• Title/Summary/Keyword: Private clinics

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Estimation of the Consumption of Antibiotics in Korea (우리 나라의 항생제 소비액 추계 연구)

  • 이영성;이경수;박실비아
    • Health Policy and Management
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    • v.10 no.3
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    • pp.50-67
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    • 2000
  • This study aims to estimate the consumption of antibiotics in Korea and to suggest the further studies. To measure the amount of antibiotics consumption, we referred to the statistic of NFHI(National Federation of Health Insurance) and a private institute of pharmaceutical information(Korea Intercontinental Medical Statistics; IMS Korea). There were 1,563 antibiotics produced in Korea in 1997. The total amount of antibiotics production was 1,197 billion won in 1997. Antibiotics accounted for 17.6% of the total pharmaceutical productions in 1997. Cephalosporins have taken the largest part of antibiotics production since 1992. The estimation using NFHI data showed that the total expenditure of antibiotics used in health facilities was 268 billion won, 608 billion won, 911 billion won in 1990, 1994, 1997 respectively. Tertiary hospitals spent 246 billion won, general hospitals 287 billion won, hospitals 78 billion won, clinics 300 billion won in 1997. The amount of expenditure and the intensity of antibiotics consumption in hospitals have increased more steeply than any other health facilities. The total expenditure of antibiotics consumption in health facilities and pharmacies was 778 billion won when estimated using the data from IMS Korea, and 999 billion won from NFHI. Cephalosporins was the fast growing antibiotics group in all of the market- hospitals, clinics, pharmacies since 1991. To measure the amount and patterns of antibiotics consumption more precisely, a pharmaceutical monitoring or surveillance system is needed.

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A Study on the Service for Competitive Advantage (Base on the Service in Medical Institution) (경쟁우위를 위한 고객만족 요인 연구 (의료기관의 서비스 중심으로))

  • 최우진
    • Journal of the Korea Society of Computer and Information
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    • v.4 no.4
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    • pp.251-259
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    • 1999
  • In this paper, university hospitals, general hospitals/hospitals, private clinics, Chinese medicine hospitals and clinics in Seoul. Metropolitan Inchon, Kyunggi-do were probed to find out how the variables of service task factor are related to customer satisfaction, and to find out the determinants of medical service task(tangible quality, flexibility, cost, time and managerial skills), and anticipation factors, and respective items of customer satisfaction through statistical analysis. The meaning of the above mentioned findings should be carefully understood and construed due to the following problems. Because the factors why patients select hospitals were measured limitedly. it cannot show everything I intended to suggest. Especially due to the insufficient number if items. customer satisfaction variables are too limited. Reflecting the developing changes in various medical environments, hospitals could meet the objective of maintenance and prosperity only by facing the competition effectively and satisfying patients. Also hospitals should pursue patient-oriented service management. In other words, a strategic management of service task factors is needed. Based on this paper's research. a further study should be conducted continuously in order to give customers more satisfaction.

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Consideration of computer-guided implant surgery (임플란트 가이드 수술시 고려사항)

  • Kim, Hyun Dong
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.28 no.1
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    • pp.4-17
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    • 2019
  • Nowadays, Cone-Beam CT is widely supplied in dental clinics, the distribution rate in south korea is highly ranked worldwidely. Recently, The number of Cone-Beam CTs reached 10 thousands according to national healthcare system report. Also, dental manufacturers released many kinds of In-house 3D digital printers, the distribution rate of which rises rapidly in dental clinics. Accordingly, using Cone-Beam CT data and Intraloral scan data, the application of implant guide surgery is widespread in a unit of private clinic. Through the previous articles, the latest methods of computer-guided implant surgery are reviewed, and also the considerations for precise and reliable guide surgery are summarized.

Fractures of the dog in Taegu area (대구지방에서 발생한 개의 골절)

