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A Review on the Clinical Laboratory Personnel in North Korea (북한 임상검사인력에 대한 고찰)

  • Koo, Bon-Kyeong;Joo, Sei Ick;Kim, Dai-Joong;Jang, In-Ho
    • Korean Journal of Clinical Laboratory Science
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    • v.52 no.1
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    • pp.83-89
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    • 2020
  • There is a noticeable gap in the personnel structures of clinical laboratories between North Korea and South Korea. In North Korea, 'Laboratory Doctor' is similar to the workforce of 'Medical Technologist (commonly known as Clinical Laboratory Technologist or Medical Laboratory Scientist)' in South Korea. Considering preceding research based on the verbal evidence of North Korean healthcare personnel defectors, it is estimated that the status of laboratory doctor in North Korea generally corresponds to physician and feldsher (such as physician assistant in Western countries). Physicians and feldshers are trained and fostered for five and a half years in medical universities and for three years in medical vocational schools (so-called junior college of medicine). Unlike South Korea, the North Korea's healthcare personnel system does not subdivide the tasks, education, qualifications and law regarding the specialties of health experts. It is thought that the Korean Association of Medical Technologists needs to collaboratively search and present the milestones for establishment of a professional system on clinical laboratory personnel in North Korea through cooperative research on policies with the related organizations for better preparation of the unification of the Korean Peninsula.

Web Based Tele-Medicine System including Security Scheme (웹기반 원격진료시스템에서 암호화인증방식이 적용된 회원관리기법)

  • Kim, Seok-Soo
    • Convergence Security Journal
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    • v.5 no.1
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    • pp.19-27
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    • 2005
  • This paper presents the content regarding electronic medical examination chart and data processing for efficient medical examination and fast treatment by realizing remote medical examination system of mutual conversation type among 3 parties(patient, doctor, pharmacist) on internet base, and establishment of database enabled system integration for efficient data processing in both on-line and off-line mode by interconnecting ASP and SQL on IIS 4.0 web server, consultation between patient and doctor, medical examination on off-line mode, transmission of prescription sheet to the pharmacist designated by patient, preparation of medicine, semieternal storage of medical examination data owing to storage and check of medical examination data, more accurate medical examination and prescription using this medical examination data by patient and doctor, and so on. And, data processing between doctor and pharmacist is differently performed based on class such as general member and charge member, and service access right pursuant to this is endowed, so that certification of each member must follow by all means.

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The New Understanding of Korean Medicine Practice in Korean Medicine Doctor's Medical Devices Using and Duty of Care (한의사의 의료기기 사용과 주의의무에 있어서 한방의료행위의 새로운 이해)

  • Park, Yong-Sin
    • Journal of Society of Preventive Korean Medicine
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    • v.23 no.2
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    • pp.117-127
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    • 2019
  • Objectives : Korean medicine practice is not specifically described in medical law, and then has always been a quarrel. So far The criteria for judgment in Korean Medicine Doctor's Medical Devices Using should clinically prove it only by Korean medicine theory and academic Traditionally descending from old ancestors. Comprehensively review of Korean Medicine Doctor's Medical Devices Using and Duty of Care, and then present a new understandings to determine future Korean Medicine Practice. Method : An existing court cases of Korean Medicine Doctor's Medical Devices Using and Duty of Care were reviewed. After reviewing various papers published for several years, various opinions were reviewed and suggested. Results : The range of Korean Medicine Doctor's Medical Devices Using has changed since the 1951 National Medical Law stipulated Korean medicine as medical professionals. The issue of the recent ruling that distinguishes medical practice from Korean medicine practice were condensed into what emphasis to interpret amongst 1) The basic principles of learning, 2) Curriculum and professionalism, 3) Risks. The Constitutional Court's ruling was important in order of 'Risk', 'curriculum and expertise', and 'basic principles of learning.' A duty of Care means an obligation to pay attention to something. A duty of Care does not mean a "highest level," but requires a "best care" and does "best under given conditions." Even in the duty of Care, Because Korean medicine has a purpose to protect and promote the health of the people, Some standards of western medicine have to be adapted to the current general medical technology. Korean Medicine doctors can recognize the duty of care in the "some basic range" of knowledge belonging to western medicine. Conclusions : The interpretation of Korean Medicine practice are currently in compatible the argument that should clearly divide Korean medicine from Western medicine, and that should be changed in light of the changing medical environment. Therefore If Korean medicine's standard is applied to the extent to which Korean Medicine doctors are educated, it is necessary to define a new definition to actively interpret Korean Medical practice. The academic basis of Korean medicine and the level of Korean medicine practice based on the books that are traditionally available, and then current textbooks of Korean Medicine College, Korean Medicine Clinical Care Guidelines, and classification of Korean standard medical practices should be standardized. Increasingly, Korean Medicine practice should be interpreted according to reality, focusing on protecting and promoting the health of the people rather than academic differences.

