• 제목/요약/키워드: doctor

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한의학에서의 환자-의사 관계 (The Patient-Doctor Relationship in Eastern Medicine)

  • 김근우
    • 동의신경정신과학회지
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    • 제18권3호
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    • pp.97-112
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    • 2007
  • Objectives : This study aimed for desirable cure through the investigation of The Patient-Doctor Relationship in Eastern Medicine. Methods : Research materials is data of the patient the doctor and the Patient-Doctor Relationship in Eastern Medicine bibliography except medical theory and clinical contents. Results and Conclusion :. 1. Relatively the doctor's position origin from exorcist has it over patient's that. 2. In spite of clinical doctor, Confucian physician have Confucianism and the ethics so they set The Patient-Doctor Relationship in Eastern Medicine essentially. 3. Each of doctor(the doctor-doctor relationship) emphasize the partnership in the Patient-Doctor Relationship. 4. Patient's choice for doctor is source of the Patient-Doctor Relationship basically and the choice are prudent. 5. The patient must carry into practice psychological and body medical affairs related to health preserving 6. For desirable Patient-Doctor Relationship, doctor's inquire is considered with temper and circumstance and a consultation room are also required stability. 7. Poor Patient-Doctor Relationship are come about when patient is not trust doctor, patient is not follow doctor's order and doctor's indifference to patient.

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Design and Development of a New Type of Doctor's Coat

  • Park, Judy Joohee
    • International Journal of Costume and Fashion
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    • 제12권2호
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    • pp.53-65
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    • 2012
  • The scientific, professional and reliable image of doctor's coats is changing over the years, and many countries around the world are changing doctor's coat designs or removing them altogether. This study researches the history and significance of doctor's coats, and based on the research, designs and develops new doctor's coats for the Seoul National University Hospital Department of Dermatology where traditional white polyester and cotton coats are still being worn. The positive results of the study indicate that doctor's coat designs can be developed in different directions that reflect certain identities and moods while maintaining professionalism.

사상의학(四象醫學)에서의 의사-환자의 관계에 대한 연구 (The Study of Doctor-Patient Relationship in Sasang Constitutional Medicine)

  • 반덕진;박성식
    • 사상체질의학회지
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    • 제20권1호
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    • pp.24-33
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    • 2008
  • 1. Objectives We analyze Doctor-Patient Relationship in anthropological medicine, medical sociology Oriental Medicine and find out solutions about problems of Modern Medicine which are dehumanized through the meaning of Doctor-Patient Relationship in Sasang Constitutional Medicine. 2. Methods We consider various studies which are related with doctor-patient relationship from models of the Doctor-Patient Relationship, anthropological medicine, medical sociology and Oriental Medicine. And we compare and analyze Sasang Constitutional Medicine's meaning of doctor and patient through Sasang Constitutional Medicine's view of treatment and philosophy. 3. Results and Conclusions 1) In various studies, Doctor-Patient Relationship have been dualistic perspective which is divided into doctor and patient, and lay emphasis on relationship between them. 2) In Sasang Constitutional Medicine, anyone might be a patient because they are human being, anyone might be a doctor as cure their own disease. In other words, doctor and patient are not separated but united. A point of regarding human is the core of illness and cure can present new direction that solves problems of dualistic perspective Modern Medicine.

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지불보상체계가 의사의 진료행태에 미치는 영향 : 미국사례 분석 (The Effect of Doctor's Payment Method on Practice Behavior)

  • 임재영
    • 보건행정학회지
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    • 제14권4호
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    • pp.48-74
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    • 2004
  • Considering the existence of asymmetric information between doctor and patient, the doctor's reimbursement method has been considered as a desirable policy device of improving efficiency of patient's use of medical care in terms of its affecting doctor's practice pattern by determining doctor's practice revenue. By using the Community Tracking Study (CTS) physician data set, which includes not only various information on doctors practice arrangements and sources of practice revenue, but also vignettes of various clinical presentations, this paper investigates doctor's reaction to the financial incentive under the control of patient's specific medical situation. Under the econometric model for exploring the effect of doctor's reimbursement method on his/her practice patterns; referring patients, recommend doctor-visit or medical tests, the Hausman's specification test was used for checking out the possibility of the doctor's reimbursement method being endogeneized explanatory variable. In the case where the endogeneity problem of doctor's reimbursement method exists, the 2SLS method was used for correcting that problem, and the multiple regression method was used in the case where the problem is found to be nonexistent. Based on the empirical results, this paper finds that doctors do appear to respond to financial incentive. The empirical results show that the doctor's reimbursement method statistically significantly affects doctor's practice pattern and are coincident with the theoretical result proposed by previous researches, This results suggest, as doctor's practice revenues are mainly determined by prospective method, such as capitation, doctors would more refer their patients to specialists, and hesitate in recommending doctor-visit or medical exam.

