increased by 66.7%. The mean Health Center visited days of prescribed patients decreased significantly after the Separation of Prescription and Dispensing than before in both male and female(p<0.01) and in health insurance patients(p<0.01). For the each of the disease, hypertension, diabetes, musculoskeletal disease decreased. The mean prescribed days increased after the Separation of Prescription and Dispensing than before(p<0.01). According to the kine of disease, the mean prescribed days increased after the Separation of Prescription and Dispensing than before in all the diseases except the urethritis(p<0.01). For acute respiratory diseases, number of prescribed drugs per each claim decreased significantly after the Separation of Prescription and Dispensing(4.7 drugs) than before(4.9 drugs) and the prescription rate of injection decreased significantly from 63.8% to 7.70%, and the prescription rate of antibiotics decreased significantly from 337% to 19.1%(p<0.01). For musculoskeletal diseases before and after Separation of Prescription and Dispensing, number of prescribed drugs per each claim decreased significantly from 3.7 to 3.2 and the prescription rate of injection decreased significantly from 64.9% to 1.7%, and the prescription rate of high-price antiphlogistic drugs increased significantly from 29.1% to 397%(p<0.01). In consideration of above findings, the mean visited days decreased and on the contrary, the mean prescribed days per each prescription increased after Separation of Prescription and Dispensing than before in health centers. For the prescription pattern of physicians, number of prescribed drugs and the prescription rates of injection and antibiotics per each claim decreased, but the prescription rate of high-price antiphlogistic drugs increased after Separation of Prescription and Dispensing.

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Analysis of the Transit Ridership Pattern using Transportation Card Data : focusing on Ganghwa (교통카드 데이터를 이용한 대중교통 통행패턴 분석 : 강화군을 중심으로)

  • Lee, Minwoo;Han, Jonghak;Lee, Hyangsook
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.17 no.2
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    • pp.58-72
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    • 2018
  • Ganghwa has met a new development period in land use and infrastructure based on the 4th National Development Planning, however the public transportation system is not systematically operated yet. This paper analyzes the bus trip pattern in Ganghwa using transportation card data during a week. The result indicates that average 7,100 people use buses a day and the most frequent use occurred in Friday. Clear peak-hours between 7 and 8 A.M. and between 4 and 5 P.M. were appeared due to commuting and school trips. According the result of regression analysis, population and the number of hospitals and schools area showed positive relationships with but trips reflecting regional characteristics. The research contributes to providing basic data for constructing an efficient public transportation system in the future.

A Multi-level Analysis of Injection Requests and Associated Patient Characteristics in the Korean Acute-care Outpatient Setting (국내 병의원 이용 환자들의 주사제 요청과 관련된 특성에 대한 다수준 분석)

  • Kim, Dong-Sook;Hwang, Jeong-Hae;Hwang, Jee-In
    • Korean Journal of Clinical Pharmacy
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    • v.22 no.1
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    • pp.13-20
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    • 2012
  • 서론: 주사제 사용을 줄이기 위한 정책의 일환으로 건강보험심사평가원은 의료기관별 주사제 처방률을 통보하고 있으나, 여전히 주사제 처방은 높은 실정이다. 따라서 본 연구에서는 주사제에 대한 환자의 인식수준을 살펴보고, 환자의 주사제 요청에 영향을 미치는 요인을 파악하고자 하였다. 연구방법: 본 연구는 최근 6개월 이내에 병의원을 방문한 전국의 20세 이상의 남녀를 대상으로 전화조사한 단면설계 연구다. 환자의 일반적 특성과 주사제에 대한 태도, 인식을 조사하였고, 환자가 주사제를 요청하는데 영향을 미치는 특성을 규명하기 위해 일반적 특성(성, 연령, 결혼여부, 보험형태, 지역규모, 질환, 교육, 소득 등), 주사제에 대한 인식, 태도를 독립변수로 하고, 주사제 처방 요청여부를 종속변수로 하며, 16개 행정지역을 무작위 효과로 층화한 다수 준 분석을 실시하였다.결과: 연구대상에 포함된 응답자는 997명이었고(응답률 82.2%), 응답자 중 24%가 병의원 방문 당시 주사제를 요구했다고 응답했고, 58%가 한번 이상 주사제를 맞은 경험이 있다고 보고했다. 92%가 주사제에 대해 잘못된 인식을 갖고 있었고, 15%는 의사가 부적절하게 주사제를 처방한다고 응답했다. 다수준 로지스틱 회귀분석 결과, 남성의 경우(Odds ratio(OR) 0.71, 95% confidence interval(CI) 0.52-0.99), 고졸이상자(OR 0.63, 95% CI 0.41-0.96), 기혼자(OR 1.72, 95% CI 1.01-2.92)가 주사제를 더 요구하는 것으로 나타났고, 대도시에 비해 농촌지역 환자가(OR 2.12, 95% CI 1.24-3.63), 호흡기계 질환으로 방문한 경우(OR 1.48, 95% CI 1.03-2.12), 주사제를 처방하면 경구제에 비해 신뢰감이 생긴다는 응답자의 경우(OR 1.91, 95% CI 1.33-2.73) 주사제를 더 요구하는 것으로 나타났다. 결론: 본 연구결과 여성, 기혼자, 농촌 거주자, 호흡기계 질환으로 방문한 환자의 경우와 주사를 맞으면 신뢰감이 생긴다는 잘못된 태도를 가진 환자가 주사제를 요구하는 것으로 나타났고, 이러한 환자특성을 고려하여 주사제 사용을 감소시키기 위한 정책을 실시하는 것이 필요하겠다.

