• 제목/요약/키워드: US health system

검색결과 243건 처리시간 0.026초

가스공정의 웹기반 통합 안전, 보건, 환경 관리시스템 (WISHE) (Web-based Integrated Safety, Health and Environment Management System in Gas Industry)

  • 윤인섭;한경훈;박정수;정기택;김구회;신동일
    • 한국가스학회지
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    • 제8권1호
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    • pp.48-55
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    • 2004
  • 본 연구는 기존의 통합 가스안전관리 시스템에 힌트를 얻어 가스 및 에너지$\cdot$환경 공정에 있어서 웹을 기반으로 하여 안전, 보건, 환경 분야의 통합 시스템(WISHE; Web-based Integrated Safety, Health and Environment Management System)을 구축하는 것이다. 지금까지 산업현장에서 각종 규제와 법률에 따라 각각 관리되던 안전, 보건, 환경의 고유 업무 영역을 객체 위주의 정보 흐름도를 이용하여 면밀하게 분석하고, 통합 가능성을 파악한 후 및 장소에 구애를 받지 않는 웹의 장점을 이용하여 통합시스템을 만들었으며, 주위 모듈 및 각종 인증제도와 유기적으로 연계하여 관리인력 및 비용절감을 가능하게 하였다.

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비영리법인 의료기관의 과세 제도를 정비해야 할 시점: 미국 수준의 면세혜택 제공을 검토해야 (For Non-for-Profit medical institutions, tax exemption benefits such as the United States should be basically provided.)

  • 이진용;김현주;은상준
    • 한국병원경영학회지
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    • 제23권4호
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    • pp.81-86
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    • 2018
  • Purposes: The purpose of this study is to argue that the taxation system for non-for-profit medical institution in Korea should be revised and that the basic direction should be to expand tax exemption like the US. Methods: We analyzed the US context of taxation policy for non-for-profit medical institutions and compared the US and Korean situation. Findings: In the United States, for-profit or non-for-profit medical institutions eternities are the most important criteria for hospital classification. Basically, full tax-exemption has been applied for non-for-profit medical institutions. The reason why many hospitals maintain their status as non-for-profit are following. First, the American society places great importance on the social responsibility and role of non-for-profit hospitals. Second, maintaining the status of non-for profit medical institutions is financially beneficial while maintaining good social reputation. The most powerful financial incentives are tax deductions and tax deductions for donations. Practical Implications: How will the taxation system for medical institutions in Korea be reformed in the future? First, if Korean government do not allow for-profit medical institutions, Korean government should consider implementing a full tax exemption system suitable for non-profit medical institutions like the US. Second, there are many variation in taxation for non-for-profit medical institution according to their legal positions. Therefore, current taxation system should be revised. Third, the reorganization of such taxation system should be in a direction that can finally encourage community benefit activities of medical institutions of nonprofit hospitals.

한 지역 권역 응급의료센터 내원환자의 이용 행태 분석 (A Study on the Operation Regional Emergency Medical Center and the Using Behavior by Visiting Patients)

  • 류황건;송현경;김혜숙;김태곤
    • 보건의료산업학회지
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    • 제1권1호
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    • pp.110-124
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    • 2007
  • Currently, we have seen sudden increase of demand for emergency medical services by reason for high-speed economic development increase of traffics, etc. in this society. Consequently the government enforced & operated emergency medical system in 1991 as a link of more positive countermeasure against it, but many problem; still remain in reality. In particular, the regional emergency medical center designated by the Ministry of Health and Welfare falls short of our expectations for its essential role by the reason of such as insufficiency in professional manpower and institutions concerned in small-scale hospital, matters with transportation system, preference of large hospital, etc. Therefore, this study was conducted grasp for the actual conditions of emergency medical system based upon literature research & the preceding studies and interview research the motive of coming hospital, satisfaction & understand to the subject of 150 persons of patients and their guardians who used regional emergency center of Pusan National University Hospital, thereby examining & analysing the cause of emergency room overcrowding by non-emergency cases, one of the problem; enumerated from preceding studies. The main result of this study is as follows. First the actual condition of non-emergency patients coming hospital for examining overcrowding of emergency medical center showed that, of the patients who used the emergency medical center, non-emergency patients accounted for 49.3%, which acted as the main cause of delaying medical care for emergency cases, cases of which medical person or first-aid man decided to come hospital accounted for 36.1 %, thereby suggesting essential need for re-education & wide public information to even the professional manpower besides patients & guardians for their using emergency medical system. Second, as the result of researching patient acknowledgement with reference to their using emergency medical center, the rate of their giving right answer is no more than 60%, which means that non-emergency cases' using as such is due to the shortage of their knowledge of the said emergency medical center, which suggests us that wider P.R for emergency medical system to common people who may be one of the patients of it at any time is still in need. Third, the result of researching for finding out a future remedy of emergency medical system showed that the users who know well of the way of using emergency medical center had relatively high satisfaction of it, ones who have lesser knowledge of it lower satisfaction and users who feel in need of emergency specialized manpower feel the necessity of public information of emergency medical information center(1339) at the same time. The finding of examining the subject of study, in conclusion, showed that the degree of the patients & their guardians' understanding of emergency medical system is lower and the medical persons concerned also had no distinct difference in their understanding of it from the common people's, which suggests us for extensive enforcement of systematic education and public information in aspect of the government via various media for the purpose of effective operation of emergency medical center.

