• 제목/요약/키워드: Health Care Cost

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재가노인의 지역 보건의료서비스 요구도, 만족도 및 이용도 - G시 보건소를 중심으로 - (The Need for, Satisfaction with, and Availability of Local Healthcare Services for Elderly Individuals Receiving Home-Care Services)

  • 김미라;김경희;곽연희;김윤정
    • 한국지역사회생활과학회지
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    • 제26권1호
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    • pp.5-18
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    • 2015
  • This descriptive study investigates the need for, satisfaction with, and availability of local healthcare services for elderly individuals. The subjects included 210 individuals aged 65 years over, and data were analyzed using SPSS. The subjects reported the limited availability of local healthcare services but a high level of satisfaction with and a strong need for these services. The subjects used these services mainly for their vaccination and perceived cost-effectiveness as the most important factor motivating their decision to use these services and a lack of publicity as the most important factor discouraging their use. Spouses, jobs, and health conditions showed significant differences in the level of satisfaction and availability, and diseases showed significant differences only in the need. These results suggest that local healthcare centers should provide services that many elderly patients can use through outreach services, connections to local communities, and active publicity instead of expanding service types.

IEEE 802.15.4 LR-WPAN의 실시간 음성 데이터 응용에 대한 적용 가능성 연구 (Feasibility Study of IEEE 802.15.4 LR-WPAN to the Real-time Voice Application)

  • 허윤강;김유진;허재두
    • 대한임베디드공학회논문지
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    • 제2권2호
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    • pp.82-94
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    • 2007
  • Wireless sensor networking technology is one of the basic infrastructures for ubiquitous environment. It enables us to gather various sensory data such as temperature, humidity, gas leakage, and speed from the remote sensor devices. To support these networking functions, IEEE WPAN working group makes standards for PHY and MAC, while ZigBee Alliance defines the standards for the network, security, and applications. The low-rate WPAN was emerged to have the characteristics of network resilience, low cost, and low power consumption. It has a broad range of applications including, but not limit to industrial control and monitoring, home automation, disaster forecast and monitoring, health care. In order to provide more intelligent and robust services, users want voice-based solutions to accommodate to low-rate WPAN. In this paper, we have evaluated voice quality of an IEEE 802.15.4 standard compliant voice node. Specifically, it includes the design of a voice node and experiments based on the prediction of voice quality using the E-model suggested by ITU-T G.107, and the network communication mechanisms considering beacon-enabled and nonbeacon-enabled networks for real-time voice communications.

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몬테칼로 시뮬레이션을 활용한 양성자가속기 단기사용 시 구성품의 방사화 평가 (A Study on the Radioactive Products of Components in Proton Accelerator on Short Term Usage Using Computed Simulation)

  • 배상일;김정훈
    • 대한방사선기술학회지:방사선기술과학
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    • 제43권5호
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    • pp.389-395
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    • 2020
  • The evaluation of radioactivated components of heavy-ion accelerator facilities affects the safety of radiation management and the exposure dose for workers. and this is an important issue when predicting the disposal cost of waste during maintenance and dismantling of accelerator facilities. In this study, the FLUKA code was used to simulate the proton treatment device nozzle and classify the radio-nuclides and total radioactivity generated by each component over a short period of time. The source term was evaluated using NIST reference beam data, and the neutron flux generated for each component was calculated using the evaluated beam data. Radioactive isotopes caused by generated neutrons were compared and evaluated using nuclide information from the International Radiation Protection Association and the Korea Radioisotope association. Most of the nuclides produced form of beta rays and electron capture, and short-lived nuclides dominated. However, In the case of 54Mn, which is a radioactive product of iron, the effect of gamma rays should be considered. In the case of tritium generated from a material with a low atomic number, it is considered that handling care should be taken due to its long half-life.

