• 제목/요약/키워드: Health Care Cost

검색결과 795건 처리시간 0.03초

의-한의 동시 진료 및 통합의료서비스에 대한 인식조사 - 3차 상급종합병원 이용자를 대상으로 - (A Study on the Perception of Concurrent Use of Western and Korean Medicine Care and Integrated Medical Service in Korea - Targeting tertiary hospital users -)

  • 서상우;김형석;이승현;공문규;이범준;허성혁;권승원;박봉진;윤동환;이의주;오현주;김승범;최혜숙;김관일;정원석
    • 대한한의학회지
    • /
    • 제43권2호
    • /
    • pp.51-60
    • /
    • 2022
  • Objectives: Currently, Korea's medical services are divided into Western medicine and Korean medicine, and people who are not satisfied with the existing treatments are looking for complementary and alternative medicine(CAM). Therefore, this study attempted to confirm patients' perception of the ongoing collaborative treatment and integrated medical service that added CAM to collaborative treatment based on tertiary hospital users. So that we can confirm the expected advantage and disadvantage of integrated medical service system and the necessity of supporting medical expenses for it. Methods: The survey was conducted on 100 people who experienced tertiary hospital treatment and other 100 people who experienced both tertiary hospital treatment and Korean medicine treatment at the same period. The survey was conducted until the number of respondents in both group reached 100. The survey was conducted through e-mail and was conducted from September 27, 2021 to October 8, 2021. Results: For the advantages of collaborative treatment 'increased in psychological stability,' and for disadvantages 'longer time spent for treatment' were the most common. If integrated medical services are implemented in the future, expected advantages include 'consideration of various treatments.' and expected disadvantages include 'increased medical cost.' The needs to expand support for health insurance for integrated medical services were 75.5% among responders. Conclusions: We were able to find out the (expected) advantages and disadvantages of the collaborative medical care and the integrated medical system that medical users experienced or expected, also confirmed positive answers to the expansion of health insurance support for the integrated medical system.

외국인 노동자의 특성과 의료이용 실태 (The Characteristics and Medical Utilization of Migrant Workers)

