• Title/Summary/Keyword: 의료이용률

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A Study on Epidemiologic Characteristics of Recurrent Abdominal Pain in Elementary School Children (반복성 복통증 환아의 역학적 특징에 관한 조사)

  • Oh, Sang-Hyun;Yang, Eun-Seok;Park, Sang-Kee;Park, Young-Bong;Park, Jong;Park, Sang-Hak;Moon, Kyung-Rye
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.2 no.1
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    • pp.21-29
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    • 1999
  • Purpose: The aims of this study are to examine clinical characteristics, patterns of medical care utilization, and factors which determine medical care utilization of elementary school children with recurrent abdominal pain (RAP), to find posssible factors influencing the onset and the course of the disorder. Method: We performed questionnaires in Kwangju on children from two primary schools from June,1 1998 to June 30 and carried out statistical analysis. Result: 1) Total number of questionnaires were 1417. 715 were male and 702 were female and the ratio of male to female was 1.02:1. Average age was 10.3 years. 2) 268 children had RAP (18.9%), boys 132 (18.4%), girls136 (19.2%). 3) The duration of the pain within 10 minutes was 68.5%. 178 children with RAP (66.3%) visited the doctor. The utilization pattern of medical facilities of the pupils with RAP; the most frequently utilized medical facility was pediatrics (35.2%) and the order ran as internal medicine (31.5%), and pharmacy (29.25). The utilization pattern of medical facilities for the older students; the utilization rate of pediatrics decreased, but internal medicine increased. The major factors affecting the selection of the medical facility were geographic accessibility, kindness of the personnel, good results and traffic convenience. 4) Symptoms which were accompanied with abdominal pain were headache (44.5%), chest pain (28.2%), dizziness (26.6%), vomiting (9%), and 119 children (44.5%) had no accompanied symptoms. 5) In 95 children (35.3%) abdominal pain, occured at postprandial time, in 55 children (20.5%) before meal and in 39 children (14.7%) at school. The highest incidence rate of RAP was observed on Monday (21.4%), and the lowest on Saturday (8.7%). 6) The most frequent involved part of the abdomen was periumbrical area (38%) and the order ran as epigastrium and suprapubic area. The most frequent characteristics of abdominal pain were burning pain (36.9%) and the order ran as dull, cramping and colicky pain. Conclusion: RAP is a frequent disease entitiy in children. Too many times children with RAP are treated by other departments instead of Pediatrics. A child has a peculiar growth and development which is different to those from an adult with advancing years. So, it is necessary to choose special medical care and an adequate medical facility.

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The Effects of Individual Patient Behavior and Medical Care Level on Doctor's Diagnosis of Hypertension (개인 건강행태 및 지역보건의료 수준이 고혈압 의사진단에 미치는 영향)

  • Park, Chang-Soo;Kim, Young-Ran;Lee, Tae-Yong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.10
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    • pp.119-130
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    • 2016
  • This study was conducted to investigate the effects of individual patient behavior regarding health and medical care level on doctor's diagnoses of hypertension. A X2-test was used to compare therapeutic compliance in individual characteristics and two-stage multilevel logistic regression to identify community variance of the related index of high blood pressure therapeutic compliance using data from 229,229 adults over the age of 19 in a community health survey conducted in 2010. The experience rate of doctors' diagnoses of hypertension was higher for people of older age, higher level of education, higher BMI, and among heavy drinkers (no recipients of basic living). Furthermore, there was a higher rate for those visiting health and medical institutions, having more frequent checks of blood pressure in a month, having a higher stress level, and having depression. Among paid workers, the ratio was lower for employers and owner/operators with more daily exercise (such as walking), infrequent smokers, and private health insurance holders. Doctor's diagnoses of hypertension was affected by individual health behavior and health and medical care level. Further studies employing multilevel analyses considering regional level data should be conducted in the future.

Factors Affecting the Catastrophic Health Expenditure of BabyBoomer Generation (베이비부머세대의 과부담 의료비 지출에 미치는 영향)

  • Kim, Yun-Jeong
    • The Journal of the Korea Contents Association
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    • v.22 no.1
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    • pp.484-492
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    • 2022
  • In this study, we used the Korea Health Panel Study for 2017 raw data as analytical data to understand the factors that affect the catastrophic health expenditures of the baby boomer generation and the final number of analyzed was 808 people. Analysis methods performed frequency analysis, crosstabulation, and multiple regression analysis, with p = .05 at the significance level for all validations. The statistically significant differences among the baby boomer generation were education level, marriage status, health insurence, household income, drinking, smoking, subjective health, outpatient care, and inpatient care. The average number of illnesses in the baby boomer generation was 8.14, of which 7.97 for male and 7.97 for female. The average number of outpatient visits was 16.81, of which 14.81 recalls for male and 26.89 for female. More than 40% of the ability to pay the catastrophic health expenditures rate was 15.3% for male and 26.3% for female. The factors affecting the catastrophic health expenditure of babyboomer generation are as follows. that influence the widow's fence medical expenses are as follows. Male were private insurance, household income, drinking, and inpatient care, and female were private insurance, household income, and drinking.

