• 제목/요약/키워드: Medical evaluation

검색결과 5,594건 처리시간 0.035초

의료소비자의 권리 증진을 위한 소비자 정보추구에 관한 연구 (Study of Medical Service Consumer's Information Seeking for Empowering Their Sovereignty)

  • 백혜란;이기춘
    • 대한가정학회지
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    • 제44권11호
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    • pp.133-148
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    • 2006
  • This study takes an effort to suggest solutions for medical service consumers' sovereignty. Specifically, consumer evaluation, information seeking level, and affecting factors on information seeking level were explored in terms of medical service. In present study, medical information included medical institution and doctors, prescription, diseases, medical treatment and medical expense. Medical service consumers' information seeking is identified as consumers' own efforts to acquire medical information through various sources. The analysis results suggested that consumers' information seeking level is even lower, while their evaluation level is somewhat low. Moreover, the result for information seeking level by consumer characteristics implied that people who have high education, high economic status, medical knowledge, and high attitudes for consumer right are active information seekers. Finally, consumer attitudes for right appeared most influential factor on information seeking level, implying direction for medical service consumer education.

화상처리 기술을 응용한 의료용 화상의 정량적 평가에 관한 연구 -특징량 추출 및 그 타당성 검토 - (A Study on the Quantitative Evaluation of Medical Images by Using the Technique of Image Processing - Determination and Validation of Features -)

  • 송재욱
    • 한국정보통신학회논문지
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    • 제2권4호
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    • pp.619-626
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    • 1998
  • 본 논문에서는 화상처리 기법을 이용하여 의료용 화상의 정량적 평가 특징에 관하여 기술한 것이다. 의사들로부터 조언을 구하여, 병의 진전과 관련이 깊은 세 가지 특징을 구하고, 각 특징과 의사가 행한 평가치의 비교에 의하여 가슴 X선 사진상의 폐병의 정량적인 평가에 대한 타당성을 확인하였다.

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Acute Concussion Evaluation의 한국어 번역 및 문화적 개작: 예비 연구 (Development of Korean Version of Acute Concussion Evaluation using Cross-cultural Translation Methodology: Pilot Study)

  • 김보민;조희근;구지은;박지원;한현주;서지혜;임혁빈;김은미;정준수;윤자영
    • 한방재활의학과학회지
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    • 제29권4호
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    • pp.73-79
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    • 2019
  • Objectives The purpose of this study is to provide Korean version of mild traumatic brain injury assessment tool. Methods The original version of acute concussion evaluation (ACE) was translated into Korean, and it was then back-translated into English without any prior knowledge of ACE. Finally, the pre-final version of Korean version of acute concussion evaluation (K-ACE) was derived. 49 Korean patients who had been diagnosed with mild traumatic brain injury participated in the study and completed K-ACE. Overall, 44 data were used to analyze findings. Validity of the study was assessed based on Concurrent validity. Reliability was also evaluated using Cronbach's ${\alpha}$ and the intraclass correlation coefficient. Results The Cronbach's ${\alpha}$ value for each item presented a proper level of internal consistency with results of 0.711 to 0.893 in two evaluations, respectively. The intraclass correlation coefficient of the retest reliability was marked as 0.892 (95% CI 0.840~0.933). Concurrent validity demonstrated positive correlations between K-ACE and Korean version of postconcussional syndrome questionnaire. Conclusions The K-ACE is concluded as a valid and reliable tool for measuring mild traumatic brain injury and post-concussion symptoms. Upon completion of the follow-up study, the K-ACE will be well-utilized by both clinicians and researchers.