  • 주선미
    • 한국직업건강간호학회지
    • /
    • 제7권2호
    • /
    • pp.164-176
    • /
    • 1998
  • This study deals with the current medical utilization for migrant workers and the characteristics of them. The purpose of this study is to provide the basic information to establish proper medical policy. For the study self-made questionnaire was used, which was answered by 453 migrant workers working in the area of manufacturing and non-technical work in 10 cities like Seoul, Inchon, Namyangju, Sungnam, Kwangju, Pyungchon, Kunpo, Kimpo, Masuk in Kyungki-do and Chunan in Chungchungnam-do. Besides, 303 medical records of those who had visited free medical check-up center were analyzed. The period of accumulating data is 6 months, from November 1st, 1996 to April 30th, 1997. The characteristics of migrant workers and current medical utilization are analyzed by percentage and the relation between characteristics and current medical utilization were analyzed using ${\chi}^2$-test, t-test, ANOVA. The finding of this study was as follows : 1) The number of nationality was 16. The first majority was Philippians as 32.0%. Among 16 nationalities Southeastern and Northern Asians were 48.9%, Southwestern Asian was 46.5%, the rest was 7.3%. Men were 81.0%, those who are aged from 26 to 30 were 39.0%, Graduatee from high school 92.7%, Christians 56.3%, unmarried 55.4% and salary from 600,000 Won to 800,000 Won 53.8% averaging monthly payment 669,810 Won. As for their residence, those who resided over 3 years were 31.9% and the illegal residence reached 77.4%. As for Korean language, those who speak in middle level were 5.6%. 2) As for kind of work and circumstances, manufacturing was 81.1%, 4 off-days per month 72.2% and 9-10 working hours per day 42.1%. As for accommodation, residence in fabric was 62.6% and one or two members as roommate 40.2%. 3) The characteristics of health behavior showed that 89.4% of migrant workers had 3 meals, 70.9% of them did not drink alcohol, 73.5% of them did not smoke. 4) As a characteristic of health status, 71.8% of them perceived of their health. 76.1% thought that they had no illness before coming Korea. Among them who recognized their illness, those who had problem in circulatory system was 35.3%, respiratory system ENT 19.1% and nervous system 19.1%.66.2% of those having illness had already had sickness when coming to Korea. 5) During last one month, 79.2% of them were known as ones having no illness. Among the sick, those who had problem in circulatory system was 31.6%, nervous system 23.7% and respiratory system 21.1%. 60.3% of the sick were not cured at that time. 6) Sorting the symptom of those who visited free medical check up, dental care was 24.2%, orthopedic 14.0% and digestive system 13.8%. Teethache was 34.4%, stomach problem 11.6%, upper respiratory inflammation 10.2% and back pain 5.9%. Averagely they visited free medical check up 1-2 times. According to symptom, epilepsy 25.5 times, heart and vascular disease 9 times, constipation 2.8%, neurosis 2.38 times and stomach problem 2.34 times. 7) The most frequently visited medical service by migrant workers was hospital. The most mentioned reason was good healing as 36.3%. The medical service satisfied migrant workers mostly was hospital as 64.3%. The reason of satisfaction was also good healing as 45.9%. 8) 77.2% of respondents did not spend money for medical check. Average monthly medical cost was 25,100 Won, 3.7% of income. Those who had no medical security was 73.4%. In their case, 67.7% got discount from hospital or support from working place and religious organization. 9) As for the difference of medical utilization according for the characteristics of migrant workers, legal workers and no-Korean speaker used hospital more frequently. 10) Those who were satisfied most of all with the service of hospital were female workers, hinduists and buddhists, legal workers or manufacture workers. 11) Christians, those who have 3 meals or recognize themselves as healthy ones mostly had no illness. As a result, the most of migrant workers in Korea are from Asia. They are good educated but are working in manufacturing and illegal. Their average income is under 700,000 Won which in not enough for medical cost. They have no medical security and medical fee is supported by religious organization or discounted. Considering these facts the medical policy by government is to be established.

  • PDF

임신부의 식품 및 영양섭취 상태와 임신결과에 영향을 주는 요인 -I. 임신기 스트레스에 의한 식품 및 영양소 섭취 상태- (Factors Affecting Dietary & Nutrients Intake During the First, Second, and Third Trimesters and Pregnancy Outcome -I. Effects of maternal stress on dietary and nutrient intake and on neonatal weight-)

  • 최봉순;신정자;김우경;박명희;이인숙
    • 한국식생활문화학회지
    • /
    • 제16권3호
    • /
    • pp.203-214
    • /
    • 2001
  • Maternal stress was very common symptom that every pregnant women could have experienced during pregnant period. We found that the causative factors of stress for subjects were physical change(50.8%), family relationship(13.6%), change of body image(7.4%), concern baby(6.8%), economic difficulties(6.4%), depress(4.3%), morning sickness(3%), and miscellaneous(3.5%). According to our study, maternal stress during the first trimester negatively correlated with food and nutrients intake of pregnant women and gave low weight gain during pregnancy and low birth weight of infants. It also significantly correlated with monthly income(p<0.001) and monthly food cost(p<0.001) during pregnant period. Mean intake of Calcium and Iron were $47{\sim}60%$ of RDA and $35{\sim}48$ of RDA, respectively. With the Iron supplement the total intake of Iron exceeded 100% of RDA. We also found majority of food items, except seaweeds, fruits and vegetables, were negatively correlated with maternal stress during three trimesters. Additional support system projected by professionals in health-care field could mediate maternal stress and lead to healthy pregnancy outcome.

