• Title/Summary/Keyword: Amount of medical examination

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The Rearch Of Method in the Appropriate number of Demand and Supply of OMD (한의사인력(韓醫師人力) 공급(供給)의 적정화방안(適定化方案) 연구(硏究))

  • Lee, Jong-Soo
    • The Journal of Korean Medicine
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    • v.19 no.1
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    • pp.299-326
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    • 1998
  • 1. Comparison of demand and supply A. Assumption of estimation of demand and supply we will briefly assumptions used for presumption once more before comparing the result of estimation of demand and supply examined previously 1) supply - The average applying rate for state. examination of graduate: ${\alpha}$=1.03109 - The ratio of successful applicants of state examinations: ${\beta}$=0.97091 - Mortality classified by age : presumed data of the Bureau of statistics - Emigrating rate: 0 % - Time of retire: unconsidered - An army doctor number: unconsidered and regard number of employed oriental medicine doctor. - Standard of 1995 : The number of survival oriental medicine doctor is 8195. the number of employed oriental medicine doctor is 7419. 2) demand - derivated demand method Daily the average amount of medical treatment: according to medical insurance federation data. there is 16 or 6 non allowance patient, we consider amount of medical treatment as 22 persons in practical because 21.94 persons (founded practical examination) are converted to allowance in comming demand. Daily the proper amount of medical treatment: 7 hours form -35 persons 5 hours 30 minutes form -28 persons. Yearly medical treatment days: 229 days. 255 days. 269 days . Increasing rate of visiting hospital days: -1996 year. 1997 year. 1998 year- . Rate of applying insurance: yearly average 71.51% (among the investigated patient) B. Comparison of total sum result 1) supply (provision) Table Ⅳ-1 below shows the estimation of the oriental medicine doctor in the future.

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  • A Research of the Correlation between Menstrual Conditions and Health Checkup Examines in Female University Students (여대생의 건강검진자료와 월경양상과의 상관성에 관한 연구)

    • Kim, Yoon-Sang;Oh, Hyun-Sook
      • The Journal of Korean Obstetrics and Gynecology
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      • v.25 no.1
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      • pp.56-69
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      • 2012
    • Objectives: This study was conducted to investigate the relationship between menstrual conditions and items of health checkup examinations in female university students for prediction of reproductive health. Methods: Data from the 2011's medical examination participants(990 students among total 1,699 students) of ${\bigcirc}{\bigcirc}$ University University in Korea were analyzed for this study. Menstrual condition, Sa-sang constitution and other surveys were checked through self-administered questionnaire, health checkup were measured anthropometric variables, CBC, B/C and U/A. Results: In the 46.4% of total participants appeared menstrual disorder of menstrual cycle or menstrual amount, the irregular period of menstrual cycle have a influence on menstrual amount. stress was relatively heavy factor of causing irregularity of menstrual cycle and amount, RBC, cholesterol, ABO type and Sa-sang constitution had some connection with menstrual amount. Conclusions: Among the items of health checkup examinations, stress, RBC, cholesterol, ABO type and Sa-sang constitution were related with the change of menstrual cycle and amount.

    The Development of Educational program on NCS-Based Medical expense management and Examination claim (의료정보시스템을 활용한 NCS 기반 진료비 관리 및 심사청구 교육프로그램 개발)

    • Choi, Joon-Young
      • The Journal of the Korea institute of electronic communication sciences
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      • v.11 no.10
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      • pp.1009-1016
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      • 2016
    • In this study, an educational program was developed. The program can perform the claim for examination of medical expense, which is one of NCS Competence Unit Elements for hospital administration. Considering various coding to complex compute and process, VB.Net was employed for this development. For database, ACCESS Database was used because it is easy to learn and use. The learning effects by the developed program are expected to be as follows. First, the composition of medical expense can be understood by analyzing Medical history and then selecting insurance code according to the Standard of Medical Care Code. Second, unit cost per score can be learned according to hospital class. Third, selection of Column (medical materials) and Column II(medical practice) can classify items of additional ratio. Fourth, because patient's payment rate on hospitalization and meal expense and use of special equipment are differently applied, user can know patient's payment rate by type and can calculate it. Fifth, additional amount is the amount calculated by additional ratio of Column II(medical practice), and user can learn additional ratio according by insurance type and hospital class. Sixth, user can learn self-pay rate by hospital class and understand the process that self-pay amount and claim amount are calculated according by self-pay rate.