의료폐기물 소각가스 처리에 관한 연구 (Treatment Study on the Combustion Gas of Medical Waste)

  • 이성진;서만철
    • 환경위생공학
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    • 제23권3호
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    • pp.1-8
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    • 2008
  • Currently, medical waste stoker incinerator is widely used in the emission control technology of health-care risk waste and miscellaneous contaminated waste. In the past, wet type control technology was used to remove the major harmful gaseous contaminants of medical waste such as HCl, $NO_x,\;SO_2$, CO, DUST, Dioxin. However, the treatment cost for wastewater was high and it has a disadvantage for frozen system during winter season. Therefore, in order to obtain effective treatment, the dry type control technology was developed and widely used to remove the gaseous contaminants. In this study, pre-coated bag filter using hydrated lime, ($Ca(OH)_2$), was applied to the dry type control system and the optimum dose of hydrated lime was investigated. The treatment results showed that the dust collection rate was approximately 26.7%. Moreover, the HCl removal rate using pre-coated bag filter ($50mg/sm^3\;Ca(OH)_2$) was 13.52%, which was significantly higher than 3.26% obtained from conventional bag filter.

USN 환경에서 다중 RFID 제어를 통한 헬스케어 응용 시스템 설계에 관한 연구 (A Study on the Design of Health-Care Application System through Control of Multiple RFID in USN)

  • 이양선
    • 한국정보통신학회논문지
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    • 제14권8호
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    • pp.1937-1942
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    • 2010
  • 본 논문에서는 RFID 기술을 헬스장에 적용하여 각 이용자에게 맞는 운동순서, 장비사용법, 운동량, 운동 목표 등을 개인 트레이너의 지도 없이 체계적으로 이루어지도록 한다. 또한, 헬스장을 이용하는 고객은 RFID를 이용하여 저렴한 비용으로 트레이너의 지도를 받는 것과 동일한 효과를 기대할 수 있다. 본 논문에서의 시스템은 운동시간을 기록하는 것뿐만 아니라, 마이크로프로세서와 가속도 센서를 이용하여 운동량을 분석할 수 있다. 이로 인하여 사용자 운동량 판단이 가능한 시스템을 구현하였다.

Overview of Noncommunicable Diseases in Korean Children and Adolescents: Focus on Obesity and Its Effect on Metabolic Syndrome

  • Lee, Hye Ah;Park, Hyesook
    • Journal of Preventive Medicine and Public Health
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    • 제46권4호
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    • pp.173-182
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    • 2013
  • Obesity during childhood is a dominant risk factor for noncommunicable diseases (NCDs), and is itself considered a disease that needs to be treated. Recently, the growth in childhood obesity in Korea has become stagnant; however, two in every ten children are still overweight. In addition, 60% or more of overweight children have at least one metabolic syndrome risk factor. Thus, childhood obesity should be controlled through lifestyle modification. This paper reviews studies of the modifiable risk factors of obesity in Korean children. According to the life-course approach, preschool-aged children (<5 years) are influenced by their parents rather than individual habits because they are under mostly parental care. Elementary school-aged children (6 to 11 years) are affected by overlapping individual and parental effects. This may mean that the establishment of individual behavior patterns begins during this period. The conditions of poor eating habits such as skipping meals, eating out, and high fat intake, along with low physical activity, facilitate increased obesity among adolescents (12 to 18 years). Notably, adolescent girls show high rates of both underweight and obesity, which may lead to the development of NCDs in their offspring. Therefore, the problem of NCDs is no longer limited to adults, but is also prevalent among children. In addition, early intervention offers cost-effective opportunities for preventing NCDs. Thus, children need primary consideration, adequate monitoring, diagnosis, and treatment to reduce the burden of NCDs later in adulthood.