Preparation Characterizations for old Age of the Baby Boomers (베이비붐 세대의 노후준비 특성분석)

  • Lee, Yong-Jae
    • The Journal of the Korea Contents Association
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    • v.13 no.5
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    • pp.253-261
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    • 2013
  • This study analyzed the preparation characteristics for old age of the baby boomers by the framework of the multi-pillar pension system. Analysis results are as follows. First, multi-pillar pension system's subscription rates of baby boomers was public pension 59%, private pension 11.5% and retirement pension 1.5%. The baby boomers isn't ready for old age life. Second, women and people with the low level of education are less prepared for old age. Third, people in a bad health state are less prepared for old age. Forth, low-income people are less prepared for old age. We must support baby boomers' preparations for old age by establishing income security system for old age. We must establish public pension support policy for the people of the low level of education and economic hierarchy, women, bad health status people, and must introduce universal old-age allowance policy for guaranteeing the minimum income of baby boomers.

Design and Implementation Endoscope System for Endotracheal Intubation (기관 내 삽관을 위한 내시경 시스템 설계 및 구현)

  • Kim, H.S.;Kang, S.K.;Kim, G.Y.;Han, Y.H.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.9 no.2
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    • pp.153-160
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    • 2015
  • With the development of recent IT fusion technology, IT fusion technology of medical equipment has been dramatically development. The need to most basic preferential implementation of emergency is the respiration of the patient, it is necessary to first aid is maintained in emergency patients airway simultaneously. However, to the endotracheal intubation is a procedure to secure the airway, it requires experience and first aid, Inc. good career, very that may lead to sequelae in patients who otherwise have failed to procedures It is a sensitive and important procedure. For these reasons, the success rate of current endotracheal intubation technique is not at a high level and about 50 percent. In an attempt to complement these problems, in this paper, in the process of endotracheal intubation, intubated by inserting an endoscopic camera to Into Activation tube, the streaming is a real-time monitoring and wireless video transmission method using, there is a purpose of enabling the monitoring in smart devices increase the success rate of endotracheal intubation of first aid purchases.

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Method Customizing From Web-based English-Korean MT System To English-Korean MT System for Patent Documents (웹 영한 번역기로부터 특허 영한 번역기로의 특화 방법)

  • Choi, Sung-Kwon;Kwon, Oh-Woog;Lee, Ki-Young;Roh, Yoon-Hyung;Park, Sang-Kyu
    • Annual Conference on Human and Language Technology
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    • 2006.10e
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    • pp.57-64
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    • 2006
  • 본 논문에서는 웹과 같은 일반적인 도메인의 영한 자동 번역기를 특허용 영한 자동번역기로 특화하는 방법에 대해 기술한다. 특허용 영한 파동번역기로의 특화는 다음과 같은 절차에 의해 이루어진다: 1) 대용량 특허 문서에 대한 언어학적 특성 분석, 2) 대용량 특허문서 대상 전문용어 추출 및 대역어 구축, 3) 기존 번역사전 대역어의 특화, 4) 특허문서 고유의 번역 패턴 추출 및 구축, 5) 언어학적 특성 분석에 따른 번역 엔진 모듈의 특화 및 개선, 6) 특화된 번역 지식 및 번역 엔진 모듈에 따른 번역률 평가. 이와 같은 절차에 의해 만들어진 특허 영한 자동 번역기는 특허 전문번역가의 평가에 의해 전분야 평균 81.03%의 번역률을 내었으며, 분야별로는 기계분야(80.54%), 전기전자분야(81.58%), 화학일반분야(79.92%), 의료위생분야(80.79%), 컴퓨터분야(82.29%)의 성능을 보였으며 계속 개선 중에 있다. 현재 본 논문에서 기술된 영한 특허 자동번역 시스템은 산업자원부의 특허지원센터에서 변리사 및 특허 심사관이 영어 전기전자분야 특허 문서를 검색할 때 한국어 번역서비스를 제공받도록 이용되고 있으며($\underline{http://www.ipac.or.kr}$), 2007년에는 전분야 특허문서에 대한 영한 자동번역 서비스를 제공할 예정이다.

