• 한국직업건강간호학회지
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• 제7권2호
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• pp.164-176
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• 1998

This study deals with the current medical utilization for migrant workers and the characteristics of them. The purpose of this study is to provide the basic information to establish proper medical policy. For the study self-made questionnaire was used, which was answered by 453 migrant workers working in the area of manufacturing and non-technical work in 10 cities like Seoul, Inchon, Namyangju, Sungnam, Kwangju, Pyungchon, Kunpo, Kimpo, Masuk in Kyungki-do and Chunan in Chungchungnam-do. Besides, 303 medical records of those who had visited free medical check-up center were analyzed. The period of accumulating data is 6 months, from November 1st, 1996 to April 30th, 1997. The characteristics of migrant workers and current medical utilization are analyzed by percentage and the relation between characteristics and current medical utilization were analyzed using ${\chi}^2$-test, t-test, ANOVA. The finding of this study was as follows : 1) The number of nationality was 16. The first majority was Philippians as 32.0%. Among 16 nationalities Southeastern and Northern Asians were 48.9%, Southwestern Asian was 46.5%, the rest was 7.3%. Men were 81.0%, those who are aged from 26 to 30 were 39.0%, Graduatee from high school 92.7%, Christians 56.3%, unmarried 55.4% and salary from 600,000 Won to 800,000 Won 53.8% averaging monthly payment 669,810 Won. As for their residence, those who resided over 3 years were 31.9% and the illegal residence reached 77.4%. As for Korean language, those who speak in middle level were 5.6%. 2) As for kind of work and circumstances, manufacturing was 81.1%, 4 off-days per month 72.2% and 9-10 working hours per day 42.1%. As for accommodation, residence in fabric was 62.6% and one or two members as roommate 40.2%. 3) The characteristics of health behavior showed that 89.4% of migrant workers had 3 meals, 70.9% of them did not drink alcohol, 73.5% of them did not smoke. 4) As a characteristic of health status, 71.8% of them perceived of their health. 76.1% thought that they had no illness before coming Korea. Among them who recognized their illness, those who had problem in circulatory system was 35.3%, respiratory system ENT 19.1% and nervous system 19.1%.66.2% of those having illness had already had sickness when coming to Korea. 5) During last one month, 79.2% of them were known as ones having no illness. Among the sick, those who had problem in circulatory system was 31.6%, nervous system 23.7% and respiratory system 21.1%. 60.3% of the sick were not cured at that time. 6) Sorting the symptom of those who visited free medical check up, dental care was 24.2%, orthopedic 14.0% and digestive system 13.8%. Teethache was 34.4%, stomach problem 11.6%, upper respiratory inflammation 10.2% and back pain 5.9%. Averagely they visited free medical check up 1-2 times. According to symptom, epilepsy 25.5 times, heart and vascular disease 9 times, constipation 2.8%, neurosis 2.38 times and stomach problem 2.34 times. 7) The most frequently visited medical service by migrant workers was hospital. The most mentioned reason was good healing as 36.3%. The medical service satisfied migrant workers mostly was hospital as 64.3%. The reason of satisfaction was also good healing as 45.9%. 8) 77.2% of respondents did not spend money for medical check. Average monthly medical cost was 25,100 Won, 3.7% of income. Those who had no medical security was 73.4%. In their case, 67.7% got discount from hospital or support from working place and religious organization. 9) As for the difference of medical utilization according for the characteristics of migrant workers, legal workers and no-Korean speaker used hospital more frequently. 10) Those who were satisfied most of all with the service of hospital were female workers, hinduists and buddhists, legal workers or manufacture workers. 11) Christians, those who have 3 meals or recognize themselves as healthy ones mostly had no illness. As a result, the most of migrant workers in Korea are from Asia. They are good educated but are working in manufacturing and illegal. Their average income is under 700,000 Won which in not enough for medical cost. They have no medical security and medical fee is supported by religious organization or discounted. Considering these facts the medical policy by government is to be established.

• 보건의료산업학회지
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• 제11권1호
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• pp.27-42
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• 2017

Objectives : This study analyzes the characteristics of hospital organization structures, insurance claims reviews and assessment tasks and their effects on hospitals in Pusan. Methods : The data for this study were collected through interview and self-administered surveys in 109 hospitals. The study included only - hospitals with a minimum of 50beds and excluded those providing only dental, psychiatric, or long-term care. Results : The findings of this study state that the number of beds has an influence on the organizitional structure. Conclusions : Hospital managements should seek human resources management(the insurance claims reviewer and evaluator) schemes that take into account the characteristics of the medical institution. In addition, insurance claims review and assessment tasks in hospitals require considerable knowledge and experience, and hospitals should be equipped with staff that have the relevant expertise. Therefore, to further deepen knowledge, comprehensive training should be continuously carried out in order to produce specialists in claims review and assessment.

