• 제목/요약/키워드: National Medical Service

검색결과 1,872건 처리시간 0.03초

본인부담상한제 적용 요양병원 환자의 의료이용가수요 예측요인 분석 (An Aanalysis of Predictive Factors of Medical Service Overuse for Inpatients Applied Out-of-Pocket Maximum in Long-Term Care Hospitals in South Korea)

  • 임승지;신한나
    • 보건행정학회지
    • /
    • 제30권1호
    • /
    • pp.72-81
    • /
    • 2020
  • Background: The out-of-pocket maximum is one of the distinctive healthcare systems which sets a ceiling on co-payment in order to reduce the burden of households from the unpredictable medical expenditure. However, this leads to an increase in the demand for healthcare services especially in long-term care hospitals (LTCHs) in Korea. Methods: This study analyzed the influence factor of medical service overuse of 165,592 inpatients in LTCHs which out-of-pocket maximum is applied, by utilizing data from the National Health Insurance Service (2016). Based on Anderson Model, the medical service overuse, as a dependent variable, was defined as long-stay admission more than 180 days at the LTCHs. Independent variable was comprised of predisposing factors (gender, age), enabling factors (income level, types of out-of-pocket maximum) and need factors (illness level, patient use of tertiary hospital). Results: The most powerful factor of medical service overuse in LTCHs was availability of pre-payment for the out-of-maximum (odds ratio [OR], 191.66; p<0.001). This tendency was found in high income level status (p<0.001). Furthermore, mild inpatients (OR, 1.50; p<0.001) which had no experience with the tertiary hospitals (OR, 2.06; p<0.001) were more relevant to the medical service overuse in LTCHs, compared to the severe inpatients. Conclusion: It is suggested that a separate standard of out-of pocket maximum with regards to LTCHs is required to secure the beneficial functions of long-term hospitals and prevent unnecessary financial leakage to achieve sustainable and financially sound National Health Insurance.

소방 구급활동에 필요한 지도의사와 1급응급구조사의 수는? (How Many Doctors and Paramedics Does Fire Service Need for Medical Direction in Korea?)

  • 엄태환;유순규
    • 한국응급구조학회지
    • /
    • 제12권2호
    • /
    • pp.37-43
    • /
    • 2008
  • Purpose : It was to improve medical direction system through presenting need of doctor and paramedic in Korean Fire Service. Methods : This study was conducted by applying demand coefficients(4 for doctor, 3 or 4.5 for paramedic) to some data on medical director, paramedic, ambulance from National Emergency Management Agency. Results : Number of medical director & paramedic were 4 & 1,217. Number of necessary doctor for medical direction was 64 or 28(in case of direct medical direction) & 16 or 7(in case of indirect medical direction). Number of necessary paramedic for direct medical direction was 492(in case of 35% ALS ambulance) & 1,062(in case of 50% ALS ambulance). Conclusions : To improve quality & efficiency of medical direction brought up need of amendment of the Emergency Medical Services Act to apply indirect medical control such as standing orders, protocol, case review.

  • PDF

응급실 서비스 만족도에 대한 환자 가족의 평가와 의료진의 인식 차이 (Satisfaction Gaps among Physicians, Nurses, and Patient Family in the Emergency Department)

  • 강경희
    • 보건행정학회지
    • /
    • 제23권2호
    • /
    • pp.145-151
    • /
    • 2013
  • Background: The objective of this study was to explore patient family's evaluation of emergency department (ED) service satisfaction and to compare these with ED staff perception of patient family's evaluation. Methods: Based on two surveys of the National Emergency Medical Center: the 2008 National Survey for Recognition and Satisfaction towards Emergency Medical Services and the 2008 Opinion Survey of Emergency Medical Service Providers, satisfaction gaps among physicians, nurses, and patient family were evaluated by Kruskal-Wallis tests and Wilcoxon-Mann-Whitney tests. Furthermore, the factors associated with satisfaction of emergency medical service were identified by ordinal logistic regression models. Results: There were statistically significant gaps among physicians, nurses, and patient family in overall satisfaction with ED visit, length of stay in ED, enough explanation, physicians/nurses kindness, and ED facilities. Age and income in the patient family model, the number of beds in hospital, job satisfaction and year of service in the physicians model, and the number of beds in hospital, job satisfaction and the number of patients per duty hour in the nurses model were statistically significant factors associated with evaluation/ perception of ED service satisfaction. Conclusion: Patient satisfaction is an important indicator of the quality of care and service delivery in the ED. To improve and understand satisfaction in ED service, a dyadic view of the evaluation of service quality and satisfaction-that is, from the perspectives of both the patient and the emergency medical service providers-should be concerned.

