• Title/Summary/Keyword: Medical Humanities

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Time Trend of Out-of-pocket Expenditure among Cancer Inpatients: Evidence from Korean Tertiary Hospitals

  • You, Chang Hoon;Kang, Sungwook;Kwon, Young Dae;Choi, Ji Heon
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.11
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    • pp.6985-6989
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    • 2013
  • Background: This study aimed to examine out-of-pocket expenditure for cancer treatments of hospitalized patients and to analyze changing patterns over time. Materials and Methods: This study examined data of all cancer patients receiving inpatient care from two tertiary hospitals from January 2003 to December 2010. Medical expenditures per admission were calculated and classified into those covered and uncovered by the Korean National Health Insurance (NHI) and co-payment. Results: The medical expenditure per admission increased slowly from 3,455 thousand Korean won (KRW) to 4,068 thousand KRW. While expenditures covered by the NHI have increased annually, co-payments have generally decreased. The out-of-pocket expenditure ratio, which means the proportion of uncovered expenditure and co-payment among total medical expenditure dropped sharply from 2005 to 2007 and was maintained at a similar level after 2007. Medical expenditures, NHI coverage, and the out-of-pocket expenditure ratio differed across cancer types. Conclusions: It is necessary to continually monitor the expenditure of uncovered services by the NHI, and to provide policies to reduce this economic burden. In addition, an individual approach considering cancer type-specific characteristics and medical utilization should be provided.

The Determinant Factors and Medical Charges Pattern by Length of Stay in Hospital (재원일별 진료비 발생양상과 재원일수의 결정요인)

  • Kim, Young-Hoon;Moon, Jae-Woo;Kim, Key-Hoon
    • Korea Journal of Hospital Management
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    • v.15 no.2
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    • pp.15-26
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    • 2010
  • Stroke is a high-risk disease. The future of the medical environment is that the proportion of elderly population is increasing, the average life expectancy is being increased, while the fatal rate of stroke will be low. These situation will due to the financial burden on medical insurance. The most important factor that affects on the medical costs of stroke patients is the length of stay. In this study the mean length of hospital for stroke stay was 21.81days(37.97days for intracerebral hemorrhage, 18.89 days for cerebral infarction). The payment per case of stroke was 6.86 million won(12.6 million won for intracerebral hemorrhage, 5.72 million won for cerebral infarction). The payment per case of intracerebral hemorrhage was 2.2 times more than that of cerebral infarction. The payment in the day of hospitalization was the highest and until the second day medical costs was high. After the third day medical costs tended to decline, after that seemed to show an almost constant level. The length of hospital stay was found to be the most important determinant of inpatient charges for stroke. Accordingly rational management of the length of stay will be beneficial to health care consumers, providers, states.

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The Future Roles of Korean Doctors: Cultivating Well-Rounded Doctors (한국의 의사상: 좋은 의사양성)

  • Ahn, Ducksun
    • Korean Medical Education Review
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    • v.16 no.3
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    • pp.119-125
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    • 2014
  • Much of the behavior of doctors reflects the influences from the social, cultural, historical, and economic environment of the time. Therefore, it is very important for future doctors to understand the practice environment in an ever changing world. Traditionally, doctors' competence has been based on the doctor-patient relationship. However, the social practice of medicine in the contemporary era asks future doctors to have social competencies, which often are defined as non-clinical competencies. As a global project, the World Federation for Medical Education has urged every country to define the future role of doctors to encompass global roles based on the duty toward and value of clinical as well as non-clinical competencies. In the past four years, Korean medical professional societies have coordinated to set forth the global role of Korean doctors. Five domains of clinical competence, professionalism, social accountability, communication and collaboration, and education and research have been chosen. The current version of the "global role of Korean doctors" can be used not only for the common objectives of medical education, but also for translating into the competencies of doctors that can be achieved through life-long learning. If we all want to improve medical education in order to produce more qualified and competent doctors as the public desires, then it may be the most urgent task to produce doctors who are equipped with social competencies to persuade, negotiate, and engage in constructive dialogues with society for better health care for a better society.

