• 제목/요약/키워드: medical consumers

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p53 Codon 72 Polymorphism Interactions with Dietary and Tobacco Related Habits and Risk of Stomach Cancer in Mizoram, India

  • Malakar, Mridul;Devi, K. Rekha;Phukan, Rup Kumar;Kaur, Tanvir;Deka, Manab;Puia, Lalhriat;Sailo, Lalrinliana;Lalhmangaihi, T.;Barua, Debajit;Rajguru, Sanjib Kumar;Mahanta, Jagadish;Narain, Kanwar
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권2호
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    • pp.717-723
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    • 2014
  • Background: This study was carried out to investigate the interaction of p53 codon 72 polymorphism, dietary and tobacco habits with reference to risk of stomach cancer in Mizoram, India. A total of 105 histologically confirmed stomach cancer cases and 210 age, sex and ethnicity matched healthy population controls were included in this study. Materials and Methods: The p53 codon 72 polymorphism was detected by PCR-RFLP and sequencing. H. pylori infection status was determined by ELISA. Information on various dietary and tobacco related habits was recorded with a standard questionnaire. Results: This study revealed that overall, the Pro/Pro genotype was significantly associated with a higher risk of stomach cancer (OR, 2.54; 95%CI, 1.01-6.40) as compared to the Arg/Arg genotype. In gender stratified analysis, the Pro/Pro genotype showed higher risk (OR, 7.50; 95%CI, 1.20-47.0) than the Arg/Arg genotype among females. Similarly, the Pro/Pro genotype demonstrated higher risk of stomach cancer (OR, 6.30; 95%CI, 1.41-28.2) among older people (>60 years). However, no such associations were observed in males and in individuals <60 years of age. Smoke dried fish and preserved meat (smoke dried/sun dried) consumers were at increased risk of stomach cancer (OR, 4.85; 95%CI, 1.91-12.3 and OR, 4.22; 95%CI, 1.46-12.2 respectively) as compared to non-consumers. Significant gene-environment interactions exist in terms of p53 codon 72 polymorphism and stomach cancer in Mizoram. Tobacco smokers with Pro/Pro and Arg/Pro genotypes were at higher risk of stomach cancer (OR, 16.2; 95%CI, 1.72-153.4 and OR, 9.45; 95%CI, 1.09-81.7 respectively) than the non-smokers Arg/Arg genotype carriers. The combination of tuibur user and Arg/Pro genotype also demonstrated an elevated risk association (OR, 4.76; 95%CI, 1.40-16.21). Conclusions: In conclusion, this study revealed that p53 codon 72 polymorphism and dietary and tobacco habit interactions influence stomach cancer development in Mizoram, India.

지각된 위험과 지각된 편익이 구매의도에 미치는 영향 - 의료관광사업 중국잠재수요자 중심으로 (A Study on Purchase Intention Considering Perceived Risks and Perceived Benefits)

  • 이지은;추옥걸
    • 한국병원경영학회지
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    • 제20권1호
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    • pp.25-38
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    • 2015
  • China has a growing number of medical tourists to visit South Korea every year, with economic growth, and thus Korea's medical tourism is growing countries in the new growth engine industries and attracting attention. In this study, this time looking at the risks and benefits of medical tourism potential factors consumers feel the Chinese people for South Korea medical tourism, economic, based on existing research, functional, temporal, social, and psychological setting factors, risks and benefits conducted a study of the relationship between the purchase of your help. Risk factors identified through this study, we investigate expanding the overseas medical tourism market to visit Korea by managing the benefits and know the strategic implications that can achieve customer satisfaction by the service convenient for Chinese tourists.

