• Title/Summary/Keyword: Quality of Medical Service

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Survival Rate of Cancer Patients of National Merit (국가유공자 암환자의 생존율)

  • Park, Un-Je
    • Health Policy and Management
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    • v.31 no.1
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    • pp.35-45
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    • 2021
  • Background: As a descriptive study targeting 2,068 cancer patients as men of national merit in 2013, this study aims to provide the basic data for systematizing the early diagnosis and treatment of cancer by comparatively analyzing the 5-year survival rate. Methods: This study researched the survival of cancer patients through Electronic Medical Record and Patriots-Veterans Qualification Program, targeting 2,068 newly-diagnosed cancer patients verified in five veterans hospitals and consigned management system. This study verified differences between general characteristics of cancer patients as men of national merit and analyzed their survival rate. Results: The cancer patients as men of national merit were super-aged as their average age was 72.5. In the analysis of general characteristics of five major prevalent cancers, there were statistically significant differences according to age, region, cancer diagnostic path, differentiation, diagnostic method, treatment method, SEER stage, and survival period, except for the types of the man of national merit (p<0.001). The whole survival rate of cancer patients as men of national merit was 50%. The 5-year survival rates of predisposing cancers were shown as prostate cancer (79%), colorectal cancer (64%), gastric cancer (57%), liver cancer (32%), and lung cancer (12%). In the cancer diagnostic path, all the predisposing cancers showed the highest survival rate in medical examination. In the treatment method, the surgery showed the highest survival rate. The cancer patients as men of national merit showed a lower survival rate than the general cancer patients of Korea. Conclusion: It would be needed to guarantee the honorable and happy life through health recovery as special treatment of contribution and sacrifice of super-aged men of national merit by increasing the cancer survival rates through regular checkup, early diagnosis, and high-quality treatment system that could have important effects on the survival rate according to the occurrence of cancers.

Experiences of Health-care Providers about Advanced Practice Nurses: Focusing on the Perspectives of Physicians and Advanced Practice Nurses (전문간호사 업무에 대한 의료인의 경험: 전문의와 전문간호사를 중심으로)

  • Kang, Young-Ah;Lim, Kyung-Choon;Kim, Joo Hyun;Jeoung, Jae Sim;Han, Ji Eun
    • Journal of muscle and joint health
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    • v.26 no.3
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    • pp.290-306
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    • 2019
  • Purpose: This study aimed to describe the experiences of health-care providers about advanced practice nurses (APNs) focusing on the perspectives of physicians and APNs in Korea. Methods: Qualitative data were collected with snowball sampling. Six physicians and 13 APNs participated in this study through in-depth interviews or a focus-group interview. Qualitative content analysis was employed. Results: Three themes and seven categories were emerged. Three themes were 1) challenging start and attempts to settle down on unfamiliar system, 2) being positioned as an APN at clinical settings, 3) long journey for social recognition and legal institutionalization of APNs' role. Seven categories were 1) challenges to new area, 2) introduction and conflict of APN system, 3) driving force for stepping toward becoming APNs, 4) dedication and commitment to role development, 5) efforts to prove APNs' competency, 6) approaches to guarantee legal APNs' activities, and 7) filling the gap in health-care service. Conclusion: The findings suggest that health-care providers who have collaborated with APNs are aware of the needs to operate APN system more stably through the legislation of APNs' scope of practices. Further research is needed to provide the evidences of APNs' practice outcomes such as health care quality, patient safety, reduction of medical expenses, etc.

Trend Analysis of the Research on Bee Venom Acupuncture in South Korea, Based on Published Articles

  • Han, Chang Hyun;Lee, Yong Seok;Sung, Soo Hyun;Lee, Bong Hyo;Shin, Hwa Young;Lee, Young Joon
    • The Journal of Korean Medicine
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    • v.36 no.4
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    • pp.80-103
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    • 2015
  • Background: This study investigated current research trends in bee venom acupuncture in Korea. Materials and methods: The literature in Korea was reviewed using the search engines Science and Technology Society Village, Korean Studies Information Service System, National Discovery for Science Leaders, and Oriental Medicine Advanced Searching Integrated System. The keywords searched were "bee venom," "apitoxin," "apitherapy," and "bee sting." We selected 412 studies, which included Korean literary studies, experimental studies, and clinical studies. Results: We classified them by publication year, research type, disease and topic, and quality assessment. Among bee venom-related studies, clinical studies (235 studies) outnumbered experimental studies (149 studies) and literary studies (28 studies). Nineteen experimental studies concentrated on the theme of "anticancer." In the type analysis of clinical studies, lumbar disorders comprised 45 of 235 studies, followed by the effect on body. Forty-two randomized controlled trials (RCTs) have been published from 2003 to date (2015). Twenty-two studies used appropriate randomization methods. Fourteen studies had a Jadad score of 4-5 points; 15 studies, 1-3 points; and 13 studies, 0 points. Conclusions: Bee venom treatment is based on Korean traditional medicine theory. Numerous research studies suggest its effectiveness. Effort and academic approach on bee venom are expected to receive a positive evaluation.

