• Science of Emotion and Sensibility
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• v.25 no.2
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• pp.79-86
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• 2022

With external air pollution forcing many people indoors, new methods of facilitating healthier indoor life are necessary. This study, therefore, investigates the effects of indoor oxygen concentration and respiration methods on biosignals and cognitive ability. The study included twenty healthy subjects who inhaled air through a mask from a gas delivery system. All subjects were asked to perform three types of breathing (nasal, oral, and oral breathing with high oxygenation) and respond to cognitive stimuli (rest close eye, rest open eye, 1-back and 2-back working memory tasks). The changes in cognitive load according to respiration were analyzed by measuring response time, accuracy, and biosignals to stimuli. The result showed that, in all three respirations, heart rate significantly increased with the increase in cognitive load. Also, in oral respiration, the airway respiration rate significantly increased according to the increase in cognitive load. The change appeared to compensate for insufficient oxygen supply in oral respiration during cognitive activity. Conversely, there was no significant change in airway respiration rate during oral respiration with a high concentration oxygen supply as in nasal respiration. This result suggests that a high concentration oxygen supply might play a role in compensating for insufficient oxygen concentration or inefficient oxygen inhalation, such as oral respiration. Based on the results of this study, a follow-up study is necessary to determine the impact of changes in the autonomic nervous system, such as stress and emotions, to find out more precise and comprehensive effects of oxygen concentration and breathing type.

• Health Policy and Management
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• v.28 no.2
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• pp.138-144
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• 2018

Background: Diagnostic imaging fee had been reduced in May 2011, but it was recovered after 6 months because of strong opposition of medical providers. This study aimed to analyze the behavior of medical providers according to fee changes. Methods: The National Health Insurance claims data between November 2010 and December 2012 were used. The number of exams per computed tomography was analyzed to verify that the fee changes increased or decreased the number of exams. Multivariate regression model were applied. Results: The monthly number of exams increased by 92.5% after fee reduction, so the diagnostic imaging spending were remained before it. But medical provider decreased the number of exams after fee return. After adjusting characteristic of hospitals, fee reduction increased the monthly number of exams by 48.0% in a regression model. Regardless type of hospitals and severity of disease, the monthly number of exams increased during period of fee reduction. The number of exams in large-scaled hospitals (tertiary and general hospital) were increased more than those of small-scaled hospitals. Conclusion: Fee-reduction increased unnecessary diagnostic exams under the fee-for-service system. It is needed to define appropriate exam and change reimbursement system on the basis of guideline.

• Spatial Information Research
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• v.15 no.3
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• pp.219-236
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• 2007

This study is intended to examine the types of U-public service that can be introduced to the public sector by making an empirical analysis on Chungju City public officials. Specially, to analyze the public officials' recognition of the types of ubiquitous public service that can be introduced to the public sector, this study investigates the utility and necessity of ubiquitous information technology when making use of it in terms of administrative concepts. To achieve study purpose, this study examines what type of U-public service is highly likely to be applied and basically has to be applied when ubiquitous information technology is applied to the current environment of Chungju City in stages.

• Health Policy and Management
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• v.34 no.1
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• pp.17-25
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• 2024

Background: This study aimed to assess the appropriate allocation of emergency medical beds across 17 provinces and presume the economic benefits associated with such allocation. Methods: To estimate the optimal allocation of emergency medical beds by province, data from the Statistics Korea's "cause of death statistics (2014-2021)," regional statistics on "area, population, gender, age," and "population projections" were utilized. The "number of emergency beds by city and district" provided by the Health Insurance Review and Assessment Service was also used. In estimating the economic benefits of preventing avoidable emergency deaths due to the expansion of emergency medical facilities, guidelines from the Korea Development Institute and the Korea Transport Institute were referenced to calculate the wage loss costs associated with emergency deaths and estimate the economic benefits. Results: The optimal ratio of emergency medical beds allocation by region was highest in Gyeonggi, Seoul, Gyeongnam, Gyeongbuk, and Busan, while Daejeon, Jeju, and Sejong showed lower ratios. Additionally, the prevention of avoidable deaths and economic benefits resulting from the increase in emergency medical facilities were highest in Gyeonggi, Seoul, Gyeongbuk, Gyeongnam, and Busan. However, when standardized by population, the prevention of avoidable deaths and economic benefits were analyzed to be highest in Gyeongbuk, Chungnam, Jeonnam, Gyeongnam, and Busan. Conclusion: The results of this study can serve as foundational data for future policy measures aimed at addressing the imbalance in the supply of emergency medical facilities across regions. Considering regional characteristics in the distribution of emergency medical facilities is expected to ultimately increase the efficiency of national finances and yield economic benefits.

