• The Journal of the Korea Contents Association
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• v.17 no.9
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• pp.39-49
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• 2017

This was a qualitative study on medical aid patients to understand the cause and process of statistical difference of health service utilization between medical aid and health insurance patients. The main results were the following; 1) There was few overuse of health service in medical aid patients. The reason of heavy utilization was mainly due to the complicated disease. Some of them were considered to overuse physical therapy and oriental acupuncture. 2) In case of medical aid patients, medical cost was paid by their welfare benefit of government or by the support of family or neighbors. They usually could not adequately use the services of uninsured benefit or large hospitals due to the cost. Some patients just endured the pain. There was still discrimination for medical aid patients in some medical institutions. 3) The health officials and institutions did not provide sufficient information to medical aid patients about the policy of medical cost support. 4) Health policies, such as selective clinic system, medial aid case management, approval of extended care, were considered to contribute in preventing unnecessary use of health service. However, this might limit adequate use of medical aid service. In conclusion, there is little evidence of overuse of health service for medical aid patients, which is different from the previous studies. A new plan is necessary, because medical aid patients thought that the necessary health service was not accessible to them.

• Proceedings of the Korean Information Science Society Conference
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• 2007.10b
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• pp.408-413
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• 2007

최근 인구와 기계문명의 발달로 예전에 비해 좀더 복잡한 응급 사고가 발생하고 있다. 현재 응급 구조 시스템은 타인에 의한 신고나 정적인 웹페이지로 수집된 정보를 통해 당시 상황에 맞춰 응급 체계를 수립하고 있다. 이는 비전문 의료인인 구급대원의 현장 판단과 의료기관으로의 부적절한 판단으로 인해 응급 환자의 적절한 치료의 가능성을 낮추는 요인이 될 수 있다. 따라서 선행연구로써 기존의 응급 의료 시스템에 멀티 에이전트 개념을 도입하여 멀티 에이전트 기반의 응급 의료 시스템(MAEMS)을 모델링하였다. 멀티 에이전트 시스템은 독립적인 성격과 자율적인 성격으로 않은 부분에 응용되어 설계되고 있다. 특히 에이전트의 독립적인 성격은 이질적인 환경에서 동일한 목적의 행위를 수행할 수 있으며, 동적으로 많은 변화가 있는 상황에서 자율적으로 판단하여 행동할 수 있다. 본 논문에서는 MAEMS에 구성되어 있는 각 에이전트를 구현하며, ARENA를 통해 시뮬레이션함으로써 실제 통계자료와 비교하여 멀티 에이전트를 도입한 응급 의료 시스템의 효율성에 대해 연구한다.

• Journal of dental hygiene science
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• v.16 no.5
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• pp.355-360
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• 2016

The purpose of this study was to examine unmet dental care needs and related factors among adults in Korea. The study included a nationally representative sample of Koreans (Korea National Health and Nutrition Examination Survey 2104). The dependent variable was unmet dental care need and the independent variables were socioeconomic status and oral health status. The chi-square test and logistic regression analysis were performed to identify the associations between explanatory variables and unmet dental care needs. The major causes of unmet dental care needs included economic burden, work life, and academic reasons; in addition, dental treatment was considered to have lower priority. The factors that had statistically significant relationships with unmet dental care needs were sex, age, self-rated oral health status, and difficulty in mastication. The findings of the study, suggest a need for lower dental insurance copayments in keeping with the policies and principles aimed at strengthening the national health insurance system. In addition, groups with limited access to dental services should be identified, and effective health care policies and services should be established for these individuals.

