• Title/Summary/Keyword: Doctor

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A Comparative Analysis of RBRVS for a Doctor's Consultation in Western and Oriental Medicine (양한방 진찰행위의 상대가치 비교분석)

  • Kim Jin-Hyun
    • Journal of Society of Preventive Korean Medicine
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    • v.8 no.2
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    • pp.129-139
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    • 2004
  • This paper analysed the RBRVS for a doctor's consultation by measuring the time consumed in outpatient consultation, and compared the time among medical doctors, dentist, and oriental medical doctors. The time used in consultation could be a proxy for measuring RBRVS for medical services because it is the only common factor we observe in three different clinical settings. The results show that the optimal RBRVS for consultation is 183.22 for medical doctor, 99.12 for dentist, and 236.17 for oriental medical doctor. This implies the current fee schedule for consultation should be revised as 10,740 Won for a visit to medical doctor, 5,808 Won for dentist, and 13,832 Won for oriental medical doctor.

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Effects of Doctor-patient Communication on Quality of Life among Breast Cancer Patients in Southern China

  • Zhou, Qin;Shen, Ji-Chuan;Liu, Ying-Zhi;Lin, Guo-Zhen;Dong, Hang;Li, Ke
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.14
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    • pp.5639-5644
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    • 2014
  • Objective: This study aimed to determine effects of doctor-patient communication on the quality of life among breast cancer survivors in 16 communities in southern China. Methods: Multistage random sampling was to use to recruit 260 females from the Guangzhou Cancer Registry Database who were diagnosed with breast cancer. A questionnaire provided data on the doctor-patient communication (including the doctor's attitude, the patient's participation with the medical decision and information about the disease) and QOL (quality of life), as measured using FACT-B. Univariate analysis, non-conditional logistic regression was used to evaluate the associations between the doctor-patient communication and QOL. Results: Females who received good attitudes from doctors demonstrated higher FACT-B (OR=4.65, 95% CI: 1.68-12.86), social well-being (OR=5.88, 95% CI: 2.16-16.05), emotional well-being (OR=4.77, 95% CI: 1.92-11.88), and functional well-being ((OR=5.26, 95% CI: 1.90-14.52) compared to the females who encountered worse attitudes from their doctor, adjusting for age, education, marriage, employment, family income, years since diagnosis, TNM stage, radiation therapy, chemotherapy and side effects, particularly when the TNM stage was 0-II and the patients exhibited no side effects. Regardless of the length of time after diagnosis, doctors' good attitudes resulted in higher QOL scores. Conclusions: This study demonstrated that the doctor-patient communication has a significant association with the QOL of breast cancer survivors, mainly dependent on the doctors' attitude. Effective intervention is required to develop optimal doctor-patient communication.

A study on the relationship between medical service user's doctor-shopping behavior and the Internet use (의료서비스 이용자의 닥터쇼핑 행동과 인터넷 이용의 관련성에 대한 연구)

  • Ahn, Jong-Chang;NamGung, Yo;Lee, Ook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.10
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    • pp.4385-4393
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    • 2011
  • Doctor-shopping which has a tendency to seek out alternative opinions when they got diagnosed by a doctor is increasing nowadays. The purpose of this study is to examine the relationship between the doctor-shopping behavior of Korean and the related variables. Questionnaires have been distributed from 2009/10/16 to 2009/11/16 and the sample size of this study is 223 people in Korea who experienced of medical service for disease treatment purpose. Among the six independent variables, confidence in doctor's ability variable and trust of the Internet information variable have correlation with the doctor-shopping behavior. With the development of Internet and raise of consciousness toward consumer right, the consumers are now selecting doctors slightly as if they go shopping.

