• 제목/요약/키워드: Medical care institution

검색결과 294건 처리시간 0.022초

의료기관 종류별 자동차보험 환자의 진료비 성향 분석 (Analysis of the propensity of medical expenses for auto insurance patients by type of medical institution)

  • 하오현
    • 융합정보논문지
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    • 제12권2호
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    • pp.184-191
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    • 2022
  • 본 연구는 자동차보험 이용환자들의 효율적 관리방안을 모색하는데 필요한 기초정보를 제공하고자 보건의료빅데이터개방시스템에 등록된 2016년부터 2020년까지 5개년 자동차보험 진료비 심사자료를 대상으로 분석하였다. 분석결과, 자동차보험 입원진료비 내역 구성비율 1순위는 상급종합병원은 처치 및 수술료, 종합병원·병원·의원은 입원료, 한방의료기관(한방병원, 한의원)은 처치 및 수술료, 치과병원은 처치 및 수술료 이었다. 외래진료비 내역 구성비율 1순위는 양방의료기관(상급종합병원, 종합병원, 병원, 의원)은 진찰료, 한방의료기관(한방병원, 한의원)과 치과의료기관(치과병원, 치과의원)은 처치 및 수술료 이었다. 자동차보험 입원 건당 진료비에는 투약료, 마취료, 특수장비 비율이 영향요인이었으며, 외래 건당 진료비에는 이학요법료 비율이 영향요인으로 확인되었다.

대전광역시 지역사회 통합돌봄 체계내에서 공공보건의료 연계 모델 개발 (Development of a public health care linkage model within the community care system in Daejeon City)

  • 임지연;안나나;이석구;안순기
    • 농촌의학ㆍ지역보건
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    • 제47권1호
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    • pp.1-13
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    • 2022
  • Objectives: This study aimed to establish a linkage model involving regional responsible medical institutions after analyzing the existing conditions and deriving problems through qualitative analysis within the community care system. Methods: A total of 14 participants of this study were selected through the snowball sampling method, including 7 community care service providers and 7 service users. As for the research data, primary data were collected through interviews, and as a result of analyzing according to Aday&Anderson' model, a total of 5 catergories, 8 topics, and 22 sub theme were derived. Results: The problem derived from the interview is that division services are provided for each institution due to the absence of a key central institution of community care system, and users' commercial institutions is unclear. The second is the inconsistency between the needs and supply for community care, resulting in a possibility of delay in returning to the community after discharge. Based on these problems, it is necessary to unify it as an community care window of the Dong-community center. In addition, there is a need for public health centers to play an active role, and to establish a public-private joint system with the Health and Living Support Center to establish a model that can play a certain role. Conclusions: Therefore, based on the results of this study, it can be used as basic data when constructing community care model and applying it as an expanded model in the future.

병원유형별 의료기관인증이 병원운영효과에 미치는 영향 분석 - 인증 전과 후 비교 - (Analysis of the Impact of Medical Institution Certification by Hospital Type on Hospital Operation Effect to Increase Wellness - Comparison Before and After Certification -)

  • 이혜승;김환희
    • 한국엔터테인먼트산업학회논문지
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    • 제14권8호
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    • pp.255-264
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    • 2020
  • 본 연구는 의료기관 인증 제도를 받은 요양병원 내부 구성원과 양방병원의 내부구성원 297명을 대상으로 설문조사를 실시한 후 SPSS 26.0을 이용하여 인증을 받은 전과 후 차이를 비교 분석하여 구성원 만족도, 직무스트레스, 의료서비스향상이 병원운영 효과에 미치는 영향을 파악하고자 하였다. 요양병원의 병원운영효과는 구성원 만족도와 의료 서비스향상이 높을수록, 병원운영효과는 높아짐을 볼 수 있으며, 양방병원의 경우, 구성원 만족도와 의료 서비스 향상이 높을수록, 직무스트레스는 낮을수록 병원운영효과는 높아짐을 볼 수 있다. 의료기관인증제도의 기본가치 체계가 환자 안전과 의료의 질 향상인 만큼 요양병원은 의무적 인증으로 인증제의 효과가 양방병원보다 높게 나타났을 것으로 사료된다.

경구용 항생제 치료로 균음전에 성공한 Mycobacterium fortuitum 폐질환 1예 (Successful Treatment of Mycobacterium fortuitum Lung Disease with Oral Antibiotic Therapy: a Case Report)

  • 박성훈;서지영;정만표;김호중;권오정;고원중
    • Tuberculosis and Respiratory Diseases
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    • 제64권4호
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    • pp.293-297
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    • 2008
  • M. fortuitum은 호흡기 검체에서 동정되는 경우 대부분 집락화나 일시적인 감염으로 여겨지고 있고, 다른 NTM 폐질환처럼 장기간의 항생제 치료가 필요한 경우는 드물다. 저자들은 객담 항산균 도말과 배양검사에서 강양성을 보이면서, 임상증상과 방사선의 악화소견을 보여 장기간의 경구용 항생제 치료를 실시한 M. fortuitum 폐질환 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