Implement of Integration Compression Environment System Compressing Medical Images (의료영상 압축을 위한 통합압축환경시스템 구현)

  • 추은형;박무훈
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.7 no.1
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    • pp.142-148
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    • 2003
  • We compress medical images in order to solve problems both of request of storage mediums and of a low network speed. In this paper, integration compression environment has been developed for unity of various compression methods. Various compression methods that are implemented by integration compression environment, RLC, Lossless JPEG, and JPEG, comply with the DICOM 3.0. A compression method using DWT is implemented at it. And a unit method of Lossless compression method and lossy compression method is designed to improve images quality and to progress compression ratio. Diverse medical images can be compressed by each compression method. And integration compression environment is operated together database so that information of medical images is administered.

Diagnostic Medical Image Compression Method using Visually Lossless Threshold on JPEG2000 (JPEG2000에서 시각적 무손실 임계값을 이용한 진단의료영상 압축기법)

  • Bong, Jeong-Sik;Yang, Gi-Joo;Jeon, Joon-Hyeon
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.34 no.7C
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    • pp.671-680
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    • 2009
  • The diagnostic medical images(CT, MRI) in PACS require large storage and long transmission time. A simple and cheap way of overcoming these limitations is to increase the compression ratio. However, this requires a clinical validation for accurate diagnostic applications. The aim of this paper is to improve the compression efficiency of lossless JPEG2000 for diagnostic CT images by performing a visual-Iossless threshold filtering in high frequency subband. A proposed method, based on 5/3 reversible DWT, provides different subband-threshold values according to the compression ratio and gives the high subjective quality to reconstructed diagnostic CT images.

Feature Extraction using Dynamic Time-warped Algorithms based on Discrete Wavelet Transform in Wireless Sensor Networks for Barbed Wire Entanglements Surveillance (철조망 감시를 위한 무선 센서 네트워크에서 이산 웨이블릿 변환 기반의 동적 시간 정합 알고리즘을 이용한 특징 추출)

  • Lee, Tae-Young;Cha, Dae-Hyun;Hong, Jin-Keun;Han, Kun-Hui;Hwang, Chan-Sik
    • Proceedings of the KAIS Fall Conference
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    • 2009.12a
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    • pp.185-189
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    • 2009
  • 무선 센서 네트워크는 화산 감시, 전장 감시, 동물 서식지 감시, 건축물의 감시, 농장 관리, 의료분야등 다양한 분야에서 연구되고 있다. 국내에서도 국가 정책 사업으로 교량 및 건축물의 균열 감시, 표적의 침입 탐지 및 식별을 위한 무선 센서 네트워크 연구가 활발히 진행 중이다. 특히, 무선 센서 네트워크의 다양한 분야의 연구 중에서 철조망을 이용한 표적의 침입 탐지 및 식별에 관한 연구는 산업 시설, 보안지역, 교도소, 군사지역, 공항 등 다양한 분야에서 사용된다. 현재 철조망 감시는 대부분 유선 센서 노드를 통한 유선 센서 네트워크 환경에서 이루어지고 있다. 기존의 유선 센서 네트워크는 높은 데이터 전송률을 통해 수신되는 높은 정보의 신호를 이용하여 고속 푸리에 변환에 의한 신호의 주파수 분석 기법을 사용해 왔다. 하지만, 유선 센서 네트워크의 높은 데이터 전송률과 비교하여 무선 센서 네트워크의 센서 노드는 유선 센서 네트워크에 비해 매우 낮은 데이터 전송률을 가진다. 따라서 무선 센서 네트워크에서 수신되는 신호의 정보가 매우 낮고, 유선 센서 네트워크에서 사용된 고속 푸리에 변환에 의한 신호의 주파수 분석에 따른 주파수별 특징 추출을 할 수 없다. 따라서 본 논문에서는 철조망 감시를 위한 높은 데이터 전송률을 보장하는 유선 센서 네트워크에 비해 제한된 통신자원과 센서 노드의 낮은 데이터 전송률로 인해 수신되는 한정적인 신호의 정보를 이용한 무선 센서 네트 워크에서 철조망의 표적 침입 탐지 및 식별을 위한 특징 추출 알고리즘을 제안한다.