A Qualitative Case Study of the Medical Doctor-Patient Therapeutic Relationship (의사-환자의 치료적 관계에 대한 질적 사례연구)

  • Sung Hyun Kang;Do-Eun Lee;Junghyun Choi;Gwang Woo Kim;Yeoung Su Lyu;Hyung Won Kang;Moon Joo Cheong
    • Journal of Oriental Neuropsychiatry
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    • v.34 no.3
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    • pp.319-334
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    • 2023
  • Objectives: The purpose of this study was to identify the doctor-patient relationship perceived by doctors in clinical settings and the effect of doctor-patient relationships on treatment schemes. A qualitative case study was conducted for this purpose. Methods: In-depth interviews were conducted with five oriental medicine doctors and doctors working in clinical settings using a semi-structured questionnaire. Transcription and coding were performed to analyze the data. By analyzing each case individually through within-case analysis, we attempted to find themes that emerged from the research subjects' experiences with establishing relationships with patients. Afterward, a cross-case analysis was conducted to identify the meaning of the experiences through commonalities and differences. Results: Within-case analysis confirmed the thoughts and emotions of the research participants in recognizing, defining, and participating in doctor-patient relationships while delivering treatments. Case-to-case analysis derived two themes, seven categories, and 20 meaningful units for doctor-patient relationships. Conclusions: The study found that a doctor-patient relationship regarding patient treatment could be established based on the doctor's 'professional qualifications' and 'human qualities'. In the future, it is necessary to present an educational model for relationship-based intervention techniques and personality maturity. Follow-up research should be conducted to enable the establishment of therapeutic relationships between doctors and patients.

Telemedicine Security Risk Evaluation Using Attack Tree (공격트리(Attack Tree)를 활용한 원격의료 보안위험 평가)

  • Kim, Dong-won;Han, Keun-hee;Jeon, In-seok;Choi, Jin-yung
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.25 no.4
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    • pp.951-960
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    • 2015
  • The smart screening in the medical field as diffusion of smart devices and development of communication technologies is emerging some medical security concerns. Among of them its necessary to taking risk management measures to identify, evaluate and control of the security risks that can occur in Telemedicine because of the Medical information interchanges as Doctor to Doctor (D2D), Doctor to Patient (D2P). This research paper studies and suggests the risk analysis and evaluation methods of risk security that can occur in Telemedicine based on the verified results of Telemedicine system and equipment from the direct site which operating in primary clinics, public health centers and it's branches, etc.

The Telemedicine System based ECG Data using Bio-Signal Meter and Smart Device (생체신호 측정기와 스마트 디바이스를 활용한 심전도 데이터 기반의 원격진료 시스템)

  • Kim, Yi-Seul;Cho, Jinsoo
    • Journal of the Semiconductor & Display Technology
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    • v.11 no.3
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    • pp.51-56
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    • 2012
  • In this paper, we propose a telemedicine system based ECG data using a bio-signal meter and a smart device for treating faraway patients. This system is composed of a patch-shaped portable bio-signal meter, patient's smart device application, and doctor's PC software. Using these components, doctors and patients can do telemedicine. First, a patient measures his own ECG signal with a bio-signal meter and send the data to a doctor using a smart device application. Then, the doctor checks the ECG data, and make and send a diagnosis chart to web server. Likewise, doctors and patients can be offered a medical environment without time and space restraints. Applying this system to real medical system can improve the problem of low accessibility and efficiency and also can reduce medical expenses.

A Study on Evaluation and Improvement of Long-term Care Hospitals for Changing Long-term Care Hospital Fee System (요양병원형수가제 전환에 대한 요양병원의 평가 및 개선방안 연구)

  • Kim, Young-Bae
    • The Korean Journal of Health Service Management
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    • v.5 no.2
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    • pp.105-117
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    • 2011
  • The purpose of this study is to investigate evaluation and improvement of long-term care hospitals for changing long-term care hospitals fee system. Data were collected from 104 CEOs in nationwide long-term care hospitals using structured self-administered questionnaires during August 17 to 31, 2009. Major results of the empirical analysis are as follows; first, to change fixed sum medical fee per day caused to decline the level of geriatric service in 87% of CEOs. Second, 79% of CEOs were dissatisfied with changing fixed sum medical fee per day, and 47% of them were dissatisfied with graded fee for doctor and nurse management. Finally, they suggested that to specialize and to differentiate of long-term care hospitals will drive to improve long-term care hospitals function and to measure workforce based on rate of filled vacancies will increase efficiency and productivity of doctor and nurse management.

