• Journal of the Korean hospital association
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• v.13 no.12 s.120
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• pp.24-28
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• 1984

초창기의 어려웠던 환경을 극복하면서 이제 점차 내실을 기하며 발전하는 우리나라 의료보험제도는 그간 의료시혜의 광대란 측면에서 복지제도의 굵직한 자취를 남겨놓은데 그 의의를 찾을 수 있겠다. 그러나 보다 많은 수혜자, 견실한 보험재정의 유지, 의료기관의 발전이란 측면에서 모두 진립시켜 나가기에는 계속적인 제도상의 연구가 뒷받침되어야 하리라 본다. 본 고는 우리나라 의료보험 제도중에서 특히 의료비지불제도에 관심을 갖고 선진외국의 의료비제도를 고찰하고 비교하므로써 우리나라 진료비 심사 및 지불제도에 관한 이해를 도모하고자 게재하는바이다

• The Korean Society of Law and Medicine
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• v.21 no.3
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• pp.3-33
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• 2020

Telemedicine can be defined as "medical activities performed remotely by medical personnel using information and communication technology." So far, many scholars in Korea have understood that only telemedicine between medical personnel is allowed and telemedicine between medical personnel and patients is prohibited based on Article 34 of Medical Service Act. However, Article 34 is only a restriction on the performing place of medical profession, not a prohibition on telemedicine itself. And, there are no regulations prohibiting telemedicine under the korean medical law. So, it is difficult to say that telemedicine is generally prohibited under the korean medical law, apart from the health insurance medical treatment benefit standards. However, there is controversy in interpretation regarding the meaning of "direct diagnosis" in Articles 17 and 17-2 of Medical Service Act. The Constitutional Court of Korea interpreted this as "face-to-face diagnosis", while the Supreme Court of Korea interpreted it as "self diagnosis". In light of the dictionary meaning of 'direct' and the interpretation of related medical law regulations, I think the Supreme Court's interpretation is valid. Although "direct diagnosis" does not mean "face-to-face diagnosis", the concept of "diagnosis" implies "principle of face-to-face diagnosis". In addition, "non-face-to-face diagnosis" are only allowed to supplement "face-to-face diagnosis", so the problems caused by "non-face-to-face diagnosis" can be fully overcome. In the end, the limit of telemedicine is how faithful the diagnosis was.

• Journal of Service Research and Studies
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• v.4 no.2
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• pp.1-10
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• 2014

According to recent trends in technological advances and globalization, medical device industry may improve the constitution to meet worldwide medical equipment management system. Also it is holding a strand of mitigation to reach the level of international regulation. In addition, recent legislation tends are to stay limited ranges of industry regulations at least and take as open attitude for integration of new technologies combined medical devices. A greater environmental risk is not likely to work in medical technology, Combinded medical device is used as close to zero risk in most of the human body, which is classified as Class 1. Even medical device such as little or no risk in handling, it is possible to minimize the unnecessary administrative power and a waste of time to occur. For the medical device may be improving people's choices and access, medical equipment operator is expanding to include dealers, because this will be exalted to particular area of the business of the company. In this paper, we investigate the legal prerequisites for the establishment of a medical device. And propose improved regulations in topics in order to facilitate the repair and distribution markets for fair trade.

• The Korean Society of Law and Medicine
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• v.24 no.1
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• pp.101-130
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• 2023

Korea has very easy access to tertiary hospitals, including university hospitals, among OECD countries, and patients can reach the emergency room of a university hospital within 1-2 hours. However, there are many so-called 'essential medical' blind spots where people die because they do not receive surgery in time. In particular, in the case of essential medical care in the surgical field, despite basic surgery, there is a shortage of medical staff to perform outpatient surgery in emergency situations at university hospitals. Although this lack of manpower has a problem with low insurance premiums for surgery, it also has a very large impact on the burden of criminal liability for medical malpractice, which increases the incidence in case of emergencies. Here, we propose crime immunity to solve the manpower shortage of converged smart surgical essential medical (SES) hospitals. Currently, the medical community agrees on the need for crime immunity, but it is an ambiguous scope of immunity that has not reached a national consensus. We would like to present clear standards for essential medical practices (surgery) that require criminal immunity.

• Proceedings of the Korea Society for Industrial Systems Conference
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• 2006.05a
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• pp.335-342
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• 2006

국내 병원들은 의료서비스 시장 개방을 눈앞에 두고 있다. 의료서비스의 시장 개방은 의료 공공성을 유지하면서 의료서비스의 질 향상을 기대할 수 있는 반면, 의료비의 상승과 의료의 양극화 우려를 동시에 내포하고 있다. 의료산업에서 가장 중요한 것은 물론 의료서비스의 품질이다. 그러나 이제 글로벌 경쟁에 대비해야 하는 국내 상황에서 다양한 경영전략이 필요한 때이다. 여기서는 급변하는 병원산업에서 향후 허용될 것으로 예상되는 의료기관의 다양한 광고전략 중에서 정보기술을 기반으로 하는 브랜드 커뮤니티에 관련하여 병원이 대비해야 할 활용전략을 제시한다. 여타 산업에서의 브랜드 커뮤니티 성공요인과 사례를 바탕으로 병원종사자 뿐만 아니라 의료서비스 이용자들을 위한 의료산업에서의 온라인 커뮤니티 구축에 초점을 두었으며, 본 연구에서 제시하는 병원의 브랜드 커뮤니티를 활성화하는 6가지 요소는 운영자의 역량, 프리미엄 가치의 제공, 독특한 컨셉, 보안과 확장성이 보장된 장, 오프라인 모임, 그리고 다양한 홍보루트이다.

