• Title/Summary/Keyword: medical expense

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Factors Affecting Beneficiary Satisfaction on Financial Aid Program for Cancer Patients in Korea (암환자 의료비 지원사업 대상자의 만족도 관련 요인)

  • Sim, Ju-Ho;Park, Jong-Hyock;Lee, Jung-A;Kim, So-Young;Park, Bo-Ram;Park, Eun-Cheol
    • Health Policy and Management
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    • v.21 no.1
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    • pp.61-76
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    • 2011
  • Limited research has investigated the satisfaction of patients with cancer. This study was performed to explore patients' satisfaction and the related factors. The data were collected by telephone survey for the participants who were beneficiaries on the national financial aid program for cancer patients between January and October in 2009. Student's t-tests and analysis of variance were performed first to determine if the mean satisfaction score differed by the characteristics of study objects, followed by stepwise multiple regression analyses to examine the factors affecting satisfaction. When comparing the relating factors with patients' satisfaction according to the sociodemographic characteristics, the male, old-aged, higher educated, lower cancer stage, lung cancer group showed a significantly higher level of recognition for satisfaction. A public health center, better public relations, recognized more helpful, don't have expectation, put a person to expense, and don't feel pressured for medical cost groups were showed a higher level of recognition for satisfaction. The result of the multiple regression analysis, short waiting time, well known program policy, recognized helping of policy and had the financial burden had significantly influence on the satisfaction of patients with cancer.

An Analysis on the Users' behavior of the Parking Area for the handicapped (장애인전용주차구역제도의 이용행위 분석)

  • Yang, Sook-Mee;Kim, Man-Ki
    • Journal of Digital Convergence
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    • v.9 no.5
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    • pp.55-63
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    • 2011
  • The purpose of this study is analyzes the violate behavior the Parking Area for the handicapped and monitor the management problem, therefore presents the improvement alternatives of it. We use the field interview survey method by visiting the government office of cities of 16, commercial facility, housings, medical centers, cultural and sports facilities, express highway rest area. We visited the 50 places and interviewed the 227 violating persons. As a result, violate behavior is divided into the not attachment of sticker on parking possibility and not accompaniment with walking disabled person. We presented the improvement alternatives for the lawful usage of the parking area for the handicapped. First, We have to magnify a recognition and a advertisement about the parking area for the handicapped. Second, We have to improve a management of expense, manpower and civil complains, etc. We have to prepare the legal revision which strengthens the concrete punishment for a violate behavior improvement.

A Study on the Land Suitability Analysis of Silvertown using Neural Network (인공신경망을 이용한 실버타운 적지분석에 관한 연구)

  • Shin, Hyung-Il;Jeon, Hyung-Seob;Yang, Ok-Jin;Cho, Gi-Sung
    • Journal of Korean Society for Geospatial Information Science
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    • v.8 no.2 s.16
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    • pp.117-127
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    • 2000
  • The economic development and the development of medical treatment by scientific technology development progressed the level of national people life and improved average life gradually. In this reason, old people who have finance power would like to receive a comport and high level service, though paying proper expense. In this study, receiving this requirement, we focused that silver town have reasonable and comfortable residing environment in developing rural and rest form silver town objecting external area of Chon-Ju city, and selected land suitability. Through the learning of the neural network theory in the method of land suitability, we applied in the full of study area and improved a flexible determination making as giving each class value in each cell. Also, we compare a method of land suitability using the neural network theory, and it's analysis with a method of land suitability by the duplication method of Boolean Logic have been used In Geo Spatial Information System(GSIS) and proved the Boolean Logic's lose of values and the propriety.