  • PDF

산전 초음파검사에 대한 산모의 인식도 (Perception of Prenatal Ultrasound by Pregnant Women)

  • 김문정;유승흠;이영호
    • 한국병원경영학회지
    • /
    • 제6권1호
    • /
    • pp.41-61
    • /
    • 2001
  • The purpose of this study was to assess pregnant women's knowledge of, attitude to, and satisfaction with prenatal ultrasound and to determine the factors that influence their perception. A self-administered questionnaire survey was completed by two hundred eighty five pregnant women who visited the obstetric departments of three hospitals located in Seoul from October 17, 2000 to October 28, 2000. The major results are as follows. 1. Overall, the respondents did not fully understand the purpose of prenatal ultrasound. 92.2% of respondents stated that the main purpose of prenatal ultrasound was to check the fetus' age, growth and development but only 44.5% of respondents were aware of the fact that chromosomal abnormalities cannot be diagnosed only by prenatal ultrasound. The majority of respondents were aware of the diagnostic limitations of ultrasound. 2. While the majority of respondents were aware of the importance of pre-examination information, only 31.8% of respondents received such information from their health care providers. 3. Regarding the examination quality, 80.3% of respondents were satisfied with the competency of the examination. But more than 50% of respondents stated the cost and waiting time were not acceptable. 4. The knowledge of, attitude to, and satisfaction with prenatal ultrasound showed statistically significant differences according to the characteristics of each hospital. 5. From multiple regression analysis, the major components for knowledge of prenatal ultrasound were characteristics of hospitals, religion, income and gestational age. The major components for attitude toward prenatal ultrasound were characteristics of hospitals, religion and gestational age. The major components for satisfaction with prenatal ultrasound were characteristics of hospitals, income and drinking during the pregnancy. In conclusion, the respondents' perception of prenatal ultrasound is considerably low. More effective educational material or programs with prenatal ultrasound information should be provided to pregnant women prior to prenatal ultrasound examination. New strategies such as process reengineering are recommendable to increase the satisfaction with prenatal ultrasound.

  • PDF

가상현실기술을 이용한 원격휠체어접근성평가시스템의 개발 (Development of a Remote Wheelchair Accessibility Assessment System Using Virtualized Reality Technology)

  • 김종배
    • 한국HCI학회:학술대회논문집
    • /
    • 한국HCI학회 2006년도 학술대회 1부
    • /
    • pp.33-39
    • /
    • 2006
  • Home modification has come to be recognized as an important intervention strategy to manage health care conditions, maintain or improve functioning, ensure safety, and reduce the wheelchair user's dependency on others. However, the availability of skilled professionals with experience in home modifications for accessibility is limited. A system that enables accurate remote assessments would be an important tool to improve our ability to perform home assessments more easily and at decreased cost. A Remote Wheelchair Accessibility Assessment System (RWAAS) using Virtualized Reality(VR) technology was developed that enabled clinicians to assess the wheelchair accessibility of users' built environments from a remote location. Characteristics of the camera and 3D reconstruction program chosen for the system significantly affect its overall reliability. In this study, we performed two reliability analyses on the hardware and software components: 1) Verification that commercial software can construct sufficiently accurate 3D models by analyzing the accuracy of dimensional measurements in a virtualized environment; 2) comparison of dimensional measurements with four camera settings. Based on these two analyses, we were able to specify a consumer level digital camera and the Photomodeler Pro software for this system. And we then tested the feasibility of the selected software and hardware in an actual environment. Lastly, A field evaluation was performed to test whether this new system is comparable to the traditional method of accessibility assessment to evaluate its ability to assess the accessibility of a wheelchair user's typical built environment. The results of field trials showed high congruence between the assessments by two methods. Findings suggested that the RWAAS assessments have the potential to enable specialists to assess potential accessibility problems in built environments regardless of the location of the client, home, or specialist.

