• Title/Summary/Keyword: 의료공공성

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A Qualitative Research on the Evaluation of Healthcare and Welfare Network for Vulnerable Populations : Focusing on the Dalgubeol Health Doctor Services (취약계층 대상 보건의료·복지 네트워크 사업 성과에 대한 질적연구 : 달구벌건강주치의사업을 중심으로)

  • Su-Jin Lee;Jong-Yeon Kim;Jae-Wook Kang;Hye-Jin Lee
    • Journal of agricultural medicine and community health
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    • v.48 no.4
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    • pp.262-274
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    • 2023
  • Objectives: This study examined the evaluation and potential improvements of 'Integrated Healthcare and Social Welfare service model' based on the experiences of practitioners from institutions participating in the 'Dalgubeol Health Doctor Services' and the service recipients. Methods: Qualitative research was conducted from September to November 2022 in this study, focusing on 4 providers from the dedicated Dalgubeol Health Doctor Services Team, 5 contact partners from affiliated organizations, and 6 service beneficiaries. The data gathered underwent thematic analysis. Results: The evaluation indicated that Dalgubeol Health Doctor Services has proven to be effective in addressing the complex needs of vulnerable populations. By providing integrated services through quick and simple beneficiary selection and resource linkage, it has contributed to the resolution of complex demands, recovery of positive attitudes towards life, and improvement in quality of life for users who have fear the use of medical and welfare services. Dalgubeol Health Doctor Services has established an integrated health care system involving not only public but also private organizations, from the referral agency to the service provider. Centered around Daegu Medical Center and involving five tertiary hospitals, it has established a model that supports treatment appropriate to the severity of the patient, from mild to severe. Conclusions: These findings indicate an enhancement in health equity, achieved through the active identification and subsequent health and welfare issue resolution of individuals marginalized from medical benefits.

Development of a Medical Information Database and a Medical Support System on the Internet (의료정보 데이터베이스 및 인터넷용 진료지원 시스템의 개발)

  • 박용우;김기천;김문희
    • Proceedings of the Korean Information Science Society Conference
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    • 1998.10b
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    • pp.200-202
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    • 1998
  • 최근 수년간 전산망을 통한 의료정보의 이용이 학술적인 데이터베이스의 이용에서부터 인터넷을 통한 정보의 교환까지 급속도로 증가하고 있는 상황이다. 보다 신속하고 정확하며 다양한 의료정보에 대한 욕구는 일반인들뿐만 아니라 환자와 의료진 모두에게 증대되고 있는 것이 현실이다. 갑상선 질환은 지속적인 치료를 필요로 할 분만 아니라 환자가 질환을 이해하고 자기 관리를 위한 과학적인 정보의 필요성이 절실한 분야이다. 또한, 갑상선 질환을 전공하는 의료진에게도 이에 관한 의료정보 제공의 필요성은 절실하다. 의료정보에 대한 데이터베이스 구축 작업은 궁극적으로 의료서비스의 질적 향상과 질병관리의 효율화를 통한 국가 자원 낭비의 방지효과를 목적으로 하는데, 갑상선 질환 환자의 진료 및 교육지원을 위한 공공 데이터베이스 개발은 이를 구현하는데 중요한 역할을 한다. 따라서, 본 연구에서는 갑상선 환자의 진료 및 교육 지원을 위해, 기존의 갑상선 환자 진료 기록에 대한 데이터베이스의 구축과 이를 인터넷을 통해 서비스 해 줄 수 있는 시스템을 개발하였다. 이 시스템은 윈도우 NT 상에서 Access를 이용하여 데이터베이스를 구축하였고, 윈도우 CGI 방식에 기반한 CGI 프로그램을 개발하여 인터넷과 연동 하였다.

Comparative study on the role of the public sector in the health care system -Comparison of the United States and Korea in social risk situations- (의료보장 체계에서의 공공 부분의 역할 비교연구 -사회적 위험 상황 속의 미국과 한국의 비교-)

  • Kim Jong Hwi;Hyun-Seung Park
    • Industry Promotion Research
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    • v.9 no.2
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    • pp.95-102
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    • 2024
  • This study aims to compare the role of the public sector in the U.S. and Korean medical security systems and study response measures in the social risk situation of the COVID-19 virus. The COVID-19 pandemic was a typical case of a 'disaster' that spread across the world across borders in a short period of time and caused serious social welfare losses by increasing the annual number of deaths by approximately 4% in 2020. Threats to health security, such as changes in social order, unpredictable endings, prolonged control of daily life, and deepening inequality, affected the economy, politics, and environment as a whole, and people had to experience anxiety and confusion due to mental and physical stress. Furthermore, developed countries failed to provide help to low-income countries in the face of global disasters. In this situation, the country's disaster management capacity to minimize harm and secure resilience, especially disaster response capacity in the health and medical field, is inevitably very important. Therefore, this study compares how the health insurance system, which is a system to guarantee citizens' right to life, differs from the United States, a liberal health care country, and raises the need to strengthen the role of the public sector.