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Data Overlap Avoidance Algorithm Based on Traffic Scheduling (트래픽 스케줄링 기반 데이터 중복 회피 알고리즘)

  • Choi, Myeong Soo;Kim, Beom-Mu;Lee, Seong Ro
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.39C no.9
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    • pp.841-851
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    • 2014
  • Wireless technologies sharing the same frequency band and operating in the same environment often interfere with each other, causing severe decrease in performance. In this paper, we propose a algorithm based on traffic scheduling techniques that mitigate interference between different wireless systems operating in the 2.4-GHz industrial, medical, and scientific band. In particular, we consider IEEE 802.11 wireless local area networks (WLANs) and Bluetooth data transfer, showing that the proposed algorithms can work when the two systems are able to exchange information as well as when they operate independently of one another. Results indicate that the proposed algorithm remarkably mitigate the interference between the WLAN and Bluetooth technologies at the expense of a small additional delay in the data transfer.

Analysis on Home Care Services and Home Health Care Cost of CVA Patients in Korea (뇌혈관질환자의 가정간호 서비스 및 진료비 분석)

  • Kim, Eun-Kyung;Shin, Suk-Youn;Hwang, Jeong-Hae
    • Journal of Korean Academy of Nursing Administration
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    • v.12 no.2
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    • pp.225-232
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    • 2006
  • Purpose: The purpose of this study was to analyze the services and cost of CVA patients in hospital-based home health care and compare the differences of home health care cost by hospital types. Methods: The subjects of this study were 5,756 home care patients with cerebrovascular disease. Data were collected by using home health care medical expense claims from 127 hospitals in 2004. Results: The home care service 'indewelling catheterization' was the highest(19.28%), and then 'nasogastric tube insertion and change(16.72%)', 'bladder irrigation(15.98)', 'wound management(simple dressing)(10.42%)' followed. Average home health care cost per visit was 39,943 won, and the highest 46,058 won in general hospitals and the lowest 33,922 won in tertiary hospitals, so there were statistically significant among the types of hospitals(F=1112.47, p<0.0001). Conclusions: The number of home health care patients has been rapidly growing with the increase of aged population and demand for home care services is rising. So, it could be urgent to develop a reasonable cost reimbursement system for home health services and to expend scopes of the roles of home care specialist nurses. Amid the demand of more detail understanding the present status of home care, our study can be contributed to provide fundamental information of home care in Korea.

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A Study on Estimating the Nursing Cost of Home Hospice Care (가정 호스피스 간호 수가 개발)

  • Lee, Tae-Wha;Sung, Young-Hee;Choe, Wha-Sook;Hwang, Na-Mi;Park, Hee-Ok;Hwang, Moon-Sook;Jang, Ok-Joo
    • Journal of Korean Academy of Nursing Administration
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    • v.14 no.2
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    • pp.182-195
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    • 2008
  • Purpose: Hospice care represents all meaningful aspects of physical, mental and economical status of the end stage patients. The purpose of this study was to estimate the cost of home-based hospice care. Method: Fifteen nurses participated in counting an hour for requirement and home visit data of 50 end stage patients were analyzed. The method of to estimate the cost of home-based hospice care was three ways. Result: In case, including traffic expense, Singles fixed fee per visit via direct inquiry was 112,970 won but in case, excluding traffic expenses, was 86,036 won and traffic expenses per visit was 26,934 won. Final cost of home-based hospice care integrated the fixed fee per the needed time for visit and fee-for services. The fixed fee per 30 minutes was 35,251 won and 60 minutes was 46,595 won and 90 minutes was 57,939 won. We included pain management and the management of emergency and bereavement care among fee-for services. Conclusion: The cost of hospice care should be establish for not only patient but the living spouse, families, and children of the dying and for anyone else affected by any patient's death.