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A Study on Utilization of non-residential areal in Operation patient (수술환자의 타지역 의료이용에 관한 연구)

  • Nam, Moon-Hee;Kim, Sung-Soo;Park, Il-Su;Kang, Sung-Hong;Kim, Won-Joong;Choi, Soon-Ho;Jo, Hye-Kyung;Kim, Young-Taek;Hong, Sung-Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.6
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    • pp.2078-2087
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    • 2010
  • This study conducted a chi-square test and a logistic regression analysis by not only using a investigation data of discharged patients with damages from 2004 to 2006, but also using a census and a research data on the actual condition from health care system. The result follows; First, the centralization of medical utilization of operation patients is becoming apparent, centrally the capital area. To improve this, a policy that can not only provide medical centers and sickbed, but also improve the quality of local medical treatments for the localization of medical treatments. Second, propelling localization policy of certain diseases for the localization of medical utilization is needed as the rate of non-residential of operation patients that have diseases of the eye and adnexa, or cancers is high. Third, a localization policy for patients with damages is needed as the rate of treatments in other regions of operation patients with industrial accidents is increasing day by day.

Strategy for Advancement of Current Pre-hospital Emergency Medical Service (현 병원 전 단계 응급의료서비스의 선진화 전략)

  • Shin, Seong-Yoon;Chai, Seung-Ki;Jang, Dai-Hyunl;Park, Sang-Joon;Choi, Byeong-Seok
    • Journal of the Korea Society of Computer and Information
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    • v.16 no.12
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    • pp.265-271
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    • 2011
  • High-quality customized services demand was growing due to the increase of aging, extremely nuclear family, disaster vulnerable of society. Ambulance service is required of fast and professional rescue and emergency service because of preventable death rate such as acute diseases, cerebral and cardiovascular diseases, suicides, etc. was higher than in developed countries. First aid will be available using patients information when emergency occurs, before arriving at the hospital. And emergency department is equipped with that patient care can be prepared in advance, increase the efficiency of emergency care. We received a variety of complex emergency call using high social awareness of 119 number and propose an efficient emergency medical service advancement strategy building an integrated response system with relevant organization.

Development of a Real-Time Control & Management System with In-Vitro Diagnostic Medical Device for Dengue Fever (실시간 뎅기열 관리를 위한 관제시스템 개발)

  • Changsun, Ahn;Yongho, Park;Jungdae, Moon;Jongchan, Park;Youngkon, Seo;Allen, Sohn;Yoonjong, Choi;Yanghwa, Ha;Bongsu, Jung;Youngjoo, Kim
    • KIPS Transactions on Computer and Communication Systems
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    • v.12 no.2
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    • pp.77-84
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    • 2023
  • Dengue virus transmission is a viral infection disease between humans and Aedes mosquitoes. Dengue is ubiquitous throughout the tropics and subtropical zones, where 1/3 of the global population live. The weather in Korea is also changing to subtropical weather, resulting in increased vulnerable Korean population to dengue virus transmission. It is important to control and prevent the dengue risk with track-recording & monitoring system. It is also required to have the control system to treat and monitor dengue patients with various cases such as regions, ages, genders according to the track-record of the disease. In this paper, we developed a Dengue Control & Prevention System, which can monitor and control dengue outbreaks in real-time with in-vitro diagnostic devices. Dengue Control & Prevention System is composed of in-vitro diagnostic device, which is a fluorescent immunoassay, and real-time monitoring system. In the future, we expect that our Dengue Control & Prevention System can be upgraded to have various disease information from Korea Disease Control and Prevention Agency for government policies and diseases control in Korea.

Fitting competing risks models using medical big data from tuberculosis patients (전국 결핵 신환자 의료빅데이터를 이용한 경쟁위험모형 적합)

  • Kim, Gyeong Dae;Noh, Maeng Seok;Kim, Chang Hoon;Ha, Il Do
    • The Korean Journal of Applied Statistics
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    • v.31 no.4
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    • pp.529-538
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    • 2018
  • Tuberculosis causes high morbidity and mortality. However, Korea still has the highest tuberculosis (TB) incidence and mortality among OECD countries despite decreasing incidence and mortality due to the development of modern medicine. Korea has now implemented various policy projects to prevent and control tuberculosis. This study analyzes the effects of public-private mix (PPM) tuberculosis control program on treatment outcomes and identifies the factors that affecting the success of TB treatment. We analyzed 130,000 new tuberculosis patient cohort from 2012 to 2015 using data of tuberculosis patient reports managed by the Disease Control Headquarters. A cumulative incidence function (CIF) compared the cumulative treatment success rates for each factor. We compared the results of the analysis using two popular types of competition risk models (cause-specific Cox's proportional hazards model and subdistribution hazard model) that account for the main event of interest (treatment success) and competing events (death).