응급실 서비스 만족도에 대한 환자 가족의 평가와 의료진의 인식 차이 (Satisfaction Gaps among Physicians, Nurses, and Patient Family in the Emergency Department)

  • 강경희
    • 보건행정학회지
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    • 제23권2호
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    • pp.145-151
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    • 2013
  • Background: The objective of this study was to explore patient family's evaluation of emergency department (ED) service satisfaction and to compare these with ED staff perception of patient family's evaluation. Methods: Based on two surveys of the National Emergency Medical Center: the 2008 National Survey for Recognition and Satisfaction towards Emergency Medical Services and the 2008 Opinion Survey of Emergency Medical Service Providers, satisfaction gaps among physicians, nurses, and patient family were evaluated by Kruskal-Wallis tests and Wilcoxon-Mann-Whitney tests. Furthermore, the factors associated with satisfaction of emergency medical service were identified by ordinal logistic regression models. Results: There were statistically significant gaps among physicians, nurses, and patient family in overall satisfaction with ED visit, length of stay in ED, enough explanation, physicians/nurses kindness, and ED facilities. Age and income in the patient family model, the number of beds in hospital, job satisfaction and year of service in the physicians model, and the number of beds in hospital, job satisfaction and the number of patients per duty hour in the nurses model were statistically significant factors associated with evaluation/ perception of ED service satisfaction. Conclusion: Patient satisfaction is an important indicator of the quality of care and service delivery in the ED. To improve and understand satisfaction in ED service, a dyadic view of the evaluation of service quality and satisfaction-that is, from the perspectives of both the patient and the emergency medical service providers-should be concerned.

WMTS 무선통신 모듈을 이용한 맥파의 주기검출 및 감성평가 시스템 개발 (Development of WMTS Module Based Pulse Rate Period Detection and Human Sensibility Evaluation System)

  • 이현민;김동준;전기만;손재기
    • 전기학회논문지
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    • 제62권6호
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    • pp.811-817
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    • 2013
  • In this study we present a system for pulse-rate period detection and human sensibility evaluation based on the wireless medical telemetry service (WMTS) used for transmission of data from medical telemetry devices to various medical facilities and services. We develop a medical-purpose specific WMTS communication module to transmit biometric signals. From the pulse rate variability(PRV) signal, we attempt to classify positive and negative emotional states based on analysis of the ratio of LF/HF in the frequency domain. We measure the data reception rate according to distance in order to test the performance of the WMTS module and analyze the effects on human sensibility evaluation.

진료 에피소드를 이용한 협진 의료이용 현황 분석 : 건강보험심사평가원 청구자료를 중심으로 (An Analysis on Present Condition of the Cooperative Medical Care Using the Episode of Care : Claims Data of HEALTH INSURANCE REVIEW & ASSESSMENT SERVICE)

  • 엄태웅;김남권;김신아
    • 대한예방한의학회지
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    • 제19권2호
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    • pp.51-56
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    • 2015
  • Objective : We analyzed present condition of cooperative medical care using claims data of HEALTH INSURANCE REVIEW & ASSESSMENT SERVICE form patients treated by Korean-Western cooperative medicine. The study aimed to offer guidelines in selecting disease-related research in developing Korean-Western convergence technology. Method : Based on the patients using Korean medical service, we analyzed claims data of patients using Korean medical service and western medical service from January 2012 to December 2013. We were assigned to the server remotely. With the concept of 'episode of care', we rebuilt claims data and analyzed present condition of cooperative medical usage. Results : We analyzed present condition of cooperative medical care per episode of care. Among outpatients, Low back pain, lumbar region(M5456) was the highest number. Among inpatients, Sciatica due to intervertebral disc disorder(M511) was the highest number. Conclusion : Based on the claims data provided by HEALTH INSURANCE REVIEW & ASSESSMENT SERVICE, we have derived a list of multy frequently disease frequently treated by cooperative medical care by analyzing present condition.