A Study on the Hazard and Risk Analysis of Hospital in Korea - Focused on Local Medical Centers (의료기관의 위험도 분석 조사 - 지역공공의료원을 중심으로)

  • Kim, Youngaee;Song, Sanghoon;Lee, Hyunjin;Kim, Taeyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.28 no.4
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    • pp.31-39
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    • 2022
  • The purpose of this study is to analyse the hazard risk by examining the magnitude and severity of each type of hazard in order to mitigate and prepare for disasters in medical facilities. Methods: The hazard risk analysis for hazard types was surveyed for team leaders of medical facilities. The questionnaire analyzed data from 27 facilities, which were returned from 41 Local Medical Centers. Results: When looking at the 'Risk' by category type of hazard, the influence of health safety and fire/energy safety comes first, followed by natural disaster, facility safety, and crime safety. On the other hand, as for 'Magnitude', facility safety and crime safety come first, followed by health safety, fire/energy safety, and natural disasters. Most of the top types of disaster judged to have high hazard in medical facilities are health types. The top five priorities of hazard in medical facilities, they are affected by the geographical and industrial conditions of the treatment area. In the case of cities, the hazard was found to be high in the order of infectious disease, patient surge, and wind and flood damage. On the other hand, in rural areas, livestock diseases and infectious diseases showed the highest hazard. In the case of forest areas, the hazard was high in the order of wildfire, fire accident, lightning, tide, earthquake, and landslide, whereas in coastal areas of industrial complexes, the hazard was high due to fire, landslide, water pollution, marine pollution, and chemical spill accident. Implications: Through the research, standards will be established for the design of hospitals with disaster preparedness, and will contribute to the preparation of preemptive measures in terms of maintenance.

Public hospitals and Private hospitals analysis of productivity differences (공공병원과 민간병원의 생산성에 관한 차이 분석)

  • Lee, Jin-Woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.11
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    • pp.7885-7892
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    • 2015
  • This study public hospital productivity and private hospitals, comparative analysis was divided into capital productivity, labor productivity, value-added productivity, based on the findings public hospitals are able to ensure the public interest to provide stable and profitable health services of good quality. It proposes measures to improve productivity. Investigation period were based on the fiscal year 2013, the target of 39 public hospitals are private hospitals surveyed were selected for a total of 147 hospitals with 108. ANOVA analysis was performed the analysis, hierarchical regression analysis. In the conclusions showed as the most important factor in the profitability of labor productivity, the productivity of public hospitals variables, because exert a significant impact on the productivity and efficiency of future public hospitals are required to establish an effective personnel management system. It should also Productivity and specific assessment of the effective management be analyzed by the association between the margins would have to be.

The Effects of Performance of Public Health Services and Personal Characteristics on Community Image of Public Hospitals (공공보건의료사업 수행과 주민특성이 공공병원 이미지에 미치는 영향)

  • Sim, In Ok;Hwang, Eun Jeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.9
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    • pp.6089-6098
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    • 2015
  • This study purposes to identify the effects of performance of public health services (PHS) and personal characteristics on community image to public hospitals. The subjects of this study were 33 public hospitals and 1,789 community residents. The data of '2011 Public hospital evaluation programme' were utilized in this study. The personal characteristics consisted of nine items which were gender, age, education, occupation, monthly incomes, medical security, use experience, health state, and location type. The PHS performance consisted of five items which were number of doctors, number of nurses, total number of staff, budget per 1,000 community residents, and amount of activities per 1,000 community residents. The cronbach's alpha of community image instrument was 0.916. As the results of logistic regression, the significant variables of community image, were age (OR=0.34, 95% CI=0.19-0.60), education (OR=3.03, 95% CI=1.60-5.76), use experience (OR=0.57, 95% CI=0.40-0.81), health state (OR=0.69 95% CI=0.49-0.96), location type (OR=2.10, 95% CI=1.11-3.99), and amount of activities per 1,000 community residents (OR=0.58, 95% CI=0.35-0.96). Community image is very important to public hospitals. The workforce and budget related PHS were significantly demanded to improve community image. The Central and Local government should support to public hospitals to perform PHS effectively.