• Korean Journal of Social Welfare
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• v.37
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• pp.307-326
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• 1999

The primary purpose of this study is to analyze changes, if any, in the financial status and the intensity of health care service utilization of the regional health insurance societies following the 1995 merger of some rural and urban regional health insurance societies. Ultimately, this study is aiming at providing an empirical basis for predicting the impact of the 1998 merger of the Regional Health Insurance Program and the Health Insurance Program for Government Employees and Teachers and, further, predicting the impact of the merger of the entire health insurance programs scheduled for the year 2000. The study results did not suggest that the 1995 merger had brought about notable changes in the rate of increase in the total expenditures or the insurance payment of the merged regional insurance societies in comparison to non-merged ones. Neither did it show that the merger had resulted in significant changes in the intensity of the use of health services. The study, however, found that the 1995 merger had reduced the rate of increase in the management and operational cost of the merged insurance societies. Based on these findings, some policy implications are discussed, and suggestions are made for the total merger plan scheduled for the year 2000.

• Proceedings of the KAIS Fall Conference
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• 2010.11b
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• pp.507-508
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• 2010

의료기관의 의무기록현황을 조사한 결과를 분석하여 의무기록서식 사용실태와 주로 사용되는 서식을 파악하였으며, 100병상미만 의료기관 대상 퇴원환자조사를 원활하게 할 수 있는 의무기록작성지침과 관련 서식을 개발함으로써 퇴원환자조사를 원활하게 할 수 있는 방안을 제시하였다.

• The Korean Society of Law and Medicine
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• v.17 no.1
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• pp.107-135
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• 2016

Medical tour can be said to be a new high added-value tour industry of 21st century. The development of varied and distinguished medical tour products by each country will further vitalize the medical tour industry. As the interest in such medical tour increases, it is necessary to analyze the demand and interests of tourists accurately and prepare medical tour products to be provided in order to develop and promote medical tour products. The government considers the medical tour industry as an industry with high expected effects in job creation through promotion of experts in global healthcare industry and national economy development through high added-value creation, and has expanded aid policies in medical tour field with improvement of medical tour immigration system, one-stop service system for medical tourists, and medical tour labor force promotion system. Nevertheless, there are disputes between foreign patients and medical tour inviting businesses, along with medical accident disputes between foreign patients and medical staff and disputes with those working in the tourism industry. This article reviews the types of disputes occurring around the inviting businesses related to medical tours and tried to review the resolutions. Through this, it was found that medical tour inviting businesses have the responsibility to connect the mediated benefits and risks and also the responsibility to process the tasks. Thus, in case dispute occurs due to passive actions from establishing agency agreement to active mediation results, it is difficult to escape the liabilities. Also, in a medical tour agency contract, the inviting business must be aware that it bears the responsibility to explain and advise the details on benefits and risks to foreign patients. The "Guide to arbitration system for resolution of medical disputes with foreign patients" by Korea Health Industry Development Institute Act presents a method to resolve disputes according to the [laws on medical accident damage relief and medical dispute arbitration] in case a dispute due to medical accidents occurs to foreign patients when the foreign patients prepare diagnosis agreement, Whether such method is sufficient to protect foreign patients, however, is thought to require discussions from more diverse perspectives. In order to vitalize medical tourism, the development of diverse products is also important, but the countermeasures against related disputes should also be prepared. Such is expected to contribute to a greater advancement based on trust of foreign medical tourists alongside excellent medical technologies.

• The Korean Journal of Applied Statistics
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• v.23 no.1
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• pp.1-11
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• 2010

This study aims to improve the more confident and efficient projection method that is to estimate the Number of Household per Family scales(NHF) in projecting the Household Heath care Expenditure(HHE). For this purpose, this paper suggested three results of the research. First, because projecting the NHF does not reflect the recent socio-demographic trends in the process of projecting the National Health Expenditure(NHE),the prior projection results have serious problem in the confidence and political availability. Second, the projection results about the HHE might be underestimated relative to the real one. Third, in order to estimate the more confident and efficient estimates of the HHE, the estimated NHF reflecting the socio-demographic trend must be used to project the one. There is an alternative method that the NHF and the increasing or decreasing rate of them which are regularly surveyed and suggested by the KOSIS should be used to project the process.

• Journal of Service Research and Studies
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• v.9 no.4
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• pp.63-80
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• 2019

This study presents strategic implications for enhancing the competitiveness of the comprehensive health examination center through the study of its impact on the switching barrier with medical service value and medical service satisfaction as parameters. In order to achieve the purpose of this study, a total of 324 questionnaires were analyzed for customers who received health examinations at the general examination center. Covariance structure analysis was performed to test hypotheses and causal relationships. The results showed that the physical environment had a significant effect on the medical service value and medical service satisfaction. The value of medical service also had a significant effect on medical service satisfaction. The value of medical service was found to affect the transition barrier, but the satisfaction of medical service did not affect the transition barrier. The implications of this study are that physical environment has a significant effect on medical service value and medical service satisfaction. Therefore, modern medical equipment should be equipped with the latest medical equipment to minimize accurate examination and misdiagnosis through modernization of medical examination center. In addition, since the value of medical service has a significant effect on the switching barrier, it is necessary to establish a plan to enhance the value of medical service. We need to promote sustainable customer retention and creation of new customers through differentiated screening items and cost advantages over competitors. In addition to check-up services, efforts should be made to enhance the value of services such as strengthening medical communication and medical complex cultural spaces, and at the same time, establish an organizational culture of customer-first examination centers through the placement of excellent personnel and continuous education.