• Title/Summary/Keyword: Supply of Medicine

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Demand and Supply of Dental Manpower by the Econometrical Model (계량경제모델에 의한 치과의사 이력수급에 관한 연구)

  • 김용란;이승우
    • Journal of Oral Medicine and Pain
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    • v.6 no.1
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    • pp.45-56
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    • 1981
  • The demand and supply of dentists was studied by the econometrical model. It is based on the data of socio-economic-cultural statistic from 1967 to 1977; GNP, average monthly consumption expenditure per household, consumption of milk, populat ion, consumption of energy, water supply per person a day and entrance rate of senior high school. 1.The curved regression equation and multiple correlation coefficient (R)between the number of dentists(Y) and year (x)were $Y=4,122(1.06)^x$,R=0.995. 2. From 1982 to 1985, expected demand and expected supply will be approximately balanced. But dentists will be oversupplied conspicuously from the year of 1986. Such a oversupply will be remarkably incresed to the amount of 1860 in the year of 2000. 3. It is seemed that balanced number of graduates of dental colleges will be about 350 to the year of 1985, from the year of 1986, will be about 450, from the year of 1981, will be about 600 and from the year of 1996, will be about 700. 4. In 2000, persons served by each dentist will be 3550 by the expected supply and 4120 by the expected demand.

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A Study about Peritumoral Brain Edema in Meningiomas using Angiographic Pattern and MIB-1

  • Chung, Dai-Jin;Hwang, Hyung-Sik;Kim, Sung-Min;Choi, Sun-Kil
    • Journal of Korean Neurosurgical Society
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    • v.37 no.1
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    • pp.1-7
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    • 2005
  • Objective: Peritumoral brain edema(PTBE) accounts for approximately 60% of meningiomas. It has not been identified why vasogenic edema, frequently shown in intra-axial tumors is also developed in extra-axial tumor such as meningiomas. Therefore, the authors assess the peritumoral brain edema of meningiomas with a focus on the angiographic pattern and expression of MIB-1 to clarify their correlation. Methods: A total 32 cases of meningioma was studied. The authors attempted to identify 1) the location of PTBE and the edema index (EI), 2) the location and dominancy of pial supply compared with meningeal supply, 3) the biological activity of meningiomas indicated by the MIB-1 LI (labeling index), 4) their interaction. Results: No PTBE was observed in the meningiomas without pial arterial supplement from internal carotid artery (ICA) and vertebral artery (VA). The PTBE of meningiomas with pial supply was developed intensely along the pial arterial supplement, and increased statistically in proportion to the extent of pial supply from ICA or VA rather than meningeal supply. Also, the MIB-1 LI in meningiomas tended to be larger in the tumors of the larger EI and the dominancy of pial supply. Conclusion: A strong correlation is found between the extent of PTBE in meningiomas and the dominancy of pial supply. The MIB-1 LI also tend to be associated with the PTBE. Therefore, the MIB-1 LI in benign meningiomas may represent not only the proliferative potential of the tumor, but also the biological activity like angiogenesis.

A Comparative Analysis for Projection Models of the Physician Demand and Supply Among 5 Countries (주요 국가 의사인력 수급 추계방법론 비교분석)

  • Seo, Kyung Hwa;Lee, Sun Hee
    • Health Policy and Management
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    • v.27 no.1
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    • pp.18-29
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    • 2017
  • Background: In Korea, the problem of physician workforce imbalances has been a debated issue for a long time. This study aimed to draw key lessons and policy implications to Korea by analyzing projection models of physician demand/supply among five countries. Methods: We adopted theoretical framework and analyzed detail indicators used in projection models of demand/supply comparatively among countries. A systematic literature search was conducted using PubMed and Google Scholar with key search terms and it was complimented with hand searching of grey literature in Korean or English. Results: As a results, Korea has been used a supply-based traditional approach without taking various variables or environmental factors influencing on demand/supply into consideration. The projection models of USA and Netherlands which considered the diversity of variables and political issues is the most closest integrated approach. Based on the consensus of stakeholder, the evolved integrated forecasting approach which best suits our nation is needed to minimize a wasteful debate related to physician demand/supply. Also it is necessary to establish the national level statistics indices and database about physician workforce. In addition, physician workforce planning will be discussed periodically. Conclusion: We expect that this study will pave the way to seek reasonable and developmental strategies of physician workforce planning.

