• Title, Summary, Keyword: Regional medical centers

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A Convergence Study on the Current Managerial Status and Policy of Regional Public Medical Centers : Focusing on Jeollabuk-do Province's cases (지방의료원의 운영 현황과 정책에 관한 융합적 연구 : 전라북도 사례를 중심으로)

  • Jeong, Ji-Na
    • Journal of the Korea Convergence Society
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    • v.9 no.9
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    • pp.105-115
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    • 2018
  • The study selected two regional public medical centers(G, N) in Jeollabuk-do to recognize problems and provide solutions for regional medical centers. The medical centers were analyzed, focusing on availability of medical personnel, budget and management thereof, medical treatment performance, public project performance, and patient satisfaction. The results showed that the medical centers were understaffed with doctors compared to private hospitals or national university hospitals and suffering financial debt. The number of patient with medical benefit was increasing in the medical center G, whereas it was decreasing in the medical center N. Patient satisfaction survey showed that the medical center G was scoring similar to the national average, whereas the medical center N was scoring slightly less than the average. Policies needed for development and efficient management of Regional public medical centers are clarification of Regional medical centers identity, modernization of medical equipment and facilities, recruitment of competent medical personnels, specialization of hospitals and establishment of stronger referral system. The regional medical centers should secure financial supports for public service from regional and national governments, and establish revenues from funerary service, leasing service, and national projects participation.

Current status and future prospects of trauma centers in Korea (한국 외상센터의 현실과 과제)

  • Park, Do Joong;Park, Chan Yong;Cho, Hyun Min;Lee, Kang Hyun;Han, Ho-Seong
    • Journal of the Korean Medical Association
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    • v.60 no.7
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    • pp.530-532
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    • 2017
  • The government has implemented a regional trauma center project since 2012 with the goal of reducing the preventable trauma death rate in Korea to the level of developed countries. Regional trauma centers should organically cooperate with the government and the Korean Surgical Society to ensure that seriously injured patients are treated at regional level 1 trauma centers and to lead quantitative and qualitative growth with the aim of ensuring leadership within the regional trauma system. We expect that the finances of trauma centers will stabilize and that the role of trauma centers will become more mature by readjusting medical fees to a realistic level and expanding the scope of treatment to include acute care surgery. These efforts will ultimately reduce the preventable trauma mortality rate in Korea.

A Study on Decisive Factors Impacting Business Profits of Regional Medical Centers (지방의료원의 경영수익성과에 영향을 미치는 결정요인에 대한 연구)

  • Lee, Jin-Woo;Kim, Young-Jong;Kim, Yong-Ha;Kim, Kwang-Hwan
    • Journal of Digital Convergence
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    • v.12 no.7
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    • pp.315-325
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    • 2014
  • This study is investigates decisive factors impacting business profits of regional medical centers by utilizing their environmental characteristics to provide useful basic data to seek for a method to establish financial soundness and profitability. The research objects are medical treatment record and management indicators of 31 regional medical centers for the past three years from 2010 through 2012. The method of analysis are ANOVA and Multiple Regression Analysis. The results revealed the debt and management ratio in the profit rate of total medical liabilities and net worth, current balance in the medical profit on medical revenue, and hospital bed turnover rate, emergency hospitalization rate, rate of labor cost, and rate of material cost in the business profits as the decisive factors. It is recommended to identify financial feedback and establish diversified management strategies through accurate management analysis to secure financial soundness and profitability in medical centers.

Impact of Regional Emergency Medical Access on Patients' Prognosis and Emergency Medical Expenditure (지역별 응급의료 접근성이 환자의 예후 및 응급의료비 지출에 미치는 영향)

  • Kim, Yeonjin;Lee, Tae-Jin
    • Health Policy and Management
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    • v.30 no.3
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    • pp.399-408
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    • 2020
  • Background: The purpose of this study was to examine the impact of the regional characteristics on the accessibility of emergency care and the impact of emergency medical accessibility on the patients' prognosis and the emergency medical expenditure. Methods: This study used the 13th beta version 1.6 annual data of Korea Health Panel and the statistics from the Korean Statistical Information Service. The sample included 8,119 patients who visited the emergency centers between year 2013 and 2017. The arrival time, which indicated medical access, was used as dependent variable for multi-level analysis. For ordinal logistic regression and multiple regression, the arrival time was used as independent variable while patients' prognosis and emergency medical expenditure were used as dependent variables. Results: The results for the multi-level analysis in both the individual and regional variables showed that as the number of emergency medical institutions per 100 km2 area increased, the time required to reach emergency centers significantly decreased. Ordinal logistic regression and multiple regression results showed that as the arrival time increased, the patients' prognosis significantly worsened and the emergency medical expenses significantly increased. Conclusion: In conclusion, the access to emergency care was affected by regional characteristics and affected patient outcomes and emergency medical expenditure.