환자-의사 커뮤니케이션 개선을 위한 의사코칭 모델 개발 (Development of Physician Coaching Model for Improvement of Patient-Doctor Communication)

  • 나현숙;권영대;노진원
    • 한국콘텐츠학회논문지
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    • 제13권2호
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    • pp.331-340
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    • 2013
  • 최근 의과대학과 의료서비스 산업에서 환자-의사 커뮤니케이션에 관한 논의가 활발히 이루어지고 있다. 환자-의사 커뮤니케이션이란 '진료면담'에서 환자와 의사간의 쌍방향 의사소통으로써, 환자와 의사 양자에게 모두 긍정적인 효과를 가져다주는 것으로 알려져 있다. 이 연구에서는 의사의 커뮤니케이션 스킬을 향상시켜 환자와 의사간의 의사소통을 원활히 할 수 있는 방안으로 코칭기법을 접목한 의사코칭 모델을 개발하였다. 모델 개발 방법은 문헌검토를 통해 초안을 개발하였고, 전문가 자문과 의사평가를 통해 수정 보완하였다. 연구 결과, 의사코칭 모델을 총 5단계로 구성하였다. 첫째, '관계 형성'으로 의사가 코칭에 대한 기대나 관심을 가지도록 한다. 둘째, '변화 주제 인식'으로 환자와의 커뮤니케이션에서 의사의 문제점과 장점을 파악하여 코칭의 방향을 설정한다. 셋째, '관점의 획득'으로 의사가 환자의 관점에서 생각할 수 있도록 유도한다. 넷째, '문제 해결 및 의사소통 역량 강화'로서 의사의 커뮤니케이션 스킬 개선사항을 세부항목으로 제시한다. 다섯째, '목표 설정 및 지원'으로 개선 사항 목표를 설정하고 장점을 유지 강화할 수 있는 실천 방안을 합의한다. 개발된 의사코칭 모델은 환자-의사 커뮤니케이션 개선을 위해 의사들을 대상으로 코칭기법을 처음으로 적용했다는데 가장 큰 의의가 있다. 향후 의료서비스 현장에서 활용될 경우, 의사들의 커뮤니케이션 스킬 향상과 환자 공감적 능력 향상에 효과가 있을 것으로 판단된다. 이를 통해 환자들의 진료만족도를 높이는데 기여할 것이다.

지역사회 의료공급자의 지불보상체계상의 특징이 지역사회 주민의 의료이용에 미치는 영향: 미국사례분석 (The Effect of Payment Method of Community Medical Provider on Medical Care Use of Community Residents)

  • 임재영
    • 보건행정학회지
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    • 제15권2호
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    • pp.16-36
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    • 2005
  • Due to the existence of asymmetry of information between doctor and patient, it has been believed that doctor might affect patient's decision making process of purchasing medical care. Based on this notion, doctor's reimbursement method has been suggested as an effective policy device of improving efficiency of patient's medical care use by way of its affecting doctor's practice pattern. By using the Community Tracking Study (CTS) household and physician data set, which includes not only various information on patient's medical care use, but doctor's practice arrangements and sources of practice revenue, this paper investigates the effect of community doctor's characteristics of reimbursement method on community patient's medical care use under the control of patient's socio-demographic characteristics and community doctor's practice type. In the process of estimating econometric model, the endogeneity problem of individual health insurance purchase was corrected by using 2818. And due to the existence of sample selection problem, Heckman's two-step estimation method was used for strengthen the robustness of estimation which was adversely affected by sample selection problem The empirical results show that as the average value of community doctor's portion of practice revenue determined by prospective method out of total revenue increases, the community patient's total out-of-pocket medical cost decreases. This results suggest, as doctor's practice revenues are mainly determined by prospective method, such as capitation, doctors would be more conscious about practice cost, which might affect doctor's practice pattern and by which his/her patient's use of medical care would decrease.

