• Title/Summary/Keyword: 국민의료

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성인병 뉴스 제316호

  • The Korea Association of Chronic Disease
    • The Korean Chronic Disease News
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    • no.316
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    • pp.1-18
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    • 2007
  • 충남 금산군 보건소 송기철 소장/“건강한 생활, 쾌적한 환경, 건강을 걸읍시다”/선진국형 당뇨병치료 시범사업 실시/‘응급의료 인프라’지속적 개선/국내 당뇨병환자 269만명 추정/암 관리사업 연구협력 활성화/노인 인구집단 성병 감염실태 조사/하루 전 국민 5.4%가 의료기관 이용/대한피부과학회‘피부건강 10계명’/의약품 공정거래 자율준수프로그램 도입/‘레보텐션’가처분 결정 취소 판정/LG생명-다케다, 비만치료제 공동연구/“건강도시 건강수도 금산”/맞춤형 방문건강관리사업/“가장 손쉽고 좋은 운동, 건강의 비결은 걷는데 있습니다”/부실한 인적 자본, 미래 위한 건강투자 시급/

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21세기 보건교육사업의 중요성과 보건소의 역할

  • 이시백
    • Korean Journal of Health Education and Promotion
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    • v.20 no.2
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    • pp.217-221
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    • 2003
  • 그동안 현저하게 성장해온 경제사회 수준과 함께 일반국민들의 건강에 대한 관심은 대단히 높아졌다. 뿐만 아니라 국가는 보건부문에 있어 각종 보건제도를 개선하고 보건시설을 확충하며 의료전달체계를 정립하는 등 많은 투자를 하여왔다. 그러나 이러한 보건의료의 발전과 또 건가에 대한 주민들의 높은 관심에도 불구하고 현재 및 미래의 사회는 과거에 경험하지 못했던 새로운 건강문제가 대두되고, 과거와는 전연 다른 양상을 보이고 있어 우리의 관심을 불러일으키고 있다.(중략)

심전도 데이터 압축 기법

  • 신재호
    • 전기의세계
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    • v.45 no.6
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    • pp.34-40
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    • 1996
  • 심전도 데이터 압축에 관한 연구는 참고문헌에서 보는 바와 같이 선진외국에서는 꾸준히 이루어져 왔지만, 국내에서는 활발하지 못하다. 경미한 심장질환자들이 항상 병원내에 입원하여 갇혀있지 않고 자유롭게 사회활동을 할 수 있도록 무선 이동통신을 통한 원격 진단시스템도 연구되고 있으며, 적어도 위급한 상황은 자동 판별하여 경고(warning)해 주고 즉시 의료혜택을 받을 수 있게 해 주는 것도 연구대상이 되고 있다[1]. 국가가 발전해 나가면서 경제규모에 비례하게 의료기술도 발달하게 되고 국민들의 건강에 관한 관심도 높아지는데, 특히 식생활의 서구화에 의해 심장질환자가 급증하고 있는 시점에, 심장질환자들의 치료와 구명차원에서 판단하건데, 이러한 분야 연구의 필요성이 있다고 본다.

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의용생체공학 (1)

  • Hong, Seung-Hong
    • Journal of the Korean Society for Precision Engineering
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    • v.1 no.3
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    • pp.46-51
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    • 1984
  • 우리들은 현재 3차산업혁명이라고 하는 정보화시대에 생활하고 있으며, 급격한 과학의 진보는 사회에 큰 영향을 미쳐, 커다란 혁명을 초래하여 왔다. 이로써 인간이란\ulcorner 생체란\ulcorner 생명이란\ulcorner 무엇인가에 대해 반문하게 되는 기회가 많아지게 되었고 이에 따라 생물물리, 생물화학, 생체공학, 의료공학의 연구에 더 많은 관심을 갖게 되었다. 또한 사회의 부유화, 국민의 건강의식의 증대, 복지지향사회의 심화를 배경 으로 의료는 질적으로도 양적으로도 고도화되어 가고 있다. 이에 고도화하고 광범한 공학기술이 발전하게 되었으며, 의용생체공학의 연구개발에 대한 사회적 욕구가 점차로 커져가고 있다. 본고에서는 의용생체공 학의 정의에서부터 학문영역, 전망까지 소개하기로 한다.

