• 대한치과기공학회지
• /
• 제33권4호
• /
• pp.441-452
• /
• 2011

Purpose: Identify the factors that influence following up control and reuse intention of patient who used dental health care institution after dental heath care service and in order to prepare the method which improve the quality of dental health service which dental heath care institution service afford. Methods: Data were collected through random sampling from June 20th to August 20th 2010 (for 60 days). Once we explained the purpose of our survey to people who experienced the dental service within one year, we distributed the questionnaires to someone who volunteered to respond and they answered all questions by themselves based on the actual experience of dental health care organizations. Even if the survey was conducted for 610 people, only 585 properly answered questionnaires were analyzed because responses which had many unanswered questions and had errors in responsive way were excluded. Results: Result of multiple regression analysis, the value of dental clinic service, the following up control after dental treatment, the technique and kindness of dentist, the environment of treatment, type of dental service and the kindness of dental staff is significant main cause to intention of reuse dental clinic. Conclusion: In order to increase the rate of patient reuse, enhance the value of service with following up control after health treatment and the high quality of dental health service.

• 대한족부족관절학회지
• /
• 제12권2호
• /
• pp.128-134
• /
• 2008

Purpose: We evaluated the complications and failures after total ankle arthroplasty during at least 2 years short term follow up. Materials and Methods: There were 45 cases of 42 patients of HINTEGRA$^{{R}}$ (Newdeal SA, Lyon, France) model from November 2004 to August 2006. Follow up averaged at least 2 year. We evaluated the complications and analyzed the cause of the failures. Results: There were totally 15 cases of complication, 5 cases of medial impingement syndrome, 3 cases of varus malposition, 2 cases of delayed healing of wounds, and each one case of deep peroneal nerve problem, medial malleolus fracture, post-operative deep infection, gouty arthritis pain, and Achilles tendinitis. Conclusion: Total ankle arthroplasty had higher complication rate than any other joint arthroplasty, so we need a more meticulous preoperative and peri-operative care.

• 디지털산업정보학회논문지
• /
• 제16권3호
• /
• pp.13-23
• /
• 2020

Currently, online means of replacing resident registration numbers(RRN) include I-Pin, mobile phone, credit card, MyPin, and general-purpose certificate. In order to issue alternative means based on the RRN, it must be designated through the designation review by the Korea Communications Commission(KCC) through a designation review by personal proofing agency and be subject to annual management. However, the criteria for designation and follow-up of the designation of the personal proofing agency carried out by KCC have been used in 2010 without revision, and there are problems that do not conform to the evaluation standards of various alternative means. Therefore, in this paper, we propose a method for improving the designation criteria and management system of the personal proofing service agency. The proposed method analyzes the characteristics of the alternative identification-based personal proofing service and proposes a follow-up management standard that can appropriately evaluate the analyzed characteristics and improves the designation criteria according to the emergence of new alternatives. Through the proposed method, it can be seen that it is possible to strengthen the safety of the personal proofing service based on the alternative means of RRN provided online and face-to-face and to protect the user's personal information.

• Restorative Dentistry and Endodontics
• /
• 제48권2호
• /
• pp.19.1-19.12
• /
• 2023

Objectives: The aim of the study was to evaluate the clinical and radiographic success of the Hall technique (HT) and atraumatic restorative treatment (ART) restorations using high-viscosity glass-ionomer cement for the management of occlusal carious lesions in primary molars. Materials and Methods: This randomized clinical study observed 40 children (aged 5-6 years). For each child, one tooth was treated with HT and one with ART. The primary outcome measures for HT restorations were successful, minor, and major failure rates. Clinical evaluations of ART restorations were performed according to the modified United States Public Health Service criteria during 18-month follow-up. McNemar test was used for statistical analysis. Results: Thirty of 40 (75%) participants returned for 18 months of follow-up. In the clinical evaluations of teeth that were treated with HT, the patients did not have complaints of pain or other symptoms, all crowns remained in the oral cavity, the gums were healthy, and the teeth were functional in all evaluations. At the end of the 18-month follow-up, the surface texture and marginal integrity criteria of ART restorations were recorded as 26.7% and 33.3%, respectively. In the radiographic evaluation of 30 patients treated with ART and HT, all restorations were considered successful. Conclusions: The 18-month clinical and radiographic results after treatments applied to single-surface cavities in anxious children showed that both treatment methods were successful.

• 구강회복응용과학지
• /
• 제37권4호
• /
• pp.259-267
• /
• 2021

본 증례보고에서는 임플란트 주위염으로 진단된 임플란트의 오염된 표면을 회전형 타이타늄 브러쉬로 처리후 재생적 처치를 시도한 3가지 증례에 대한 임상적 및 방사선학적 평가를 목적으로 하였다. 2년간 추적결과에서 3가지 증례의 평균변형치태지수가 1.12에서 0.19로, 변형열구출혈지수가 1.38에서 0.25로, 치주낭 깊이가 8.73 mm에서 3 mm로, 임플란트 상부와 골이 처음 접하는 부위까지의 거리값이 6.35 mm에서 2.3 mm로 감소하는 개선을 보였으며, 기존의 보철물로 유지할 수 있었다. 향후 장기적인 추적을 통해 본 술식의 효과를 뒷받침할 수 있는 근거를 마련할 것이 필요할 것이다.