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3D Virtual Reality Game with Deep Learning-based Hand Gesture Recognition (딥러닝 기반 손 제스처 인식을 통한 3D 가상현실 게임)

  • Lee, Byeong-Hee;Oh, Dong-Han;Kim, Tae-Young
    • Journal of the Korea Computer Graphics Society
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    • v.24 no.5
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    • pp.41-48
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    • 2018
  • The most natural way to increase immersion and provide free interaction in a virtual environment is to provide a gesture interface using the user's hand. However, most studies about hand gesture recognition require specialized sensors or equipment, or show low recognition rates. This paper proposes a three-dimensional DenseNet Convolutional Neural Network that enables recognition of hand gestures with no sensors or equipment other than an RGB camera for hand gesture input and introduces a virtual reality game based on it. Experimental results on 4 static hand gestures and 6 dynamic hand gestures showed that they could be used as real-time user interfaces for virtual reality games with an average recognition rate of 94.2% at 50ms. Results of this research can be used as a hand gesture interface not only for games but also for education, medicine, and shopping.

Mental Health in Adolescents with Allergic Diseases-Using Data from the 2020 Korean Youth's Risk Behavior Web-based Study (알레르기 질환 청소년의 정신건강: 2020 청소년 건강 행태 온라인 조사 활용)

  • Park, Cho Hee
    • Journal of Industrial Convergence
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    • v.20 no.1
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    • pp.87-96
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    • 2022
  • This study aims to understand the actual conditions of adolescents with allergic diseases and factors related to mental health. It is intended to provide basic data for disease management. As for the research method, big data of the 16th Youth Health Behavior Survey were analyzed secondary, and x2-test was used using the SPSS 25 program8, odds ratio and 95% confidence interval were calculated to determine the degree of association, and multi-logistic regression analysis was performed. Studies have shown that 37.1% of adolescents with allergic diseases have stress perception, 27.6% of depression experience rate and 12.5% of suicidal thoughts, and the likelihood of stress perception, depression experience, and suicidal thoughts among adolescents with allergic diseases was higher. As a result of this study, it was found that the presence or absence of allergic diseases in adolescents has a significant effect on mental health, and we intend to use it as basic data for prevention and research on diseases that can lead to mental illness and adolescent mental health.

Related Factors for Health Check-up Attendance among Korean Adults in their 20s and 30s: Based on the 2020 KNHANES Data (한국 20·30대의 건강검진 수검률 관련요인: 국민건강영양조사 제8기 2차년도(2020) 자료를 중심으로)

  • Young-Ran Kim
    • Journal of Industrial Convergence
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    • v.22 no.2
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    • pp.135-141
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    • 2024
  • This study aimed to analyze the characteristics of health check-up recipients in their 20s and 30s in Korea and identify factors influencing the participation rate in order to enhance the rate of health check-ups. The study population and methods utilized data from the 8th year of the Korea National Health and Nutrition Examination Survey, specifically the 2nd year (2020), and targeted 1,453 Korean residents aged between 20 and 30. The factors affecting health check-up participation were divided into sociodemographic factors, health behavior factors, mental health factors, and medical utilization factors, and both simple logistic regression analysis and multiple logistic regression analysis were conducted. The analysis results showed that educational level, marital status, type of health insurance, employment status, and subjective level of health were the factors influencing health check-up participation among Korean individuals in their 20s and 30s. These research findings can serve as foundational data for improving the health check-up participation rate among individuals in their 20s and 30s.

Medical Image Compression Using JPEG International Standard (JPEG 표준안을 이용한 의료 영상 압축)

  • Ahn, Chang-Beom;Han, Sang-Woo;Kim, Il-Yoen
    • Proceedings of the KIEE Conference
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    • 1993.07a
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    • pp.504-506
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    • 1993
  • The Joint Photographic Experts Group (JPEG) standard was proposed by the International Standardization Organization (ISO/SC 29/WG 10) and the CCITT SG VIII as an international standard for digital continuous-tone still image compression. The JPEG standard has been widely accepted in electronic imaging, computer graphics, and multi-media applications, however, due to the lossy character of the JPEG compression its application in the field of medical imaging has been limited. In this paper, the JPEG standard was applied to a series of head sections of magnetic resonance (MR) images (256 gray levels, $256{\times}256$ size) and its performance was investigated. For this purpose, DCT-based sequential mode of the JPEG standard was implemented using the CL550 compression chip and progressive and lossless coding was implemented by software without additional hardware. From the experiment, it appears that the compression ratio of about 10 to 20 was obtained for the MR images without noticeable distortion. It is also noted that the error signal between the reconstructed image by the JPEG and the original image was nearly random noise without causing any special-pattern-related artifact. Although the coding efficiency of the progressive and hierarchical coding is identical to that of the sequential coding in compression ratio and SNR, it has useful features In fast search of patient Image from huge image data base and in remote diagnosis through slow public communication channel.

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