의료영상 압축을 위한 JPEG2000의 효율성 연구 (A Study on the Effectiveness of JPEG2000 for Medical Image Compression)

  • 정재호;신진호;손기경;강희두
    • 대한디지털의료영상학회논문지
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    • 제6권1호
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    • pp.31-40
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    • 2003
  • Purpose : In a PACS(Picture Archiving Communications System) environment, which is a very important component in a digital medical environment, the compression of digital medical images is a necessary and effective feature. In a current system where JPEG is applied to the compression of medical images, this study is to examine effectiveness and suitability when the JPEG2000, a more advanced compression algorithm for still images, is applied to the compression of medical images. In this thesis, we attempt to address the compressibility for effective clinical usage when compressing medical images, applying the objectivization of clinical evaluation as a function of compressibility. In the experiment al method, the compression was applied at a fixed rate using JPEG2000, and the n the result was compared with compressed images by JPEG. Method : For the performance evaluation, we choose SNR(Signal to Noise Ratio) measurement of an objective evaluation of definition and analyze a subjective evaluation by the ROC(Receiver Operating Characteristic) method. The results of the experiment showed that in the case of JPEG2000 there is hardly any distortion of images, even at high compression ratio(100:1), while regarding noise, the SNR remains around about 40dB, which is also relatively high. Before reading by reference to evaluative materials concerning objective compressed images, it is impossible to apply high compression to images : however, after reading, this can be applied to images that have already existed for some time.

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변증(辨證) 기반 진료수행시험(CPX) 시나리오를 이용한 역할극에 대한 학생 자가 평가의 일치도와 개선 방안 (Consistency of Student Self-Assessment of Role Play Using the Syndrome Differentiation-Based Clinical Performance Examination Scenario and Improvement Measures)

  • 조학준;조나영;박정수
    • 대한예방한의학회지
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    • 제26권2호
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    • pp.37-53
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    • 2022
  • Objectives : This study analyzed the concordance between student self-assessment and peer-evaluation in a role play using the Clinical Performance Examination (CPX) scenario developed based on Korean medical syndrome differentiation. Methods : The subjects of this study are first-year-students majoring in Korean Medicine. The role play based on clinical case was performed in the class of Korean Medicine Classics. Feedback on clinical skill competency got through student self-assessment and peer-evaluation, and this study was compared and analyzed of result. Results : A simple comparison of the results of self-assessment and peer-evaluation in the evaluation results of clinical skill competency may appear to be consistent. However, it was not statistically significant. It is necessary to enhance the discriminative ability in the evaluation of clinical skill competency. It will be possible to improve a bit by relatively increasing the weight of the scores on the items that students expect to respond differently among the evaluation items. In addition, in order to dramatically improve the systemicity and reliability of the evaluation of clinical skill competency itself, it is necessary to introduce the Introduction to Clinical Traditional Korean Medicine (ICTKM) course. Conclusions : Student's self-assessment and peer-evaluation as feedback on clinical skill competency are suitable for the purpose of education and training. However, the reliability of the evaluation was not statistically significant.

Effect of Korean Medicine Treatment Combined with Conventional Medicine in Patients Diagnosed with Plantar Fasciitis

  • Jeong, Seong Heon;Jang, Kwon-Jun;Moon, Hyang-Ran;Jo, On You;Lee, Ji Yoon;Yang, Jung Min;Choi, Saerom;Yoon, Min Ji;Shin, Gwangsoon;Kim, Hyo-Rim
    • Journal of Acupuncture Research
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    • 제39권2호
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    • pp.145-149
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    • 2022
  • This study examined the effectiveness of Korean-Western cooperative treatment for patients with plantar fasciitis. Fifty patients received Korean medicine treatments (acupuncture, pharmacopuncture, herbal medicine) and Western medicine treatments (polydeoxyribonucleotide, and extracorporeal shock wave therapy). Evaluation methods used were comparison before and after ultrasound (P9), and numeric rating scale scores. Results revealed a significant improvement in the level of pain and evaluation of improvement using ultrasound. Moreover, it was suggested that Korean-Western cooperative medicine treatment may be effective for the treatment of plantar fasciitis.