• The Journal of the Korea Contents Association
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• v.22 no.2
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• pp.782-793
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• 2022

The rise in chronic disease not only has a negative effect on people's lives, but it also increases the cost of medical care owing to the increased usage of medical care as health and medical technology improves, life expectancy rises, and rapid population ageing. In such context, this study examined the difference in the disease cost of hypertension according to demographic information and the effect of the initial diagnosis age and treatment period on the cost. This study used the Korean Health Panel Survey from 2010 to 2017, and selected subjects based on health insurance beneficiaries between the ages of 30 and under 80. With the selected data, the direct and indirect costs of disease loss were calculated according to the cost of illness approach, and we constructed a disease-loss ratio cohort considering the age of diagnosis and time of treatment for hypertension. From the results of the study, the annual cost of disease loss for hypertensive patients differed by gender by 110,107 won, and it was found that the cost increased by 1.8 times as the treatment time increased. In addition, when comparing disease loss ratios between the same age groups, it was found that the disease loss ratios between those in their 60s and 70s were affected by treatment time. This study confirmed that hypertension significantly affects the cost of the disease, and not only requires early diagnosis and management, but also preventive efforts to lower the incidence of hypertensive disease must be strengthened.

• The Korean Journal of Applied Statistics
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• v.26 no.5
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• pp.725-736
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• 2013

Retirement income is an important personal and social issue. Problems associated with financial risk wil1 become more pronounced with the growth in the elderly population. Medical expenses in senescence is closely related to financial risk; in addition, some diseases that require long term care will increase financial risk which result in lower quality of life for the elderly. Therefore, it is necessary to understand expected long-term care costs and to manage financial risk from the perspective of an individual. This study evaluate the length of period in which a person is expected to need long term care and actuarial present values of the total cost which needs to be prepared for the care through the Korean public long term care system based on the experience data obtained from Long Term Care Insurance for the Elderly in Korea and a multi-state model.

• Clinical and Experimental Pediatrics
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• v.48 no.8
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• pp.813-819
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• 2005

Purpose : Medicolegal problems start when the patient asserts the mistake of doctor and doctor does not accept it. The purpose of this study is to assess the actual condition of medicolegal problems and to provide solutions of medicolegal problems in the pediatric field. Methods : There is not official statistical data about medicolegal problems in our country. We gathered data of legal insurance program of Korean Medical Association(KMA) and court cases and other fragmentary data. Results : Between 1981 and 1995, of total 2,338 cases reported to legal problem insurance program of KMA, most common ones were 748 cases of obstetrics and gynecology. Pediatric case was ranked at the 5th, 74 cases(3.1%). According to analysis of 41 medicolegal cases' after 1990, maltreatment of patient had the highest incidence of 14 cases, injection and medication were related to 12 cases, misdiagnosis was 9 cases, patient management were related to 4 cases, and others were 2 cases. The trial result of the medicolegal cases was that 31 cases were compensated, and 8 cases were defeated, and 2 cases were still in the process. Conclusion : The aspect of medical legal problem has the tendency of radicalism and systematization. This brings an economic destitution in the patient and gives damage to a doctor. In order to reduce medicolegal problem, doctor should offer a duty of explanation and efforts to his best to satisfy patient and endeavor to make an intimate doctor-patient relationship.

• The Journal of the Korea Contents Association
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• v.10 no.8
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• pp.266-273
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• 2010

In terms of worldwide rapid change in medical world, the purpose of this study is to investigate perception and attitude of students in dental hygienics concerning the opening of domestic medical market to overseas, so that it can prepare a chance to correctly identify positive and negative aspects of such change in medical market. For questions about effects of opening domestic medical market to overseas as well as pros and contras about it, it was found that there were significant differences in 'improved level of medical technology', 'reduced national medical expenses', 'extended supply of medical facilities' and 'facilitated medicine and medical equipment industry.'(p<0.00). For a question about perception of potential crisis from opening of domestic medical market to overseas, it was found that 55.6% of pro group had no mind of such crisis, whereas 52.3% of contra group had such a mind of crisis. Both cases showed significant differences on a statistical basis (p<0.003). It is recommended that follow-up studies should make a comparative analysis involving students in public health as well as dental hygienics so as to explore even possible ways to take measures for opening of domestic medical market to overseas.

