• Health Policy and Management
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• v.34 no.1
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• pp.26-37
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• 2024

Background: The purpose of this study was to compare and analyze the differences in charges and length of stay per case between spine specialty hospitals and non-specialty hospitals, and to identify the factors that influenced them. Methods: This study used claims data from the Health Insurance Review and Assessment Service, including inpatient visits from January 2021 to December 2022. The healthcare facility status data was used to identify the characteristics of study hospitals. Multilevel analysis was conducted to identify factors associated with the charges and Poisson regression analysis was conducted to analyze the length of stay between spine specialty hospitals and non-specialty hospitals. There were 32,015 cases of spine specialty hospitals and 17,555 cases of non-specialty hospitals. Results: For four of five common spinal surgeries, specialty hospitals shaped longer length of stay than those of non-specialty hospitals. Multilevel and Poisson regression analysis revealed that regardless of the type of surgery, higher age and higher Charlson comorbidity index scores were significantly associated with an increase in both the charges per case and length of stay (p<0.05). However, when hospitals were located in metropolitan areas, there was a significant decrease (p<0.05). Conclusion: This study found that specialty hospital had higher inpatient charges and loner length of stay contrary to the previous study results. Further studies will be needed to find which contribute to the differences.

• Journal of Digital Convergence
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• v.19 no.2
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• pp.307-314
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• 2021

This study was to analyze the satisfaction and intention to recommend a hospital for spinal and joint patients. Using a structured questionnaire at a spinal and joint hospital in Seoul in 2019, and the relationship between demographic and social characteristics and patient satisfaction, factors influencing hospital satisfaction, and recommendation intention were analyzed. In outpatients, hospital satisfaction was higher in neatness and cleanliness of staff, kindness and facility environment comfort, and hospital satisfaction was low in questions related to waiting time. In inpatients, women's satisfaction was higher in the nursing and hospital environment areas. The correlation analysis between the satisfaction and the willing to recommend, there was a positive correlation. In the sub-analysis, hospital satisfaction was higher in the group that responded with respect and courtesy, listening, satisfaction of the nurse, hospital cleanliness and safety. This study is can be used to improve the quality of hospital care services in related hospitals.

• 건강소식
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• v.31 no.5 s.342
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• pp.6-13
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• 2007

척추의 가장 윗부분인 경추(목뼈)는 7개의 뼈로 이루어져 있으며, 위로는 머리, 아래로는 역시 척추의 일부인 흉추와 연결되어있다. 경추는 움직임이많고 큰 만큼 인체에서 아주 중요한 역할을 한다. 그러나 잘못된 자세와 오랜 시간 고정된 자세의 일과로 현대인들의 목은 뻐근하다. 더욱이 컴퓨터작업이 늘어나면서‘컴퓨터 모니터 증후근’, ‘거북목 증후군’등이 생겨날정도이다. 목 부위의 통증은 크게 척추 이상과 근육의 이상으로 인해생기는 경우가 대부분인데 이들의 초기증상은 매우 비슷해서 스스로 판단하기 어렵기 때문에 목 부위 통증이 간헐적으로 생기는 경우라면, 어떤 원인에 의해서인지 정확한 진단이 필요하다. 이번 호에서는 인체의 신비,‘목’에 대해 관절척추전문 세란병원 오명수 척추센터장과 자생한방병원목디스크센터 송우섭 원장의 도움말을 들어본다.

• Journal of the Korean Orthopaedic Association
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• v.54 no.1
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• pp.72-77
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• 2019

Candida vertebral osteomyelitis (CVO) is a rare disease that is a complication of intravenous drug use, but recently it has been recognized as mostly an opportunistic infection. Because CVO appears to mimic pyogenic spondylodiscitis in terms of the clinical and radiologic presentations, it is often neglected in a usual clinical setting. The clinical, radiological, and biological characteristics of CVO are often used to make a differential diagnosis with vertebral osteomyelitis from other etiologies. Once an initial proper diagnosis was performed, the treatment relies on the prompt initiation of appropriate pharmacotherapy and serial monitoring of the clinical progress. This paper report late-onset CVO in two young patients who underwent a heart transplant surgery and had postoperative systemic candidiasis. These two cases are a good reminder of the potential of CVO in immunosuppressive patients treated with anti-fungal agents. This paper presents these two cases with a review of the relevant literature.

• 건강소식
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• v.31 no.8 s.345
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• pp.6-13
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• 2007

허리는 요추(허리척추뼈), 척추골사이의 디스크(추간판), 척추와 디스크 주위의인대, 척수와 신경, 요추의 근육, 골반과 복부내의 기관들로 구성되어 있다. 우리 몸에서 고장이 잘 나는 곳은 움직임이 많은 곳이다. 사지도 움직임이 많은 관절에 고장이 잘 생긴다. 척추의 움직임이 많은 곳은 허리이다. 허리는 매우 불안정하여 전 인구의 약80%가 한번은 통증을 경험한다고 한다. 이러한 허리통증은 일반적으로 일상생활에서의 잘못된 자세와 생활습관에 기인하는 경우가 많다. 수술이나 치료 후에도 자세와 생활습관을 교정하지 못하면 재발의 경우가 있는 등 환자 자신이 허리통증에 대한 이해와 노력이 없으면 궁극적인 치료를 기대하기 어려우므로 환자 자신의 관심과 노력이 무엇보다 중요하다.이번 호에서는 인체의 신비 허리에 대해 척추전문에스병원 이승철원장과 경희대학교 동서신의학병원 척추센터 김기택 교수의 도움말로 알아본다.

