• Title/Summary/Keyword: 의료분업

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명사취재-차흥봉 보건복지부장관

  • KOREA ASSOCIATION OF HEALTH PROMOTION
    • 건강소식
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    • v.24 no.2 s.255
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    • pp.2-7
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    • 2000
  • 차흥봉 보건복지부장관의 좌우명은 '열심히 살기'다. 쉽고도 어려운 말이지만, 차 장관은 말 그대로 어떤 일이든 긍정적으로 생각하고 적극적으로 추진하는 자세를 잃지 않는다. 지난해 8월, 그가 보건복지부장관으로 임명되었을 때, 의료보험 통합ㆍ전국민 연금제도ㆍ의약분업 등 굵직하고 복잡한 문제들이 산적해 있었다. 하루도 거르지 않고 언론ㆍ시민 단체 등에서 시시비비를 논하는 상황이었지만, 차 장관은 모든 일을 국민의 입장에서 합리적으로 생각하고 소신 있게 업무를 처리해 대부분의 일을 정상퀘도에 올려놓았다는 평을 받고 있다. 새천년에는 모든 국민이 공평하게 건강과 복지를 누릴 수 있는 시대를 만들어 가겠다는 꿈을 '새천년 복지 비전 2010'으로 구체화된 차흥봉 장관으로부터 새해의 복지 정책에 관해 들어 본다.

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A Study on Public Health Doctors' Participation in District Public Health Program of Health Sub-centers in Korea (보건지소 공중보건의사의 지역보건사업 참여 실태)

  • Lee, Jae-Chun;Park, Yong-Moon;Ahn, Song-Vogue;Lee, Hae-Young;Hwang, Jin-Won
    • Journal of agricultural medicine and community health
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    • v.28 no.1
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    • pp.53-66
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    • 2003
  • Objectives: To investigate the state of medical care around health sub-centers, public health doctors' participation and opinion in the process of district public health programs. Methods: The study included 1,036 public health doctors who worked at health sub-center all over the country. The data were collected for Feb, 2002 using self-administered questionnaire by mail. Results: One or two doctors were working at health sub-center and 33.5% of health sub-centers was located in the region of the separation of prescription and dispensing. There were another medical facilities in 45.9% of the administrative district(eup or myon) where health sub-centers were located. The count of medical utilization went down to 14.8${\pm}$14.8 per a day in Nov, 2001 from 18.0${\pm}$15.6 in May, 2000, and the decline was much more in the region of the separation of prescription and dispensing. Among public health programs in health sub-centers, public health doctors participated mostly in preliminary medical examination for vaccination and least in health education. They participated in implementation rather than planning or evaluation of health program. Over a half of public health doctors were found to be positive that health programs implemented in their health sub-centers would promote the level of health in community people and they were willing to participate in district public health program if community people were in need. Conclusions: Recently health sub-centers are required to turn into health promotion facilities rather than medical practice facilities. Health program in health sub-centers will be advanced in both quality and quantity by turning the role of public health doctors who have provided medical services mainly into managing health program. Persistent education about managing health program and the policy to motivate participation in health program should be provided for public health doctors.

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The case study of implementation for a limited hospital medical information system based on ACL-applied router (ACL이 적용된 라우터 기반의 제한된 병원 의료정보시스템의 구현 사례)

  • Yoon, Sung-Ja;Kim, No-Whan;Kang, Eun-Hong
    • The Journal of the Korea institute of electronic communication sciences
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    • v.11 no.10
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    • pp.1003-1008
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    • 2016
  • Recently hospitals have divided into many divisions, specialized the medical service, and shown organic cooperation, all to provide patients with various and high quality medical service. They have also showed improvement in information protection by introducing an information protection system to regulate the access to patients' medical and personal information. The purpose of this paper is to present a case study to implement of a limited hospital medical information system that can regulate the access to medical information. For this, a router-based virtual network applying an ACL(: Access Control List) to regulate access to information was made using a packet tracer.

