• Title/Summary/Keyword: 건강보험종류

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Analysis of post-insertion denture maintenance in patient aged 65 and over (만 65세 이상 의치 환자의 장착 후 의치 유지관리 횟수 분석)

  • Joosub Whang;Jin-Joo Yoo;Joon-Ho Yoon
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.1
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    • pp.1-5
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    • 2024
  • Purpose. To investigate the differences in the frequency of post-fitting denture check-ups based on gender, age, insurance status, denture arch, and type among patients aged 65 and above. Methods. This research analyzed 988 patients from National Health Insurance Service Ilsan Hospital's Department of Prosthodontics, who had denture fittings over the last 10 years. Variables including gender, age, insurance status and type, denture arch, and denture type were assessed. Statistical analyses were performed at a 5% significance level. Results. The study incorporated 988 dentures, revealing a median of 3 check-ups post-fitting. Male patients significantly had more visits than females (P = .017), and those with full metal dentures visited significantly more than those with partial dentures (P = .005). Other variables were not significantly influential on the post-fitting check-up frequency. Conclusion. Within this study's confines, an increase in denture adjustment sessions was observed for male patients and those with full metal dentures.

Factors influencing the frequency of denture adjustments after delivery of complete denture: a retrospective study (총의치 장착 후 의치 조정 횟수에 영향을 미치는 요인에 관한 후향적 연구)

  • Lee, Seungwon;Yoon, Joon-Ho;Yoo, Jin-Joo
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.3
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    • pp.239-245
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    • 2022
  • Purpose. The purpose of this study was to analyze the frequency and duration of adjustments after delivery of complete denture according to age, sex, arch with complete denture, insurance coverage of a denture, type of antagonist, the experience of wearing denture, the period of edentulism, and the type of denture base. Materials and methods. For 5 years, medical records of patients aged 65 or older who had treated full dentures were assessed for the frequency and duration of follow-up visits after complete denture delivery. Statistical analysis was performed at the 5% level of significance to analyze the correlation between the frequency and duration of follow-up according to sex, insurance coverage, arch with the complete denture, type of denture base, type of antagonist, experience of wearing a denture, age, and healing period. Results. 247 complete dentures were included in this study. The median frequency of follow-up visits was 3, and the median duration of follow-up was 36 days. Lower dentures had significantly higher frequency of follow-up visits than upper dentures (P = .036). According to the type of antagonist, dentures opposing a complete denture had a significantly higher frequency of follow-up visits than dentures opposing a removable partial denture (P = .016). There was no statistically significant difference in the frequency and duration of adjustments after delivery of complete denture by age, sex, insurance coverage, healing period, the experience of wearing a denture, and type of denture base. Conclusion. Within the limitations of the present study, lower complete dentures or dentures opposing a complete denture had an increased frequency of follow-up visits.

Formation, Development and Task of the Health Insurance Act (건강보험법의 형성과 발전, 그리고 과제)

  • CHEON, Kwang Seok
    • The Korean Society of Law and Medicine
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    • v.20 no.3
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    • pp.3-45
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    • 2019
  • Health insurance is the main instrument to protect the people against sickness. To examine the task of in the future it would be necessary to extract and understand the components formed in its formation and development, benefit related and normative characteristics of the health insurance itself. The health insurance oriented itself to the universal coverage at a law level. Paradoxically this worked positively for the universal development of the health insurance. The task of the health insurance is on the one hand universal, positive and open. On the other hand it has to shape type of allowed method, art and content of the medical treatments into the regulation to ensure the equal benefit as well as the financial stability. That is, the health insurance should check the aberrant medical treatment, and at the same time should be compensated for the their necessity and effectiveness. However there are always some structural differences between both requirements. This article aims to restate and analyse the development of the health insurance, based on the characteristics formed hitherto show the way to reform the health insurance. The problem to enhance the coverage of health insurance, its institutional as well as financial crisis, its peculiar governance would be handled.