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Burden and Quality of Life in Terminal Cancer Patient's Family Caregivers in the area of Jeollanam-do (말기암환자 가족원의 부담감과 삶의 질: 전남지역을 중심으로)

  • Yang, Eun-Young;Kim, Young A
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.6
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    • pp.3954-3962
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    • 2015
  • Purpose: The purpose of this study was to examine the burden and quality of life among family caregivers of terminal cancer patients and the relationship of these variables. Methods: Data were collected from 80 family caregivers and analyzed using SPSS 19.0 program. Results: Burden was found to have significant relationships with age, marriage, relations with patients, living together with patients and medical expense burden(p<.05). Quality of life was found to have significant differences according to age, marriage, educational background, relations with patients and living together with patients(p<.05). Burden and quality of life showed a negative correlation(r=-.538, p<.001). Conclusion: These results suggest that more attentions and interventions such as support programs should be given to family caregivers of terminal cancer patients, which can decrease the burden of family caregivers to enhance their quality of life.

A Study on the Refresher Training of Physical Therapist in Gwangju and Jeonnam

  • Yu, Seong-Hun;Kim, Seung-Rae;Cho, Sung-Hyoun;Jang, Il-Yong;Hwang, Jin-Ah;Kim, Yong-Seong;Kim, Hyun-Jin
    • The Journal of Korean Physical Therapy
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    • v.28 no.3
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    • pp.165-175
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    • 2016
  • Purpose: The current study seeks to examine the continuing education of physical therapist in Gwangju, Jeonnam. Methods: A survey was conducted during the continuing education of physical therapist held in Gwangju in 2015 with 297 participants. The survey questionnaire consisted of 13 questions on characteristics of physical therapist, 7 questions on the level of satisfaction with continuing education, 11 questions regarding the need for continuing education, and 8 questions concerning how to improve continuing education. Results: As for the level of satisfaction with the content of continuing education, the survey results indicated that there were significant differences across respondents' age and career period. Regarding the level of satisfaction with the environment in which continuing education was provided; significant differences were observed across respondents' age, education, marital status, monthly pay, career period, and service period. Regarding the level of satisfaction with the expense in which continuing education was provided; significant differences were observed across respondents' sex, age, education, marital status, dependent family, monthly pay, career period, and position. In terms of the level of satisfaction with the operation method in which continuing education was carried out, there were significant differences across respondents' age, education, and career period. Conclusion: The survey found the level of satisfaction with continuing education to be average among physical therapist in Gwangju and Jeonnam. In addition, as for ways to take continuing education courses for those who have never taken it, online education was mentioned the most. Therefore, there is a need for advertising online continuing education.

A Study of the Effect, Safety and Saving Expense by Reusing Hemodialyzer (재사용(再使用) 투석기(透析器)의 효과(效果) ${\cdot}$ 안정성(安定性) 및 비용절감(費用節減)에 관한 연구(硏究))