  • PDF

비접촉 생체신호 측정 기반 헬스케어 시스템 설계 및 구현 (Design and Implementation of Healthcare System Based on Non-Contact Biosignal Measurement)

  • 홍성표
    • 한국전자통신학회논문지
    • /
    • 제15권1호
    • /
    • pp.185-190
    • /
    • 2020
  • 급격한 노령화가 의료 시설의 부족과 이로 인한 국민 건강의 질적 하락을 가져올 가능성이 점차 높아지고 있으며 의료비 상승의 부담을 해소하기 위해 선진국에서는 서비스 단가를 낮추기 위한 의료 기관들의 원격의료가 확대되고 있는 추세이다. 유헬스케어는 인체에서 발생하는 물리적, 화학적 현상의 변화를 감지하여 처리 가능한 전기적 신호로 변환하고 측정된 신호 중에서 원하는 정보만을 선택하기 위한 분석과정, 시각화 과정을 통해 결과를 피드백하여 관련정보, 경고, 알람 등을 사용자에게 제공하는 과정을 통해 서비스되고 있다. 하지만 센서를 신체에 직접 부착하는 전통적인 생체계측 방법은 일상생활에 불편을 주고 거부감이 발생할 수 있다. 따라서 일상생활에 불편함을 주지 않고 지속적으로 생체 정보를 측정할 수 있는 방법이 필요하다. 본 논문에서는 일상생활에 불편을 주지 않고 지속적으로 생체정보를 모니터링 할 수 있는 IR-UWB 기반의 비접촉. 무구속적인 호흡측정 시스템을 제안한다.

6LoWPAN 멀티-홉 무선 센서 네트워크에서의 IEEE 11073 PHD 표준을 위한 신뢰성 있는 생체 정보 전송 (Reliable Transmission of Bio-Data for IEEE 11073 PHD Standards at 6LoWPAN Multi-Hop Wireless Sensor Networks)

  • 우연경;박종태
    • 전자공학회논문지
    • /
    • 제50권10호
    • /
    • pp.116-123
    • /
    • 2013
  • 모바일 헬스케어 서비스에서 생체 정보의 신뢰성 있는 전송은 매우 중요하다. 본 논문에서는, 6LoWPAN의 멀티 홉 무선네트워크의 모바일 헬스 케어 모니터링 서비스에서 신뢰성 있는 생체 정보 전송 기술을 제안한다. 또한, IEEE 11073-20601 프로토콜을 확장하였으며 IPv6 네트워크를 사용한 6LoWPAN 기반의 6LoWPAN 멀티-홉 무선 센서네트워크에서 생체 정보를 안정적으로 전송하기 위하여 신뢰성 있는 경로 구축 방법을 제안한다. 6LoWPAN은 IPv6 패킷을 전송하기 위하여 MAC계층의 상위 계층에 적응 계층을 올려 센서 네트워크에 부합하는 점 등으로 인해 현재 가능성을 인정받고 있다. 본 논문에서는 6LoWPAN의 센서들이 소형이고 저가이며 배터리를 사용할 수 있음을 고려하고 모바일 헬스케어 응용환경에 적합한 네트워크 시스템인 만큼 신뢰성 있고 전력 소비 및 알고리즘 수행의 복잡도를 최소화하는 라우팅 절차 및 알고리즘을 제시한다. 본 논문에서 제안된 방법의 우수성을 증명하기 위하여 NS-3을 사용하여 AODV 프로토콜과 성능을 비교하였다.

Knowledge, Attitude and Practices Regarding HPV Vaccination Among Medical and Para Medical in Students, India a Cross Sectional Study