    Necessity of Mandatory Records on Radiological Examination (방사선검사에 관한 기록 의무화의 필요성)

    • Hong, Dong-Hee;Lim, Cheong-Hwan;Kim, Yon-Min;Kim, Eun-Hye;Yoo, Se-Jong;Yoon, Yong-Su;Lim, Woo-Taek;Jung, Young-Jin;Jung, Hong-Ryang;Joo, Young-Cheol;Choi, Ji-Won;Kang, Byung-Sam;Park, Myeong-Hwan;Back, Geum-Mun;Yang, Oh-Nam;Rhim, Jae-Dong;Jeong, Bong-Jae
      • Journal of radiological science and technology
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      • v.44 no.4
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      • pp.399-407
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      • 2021
    • This study discussed the validity and necessity of compulsory recording of radiographic examination performed by radiological technologist on patients in medical institutions related to radiation exposure. Also, this study provided reasonable evidence of radiographic examination related medical records can contribute to the improvement of public health. Based on overseas cases of implementing a radiographic examination record system, the essential items to be included in medical record are the exposure date, exposure time, exposure method, exposure conditions that is tube voltage, tube current. Name and license number of the radiological technologist who performed the examination should be include in medical record. It is expected that the medical record of the total amount of radiation exposure per year would be in giving the maximum benefit with the minimum exposure to the medical radiation examination of the patient. In addition, interventional radiography medical record should also include exposure time, type and dose of the contrast medium.

    The Influences of Health Insurance on the Contents of Medical Services for Selected Hospitalized Patients (의료보험 실시가 입원환자의 진료내용에 미치는 영향 -한 병원의 정상분만산모와 충수절제술환자를 통한 사례연구-)

    • 박태진;문옥륜
      • Health Policy and Management
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      • v.3 no.2
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      • pp.130-158
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      • 1993
    • This study was written to discover the changes that may exist in the contents of medical services after introduction of health insurance system, and to identify the net-effect of health insurance system on medical services. Uncomplicated nornmal delivery and appendectomy patients were divided into 4 groups, the non-insured in pre-NHI periods(group A), the insured of health insurance for employees in pre-NHI periods(group B), the insured of regional health insurance for city residents in post-NHI periods(group C) and the insured of health insurance for employees in post-NHI periods(group D). The mehtod of matching was applied to control for major demographic differences among these 4 groups of each disease. In pre-NHI period, the medical services and the variation of medical services of the non-insured were compared with those of the insured. The difference between the change of medical services from group A to those of group C, and the change of medical services from group B to those group D is defined as the net-effect of health insurance. The results are as follows. First, in length of stay after delivery or operation, total length of stay, some laboratory examination, amount of several drugs used in appendectomy patients, frequency of sitz bath in delivery patients, there was net-effect of health insurance in increasing direction. Second, length of stay after delivery or operation, total length of stay, some laboratory examination, amount of several drugs used in appendectomy patients and frequency of sitz bath in delivery patients were significantly more in the insured than in the non-insured group in pre-NHI period. Third, the variation of medical services of post-NHI period was not less then those of pre-NHI period. Fourth, antenatal care on which the third party does not pay and the patient pays for all, was diffrerent by socioeconomic and educational level of patients.

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    Relationship Between Type of Medical Institutions According to the Equipment List and Inspection Fee Computed Tomography (의료기관 종별에 따른 전산화단층촬영장비 보유현황과 검사료간의 관계)

    • Kim, Min-Cheol;Lim, Cheong-Hwan;Joo, Yeong-Cheol
      • Journal of radiological science and technology
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      • v.37 no.4
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      • pp.315-322
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      • 2014
    • This study demonstrates holding condition of CT by medical institution classification and by season, and examination fee in Korea currently to quantitatively understand frequency of examination region by change of CT equipment, domestic growing trend and change of distribution and using rate. Recent 10 years of CT holding condition by medical institution classification (Tertiary hospital, General hospital, Hospital, Clinic, Dental hospital, Dental clinic, Hospitalized health center) and by year (2003-2012), and CT examination fee of distribution of medical institution by year is surveyed. The holding ratio of Tertiary hospital level and General hospital level is 32.7% in 2003 and 33.0% in 2012. Whereas, Hospital and Clinic level is 74.2% in 2003 and 66.8% in 2012, which takes approximately 70%. Based on data in 2012, it is 82.2% of total examination fee in Tertiary hospital and General hospital, while 17.5% in hospital and clinic. CT holding rate of Hospital level is increasing, while Clinic level is decreasing. Approximately 80% of CT examination fee is claimed by Tertiary hospital and General hospital. Therefore, there is a significant correlation between CT holding condition of medical institution classification and examination fee. Particularly, correlation between CT holding number of Tertiary hospital and examination fee is significant (p<.001). The more CT holding number, the higher the amount claimed examination fee.