  • 김대영;장인호
    • Journal of Veterinary Clinics
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    • v.15 no.1
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    • pp.222-227
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    • 1998
  • This survey was based on the data of one hundred four dogs with 108 case,T of fracture admitted to the veterinary teaching hospital, College of Veterinary Medicine, Kyungpook National University and 24 private small animal hospitals from January, 1995 to Decemberi 1996. The results were analyzed as following criteria; the distribution of fractures causes of fractured age and sexual distributions month of the most frequencel total body weights presence of communicating external wound, extent of damaged direction of fracture line, location of fracture liner fracture managements fixations methods, fixations methods according to location of fracture. The results of survey were as follow: 1. Main distribution of fracture; radius . ulna (23.1%).2. Causes of fracture; road toraffic accident (39.4 T,). 3. Age; over 24 months (27.9%). 4. Sex; male (53.89)), female (46.2%). 5. Month of the most frequence; July (14.4%) 6. Total body weight: 2-5 kg (45.27)). 7. Presence of communicating external wound; closed fracture (94.2%). 8. Extent of damage; complete fracture (92.6%). 9. Direction of fracture line: comminuted fracture (27.8 To). 10. Location of fracture line; diaphysis (62.0%). 11. Fracture management; open reduction (58.3% ). 12. Fixation methods; not treat (22.2%). 13. Fixation methods according to location of fracture; radius ulna-Kirschner wire fixation (45.5%), femur. shaft-intramedullary pinning (71.4%), pelvis-bone plate (53.3%), metacarpus-not treat, Kirschner wire fixation (each 30.8%).

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The Roles and Professional Competencies of Health Education Specialists in Private Health Care Setting (민간 의료기관에서 보건교육사의 활동 영역과 능력 개발)

  • Kim, Young-Bok
    • Korean Journal of Health Education and Promotion
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    • v.27 no.2
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    • pp.37-48
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    • 2010
  • Objectives: In health care setting, patient education and health promotion services are inexpensive and effective initiatives to change health behavior due to use medical service resources and personnel. This study performed to define the responsibilities and competencies of health education specialist in private health care setting. For our suggestion, we reviewed regulatory, recommendation, and programs related to health education and promotion in clinics and hospitals. Results and Conclusion: The health promoting hospital and health services in Europe and innovative hospitals of community health promotion in the U.S. were examples of approaches that supply target groups with health promotion services in health care setting. The National Commission for Health Education Credentialing has suggested the specified responsibilities and competencies of health education specialist in health care setting according to their general duty. Considering the recommendation of the NCHEC, our suggestion included: 1) the three kinds of job scope, 2) the major targets, 3) the specified responsibilities and competencies, and 4) the available health promotion programs in clinic and hospital setting. The suggestion will contribute to the development of job market for health education specialist and to the cooperation with community health resources in health promotion services and comprehensive health care.

Short-term, Multi-center Prospective Clinical Study of Short Implants Measuring Less Than 7mm

  • Kim, Young-Kyun;Yi, Yang-Jin;Kim, Su-Gwan;Cho, Yong-Seok;Yang, Choon-Mo;Liang, Po-Chin;Chen, Yu-Yal;I, Lee-Long;Sim, Christopher;Tan, Winston;Ser, Go Wee;Yue, Deng;Yi, Man;Ping, Gong
    • Journal of Korean Dental Science
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    • v.3 no.1
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    • pp.11-16
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    • 2010
  • Objective : This prospective study sought to verify the stability of three types of short implants measuring 7mm or less. Materials and methods : Implants measuring 7mm or less were placed in patients at multicenter dental clinics in Korea, China, Taiwan, and Singapore. Initial stability, intraoperative and postoperative complications, crestal bone loss, and survival rate of the implant were prospectively evaluated. Results : The primary stability of a 6-mm implant was lower than that of a 7-mm implant. The marginal bone loss of short implants measuring less than 7mm was minimal. Complications such as wound dehiscence, implant mobility, and peri-implant mucositis developed, and these were associated with initial implant failure. The short-term survival rate of 6-mm implant was 93.7%, and that of 7-mm implant, 96.6%. Conclusion : Short implant for the mandible with insufficient height for the residual ridge can be selectively used. Poor primary stability and wound dehiscence can cause osseointegration failure and alveolar bone loss.

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A Survey of the Controlling System for the Pulmonary Tuberculosis in Jejudo, 2002 (2002년 제주도 폐결핵 등록환자의 관리실태 조사)