Occupational Injuries in Korea : A Comparison of Blue-Collar and White-Collar Worker's Rates and Underreporting (특집 - 제2회 산업보건학술제 수상 논문 - 한국의 산업재해 : 사무직과 생산직 근로자의 손상률 비교와 낮은 산재 보고율 -)

  • Won, Jong-Uk
    • 월간산업보건
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    • s.260
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    • pp.69-81
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    • 2009
  • $\bullet$ 목적 본 연구는 한국의 생산직 근로자와 사무직 근로자의 직업성 손상 및 질환의 차이를 비교하고 산재보고 축소(underreporting)의 규모를 추정하고자 수행되었다. $\bullet$ 방법 한국의 경인지역에서 구축된 근로자 건강진단 수진자 코호트와 1999-2001년 사이에 재직 중이었던 근로자의 건강보험 청구자료를 이용하였다. 근로자의 직무내용과 건강진단의 종류(특수건강진단 및 일반건강진단)로 사무직과 생산직 근로자로 구분하였으며, 이들 사이의 근골격계질환과 손상 및 중독에 해당하는 건강보험 이용률의 차이를 신고되지 않은 산재로 추정하였다. 이를 바탕으로 도수율, 산재발생률 및 재해율을 계산하였다. $\bullet$ 결과 생산직 근로자는 사무직 근로자보다 100 인년 당 3.47건 더 높은 건강보험이용률을 보였다. 이를 토대로 추정한 한국의 도수율은 12.57-18.1, 재해율은 2.74-3.29, 산재발생률은 3.62-5.44이었다. $\bullet$ 결론 한국 제조업의 산재발생률은 공식적인 통계보다 2-3배 더 높을 것으로 추정되지만, 연구의 제한점을 고려하여 이해할 필요가 있다.

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Development of Advanced TB Case Classification Model Using NHI Claims Data (국민건강보험 청구자료 기반의 결핵환자 분류 고도화 모형 개발)

  • Park, Il-Su;Kim, Yoo-Mi;Choi, Youn-Hee;Kim, Sung-Soo;Kim, Eun-Ju;Won, Si-Yeon;Kang, Sung-Hong
    • Journal of Digital Convergence
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    • v.11 no.9
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    • pp.289-299
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    • 2013
  • The aim of this study was to enhance the NHI claims data-based tuberculosis classification rule of KCDC(Korea centers for disease control & prevention) for an effective TB surveillance system. 8,118 cases, 10% samples of 81,199 TB cases from NHI claims data during 2009, were subject to the Medical Record Survey about whether they are real TB patients. The final study population was 7,132 cases whose medical records were surveyed. The decision tree model was evaluated as the most superior TB patients detection model. This model required the main independent variables of age, the number of anti-tuberculosis drugs, types of medical institution, tuberculosis tests, prescription days, types of TB. This model had sensitivity of 90.6%, PPV of 96.1%, and correct classification rate of 93.8%, which was better than KCDC's TB detection model with two or more NHI claims for TB and TB drugs(sensitivity of 82.6%, PPV of 95%, and correct classification rate of 80%).

건강관리코너 - "감기"라고 얕보지 마세요!

  • Choe, Byeong-Hwi
    • 방재와보험
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    • s.96
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    • pp.58-61
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    • 2003
  • 겨울이면 누구에게나 불청객 감기가 찾아오기 마련이다. 흔히들 "독감예방주사를 맞았는데, 왜 감기에 걸리냐?" 라고 묻는다. 독한 감기인 독감예방 주사를 맞았으면 이반 감기정도는 당연히 면역이 되어야 하는 것이 아니냐는 의문이다. 그런데 감기와 독감은 전혀 다른 질병이다. 증상이 심한 감기가 독감이 아니라, 원인 바이러스의 종류가 다른 것이다. 그러므로 독감 예방 주사를 맞았다 하더라도 일반 감기의 원인인 바이러스는 면역이 생기지 않기 때문에 감기에 걸리는 것이다.

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A study on the characteristics of severe trauma patients by health insurance system (건강보험제도에 따른 중증외상 환자 특성 비교 연구)

  • Choi, Mi-Young;Lee, Hyo-Ju;Yun, Seong-Woo
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.10a
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    • pp.309-313
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    • 2022
  • This study was attempted to analyze the status of emergency room use of severe trauma patients using the health insurance system and to understand their characteristics. This study used data from the 'Community-based Severe Trauma Surveillance' investigated from January 1, 2018 to December 31, 2019. As a result, there were differences in the degree of disability after injury and whether treatment(surgery, trauma embolism, transfusion) was performed according to the type of medical insurance (p< .001), it was found that there was a statistically significant difference between the degree of disability before and after damage depending on the type of medical insurance (p< .001). Reviews of the health insurance system located for the well-being of the people should be continued from various angles, and specific improvement plans should be proposed.