A Study on the Bencao Classification System in Materia Medica of East Asian Medical History (역대 본초서(本草書)의 본초분류체계에 대한 연구)

  • Baek Myunghun;Shin Sang-won
    • Journal of Korean Medical classics
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    • v.36 no.3
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    • pp.89-128
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    • 2023
  • Objectives : This study aims to diachronically examine the classification systems of all materia medica, followed by categorization and analysis of each category to deduce each category's characteristic. This will provide foundation for further examining classifications of bencao in contemporary herbology. Methods : Classification systems from a total of 93 bencao related texts were collected and categorized. Each category's classification system was analyzed to determine its meaning. The classification systems were compared from a diachronic perspective, to further deduce each system's problem from a historical context. Results : The classification systems of materia medica could be summarized as following three standards: quality, origin, and medical application. In reality, bencao could be generally classified according to origin and medical application. The origin-based classification system provided a stable and flexible classification outline in the expansion process of bencao. The medical application-based classification strengthened the relationship between bencao and illness pattern, improving clinical applicability. Conclusions : In the history of herbology, the two classification systems created the current of herbology through mutual contribution and conflict. We hope that further discussion on the direction towards which classification system of bencao in contemporary herbology should head will proceed based on this study.

The Study on the Combination of Management System for Traditional Korean Medicine Terms and Traditional Medical Classics Text Service (한의학 용어관리 시스템을 결합한 고전원문 제공 서비스에 관한 연구)

  • Lee, Byung-Wook;Shim, Bum-Sang;Eom, Dong-Myung
    • Journal of Korean Medical classics
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    • v.22 no.4
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    • pp.167-176
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    • 2009
  • This study aim to organize knowledge of the Oriental Medicine using the 'Wisdom of Crowds', and also results could be learned effectively. The progress of the research aims to understand the classic documents easily using the existing systems resources that is related to the information Oriental Medicine. As a result, the system that could understand how to deal with the existing definition of terms individually easily via cross reference, and also sort out and arrange without damaging the order of documents related to the Oriental Medicine was built up. In return, the system that could be handled by many participants could create and edit the knowledge of the Oriental Medicine together.

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A Bibliographical Study on the Song Dynasty Edition of Shanghanlun (『[송판(宋板)] 상한론(傷寒論)』 서지(書誌))

  • MAYANAGI, Makoto
    • The Journal of Korean Medical History
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    • v.22 no.1
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    • pp.25-30
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    • 2009
  • Shanghanlun is a medical text published by the Jiaozhengyishuju in 1065 A.D. during the Northern Song dynasty. The first edition featured larger characters but in 1088, a version with smaller characters was published with reduced price. This study compared various versions of Shanghanlun to clarify its system. Especially the alteration in the Chinese version by Jhao Kai Mei was comparatively analysed by the shape of letters and specific marks. Also, information on the various publications in Japan is included in this study, which we believe will be the logical outline for comprehensive understanding on the propagation and progression of Shanghanlun in East Asian region.

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The Concept and Background for Introducing Longitudinal Integrated Clerkships (지속형 통합임상실습의 도입 배경과 개념)

  • Lee, Young-Mee
    • Korean Medical Education Review
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    • v.20 no.1
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    • pp.1-5
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    • 2018
  • A traditional clerkship consists of a series of short rotations in specialty disciplines and is usually based in tertiary, urban teaching hospitals. Shortened inpatient stays and the shift toward ambulatory management have had a negative impact on student learning. There have been growing concerns that the traditional specialty-based clerkship in fragmented and highly specialized clinical environments may not be the optimal choice for basic clinical education. As a result, a new model of clinical clerkship called longitudinal integrated clerkships (LICs) has emerged. There is increased interest in LICs due to the growing evidence of positive outcomes for students, patients, and supervising clinicians. Emphasizing continuity as one of the main organizing principles of an LIC, this article reviews the introduction of LICs into medical education, the key concepts and educational theories which underpin LICs, and the typology of LICs. The author also offers some personal suggestions for contemplation before clerkship programs in Korea adopt LICs.