Factors Affecting Profitability of General Hospitals Focused on Operating Margin (병원의 수익성 관련 요인 분석 - 의료수익의료이익율을 중심으로 -)

  • Park, Byung-Sang;Lee, Yong-Kyoon;Kim, Yoon-Shin
    • The Journal of the Korea Contents Association
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    • v.9 no.6
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    • pp.196-206
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    • 2009
  • The profitability of a hospital refers to business administration results achieved through its medical care and other management activities during applicable fiscal year. This study focused on operating margin as a measurement index of hospital profitability, which is a genuine medical return obtained by subtracting medical expenses from medical profits achieved during business administration of hospital. Based on the index, this study could deduce certain factors on hospital profitability in terms of various indices affecting profitability. And based on those factors, this study sought to provide more useful reference materials which allow us to devise possible ways to improve hospital profitability. As a result, it was found that public hospitals attained lower profitability than private ones. To analyze profitability depending on each index, this study divided hospitals broadly into deficit group and surplus group. As a result, it was found that there were significant differences in hospital profitability between two groups depending upon relevant indices such as labor cost ratio, maintenance expense ratio, number of operations per medical specialist and medical instrument turnover. According to analysis on potential effects of relevant indices upon profitability, it was found that each index had its explanatory power ranging from 25% to 74.5% depending on given model.

The Unconstitutionality of Banning Operation of Multiple Medical Institutions by Health Care Providers - Focusing on Article 87 Section 1 Clause 2 and Article 33 Section 8 - (의료인의 의료기관 다중운영 금지 조항의 위헌성 - 의료법 제87조 제1항 제2호, 제33조 제8항을 중심으로 -)

  • Kim, Sun Wook;Jeong, Hye Seung
    • The Korean Society of Law and Medicine
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    • v.16 no.2
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    • pp.295-326
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    • 2015
  • Under the revision of medical law on February 1, 2012, health care providers are banned from opening 2 or more medical institutions and being involved in managing the institutions. However, purpose of the legislation of the revised law is unclear and even confirmation of such purpose of the legislation based on the calculation of multiple legislative backgrounds cannot be appropriate means of achieving such purposes. This article confirms and reviews the development of revision of medical law and history of the principle of 'one person-one medical institution', and legislative purpose of the revised medical law as well as examines unconstitutionality of such revision based on limited fundamental rights by the revision, principle of clarity, and principle of the prohibition of excessive restriction.

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Global Convergence for Healthcare ICT Services (헬스케어 ICT 서비스의 글로벌 컨버전스)

  • Won, Dal Soo;Lee, Sang San;Jung, Yong Gyu
    • The Journal of the Convergence on Culture Technology
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    • v.2 no.2
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    • pp.45-49
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    • 2016
  • It may be summarized to four kinds of innovation through global convergence, and the convergence of adjacent areas according to mega-trends in medical services market and actively introduced ICT technologies, public and private partnership. Health care is no longer a local industry, it is becoming Global Convergence. In the case of developed countries, it is increased to income levels, the development of new medical technologies, while the increase in specialized medical services and need of aging population. It increases migration of foreign medical personnel, geographical proximity and choice of the best medical technology, regardless of the cost. The increasing demand for high quality yet relatively low foreign prices of medical services. Hospitals are especially spread of international certification such as the US JCI standards. Hospital exports are being evaluated and opened the way for the export industrialization as ICT convergence hospital that can be exported to the fusion-related technologies more efficiently. Current local hospital has already reached saturation, globalization of Korean hospital is being the time necessary. Thus, unlike a strategy for each country, as well as technology transfer it is also possible, such as total exports provided the building, medical equipment procurement, local medical personnel (doctors and nurses) selection and training, PR and marketing. In the current medical law and need to be revised prospectively maintained for publicity and abroad, there is a need for further legal dragons and actively support a more flexible policy on the application of national law overseas medical services.

A study on the establishment of Health MyData ecosystem in the public domain (공공영역에서 의료 마이데이터(MyData) 생태계 구축방안 연구)

  • Park, Hyoju;Yang, Jinhong
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.13 no.6
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    • pp.511-522
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    • 2020
  • The purpose of this thesis is to derive a strategy to establish an ecosystem for promoting health my data projects in the public domain. To this end, first, the types of my data business were classified by business domain, subject, purpose, and method, and based on this, my data business being promoted in Korea and abroad was analyzed by type. After that, based on the analysis results, scenarios for my data projects that public domain can promote and the roles and major issues of each subject were identified, and the strategic direction for each subject of the ecosystem was presented. Such an attempt is of primary significance in revealing the role that the health MyData project can take the lead in the public domain to settle in Korea targeting sensitive information. Through this, it is expected that it will be a cornerstone of discussion to identify issues that are expected to establish an ecosystem in Korea, and to present a direction in which the my data business can be promoted in the right direction in the future.