• 한국병원경영학회지
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• 제7권1호
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• pp.88-104
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• 2002

According to the change of mandatory referral system in July 1, 2000, the effect to the medical utilization of outpatient clinic and medical income in ophthalmology of tertiary care medical institute, S Hospital in Seoul was evaluated for 6 months before(1999. 12$\sim$2000. 5) and after(2000. 12$\sim$2001. 5). The results were as follows: 1. The number of outpatients was reduced by 16.6%. The number of patient with blindness low vision, retina, glaucoma increased and that of patient with accommodation refractive error, cataract decreased. 2. The number of cataract patients was reduced by 36.6%. The major location of patient's address was changed to nearer to the hospital. The number of cataract surgery reduced in 4.1%, the waiting time reduced in 42.2%, however surgery time increased in 20.2% and number of postoperative complications increased in 11.4%. 3. The income of outpatient clinic and cataract surgery reduced. Among items of outpatient clinic income, the most increased was ocular examination and the most reduced was injection and drugs. Among items of cataract surgery income, the most increased was operation fee and the most decreased was doctor's fee. In conclusion, for the patient, due to the lowered density of outpatient population more space was provided to the patients with more severe disease entity such as blindness' low vision, retina and glaucoma. For the hospital, the need for the expansion of ophthalmology was not found, however that for creation of the special clinics dealing with more severe disease entity was found. Due to reduced income and increased need of financial investment for the equipment and manpower for the more severe disease entity, the ophthalmology of tertiary care medical institute is faced with financial disaster. It is strongly suggested that the cost of medical practice of more severe disease entity be raised to achieve the success after change of mandatory referral system in ophthalmology.

• 한국콘텐츠학회:학술대회논문집
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• 한국콘텐츠학회 2014년도 춘계 종합학술대회 논문집
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• pp.299-300
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• 2014

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 2002년도 제54차 추계 학술대회 연제집
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• pp.184-185
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• 2002

• 한국임상수의학회:학술대회논문집
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• 한국임상수의학회 2007년도 춘계학술대회
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• pp.146-146
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• 2007

• 대한지리학회:학술대회논문집
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• 대한지리학회 2004년도 춘계학술대회
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• pp.68-68
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• 2004

우리나라에서는 이미 1980년대부터 원격진료가 시도된 바 있으나, 큰 실효를 거두지는 못하였다. 하지만 1990년대 이후 인터넷 도입과 의료계의 정보화 관심이 날로 증대되면서 의료 환경은 빠르게 변하고 있다. 원격진료는 크게 인터넷을 통한 건강 상담, 정보통신 기기를 이용한 진료, 병원간 협진으로 나눠볼 수 있는데, 본 연구에서는 '병원간 협진'을 중심으로 하고 있다. (중략)

• 대한수의사회지
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• 제43권12호
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• pp.1113-1118
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• 2007

중환자에서 조직의 저산소증을 확인하고 교정하는 것은 매우 중요하다. 혈중 젖산측정은 30년 이상 인의에서 조직의 산소화를 위한 간접적인 측정방법으로 이용되었다. 그러나 수의에서는 최근에 많이 이용되고 있는 방법이다. 비싸지 않은 간이 젖산 측정계로 중환자의 젖산을 연속적으로 모니터하는 것이 수의 응급실 및 전문병원(referral center)에서 상용화되고 있다. 수의 환자에서 혈중 젖산 측정은 질병의 심각도를 결정하고 치료 결정을 조절하는데 유용한 보조 수단이다.

