• 한국병원경영학회지
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• 제14권4호
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• pp.71-87
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• 2009

This study was conducted to present strategies for efficient use of older people's medical expense and efficient management of hospital beds 삭제by analyzing factors which influenced medical charge of inpatients with stroke and medical charge of each medical treatment. The subjects was 1,070 inpatients with stroke in Academic hospital. The result of this study can be summarized as follows. In the case of cerebral hemorrhage, the rate of female was higher than that of male. In the case of cerebral infarction, the rate of male was higher than that of female. With increase of age, patients with cerebral hemorrhage decreased and patients with cerebral infarction increased. Medical charge for cerebral hemorrhage was 12,600,000 won, while that for cerebral infarction was 572,000 won. The medical charge with surgery was four times of that with non-surgery. The total medical charge for inpatients with stroke was 6,860,000 won. The patient payed 2,240,000 won(32.6%) and National Health Insurance Corporation payed 4,620,000 won(67.3%). Among charges of specific medical treatments, operation and treatment charge was highest(27.7%) in the case of cerebral hemorrhage, while examination charge was highest(32.2%)in the case of cerebral infarction. This study will provide basic information for efficient use of Medical Charge for Inpatients with Stroke.

• 보건행정학회지
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• 제30권1호
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• pp.82-91
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• 2020

Background: This study investigates the influence factors of medical service variations using medical charge and the length of stay (LOS) for urinary incontinence surgery and uterine polypectomy. Methods: The National Health Insurance claims data and Medical Resource Report by the Health Insurance Review & Assessment Service in 2016 were used. Frequency analysis, one-way analysis of variance, and Bonferroni post-hoc tests were executed for each surgery. A multilevel analysis was executed to assess the factors to the medical charge and LOS for each surgery in patient, doctor, and hospital level. Results: Fifty-two point eight percent of urinary incontinence surgery and 87.1% of uterine polypectomy were distributed in general and tertiary hospitals. Among three levels, the patient level variation was 61.5% or 77.2% in medical charge and 93.9% or 96.3% in LOS, respectively. The doctor level variation was 29.6% or 22.6% in medical charge and 0.6% or 0.0% in LOS, respectively. The institution level variation was 8.9% or 0.2% in medical charge and 5.5% or 3.7% in LOS, respectively. Number of other disease and organizational type were main factors that affected the charge and LOS for urinary incontinence surgery and uterine polypectomy. Conclusion: Medical service variations of the urinary incontinence surgery and uterine polypectomy were the largest for the patient level, followed by doctor level for the medical charge, and the institution level for the LOS.

• Clinical and Experimental Pediatrics
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• 제57권1호
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• pp.46-49
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• 2014

CHARGE syndrome has been estimated to occur in 1:10,000 births worldwide and shows various clinical manifestations. It is a genetic disorder characterized by a specific and a recognizable pattern of anomalies. The major clinical features are ocular coloboma, heart malformations, atresia of the choanae, growth retardation, genital hypoplasia, and ear abnormalities. The chromodomain helicase DNA-binding protein 7 (CHD7) gene, located on chromosome 8q12.1, causes CHARGE syndrome. The CHD7 protein is an adenosine triphosphate (ATP)-dependent chromatin remodeling protein. A total of 67% of patients clinically diagnosed with CHARGE syndrome have CHD7 mutations. Five hundred twenty-eight pathogenic and unique CHD7 alterations have been identified so far. We describe a patient with a CHARGE syndrome diagnosis who carried a novel de novo mutation, a c.3896T>C (p. leu1299Pro) missense mutation, in the CHD7 gene. This finding will provide more information for genetic counseling and expand our understanding of the pathogenesis and development of CHARGE syndrome.