제왕절개 분만율의 지역간 변이에 영향을 미치는 의료기관 특성요인 분석 -의료보험관리공단 대상자를 중심으로- (Analysis of Institutional Factors Influencing Regional Variations in the Cesarean Section Rate)

  • 안형식;권영대;이영성;김명기;김용익;신영수
    • 보건행정학회지
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    • 제1권1호
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    • pp.27-41
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    • 1991
  • The purpose of this study is to estimate cesarean section rate in Korea and analyze characteristics of health care institution which affect regional variation in the rate. We have searched vaginal and cesarean section deliveries among Diagnosis Related Group dat based upon insurance claim bills which have been submitted to Korean Insurance Corporation for two years since March, 1985. The results are as follows: 1. Out of all delivery cases of 87,500, cesarean section rate was 16.3% (14,299 cases). 2. Cesarean section rate varied according to size and ownership of health care institutions. In above 6- bed sized hospitals, the rate was at about 20% higher than small sized institutions, but rather in hospitals that have more than 500 beds, it was somewhat low. Classified by the hospital ownership, the rate was low at 18.4% in hospitals of religious organization and highest at private or corporate hospitals. 3. This study shows large regional variation in cesarean section rate; there are two times differences between region with the highest and lowest rate. Strongly related factors in that variation was the ownership of health care institution and urbanization variables. Low level of cesarean section rate in a region is explained by high proportion of delivery cases at institutions of religious organization and at insitutions in county level site. This result shows that apart from medical conditions of patients, indications of cesarean section differs from health care providers, and especially ownership of institution strongly affect them. Cesarean section rate in Korea is supposed to be at high level and development of utilization review programs to keep appropriate cesarean section rate is needed.

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환자중심 의료서비스 평가도구 개발 (Development of Patient-Centered Healthcare Services Evaluation Scale)

  • 이소라;양남영
    • 가정∙방문간호학회지
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    • 제27권2호
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    • pp.198-209
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    • 2020
  • Purpose: This study sought to develop a scale to evaluate patient-centered healthcare services at hospitals and verify its reliability and validity. Methods: We conducted a literature review and interviewed medical personnel and practitioners in medical institutions. We also conducted a content validation and preliminary survey of experts, including 40 preliminary items. We conducted the main survey among 240 medical institution workers to assess the validity and reliability of the preliminary measurement tool. Results: The validity and reliability of the scale were assessed by 29 items underlying six factors: ease of communication, continuity and extension of the hospital's role, stable environment, emotional support, respect for patients' values, and offer of information. Cronbach's α of the whole tool was .91, while the value of each factor ranged from .82 to .74, thereby verifying its reliability. Conclusion: The patient-centered healthcare services scale was identified as a tool appropriate for healthcare professionals. This tool will be useful in a diverse range of research on the development of educational programs for patient-centered healthcare services and the promotion of patient-centered causes.

2022년 주요 의료판결 분석 (Review of 2022 Major Medicla Decisions)

  • 이정민;유현정;박태신;정혜승;조우선;박노민
    • 의료법학
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    • 제24권2호
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    • pp.79-117
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    • 2023
  • 2002년 의료 관련 선고된 판결들 중에는 , 환자의 자기결정권 행사를 보장하기 위하여 구체적인 상황에서 환자에게 의료행위의 위험성과 부작용 등에 관하여 충분히 숙고한 후 결정할 수 있는 시간적 여유가 주어져야 한다는 점을 명시하면서 설명의무의 이행시기와 관련된 의미 있는 판결이 있었다. 또한 보험회사가 실손보험상품 가입자들을 대위하여 의료기관에 대해 부당이득반환을 청구한 사례에서 채권자대위권의 보전의 필요성 관련 적극적 요건과 소극적 요건을 분설하여 명확한 기준을 제시한 판결이 있었다. 의료행정 영역에서는, 국민건강보험법에 따른 요양기관 업무정지처분의 성격을 대물적처분으로 명확히 한 판결, 코로나 백신투여 부작용에 대한 보상 인정 사례에서 인과관계를 폭 넓게 인정한 판결 및 한의사의 초음파 의료기기 사용 등 의료인의 면허범위 관련 판결이 있었다. 환자에 대한 의료기관의 퇴거 청구 사례에서 의료법 제15조 제1항과 관련하여 입원진료계약의 해지에 관한 정당한 사유에 대한 판결을 검토하였다.

