• 제목/요약/키워드: Supply of Medicine

검색결과 673건 처리시간 0.033초

병원 전자구매조달시스템의 경제성 분석 (Cost-Benefit Analysis of the Electronic Purchase and Supply System in Hospitals)

  • 최원호;유승흠;정우진;김영훈;이선미
    • 한국병원경영학회지
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    • 제8권1호
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    • pp.42-63
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    • 2003
  • There is a rapidly growing expansion of internet-based infrastructure throughout industries in Korea. The internet-based Electronic Purchase and Supply System(EPSS) is being considered a supportive tool to increase the economic efficiency of hospital management. In this study, we conducted an economic evaluation of the system, analyzing data on four hospitals in Korea. According to the results, four hospitals was estimated to make net benefit of about 611 million Won in one year and about 2,809 million Won in the next five years. Further, the adoption of all hospitals in Korea to the system may generate net benefit of about 31,575 million Won in one year and about 166,938 million Won in the next five years. Furthermore, we expect that as the system covered many kinds of inputs in hospitals like pharmaceuticals, the benefit of the system would go up by a considerable degree.

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지방의료원의 자체충족률에 영향을 미치는 요인: 수정 진단명기준환자군의 영향을 중심으로 (Factors Affecting of Relevance Index of the Regional Public Hospital: Focused on Refined Diagnosis-Related Group Impacts)

  • 윤아리;우경숙;신영전
    • 보건행정학회지
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    • 제29권4호
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    • pp.482-495
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    • 2019
  • Background: An important function of the regional public hospital is to satisfy the basic medical needs of the community through the stable provision of high-quality medical services. The purpose of this study was to identify the relevance index (RI) of the regional public hospital and to identify the factors that affect the RI. Methods: Data were obtained from the 2017 regional public hospital operation evaluation report and 2017 medical monitoring report for vulnerable area. RI of the regional public hospital was a dependent variable, and multiple regression analysis was performed with observed variables of medical supply-demand condition, medical supply, and medical supply structure. Direct effects and indirect effects were confirmed by the analysis of structural equation models (SEM) to see if there were mediating effects. Results: The RI was 13.1%, and the average of all percentage refined diagnosis-related group (RDRG) was 29.4%. Factors affecting RI were medical supply-demand conditions, medical supply, and medical supply structure. As a result of multiple regression analysis, RI was higher when high percentage RDRG of the regional public hospital (t=4.117, p<0.05), the size of regional public hospital location (t=-2.554, p<0.05), and the population of regional public hospital location (t =-2.415, p<0.05) were smaller. The results of the SEM analysis show that the higher the medical supply-demand conditions, the more direct effect of decreasing the RI and the indirect effect of decreasing the effect of reduction through the medical supply (direct effect=-1.322, total effect=-0.573, p<0.01). The higher the medical supply structure, the more direct effect on the RI (direct effect=1.047, p<0.05) and the higher the medical supply, the more indirect effect of RI through the medical supply structure (total effect=direct effect=0.619, p<0.05). Conclusion: It has been confirmed that the provision of medical services can affect the RI the regional public hospital which should be considered in carrying out future policies.

야생화분매개곤충 분포 모형을 활용한 과수원 수분 서비스 위험도 평가 (A Risk Assessment of Orchard Pollination Services using a Species Distribution Model for Wild Pollinators)

  • 고인수;최혜영;권혁수
    • 한국환경복원기술학회지
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    • 제23권6호
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    • pp.29-41
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    • 2020
  • Wild pollinators provide important pollination services for crops. However, their geographical ranges and impact on pollination services have not been fully explored within the scope of Korean agricultural land. This study aims to identify spatial supply-demand mismatches across orchard fields in the context of assessing pollination service risk. We first used National Ecosystem Survey data and a species distribution model (MaxEnt) to develop the geographic range of each of 32 wild pollinators belonging to three families (Diptera, Hymenoptera, and Lepidoptera). We then summed the modeled presence probability of each species to obtain a measure of spatially explicit pollinator richness. This modeled richness, defined as pollination supply, was compared with the summed area of orchard fields at the municipal boundary level to identify areas with supply-demand mismatches. The study found that Lepidoptera showed the highest species richness (8.3±1.5), followed by Hymenoptera (4.3±0.8) and Diptera (3.5±0.8) species. Median orchard area was 1.5 ㎢ (range of 0-176.7 ㎢) among 250 municipal regions in South Korea. The municipal regions were divided into three categories (tertiles) of low, middle, and high pollination supply and demand according to, respectivley, average polliator richness and orhard area. Finally, we found that 55 municipal regions (accounting for 49% of national orchard land) potentially faced high risk of pollination deficits, 81 regions (48% of national orchard land) faced intermediate risk, and 63 regions faced low risk (3% of national orchard land). In conclusion, this study revealed significant mismatch between pollination supply and demand and developed risk assessment map will guide our future efforts on pollinator habitat conservation and monitoring to conserve crop pollination services.