• 한국임상보건과학회지
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• 제2권1호
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• pp.59-71
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• 2014

Purpose. Medical tourism is recently becoming a new industry with great growth potential. The South Korean government is shifting medical tourism from simple cultural tourism to a high value-added industry with a new paradigm. Methods. The government has been providing positive support and marketing policies since the introduction of the article concerning foreign patient attraction to the medical law in 2009, and various types of medical institutions around the country has participated actively in medical tourism by themselves or in cooperation of government bodies and made increasingly greater performance. Results. This study obtained the following results. The medical institutions in Korea have been making efforts to see more development and profitability in diverse ways, including medical tourism for foreign patients and the advance of the Korean medical institutions into foreign markets. However, many local governing bodies and medical institutions participating in medical tourism around the country have primarily focused on examination and treatment on the basis of foreign patients' visit to South Korea and rarely built a medical network with other countries directly for medical tourism. This study presents a case of building a local medical network and a network for international medical tourism successfully on the basis of the local medical association, CMP, which has been formed naturally in Busan. The success factors for CMP included 1) enthusiasm of the official in charge; 2) the medical level, the service level, and open-mindedness of participant medical institutions; 3) cost efficiency due to executive office management with no costs, no conflicts, and constant partnership; 4) security of non-competitive expertise for participants; 5) local factors of CMP; 6) participation of good agencies; 7) reinforcement of participation networks; and 8) post facto management and local doctor management. Conclusions. Its positive effects included patient introduction and greater profitability on an internal basis as well as construction of the collaboration system with the institutions related to medical tourism and confidence. However, there are some limitations: it is still difficult to predict performance due to the short period of their activities, and it is necessary to continue to observe their constant activities since a single medical association was involved.

• 대한예방한의학회지
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• 제10권2호
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• pp.147-158
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• 2006

The purpose of this paper is to review the empirical study results of conversion factors(unit prices) for relative values of health care services in the national health insurance system and establish optimal classification of health care institutions for feasible contract of conversion factors between National Health Insurance Corporation(NHIC) and provider groups, based on legal backgrounds and types of health care service delivery system. some empirical research evidences shows the validity of applying multiple conversion factors to annual contract for reimbursement in the national health insurance. Policy recommendations suggest that clinic, hospital, general hospital, tertiary hospital, dental clinic, oriental medical clinic, pharmacy, and public health centers would be a basic category of provider groups for a meaningful price contract between the NHIC and providers.

• The Journal of Advanced Prosthodontics
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• 제16권1호
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• pp.1-11
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• 2024

PURPOSE. The present experiment aimed to evaluate the placement accuracy of fully guided implant surgery using a mucosa-supported surgical guide when the protocol of osteotomy and installation was modified (MP) compared to when the protocol was sequentially and conventionally carried out (CP). MATERIALS AND METHODS. For 24 mandibular dentiform models, 12 dentists (6 experts and 6 beginners) performed fully guided implant placements two times at the right first and second molar sites using a mucosa-supported surgical guide, once by the CP (CP group) and at the other time by the MP (MP group). The presurgical and postsurgical stereolithographic images were superimposed, and the deviations between the virtually planned and actually placed implant positions and the procedure time were compared statistically (P < .05). RESULTS. The accuracies were similar in the CP and MP groups. In the CP group, the mean platform and apex deviations at the second molar site for the beginners were +0.75 mm and +1.14 mm, respectively, which were significantly larger than those for the experts (P < .05). In the MP group, only the mean vertical deviation at the second molar site for the beginners (+0.53 mm) was significantly larger than that for the experts (P < .05). The procedure time was significantly longer for the MP group (+94.0 sec) than for the CP group (P < .05). CONCLUSION. In fully guided implant surgery using a mucosa-supported guide, the MP may improve the placement accuracy when compared to the CP, especially at sites farther from the most-posterior natural tooth.