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재미한인간호사의 사회적 지지, 문화적응 스트레스가 우울에 미치는 영향 (Impacts of Social Support and Acculturative Stress on Depression among Korean Registered Nurses in the United States)

  • 정영미
    • 한국간호교육학회지
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    • 제20권2호
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    • pp.192-202
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    • 2014
  • Purpose: The purpose of this study was to identify the impacts of social support and acculturative stress on depression among Korean registered nurses in the United States. Method: In total, 137 nurses were recruited through direct interviews and online surveys. The data were collected through a structured questionnaire from June 1, to September 16, 2012, and analyzed using descriptive statistics, t-test, ANOVA, Scheff$\acute{e}$'s test, Pearson correlation coefficient, and stepwise multiple regression with SPSS WIN 14.0. Results: Social support significantly differed by the length of one's nursing career in US, monthly income and perceived health status. Acculturative stress significantly differed by the length of one's nursing career in US and types of employment setting. Depression significantly differed by the total length of one's nursing career, type of employment setting, and perceived health status. Moreover, Depression was negatively correlated with social support; positively correlated with acculturative stress; social support was negatively correlated with acculturative stress. Factors influencing depression were acculturative stress, perceived health status, and social support, which explained about 23% of the total variance. Conclusion: These results suggest that an adaptation program that decreases acculturative stress and improves social support should be developed and implemented for Korean nurses to help them successfully integrate into the healthcare system of new country.

Recent R&D activities on structural health monitoring in Korea

  • Kim, Jeong-Tae;Sim, Sung-Han;Cho, Soojin;Yun, Chung-Bang;Min, Jiyoung
    • Structural Monitoring and Maintenance
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    • 제3권1호
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    • pp.91-114
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    • 2016
  • In this paper, recent research trends and activities on structural health monitoring (SHM) of civil infrastructure in Korea are reviewed. Recently, there has been increasing need for adopting smart sensing technologies to SHM, so this review focuses on smart sensing, monitoring, and assessment for civil infrastructure. Firstly, the research activities on smart sensor technology is reviewed including optical fiber sensors, piezoelectric sensors, wireless smart sensors, and vision-based sensing system. Then, a brief overview is given to the recent advances in smart monitoring and assessment techniques such as vibration-based global monitoring techniques, local monitoring with piezoelectric materials, decentralized monitoring techniques for wireless sensors, wireless power supply and energy harvest. Finally, recent joint SHM activities on several test beds in Korea are discussed to share the up-to-date information and to promote the smart sensors and monitoring technologies for applications to civil infrastructure. It includes a Korea-US joint research on test bridges of the Korea Expressway Corporation (KEC), a Korea-US-Japan joint research on Jindo cable-stayed bridge, and a comparative study for cable tension measurement techniques on Hwamyung cable-stayed bridge, and a campaign test for displacement measurement techniques on Sorok suspension bridge.

미국에서의 침술과 카이로프랙틱 건강보험 급여 현황 (A Study on Current Status of Acupuncture and Chiropractic Health Insurance in the United States)

  • 김주철;이은경;김동수
    • 대한예방한의학회지
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    • 제23권1호
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    • pp.1-13
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    • 2019
  • Backgrounds : The market of Complementary Alternative Medicine(CAM) in the United State(U.S.) accounts for a large proportion of the global CAM market and has a high growth rate. The recent introduction of Obama Care has brought the change in the health insurance system for CAM, and we need to analyze it for its implication to Korean system. Objectives : The purpose of this study is to investigate the current status of acupuncture and chiropractic health insurance in the U.S., and to draw implications for expanding the health insurance coverage for Korean traditional medicine through the comparison between the U.S. and Korean health insurance systems. Methods : We examined the data through the literature search and from the websites of both U.S. government departments and related organizations for the health insurance policy. Based on the collected data, we analyzed its CAM health insurance system in Korea. Results : The acupuncture covered by public health insurance in the U.S. has a limit in the number of treatments and a range of applied diseases compared with Korea. In addition, the practice of acupuncture is not subdivided. However, the chiropractic in the U.S. which also has a limited number of coverage and only three categories of practices are similar to that of Korea. Conclusions : Although the use of CAM by public health insurance is not active in the U.S., but the organizations such as Veterans Health Administration in Vermont is already discussing the use of acupuncture to solve the problem of opioid overuse. Thus Korea also needs to discuss to promote the expansion of the insurance system for CAM.