Research of Specific Domestic De-identification Technique for Protection of Personal Health Medical Information in Review & Analysis of Overseas and Domestic De-Identification Technique (국내외 비식별화 기술에 관한 검토 분석에 따른 개인건강의료정보 보호를 위한 국내 특화 비식별화 기술 제안에 관한 연구)

  • Lee, Pilwoo;In, Hanjin;Kim, Cheoljung;Yeo, Kwangsoo;Song, Kyoungtaek;Yu, Khigeun;Baek, Jongil;Kim, Soonseok
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.6 no.7
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    • pp.9-16
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    • 2016
  • As life in a rapidly changing Internet age at home and abroad, large amounts of information are being used medical, financial, services, etc. Accordingly, especially hospitals, is an invasion of privacy caused by leakage and intrusion of personal information in the system in medical institutions, including clinics institutions. To protect the privacy & information protection of personal health medical information in medical institutions at home and abroad presented by national policies and de-identification processing technology standards in accordance with the legislation. By comparative analysis in existing domestic and foreign institutional privacy and de-identification technique, derive a advanced one of pseudonymization and anonymization techniques for destination data items that fell short in comparison to the domestic laws and regulations, etc. De-identification processing technology for personal health information is compared to a foreign country pharmaceutical situations. We propose a new de-identification techniques by reducing the risk of re-identification processing to enable the secondary use of domestic medical privacy.

Research on prescription candidates for Parkinson's disease in 『Dongeuibogam』 (『동의보감(東醫寶鑑)』에 수록된 파킨슨병 치료 처방(處方) 후보군 선별 연구)

  • Hwang, Min-Seob;Park, Hye-Jin;Kim, Si-Won;Baek, Jin-Ung
    • Herbal Formula Science
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    • v.26 no.1
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    • pp.65-80
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    • 2018
  • Objectives : This study aims to sort out prescription candidates for four major symptoms of Parkinson's disease from Korean traditional medical publication, "Dongeuibogam". Methods : Medical terms related to four major symptoms of Parkinson's disease were primarily selected from "Dongeuibogam". Prescriptions that include at least one or more medical terms which are selected above were classified by the four major symptoms of Parkinson's disease, and finally analyzed to sort the most effective candidates. Results & Conclusions : 1. There are 18 medical terms in efficacy ($ch{\grave{i}}$ $z{\grave{o}}ng$, $j{\bar{u}}$ $lu{\acute{a}}n$, $j{\bar{i}}ng$${\check{u}}$ $ju{\check{a}}n$($ju{\check{a}}n$, $qu{\acute{a}}n$) $lu{\acute{a}}n$, $j{\bar{i}}ng$${\check{u}}$ $lu{\acute{a}}n$($lu{\acute{a}}n$) $t{\grave{o}}ng$, $j{\bar{i}}n$ $lu{\acute{a}}n$, $j{\bar{i}}n$ $t{\grave{i}}$, $sh{\check{o}}u$ $zh{\grave{e}}n$, $y{\acute{a}}ng$ $sh{\check{o}}u$, $lu{\acute{a}}n$ $j{\acute{i}}$, $lu{\acute{a}}n$ $b{\grave{i}}$, $r{\grave{o}}u$ $r{\acute{u}}n$, $zh{\grave{a}}n$ $di{\grave{a}}o$, $zh{\grave{a}}n$ $y{\acute{a}}o$, $zh{\grave{i}}$ $z{\acute{u}}$, $ch{\grave{e}}$ $t{\grave{o}}ng$, $ch{\bar{o}u}$ $ch{\grave{e}}$, $f{\bar{e}}ng$ $ch{\grave{u}}$, $ch{\grave{u}}$ $nu{\grave{o}}$) related to tremor, one of four major symptoms of Parkinson's disease. 2. There are 9 medical terms in efficacy ($qi{\acute{a}}ng$ $j{\acute{i}}$, $qi{\acute{a}}ng$ $zh{\acute{i}}$, $qi{\acute{a}}ng$ $t{\grave{o}}ng$, $j{\bar{u}}$ $j{\acute{i}}$, $j{\bar{i}}n$ $j{\acute{i}}$, $sh{\bar{e}}n$ $qi{\acute{a}}ng$, $lu{\acute{a}}n$ $j{\acute{i}}$, $y{\bar{a}}o$ $j{\acute{i}}$ $qi{\acute{a}}ng$, $xi{\grave{a}}ng$ $qi{\acute{a}}ng$) related to rigidity, one of four major symptoms of Parkinson's disease. 3. 38 prescription candidates (jiaweishouxingyuan, jiaweilonghusan, gehuajiexingtang, qiangfutang, qianghuoxuduantang, dawugongsan, duhuojishengtang, mahuangzuojingtang, fangfengbaizhumulitang, fangfengtongshengsan, baizhutang, buxinwan, fulingtang, binsusan, xieqingwan, sanbitang, shengdiqinliantang, shujinbaoansan, xingxiangsan, xiaotanfulingwan, shengjunwan, shenmizuojingtang, wuyaoshunqisan, yuzhenwan, wenjingyiyuantang, yiziqingjinsan, ziyinningshentang, shaoyaogancaotang, dingtongsan, zhushazhijiasan, cangzusan, chuanxiongfulingtang, tiedanyuan, choubaowan, duomingsan, xuanhusuosan, xuefengtang, huoluodan) were selected for tremor, one of the four major symptoms of Parkinson's disease. 4. 21 prescription candidates (qianghuoshengshitang, guizhiqianghuotang, guizhifuzitang, jiuweiqianghuotang(qianghuochonghetang), xiongzhixiangsusan, daqianghuotang, mahuangguizhitang, muguajian, fuzilizhongtang, shenzhusan, lianqiaobaidusan, yuzhensan, niuhuangjinhudan, renshenbaidusan, shaoyaogancaotang, jiuzhumuguazhou, cangzusan, shenxiangtianmatang, xiangjiaosan, xuefengtang, huishousan) were selected for rigidity, one of the four major symptoms of Parkinson's disease. 5. The results in this study ought to be verified by subsequent studies and clinical trials.