Riboflavin-based BioDoctorTM Induced Disease Resistance against Rice Blast and Bacterial Leaf Blight Diseases (리보플라빈을 함유한 바이오닥터TM 처리에 따른 벼 도열병과 흰잎마름병 억제효과)

  • Kang, Beom Ryong;Han, Song Hee;Kim, Chul Hong;Kim, Young Cheol
    • Research in Plant Disease
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    • v.22 no.3
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    • pp.202-207
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    • 2016
  • Rice bacterial blight and blast are devastating rice diseases in worldwide. Riboflavin, vitamin B2, is an essential nutrient for human health, and is known to be as a growth regulator and as a plant defense activator against pathogens in plants. In this study, we investigated possibility of increasing internal vitamin B contents and inducing resistances against rice diseases by external foliar application of a riboflavin-based formulator called BioDoctor. In planta bioassay indicated that pretreatment of the foliar application of 1,000-fold or 500-fold diluted BioDoctor significantly induced disease resistance against rice blast and bacterial blight. In addition, about four fold higher levels of riboflavin contents were detected in the BioDoctor treated rice grain and stem compared to those of untreated rice. Our results indicated that foliar application of the riboflavin has a great potential to control plant diseases and to enhance internal vitamin contents in rice.

K-Means Clustering with Content Based Doctor Recommendation for Cancer

  • kumar, Rethina;Ganapathy, Gopinath;Kang, Jeong-Jin
    • International Journal of Advanced Culture Technology
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    • v.8 no.4
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    • pp.167-176
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    • 2020
  • Recommendation Systems is the top requirements for many people and researchers for the need required by them with the proper suggestion with their personal indeed, sorting and suggesting doctor to the patient. Most of the rating prediction in recommendation systems are based on patient's feedback with their information regarding their treatment. Patient's preferences will be based on the historical behaviour of similar patients. The similarity between the patients is generally measured by the patient's feedback with the information about the doctor with the treatment methods with their success rate. This paper presents a new method of predicting Top Ranked Doctor's in recommendation systems. The proposed Recommendation system starts by identifying the similar doctor based on the patients' health requirements and cluster them using K-Means Efficient Clustering. Our proposed K-Means Clustering with Content Based Doctor Recommendation for Cancer (KMC-CBD) helps users to find an optimal solution. The core component of KMC-CBD Recommended system suggests patients with top recommended doctors similar to the other patients who already treated with that doctor and supports the choice of the doctor and the hospital for the patient requirements and their health condition. The recommendation System first computes K-Means Clustering is an unsupervised learning among Doctors according to their profile and list the Doctors according to their Medical profile. Then the Content based doctor recommendation System generates a Top rated list of doctors for the given patient profile by exploiting health data shared by the crowd internet community. Patients can find the most similar patients, so that they can analyze how they are treated for the similar diseases, and they can send and receive suggestions to solve their health issues. In order to the improve Recommendation system efficiency, the patient can express their health information by a natural-language sentence. The Recommendation system analyze and identifies the most relevant medical area for that specific case and uses this information for the recommendation task. Provided by users as well as the recommended system to suggest the right doctors for a specific health problem. Our proposed system is implemented in Python with necessary functions and dataset.

A Study on the Perception and Attitude of Korean Medical Students toward Career Choice as a Korean Medicine Doctor (1개 한의대 학생의 진로선택에 대한 인식과 태도 조사)

  • Kim, Ji-Young;Lee, Jae-Hyok
    • Journal of Society of Preventive Korean Medicine
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    • v.19 no.1
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    • pp.1-10
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    • 2015
  • Objective : The purpose of this research is to investigate the perception and attitude of Korean medical students toward career choice as a Korean medicine doctor. Method : The subject were 89 Korean medical students. Question investigation was applied. The questionnaire in this study contained 20 questions to investigate the perception toward career choice as a Korean medicine doctor. Results : Korean medical students showed higher interest in clinical practice, most of students(80.9%) answered they have planning for life's work as practicing Korean medicine doctor. First ranking as career they want is the pay doctor(36.2%), second is the intern(27.0%) as Korean medicine doctor within one year. The average age of students who answered that they hope to be intern is lower than who did not. Female students who hope to be intern preferred internal medicine, gynecology and pediatrics. But male students who hope to be intern preferred department of acupuncture & moxibustion, ophthalmology, otolaryngology & dermatology and rehabilitation. Conclusion : The result suggests that Korean medical students have an affirmative perception toward clinical doctor, but they are not interested in the other career.

