• Title/Summary/Keyword: 진료수가

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Investigation of Stress-Inducing Factors and Occupational Stress Levels in General and Pediatric Dentists (일반 진료 치과의사와 소아 진료 치과의사의 스트레스 유발 요인과 직무 스트레스 정도에 대한 연구)

  • Seunghyun, Kim;Jaesik, Lee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.49 no.4
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    • pp.481-496
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    • 2022
  • The purpose of this study was to compare factors causing stress in pediatric and general dentists when treating pediatric patients and to evaluate their overall occupational stress level. A total of 191 dentists participated in the online survey, consisting of 66 pediatric dentists and 125 general dentists. The questionnaire was conducted using Google Form. Both groups were stressed due to poor cooperation of patient and caregiver, uncertain prognosis of treatment, and low cost of pediatric dental treatment. The pediatric dentists felt relatively high stress due to poor cooperation from caregivers and an uncertain prognosis of treatment (p < 0.05). Overall occupational stress was high in both groups in the order of patient, time, job environment, and income-related stress, and the degrees of pediatric dentists were lower than general dentists. Among the 3 sub-factors of occupational burnout, more than 98% of both groups showed burnout in "depersonalization", and more than 69% of both groups showed burnout in "emotional exhaustion". Both groups showed a low burnout rate in "reduced sense of accomplishment" and pediatric dentists showed a higher sense of accomplishment than general dentists (p < 0.05). This study showed that both groups were under high occupational stress due to various factors, and efforts were required to relieve stress.

Predictors of Community Health Practitioners' Practice Regarding Urinary Incontinence (보건진료원들의 요실금 관련 간호행위에 영향을 미치는 요인)

  • Kim, Eun-Young;Kim, Jin-Sun
    • 한국노년학
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    • v.25 no.2
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    • pp.53-71
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    • 2005
  • Objectives: The purposes of this study were to investigate CHPs' knowledge, attitude, and practice regarding UI, and to identify predictors of their UI related practice. Methods: A descriptive-correlational study using self-administered questionnaire was conducted. A total of 330 members of the local Korean Association of CHPs were included in this study. A mailed survey was conducted to collect data. Findings: Of CHPs surveyed, 170(51.5%) returned completed questionnaire. Educational preparation of CHPs regarding UI was limited. The mean correct score of knowledge scale was 68.96%. Overall, CHPs exhibited positive attitudes toward UI. CHPs in this study were not actively participate UI related practice. Contrary to expectation, knowledge was not significantly related to CHPs' practice regarding UI. In the final analysis, CHPs' practice regarding UI was predicted by attitude toward the care of UI clients and educational needs for UI and these two variables explained 9% of variance of UI related practice. Conclusion: The results of this study suggest the importance of attitude and educational needs in shaping UI related practice among CHPs. To facilitate UI related practice among CHPs, efforts for attitudinal change related to UI among CHPs are needed. Moreover, continuing educational program for UI management should be developed, applied and evaluated.

DISTRIBUTION OF AIRBORNE BACTERIA BY HANDPIECE AEROSOL CONDITIO (핸드피스 분무조건에 따른 부유세균 기균(氣菌) 의 분포)

  • Ko, Young-Han;Baik, Byeong-Ju;Kim, Jae-Gon;Yang, Yeon-Mi;Shin, Jeong-Geun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.4
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    • pp.628-634
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    • 2008
  • In recent years, cross-contamination has become one of the noticeable issues in dental clinic. Two major routes of contamination are the direct-contamination through blood and oral secretion and the indirect-contamination through dental office equipments. Especially, air-contamination through air-floating pollutant in a confined space like hospital, and also contamination through aerosol ejected from high-speed handpiece in a dental office was interested. The purpose of this study was to understand risk of bacterial infection through aerosol from handpiece in a dental office, which will help the practitioner with prevention of contamination during dental treatment. The main findings are as follows. 1. In a comparative test, the group using handpiece has higher bacterial number than the group not using handpiece with significant statistical difference(P<0.01). 2. The group using handpiece with rubber dam has lower bacterial number than the group using handpiecewithout rubber dam with significant statistical difference(P<0.01). 3. Comparing the group using drainage water with the group using distilled water as a handpiece water source results in 22.4 cfu and 17.0 cfu respectively but the difference is no statistically significant(P>0.05). 4. Measuring cfu at 0.5m and 1.5m distance, 0.5m distance showed higher bacterial number with statistical significance(P<0.01). 5. Classification of bacterial types showed the largest bacterial number came from gram-positive micrococcus(73.9%), and gram-negative micrococcus, gram-negative bacillus, and gram-positive bacillus follow in descending order.

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A Study on the medical decision making for an optimum medical treatment (최적 진료를 위한 의학적 의사결정에 대한 고찰)

  • Nam, Tae-Hee
    • Journal of the Korea Computer Industry Society
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    • v.9 no.1
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    • pp.1-10
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    • 2008
  • This treatise wishes to proposal of most suitable about happened patient's disease when a doctor achieves medical treatment action about patient and decision-making methodology that decide treatment does presentation low class informer. That is, when a doctor treats patient, case that do medical examination and treatment to experience about disease at medical examination and treatment process is general. In case is like this, unexpected treatment side effect can be happened doing not consider patient's special quality or conditions. Use a medical decision-making tool to minimize these problem. Treatise that see therefore investigated validity about if arrange medical decision-making system concept, and analyze several tools(decision-making tools) that help in decision-making, and can help in medical examination and treatment decision-making of most suitable.