• 보건의료산업학회지
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• 제12권2호
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• pp.63-73
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• 2018

Objectives : This study aimed investigate general characteristics, vaccination status and health beliefs related to vaccination for herpes zoster and to identify variables. Methods : The structured questionnaire was conducted from March 31, 2016 to April 20, 2016 with 312 outpatients who visited a university hospital. The data were analyzed by frequency analysis, t-test, $x^2-test$, correlation analysis and logistic regression analysis via SPSS statistics 22.0. Results : The vaccination rate of the herpes zoster was 16.0% and the vaccination cost was the most common reason for rejecting inoculation. More highly educated people with more than a university degree(OR=4.28, p=.002), those with higher susceptibility to herpes zoster(OR=1.56, p=.000), those more aware of the benefits of vaccination(OR=1.51, p=.009) and those with lower disability for vaccination(OR=0.74, p=.003) were more likely to be vaccinated. Conclusions : Therefore, to increase the vaccination rate of herpes zoster in adults over 50 years old, continuous publicity and education are needed to emphasize the susceptibility of herpes zoster and the benefit of vaccination. In addition, it is necessary to develop policies at the national level for the expensive vaccination cost that obstructs vaccination.

• 치위생과학회지
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• 제17권2호
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• pp.142-149
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• 2017

2016년 7월 23일부터 5개월간 부산광역시에 소재한 대학병원치과, 치과병 의원 및 보건소에 근무하는 치과위생사 123명을 대상으로 치과위생사의 핵심역량과 직무성과의 수준과 관련성을 파악하고, 직무성과에 영향을 미치는 핵심역량을 알아보고자 실시하였다. 본 연구대상자의 핵심역량 수준을 살펴보면 대인관계역량이 3.61점으로 가장 높았으며, 환자관리 및 교육역량이 3.59점, 조직관계역량이 3.57점, 기본치위생 관리역량이 3.56점 순으로 나타났다. 대상자의 직무성과에서는 상사가 요구한 일을 기일 내 마칠 수 있다가 3.93점으로 가장 높았으며, 다음으로 지각하지 않고 부주의로 타인에게 피해를 준 적이 없다가 3.76점으로 다음 순으로 나타났으며 상사가 책정해 놓은 목표치보다 초과달성 성과부분이 3.11점으로 상대적으로 낮게 나타났다. 치과병원에 근무하는 집단이 치과의원에 근무하는 집단보다 직무성과가 높은 것으로 나타났으며(p=0.009), 핵심역량과 직무성과 간에는 0.733으로 높은 상관관계를 가졌다. 그리고 핵심역량이 직무성과에 미치는 관련 변수들을 파악하기 위해 분석한 결과는 대인관계역량(p=0.25), 자기조절역량(p=0.32), 기본치위생 관리역량(p=0.15)이 유의하게 나타났다. 이상의 결과를 살펴보면 치과위생사들의 역량을 강화시키는 것이 직무성과를 달성하는 데 기여할 수 있으며, 이는 궁극적으로 환자들에게 양질의 의료서비스 제공하고 병원조직의 성과 달성에도 도움이 될 것이다. 따라서 치과위생사의 전공역량과 직업기초능력을 골고루 겸비할 수 있도록 치위생(학)과 교육과 더불어 현재 활동 중이 치과위생사들의 역량강화 교육 프로그램이 다양한 방법으로 행정적, 교육적 제도 지원이 필요할 것이다.

• 치위생과학회지
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• 제9권1호
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• pp.69-74
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• 2009

본 연구는 보건의료정책에 관한 주요 언론의 선거보도를 분석하기 위하여 17대 대선과 18대 총선 기간 중 지상파 방송인 KBS, MBC, SBS의 메인 뉴스와 조선일보, 중앙일보, 동아일보, 한겨레에서 보도된 선거 기사 2,624 건을 SPSS Program을 이용하여 분석하여 다음과 같은 결론을 얻었다. 1. 17대 대선과 18대 총선 기간에 주요 언론에서 보도한 기사 중 판세중심의 보도가 35.6%로 가장 많았고, 정책중심의 보도기사는 10.8%로 가장 낮게 보도되었다. 2. 주요 언론사별 정책 중심기사를 살펴보면, 다른 언론사에 비하여 KBS와 한겨레에서 보다 많은 정책중심기사가 보도되었다. 3. 보도된 284건의 정책중심기사 중에서도 사회분야가 75건(26.4%), 경제분야가 73건(25.7%)으로 전체 정책기사 중 50%이상이었고, 그 중 9.9%(28건)만이 보건의료 정책에 관한 기사였다. 4. 보도된 보건의료정책 관련기사를 크게 의료비 관련, 건강보험제도 관련, 노인보건 관련, 보건복지 관련항목으로 나누어 분석한 결과 그 중 의료비와 관련된 기사가 39.3%로 가장 많이 보도되었다. 이상의 결론으로 종합하면, 17대 대선과 18대 총선 기간에 주요 언론에서 보도된 보건의료정책에 관한 기사는 매우 적었고, 그 내용도 의료비와 노인보건과 관련된 특정부분에 치우쳐 있었다. 따라서 보건의료에 관한 주요한 정책문제를 해결하기 위해서는 보건의료정책의 개발과 더불어 개발된 정책이 정책 의제화 되어 구현될 수 있도록 언론의 효율적 활용을 위한 노력이 필요할 것으로 사료된다.