한방의료개선에 대한 지역사회주민의 의식조사 (A study on Anwareness for Improvement of Oriental Medical Care System in Community People)

  • 배주환;남철현;위광복
    • 대한예방한의학회지
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    • 제1권1호
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    • pp.126-136
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    • 1997
  • To procide basic data for improvement of oriental medical care system, the questionnaire interview was carried out with community peoples, over 20 years old, selected randomly in Seoul, Pusan, Taegu and Taejon err. from 10th Mar. to 20th Apr. 1996. The result were summarized as follows: 1. In the general characteristics of subjects, the highest portion of each part was 52.4% of male, 22.4% of thirties, 37.1% of college graduates, 19.1% of married, 30.6% of town dwellers, 63.3% of muddle social class, 26.6% of housewife, 19.3% of student, 16.6% officer and 11.6% of professional technician. 2. The portion of subjects agree to open oriental clinic in western medicine hospital was 60.0%, that of disagreement was 20.1%, Among 60.0% of agreement group, the high rate was showed in female, fifties, middle school graduates, unemployed, middle social level. 3. The rate of positive responses in system of a herb specialist was 64.7%, that of negative responses was 11.6%. Among positive responses, the groups of high rate were male. twenties, above college graduates, student, middle-high social level and city dwellers. 4. In the question whether a pack of herb medicine should be included in medical insurance or not, the rate of agreement was 74.3%, that of disagreement was 4.1%. Amount agreement subjects, the high rate was showed in male, young age, high educated, city dwellers, professional technician middle social class. 5. In the cost of oriental medical care, the portion was divided by 70.3% of expensiveness,25.6% of moderate, 4.1% of low price. among 70.3% of high price, the high rate was in female, forties, agrolivestock-fishery, and town dwellers. 6. In the question what the herb doctor should do for the improvement of oriental medicine, the highest rate was 54.2% in further study. The next was 23.0% in need of western medical and 9.1% in no complain in present situation. Among 54.2% of further study, the high rate was showed in male, forties, high school graduate, profession technician, high social level, christian, married and city dwellers. 7. About institution of oriental care, 86.8% of subjects answered to need of improvement, 8.0% of them replied no problem as present. Amount 86.8% of subjects, the high rate was showed in male, twenties, above college graduate, sales, singles, high social level and city dwellers. 8. About necessity of western medical care instrument in oriental medical hospital, the rate of sightly need was 47.5%, inevitably need was 37.7%, no need was 6.3%, the Positive subjects were showed high rate in male, officer, singer, the younger age, the higher educated, better social level and city dwellers. These results might be useful information for establishing of oriental medical care policies, which open oriental medical clinic in western medical hospital, equip western medical care instrument in oriental medical hospital, improve oriental medical care instrument carry out a herb specialist system, balance the resonable medical care cost and effort for further study & research on oriental medicine to satisfy increasing need of oriental medicine.

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의료기관 이용고객의 재방문의도와 구전효과에 영향을 미치는 서비스 품질요인에 관한 연구 (A Study on Revisiting Intentions of Medical Institution Customers and Service Quality Factors Influencing Word-of-Mouth Effect)

  • 김경환;장영일;정유수
    • 품질경영학회지
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    • 제39권1호
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    • pp.15-23
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    • 2011
  • The biggest change in the current medical service market is the shift from producer-based approach to customer-based approach. Thus, there is a high necessity for an introduction of market-oriented and customer-oriented marketing activities in medical institutions. Especially, revisitation and positive word-of-mouth of customers are the most effective marketing methods of consistently obtaining customers and drawing new loyal customers. Hence, the factors influencing the reuse of medical services and word-of-mouth are demonstrated using SERVQUAL, and the results show that the service factors influencing reuse intentions on medical services are assurance, responsiveness, and tangibles and the factors strengthening word-of-mouth are empathy and assurance on the services provided by medical institutions. This study has determined that revistation and word-of-mouth of customers are not only influenced by satisfaction on medical services but by the quality itself as well. Therefore, medical service providers need to pursue standardized strategies in order to enhance the quality of medical services simultaneously in addition to simply increasing the customer satisfaction level.

일부 농촌지역 주민의 주관적 건강수준에 영향을 미치는 요인 - Lalonde Health Field Model을 이용 - (Factors Affecting the Self-rated Health Status in Rural Residents -Using Lalonde Health Field Model-)

  • 최인희
    • 보건의료생명과학 논문지
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    • 제10권1호
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    • pp.119-127
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    • 2022
  • 본 연구는 농촌지역 거주자의 주관적 건강수준에 영향을 미치는 요인을 파악하고자 수행되었으며, 2019년 지역사회건강조사자료를 기반으로 농촌지역을 무작위로 선정한 후 분석하였다. 주관적 건강수준에 영향을 미치는 요인을 분석한 결과 생물학적요인으로는 연령, 질병력, 성별이, 환경요인으로는 교육수준, 소득수준이, 생활습관요인은 운동, 음주, 수면시간. 흡연, 주관적 스트레스가 그리고 보건의료요인으로는 예방접종, 보건기관이용경험 및 연간 미충족의료경험이 통계적으로 유의하게 나타났다. 생물학적요인의 설명력이 가장 높았고, 생활습관요인이 가장 낮았는데, 특히 흡연, 음주를 하는 경우, 예방접종, 보건기관이용경험이 없는 경우 주관적 건강수준이 높아 건강증진사업을 통해 개선해야 할 부분으로 보인다.