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Construction of Medical Episode Data using National Health Insurance Service Data (국민건강보험청구 자료를 이용한 진료에피소드 자료 구축)

  • Pak, Hae-Yong;Pak, Yun-Suk
    • Journal of Convergence for Information Technology
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    • v.9 no.9
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    • pp.195-200
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    • 2019
  • The purpose of this study is to analyze the characteristics of National Health Insurance claim data and to construct a pilot medical episode data considering it. In this study, the trends of respiratory disease (ICD10: J00-J99) cardiovascular disease (ICD10: I00-I99) from the day of onset of treatment to re-admission after admission were confirmed in Seoul, and the largest decrease was observed when the no-treatment period was 0 day. The data reduction rate when the no-treatment period is 0 day is judged to be due to the monthly separation claim of the health insurance claim data. Also, the result that there is a tendency of monthly separation request according to the type of medical treatment. Through this study, we constructed epidemic data for the pilot medical treatment considering the characteristics of the claim data of health insurance, and based on this, it can be used as a data processing method for calculating basic epidemiological information.

Incidence of Falls and Risk Factors of Falls in Inpatients (입원환자의 낙상 실태 및 위험요인 조사연구)

  • Yoon, Soo-Jin;Lee, Chun-Kyon;Jin, In-Sun;Kang, Jung-Gu
    • Quality Improvement in Health Care
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    • v.24 no.2
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    • pp.2-14
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    • 2018
  • Purpose: The objective of this study was to report the incidence of falls in hospitals and analyze the risk factors for falls. Methods: This study used data on 1,216 patients who experienced falls from 2015 to 2017 during their hospitalization. The data was collected from the falls incident reports and patient' electronic medical record of hospital. Data were analyzed with descriptive statistics using Chi-square test, Fisher's exact test and multiple Poisson regression analysis with the SAS 9.4 Results: The incidence of falls was 1.38 per 1,000 patients days (2015), 1.81 per 1,000patients days (2016) and 1.99 per 1,000patients days (2017). The incidence of injury caused by falls (level III~V) was 0.05 per 1,000patients days (2015), 0.04 per 1,000patients days (2016) and 0.06 per 1,000patients days (2017). The largest number of falls occurred during night shift (42.5%), specifically in the patients' room (70.8%), and medical unit (66.0%). Average age of fallers was 69.1 years and 61.7% of them were older than 71 years. CCI and the patient's department have statistically significant differences in injury or injury levels from falls, but the integrated nursing care services had no significant difference in injury or injury levels from falls. Conclusion: The result of this study can be used as a reference for establishing a fall prevention strategy for hospitalized patients by presenting index values such as the fall rate.

Clinical Characteristics, Drug Adherence to Antipsychotics and Medical Use Trends in Patients First Diagnosed with Psychotic Disorder: A Preliminary Study (정신병적 장애로 첫 내원한 환자들의 임상 특징과 투약 순응도 및 의료 이용 추이: 예비 연구)

  • Heo, Jung Un;Kim, Dong Wook;Oh, Seung-Taek;Choi, Won-Jung;Park, Jaesub
    • Korean Journal of Schizophrenia Research
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    • v.22 no.2
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    • pp.42-50
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    • 2019
  • Objectives: In this preliminary study, we investigated the clinical characteristics of patients who were first diagnosed with psychotic disorder and explored the impact of the adherence to antipsychotics on long-term medical use. Methods: All national health insurance claims related to psychotic disorders including gender, age, income, and drug compliance, from January 1, 2008 to December 31, 2015, were examined. With trend test using Medication Possession Ratio (MPR), we compared the medical use between the compliant group (MRP≥0.8) and the comparative non-compliant group (0.2≤MPR<0.8). Results: Among 28,095 participants in total, 16,239 patients (57.8%) were diagnosed as schizophrenia; the 30s were the most common (n=7,151, 25.5%). Drug compliance was generally low regardless of the diagnosis and was the lowest among 20s with the 40-60% range of income. The compliant group showed lower psychiatric and medical use than the comparative group in the following years (p<0.0001). Conclusion: These findings suggest that patients in the 20s and 30s with the 40-60% range of income, who are diagnosed with schizophrenia at the first psychiatric visit, may need more clinical and political attention. The results also emphasize the importance of initial drug adherence to antipsychotics in reducing long-term psychiatric costs.

