• 보건행정학회지
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• 제24권1호
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• pp.35-46
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• 2014

Background: This paper describes the relationship and effect of health examination on personal medical cost by identifying the difference of the cost for medical care in physician visit between the population without and with health examination. Methods: After classifying into three cohorts in which, independent variables were designed according to the Andersen's behavioral model, the association of personal medical cost for medical care and prescription drugs which is dependent variable was analyzed by t-test and Mann-Whitney test for description and gamma regression model for inference. Results: In personal average medical cost, the population with health examination paid significantly more than without health examination, 11.6% more in cohort 2008, 26.6% more in cohort 2009, and 48.0% more in combined cohort. The odds ratio on medical expenditure of outpatients with health examination was 1.067, 1.126, 1.398 significantly in cohort 2008, 2009, and combined cohort respectively, comparing to the group without health examination. In independent variables, that is female, the elderly, never married, non-working, non-metropolitan, the higher family income, the smaller family size, people with disability, the people with chronic disease, and people with health examination have significantly being paid more tendency showing positive association with medical cost. Conclusion: This result showed that medical expenditure in physician visit has been increased after taking a health examination. Therefore reasonable limitation of getting preventive medical service is suggested to avoid medical shopping around and reduce being repeated health examination by unifying control to find out easily the clinical results from various medical facilities.

• 한국직업건강간호학회지
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• 제16권2호
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• pp.222-231
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• 2007

Purpose: This study aims to suggest political alternatives for nursing care costs for PCAs to provide qualitative medical benefit for patients with occupational disease by investigating present situation and problems of the nursing care cost system of Korea's Industrial Accident Compensation Insurance. Methods: Data was collected from 6 workers' accident medical corporation and 275 nurses affiliated with Korea labor welfare corporation using self reported questionnaire. Result: Research results were as follows; Character of nursing care cost of the Korea's Industrial accident Compensation Insurance changed as if it aims to support for living expenses for the family; As possible problems which could be caused under current system, administrative problems, decrease of service quality were made as objects of criticism. Some patients did not make every effort in rehabilitation to be beneficiaries continuously. Some patients were supplied with whole one PCA or all-night PCA even though they did not need as much caring as such. Conclusion: The research suggested that PCAs payment system improvement is necessary, and the presented nurses' opinion for the improvement method could be applied for policy making.

• 대한의용생체공학회:의공학회지
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• 제12권4호
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• pp.243-248
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• 1991

This paper described the implementation of high speed transmission fort medical image between hospitals using ISDN. The implemented system, called PC-card, can transmit datas as 144Kbps and can install in the personal computer. So, this enables to get more reliable medical image with less cost, and to service the better quality for an unurbanized area. In this system, installing in the PC system were enhanced to input from medical image system and output to the memory or display

• 인터넷정보학회논문지
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• 제17권3호
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• pp.45-54
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• 2016

의료 이미지는 사람 신체의 비정상적인 상태를 발견하는데 효과적인 자료로 사용되고 있다. 일반적으로 환자는 다양한 이유로 다른 종류의 의료 기관을 방문하고, 심각한 질병 특징을 가지는 의료 이미지에 대해 2차 소견을 얻기를 원한다. 현재에는 개인의 의료 이미지가 여러 의료 기관에 산재되어 있기 때문에, 2차 소견을 얻을 때 자신과 관련된 모든 정보를 직접 가지고 다른 의료진을 찾아가야 하는 불편함이 있다. 이런 두 가지 동기로 인해, 본 논문에서는 의료 이미지 보관 및 판독 서비스를 제안하고자 한다. 그러므로, 의료 이미지 보관 및 판독 서비스의 설계 모델 및 구현 결과를 본 논문에서 제시하고, 저비용 개인 헬스케어 서비스로서의 실용적 가치를 증명하고자 한다. 환자는 제안하는 서비스를 사용함으로써 언제든 자신의 의료 이미지 정보를 확인할 수 있고 의료진을 찾아갈 필요 없이 간편하게 의료 이미지 분석을 할 수 있다.

• Perspectives in Nursing Science
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• 제6권1호
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• pp.77-83
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• 2009

The number of nurses per bed at acute-stage hospitals is quite low in Korea compared with other OECD countries. In order to prevent the degradation of the quality of inpatient nursing services due to insufficient nurse staffs, the national health insurance introduced the differentiated nursing care fee system. This did not work as a motive for inducing the employment of nursing staff due to insufficient cost compensation. Because of insufficient nursing staff, family members have to stay with the patient or patients have to hire a personal care attendant. This increases the burden and cost to families. For the activation of hospitals without guardians, there should be policies for raising additional nursing staff such as standardizing jobs among nursing staff, particularly between nurses and nursing assistants, setting adequate standards of staffing in nursing according to medical service, substantiating the cost of nursing under the differentiated nursing care fee system, improving the medical fee system of hospitals without guardians including health insurance payment, supplying nursing staff stably through improving their working conditions such as providing child rearing services and salary increase, clarifying the qualification of personal care attendants working at acute.stage hospitals, developing indexes for assessing the quality of nursing care services, and monitoring for the management of uniform quality.