폐분획증이 없이 하행 흉부 대동맥에서 분지된 좌측 바닥 구역의 이상 기시 체혈관 - 1예 보고 - (Anomalous Systemic Arterial Supply to the Left Basal Segments without Sequestration from Descending Thoracic Aorta - A case report -)

  • 김혁;정원상;장효준;강정호;김영학;김지훈
    • Journal of Chest Surgery
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    • 제41권4호
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    • pp.512-515
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    • 2008
  • 폐분획증이 없는 좌측 바닥 구역의 이상 기시 체혈관은 폐분획증의 범주 안에 속하는 매우 드문 선천성 질환이다. 하지만 폐분획증과는 달리 정상적인 기관지 연결 관계를 가지고 있다. 술전에 진단된 폐분획증이 없는 좌측 기저 분엽의 이상 기시 체혈관에 대한 수술적 치료를 치험하였기에 이를 보고 하고자 한다.

의료재활 서비스 수요전망 및 인력수급에 관한 재활인력간 응답특성 (A Comparative Study of the Future Demand for Medical Rehabilitation Services by Rehabilitation Professionals)

  • 권혁철;김종갑
    • 한국전문물리치료학회지
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    • 제3권2호
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    • pp.8-18
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    • 1996
  • Korea will soon experience a high demand for medical rehabilitation specialists, if it tries to deliver advanced health welfare service. In order to medical rehabilitation manpower policies, this study attempts to analyse, estimate and plan a long-term supply for physiatrists, physical therapists, and occupational therapists. The study analysed both national and foreign statistical data of manpower supply for medical rehabilitation specialists. A structured category of questionnaire was developed to survey the opinions of regarding the supply for rehabilitation specialists in Korea. Based on the above data, the demand of and supply for each specialists were estimated for long term up to the year 2030. Based on the comparative analysis results of the future demand and supply, the author intended to develop a new supply plan for the three specialist categories. The major findings of the supply plan are as follows : First, the replied proper mean ratios of rehabilitation professionals(physiatrists : physical therapists occupational therapists) appeared 1 : 5.93 : 3.59, and there is no significant difference between interprofessionals (p>0.05). Secons, the estimated demand for rehabilitation services by interprofessionals appeared significant difference among the interprofessionals (p<0.05).

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Influence of β 1-4 Galacto-oligosaccharides Supplementation on Nitrogen Utilization, Rumen Fermentation, and Microbial Nitrogen Supply in Dairy Cows Fed Silage

  • Santoso, B.;Kume, S.;Nonaka, K.;Gamo, Y.;Kimura, K.;Takahashi, J.
    • Asian-Australasian Journal of Animal Sciences
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    • 제16권8호
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    • pp.1137-1142
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    • 2003
  • In a balanced incomplete block design, two dry Holstein cows were used to investigate the effect of $\beta$ 1-4 galactooligosaccharides (GOS) supplementation on nitrogen (N) utilization, rumen fermentation and microbial N supply in the rumen. During the experiment, cows were fed four diets: orchardgrass (Dactylis glomerata L.) silage (OS), OS with GOS supplementation (OSG), OS mixed with alfalfa (Medicago sativa L.) silage (MS) and MS with GOS supplementation (MSG). GOS was supplemented at 2% of dry matter intake. Diets were fed at maintenance level of protein and energy. Results showed that N digestion was affected by silage and interaction of silage and GOS supplementation. Cows fed OSG had the highest N digested (p<0.05) followed by MS, OS and MSG. Supplementation of GOS to OS or MS diets tended to improve N utilization through reducing the N losses on dairy cows. There was no effect of GOS supplementation on rumen fermentation parameters (i.e. pH, $NH_3$-N and total VFA) at 1 h and 6 h after feeding. Compared to cows fed MS, cows fed OS silage had higher (p<0.05) allantoin excretion (80.8 vs. 67.1 mmol/d) and higher (p<0.05) total purine derivatives excretion (92.9 vs. 78.5 mmol/d). The microbial N supply in cows fed OSG was higher (p<0.05) than those fed OS, MS and MSG.