Medical Ethics based on Confucian Ideas in Eastern Medicine (유가사상(儒家思想)에 바탕을 둔 한의학에서의 의료윤리)

  • Kim, Geun-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.20 no.3
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    • pp.149-168
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    • 2009
  • Objectives : This study aimed for attain to ideal aspects in medical ethics-clinical medicine, through researching doctor's ethics based on Confucian ideas, Methods : Research materials are datum of Confucian ideas included eastern medical books and the Confucian old books, Stand on above-mentioned, I investigate indispensable ethical condition clinical doctor must have in diagnose and treat. Results and Conclusions : 1. Combination of people-oriented ideas-Confucian and applicative learning-Eastern Medicine, doctor's principle mind is initiated and Confucian physician is the center of that. 2. For practice morality and ethics using the Confucianist's good character, Eastern medical doctor read and acquire the Confucian books. 3. Eastern medical doctor make an effort for application a kind love ideas(perfect religious scholarship ideas of Confucian), serve parents and country as for practice and sublimate into a kind love ideas through practice of integrity and the self-sacrifice. 4. Occasion to examine the female patient, emphasize good manners by Confucian ideas's sexual distinction 5. According to the doctor-doctor ethics, partnership is important due to Confucian faith and good manners 6. Confucian physician often effected by the people around patient and the protector of patient and criticize positive influence by these kind of peoples(傍人) when diagnose and treat. 7. Owing to Confucian's a notion of preferring a son to a daughter(男兒選好思想), come out the methods of convert a son into a daughter(轉女爲男法)-manipulation of sex distinction. this method is criticized aspect of medical ethics.

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Determinants of selecting a doctor in specialized medical institutions and general hospitals (종합전문요양기관과 종합병원의 선택진료 결정요인)

  • An, Byeung-Ki;Park, Jae-Yong
    • Health Policy and Management
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    • v.21 no.4
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    • pp.599-616
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    • 2011
  • This research was performed to investigate the determination factors of medical service to cover the fee for selecting a doctor which is one of the most important causes of debilitating national health insurance in Korea. Data was from Korea Health Panel and analyzed by Dutton(1986)'s medical service model which was an extended Anderson Model and was widely used in the researches on determination factors of medical service. The results were as follows; In the determinants of selecting a doctor in specialized medical institutions and general hospitals, patients with serious diseases selected doctors more often than other patients. By industrial accident compensation insurance law and enforcement ordinances, insurance covers the fee of selecting a doctor in the hospitals appointed by Labor Welfare Corporation for the patients in critical conditions under industrial accident compensation insurance, while health insurance patients pay the fee themselves for selecting a doctor in all cases. It is suggested that patients with serious diseases proved by medical opinion be provided with health care insurance in selecting a doctor and that the health insurance benefit coverage be enhanced by staged lowering of patient's cost-sharing.

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 Survey of Parents' Satisfaction on the Program by School Doctor of Korean Medicine (한의사 교의 사업에 대한 학부모의 만족도 조사 연구)

    • Park, Jeong-Su;Shin, Seon Mi;Go, Ho-Yeon;Lee, Seung Hwan;Kim, Dong-Su;Sung, Hyun Kyung
      • The Journal of Pediatrics of Korean Medicine
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      • v.32 no.3
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      • pp.55-61
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      • 2018
    • Objectives The study aimed to examine satisfaction of elementary school students parents' on the program by school doctor of Korean medicine. Methods The program by school doctor of Korean medicine has been conducted in 22 schools in Seoul since June 2017. The program includes Korean medicine health care lecture for the students, the teachers, and the parents, the diet management advice, smoking/drinking cessation, and sex education. The program was varied by schools. This study investigated the parents' satisfaction of the program by school doctor of Korean medicine by a survey. Results A total of 92 elementary school parents participated in the survey, 92.4% of the respondents answered that the school doctor program showed positive effects on students' health. Most of them replied positive regarding the health education about smoking cessation (82.5%). Also, the respondents were satisfied about overall health education from the program (89.1%), and improvements of the students' learning ability through regular health checkups (59.8%). Conclusions Parents who were participated in the program by school doctor of Korean medicine positively evaluated about the program. They also shared their expectations to the role of the school doctor of Korean medicine in improving student's immune system and health counseling for the students and the school faculty.


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