한국소방발전을 위한 정책과제 연구 - 소방청 신설에 대응하는 제도·조직개선 구상 - (A Study on the Policy Tasks for the Development of National Fire Service - Redesigning Institutional and Organizational Improvement for the Establishment of the National Fire Service Agency -)

  • 최병학;김학수
    • 한국응급구조학회지
    • /
    • 제6권1호
    • /
    • pp.185-197
    • /
    • 2002
  • Today, the basic problem of functional safe management of Korean Disaster Control system was separately administrated 33 acts that are relating to safe management in 13 ministries. Because of the facts that the fire service is not provided practically, the control system and risk management for safe administration are not operated, the information can not be shared with each other, and the various laws have the lacks of linkage, the National Safe System was appeared unsteady. The roles and functions of fire service have started with restriction to operate structurally and institutionally, which operational structure of fire service is becoming weak. As a result, the federal and local fire organizations have not reached yet to the institutionalization and the local fire service agencies have bias with the task regarding the fire service because of the relation between organizational structure and the local fire agency. With the enforcement of the federal and local fire system, professionality and autonomy for making policy, and dealing with changes of fire service positively, the national fire service on the policy performance can be established. Promotion of research and development and education training to strengthen innovation in technology and competition in fire industry will contribute to the firmly establishment of control system to prevent from fire, flood, terror and national disaster. This article proposed that (a) the established law and administration, agency are required efforts to effectively operate fire service system; (b) the national fire service agency, national college of fire, national institute of science fire, and national fire service hospital should be early established to make firmly policy to operate effectively and practically. These kinds of innovational acts are known the best ways of operating solid policy of national fire service system.

  • PDF

현행법상 의료법인의 비영리성과 문제점 (Noncommerciality and problem of a medical corporation under the present law)

  • 백경희
    • 의료법학
    • /
    • 제8권2호
    • /
    • pp.291-328
    • /
    • 2007
  • Under the present law, a medical corporation has the legalistic character of a noncommercial corporation and its commerciality is restricted by public service. In a recent precedent, however, a judgment has considered the service part in medical practice. The tendency of a precedent is that both commerciality of a medical institution and medical corporation are allowed to be pursued under fundamental order-observance. This change is found in china and india, which consider a medical service as national industry. In the case of ours, the now government demonstrate the industrialization or the market of medical service through promotion of commerciality of a medical corporation. This paper deal with the meaning of a medical corporation and the present condition of medical market under the present law and recommends a tendency of law policy through study of foreign's and our precedent for commerciality of medical advertisement and medical corporation.

  • PDF

의료텔레매틱스 서비스의 도입에 때한 기대효과 (An Expectation Effect of Healthcare Telematics Service Acceptance)

  • 김효정;유상진;안현숙
    • 한국병원경영학회지
    • /
    • 제15권1호
    • /
    • pp.93-111
    • /
    • 2010
  • This research is studied for investigative purposes of preparation status for healthcare telematics service enforcement via making an analysis of understanding & expectation effect about healthcare telematics introduction. The study is investigated with two groups, professional medical persons (doctors, nurses, pharmacists) and medical demanders (customers), to analyze the recognition difference between two groups. Questions are carried in face to face interviews by using structured questionnaire & Delphi technique. The survey result shows medical demander's expectation level is higher than the other's at all items such as social changes, medical service provider, medical service users, national and government agencies, medical system suppliers.