• 보건행정학회지
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• 제27권1호
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• pp.47-55
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• 2017

Background: This study purposed to analyze the effects of metabolic syndrome on the total medical charge of patients. Methods: 2013 National Health Insurance Service sample research database (eligibility database, medical database, and health examination database) was used for this study. Gamma regression was applied to analyze the effects of metabolic syndrome on the total medical charge and logistic regression was used to determine the probability of medical charge which was higher than the third quartile. Sociodemographic characteristics (age and household income), health behavior factors (smoking, drinking, exercise, and body mass index), and disease related factors (family history and metabolic syndrome) were included as the independent variables. Results: people who had metabolic syndrome spent more medical expenses than those without metabolic syndrome both in man and woman group. The standard regression coefficient was 0.09 (p< 0.001) in man with metabolic syndrome and 0.16 (p< 0.001) in woman. In addition, woman with metabolic syndrome spent more than the third quartile of medical charge. The odds ratios was 1.04 (p= 0.16) for man with metabolic syndrome and 1.18 (p= 0.013) for woman. Conclusion: people with metabolic syndrome spent more medical charge, so it will need to consider policy interventions for preventing the incidence and management of metabolic syndrome in Korean people.

• 대한예방한의학회지
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• 제4권1호
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• pp.91-103
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• 2000

This study was performed to find out characteristics of daily average medical charge of the inpatients of an oriental medical university hospital in TaeJeon. The sample of the study was 966 inpatients discharged from the 4 clinical departments of th hospital from January 1 to June 31, 1998. The major findings are as follows : 1. The average length of stay was 15.6 days in dept. of Internal Medicine, 16.9 in Acupuncture, 10.1 in Neuro-psychiatry and 24.3 in Physical therapy Daily average medical charge of the depart ments was 70,517 Won 62,011 Won, 82,750Won and 65,390 Won respectively. 2. The daily average medical charge of the departments was highest in the first day of admission. From the second day, it maintained a lower and relatively constant level, but showing slight fluctation in the latter halt of the hospital stay.

• Korean Journal of Acupuncture
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• 제27권4호
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• pp.49-57
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• 2010

Objectives : The aim of this study is evaluation for significance of skin meridian-acupoints energy measurement system, and is verification of principle to measure the bio-ion charge on acupoints. Methods : To check a correlation between the MEP(Meridian Energy Potential) and bio-electric charge condition, ten acupoints(left/right BL meridian : BL13, BL15, BL18, BL20, BL23) were chosen. Based on basic theory concerning the upward trend of the bio-electric charge by cupping therapy, we measured MEP change before and after 600mmHg(80kPa) Negative pressure stimulation using cupping. Results : We could identify the correlation between MEP and the condition of bio-electric charge in acupoints. Also, we checked the balance or imbalance of left/right the MEP and unusual cases. Conclusions : We confirmed significance of proposed principle and meridian energy measurement system.

• 한국정보통신학회:학술대회논문집
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• 한국해양정보통신학회 2006년도 춘계종합학술대회
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• pp.1051-1054
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• 2006

의료정보에서 XML을 이용하여 만들어질 웹 문서로 의약분업으로 인한 약국에 전달되는 처방전, 건강보험공단에 진료비 청구를 위한 EDI, 각 의원들로 보내지는 회송소견서 등 많은 정보들이 산재되어있다. 특히 진료비수가정보는 개정이 빈번한 자료 중 하나이다. 이러한 개정이 있을 때마다 문서를 보내거나 양식집을 만들어 배포하고 있는 실정이다. 본 연구에서는 환자들이 의사로부터 처방을 받고 각종 의료행위에 대한 진료비를 산정하는데 사용되어지는 진료비수가정보시스템에 대해 XML을 이용하여 DTD 설계와 구현을 연구하였다. 진료비수가에 대한 정보는 환자나 보호자는 물론 의사, 약사, 간호사 등 진료와 관련된 모든 사람에게 금한 사항이다. 모든 사람이 언제 어디서나 진료비수가에 대해 조회할 수 있어서 정보를 쉽게 획득할 수 있도록 하는 것을 목적으로 하고 있다.