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Integrated Medical Information System Implementation for the u-Healthcare Service Environment (u-Healthcare 서비스 환경에서의 통합의료정보시스템 구축방안 연구)

  • Sok, Yun-Young;Kim, Seok-Hun
    • The Journal of the Korea Contents Association
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    • v.14 no.5
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    • pp.1-7
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    • 2014
  • Nowadays hospitals have been improving their job performances through informatization and also establishing an advanced, integrated medical information system through their manager's decision making support system in order to play roles as a hub hospital providing high quality medical services integrated with ICT technology. This study connects the OCS system and HIS system to the integrated medical information system to design an optimized, customized mobile health care and medical treatment environment and also investigates the systematic medical system that can perform patients' cure and medical treatment promptly and accurately in order to maximize convenience of treatment by inquiring into patients' information and information of medical treatment promptly.

A study of Clinical DW for utilizing analysis of medical treatment information (진료정보 분석 활용을 위한 Clinical DW에 관한 연구)

  • Song, Min-Gu;Kim, Sun-Bae
    • Journal of Digital Convergence
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    • v.11 no.8
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    • pp.293-302
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    • 2013
  • So far, DW(data warehouse) of hospital has been used as tool for analyzing patient-focused data. However, EMR(Electronic Medical Record) is established these days, so informal data which is record and video record could be useful to get some information for patient remedy, not as DW data. This study claims that need of establishing treatment-focused DW, not for hospital administration-focused DW which has been used lots of hospital DW. Also we discussed how CDW can be applied for real medication situation. At last, we deduct a relation past record of sick and wounded patient as Thesaurus searching method by real hospital data for establishing base of early-treatment system.

Inpatient care focused strategy and convergence performance in hospitals (병원의 입원 진료 집중화 전략과 융합적 운영 성과)

  • Yoo, Hai-Won
    • Journal of the Korea Convergence Society
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    • v.7 no.4
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    • pp.59-66
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    • 2016
  • This study analyzed the relationship between the convergence performance in hospital. This study examined previous research and calculated centralized index using diagnosis related groups. In addition, multiple regression analysis was used based on LOS in order to understand the effect of focused strategy which quality of medical inpatient service. The centralized level was examined by analyzing national inpatient sample data using 'Internal Herfindahl-Hirshman index' This study is significant because it reviewed medical inpatient service quality by measuring hospital centralized level which has been rarely studied before Korea.

A Study on Active plan of Remote Medical Information Service System (원격의료정보 시스템의 활성화 방안에 관한 연구)

  • Lee, Gui-Won
    • Journal of radiological science and technology
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    • v.26 no.4
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    • pp.53-61
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    • 2003
  • This system Will allow primary and secondary treatment institutions poorly equipped with medical equipment to use Internet and book their patients' medical checkups with tertiary hospitals equipped with remote medical information system. This research aims to make theoretical studies on the remote medical service information sharing system and discuss its utility and factors to be considered for spreading the system. To efficiently push ahead with the remote medical service information sharing system, we need to be open-minded in sharing medical service information, establish comprehensive pursuit system, introduce incentive aimed at activating the information system, have close coordination with the central government, flexibly respond to changing technologies, and offer publicity and education.

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The significance of diagnosis and treatment planning in periapical lesion overfilled with calcium hydroxide paste (수산화칼슘제재의 과충전이 발생한 치근단 병소 증례에서 진단과 치료 계획의 중요성)

  • Jung, Kyoung-Hwa;Kwon, Eun-Young;Choi, Youn-Kyung;Kim, So-Yeun;Jeon, Hye-Mi;Park, Jeong-Kil
    • Journal of Dental Rehabilitation and Applied Science
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    • v.37 no.2
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    • pp.95-100
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    • 2021
  • Calcium hydroxide has been widely used for root canal dressing material in endodontic treatment. This report describes that when the accurate diagnosis and proper nonsurgical endodontic retreatment is applied to periapical lesion with accidentally extruded calcium hydroxide paste, the lesion can be successfully treated. Overfilled calcium hydroxide can affect the healing process, so the overextension of calcium hydroxide agent should be avoided.

Remote treatment and patient monitoring using Arduino (아두이노를 활용한 원격진료 및 환자모니터링)

  • Choi, Duk-Kyu;Woo, Sang-Min;Kim, Han-Ho;An, Su-ho;Son, Seung-Soo;Jun, Eun-Hak;Kim, Dae-Young
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2022.01a
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    • pp.309-310
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    • 2022
  • 코로나19 팬데믹을 계기로 원격의료의 수요가 폭발하여 비대면 진료가 가능하도록 법률을 개정하려는 추세에 필요한 서비스로 시간과 비용이 없고, 거리 두기 단계 상향등으로 병원에 방문하지 못하는 환자가 늘어나고 있다. 하지만 시중에 건강상태를 확인할수 있는 장비를 판매하지만 전문적인 지식이 없는 일반인은 정확하게 결과를 알 수 없고 한가지의 검사만 측정이 가능하기 때문에 검사결과를 확인하고 싶으면 병원을 방문해야한다. 본 논문은 전문적인 지식이 없는 일반인도 자신의 건강상태를 확인가능하게 하기 위해 심박, 심전도, 산소포화도, 체온센서의 측정값을 그래프로 표현한 후 검사결과를 토대로 의사와 원격진료가 가능하여 병원을 방문하지 않고 의사와 상담 및 진료가 가능하다. 병원에 입원이 불가능한 환자일 경우 산소포화도 측정값이 95%미만이면 산소공급 즉 응급처치가 가능하다.

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