  • PDF

Molecular Identification of Diphyllobothrium latum from a Pediatric Case in Taiwan

  • An, Yu-Chin;Sung, Chia-Cheng;Wang, Chih-Chien;Lin, Hsin-Chung;Chen, Kuang-Yao;Ku, Fu-Man;Chen, Ruei-Min;Chen, Mei-Li;Huang, Kuo-Yang
    • Parasites, Hosts and Diseases
    • /
    • 제55권4호
    • /
    • pp.425-428
    • /
    • 2017
  • Human diphyllobothriasis is a parasitic disease caused by ingestion of larvae (plerocercoids) in raw or undercooked fish and commonly found in temperate areas. Rare cases were reported in tropical or subtropical areas especially in children. The first documented case of pediatric diphyllobothriasis in Taiwan had been reported 11 years ago. Here, we report another 8-year-old girl case who presented with a live noodle-like worm hanging down from her anus, with no other detectable symptoms. We pulled the worm out and found the strobila being 260 cm in length. Examination of gravid proglottids showed that they were wider than their lengths, containing an ovoid cirrus sac in the anterior side and the rosette-shaped uterus. Eggs extracted from the uterus were ovoid and operculated. Diphyllobothrium latum was confirmed by molecular analysis of the mitochondrial DNA cytochrome c oxidase subunit 1 (cox1) gene. The girl was treated with a single oral dose of praziquantel, and no eggs or proglottids were observed from her stool in the subsequent 3 months. The reemergence of human diphyllobothriasis in non-endemic countries is probably due to prevalent habit of eating imported raw fish from endemic areas. This pediatric case raised our concern that human diphyllobothriasis is likely underestimated because of unremarkable symptoms.

응급구조사의 직무만족도와 영향요인에 대한 문헌고찰 (Job satisfaction of emergency medical technicians and influencing factor: a literature review)

  • 신요한;국종원;김보균
    • 한국응급구조학회지
    • /
    • 제25권1호
    • /
    • pp.193-203
    • /
    • 2021
  • Purpose: This study aimed to examine the degree of job satisfaction of emergency medical technicians and its influencing factors through systematic review of prior studies. Methods: Databases were searched including national assembly library, national digital science library, korea education research information service and korean studies information service system to conduct systematic literature review. Results: The included studies were published from 2004 to 2017. After applying the inclusion and exclusion criteria to the retrieved 92 studies, a total of 11 studies were included for the final analysis. The questionnaire developed by Slavitt, Stamps, Piedmont and Haase was the most common tool used from the included studies. In the study using 5 point Likert type scale, the average job satisfaction level of emergency medical technicians was 3.18. It was 2.86 based on 4 point scale. Conclusion: According to the study results, the satisfaction level of emergency medical technicians is around the medium level. Effective strategy should be developed to improve job satisfaction based on the findings of the influencing factors to emergency medical technicians' job satisfaction.

중국산 수입말에서 분리된 Taylorella equingenitalis의 특성 (Characteristics of the Taylorella equigenitalis isolated from the imported Chiness horse)

  • 조현호;배찬의;남향미;송시욱;조남인;강두황;이기옥;김옥경;김용환
    • 대한수의사회지
    • /
    • 제34권6호
    • /
    • pp.389-395
    • /
    • 1998
  • Investigation of contagious equine metritis(CFM) in 497 imported horses from several countries during 1997 was performed, and one strain of Taylorella equigenitalis was isolated from a chinese horse. To identify, we studied on the biochemical properties a

  • PDF

고양이 전염성복막염의 자연감염 예 (Feline Infectious Peritonitis : A Case Report)

  • 배유찬;진영화;소병재;손현주;윤순식;김기석;위성환;김옥경;강문일;;우유석
    • 대한수의사회지
    • /
    • 제37권5호
    • /
    • pp.457-461
    • /
    • 2001
  • A 8 month old, female Domestic Shorthair cat with long-term signalment of anorexia, lacrimation, uveitis and coughing was submitted to the Pathology and Diagnosis Reference Division, NVRQS, Korea, for necropsy. Main gross lesions were characterized by asc

  • PDF