Plan for plastic surgeons to participate in trauma teams at regional trauma and emergency centers (권역외상 및 응급센터에서 성형외과의 참여방안)

  • Lim, Nam Kyu;Kang, Dong Hee
    • Journal of the Korean Medical Association
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    • v.61 no.12
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    • pp.710-714
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    • 2018
  • A law revised in May 2012 provided support to regional and emergency centers for reducing the risk of preventable deaths. In particular, regional trauma centers have been established throughout the nation, with the goal of ensuring that any trauma patient can reach a trauma center within an hour. As a multidisciplinary approach is particularly important in treating severe trauma patients, activation teams are currently organized at each center to perform multiple simultaneous treatments. Under the present system, only 7 departments can participate in these trauma teams; emergency medicine, cardiothoracic surgery, general surgery, orthopedic surgery, neurosurgery, radiology, and anesthesiology. Plastic surgeons also play an essential role in treating trauma patients, and in fact currently treat many such cases. Especially in reconstruction procedures in patients with head and neck trauma and wide tissue defects, plastic surgeons possess unique expertise. However, since plastic surgeons are excluded from the trauma response teams due to institutional limitations, we describe the role and necessity of plastic surgery for trauma and emergency patients, and urge that the system be improved.

A Study on the Spatial Configuration for Regional Trauma Center in Korea by Using Space Syntax (공간구문론을 이용한 국내권역외상센터 공간구성에 관한 연구)

  • Park, Su-Roh;Park, Jae-Seung
    • Korean Institute of Interior Design Journal
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    • v.26 no.6
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    • pp.172-179
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    • 2017
  • The regional trauma center should be a trauma treatment center equipped with facilities, equipments, and manpower capable of providing optimal treatment from emergency surgery to a severely traumatized patient upon arrival at the hospital. In order to establish a medical system for effective severe diseases, it is necessary to prepare architectural planning guidelines for the regional trauma centers. This study analyzes the connectivity, control, integration, and mean depth of current trauma centers using the convex map of space syntax, And to provide basic data for building for more efficient regional trauma center. The major areas that must be included in the regional trauma center are trauma resuscitation room, trauma operating room, trauma intensive care unit, and trauma general ward. It is necessary to carry out the architectural planning to increase the interconnection of the four areas. Also, the elevator plan for trauma patients should be emphasized. In addition, a regional trauma center should be separated from the existing facility for independent operation. According to the case analysis of the space configuration of the regional trauma center, the location of the operating room is most important considering the connection with each department of the hospital and the treatment flow of the severe trauma patients.

Nurses awareness of paramedics and their opinions on a paramedic's proper duties in emergency medical centers

  • KIM, Yong-Seok;KANG, Hyo-Young;KIM, Jin-Woo
    • Journal of the Korea Society of Computer and Information
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    • v.25 no.5
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    • pp.159-168
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    • 2020
  • This study was designed to ask experienced nurses at local and regional emergency medical centers for their awareness of paramedics and for their opinions on a paramedic's proper duties in emergency medical centers. The questionnaire consisted of 61 questions in total, including general questions, questions about awareness of paramedics, and questions about the duties of paramedics in emergency medical centers. For data analysis, SPSS 21.0 was applied to conduct frequency and correlation analyses. Regarding the duties of paramedics in emergency medical centers, there were positive answers in 33 questions of the questionnaire. The need for paramedics who work for emergency medical centers and the importance of their duties in emergency medical centers were high in the questionnaire. In addition, there were positive answers to the questions about the need for the professionalism of paramedics and the nees for increasing the number of paramedics in emergency medical centers. There was no difference between the groups.