  • Swarnapriya, K;Kavitha, D;Reddy, Gopireddy Murali Mohan
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제16권18호
    • /
    • pp.8473-8477
    • /
    • 2016
  • Background: High risk human papilloma virus (HPV) types 16 and 18 have been proven as central causes of cervical cancer and safety and immunogenicity of HPV vaccines are sufficiently established. Knowledge and practices of HPV vaccination among medical and paramedical students is vital as these may strongly determine intention to recommend vaccination to others in the future. The present study was therefore undertaken to assess the knowledge, attitude and practices regarding cervical cancer screening and HPV vaccination among medical and paramedical students and to analyze factors influencing them. Materials and Methods: The present cross sectional study, conducted in a tertiary care teaching hospital in south India, included undergraduate students aged 18 years and above, belonging to medical, dental and nursing streams, after informed written consent. Results: Out of 957 participants, only 430 (44.9%) displayed good knowledge and only 65 (6.8%) had received HPV vaccination. Among the unvaccinated, 433 (48.54%), were not willing to take the vaccine. Concerns regarding the efficacy (30.5%), safety (26.1%) and cost of the vaccine (21.7%) were responsible for this. Age, gender, family history of malignancy and mother's education had no influence on knowledge. Compared to medical students, nursing students had better knowledge (OR-1.49, 95% CI 0.96 to 2.3, p = 0.072) and students of dentistry had poor knowledge (OR-0.50 95% CI 0.36 to 0.70, p<0.001). Conclusions: The knowledge and uptake of HPV vaccination among medical and paramedical students in India is poor. Targeted health education interventions may have huge positive impact not only on the acceptance of vaccination among them, but also on their intention to recommend the vaccine in future.

HPV and Cervical Cancer Epidemiology - Current Status of HPV Vaccination in India

  • Chatterjee, Sharmila;Chattopadhyay, Amit;Samanta, Luna;Panigrahi, Pinaki
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제17권8호
    • /
    • pp.3663-3673
    • /
    • 2016
  • Cervical cancer (CaCx) is the second most fatal cancer contributing to 14% of cancers in Indian females, which account for 25.4% and 26.5% of the global burden of CaCx prevalence and mortality, respectively. Persistent infection with high-risk human papilloma virus (HPV- strains 16 and 18) is the most important risk factor for precursors of invasive CaCx. Comprehensive prevention strategies for CaCx should include screening and HPV vaccination. Three screening modalities for CaCx are cytology, visual inspection with acetic acid, and HPV testing. There is no Indian national policy on CaCx prevention, and screening of asymptomatic females against CaCx is practically non-existent. HPV vaccines can make a major breakthrough in the control of CaCx in India which has high disease load and no organized screening program. Despite the Indian Government's effort to introduce HPV vaccination in the National Immunization Program and bring down vaccine cost, challenges to implementing vaccination in India are strong such as: inadequate epidemiological evidence for disease prioritization, duration of vaccine use, parental attitudes, and vaccine acceptance. This paper reviews the current epidemiology of CaCx and HPV in India, and the current status of HPV vaccination in the country. This article stresses the need for more research in the Indian context, to evaluate interventions for CaCx and assess their applicability, success, scalability and sustainability within the constraints of the Indian health care system.

한국, 미국, 일본의 간호인력 양성 및 활동 현황 비교 (Comparisons of the Nursing Workforce with Japan, and the U.S.)

  • 유선주
    • 디지털융복합연구
    • /
    • 제11권6호
    • /
    • pp.275-287
    • /
    • 2013
  • 본 연구의 목적은 미국과 일본의 간호인력 양성 및 활동현황과의 비교를 통해 현재 우리나라 간호인력 정책 및 관리에 주는 시사점을 도출하는 것이다. 우리나라는 간호사, 간호조무사 및 간호보조인력의 높은 이직율과 이로 인한 간호서비스의 질 저하, 수급관리, 인력관리 비용의 증가 등 간호인력 정책제도 운영에 있어 여러 가지 어려움을 겪고 있으며, 이를 해결하기 위한 다양한 정책방안의 모색이 시급하다. 미국, 일본 등 간호인력 부족에 대한 어려움은 공통적이나, 이들 국가는 간호사 취업률이 우리나라의 40% 수준 대비 70~80% 수준으로 높고, 간호인력 확충을 위한 간호사 배치기준 법제화 및 수가정책, 근로조건 개선 등의 정책 마련이 중요함을 시사하고 있다. 우수한 간호인력의 안정적인 수급을 통해 환자안전 및 간호서비스의 질 향상을 달성하기 위해서는 보건당국의 보다 적극적인 간호인력 확충, 근로조건 개선 의지가 필요하며, 이를 위한 법 제도 개선이 요구된다.