  • Jung, Ha-Chung
    • Journal of Korean Academy of Nursing Administration
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    • v.3 no.1
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    • pp.93-106
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    • 1997
  • By the increase of the rate of existence of the hemodialyzing patients, they were required the long run treatment. Regardless of medical insurance expansion, hemodialyzing cost much expenses so that hospital has been considering the reuse of hemodialyzer and flowing euqipments along with the diverse study and progress of the ways of hemodialyzing and medical instruments. This study was aimed to provide the basic materials regarding the reuse of hemodialyzer which is used for the patients of chronic renal disease. The reusing program in the artificial kidney center of K hospital has been used for this study from 50 patients aften one year result from Sep. 1995 through Aug. 1996. Automatic equipment of DRS-4 made by Seratronic Co., was used as the equipment and it was retreated with the function test simultaneously. Compliaction and confirmation of the infection were by the records of the hemodialysis of the patients. SPSS was used for the analysis of the materials by computerization. The character of the patients and the rate of removal was by mistake and percentage, function test and rate of complication by Ftest(ANOVA) and the rate of complication per items by ${\chi}^2$ and Ftest. As the post test the Duncan's test was used for the statistically significant different variables in the standard of p<.05 after Ftest. The followings are the summary of the result : 1) In the function test of the new hemodialyzer and the reused one, and in all of CA110 and CF15.11, the dialyzer ultrafiltration coeffient(KUf) was appeared to have been higher in the reusing groups than the first use ones. This has been the normal limit showing no troubles with them. 2) In the function test of the new and reused hemodialyzer, in all of CA110 and CF15.11, the total blood volume was appeared to have been the less value in the reuse groups than the new ones. This was the price within 80% of the first price that both showed possible for use. 3) The result of reuse hemodialyzer of CA110 was $29.48{\pm}7.83$ in average in the test of leak test while $17.3{\pm}7.96$ in reuse of CF15.11. The normal limit of <60 was the leak test result. So both of the hemodialyzer was normal for reuse. 4) The rate of removal of Blood Urea Nitrogen(BUN) was 72.25% in CA110 hemodialyzer by reusing 16-20 times as the highest rate showing the better result in the reuse hemodialyzer, while in CF15.11 hemodialyzer showed 71.16% by highest rate in the first use by the highest rate with no difference from the reuse. 5) The rate of removal of serum creatinine of CA110 was 64.08% by highest rate in reuse of 1-5 times by showing better result in reuse hemodialyzer. While in CF15.11 66.47% the highest by reuse of 16-20 times showing no difference from each other. 6) No patients were admitted or precribed by antibiotics in relation with reuse dialyzer and no reports were shown about hepatitis $B{\cdot}C$. AIDS in fection. 7) Of the total 248 episods of complication due to the hemodialyzing, 86 by first use, 73 by 1-5 times, 35 by 6-10 times, 35 by 11-15 times and 19 by 16-20 times have been shown which have had no significant difference between the groups. 8) In the comparison of the expense for the hemodialyzer, there was the effect of saving 11,597.6 Won between the first and reuse hemodialyzer. And by decreasing the extracted materials, they did the great role of disposing the waste matters.

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Toothbrushing Behavior and Oral Health State of Immigrant Workers (외국인 이주노동자의 칫솔질행태와 구강건강상태)

  • Nam, In-Suk;Yoon, Sung-Uk;Kim, Jung Sook
    • Journal of dental hygiene science
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    • v.15 no.1
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    • pp.1-11
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    • 2015
  • This study analyzed the tooth brushing behavior and oral health status of foreigner immigrant workers and obtained the following results. Statistical significance based on different general characteristics. Gender, educational background, period of stay, health insurance, medical expense coverage, and whether or not one has friends or regular gatherings were significant traits for frequency, while age, marital status, income, and health insurance were traits for part (p<0.05). Statistical significance (p<0.05) was found in marital status and health insurance for time used to brush teeth, period of stay and whether or not one attends a regular gathering for tooth brushing training, and gender, educational background, period of stay, roommate status, medical expense coverage, and whether or not one attends a regular gathering for supplemental oral product usage. The averages of decayed, missing, and filled teeth (DMFT) index and community periodontal index of treatment needs (CPITN) for general characteristics were 6.98 and 3.03 respectively, and gender, roommate status, income, health insurance for DMFT index, and gender, age, marital status, educational background, roommate status, income, health insurance for CPITN were statistically significant (p<0.05). Tooth brushing frequency and part showed statistical significance (p<0.05) for DMFT index based on tooth brushing behavior, while tooth brushing part and time used to brush teeth were significant for CPITN. DMFT index was high at 8.34 for '3 times or more' in tooth brushing frequency, while DMFT index was high at 7.91 and CPITN was low at 2.94 for tooth brushing part. '3 minutes or longer' in time used to brush teeth was the lowest in CPITN at 2.88. As a result of analyzing the correlation between tooth brushing behavior and DMFT index, CPITN, tooth brushing frequency and part in DMFT index, and tooth brushing part and time used to brush teeth in CPITN showed significance (p<0.05). Based on the above results, we must promote the significance of brushing teeth and implement continuous training for correct tooth brushing management to enhance the oral health of foreign immigrant workers.