• Title/Summary/Keyword: Health Medical Center

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Differences in the Survival of Gastric Cancer Patients after Gastrectomy according to the Medical Insurance Status

  • Jang, Jae Seong;Shin, Dong Gue;Cho, Hye Min;Kwon, Yujin;Cho, Dong Hui;Lee, Kyung Bok;Park, Sang Soo;Yoon, Jin;Jang, Yong Seog;Kim, Il Myung
    • Journal of Gastric Cancer
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    • v.13 no.4
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    • pp.247-254
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    • 2013
  • Purpose: In Korea, the entire population must enroll in the national health insurance system, and those who are classified as having a lower socioeconomic status are supported by the medical aid system. The aim of this study was to evaluate the association of the medical insurance status of gastric cancer patients with their survival after gastrectomy. Materials and Methods: A total of 247 patients who underwent surgical treatment for gastric cancer between January 1999 and December 2010 at the Seoul Medical Center were evaluated. Based on their medical insurance status, the patients were classified into two groups: the national health insurance registered group (n=183), and the medical aid covered group (n=64). The survival rates were calculated using the Kaplan-Meier method. Results: The median postoperative duration of hospitalization was longer in the medical aid covered group and postoperative morbidity and mortality were higher in the medical aid group than in the national health insurance registered group (P<0.05). The overall 5-year survival rate was 43.9% in the medical aid covered group and 64.3% in the national health insurance registered group (P=0.001). Conclusions: The medical insurance status reflects the socioeconomic status of a patient and can influence the overall survival of gastric cancer patients. A more sophisticated analysis of the difference in the survival time between gastric cancer patients based on their socioeconomic status is necessary.

An Analysis on the Korean Rural Health Care Delivery System (농촌의료(農村醫療)의 문제점(問題點)과 대책(對策) - 의료제도(醫療制度)를 중심(中心)으로-)

  • Song, Oh-Dal
    • Journal of agricultural medicine and community health
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    • v.2 no.1
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    • pp.30-35
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    • 1977
  • Health care conditions in Korea are gradually improving along with the economic and social development. However, the volume of disease is still great, especially in rural areas. This study attempts, therefore, to initiate a comprehensive proposal of rural health care delivery system. The proposal is constructed three parts, problem of health care system, medical cost, medical education system. The proposal consist of the following components: I. The health care system 1. health sub-center is required to be locate in "Myun" the basis administrative unit of local government for delivering primary health care. But, in the viewpoint of medical economics, the primary health care is operated cautiously. 2. Health center is desirable to provide health services in coordinating the health sub-center and other private health institution. 3. The secondary health care is performed in regional combination hospitals, and the attitude that doctors accomodate this system is required. II. The medical cost, Insurance In the expenditure of medical care, the method of a third person's payment is required absolutely. III. The medical education system. 1. The medical education system (process) is changed from the medical education to regional doctor education. 2 In the nurse education system. nursing technical high school is resurrected.

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Gateway RFP-Fusion Vectors for High Throughput Functional Analysis of Genes

  • Park, Jae-Yong;Hwang, Eun Mi;Park, Nammi;Kim, Eunju;Kim, Dong-Gyu;Kang, Dawon;Han, Jaehee;Choi, Wan Sung;Ryu, Pan-Dong;Hong, Seong-Geun
    • Molecules and Cells
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    • v.23 no.3
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    • pp.357-362
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    • 2007
  • There is an increasing demand for high throughput (HTP) methods for gene analysis on a genome-wide scale. However, the current repertoire of HTP detection methodologies allows only a limited range of cellular phenotypes to be studied. We have constructed two HTP-optimized expression vectors generated from the red fluorescent reporter protein (RFP) gene. These vectors produce RFP-tagged target proteins in a multiple expression system using gateway cloning technology (GCT). The RFP tag was fused with the cloned genes, thereby allowing us localize the expressed proteins in mammalian cells. The effectiveness of the vectors was evaluated using an HTP-screening system. Sixty representative human C2 domains were tagged with RFP and overexpressed in HiB5 neuronal progenitor cells, and we studied in detail two C2 domains that promoted the neuronal differentiation of HiB5 cells. Our results show that the two vectors developed in this study are useful for functional gene analysis using an HTP-screening system on a genome-wide scale.

Health-Care Services Recognition Comparison of patient between Korean Medicine Hospital and Seoul Health Center (한방병원(韓方病院)과 보건소(保健所) 내원(內院) 환자(患者)의 의료(醫療) 서비스 인식(認識) 비교(比較))

  • Jeong, Sun-Hyeon;Nam, Seung-Gyu;Kim, Yong-Il
    • Journal of Haehwa Medicine
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    • v.22 no.2
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    • pp.119-141
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    • 2014
  • Objective : This study was designed to health-Care services recognition comparison of patient between Korean Medicine 00 Hospital and Seoul 00 Health Center. Methods : 277 subjects were participated in this study. After a treatment, we analyzed a patient type by using a questionnaire. After all treatment, we conducted a survey about Medical Trust Scale, Medical Happiness Index Scale, Service Quality Scale. To evaluate a satisfaction degree, we analyzed results of survey statistically. Results : The results of the analysis, Korean Medicine 00 Hospital group got a higher score than Seoul 00 Health Center group statistical significantly on Medical Trust Scale, Medical Happiness Index Scale, Service Quality Scale. Conclusion : Korean Medicine 00 Hospital group got a higher score than Seoul 00 Health Center group. It was more effective in Korean Medicine 00 Hospital group than Seoul 00 Health Center group.