    A Comparative Analysis of Images by Changing Density and Administrative Dosage of $BaSO_4$ in the Small Bowel Series Using Methylcellulouse (Methylcellouse를 이용한 소장조영 검사시 황산바륨의 농도(%W/V)와 투여량의 변화에 따른 영상의 비교 분석)

    • Lee, Y.S.;Yoo, H.S.;Son, S.Y.;Kang, H.W.;Hong, J.B.
      • Journal of radiological science and technology
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      • v.20 no.2
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      • pp.68-72
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      • 1997
    • Small bowel series using methylcellulose are considered a better technique than using other contrast media considering a significant decrease of transit time of $BaSO_4$ and that of the necessary time for the examination. We investigated the mean transit time of $BaSO_4$, maximum luminal diamenter of small bowel, optical density and flocculation frequency after adminstratting 100 ml of 120% $BaSO_4$ to 20 pts), 150 ml of 70% $BaSO_4$ to 20 pts and 200 ml of $BaSO_4$ with 600 ml of mechylcellulose. It was shown that the technique using 150 ml of 70% $BaSO_4$ had the best result. When we apply a adequate amount of density(w/v%), dosage to pts for small bowel series using MC, we can decrease an examination time and have the better image due to double contrast. It is considered that a more study to lower the density of 70% $BaSO_4$ is necessary.

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    A Literatural Studies on the Cause, Symptom and Treatment of the Bun-Hwa-Chang(번화창) (飜花瘡의 原因, 症狀 및 治方에 對한 文獻的 考察)

    • Park, Hae-Jun;Go, Yoo-Sin
      • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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      • v.10 no.1
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      • pp.122-138
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      • 1997
    • Bun-Hwa-Chang is a kind of sore and occurs skin. It is reported that Bun-Hwa-Chang is similar to skin carcinoma. The So-Moon(素問) explains that "sores, pains and ichings are occurred to the heart fire(諸瘡痛痒 皆屬층心火)" is the factor of it It will be helpful for examination closely to the cause of the suppurative infection to amount for Bun-Hwy-Chang and to approach modern medical skin carcinoma. It also gained some views about the examination and access of skin carcinoma which is one of skin diseases that occurs because of modern environmental pollution through chinese medical literature contemplation, as a resort, it is reported as stated above.

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    Compression of Medical Examination Data Based on Modified Gamma-Coding (수정된 감마 코딩 기반 의료 검진 데이터 압축)

    • Ku, Dong Youn;Park, Jae Wook;Lee, Yong Kyu
      • Journal of the Korea Society of Computer and Information
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      • v.19 no.2
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      • pp.133-142
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      • 2014
    • According to the development of medical information systems, shortened examination time per patient could increase the number of treatments, resulting in the rapid growth of the amount of medical data. Studies on how to efficiently compress and store medical text data of increasing patients are in progress. However, previous methods have the shortcoming of compressing medical text data as it is, resulting in low compression rate. This research tries to overcome the problem by using the gamma coding method which enables compression in bit unit. We propose a new compression scheme which encodes the deviations between measured values and normal range values. Furthermore, we suggest to use the previous value with the least deviation from the measurement as the standard value to encode that deviation. Even though the suggested methods are simple, they have high compression rates. Through performance evaluation, we show that the suggested methods are more efficient than the previous methods.

    The analysis of Factors associated with the Health Examination expenditure in a General Hospital based on the cased (일개 종합병원 종합(민간)검진 비용 영향요인 분석)

    • Lim, Ji Hyun;Suh, Won Sik
      • Korea Journal of Hospital Management
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      • v.25 no.4
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      • pp.76-93
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      • 2020
    • Purpose: In this study, the general characteristics of subjects who spent more than a certain amount of cost for general medical examination at the general hospital health promotion center, and the characteristics of disease, family history, and lifestyle (smoking, alcohol, physical activity, oral care) significantly differed in cost expenditure. We intend to provide basic data for establishing an appropriate marketing strategy for comprehensive examination. Method: It was conducted for users who received comprehensive checkups at a health promotion center at a general hospital in Seoul. The research data collection period is for 979 people who performed comprehensive examinations from January 2019 to December 2020. In order to carry out a comprehensive examination, a questionnaire before the examination was distributed to the subjects who visited the hospital to prepare, and the investigation was conducted in a way that the subjects of the investigation directly filled in. Results: There was a significant influence on the difference in expenditure for comprehensive examination according to the gender, age, and type of health insurance of the subject. In addition, there were significant differences in expenditure according to the presence or absence of disease and the type of family history. Weight loss, smoking history, smoking period, smoking frequency, drinking history, and drinking frequency all had significant effects on cost expenditure. Also, strength training and oral treatment management showed a significant effect on the cost of comprehensive examination. The number of flossing and interdental brushing was also found to have a significant effect. According to the results of multiple regression analysis, disease history (t=2.683, p<.01) and mean smoking frequency (t=4.315, p<.001) appeared to have the most significant effect on expenditure statistically. In other words, when the subject has a history of disease and when the average number of smoking is large, it means that the comprehensive examination cost is remarkably large. Conclusion: By using these contents, hospitals can further refine the marketing of the examination center. In addition, a more convenient and specialized process should be used by patients by linking the general medical department and the examination center well. In terms of management of operating medical institutions, this can be expected to create patients and increase profits.


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