• Clinical and Experimental Pediatrics
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• 제50권1호
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• pp.1-6
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• 2007

In the United States, The concept of designation for hospital facilities that care for newborn infants according to the level of complexity of care provided was first proposed in 1976. The extent of perinatal health care regionalization varies widely from one area to the other. facilities that provide hospital care for newborn are classified into three categories on the basis of functional capabilities; level I-primary or basic care, level II-secondary or specialty care, level III-tertially or subspecialty care. These facilities should be organized within a regionalized system of perinatal care. The transport system of newborn infants should be organized for referral of high risk newborn to centers with the personnel and resources needed for their degree of risk and severity of illness. In Korea, The korean society of neonatology was established and articulated in the 1994. During the past decade, the number of neonatologist has increased and neonatal intensive care units have proliferated in Korea. However, no standard definitions exist for the graded levels of complexity of care that neonatal intensive care units provide and no uniform guideline or recommendation for regionalization and referral system of high risk neonate have been established. With the rapid changing neonatal care system in Korea, the optimal neonatal care demands regionalization of care in utilization of manpower resources and in efficient use of advanced technology and facility.

• 재활간호학회지
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• 제12권2호
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• pp.92-101
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• 2009

Purpose: This study was conducted to explore the functional status and long-term care services for the community-dwelling low-income elderly. Method: A descriptive research design was used in this study. The functional status of the participants was obtained using Minimum Data Set-Home Care Version 2.0 and the long-term care services were identified via Michigan's choice. Total of 154 persons aged 65 years or older completed Korean Minimum Data Set-Home Care Version 2.0 on the community dwelling low-income elderly. Results: The average of Activities of Daily Living was 4.19, and the range was 0-55, while the average of Instrument of Activities of Daily Living was 4.85 and the range was 0-56. Among the subjects, 46.1% belonged to the Information and Referral group and 1.3% to the Nursing Home group. Severe daily pain was reported by 14.9%, and 76.6% of the participants had impaired vision. The Activities of Daily Living was difference according to living with, education, vision, and depression. The long-term care services differed according to gender, pain, vision, hearing, and depression. Conclusion: The support policy for the elderly needed to focus on impaired visual and depression to enhance the activities of daily living. Moreover, there is a need for the Information and Referral group to arrange and develop nursing intervention resources.

• 지능정보연구
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• 제12권1호
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• pp.163-175
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• 2006

본 논문은 유비쿼터스 컴퓨팅 환경에서 기업의 마케팅 전략의 일환으로 RFID를 이용한 구전 마케팅과 이를 용이하게 하는 비즈니스 모델을 제안한다. 그리고 한국 eBay와의 비교실험을 통해 제안하는 비즈니스 모델의 성립가능성을 평가하였다. 소비자 관점의 구전 시나리오와 기업 관점의 구전 시나리오를 통해 기존의 구전 마케팅의 한계점을 제시하였으며, 기존의 구전 마케팅의 특징을 비교, 분석함으로써 유비쿼터스 구전 마케팅의 특징을 도출하였다. 본 논문에서 제안하는 비즈니스 모델은 RFID를 이용하여 기업과 소비자, 소비자와 소비자간의 seamless한 networking을 가능하게 하며, 각 경제 주체의 인센티브(incentive) 체계를 이용하여 기업의 구전 마케팅을 용이하게 한다.

• The Korean Journal of Pain
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• 제18권2호
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• pp.146-150
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• 2005

Background: Recently, the number of patients visiting pain clinics has been increasing with the augmented concerns of those patients about the management of their pain. We conducted this study in order to elucidate the characteristics of patients visiting pain clinics and to determine a method to further raise their awareness about pain treatment. Methods: We reviewed 1,424 new patients who visited our pain clinic from March 2003 to December 2004. We analyzed these patients according to their age and sex, treatment method before visiting the pain clinic, coexisting disease, chief complaint and pain location, resident district, route of visiting pain clinic, and degree of impairment due to pain by use of questionnaire. Results: In age distribution, the largest proportion (23.5%) was in their 50's. Most patients (64.0%) had received treatment in an oriental medicine clinic before visiting the pain clinic. The most common coexisting disease was hypertension (20.3%) and low back pain was the most common chief complaint (68.3%). Most of the patients lived in Gyeonggido (87%) and most visited our pain clinic on the recommendation of other patients who had visited our pain clinic before. Conclusions: We need to guide pain patients to undergo proper treatment much earlier using patient education or a referral system. Moreover, we should be more careful in patients with diabetes mellitus, and should have greater concern in the treatment of low back pain.