A Study on the Cost-Effective Personalized Plantar Pressure Measurement System

  • Kang, Ji-Woo;Kwon, Young-Man;Lim, Meoung-Jae;Chung, Dong-Kun
    • International Journal of Internet, Broadcasting and Communication
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    • 제11권4호
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    • pp.11-17
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    • 2019
  • Plantar pressure data can be used not only for walking patterns in daily life, but also for eating, health care, and disease prevention. For this reason, the importance of plantar pressure measurement has recently increased. However, most systems that can measure both static and dynamic plantar pressure at the same time are expensive, not portable, and not universal. In this study, we propose a system that effectively reduces the number of sensors in plantar pressure system. Through this, we want to increase the economics and practicality by reducing the size and weight of the system, as well as the power consumption. First, for static plantar pressure and dynamic plantar pressure, the values measured by existing precision instruments are analyzed to determine how many measurement parts the insole is divided into. Next, for the divided measuring parts, the position of the sensor is determined by calculating the Center of Pressure (COP) for each part with the values of all dynamic and static plantar pressure sensors. Finally, in order to construct a personalized plantar pressure measurement system, we propose a weighting method for the static plantar pressure COP and the dynamic plantar pressure COP for each part.

머신러닝 알고리즘 기반의 의료비 예측 모델 개발 (Development of Medical Cost Prediction Model Based on the Machine Learning Algorithm)

  • Han Bi KIM;Dong Hoon HAN
    • Journal of Korea Artificial Intelligence Association
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    • 제1권1호
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    • pp.11-16
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    • 2023
  • Accurate hospital case modeling and prediction are crucial for efficient healthcare. In this study, we demonstrate the implementation of regression analysis methods in machine learning systems utilizing mathematical statics and machine learning techniques. The developed machine learning model includes Bayesian linear, artificial neural network, decision tree, decision forest, and linear regression analysis models. Through the application of these algorithms, corresponding regression models were constructed and analyzed. The results suggest the potential of leveraging machine learning systems for medical research. The experiment aimed to create an Azure Machine Learning Studio tool for the speedy evaluation of multiple regression models. The tool faciliates the comparision of 5 types of regression models in a unified experiment and presents assessment results with performance metrics. Evaluation of regression machine learning models highlighted the advantages of boosted decision tree regression, and decision forest regression in hospital case prediction. These findings could lay the groundwork for the deliberate development of new directions in medical data processing and decision making. Furthermore, potential avenues for future research may include exploring methods such as clustering, classification, and anomaly detection in healthcare systems.

경기지역 노인의 건강과 식생활관리 I - 노인의 성별 비교 - (The Elderly Health and Dietary Management in Gyeonggi Province - Comparison with Gender Difference -)

  • 원향례;이승교;최미용
    • 한국지역사회생활과학회지
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    • 제17권1호
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    • pp.123-139
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    • 2006
  • The purpose of this study is to search how to promote health and improve nutrition and health care of the elderly people in rural area. Behaviors for health promotion and habits against health risk were surveyed. Dietary management was analyzed for surveyed nutrient intake by 24 hr -recall method. 242 subjects were collected in 12 cities or counties in Gyeonggi Province and 20 elderly people (10 male and 10 female) were selected out of 1 village in each district. Questionnaire for health behavior and dietary management was carried out by trained interviewers. Statistical analyses were made by SAS (version 8.1) and Chi-square tests and General Linear Models were used. Characteristics of the elderly people were 61-74 year-olds (68.2%), elementary school educated (78.4%), with spouse (51.7%), monthly living cost of 500-1,000 thousand won(43.4%), and monthly pocket money of 50-100 or 100-200 thousand won(33.5%, 26.5%). 41.4% of the subjects checked up medical examination regularly. The alcohol drinking status was significantly different according to gender: high no-drink rate of female (52.5%) and low no-drink rate of male (25.6%). Kinds of disease were different according to gender: higher proportion of cardiovascular disease(46.3%) and diabetes mellitus(8.1 %) in male and joint lumbago neuralgia(44.4%) and osteoporosis(8.6%) in female. Gastrointestinal complaints were nausea (69.0%) and chronic indigestion (17.8%). Constipation (12.0%) and vomiting (4.3%) were more frequent in female. Dietary management was good (3 meals per day: 93.4%., dining with family: 72.4%, regular mealtime: 72.4%, and 3-4 times of snacks per week: 44.9%) except side dish taking of 3-4 kinds only. However, almost one-third of the female elderly ate alone (30.6%) which was well compared with one-fifth of the male (19.7%). And food and nutrients intake were not significantly different according to gender except that male elderly's intake of energy and protein was lower than that of female's. The surveyed subjects had no difficulties in Activities of Daily Living (ADL), but some female elderly had some difficulties with Instrumental Activities of Daily Living (IADL) like working at home, using transport, and going shopping. These results suggest that low quality of life linked with low economic status of the rural elderly and that congregate meal at village hall would be required for the female elderly eating alone. For the undernourished male elderly, it would be needed to provide snacks and to establish nutrition and health surveillance system.

