• Title/Summary/Keyword: Healthcare cost

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A Study on the Architectural Planning of Medical Part for Multipurpose Senior Center - focused on Cases in Seoul - (노인종합복지관 의료부문 건축계획에 관한 연구 - 서울시 사례를 중심으로 -)

  • Cho, Tae-Hee;Park, Jae-Seung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.11 no.3
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    • pp.51-60
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    • 2005
  • Because of the rapid increase of the number of elderly people, there are many problem in modern society. Especially the support of elderly people is becoming the hot issue, which results from a nuclear family and social activity of woman. The Policy of community care of the elderly people in western is caused by a heavy cost and isolation from the society of a facility care policy. Since 1980, Concept of 'home care for elderly people' has been appeared in korea. The Facility causing by these movement is 'Multipurpose senior center'. The purpose of this study is to present the alternative data to improve the quality of medical and rehabilitation part in multipurpose senior center. Data collecting skills such as drawing documents analysis, interviews, observation were used to examine the condition of medical and rehabilitation. And, case study method was used to generate the alternative medel which can be used for the spatial composition and the area calculation.

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The Iceberg Nature of Fibromyalgia Burden: The Clinical and Economic Aspects

  • Ghavidel-Parsa, Banafsheh;Bidari, Ali;Maafi, Alireza Amir;Ghalebaghi, Babak
    • The Korean Journal of Pain
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    • v.28 no.3
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    • pp.169-176
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    • 2015
  • This review has focused on important but less visible aspects of fibromyalgia (FM) with respect to the high impact of this disorder on patients and societies. FM is a common but challengeable illness. It is characterized by chronic widespread pain, which can be accompanied by other symptoms including fatigue, sleep disturbances, cognitive dysfunction, anxiety and depressive episodes. While our understanding of this debilitating disorder is limited, diagnosis and treatment of this condition is very difficult, even in the hands of experts. Due to the nature of disease, where patients experience invalidation by medical services, their families and societies regarding the recognition and management of disease, direct, indirect and immeasurable costs are considerable. These clinical and economic costs are comparable with other common diseases, such as diabetes, hypertension and osteoarthritis, but the latter usually receives much more attention from healthcare and non-healthcare resources. Present alarming data shows the grave and "iceberg-like" burden of FM despite the benign appearance of this disorder and highlights the urgent need both for greater awareness of the disease among medical services and societies, as well as for more research focused on easily used diagnostic methods and target specific treatment.

Moon Jae-in Government's Plan for Benefit Expansion in National Health Insurance (문재인 정부의 건강보험 보장성 강화대책)

  • Park, Eun-Cheol
    • Health Policy and Management
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    • v.27 no.3
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    • pp.191-198
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    • 2017
  • Moon Jae-in Government announced the Government's 5-Year Plan on July 19, 2017, President Moon directly announced the Government's Plan for Benefit Expansion in National Health Insurance on August 7, 2017. The main contents of the announced expansion include benefit coverage for all medically necessary services with control over non-covered service occurrence, a decrease in the cost-sharing upper limit, and monetary support for catastrophic medical costs. Although past governments have been continuously striving for benefit expansion in the last 15 years, this plan has its breakthrough aspect in that all medical services will be covered by the National Health Insurance. In alignment, there are important tasks to solve: attaining a proper fee schedule, reforming the healthcare delivery system, and improving healthcare quality. This plan is a symptom oriented action in that it is limited in reducing patients' out-of-pocket money, unlike the systematic approach of the National Health Insurance. The sustainability of the National Health Insurance is being threatened due to South Korea's low birth rate, rapidly aging society, and low economic growth, in addition to the unification issue of the Korean Peninsula, medical utilization of the elderly, management of non-communicable diseases, and so on. Therefore, the Government needs to plan the National Health Insurance system reformation including actions addressed toward medical consumers.