• Proceedings of the Korea Contents Association Conference
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• 2015.05a
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• pp.155-156
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• 2015

본 연구는 의료기관에서 근무하는 방사선사를 고용형태를 중심으로 구분하여, 정규직과 비정규직 간의 인식차이, 이직의도, 직무스트레스, 심리적 상태의 관계를 알아보고자 실시하였다. 연구 대상은 수도권역과 지방권역으로 9개 의료기관에서 종사하는 방사선사 308명으로 하였다. 2012년 7월 18일에서 9월 15일까지 수집된 설문지를 통계적으로 분석하여 다음과 같은 연구 결과를 얻었다. 정규직과 비정규직 방사선사의 인식차이에서 정규직은 성별, 월 급여, 지역권에서 유의한 차이가 있었다. 이직의도는 정규직에서 학력, 월 급여, 지역권에서 그리고 비정규직은 성별에서만 유의한 차이가 있었다. 직무스트레스는 정규직에서 학력, 월 급여, 지역권에서와 비정규직은 성별, 나이, 결혼, 총 직장 근무연수에서 유의한 차이가 있었다. 심리적 상태에서 정규직은 성별에서와 비정규직은 성별, 결혼에서 유의한 차이가 있었다. 정규직, 비정규직 간의 직무적 요인에 대한 상관관계에서 인식차이는 이직의도와 심리적 상태에서, 이직의도는 인식차이와 직무스트레스 및 심리적 상태에서, 직무스트레스는 이직의도와 심리적 상태에서, 심리적 상태는 인식차이, 이직의도 및 직무스트레스에서 유의하였다. 고용형태에 따른 요인별 직무스트레스에서는 직무요구 요인, 직무자율성 요인, 관계갈등 요인, 직무불안정 요인에서 유의한 차이가 있었다.

• 한국사회정책
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• v.25 no.1
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• pp.99-123
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• 2018

Purpose: This study empirically investigates the utilization and expenditure of health care and long-term care at the last year of life for long-term care beneficiaries in Korea. Methods: This study used National Health Insurance and Long-term Care Insurance claims data of 271,474 LTCI beneficiaries, who died from July 2008 to December 2012. Their cause of death, place of death, health care costs, and the provision of aggressive care were analyzed. Results: Cardio-vascular disease(29.8%) and cancer(15.3%) were reported as their major cause of death, and hospital(64.4%), home(22.0%), social care facility(9.2%) were analyzed as the place of death. 99.3% of subjects used both health care and long-term care during the last 1 year of life. The average survival period were 516.2 days after they were LTCI beneficiaries. The health care expenditure gradually increased near the death, and the last month were three times more rather than the first month. Furthermore, 31.8% experienced some aggressive cares(CPR, blood transfusion, hemo-dialysis, etc.) at the last month of life. Conclusion: The results of this study suggest that it is important to develop the end of life care policies(for example, hospice, advanced care directives) for the LTCI beneficiaries. They might contribute to the improvement of quality of life and the reduction of health care expenditure of the elderly at the end-of-life.

• The Journal of the Korea Contents Association
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• v.15 no.3
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• pp.303-317
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• 2015

Although the public health centers have been initiating health education recently, it is not extending as expected and the participation of the program is low. The reason is that the office workers have few opportunities to receive health education since there are few public health centers in relation to the population. Much time is required for travel and attendance of the classes. In order to solve this problem, the aim is to increase participation in health education, improve the overall public health awareness, expand the number of health education locations to reduce medical expenses, vitalize the lifelong educational health programs, and improve the national health insurance. In order to research about the health education expansion plan for public health improvement, a study focused on men and women above age 20 who need health education. The research sample was selected through random sampling that targeted people who participated in the health programs or the health education. The period of this survey was from September 1st to September 30th, 2014. A total of 509 participants completed the survey data for the actual analysis to propose the health education expansion plan for the public health improvement.