The research regarding the electronic prescription system development of the PKI base which uses the network (네트워크를 이용한 PKI기반의 전자처방전 시스템 개발에 관한 연구)

  • 하태진;조경옥;김종우;김영진;한승조
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2003.10a
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    • pp.219-223
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    • 2003
  • 현대사회는 정치, 경제, 행정, 문화 등 인류가 더불어 살아가면서 형성된 모든 영역이 정보통신 시스템을 통해 생성되고 유포되는 지식정보 기반의 사회구조로 급속히 진행되고 있고 정보화 시대가 현실화되면서 인터넷의 사용빈도도 급속히 증가하여 개인의 사생활이나 개인정보는 중요한 이슈가 되고 있는 실정이다. 네트워크와 인터넷의 발달로 많은 분야가 오프라인에서 온라인과 전자처리 방식으로 바뀌어 가고 있다. 이러한 정보통신의 변화와 개인정보의 중요성은 의료 환경에도 많은 변화를 가져오고 있다. 현재 의약분업이후 병원과 약국간의 종이 처방전 시스템에 대한 문제점이 발생되고 있다. 또한 전자처방전 시스템이 개발되어 있으나 아직 필수적인 인증 및 보안을 비롯한 각종 정보위협에 대한 대책 수립이 완전하지 않은 실정이다. 따라서 이러한 정보보호 서비스 유지 및 신뢰성을 보장해 줄 수 있는 PKI를 이용한 전자처방전 시스템을 연구하고자 한다.

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Effects of Glue Sniffing on Weight Increase or Central Nervous System of Young Rat (반복된 본드 흡입이 백서의 정상발육에 의한 체중증가와 중추신경계에 미치는 영향)

  • Kim, Heon;Kim, Sun-Min;Cho, Soo-Hun
    • Journal of Preventive Medicine and Public Health
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    • v.26 no.2 s.42
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    • pp.222-230
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    • 1993
  • Industrial glues, known as 'Bonds' in Korea, contain many kinds of organic solvents, and glue sniffing of youths became one of the social problems in Korea. Mixed exposures to solvents by glue sniffing may induce chronic toxicities different from those by exposures to solvents of single component. To test effects of the glue sniffing on weight gain or central nervous system, two groups of 20 male Sprague-Dawley rats were exposed to air(control group) or vapors of the glues to narcotic status(exposed group), and weight check, tail flick test, hot plate test, rotarod treadmill test were done on the 14th,24th, 36th, 45th, 53rd, 86th, 102nd, 117th, 134th and 151st days after the first exposure. On the 188th day, their brains were excised and examined by a pathologist. Weight gain, controlled against time change, showed significant difference between the groups, but response times in tail flick test, hot plate tests, and rotarod treadmill test didn't. In pathological examination with blind method, no macroscopic or microscopic differences were found between the two groups. These results suggests that organic lesion in central nervous system may not ensue glue sniffing, but, before firm conclusion, more studies in various exposure conditions should be followed.

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A study on Medical Fee Information System Application based on XML Based on XML (XML 기반의 수가정보시스템 적용에 관한 연구)

  • Seong Kyoung
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2006.05a
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    • pp.1051-1054
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    • 2006
  • Lots of information such as prescription transmitted to the drug store by the result of separation of medical activity from medicine one, EDI for billing medical charge to Health Care Public Cooperation and the returned opinion letter sent to doctor etc is scattered in the Web document made from XML. Especially information containing medical treatment charge is one of the materials that are revised frequently. It is the current situation that document is transmitted or form is made for distribution whenever this kinds of revision is occurred. In this thesis, DTD design and implementation for the information system regarding the rate of medical charge is studied based on XML which is used to calculate charges for the several activities including consulting and prescribing. Patient or patron as well as doctor, pharmacist and nurse are all interested in the information regarding the rate of medical charge. It aims everybody to easily obtain information about the rate of medical charge by querying it anytime, anywhere.