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한국인 턱관절장애 환자의 유병률과 진료 양태 (Prevalence and Treatment Pattern of Korean Patients with Temporomandibular Disorders)

  • 양희영;김미은
    • Journal of Oral Medicine and Pain
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    • 제34권1호
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    • pp.63-79
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    • 2009
  • 본 연구는 건강보험심사평가원(Health Insurance Review and Assessment Service, 이하 심평원)에서 전산화되어 관리되는 보험대상 환자들의 진료기록을 이용하여 턱관절장애(temporomandibular disorders, TMD)로 인해 병원을 찾고 있는 환자의 유병률과 진료양태를 파악하고자 하였다. 연구를 위하여 심평원 전산시스템에 등록된 국내 보험대상 환자 중 2003년, 2004년, 2005년의 3년에 걸친 환자 자료를 사용하여 턱관절장애 (K07.6)를 주상병으로 하여 진단과 치료를 받은 환자에 대하여 성별 및 연령별 진료인원, 지역별 진료인원, 요양기관종별 진료인원, 치료기간 및 진료건수, 진료과목별 진료건수와 평균치료기간, 진료과목별 1인당 소요비용, 원외처방 치료약제 약효분류코드(효능군)별 연간 투약일수, 외과적 수술 실시 횟수 등을 분석조사한 연구결과는 다음과 같다. TMD로 인해 병원을 찾는 평균 환자수는 전체인구의 0.15%이었으며, 3년간 매년 증가하는 추세를 보였다. 그 중 99.8%가 여자였고, 20대의 유병률이 가장 높고 연령이 증가하면서 감소하는 양상을 보였다. 3년간의 변화추이를 볼 때 20대의 유병률은 감소하고 40대 이후 증가하는 양상을 보였다는 점이 특징적이었다. 16개 시도별 분포에서는 인구가 많은 서울, 경기 지역의 환자수가 많았고, 매년 전체 환자수가 증가하면서 각 지역별로 유사한 비율로 증가하였다. 그러나 부산과 대구에서는 감소세가 뚜렷하였고 울산, 경기, 전남의 증가세가 관찰되었다. 의료기관별로 내원한 환자 수는 치과를 포함한 일차의료기관에 내원하여 진료한 경우가 평균 56.8%로 전체의 과반수를 차지하였고 TMD와 관련한 입원건수는 치과 입원(86.6%)이 의과전체(13.4%) 보다 훨씬 많았다. 외래내원건수에서는 치과가 전체 건수의 38.4%로서 가장 많았으며, 정형외과(28%), 이비인후과(13.6%)의 순서였다. 약물치료에서는 해열소염진통제가 가장 빈번하게 투여되었고 정신신경용제, 골격근이완제의 순서였다. 심평원의 자료는 TMD때문에 병원을 찾는 환자들의 역학적 특성과 진료양태에 대한 포괄적이고 광범위한 정보를 제공하고 있지만, 진료실에서 정확한 진단과 표준화된 치료가 이루어지고 있는지에 대한 평가가 함께 이루어질 때 더욱 신뢰할 수 있는 정보가 될 것으로 생각된다.