The appropriate scope of work of EMT-paramedics in emergency medical institutions according to expert opinion (전문가들이 생각하는 응급의료기관 내 종사하는 1급 응급구조사에 대한 인식과 적정 업무 범위는)

  • Kang, Hyo-Young;Kim, Yong-Seok;Kim, Jin-Woo
    • The Korean Journal of Emergency Medical Services
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    • v.22 no.3
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    • pp.77-90
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    • 2018
  • Purpose: This study aimed to assess and improve the work scope of emergency medical technicians (EMT)-paramedics in emergency medical centers. Methods: Data were collected from February 1 to 14, 2018. The questionnaire comprised a total of 56 questions: eight general questions, six questions about the recognition of EMT-paramedics in emergency medical centers, and 42 questions about their work. Data were analyzed via frequency and correlation analysis using SPSS version 18.0. Results: Regarding the work of EMTs in emergency medical centers, positive opinions were found in 23 items, negative opinions in 4 items, and both positive and negative opinions in 9 items. Regarding the questions about the necessity, work importance, professionalism, and the need for an increase4 in EMR-paramedics, depending on respondents' career, there was no statistically significant difference between the group of beginners and the group comprising beginners and that of experienced workers (p>.200). Conclusion: The expert survey revealed that the work performance of EMT-paramedics in regional emergency medical centers was trusted and showed positive results of improvement and expansion.

A Study on the Spatial Configuration and Area Composition in Severe Trauma Center - Focused on Regional Emergency Medical Center (중증외상특성화센터의 공간구성 및 면적구성에 관한 연구 - 권역응급의료센터를 중심으로)

  • Park, Soroh;Park, Jaeseung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.19 no.3
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    • pp.29-39
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    • 2013
  • Purpose: As emergency medical service fund is further expanded due to amendment of the law on emergency medical services in 2008, Korean government has prepared to intervene in a comprehensive manner to strengthen a trauma treatment system. As a result, it announced a master plan to establish a serious trauma treatment center in 16 areas across the nation. Therefore, this study has attempted to investigate the current status of the serious trauma treatment centers and suggest the goal and improvement plan of future serious trauma treatment centers. Methods: As of 2011, Korea operates 23 emergency cerebrovascular service centers, 23 emergency heart disease centers and 35 severe trauma treatment centers across the country. 12 emergency medical service centers have been chosen among the serious trauma treatment centers. Then, top six (6) centers chosen at Emergency Medical Institute Assessment 2011 by Ministry of Health and Welfare have been selected, and floor layout and spatial allocation by usage have been reviewed and analyzed. Results: Consequently, this study has investigated the spatial components, circulation layout and spatial allocation of a serious trauma treatment. For construction planning in consideration of the fundamental objectives and goal of emergency medical services, it is essential to allot spaces and select exact spatial components. It appears that it is necessary to design spaces for emergency medical services and come up with construction planning through appropriate spatial allocation.

Analysis of Abdominal Trauma Patients Using National Emergency Department Information System

  • Song, In-Gyu;Lee, Jin Suk;Jung, Sung Won;Park, Jong-Min;Yoon, Han Deok;Rhee, Jung Tak;Kim, Sun Worl;Lim, Borami;Kim, So Ra;Jung, Il-Young
    • Journal of Trauma and Injury
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    • v.29 no.4
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    • pp.116-123
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    • 2016
  • Purpose: To develop an inclusive and sustainable trauma system as the assessment of burden of injuries is very much important. The purpose of this study was to evaluate the estimates and characteristics of abdominal traumatic injuries. Methods: The data were extracted from the National Emergency Department Information System. Based on Korean Standard Classification for Disease 6th version, which is the Korean version of International Classification of Disease 10th revision, abdominal injuries were identified and abdominal surgeries were evaluated with electronic data interchange codes. Demographic factors, numbers of surgeries and clinical outcomes were also investigated. Results: From 2011 to 2014, about 24,696 patients with abdominal trauma were admitted to the hospitals annually in South Korea. The number of patients who were admitted to regional and local emergency medical centers was 8,622 (34.91%) and 15,564(63.02%), respectively. Based on National Emergency Department Information System, liver was identified as the most commonly injured abdominal solid organ (39.50%, 9,754/24,696, followed by spleen (17.57%, 4,338/24,696) and kidney (12.94%, 3,195/24,696). Conclusion: This study shows that the demand for abdominal trauma care is considerable in South Korea and most of the patients with abdominal trauma were admitted to regional or local emergency centers. The results of this study can be used as good source of information for staffs to ensure proper delivery of abdominal trauma care in trauma centers nationally.