치과 의료광고 규제에 관한 소고 - 대법원 판결과 헌법재판소 결정을 중심으로 - (A Study on the Regulation of Dental Medical Advertisements -Focusing on the Decisions of the Supreme Court and the Constitutional Court-)

  • 장연화;백경희
    • 대한치과의사협회지
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    • 제55권1호
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    • pp.53-62
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    • 2017
  • As the citizens' life and body are the object of medical practice, it should ultimately protect the citizens' right of health. For this reason, medical practice possesses characteristics of non-profit and public and such special characteristics caused heavy regulations in the medical industry as exemplified by medical advertisements. For advancement of market economy, the government has been moving toward relaxing regulations in the medical industry and this trend can be shown in medical advertisements. Moreover, as a type of commercial advertisements, medical practitioners should be able to express their freedom of expression and freedom to occupation. From the perspective of patients who are medical consumers, they need access to information to locate appropriate medical practitioners and institutions for their symptoms. Therefore, medical advertisements can help realize the patients' right to know. This study will first analyze the general theories behind the necessity of medical advertisements and details of regulations, then analyze the issues from the cases of the supreme court and the constitutional court that are related to dental medical advertisements.

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의료행위와 기본권: 헌법 해석적 접근 (Medical Practice and the Fundamental Rights: Approaching by Constitutional Interpretation)

  • 장철준
    • 의료법학
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    • 제15권1호
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    • pp.11-34
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    • 2014
  • Promulgation of the medical practice rule without specific definition in Medical Law has brought about many constitutional issues. The major issue is that the law has the government punish unlicensed medical practice without defining what it is. Instead, the law chooses a license-centered structure of criminal punishment for medical malpractice, saying "no one can practice medicine without the government-approved license." This regulation violates the rule of "void for vagueness" based on the principle of "nulla poena nullum crimen sine lege." Judicial interpretation should be required for a citizen to understand the Medical Law provision intuitively. In addition, the law infringes upon the freedom of occupation of the unlicensed and the licensed who wish to extend his or her practice area for "holistic medicine." The central issue of the law is that it was established under no ground of professionalism even though medical practice has been understood professional. The government has centrally controlled the medical field for its needs. Lastly, the current law violates the right of medical selection of the consumers of medicine. Because patients have the right of health and life, they have to hold the latitude of selection for medical treatments. Especially, they should have an opportunity for considering the Complementary and Alternative Medicine if they want. But under the current rules, this medicine is not permitted. To correct those problems, a new provision for the definition of medical practice should be adopted at once.

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의료관광객과 병원 종사자간의 한국 의료관광 서비스에 대한 인식차이 분석 (The Analysis of South Korea Medical Tourism Services for the Differences Perceptions by Medical Tourists and Hospital Staffs)

  • 한재현;이견직
    • 한국병원경영학회지
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    • 제16권4호
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    • pp.17-34
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    • 2011
  • Recently, medical market has been changing not for the sake of treatment of the disease but for high quality of health. Therefore, South Korea medical tourism service needs to understand and improve for the differences perceptions of medical tourists and health professionals for customer satisfaction. The purpose of this study is to understand the structure of medical tourism market through theoretical consideration and to suggest the factors which need to be taken precedence for improvement of South Korea medical tourism service through analysis differences between consumers and suppliers. To analyze the difference of awareness, we reconstructed the questionnaires focussing on evaluation factors and articles about medical tourists selection attributes and health professionals way to invigoration through previous research and precedence study. After that, we also collected the data based on reconstructed questionnaires. After we compared each collected responses from medical tourists and health professionals, also analyzed the differences of awareness by applying Johari's Window to those differences. In conclusion, there is no relation between medical tourist and health professionals about th differences of awareness in functional quality and cost that is a direct effect to transaction in current medical tourism of South Korea. In contrast, there are differences of awareness between a process which support medical tourism and technical quality. Therefor, we expect to invigorate medical tourism by innovation of supportive process and technical quality.

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한약재 품질관리실태에 대한 한방의료기관 종사자들의 인식도 (Recognition of Oriental Medical Doctors on the Quality Control of Herbal Medicine)

  • 김광수;유왕근
    • 대한예방한의학회지
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    • 제7권1호
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    • pp.87-102
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    • 2003
  • This study was conducted to examine recognition of oriental medical doctors on the quality control of herbal medicine and to provide useful information for the establishment of effective quality control system of herbal medicine. Data were collected from 202 oriental medical doctors working in oriental medical hospitals or clinics in Daegu-Gyungbuk province. Generally, there is a tendency that most respondents have low degree of recognition, trust and satisfaction of the quality control of herbal medicine while they think standardization and complete quality control systems of herbal medicine is needed highly. Thus, in order to increase confidence of consumers in herbal medicine, and to increase the utilization of oriental medical services, both strengthening of quality control systems and standardization and establishment of Oriental KFDA as a new government agency responsible for the work should be required.