사무실 실내공기중 휘발성유기화합물의 기준설정에 관한 연구 (A Study on the Standards of Volatile Organic Compounds in Indoor Air of Office)

  • 김윤신;이철민;노영만;이소담;손종렬;김석원
    • 한국산업보건학회지
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    • 제16권4호
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    • pp.413-427
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    • 2006
  • It is necessary to study and develop guidelines for providing comfort and health indoor air quality for office workers since air-tight envelope system of current office building may cause poor indoor air quality. The purpose of this study is to propose guideline for volatile organic compounds in office base on the field study, human health risk assessment and cost-benefit analysis. The field study was conducted to survey the concentrations of volatile organic compounds in indoor air of 69 offices from June to September, 2005 in Seoul and Gyeonggi-do. The rate of excess to guideline of volatile organic compounds in indoor air of new apartment on the Ministry of Environment in Korea(MOE) was surveyed 37.6% for benzene, 6.8% for toluene, and 1.5% for ethylbenzene. As the result of human health risk assessment, mean cancer risk did not exceed 10-6 which is guideline of US.EPA. Also, total hazard index did not exceed 1 which is guideline of US.EPA. Through the cost-benefit analysis of angle on the social-economics to verify the necessary to establish the standards of volatile organic compounds for improvement and development of indoor air quality in office, the present value of benefit was higher than the present value of cost. With the above considerations in mind, it is suggested that the field study for indoor air quality in offices should be expanded and human health risk assessment and cost-benefit analysis be performed th offer scientific data for decision-making of policy for improvement and management of indoor air quality in office.

보건/의료산업 융합에 따른 의료정보화 시스템 연구 (A Study on Medical Information System in Health/Medical Industry Convergence)

  • 이동우
    • 디지털융복합연구
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    • 제12권2호
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    • pp.237-242
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    • 2014
  • 우리 사회의 급속한 변화 현상중의 하나를 선택한다면 아마도 급속한 고령화 인구의 증가라 할 수 있을 것이다. 고령화 인구의 증가는 다양한 사회적 문제들을 야기시키고 있다. 이와 관련하여 점점 중요성이 높아지면서, 해결해야 되는 문제가 의료정보 시스템일 것이다. 의료융합 산업이 관광산업의 한 축이 될 수 있는 환경에서는 의료정보 시스템의 중요성은 아무리 강조해도 지나침이 없다. 가까운 태국은 의료산업을 기반으로 한 관광산업의 대표적인 나라라 할 수 있다. 이러한 추세를 반영하여 관련 연구들이 활발히 이루어지고 있으며, 관련 응용 상품들도 개발되고 있다. 이에 본 논문에서는 IT와 의료산업의 융복합 형태인 통합 의료정보 시스템에 대한 현황 및 문제점, 향후 발전 방향등에 대해 고찰하였다.

가정 방문 물리치료 (Home - Visiting Physical Therapy)

  • 이한숙;박돈목;김충식
    • The Journal of Korean Physical Therapy
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    • 제8권1호
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    • pp.91-98
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    • 1996
  • It is urgent to introduce home visiting physical therapy in order to prevent the unnecessary increase of demand and extravagance for the nation-wide execution of medical insurance and for the medical demand and supply of medical delivery system. We think that it is very important for us, as a physical therapist preparing 21 centry, to clearly undersand the necessity of home visiting physical therapy, which will be needed as the new therapeutic field in the future. When the terms for a new health and medical system, that is, useful trained-manpower, well-equipped facilities, financial and legal support, well-prepared design for this project, positive cooperation between people involved in this project and rational development of the project is held and this project is settled by sieving tile expected problems, this project will give a contribution to the promotion of national health and social welfare

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ASIC을 이용한 고속의료영상처리보드의 개발을 위한 기초연구 (Researches of the Real-time Medical Imaging Precessing Board using ASIC architecture)

  • 서지현;박홍민;하태환;남상희
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1998년도 추계학술대회
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    • pp.299-300
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    • 1998
  • Recently the development of medical modality like as MRI, 3D US, DR etc is very active. Therefore it is more required not only the enhancement of quality in medical service but the improvement of medical system based on quantization, minimization, and optimization of high speed. Especially, as the changing into the digital modality system, it gets to start using ASIC(Application Specific Integrated Circuit) to realize one board system. It requires the implementation of hardware debugging and effective speedy algorithm with more speed and accuracy in order to support and replace existing device. If objected image could be linked to high speed process board with special interface and pre-processed using FPGA, it can be used in real time image processing and protocol of HIS(Hospital Information System). This study can support the basic circuit design of medical image board which is able to realize image processing basically using digitalized medical image, and to interface between existing device and image board containing image processing algorithm.

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