• 대한의용생체공학회:의공학회지
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• 제18권3호
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• pp.307-313
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• 1997

비정질 실리콘에서의 photoconductive gain mechanism을 방사선 계측시 이용하기 위한 연구를 수행하였다. p-i-n, n-i-n, n-i-p-i-n과 같은 여러 형태의 비정질 실리콘 계측기를 제작하고 시험하였다. Photoconductive gain은 두 가지의 시간적 범위에서 측정하였다. : 하나는 고에너지의 하전입자나 감마선의 통과를 모사하기 위해서 $1{\mu }$ sec 보다 짧은 가시광선 펄스를 사용하였고, 다른 하나는 의학영상에 사용되는 x-선을 모사하기 위하여 보다 긴 1msec 정도의 가시광선 펄스를 사용하였다. 두 가지의 photoconductive gain-current gain과 charge gain-을 정의하여 실험하였으며, charge gain은 current gain을 시간에 따라 적분한 값이다. 10 mA/$cm^2$의 dark current density level에서, 짧은 펄스에 대해서는 3~9정도의 charge gain을 얻을 수 있었고 긴 펄스에 대해서는 수백의 charge gain을 얻을 수 있었다. 여러 가지의 gain에 대한 결과를 계측기의 구조, 부가전압, dark current density와의 관계를 통하여 논의하였다.

• 대한예방한의학회지
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• 제15권2호
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• pp.115-130
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• 2011

Objective : This study aimed qualitative change of traditional korean medical public health programs (TKM-PHP) by the research of present condition, problems and improvement direction about TKM-PHP. Methods : Data were collected from 222 of 996 public health oriental medical doctors(PHOMD) using the structured questionnaire by e-mail. Collected data were analyzed through frequency analysis, T-test, and ANOVA using SPSS 12.0 and significant level was 0.05. Results : 59.5% of the respondents said that the TKM-PHP are not efficiently executed because there are not enough motivations to entice oriental medical doctors in charge of the programs and because PHOMD and the government officials in charge lack in relevant experiences and skills. A majority of the PHOMD recognize a need for activating the TKM-PHP but less actively participate in the programs since there is not a good rewarding system and there are neither standard manuals nor methodological guidelines for the programs. In order to activate the TKM-PHP, it is urgent to employ full-time oriental medical doctors and to continually and systematically appoint the professional manpower in charge. And it is also needed for the state to secure an adequate budget and prepare schemes for persistently train such professionals. Conclusion : Activating the TKM-PHP will lead to the development of TKM, but there are still such problems as lack of the professional manpower in charge, an excessive burden of the duties of PHOMD, lack of program manuals, and a poor system for evaluation. To solve these problems, it is advised to construct foundations for administerial supports, draw up a standard manual, prepare a system for evaluation in consideration of the characteristics of TKM, and hire professionals to ensure sustainable programs.

• 호스피스학술지
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• 제5권1호
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• pp.26-32
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• 2005

Purpose: To know for what the medical expenditure had been used and to seek the way how it can be efficiently redistributed, I investigated total medical expenditure according to the time period to death in the expired patients for recent 2 years. Methods: 21patients were enrolled in this study. Total medical expenditure including benefit charge and non-benefit charge charged to patients in in-patient department(IPD) and out-patient department(OPD) was counted according to the period for one year by death. Results: 94.7% of the total medical expenditure had been payed for admission-related expenditure and 89% during period 3 and 4 for 6months before death, which may be due to the more days of admission during those periods. 70.1% of the total expenditure had been charged on the admission-fee, room charge, diet, and administration of the fluid, medicines, and blood etc. Conclusion: Majority of medical expenditure has been used in the affairs being unable to improve the survival or quality of life of patients and during the periods closer to death. Here, it would be needed heartily to look for the best ways in detail how the idea of hospice can come true through nation-wide and social consensus.