레이저프린터용 닥터 블레이드 생산 자동화 (Automated Production System for Manufacturing the Doctor Blades of Laser Printers)

  • 전성훈;이응기
    • 한국생산제조학회지
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    • 제21권4호
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    • pp.633-638
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    • 2012
  • The doctor blade is a core part of a laser printer and directly influences the printing quality. The main specifications for doctor blades ate for them to be precise and durable. It is necessary to study an automatic production system for doctor blades in order to obtain high-efficient manufacturing processes. In this paper, the technology and the design of the automatic production line has for manufacturing doctor blades has been researched. The automated manufacturing process consists of five steps, which are the supplying of raw material, shearing, bending, bracket supplying, and the laser-spot welding process. The proposed automatic manufacturing system allowed for faster and more reliable production of doctor blades.

한의사 가운 디자인 제안 (Proposal for the Design of the Oriental Medical Doctor's Gown)

  • 서옥경
    • 대한가정학회지
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    • 제41권11호
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    • pp.113-121
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    • 2003
  • Recently the status of oriental medicine in Korea has been more increased as the alternative medicine which overcome the limitations of western medicine. With the increased status, the development of the oriental medical doctor's gown which is distinguished from that of western medical doctor has been brought up among the oriental medical doctors' group since the middle of 1990. We carried out the former study to know the development's direction of the present oriental medical doctor's gown by the survey the requisites for the oriental medical doctor's gown which they want(OK Suh, 2002). We aim to propose the developed design of the oriental medical doctor's gown which meet their request and has honored tradition according to the data of the former survey. As the result of the production designing of the oriental medical doctor's gown considering tradition, practicality, appreciation of the beautiful etc., in our study, we could lead to distribute 800 gowns through the Association of Korean Oriental Medicine supporting by the brand of Amorepacific's Sulhasoo.

선택병의원제가 의료급여 수급권자의 건강에 미치는 영향 (The Effects of the Designated Doctor System on the Health of Medical Aid Beneficiaries)

  • 최정명;오진주
    • 지역사회간호학회지
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    • 제23권4호
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    • pp.438-445
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    • 2012
  • Purpose: Medical Aid Beneficiaries were surveyed to identify differences in health behaviors, adherence to drug regimen, and quality of life between those people in the Designated Doctor System and those who are not. Methods: A total of 1,327 study subjects were separated into three groups: those in the Designated Doctor System for 2 years, those in for 1 year, and those not in the system. Results: After the introduction of the Designated Doctor System, 55.8% and 67.9%, respectively, of the subjects in the Designated Doctor System complained of inconvenience in relation to hospital use and the patient referral process. Also, the rate of emergency room use or hospitalization guided by the Designated Doctor System was only 8.7% and 6.5%, respectively. There were no significant differences in health behaviors and adherence to drug regimens between those in the Designated Doctor System and those who are not. Conclusion: This study was carried out early in the introduction of the system. Therefore, it is necessary to monitor the positive and negative effects of the Designated Doctor System for a full reflection of its impact.

나무의사 제도 법제화에 따른 식물병리학회의 역할 (Legalization of Tree Doctor System and the Role of KSPP)

  • 차병진
    • 식물병연구
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    • 제23권3호
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    • pp.207-211
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    • 2017
  • 2016년 12월에 산림보호법 중 일부가 개정되어 이른바 '나무의사법'이 공포되었으며, 이 법은 2018년 6월 28일부터 시행될 예정이다. 새로운 법안에서는 나무의사 자격 소지자에 한하여 나무병원을 개업할 수 있고, 나무병원만이 생활권 공공분야의 수목병해충 관리를 할 수 있도록 규정하고 있으며, 그에 따라 '나무의사'라는 국가공인자격이 신설되었다. 나무의사가 되기 위해서는 지정된 양성과정을 이수하고 시험을 통과하여야 한다. 현재 산림청에서는 이 법의 시행을 위하여 구체적 시행방안을 포함하는 시행령과 시행규칙 등을 만들고 있다. 수목진료 및 건강관리에서 가장 핵심적인 부분이 식물병리학이라는 사실을 감안할 때, 그리고 식물병리학을 공부하는 학생들의 사회진출을 위하여 식물병리학회는 새로운 수목진료체계가 정착될 수 있도록 나무의사 양성기관의 교육과정 개발 및 나무의사 선발시험계획 수립 등에 적극적으로 관여하여야 할 것으로 생각한다.