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Related Factors for Health Check-up Attendance among Korean Adults in their 20s and 30s: Based on the 2020 KNHANES Data (한국 20·30대의 건강검진 수검률 관련요인: 국민건강영양조사 제8기 2차년도(2020) 자료를 중심으로)

  • Young-Ran Kim
    • Journal of Industrial Convergence
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    • v.22 no.2
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    • pp.135-141
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    • 2024
  • This study aimed to analyze the characteristics of health check-up recipients in their 20s and 30s in Korea and identify factors influencing the participation rate in order to enhance the rate of health check-ups. The study population and methods utilized data from the 8th year of the Korea National Health and Nutrition Examination Survey, specifically the 2nd year (2020), and targeted 1,453 Korean residents aged between 20 and 30. The factors affecting health check-up participation were divided into sociodemographic factors, health behavior factors, mental health factors, and medical utilization factors, and both simple logistic regression analysis and multiple logistic regression analysis were conducted. The analysis results showed that educational level, marital status, type of health insurance, employment status, and subjective level of health were the factors influencing health check-up participation among Korean individuals in their 20s and 30s. These research findings can serve as foundational data for improving the health check-up participation rate among individuals in their 20s and 30s.

Comparison of Factors Affecting According to the Quality of Life Level in Korean Adults with Diabetes Mellitus (한국 당뇨병 성인의 삶의 질 수준에 따른 영향요인 비교)

  • Bang, So-Youn
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.5
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    • pp.607-614
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    • 2020
  • This secondary analysis study used the 2015 Korea Health Panel data to identify the difference of factors affecting the quality of life (QoL) of Korean adults with diabetes mellitus (DM). The data from 1,343 subjects who met the criteria for screening was analyzed by multiple linear regression and quantile regression analyses. As a result, the average QoL of the subjects was .86 (±.14). The factors affecting the QoL of the subjects were age, gender, education level, spouse, economic activity, type of health insurance, and regular physical activity (all p<.05). However, there were differences of the results when dividing the subjects into three groups according to their QoL level. The factors for the lower 25% group were age, gender, education level, spouse, economic activity, type of health insurance, and regular physical activity, and those factors for the middle 50% group were age, gender, education level, spouse, type of health insurance, and regular physical activity, and those factors for the top 75% group were spouse, economic activity, household income, type of health insurance, and duration of DM. Based on these results, it is important to develop and provide a differentiated intervention strategy that considers the influential factors in order to improve the QoL of Korean adults with DM.

Effects on the Functional Status Changes of LTC(Long-Term-Care) Services (노인장기요양보험 급여이용이 기능상태 변화에 미치는 영향)

  • Hyun, Kyung-Rae;Lee, Sun-Mi
    • 한국노년학
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    • v.32 no.2
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    • pp.593-609
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    • 2012
  • The study was performed to identify the functional status change of beneficiaries of Long-Term Care Insurance and its related factors. We conducted the logistic regression with 17,652 beneficiaries during August and September in 2008. As a result, activities of daily living(ADL), behavioral changes, rehab, instrumental activities of daily living(IADL) and cognitive function, followed by nursing care area were improved in a greater degree. For the institutional service, level-1 beneficiaries was significantly improved in rehab area and level-2 beneficiaries was improved in ADL. For the home-visit care service of in-home services, level-1 beneficiaries was improved in ADL, level-2 beneficiaries was improved in ADL and rehab area, level-3 beneficiaries was improved in ADL, cognitive function and behavioral changes. For the day-and-night care service, level-1 beneficiaries was improved in ADL, IADL, behavioral changes and rehab area, level-2 beneficiaries was improved in behavioral changes, level-3 beneficiaries was improved in cognitive function and behavioral changes. For the short-stay service, level-3 beneficiaries was improved in behavioral changes. By the above results, there was a difference in a functional improvement by level and used services. Therefore, government need to provide the personalized service system based on the objective and comprehensive understanding for health and functional status of beneficiaries.