  • Kim, You Ok;Yang, Won Hyun;Bae, Jong-Myon
    • Tuberculosis and Respiratory Diseases
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    • v.56 no.4
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    • pp.356-363
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    • 2004
  • Background : The nationwide tuberculosis registry system in Korea has been operated with the dual reporting system - public health center (PHC) and private medical services (PMS) - since 2000. While three-fifths of the registered cases in 2002 was reported by PMS, it was reported that the success rate of patients at PMS was lower than that at PHC. To identify the problems of the patients' management at the PMS as well as the PHC in a community is the aim of this paper. Methods : The subject was selected from the registered cases of the pulmonary tuberculosis in Jejudo, 2002. The needed items for this study were gathered by the reviewing the medical charts directly. Results : Of the 262 patients included in the subject, 92 cases (35%) were treated initially at PMS. The sputum smear as an essentially diagnostic test was carried out with 69.2% at private clinics compared with 98.2% at PHC. The success rate of the treatment at PMS was 59.8% so that it had a statistically significant difference from that at PHC (80.0%; p<0.01). Conclusion : These results showed that there were several problems in diagnosis and treatment for the patient of pulmonary tuberculosis at PMS. To improve the success rate of the treatment at PMS, the nationwide clinical guideline for control of pulmonary tuberculosis should be systematically disseminated and strongly recommended at PMS by the government.

Difference of Prescription Services between the Health Center and the Private Clinic (일부 보건소와 일반의원에서의 투약서비스 비교연구)

  • 이선희;조공민;손명세;김한중
    • Health Policy and Management
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    • v.2 no.2
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    • pp.131-151
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    • 1992
  • The contents of prescription service were comparatively analysed between health centers(HC) and private clinics(PC). Medical chart review was done for 330 otu-patients diagnosed with upper respiratory tract infection(UR) of 120 adults and 90 children, and gastritis or duodenitis of 120 adults. Emphasis on comparison was the prime cost of medication which used in prescription service. The results were as follows; 1. The prime costs fro the medication per visit of HC group were significantly higher than PC group in all three diseases, and the out of pocket payments of patients per visit were significantly lower in the HC group than PC group. 2. The reason for high prime costs of medication per visit of HC in adult case of URI were due to the idverse use of medication and long prescription period per visit. And high medication costs in children cases of URI in HC group were due to the longer prescription day. In cases of gastritis, the prime cost of medication was also higher because of longer prescription period and the higher prime cost of medication. The proportions of medications for injection in the HC and PC groups showed similar features. 3. In depth analysis of the prescription services showed the differences of the contents of medication. In adults cases of URI, the averaged cost of oral medication was significantly lower in HC group, but that of medication for injection was higher in HC group. In children cases of URI, the averaged cost of oral medication and medication for injection was lower in HC group than in PC group. But in the cases of gastritis it was was higher in HC group than in PC group. The prescription periods were longer in HC group than in PC group in all three diseases. As a conclusion prime medication cost and quality of prescription services of HC group were higher than PC group. In terms of health care the cost containment and quality assurance in physician visit for common disease, public sector utilization is good option for those perspectives. But it should not be generalized unless future study about structure and outcome research for quality assurance.

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Professionalism and job satisfaction in dental hygienists (임상치과위생사의 전문 직업성과 직무만족도)

  • Lee, Seong-Sook
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.4
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    • pp.535-542
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    • 2013
  • Objectives : The purpose of this study was to examine the correlation between the professionalism and job satisfaction of clinical dental hygienists. Methods : The subjects were 310 dental hygienists in private and group practiced dental clinics. A self-reported questionnaire was conducted from December, 2012 to February, 2013. Data were analyzed using SPSS WIN 12.0. Results : Dental hygienists revealed the highest score in a sense of calling (3.41) and the lowest score in professionalism (2.85). They showed the highest score in the relationship with dentists (3.56) and the lowest score in pay (2.83). Highly educated and aged dental hygienists wanted to get more clinical career as professionalist. So there was a very significant positive correlation between professionalism and job satisfaction. Conclusions : Dental hygienists showed job satisfaction. Therefore it is important to develop the linking system of professionalsim and human resources development program.

Taiwan Report on Quitline Activities

  • Hsu, Pei-Ting;Chang, Chia-Wen;Chang, Te-Chung
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.sup2
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    • pp.11-18
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    • 2016
  • Aiming at reducing smoking population, Taiwan government adopted a successful smoking cessation quitline model from California Smokers' Helpline, commissioned a private non-profit organization-Teacher Chang Foundation, which was well-known for its quality telephone counseling service-to set up Asia's first quitline, Taiwan Smokers' Helpline (TSH) in 2003. The establishment of the quitline is a significant progress for tobacco control in Taiwan, as it built up a cooperative model with smoking cessation clinics to increase the quit rate through assisting smokers to overcome their psychological obstacles while quitting smoking.