A Study on the Improvement of the Reports on Details of Supply of Medical Device System Through Selective Application (선별적 적용을 통한 의료기기 공급내역보고 제도 개선 연구)

  • Hyun Ju Jeong;Soo Yeon Lim;Ju Wan Kim;Won Seuk Jang;Byeong-Ju Kwon
    • Journal of Biomedical Engineering Research
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    • v.44 no.5
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    • pp.315-323
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    • 2023
  • The objective of this study is to identify the selective application targets for reporting on details of supply of class 1 and 2 medical devices as part of the improvement of the reports on details of supply of medical device system, and to analyze its effectiveness. Therapeutic materials covered by health insurance and secondhand medical devices were chosen based on the transparency of health insurance coverage and the management of medical device distribution. As a result, approximately 85% of groups can be excluded from the reporting requirements compared to reporting all items under Class 1 and 2 medical devices. This is expected to enhance the efficiency of supply reporting tasks. Additionally, the information on supply details managed by the regulatory authority can be utilized for statistical analysis and periodic monitoring, serving as fundamental data for the development of medical device-related policies and research in the field of medical devices.

FDG PET/CT Assessment of the Biological Behavior of Meningiomas

  • Park, Yong-Sook;Jeon, Byung-Chan;Oh, Hyung-Suk;Lee, Seok-Mo;Chun, Bong-Kwon;Chang, Hee-Kyung
    • Journal of Korean Neurosurgical Society
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    • v.40 no.6
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    • pp.428-433
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    • 2006
  • Objective : We investigated the pattern of glucose uptake in meningiomas using $^{18}F$-fluoro-2-deoxy-D-glucose[FDG] PET/CT. It was hypothesized that the degree of glucose uptake in each tumor could predict the histologic grade. Methods : In 19 patients with meningiomas, the Ki-67 proliferative index, standardized uptake values[SUV] of FDG uptake, tumor to contralateral gray matter ratio[TGR] of SUV, tumor size, edema grade, vascular endothelial growth factor[VEGF] expression, histopathologic grade and the blood supply pattern were assessed. Results : Of the 19 meningiomas, 8 were meningothelial, 1 fibrous, 2 transitional, 1 psammomatous, 2 angiomatous, and 5 atypical. The tumor proliferative index of Ki-67, tumor size, and peritumoral edema were larger in the histopathologic grade-2 meninigiomas than in the grade-1 meningioma group. There were no significant differences in SUV and TGR between two groups. Tumor size and peritumoral edema were significantly larger in VEGF-positive tumors than in negative tumors. Conventional angiography was performed in 12 patients. Dural supply was noted predominantly in 2 patients. Four patients had mainly pial cortical supply patterns. In tumors with more pial supply, VEGF was more frequently positive. There was a significant relation between SUV and Ki-67 and between SUV and peritumoral edema. Conclusion : We found FOG uptake in meningiomas is associated with proliferative potential, however, no clear limits of SUV and TGR can be set to distinguish between grade-1 and grade-2 meningiomas, which makes the assessment of malignancy grade using PET scan metabolic imaging difficult in individual cases.

