• 제목/요약/키워드: Public medical center

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공중보건한의사의 진료여건에 관한 조사연구 (A Survey on the Medical Conditions of Public Health Oriental Medical Doctors)

  • 정명수;오충선;이기남
    • 대한예방한의학회지
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    • 제10권2호
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    • pp.63-80
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    • 2006
  • Public health oriental medical doctor has played a great role in providing oriental medical treatment and oriental medical health program with public health medical services, the basic infrastructure, however, is not sufficient. In this study, the researcher surveyed the treatment working or service condition of public health oriental medical doctor. 1. The payment, allowance of doctors are fixed upon the law and guideline according to the financial status of local government. The branch of public health center has more support like an official residence with expenses. 2. The public health center mainly has assitants and ratio of full-timer is more than the branch public health center without any assistants if any, they are temporary employee 3. The public health center has 5.22 beds while the branch has 3.14 beds. The daily average number of patient for public health center is 15.01 while the branch has 8.7 More than half of outpatients are over sixties with musculoskeletal disease. 4. Regarding the traveling clinic, the public health center put into more operation than the branch. The 3rd year serving public doctor gives negative about the traveling clinic much more than 1st and 2nd year serving public doctor. The treatment service condition of public doctor of the public health center is better than the branch doctor, but we are on the point of role-changing as health promotion and preventive treatment to bring up motivation, education and competence strengthening for execution the local-bound health program.

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보건소 한방지역보건사업의 개선방안에 대한 연구 (A Research on the improvement measures about Community-based Korean medical public health service in public service center)

  • 최광진;김홍준;안상우
    • 한국한의학연구원논문집
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    • 제10권1호
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    • pp.107-117
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    • 2004
  • Each Local public heal public health service center is in difficult situation on programing and performing of local public health service. The purpose of research is to inquire of the present state of local public health service and search long-term developmental methods. The first, in order to accomplish this purpose, I distributed questionnaires to Korean medical doctors, who are worked in public health service center and researched that. The second, based on these findings, I proposed planning for upcoming project for activating local public health service on Korean medicine.

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최근 3년간 대구 달성군 보건소 한방진료실의 진료현황에 대한 통계적 연구 (The Statistical Analyses of Oriental Medical Office in a Public Health Center of Dalseong-gun, Daegu Metropolitan City During Recent 3 years)

  • 문형권;설인찬;김윤식
    • 혜화의학회지
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    • 제14권2호
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    • pp.93-105
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    • 2005
  • Objective : We investigated the actual condition of oriental medical office in a public health center. Methods : We classified patients who visited an oriental medical office iin a public pealth center of Dalseong-gun, Daegu Metropolitan City during recent 3 years by KCPJMAIN(data processing system), according to location, age, time(month, year), sex, disease, insurance, etc. Results : As a local category, the residents in Hyeunpung-Myeon higher than 80% of the patients who visited the public health center. The patients aged over 60 occupied 80% of the patients. The frequency of the treatment was more than 10 in those patients aged over 60. The number of the patients was the highest in May when there was a change for the past 36months, whereafter the number has sustained decline for 3-5 months and repeated decreasing. As a gender category, the female inpatients were 10732(82%). This statistics shows that these musculoskeletal system disease occupied large part in them. As a heath insurance category, the patients who were insured by health care were 12454(96.30%). Conclusion : It should need to enable the rural residents who have difficulty benefitting from medical service to reach the service by making their access to the oriental medical office in public health center easier. Most of all, the support from both government and municipality should be urged to accomplish it. plus, it should be included not only boosting doctors' reliance but also improving the capability and services of doctors in public heath center. In conclusion, the treatment service in public health center should be diversified beyond musculoskeletal system disease and the identity transform of public health center should be needed to appeal to young generation.

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Production and Evaluation of Toxoplasma gondii Recombinant GRA7 for Serodiagnosis of Human Infections

  • Selseleh, Mina;Keshavarz, Hossein;Mohebali, Mehdi;Shojaee, Saeedeh;Selseleh, Monavar;Eshragian, Mohammad Reza;Mansouri, Fatemeh;Modarressi, Mohammad Hossein
    • Parasites, Hosts and Diseases
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    • 제50권3호
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    • pp.233-238
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    • 2012
  • The precise diagnosis of the acute toxoplasmosis in pregnant women and immunocompromsied patients has critical importance. Most of the commercially available assays use the whole Toxoplasma soluble extract as the antigen. However, the assays currently available for the detection of specific anti-Toxoplasma antibodies may vary in their abilities to detect serum immunoglobulins, due to the lack of a purified standardized antigen. The aim of this study was production and evaluation of the usefulness of the recombinant Toxoplasma gondii GRA7 antigen for the serodiagnosis of Toxoplasma gondii IgM and IgG by ELISA. A total of 70 T. gondii IgM positive sera, 74 T. gondii IgG positive sera, and 60 sera from subjects who were not infected with T. gondii were examined. These sera were shown different absorbance values in ELISA test. To control the specificity of the rGRA7 other parasitic diseases, for example, echinococcosis, malaria, leishmaniasis, fascioliasis, and strongyloidiasis were tested of which none showed positive results. Sensitivity and specificity of the generated recombinant IgG ELISA in comparison with commercial ELISA (com ELISA) were 89% and 90%, and the sensitivity and specificity of the generated recombinant IgM ELISA were 96% and 90%, respectively. The results obtained here show that this antigen is useful for diagnostic purposes.