Burnout among Medical Education Specialists in Korean Medical Colleges (의학교육 전문부서 교원의 탈진현상)

  • Park, Kwihwa;Lee, Young-Mee
    • Korean Medical Education Review
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    • v.16 no.2
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    • pp.92-98
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    • 2014
  • Medical education departments or offices are established in response to public expectations relating to health care, societal trends towards increased accountability, educational developments, increased interest in what to teach and how to educate doctors. However, heavy workloads and mixed feelings towards medical education departments or offices by the other members of a medical school can threaten job satisfaction and increase burnout. The authors investigated the prevalence of burnout among medical education specialists and related issues. Individual in-depth interviews with four medical education specialists were conducted to develop a questionnaire. After content analysis of the interview, the authors generated a survey form with 28 items including 6 categories: motivation to choose medical education as a career, job satisfaction, intention to leave their current position in medical education, the frequency and causes of burnout, and demographics. In September 2013, an email survey was administered to 43 faculty including non-tenure staff who were working in the department/office of medical education in 41 medical colleges in Korea. Of 43 medical education specialists, 25 (60%) returned surveys. Forty three-point-three percent of them felt encouraged when their endeavors generated a visible educational improvement in the medical school. A majority (87%) reported feeling burned out. Fifty percent of them experienced the feeling once or twice a year. The extent of burnout tended to be greater in women, those in their forties, those with non-medical doctor degrees, and in non-tenured staff. To reduce and prevent burnout among medical education specialists, the participants suggested that leadership of medical schools and a systematic approach to medical education should be established. A majority of the medical education specialists reported experiencing burnout, although they were satisfied with their jobs. To reduce their burnout and allow them to focus on their own work in medical education, the following factors are needed: perceptual changes of other members of the college about medical education; more systematic institutional strategies; networking among medical education specialists; and personal efforts for professional development.