• Tuberculosis and Respiratory Diseases
• /
• 제85권1호
• /
• pp.11-17
• /
• 2022

Background: In asthma, consistent control of chronic airway inflammation is crucial, and the use of asthma-controller medication has been emphasized. Our purpose in this study is to compare the incidence of acute exacerbation and healthcare costs related to the use of asthma-controller medication. Methods: By using data collected by the National Health Insurance Review and Assessment Service, we compared one-year clinical outcomes and medical costs from July 2014 to June 2015 (follow-up period) between two groups of patients with asthma who received different prescriptions for recommended asthma-controller medication (inhaled corticosteroids or leukotriene receptor antagonists) at least once from July 2013 to June 2014 (assessment period). Results: There were 51,757 patients who satisfied our inclusion criteria. Among them, 13,702 patients (26.5%) were prescribed a recommended asthma-controller medication during the assessment period. In patients using a recommended asthma-controller medication, the frequency of acute exacerbations decreased in the follow-up period, from 2.7% to 1.1%. The total medical costs of the controller group decreased during the follow-up period compared to the assessment period, from $3,772,692 to $1,985,475. Only 50.9% of patients in the controller group used healthcare services in the follow-up period, and the use of asthma-controller medication decreased in the follow-up period. Conclusion: Overall, patients using a recommended asthma-controller medication showed decreased acute exacerbation and reduced total healthcare cost by half.

• 한국간호교육학회지
• /
• 제20권2호
• /
• pp.321-331
• /
• 2014

Purpose: The purpose of this study was to investigate the effects of case management service for hypertensive elderly patients through the customized visiting home health care program. Method: Non-equivalent control group pretest-posttest design was employed. Data were collected from April 2007 to January 2009. Among a total of fifty subjects, 25 subjects were belonged to the case management group and the others were belonged to the general management group. Results: 1) In experimental group, significant increasing rate of number of people within normal blood pressure by time, but no significant increasing rate of number of people within normal blood neutral fat, total cholesterol, HDL, & LDL. 2) In experimental group, the score of knowledge about disease and healthy life practice were increased on 8 week period but decreased on follow up period. Number of people within normal blood HDL and mean score of healthy life practice were significantly higher than control group on follow up period. Conclusion: Case management service was effective on controlling blood pressure but partly effective on blood lipid, knowledge about disease, and healthy life practice in hypertensive patients. Further study is needed to conduct a periodic re-evaluation of the effect of case management and to verify an optimal interval to provide the case management service.

• 가족자원경영과 정책
• /
• 제22권1호
• /
• pp.1-21
• /
• 2018

The aim of this study was to suggest an improvement plan for the post-certification family friendly consulting service based on consulting reports from 2015-2016 and focus group interviews analysis. Focus group interviews were conducted with consultants with the Family Friendly Support Center and managers with family friendly certification companies. The results of this study were as follows. First, objective outcome indicators for the measurement of consulting performance should be created. Second, a checklist managers can use to choose the consulting type based on self-assessments should be developed. Third, a follow-up consulting system should be in place to complement the ABC module. Fourth, a consulting case database should be built to facilitate customized consulting by industry and size.

• 한국산학기술학회논문지
• /
• 제11권12호
• /
• pp.4954-4961
• /
• 2010

본 배경 : 병원들과 병상 수들의 과잉공급과 의료시장 개방으로 인해 병원들 사이의 경쟁이 매우 심화되고 있다. 더 많은 환자 유치를 위해 환자들이 선호하는 특화서비스에 대해 조사하게 되었다. 방법 : 환자만족도를 조사하기 위해 약 20개 항목의 설문지를 개발하여 병원들 방문한 외래 환자 297명과 입원환자 302명을 조사하였으며 Excel과 SPSS를 이용하여 기술통계와 회귀분석을 하였다. 결과 : 환자의 충성도와 특화된 병원서비스의 관련성이 지인에게 이 병원 이용을 추천하겠다와 관련이 있으며 1) FHR사용과 지속적인 치료 및 관리를 위한 도우미는 외래환자와 PHR사용에서 양의 관련성을 가지고 있었고 FHR은 외래환자에서 양의 관련성을 갖고 있었다. 2) 병원의 재방문 : PHR사용자와 환자치료 도우미의 요구가 있었으며 TV사용료 지불은 부정적 관련성을 가지고 있었다. 결론 : FHR, PHR과 환자치료 도우미들은 환자의 충성도를 증가시키는데 매우 중요한 요인들이었다.

• 보건의료산업학회지
• /
• 제8권1호
• /
• pp.151-164
• /
• 2014

This study was conducted to investigate the effect of timing of surgery on outcomes of spine operated patients for lumbar herniated intervertebral disc. The research design was cohort study and based on the data of claims for the medical expenses of health insurance. 21,475 cases who had primary spine surgery between January 1, and December 31, 2003, observed to conservative treatment period in the past two years from preoperative primary diagnosis to timing of primary surgery. According to one and five year follow up monitoring, the probability of occurrence of reoperation was not statistically significant with preoperative duration of symptom. Also one year follow up, the probability of occurrence of complication, was not statistically significant with preoperative duration of symptom. But five year follow up, groups who had one to two month preoperative duration of symptom decreased complication rate than less than a month(95%CI:0.594-0.927). Thus, from the onset of symptoms of back pain before primary surgery with enough and adequate time observation is required. Also, medical consumers or providers to choose surgery in determining prudence is required.