Status of Assistive Device Availability for Students with Disabilities (장애학생 보조기기 사용 실태 )

  • Byeong-Mo, Cho
    • Journal of the Korean Society of Physical Medicine
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    • v.18 no.2
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    • pp.33-39
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    • 2023
  • PURPOSE: This study examined the status of the efficient supply of assistive devices for students with disabilities. METHODS: A complete investigation was conducted on the request and supply of assistive devices for students with disabilities at the Korea National University of Welfare. The subjects were 112 students with disabilities who applied for assistive device rental. The status of the supply of assistive devices according to the type of disability was investigated. The overall satisfaction with learning support was measured. The questionnaire content was categorized into the following three factors to determine learning support satisfaction: support overall (role, staff, facilities) learning support (learning support, learning counseling, life consultation), assistive device supply (counseling, rental, uses, rental period, maintenance services). RESULTS: The most common type of students with disabilities was physical disabilities 62 (29.38%) and hearing impairments 62 (29.38%). Students with physical disabilities and brain lesions rented manual and electric wheelchairs the most. Learning support satisfaction was evaluated considering the factors support overall, learning and assistive device supply effects. satisfaction of learning support for students with disabilities 83.5 points. CONCLUSION: The satisfaction with assistive device supply appears to be relatively lower than support overall. Each university will gradually secure assistive devices that suit the characteristics of students with disabilities.

A Case of Systemic Arterialization of the Lung without Sequestration (좌하엽으로의 비정상적인 체순환 동맥 공급 1예)

  • Hong, Hyun-Ju;Park, Gun-Min;Hwang, Yong-Il;Lee, Choon-Taek;Yoo, Chul-Gyu;Han, Sung-Koo;Shim, Young-Soo;Kim, Young-Whan
    • Tuberculosis and Respiratory Diseases
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    • v.50 no.3
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    • pp.373-377
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    • 2001
  • An anomalous systemic arterial supply to the normal basal segments of the left lower lobe without sequestration is a rare congenital anomaly. It differs from classical bronchopulmonary sequestration in that the involved lung retains a normal connection to the bronchial tree, although some place this entity exists within the broad framework of pulmonary sequestration. We experienced a case of a woman who presented with a nodular lesion on a chest X-ray. Contrast-enhanced CT diagnosed her as having an anomalous systemic arterial supply to the normal basal segments of the left lower lobe. This case is reported with a brief literature review.

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Projections of Demand for Cardiovascular Surgery and Supply of Surgeons

  • Lee, Jung Jeung;Park, Nam Hee;Lee, Kun Sei;Chee, Hyun Keun;Sim, Sung Bo;Kim, Myo Jeong;Choi, Ji Suk;Kim, Myunghwa;Park, Choon Seon
    • Journal of Chest Surgery
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    • v.49 no.sup1
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    • pp.37-43
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    • 2016
  • Background: While demand for cardiovascular surgery is expected to increase gradually along with the rapid increase in cardiovascular diseases with respect to the aging population, the supply of thoracic and cardiovascular surgeons has been continuously decreasing over the past 10 years. Consequently, this study aims to achieve guidance in establishing health care policy by analyzing the supply and demand for cardiovascular surgeries in the medical service area of Korea. Methods: After investigating the actual number of cardiovascular surgeries performed using the National Health Insurance claim data of the Health Insurance Review and Assessment Service, as well as drawing from national statistics concerning the elderly population aged 65 and over, this study estimated the number of future cardiovascular surgeries by using a cell-based model. To be able to analyze the supply and demand of surgeons, the recent status of new surgeons specializing in thoracic and cardiovascular surgeries and the ratio of their subspecialties in cardiovascular surgeries were investigated. Then, while taking three different scenarios into account, the number of cardiovascular surgeons expected be working in 5-year periods was projected. Results: The number of cardiovascular surgeries, which was recorded at 10,581 cases in 2014, is predicted to increase consistently to reach a demand of 15,501 cases in 2040-an increase of 46.5%. There was a total of 245 cardiovascular surgeons at work in 2014. Looking at 5 year spans in the future, the number of surgeons expected to be supplied in 2040 is 184, to retire is 249, and expected to be working is 309-an increase of -24.9%, 1.6%, and 26.1%, respectively compared to those in 2014. This forecasts a demand-supply imbalance in every scenario. Conclusion: Cardiovascular surgeons are the most central resource in the medical service of highly specialized cardiovascular surgeries, and fostering the surgeons requires much time, effort, and resources; therefore, by analyzing the various factors affecting the supply of cardiovascular surgeons, an active intervention of policies can be prescribed for the areas that have failed to meet the appropriate market distributions.