A Study on the Composition of Rehabilitation Center for the Disabled with the Change of Welfare Center (노인복지회관의 공간구성현황에 관한 연구)

  • Lee, Hyo-Won;Park, San-Dol;Joo, Seok-Joong
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.10 no.2
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    • pp.99-106
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    • 2004
  • This study attempts to provide the fundamental materials for space program in terms of planning a senior welfare center by means of examining and analyzing the present conditions of spatial arrangement of each section in senior welfare center for the aged. The results of the study are as in the following. 1) The demand for new service programs corresponding to the improved quality of the elderly and various social desires is relatively on the increase. Each program in senior welfare center for the elderly should be connected in an organic manner and the organization of space should be provided. 2) The section of counseling, the first step when using a welfare center, should be located in the entrance of the building and it has to be closely connected with other section. 3) The section of medical rehabilitation is a place mostly for the elderly in their frail physical condition; therefore, it is effective to use horizontal line. 4) It is important for the room for volunteers in the section for domiciliary welfare to be arranged flexibly with the office or the room for social education, and it is necessary to consider how easy daytime or short-term care is accessible. 5) The space where dynamic programs are progressed in the section of social education should be distinguished from the section of medical rehabilitation or the room for daytime care and the room for short-term care of the section of domiciliary welfare.

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A Study on the Evaluation of Treatment Conditions of the Nursing Homes based on the Characteristics of the Elderly - Focusing on the Municipal Nursing Homes in Seoul - (노인특성을 고려한 노인요양시설 치유환경평가에 관한 연구 - 서울 시립 노인요양시설을 중심으로 -)

  • Song, Hyo-Ju;Choi, Sang-Hun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.15 no.3
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    • pp.31-39
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    • 2009
  • Population of senior citizens in Korea has been on the increase rapidly through decrease in population by falling birth rate and extension the average life span by development of medical technology and improving people's standard of living. As the booming population of senior citizens, it has appeared to problems of the elderly such as protection, health and supporting and welfare facilities for the elderly have increased there but it leaves something to be desired at plan and improvement of qualitative environment which the elderly's living space. It attaches importance to valuate about nursing homes such as management, quality of service, manufacture of physical environment and so on, so it is required to consider the elderly's emotion on environmental valuation. Healing environment that is a important fact of indoor environment operates powerfully upon the nursing homes as well as general medical facilities. It needs to healing environment for the elderly's physical health and mental stable life, we should know importance of healing environment that affects the elderly's health and life. The elderly have experienced physical, mental, and social changes with advancing years. The people who use the nursing homes are the elderly. We should find fact of healing environment as the elderly's characteristics and have to find healing environment that gives aid to the elderly's health in the nursing homes. In care for the elderly is not house care, it has focused on the elderly's health for improving their life and leading comfortable life.

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Review of Domestic Sleep Industry Classification Criteria and Aanalysis of characteristics of related companies

  • Yu, Tae Gyu
    • International journal of advanced smart convergence
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    • v.11 no.1
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    • pp.111-116
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    • 2022
  • After COVID-19, the number of people with sleep disorders around the world is increasing. In particular, in the flow of the 4th industrial revolution, the differentiation of types and characteristics of the sleep industry is accelerating. Therefore, in this study, the characteristics of each type of sleep-related industry were reclassified from an industrial point of view, and based on this, an attempt was made to review the classification system that can help companies develop sleep products and improve related national systems. Based on the 10th standard industry classification, we compared input cost, value, and usability and analyzed common characteristics, treatments, and preventive effects based on this. A comprehensive taxonomy using matrix analysis was reviewed. As a result, in terms of cost (A), the most common sleeping products are general mattresses and general bedding. It is an IOT device (auxiliary device), and the value aspect (B, B/D) included sleep cafe, bedding rental and management service, and sleep consulting. In terms of utility (A/B), a total of 6 product groups including sleep aids (health functional foods) belong to this category, and in terms of treatment (A/C), a total of 3 product groups including sleep clinics (medical services) belong to this category. As for the product group (A/D) with both properties, it was found that non-insurance sleep treatment medical devices, sleep-related over-the-counter drugs, and some sleep monitoring applications belong to this category. Ultimately, it was found that the sleep industry classification enables the most active product development and composition according to the relative relationship between cost and utility, and treatment and utility. appeared to be necessary.