Design and Implementation of Correcting Posture Program for Fitness (운동자세 교정 트레이닝 프로그램 설계 및 제작)

  • Park, Jung-Hwan;Cho, Sae-Hong
    • Journal of Digital Contents Society
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    • v.19 no.2
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    • pp.245-250
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    • 2018
  • Ab Image Processing can be applied to the various fields nowadays. The healthcare, which people may have interest, is one of those fields. The healthcare program which fitness equipments are used requires the correct posture of body. However, people usually does exercise by oneself with various reasons such as cost to hiring personal trainer. In this case, the effectiveness of training should not be guaranteed. Moreover, reverse effect may be produced. This paper is an implementing a correcting posture program by using image processing techniques, which people can use exercise training by oneself. It is expected that people can have a personal trainer who coaches the correct postur through this program.

A Study on the Nucleus System of Standard Hospitals in U.K. (영국의 표준병원에서 뉴클리우스 시스템에 대한 연구)

  • Moon, Chang-Ho
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.3 no.4
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    • pp.59-68
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    • 1997
  • This study is intended to review the Nucleus System of standard hospitals in U.K. The research is focused on the theoretical background, contents of Nucleus System, and the operational problems through the survey of sample hospitals. The contents of research include the development history of standardization, outlines, aimes, advantages, the data of Nucleus system, and the study-visits of sample hospitals. The conclusion could be summarized as follows ; 1) The form of standard hospitals is compact and low-rise the major movements are horizontal. The standard plans of the functional dpartments are unified as cruciform with $15m{\times}15m$ module. 2) The Nulceus System has been developed. The hospitals have 3 stories maximum and courtyards for natural light & ventilation. 3) The advantages of Nucleus System includes reduction of design & construction period, the buildability due to the repetitive construction, and the running cost. And the disadvantages are mentioned as the lack of storage, staff accomodation, pantry, and sanitary facilities. 4) Sample hospitals provide human scale, possibilities of growth & change, and curing environment from art decoration & artificial lake. 5) In case of Korean situation, even the minimum standardization such as hospital design guidelines should be developed in near future.

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A Study on the Proper Location of Ventilation Outlets and Inlets in the Germ Free Pigs' Room (무균돈사내 급배기구의 적정위치설정에 관한 연구)

  • Kwon, Soonjung;Son, Deok-Young;Choi, Yoon-Ho
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.14 no.4
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    • pp.39-46
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    • 2008
  • Construction and operation of Germ Free Pigs' facilities are very expensive because pigs' rooms and other major rooms of the facility require germfree environments. Especially, running the HVAC system of aseptic facilities requires a lot of expenses. However, proper location and efficient shape of outlets/inlets for the ventilation of the room can reduce the excessive running cost. In order to do that, this study proposes alternative location and shape of ventilation outlets/inlets to the existing design pattern in germfree pigs' room. The design condition of this study is the maintenance of adequate temperature(24$^{\circ}C$, $NH_3$concentration level(below 1.5 ppm), and air stream speed(below .25m/sec) in the pigs' room for the summer and the winter together. As the Software Program, FLUENT(Ver. 6.2) has been used for the analysis of proposed ventilation patterns. In conclusion, wall inlets and ceiling inlet/outlet are advisable in summer, wall inlets and ceiling outlets is advisable in winter. As far as the shape is concerned, diffuser type for the ceiling outlet is desirable.

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A Study on the Characteristics of Remodeling Planning in Small-mid sized Hospital - Focused on the case study of 300beds general hospital (중소규모 병원의 리모델링 계획 특성에 관한 연구 - 300병상 종합병원 계획사례를 중심으로)

  • Choi, Kwangseok;Kim, Kiyon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.22 no.4
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    • pp.105-115
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    • 2016
  • Purpose: This study is a case study of a small-mid sized hospital to promote a full-scale remodeling to ensure the quality and competitiveness of the medical services and trying to arrange the remodeling characteristics of small-mid sized hospital which is suffering from aging facilities as well as chronic congestion and lack of spaces. Methods: Research was conducted by consultation with hospital executives and each department operators, and on-site investigation, Results: The result of this study can be summarized into two points. The first one is that existing statistical value like area per bed, in the remodeling of the small-mid hospitals may not mean much. planners have to verify the necessary room space areas in close consultation with the department operators. And after confirming layout possibilities, they have to create the program. The second one is that remodeling planning can be a realistic plan with structural and installation diagnosis at the same time. If so, it is advisable to proceed architectural design from the beginning for cost and time savings. Implications: This results can be applied to small-mid hospitals to apply to the medical law revision and others.