Projection of Physician Manpower Supply in Korea (우리나라 의사인력의 공급 및 생산성 추계)

  • Yu, Seung-Hum;Cho, Woo-Hyun;Lee, Yong-Ho;Cheon, Byung-Yool
    • Journal of Preventive Medicine and Public Health
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    • v.21 no.1 s.23
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    • pp.61-69
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    • 1988
  • In this study, the number of physicians presently living in Korea was thoroughly estimated by several means and, on this basis, their productivity and level of supply were estimated. The results were as follows First, the number of physicians who did not notify the Korea Medical Association in May 1987 were 10,110, including 4,093 emigrant physicians(40.5%) ,861 military medical officers,745 public health doctors, and 107 deceased physicians. A total of 1,330 physicians could not be identified by any effort. Second, among the 34,897 registered physicians as of May 1987, 29,933(85.8%) were residing in Korea, 4,115 physicians(11.8%) had emigrated to other countries, and 849 physicians(2.4%) were deceased. Practicing physicians difined as those in Korea who were not retired, serving in the military, or completing residencies or internships, comprised 78.6%(27,414 physicians) of the total number of registered physicians. Third, it is estimated that in the year 2000 the number of registered physicians, physicians residing in Korea, and practicing physician will be 75,040, 64,038, and 57,655, respectively and these are increases of 115.0%, 113.9%, and 110.3%, respectively, compared to 1987. Fourth, the population physician ratio will be 759 to one physician in the year 2000. Fifth, the productivity of physicians, as calculated by relative values defining the productivity of 35 to 44 year-old male physicians as 10, will increase 110.7% in the year 2000 compare to that of 1987, and this increment is almost the same level as that of physician supply. From the results of the present analysis of physician manpower and supply projection, it can be recognized that the development of a regular notification system is necessary in order to identify precisely the number of physicians. Also a policy of physician supply is essential in order to adjust in advance the number of physicians, otherwise there will be surplus to the medical demand.

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Factors associated with performance of infection control among some physical therapists

  • Seol, Yoon-Yee;Han, Mi Ah;Park, Jong;Ryu, So Yeon
    • The Journal of Korean Physical Therapy
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    • v.28 no.2
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    • pp.155-163
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    • 2016
  • Purpose: Infection management is important for physical therapists in order to protect patients and themselves since they often provide patient care and have physical contact with patients. This study examined the performance of infection control and associated factors among physical therapists. Methods: The study subjects were 174 physical therapists working in the G metropolitan city. The performance of infection control according to general characteristics, job-related characteristics, and infection-related characteristics were compared using t-test and ANOVA. Associations between awareness and performance of infection control were tested by correlation. Finally, multiple linear regression analyses were performed to examine the factors associated with performance of infection control. Results: Overall performance scores for personal and therapy room were $87.47{\pm}11.70$ and $70.08{\pm}13.68$, respectively. Both personal and therapy room infection control were lower for the degree of performance than the degree of awareness. In multiple linear regression analysis, the degree of performance at a personal level was related to current smoking status, type of charge therapy, supply of protection equipment, and awareness of personal infection control. The degree of performance of therapy room was related to injury experience in the workplace, supply of protection equipment, and awareness of therapy room infection control. Conclusion: Performance of therapy room infection control was lower than that of personal infection control. The performance was associated with the supply of protection equipment and awareness. Therefore, the degree of performance for infection control will be increased with proper supply of protection equipment in the hospital and increase the degree of awareness with adequate prevention education.