The Management of Medical Information Quality Utilizing Big Data (빅 데이터를 활용한 의료정보 질 관리)

  • Cho, Young-bok;Woo, Sung-Hee;Lee, Sang-Ho
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2014.05a
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    • pp.728-731
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    • 2014
  • Today, the quality of medical service has become a major concern because that sustainable development of IT technology and extending people's life expectancy. This paper, it is used as a tool for the medical information quality management that analyze tweets big data form generated by individual's daily. The result of the analyze big data offers improvement medical information based evidence based medicine. Also it has been possible for a trace observation of chronic disease and can reduce additional other complications of patients. Therefore, effective treatment of disease and prevention is possible.

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BSGS: Bioethics of Smart Guideline System applied knowledge categories for Android smart platform (BSGS: 생명윤리 지식분류를 통한 컨텐츠 지원용 가이드라인 시스템 - 안드로이드 스마트 플랫폼)

  • Lee, Jee-Hee;Choi, Sung-Ja;Lee, Gang-Soo
    • Proceedings of the Korea Information Processing Society Conference
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    • 2010.11a
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    • pp.1454-1457
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    • 2010
  • IT 융합의 시대를 맞아, 오늘날 모든 분야에서 컨버전스가 새로운 비즈니스 창출과 혁신의 수단으로 활용되고 있다. 생명과학분야에서도 IT를 접목한 새로운 비지니스가 창출되고 있다. 그러나, 생명의료 윤리를 실질적으로 접하는 의료인 조차 지식수준에 비해 낮은 윤리의식을 갖추었으며 지식수준을 윤리의식으로 착각하고 있다는 평가아래 의료윤리연구회와 같은 기관을 설립하여 생명의료윤리의식을 갖추자는 자성의 목소리가 의료인들의 근래의 반응이다. 본고는 생명윤리 관련 내용을 코드체계화하고 지식관리시스템으로 구축하여, 모바일 스마트를 활용한 플랫폼 설계 및 어플을 제공한다. 생명윤리와 그 관련 법규에 관한 정보를 제공함으로써 국민의 생명윤리 의식을 고취하고 적절한 문제해결 방법을 안내하기 위함을 목적으로 한다.

Improving Hospital Referral System based on Perception of Delivery of Healthcare by Enrollees (국민건강보험 이용자의 의료전달체계 인식에 따른 진료의뢰 개선 방안)

  • Jeong, Young Kwon;Suh, Won Sik
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.12
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    • pp.594-602
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    • 2016
  • This study was carried out to suggest hospital referral system improvements based on health insurance subscriber perceptions of the delivery of healthcare. Health insurance subscriber outpatients (n = 207) referred from a stage 1 medical institution to the S university hospital located in Seoul responded to the study survey. The study's item reliability is reliable as the Cronbach's alpha coefficient was greater than 0.7. This study results showed that 5.9% of patients were referred from a higher stage hospital to a same stage hospital. The main factor attracting patients to S university hospital were physician reputation and confidence. The highest factor ($4.40{\pm}.92$) was xxxx. In addition, survey respondents reported that the concentration of patients in extra-large hospitals in Seoul ($4.24{\pm}.97$) was an important issue, and the issue with the highest priority for improvement ($4.05{\pm}1.02$). A positive correlation was detected between the recognition and improvement of delivery of healthcare (p < 0.01). Based on the results, we suggest that improvements in the delivery of healthcare should focus on patients rather than suppliers of national health insurance or other insurers. Keywords: delivery of healthcare, health services accessibility, national health insurance, tertiary care centers, hospital referral.