Analysis of Zhangzihe's medical care in ${\ulcorner}Rumenshiqin{\lrcorner}$ ("유문사친(儒門事親)" 중(中) 장자화(張子和) 진료(診療)의 방법적(方法的) 분석(分析))

  • Gong Dae-Jong;Park Kyong-Su;Gu Byung-Su
    • Journal of Oriental Neuropsychiatry
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    • v.12 no.1
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    • pp.67-79
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    • 2001
  • This investigation is to make clear the feature of Zhangzihe's medical care. This investigation had used individual or mixture theory of which is Oriental medicine or Western medicine. I have come to some conclusion from the analysis of medical cases in ${\ulcorner}Rumenshiqin{\Ircorner}$. The conclusion is as followed: 1. Zhangzihe had recognized that the cause of disease's main factor is the internal fever from mental unrest. His such a thought is applied for all process of medical care. 2. He had emphasis on the environment of patients, social mood, individual grade and economic ability, personality and etc. 3. He had thought that the doctor should lead the patient in relationship between doctor and patient. He asked the patient for blind obelience to doctor without the patient's voluntary participation. 4. He had emphasis on the adaptation to medical circumstance.

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Empirical Analysis of Supplier Induced Demand in Korea: Distinction between Induced Demand Effect and Availability Effect (우리나라 의원에서의 공급자 유인수요 실증분석: 유인수요 효과와 가용성 효과의 구분)

  • Yeo, Ji-Young;Jeong, Hyoung-Sun
    • Health Policy and Management
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    • v.25 no.1
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    • pp.53-62
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    • 2015
  • Background: Supplier induced demand (SID) indicates the case when doctors increase the demand of the patients, following their (physicians') own best interests rather than patients'. This may occur when asymmetry of information exists between suppliers and consumers. This study aims to confirm whether SID exists in the Korean setting, particularly by dividing SID into both 'induced demand effect' and 'availability effect.' Methods: Induced demand effect and availability effect are differentiated following Carlsen & Grytten's theoretical frame which divides doctor density regions into high and low ones. Results: Positive correlation between doctors' density and utilization of their services was found, which could be interpreted as 'availability effect.' Conclusion: The result suggests that additional medical use for additional doctor, particularly in the area of low doctor density, can be interpreted to occur to meet the basic medical need of the people rather than as a result of unnecessary induced demand. It is important to make more medical doctors provided and to distribute them appropriately across the region in such a country like Korea where doctor's density is relatively low.

A Study on the Organization and the Contents of Eumsunjungyo(『飮膳正要』) (『음선정요(飮膳正要)』의 편제(編制)와 내용(內容)에 관한 연구(硏究))

  • Hong, Jin-Im
    • Journal of Korean Medical classics
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    • v.28 no.3
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    • pp.45-65
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    • 2015
  • Objectives : Holsaye, the doctor responsible for the King's health, explained about ways to comfort body and mind and not get diseases for long life ("Yangsaeng") and about food in Eumsunjungyp which was a dietary cure book compiled and published in the Yuan Dynasty. This study examined about what the definition of Yangsaeng, introduced by a doctor from a different country, and the characteristics of the ways in treating the sick with Yangsaeng and food in the Yuan dynasty. Methods : This study used Eumsunjungyo from the China Chinese Medicine Publisher as its method. It analyzed the organization and the characteristics of the contents of Eumsunjungyo, and compared with Korea's first dietary cure book Singnyochanyo("食療纂要"). Results : Eumsunjungyo is a dietary cure book written by a doctor in the Yuan Dynasty. It suggested different ways of Yangsaeng according to specific patients and purposes, and explained the importance of food. Singnyochanyo is a dietary cure book written by a doctor in the Joseon Dynasty. It suggested ways to cure each of categorized diseases using foods. Conclusions : Eumsunjungyo is a dietary cure book written in 1330 to which the unique food culture of the people in other countries applied. Singnyochanyo written in 1460 is a kind of dietary cure book as well, but it categorized foods for each disease and revealed characteristics as an emergency care. However, Eumsunjungyo stressed health management through Yangsaeng and foods throughout the whole life.