A Study on the Reason for Change of Master Plan of Hospital Architecture in Design Process (병원건축 마스터플랜이 설계과정에서 변경되는 원인에 관한 연구)

  • Park, Cheolkyun;Yang, Naewon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.24 no.4
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    • pp.7-15
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    • 2018
  • Purpose: The life span of a hospital building is short. This is because the building will have to be built up due to the fact that it can not cope with the new medical environment, it can not be replaced due to low floor height, lack of land. The purpose of the hospital building master plan is to find a way to fulfill its role in the long term. Methods: Comparison the proposals submitted by the master plan and the proposals submitted by the hospitals, the case of three hospitals that have established a master plan for the past three years. In addition, interviews with the designers who participated in the design competition and the administrator of hospital about the variables that occurred during the business process. Results: The result of this study can be summarized into four points. The first one is that master plan is changed by administrator of hospital so that Thy need to understand about the role of master plan. And next is to protect reduction of the project cost. Third, continuous participation of master plan researchers in following projects is good to communicate with administrator and designer. The last one is empathy of master plan by designer and users. Implications: It is necessary to reduce changing of master plan in design process for sustainable managing of hospital.

Overview and Prospects of Patient Centered-Smart Hospitals (환자중심 스마트병원의 개요와 전망)

  • Park, Hyunyoung;Cho, Yong Jin
    • Journal of Digital Convergence
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    • v.19 no.7
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    • pp.419-426
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    • 2021
  • With the development of the information and communication technology, the smart hospital has become a new trend in a healthcare industry. This study reviewed the concept, key technologies, applications, and future challenges of a smart hospital, and the user-centered strategies for designing a smart hospital. In smart hospitals, digitally enabled clinical staff will be able to produce better patient outcomes by delivering a more integrated patient-centered care with an efficient manner in connected facilities systems. However, to promote a successful patient-centered smart hospital environment in the future, various obstacles regarding cost, technology, security, and standards should be overcome. It is also necessary for patients and medical personnel to be involved as service users.

Process Optimization of Nypa fruticans Wurmb Extract using Mixed Solvent and its Functional Component Analysis

  • Kim, Jin;Kim, Han Sung;Son, Jang Wan;Moon, Seong Yong;Lee, Sook-Young
    • Biomedical Science Letters
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    • v.28 no.1
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    • pp.34-41
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    • 2022
  • In this study, conditions for extraction of functional component from Nypa fruticans wurmb was optimized. The yield by extraction with 30% ethanol (LE30, 42.12%) was higher than those hot water extraction (LDW 33.32%), 50% ethanol (LE50, 40.12%) and 70% ethanol (LE70, 34.5%). The extract was purified and analyzed by GC MS. The prevailing compounds found in extract were Cyclodecasiloxane-, pentadecanoic acid, -eicosane, undecanal and tridecanoic acid. The presence of saturated and unsaturated fatty acids in ethanolic extract vindicate the use of this plant to treat many diseases in traditional medicine. The total phenolic contents in the LDW, LE30, LE50, LE70 extract were 128±1.65 mg/g, 205±2.3 mg/g, 210±4.23 mg/g and 180±5.6 mg/g, respectively. The DPPH was highest in LE70 extract (1,000 ㎍/mL, 81.14%), ABTS was highest in LE50 extract (1,000 ㎍/mL, 84.14%). The protective effects against oxidative stress in raw 264.7 cell imparted by the LE50 extract was better than those imparted by the other extracts. The findings of the present study suggest that 50% ethanol is best solvent for extraction of Nypa fruticans Wurmb, considering yield, polyphenol content, and antioxidant activities with extraction cost.