• Journal of agricultural medicine and community health
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• v.44 no.4
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• pp.195-208
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• 2019

Objectives: The purpose of this study was to analyze whether there are differences in medical expenses according to medical security type in the use of medical services with high disease burden such as coronary intervention. Methods: Chi-square test and covariance analysis(ANCOVA) were conducted to identify the differences in the characteristics and costs according to medical security type of 1,904 patients who underwent coronary intervention in a university hospital from 2011 to 2012. Hierarchical regression analysis was conducted to determine whether the cost affects medical expenses. Results: In the medical aid group, the proportion of women, those without a job, those without a spouse, and those who received hemodialysis was high, length of stay was high, patients using the emergency room and those who died was high. The medical aid patients were significantly higher in the non-benefit medical expenses, optional medical expenses, physician and admission, meals, medications and injections. National health insurance patients were significantly higher in procedure. The medical security type was found to be significant as a variable affecting the medical expenses. Conclusions: Provision of medical expenses should be managed in advance by providing prevention and education services for the vulnerable, and care services in the region should be provided to suppress the occurrence of medical expenses due to the increase in the number of days spent. In addition, it is necessary to support medical expenses to prevent unsatisfactory medical services from occurring for non-benefit and optional care.

• 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.

• Food Industry And Nutrition
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• v.4 no.3
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• pp.34-41
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• 1999

최근 여러 가지 식품유래 병원균(food-borne pathogen)에 의한 발병(outbreaks)은 식품과학자들을 포함한 학계, 식품산업계, 정부기관, 그리고 소비자들 모두에게 식품 안전성에 대한 새로운 관심을 유발시키고 있다. 식품 안전성에 결여에 따른 식품 유래 병원균에 의한 발병은 국민 건강을 위협하여 직접적으로 보건 의료 분야에 많은 경비부담을 유발시킬 뿐 아니라, 식품의 생산 공급체계에도 부정적인 영향을 끼침으로써 국가 경제 전체에 손실을 가져오기도 한다 ( 1, 8, 35). 따라서 생산자와 소비자가 함께 신뢰 할 수 있는 분석방법을 통해 각개 식품의 안전성에 대한 품질보증(quality assurance)은 소비자뿐만 아니라 식품 산업계 자체로부터도 요구되고 있다. 이러한 시점에서 식품에 존재하는 병원성 균을 신속하게 검색하고 , 정량하고 또 그들의 특성을 분류 할 수 있는 방법을 고찰하는 것은 매우 의미 있는 작업이라 할 수 있겠다.

• Proceedings of the KAIS Fall Conference
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• 2009.05a
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• pp.219-221
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• 2009

청소년 비만관리를 좀더 효율적으로 할 수 있는 방안의 하나로 개개인의 비만관리는 물론 건강관리를 위한 Personal Health Record를 제시코자 한다. 연구 참여한 총인원은 267명이었으나 7명의 설문은 응답이 불성실하여 제외한 총 260명의 데이터를 사용하였다. 비만 관리에 PHR을 활용한다는 응답이 남성은 108명으로 가장 높게 응답한 반면, 여성은 PHR을 활용한다는 응답이 28명으로 "보통"이라고 응답한 29보다 낮게 나타났다. PHR 활용을 보통이라고 대답한 그룹은 일반적인 데모그라픽 요인만 분석한 결과 신장과 체중에서 PHR을 사용하지 않거나, 사용하겠다고 답한 그룹보다 체격이 작은 경향을 나타났다. BMI도 PHR활용도가 보통이라고 한 그룹이 평균 21로 사용하지 않겠다는 그룹 평균 22, 사용하겠다는 그룹 22 보다 낮게 나타났다. 충분한 PHR에 관한 사전 인식도 및 의견 조사를 통해 의료서비스 공급자와 소비자 모두의 요구 사항을 수렴하고 각국 현실에 적합한 맞춤형 PHR system을 개발하고 효율적으로 정착시킬 수 있을 것이다.

• Journal of the Korea Society of Computer and Information
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• v.12 no.4
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• pp.103-110
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• 2007

Ubiquitous computing is a vogue word, and its service is very popular in Korea. However, present ubiquitous service(u-Service) is thought to be more oriented to the provider's point of view, not the consumer's. To complement this problem, an online survey was performed for internet users, which consists of 24 single choice questions on six fields such as transportation, healthcare, environment/city-management, culture/education, administration, and industry. 2463 people joined the survey, who were grouped according to their age, resident region, level of education, and sex. Each group's demand for specific field of u-Service was examined. General level of demand was higher in case of the elderly and male than the younger and female for overall u-Service.

• Journal of Labour Economics
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• v.41 no.4
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• pp.31-62
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• 2018

Using matching and difference-in-differences estimation method, this study estimates causal effects of health shocks on employment and income of full-time workers aged 40-55. Acute hospital admissions lower significantly the employment probability and earnings. The changes in employment and earnings persist up to three years after the health shock. The economic impacts of health shocks vary by socioeconomic status and job characteristics among individuals. Irregular workers are more likely to leave their jobs after health shocks than regular workers. Among irregular workers, the probability of leaving labor market after health shock decreases with the size of the firm.