• 대한소아치과학회지
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• 제50권3호
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• pp.360-372
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• 2023

본 연구의 목적은 소아치과 전문의 인력 현황을 파악하고 만 19세 미만 환자의 연간 치과 이용량과 소아치과의사의 진료 생산성을 바탕으로 소아치과 전문의 인력 공급의 적정성을 평가하는 것이며 향후 정책 수립을 위한 의견을 알아보고자 하였다. 소아치과의사들을 대상으로 온라인 설문조사를 통해 '일반적인 특성', '연간 진료 횟수 및 근무 일수', '급여진료 비율', '전문의 수급 인식'에 대한 응답을 수집하였다. 대한소아치과학회, 건강보험심사평가원, 국민건강보험공단, 국가통계포털을 통해 소아치과의사 현황 및 진료 청구 횟수, 연간 출생아 수 감소 등을 조사하였다. 진료과목을 소아치과로 표방하는 치과는 전체 의료기관의 절반에 달했지만 실제 소아치과 의사가 근무하는 곳은 3.78%에 불과했다. 전체 소아치과의사의 61.36%가 수도권에 집중된 지역적 불균형을 보였다. 지난 20년 동안 소아청소년 인구는 지속적으로 감소했지만, 급여 진료 청구 횟수는 지속적으로 증가하고 있다. 지난 10년간 소아치과 전문의 적정 공급량은 4,000명 내외로 유지되었다. 소아치과 의사의 92.15%가 정부 차원의 정책 마련과 지원 방안이 필요하다고 생각하였다. 본 연구가 향후 소아치과 전문의 수요예측 방법 확립을 위한 기초자료로 활용될 수 있기를 기대한다.

• 한국산학기술학회논문지
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• 제13권12호
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• pp.5875-5881
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• 2012

본 연구의 연구목적은 다문화가정 여성들이 우리사회에 적응하는 과정에서 겪는 많은 문제들을 한국적응도와 관련하여 의료기관이용과정과 만족에 관련된 요인을 파악함으로써 보다 나은 양질의 의료서비스를 다문화가정여성들에게 제공할 수 있는 자료로 사용하는 것이다. 연구대상은 다문화가정 여성 188명을 대상으로 설문지를 조사하여 빈도분석 및 기술통계, ANOVA, 다중회귀분석 연구방법을 사용하였다. 연구결과는 첫째, 국가별에 따른 각급 의료기관의 만족도 중 보건소는 베트남이 가장 높은 만족도를 나타내고 있으며, 다음으로 필리핀, 중국 순이었고 일본이 가장 만족도가 낮은 것으로 나타났다. 한방병원의 경우 보건소와는 반대로 일본이 가장 만족도가 높았고, 필리핀, 중국 순이었고 베트남이 가장 만족도가 낮은 것으로 나타났다. 둘째, '국적, 학력, 소득, 적응도와 의료기관 교통접근도 만족도'에서는 한국사회 적응도가 영향력 있는 변수로 나타났는데, 한국사회에 대한 적응도가 높을수록 의료기관 교통 접근도에 대한 만족도가 높은 것으로 나타났다. 셋째, '국적, 학력, 소득, 적응도와 병원행정수준 만족도'는 소득면에서는 먼저 100만원-150만원 보다 150만원-200만원이 만족도가 낮은 것으로 나타났고, 한국사회에 대한 적응도가 높을수록 의료기관 병원행정수준에 대한 만족도가 높은 것으로 나타났다. 이에 따른 연구 결론은 국적, 학력, 소득, 한국사회의 적응도는 의료기관의 만족도에 영향을 미치고 있다. 의료기관의 만족요인을 높이기 위해서는 국적별, 학력별, 소득별로 다각적 접근이 요구되고 특히 기본적인 한국적응도를 높이는 것은 중요하다고 할 수 있다.