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An empirical study of the Strategy Development and Deployment effects on the Hospital Management and Hospital Performance (병원전략의 수립과 전개가 병원의 경영과 병원의 성과에 미치는 영향에 관한 연구)

  • Moon, Jae-Young
    • Journal of the Korea Convergence Society
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    • v.6 no.6
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    • pp.57-63
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    • 2015
  • The objective of this research is to find out how strategy development and deployment effect on patients satisfaction, employee satisfaction, and work process in Korean hospitals. Previous researches suggested when establish a strategy had to reflect internal ability which are work process, employee satisfaction and others and external ability which are patients satisfaction and others. As a results, strategy development positive influence on patients satisfaction, employee satisfaction and work process, and strategy deployment positive influence on patients satisfaction, employee satisfaction and work process as well. Patients satisfaction positive influence on hospital performance and work process influence on hospital performance but employee satisfaction is not.

Prescription Pattern for a Simulated Patient With the Common Cold at Pharmacies in a Region in Korea Without Separation of Dispensary From Medical Practice (영동지방 의약분업 예외지역 약국들에서의 감기 증상 모의 환자에 대한 약물 처방 현황)

  • Lee, Hyeong-Cheol;Park, Woo-Joo;Oh, Mi-Kyeong
    • The Korean Journal of Health Service Management
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    • v.13 no.3
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    • pp.115-125
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    • 2019
  • Objectives: Korea has been practicing the separation of dispensary from medical practice since 2000 as a national policy to prevent misuse or overuse of medicines. This study aimed to investigate prescription patterns from except pharmacies in order to determine the appropriateness of drug usage among those patients. Methods: Thirty-two pharmacies in the Yeongdong area of Gangwon Province were examined in this study. The same simulated patient complaining of cold symptoms for 3 days visited each pharmacy to obtain a prescription for medication. Results: At pharmacies prescribing medicine, steroids (53.1%) and antibiotics (50.0%) were used to treat the common cold. Duplicate prescriptions of drugs, such as antihistamines (47.0%) and decongestants (31.3%) were common. The average number of drug prescriptions was 6.59, and 53.2% of pharmacies had prescribed more than seven drugs. The average total cost of the prescriptions was 6,093 won, and the daily cost was 2,544 won. Conclusions: Steroids and antibiotics were frequently abused among patients whose medications had been prescribed by pharmacies. Also, there were a considerable number of drugs and duplicate prescriptions. The prices of the drugs were somewhat high.

A study on the process and the historical significance of the conflict between the oriental medicine doctors and the pharmacists in Korea (90년대(年代) 한약분쟁(韓藥分爭)의 과정(過程)과 역사적(歷史的) 함의(含意) -한방의약분업(韓方醫藥分業)과 의료일원화(醫療一元化)에 미치는 영향(影響)을 중심(中心)으로-)

  • Shin, Sang-moon;Yoo, Dong-yeul
    • Journal of Haehwa Medicine
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    • v.10 no.2
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    • pp.41-71
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    • 2002
  • The purpose of this paper is to infer the effects on the separation of pharmacy and clinic in the oriental medicine, the unification of the medical system and the medical and pharmaceutical system, etc. from the conflict between the oriental medicine doctors and the pharmacists in 1990s. The results are as follows. 1. The oriental medicine doctors, the pharmacists and a private organization(Citizen's Coalition for Economic Justice) found the solution in the conflict nongovernmently as the government failure. 2. The conflict brought about directly the separation of pharmacy and clinic in the western medicine but the opposite effect in the oriental medicine. 3. The conflict brought about the continuance of the dual medical system. 4. In the part of the medicine, citizen's organizations stated to play their part in the dispute. This is a positive side in the conflict. 5. The conflict contributed to democratization in the medical market and the medical world.

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