FNS를 사용한 하반신마비자의 일어서기 (Functional Neuromuscular Stimulation for Paraplegic Standing)

  • 강곤
    • 대한의용생체공학회:의공학회지
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    • 제11권1호
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    • pp.1-4
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    • 1990
  • Functional neuromuscular stimulation(FNS)를 사용하여 하반선마비사가 앉은 상태에서부터 일어나 균형을 유지할 수 있도록 하기 위하여 FNS의 자동제어 시스댐을 개발하였다. Output feedback gain matrix를 최적제어이론을 사용하여 계산하기 위하여 비선형 선체모델을 직립위치에 대하여 선형화하였다. 제어기는 측정된 output에 의하여 매순간 각 선체조인트에 필요한 torque할 계산 하며, 이 조인트 torque는 근육이 최소한의 에너지를 사용하게끔 각 단육에 배분된다. 컴퓨터 시뮬레이션결과, 이 제어 시스템을 사용하여 각 조인트가 약 45도 정도 구부버진 상태에서 부터 직립위치를 회복할 수 있으며 팔의 움직임으로 대표되는 외부로부터의 방해를 반았블 때에도 직립 위치를 자동적으로 유지할 수 있었다.

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한약(韓藥) 복합제제(複合製劑)의 투여(投與)가 돼지의 성장(成長) 및 성장(成長)호르몬 분비(分泌)에 미치는 영향(影響) (Effect of The Herb medicines to Growth and secretion of Growth Hormone in Pigs)

  • 구본홍;이태업;이병우
    • 대한한방소아과학회지
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    • 제12권1호
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    • pp.277-287
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    • 1998
  • The present study is designed that the herb medicines which are returned to kidney, pancreas and are known by efficacy in growth are supplied to pigs, thereafter the effects to growth and secretion of growth hormone in serum is investigated. For this purpose the 24 days old pigs, which are crossbreeding, castrated are used. The conclusions are that after 4 weeks' supply of herb medicinal compounds, pigs' weight gain has increased in low nutritional group with statistical meaning(p〈0.05). And one day's weight gain has increased with statistical meaning(p〈0.05) in all groups. Regarding food take, the second nutritional group has more significant increase than control group. Utilization rate of nutrition doesn't have any statistical meaning in all groups, but it has the tendency that as herb medicinal compounds are added, utilization rate of nutrition is increased. Increase of vertebra lengths and level of growth hormone in serum according to supply of herb medicinal compound don't have any statistical meaning because of small sample size, but 10 - 20 % increase of vertebra lengths and 10 - 30 % increase of level of growth hormone are observed.

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물리치료사 인력의 수급전망과 정책방향 (A Prospect for Supply and Demand of Physical Therapists in Korea Through 2030)

  • 오영호
    • 대한통합의학회지
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    • 제6권4호
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    • pp.149-169
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    • 2018
  • Purpose : This study was to develop a strategy for modeling future workforce projections to serve as a basis for analyzing annual supply of and demand for physical therapists across the South Korea into 2030. Methods : In-and-out movement model was used to project the supply of physical therapists. The demand was projected according to the demand-based method which consists of four-stages such as estimation of the utilization rate of the base year, forecasting of health care utilization of the target years, forecasting of the requirements of clinical physical therapists and non-clinical physical therapists based on the projected physical therapists. Results : Based on the current productivity standards, there will be oversupply of 39,007 to 40,875 physical therapists under the demand scenario of average rate in 2030, undersupply of 44,663 to 49,885 under the demand scenario of logistic model, oversupply of 16,378 to 19,100 under the demand scenario of logarithm, and oversupply of 18,185 to 20,839 under the demand scenario of auto-regressive moving average (ARIMA) model in 2030. Conclusion : The result of this projection suggests that the direction and degree of supply of and demand for physical therapists varied depending on physical therapists productivity and utilization growth scenarios. However, the need for introduction of a professional physical therapist system and the need to provide long-term care rehabilitation services are actively being discussed in entering the aging society. If community rehabilitation programs for rehabilitation of disabled people and the elderly are activated, the demand of physical therapists will increase, especially for elderly people. Therefore, healthcare policy should focus on establishing rehabilitation service infrastructure suitable for an aging society, providing high-quality physical therapy services, and effective utilization of physical therapists.