Analysis of the Current State of Home Health Nursing for Elderly Patients in Advanced General Hospital (일 상급종합병원 노인 환자의 가정간호 서비스 이용 현황 분석)

  • Park, Sung Hye;Jang, Yeon Soo;Kim, Su Jin
    • Journal of Korean Clinical Nursing Research
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    • v.25 no.3
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    • pp.275-284
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    • 2019
  • Purpose: The purpose of this study was to analyze the current state of home health nursing (HHN) for elders and to provide basic data on policy alternatives for establishing home medical care in the advanced general hospital. Methods: This study was conducted as a secondary data analysis, using electronic medical record (EMR) data of older patients who received HHN more than once from the S advanced general hospital between January 2016 and December 2018. Results: A total of 1,790 patients received HHN visits, with 22,477 visits being made. The mean age was 76.8±7.3 years old, 96.0% of elders had health insurance and 24.6% had orthopedics problems. Of the 1,168 people who visited emergency rooms, the most frequent symptom was pain (23.4%) and all patients visited the hospital at least once and at most 163 times outpatient care during HHN. Causative diseases were degenerative knee joint osteoarthritis (0.6%), surgery for right knee replacement (4.0%), and for dressings (9.7%) in the HHN service content analysis. Conclusion: The progress towards an aging society and the introduction of community care are expected to further enhance the need for HHN which should be able to provide comprehensive and continuous visiting health care services to the older patients. The results of this study are expected to help doctors solve problems not solved by HHN, reduce unnecessary emergency room or outpatient visits, and readmission, while at the same time contributing to the improvement of patient quality of life through efficient patient health care.

Conceptual Design Methodology of an e-Health System (e-Health 시스템의 개념적 설계 방법론에 관한 연구)

  • Chun, Je-Ran
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.10
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    • pp.2900-2906
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    • 2009
  • e-Health system is the use of information and communication technologies to provide health care information and services to stakeholders. It pursues an improvement of service quality of health care, increases of accessability of information, reduction of medical cos and enforcement of competitiveness in health care industry. There are lots of difficulties in implication of internet technology to health care process. This is because that the characteristics of health care industry is very closed and specific and also the internet technology has the very user-oriented characters. So it is necessary to have the system independent conceptual design method to combine these two characteristics. In this paper a new modified conceptual design methodology will be proposed for the successful implementation of e-health system in korean health care industry. The proposed methodology will be verified its validity and feasibility through AHP method. And the results of this research will be implied as the basis for the development and revitalization of e-Health system in Korea.

On the QoS Support in Medium Access Control for Medical Sensor Networks (의료용 센서 네트워크에서 QoS 지원의 매체접속제어)

  • Ashrafuzzaman, Kazi;Kwak, Kyung-Sup
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.9 no.6
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    • pp.151-158
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    • 2010
  • In line with the requirement of appropriate protocol support for such mission-critical wireless sensor network (WSN) applications as patient monitoring, we investigate the framework for designing medium access control (MAC) schemes. The data traffic in medical systems comes with inherent traffic heterogeneity as well as strict requirement of reliability according to the varied extents of devise-wise criticality in separate cases. This implies that the quality-of-Service (QoS) issues are very distinctly delicate requiring specialized consideration. Besides, there are features in such systems that can be exploited during the design of a MAC scheme. In a monitoring or routine surveillance application, there are degrees of regularity or predictability in traffic as coordinated from a node of central control. The coordinator thus takes on the role of marshaling the resources in a neighborhood of nodes deployed mostly for upstream traffic; in a collision-free scheme, it schedules the time slots for each superframe based on the QoS specifications. In this preliminary study, we identify the key artifacts of such a MAC scheme. We also present basic performance issues like the impact of superframe length on delay incurred, energy efficiency achieved in the network operation as obtained in a typical simulation setup based on this framework.

Error Analysis of General X-ray Examination by Using Simulation Training (시뮬레이션 교육을 통한 일반 X선 검사의 오류 분석)

  • Seoung, Youl-Hun
    • Journal of the Korean Society of Radiology
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    • v.12 no.7
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    • pp.919-927
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    • 2018
  • The purpose of this study was to present simulation training model for general X-ray examinations and to analyze the errors that occur during the simulation training. From 2012 to 2018, a total of 183 students (77 men and 106 women) participated. The simulated X-ray system used computed radiography (CR) system. The contents of simulation training were patient's care, X-ray examinations accuracy, images stability, etc. As a result, it were found that the patient's position setting error, the accuracy error of the X-ray beam central ray, the image receptor's size and setting error, the error of the grid use, the marking error, and the error of X-ray exposure technical factors. It is expected that improved practical general X-ray examinations training of radiographer will be needed, focusing on these errors, so that we could contribute to the health care of the people by providing precise examinations and high quality medical service.