• 대한예방의학회:학술대회논문집
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• 2002.10a
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• pp.504-505
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• 2002

• The Journal of the Korea Contents Association
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• v.13 no.9
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• pp.322-333
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• 2013

This study aimed at analyzing and understanding medical tourism patients' pattern of different countries. For this purpose it followed up the international patients who visited W hospitals for spine treatment for last 3 years. In additon, it proposed key marketing strategies for attraction of more patients in the future. Satisfaction survey for 91 foreigner hospitalized patients were conducted from year 2010 to 2011. Each country of the patients showed slightly different motivations of visiting, consumer pattern and satisfaction of medical and non medical services. The current study analyzed factors, socio-demographic characteristics, purposes of visit, duration of stay in Korea, total number of visits to Korea, companions, plan of care, reasons for choice of W Hospital, expenses for medical care, total cost of staying in Korea. The results of this study showed that patients visited Korea more frequently were more satisfied with the medical care. Patients who planned to use medical care prior to visit Korea were more satisfied. Patients who thought he/she paid reasonable medical cost were more satisfied. Invitation to familiarization tour, clarification of medical cost, and provision of high quality medical care were recommended for the higher satisfaction of foreign patients. Fostering of specialized hospitals were recommended.

• 건강소식
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• v.31 no.10 s.347
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• pp.6-13
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• 2007

우리의 몸은 약 2백 개의 크고 작은 뼈로 구성돼 있다. 관절은 이들 뼈와 뼈 사이의 이음매 역할을 하는 기관이다. 우리가 팔, 다리와 목, 허리 등을 여러 방향으로 움직일 수 있는 것은 관절부위가 회전하거나 굴곡함으로써 가능한 것이다. 사람이 일상생활에서 관절을 움직이는 경우는 1일 10만여 회나 된다고 한다. 관절은 우리 신체의 모든 활동을 원활하게 할 수 있도록 돕는 소중한 기관이다. 관절을 위한 건강한 정보를 제안하고자 이번 호에서는 관절척추전문 세란병원 인공관절센터 오덕순 박사와 세정병원 고재현 병원장의 도움말로 알아본다.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.16 no.1
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• pp.73-89
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• 2021

Objectives We conducted an online survey to understand the current status of Korean Medicine clinical practice related to carpal tunnel syndrome (CTS) to develop the CTS Korean Medicine Clinical Practice Guidelines (CPG). Methods A thoroughly reviewed questionnaire was distributed by e-mail to 21,719 Korean Medicine doctors between March 26 and April 30, 2021. All raw data were arranged and analyzed systematically. Results The response rate among the doctors was 4%. Of the respondents, 82.1% responded that it is necessary to develop the CTS Korean Medicine CPG. We also obtained data related to the specific diagnosis, treatment, and prognosis management methods used at various treatment sites for patients with CTS. Conclusions This online survey will be helpful in developing the CTS CPG, which will contribute to the standardization of guidelines and improvements in the reliability of Korean Medicine. Our findings will provide valuable data and resources for future clinical studies on CTS.

• Journal of the Korean Orthopaedic Association
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• v.55 no.6
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• pp.487-494
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• 2020

Purpose: No attempt has been made to identify the relationship between the study characteristics and citation rates of articles published in the Journal of the Korean Orthopaedic Association (JKOA). This study classified the study characteristics of articles in the JKOA and analyzed the relationship between the study characteristics and citation rates. Materials and Methods: A cohort study was conducted on all articles published from February 2001 to December 2015. Three independent reviewers classified the articles according to the article type, material, time of the study, design, clinical categories, number of authors, and number of cases. The citation numbers of each article by other journals were taken in January 2020. Univariate analyses were conducted to assess the effect of each characteristic, and multivariate linear regression analysis was performed to analyze the overall relationship between the characteristics and the citation rates. Results: A total of 1,640 articles were published from 2001 to 2015, and 724 articles were cited more than once. The articles published in 2009 had the highest average number of citations. Original articles had the highest citation rates, followed in descending order by surgical techniques and reviews, instructional course lectures, and case reports (p<0.001). Among the case reports, articles dealing with general trauma scored significantly higher average citations (mean=1.5, p=0.006). Among the original articles, articles on general orthopedics had the highest citation rates, followed in order by clinical articles and experimental articles. Among the clinical articles, epidemiologic studies (mean=5.0, p<0.001) and studies on the spine (mean=1.7, p<0.001) recorded significantly higher citation rates than the others. Conclusion: Of all the articles published in the JKOA from 2001 to 2015, articles dealing with general trauma had the highest citation rates among case reports. Among the original articles, epidemiologic studies and studies concerning the spine were cited significantly more than others.