• 보건교육건강증진학회지
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• 제8권1호
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• pp.34-44
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• 1991

Since it was found out that the degree of medical contribution to health was timid. the direction of health policy studies has been focused on the personal health behavior. Participation in health has been closely related to the behavior. Those who have insisted on the new direction believe that the health policy laying stress on low cost and personal responsibility can avoid the pathology of medical policy and medical crisis. Participation in health has been very important method of changing health behaviors. It is certainly important to change bad health behaviors. But there is no deliberation of social structure here. Most health behaviors are the adaptation to social structure. The attempt to change the established adaptation behaviors without considering social structure is difficult to succeed. It is little meaningful to say the importance of the health behavior to those who have no choice but to be ill due to the poor environment and health risks. What can guarantee the real direction of community participation at least is the consciousness and behaviors of people's right.

• 보건행정학회지
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• 제21권1호
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• pp.115-131
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• 2011

Several common issues are encountered by countries - Germany, Japan, and the United States - that adopted long-term care (LTC) system. First, the demand for LTC and its associated costs have steeply risen following the implementation of the LTC policy. Second, ensuring the quality of services have been difficult. Third, the coordination of services among providers and between LTC and medical care has been inadequate. Learning from their experience, we suggest ways to improve the LTC system in Korea. The basic approach aims for efficiency over equity in the system. This would require promoting provider competition and consumer choice. We propose several policy options according to the major stakeholders. For consumers, cash benefits at fixed rates and personal savings accounts are feasible options to self-contain the demand and cost of services. On the insurer's side, creating an environment of multiple insurers will engender competition, leading to cost savings and quality care. For providers, delivery of quality services through competition, cost-containment through capitated reimbursements, and coordination of services through integrated delivery system can be achieved. From the assessors' perspective, establishing an information system to monitor the activities of insurers and providers would be important, empowering consumers with information to choose cost-effective service providers. In summary, the suggested approach would provide cost-effective LTC services by guaranteeing consumer choice and promoting major stakeholder accountability. Further studies are needed to test the feasibility of this model in ensuring quality LTC in Korea.

• Journal of Preventive Medicine and Public Health
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• 제38권1호
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• pp.9-15
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• 2005

Objectives : To analyze medical expenses by cancer site and survival time among cancer patients in their last year of life. Method : The study subjects were 45,394 people that had died of cancers in 2002, were registered by the Korea Central Cancer Registry and received National Health Insurance benefit in the last year (360 days) of life. Personal identification data, general characteristics, dates of death and cancer incidence, and site of cancer were collected from the National Statistical Office and the Korea Central Cancer Registry, and merged with the data of the individual medical expenses of the Health Insurance Review Agency. Results : Average monthly cost curves were U-shaped with high costs near the time of diagnosis and death, and lower costs in between. Medical expenses in the last year of life were around 30.3, 16.7, 13.0, and 12.1 million won among leukemia, lymphoma, ovarian cancer, and breast cancer patients, respectively. Digestive organ cancers including stomach, esophagus, liver, pancreas, and colorectal cancers had relatively low medical expenses. Medical expenses in the last year of life were inverse U-shaped with high expenses near one year of survival. Average monthly cost in the 12 months before death among the patients who had survived $10{\sim}15$ years were more than two-fold greater than the cost before diagnosis among those who had survived for less than one year. Conclusions : Leukemia was the most expensive cancer. It is possible that once diagnosed as cancer, medical expenses do not return to the level before diagnosis. Further research will be needed to understand the magnitude and change of the medical expenses among cancer patients with long term follow up data.

• 한국정보처리학회:학술대회논문집
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• 한국정보처리학회 2013년도 춘계학술발표대회
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• pp.695-697
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• 2013

Medical data sharing is increasing due to treatment duplication which increases the cost of medication. Medical healthcare system has been improved to combine with cloud computing. It reduces treatment delay and the medical data error. However, the concern about the privacy protection of medical information is also significant. Medical information is more sensitive than other information because involuntary disclosure can affect in both personal and social life. Privacy cloud brokerage has conquered great attention for solving these problems. Our method provides a security model in the cloud computing environment that facilitates the exchange of medical records between assigned custodians. It allows doctors to obtain a complete patient medical records which can help to avoid duplication, reduce the medical error and healthcare cost as well. In addition, our method offers a trustworthy solution against the privacy violence.

• 여성건강간호학회지
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• 제24권1호
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• pp.24-32
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• 2018

Purpose: To determine traits related to pregnancy and delivery, length of stay, health care cost, postpartum discomfort, and satisfaction with medical service of puerperas giving birth in midwifery clinic and hospitals. Methods: This study used a comparative survey design. Data were collected from a total of 140 postpartum mothers composed of 70 mothers who gave births in two hospitals and another 70 mothers who delivered in one midwifery clinic. Results: Delivery in midwifery clinic had higher Apgar score at 1 minute and 5 minutes after birth than hospital. Those who delivered in midwifery clinic had shorter stay in the clinic, fewer health care cost, less postpartum discomfort in physical, environmental, social, and cultural areas, higher satisfaction with medical services than those who delivered in hospitals. Conclusion: Results of this study can be used as a basis for studies on giving birth in midwifery clinic and hospitals. They might increase the autonomy of women in giving birth with positive effect on the delivery experience of the mother and her spouse.