대도시 보건소 한방 진료실 이용실태 (A Study on the Clinical Statistics of an Oriental Medical Office in a Public Health Center)

  • 김기태;고흥;이은
    • 대한한방내과학회지
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    • 제27권4호
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    • pp.827-835
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    • 2006
  • Objectives : This study investigated the actual condition of an oriental medical office in a public health center. Methods : We classified patients who visited an oriental medical office in the public health center of Gyeyang-gu over a 1-year period, according to age, sex, disease, etc. The number of patients was 6529. Results : Analyzing these 6529 persons, 65.8% were female, and 79.6% were seniors aged over 65. By disease category motor systemic disease or circulatory disease affected 84% of the patients. By medication or treatment category. O-Juk-San (五積散) at 38.3% was the greatest proportion, and Pal-Mul-Tang (八物湯) the second greatest. As to medical fee, 80.2% of the patients were not charged for treatment. Conclusions : The extract of herbal medication should be more expanded in the medical insurance, and should be improved in quality. The oriental medical office in a public health center should focus more on health promotion and disease prevention than patient care. For accomplishing this goal, the institutional position and rights of oriental medical doctors as civil officials should be equal to those of western medical doctors.

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분야별 의료 취약지 선정지표 개발 및 적용 (Development and Adjustment of Indicators for Underserved Area)

  • 곽미영;이태호;홍현석;나백주;김윤
    • 보건행정학회지
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    • 제26권4호
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    • pp.315-324
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    • 2016
  • Underserved area is a region that has a lack of healthcare resources. In the context of Korea, however, there are not enough detailed criteria for underserved areas. In this study, we aimed to develop indicators for underserved area through Delphi technique. We systematically reviewed the existing measure of underserved area. Sixty indicators were extracted as candidates across four domains in secondary medical care. Four domains are demand, medical resource, quality of care, and health outcome. To develop indicator, two round Delphi survey was conducted among 15 professional experts such as professionals and public administrators. In conclusion, 2 final indicators (accessibility, medical utilization) was determined as an appropriate measure in order to designate underserved area for secondary medical services. Using our criteria from Delphi technique, 36 areas were found as underserved areas for the secondary medical care.

한약건강보험에 대한 일반인의 한약제형 선호도 조사 (Survey on the Preference Formula for the Improvement of Oriental Herbal Medicine Insurance)

  • 김용호;김세현;장혜정;박재경;정미영;박유선
    • 대한본초학회지
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    • 제24권4호
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    • pp.17-23
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    • 2009
  • Objectives : This study aimed to provide basic data for future policies regarding the expansion of health insurance, through investigating the current status of Oriental herbal medicine insurance as perceived by the public. Methods : Questionnaire was developed through literature searches, in-depth interviews, item generation and item reduction. The questionnaires were further refined by a focus group. 221 surveys were retrieved from the general public. Results : The in-depth interviews, reveal that the public is aware of the various forms of Oriental herbal medicine formulas, except for the use of mixture of which are soluble granules covered by insurance. The public awareness of the soluble granules turned out to be so low that enhanced awareness of it is required. The public identified decoctions as the most preferred formula as well as the most effective formulas out of all Oriental herbal medical formulas. They also suggested that it should be the first to be included when the insurance policy expands in the future. The public had frequent experienced not choosing Oriental herbal prescription due to the high cost. Insurance coverage of Oriental herbal prescription is much needed. The public indicated that they will make frequent visits to the KMD if the insurance covers Oriental herbal prescriptions. Conclusions : The current status quo of Oriental herbal medicine insurance showed that the public identified decoctions as the most preferred, most effective and the top priority to be covered by insurance.

한방 월경통 개선교실의 운영 및 효과에 관한 연구 (A Study on the Management and Effect of Dysmenorrhea Care Program by Korean Traditional Medicine)

  • 정다운;김명재;모승희;김은영;이경심;박성희;유경순
    • 대한한방부인과학회지
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    • 제25권3호
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    • pp.132-148
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    • 2012
  • Objectives: The aim of this study was to evaluate the effectiveness of dysmenorrhea care program by Korean traditional medicine on dysmenorrhiec juveniles. Methods: 47 adolescent dysmenorrhiec patients in local girls' high school took part in dysmenorrhea care program by Korean traditional medicine. The subjects were treated by acupuncture, ear-acupuncture, acupressure education, herbal extract medication and qigong exercise. The results were investigated by visual analogue scale(VAS), multidimensional verbal rating scale(MVRS) and verbal rating scale (VRS). Data was collected every three months from March, 2011 to March, 2012. Additionally satisfaction survey was conducted. Results: VAS score was reduced after treatment, but rebounded back to baseline after 6 months of discontinued dysmenorrhea care program. There was no significant difference of time and group interaction in linear mixed model analysis. MVRS and VRS outcomes showed similar pattern. Conclusions: Dysmenorrhea care program by Korean traditional medicine is effective in juveniles with dysmenorrhea for several months but not for long as nine months after treatment. However, the effect can last for three months at the very least.