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치과 건강보험에 관한 인식 조사 (A Study on Awareness of the Dental Health Insurance Coverage)

  • 한지형;김윤신
    • 치위생과학회지
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    • 제8권2호
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    • pp.65-71
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    • 2008
  • 본 연구는 건강보험에 대한 인식을 파악하여 치과 건강보험제도의 운영과 개선방안에 도움이 되고자 2006년 8월부터 10월까지 행정기관 및 임상전문가 568명과 의료기관에 내원한 의료소비자 1036명을 대상으로 설문조사를 실시하여 다음과 같은 결론을 도출하였다. 1. 전문가 집단의 인구 사회학적 특성에서 여성이 84.7%로 높은 비중을 차지하였으며, 연령은 20대, 30대, 40대 순으로 나타났다. 의료소비자 집단의 인구 사회학적 특성은 여성이 50.2%, 남성이 49.8%로 비슷한 분포를 나타냈으며, 연령은 20대, 30대,40대 순으로 나타났다. 2. 치과 건강보험의 재정확보에 관한 의견에 대해 조사한 결과 급여확대를 위한 재정수준에서는 전문가, 의료소비자 모두 '보험급여 재정수준을 늘여서 추가적으로 급여항목을 확대하되 우선순위도 재조정하자'는 의견이 높게 나타났다. 재원조달방법으로는 전문가의 경우 '정부 예산 지원비율 확대'와 '사회보장제도 마련', '지방자치단체의 예산편성' 순으로 나타났으며, 의료소비자의 경우 '정부의 예산 지원비율 확대', '지방자치단체의 예산편성', '소득수준에 따른 격차 확대' 순으로 나타났다. 3. 치과 건강보험에 대한 전반적인 견해에서 전문가는 비급여를 포함한 본인부담 비용의 적절성(2.47), 급여적용 항목수의 적절성(2.29) 순이었으며, 의료소비자의 경우 전체 건강보험 예산 중 치과 건강보험의 급여비율의 적절성(2.26), 급여적용 항목수의 적절성(2.16) 순을 기록하였다. 우선순위 설정 기준이 필요하다는 의견에서는 각각 3.75, 2.93을 나타냈다. 4. 치과 건강보험에 관한 인식도에 있어서 전문가와 의료소비자 모두 비슷한 의견을 보였으며, 특히 치과건강보험 제도에 대한 필요성을 크게 인식하고 있었다. 만족도에 있어서는 두 집단 모두 만족도가 모든항목에서 3점 이하로 불만족하는 경향을 보였으며, 특히 보험적용 항목에 대한 만족도가 가장 낮았다.

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The Use of Artificial Intelligence in Healthcare in Medical Image Processing

  • Elkhatim Abuelysar Elmobarak
    • International Journal of Computer Science & Network Security
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    • 제24권1호
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    • pp.9-16
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    • 2024
  • AI or Artificial Intelligence has been a significant tool used in the organisational backgrounds for an effective improvement in the management methods. The processing of the information and the analysis of the data for the further achievement of heightened efficiency can be performed by AI through its data analytics measures. In the medical field, AI has been integrated for an improvement within the management of the medical services and to note a rise in the levels of customer satisfaction. With the benefits of reasoning and problem solving, AI has been able to initiate a range of benefits for both the consumers and the medical personnel. The main benefits which have been noted in the integration of AI would be integrated into the study. The issues which are noted with the integrated AI usage for the medical sector would also be identified in the study. Medical Image Processing has been seen to integrate 3D image datasets with the medical industry, in terms of Computed Tomography (CT) or Magnetic Resonance Imaging (MRI). The usage of such medical devices have occurred in the diagnosis of the patients, the development of guidance towards medical intervention and an overall increase in the medical efficiency. The study would focus on such different tools, adhered with AI for increased medical improvement.

돼지고기 저지방부위 소비에 대한 지불의사액 추정 (WTP Estimation in Low Fat Pork Meat Consumption)

  • 신효중;이샘
    • 한국식생활문화학회지
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    • 제33권4호
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    • pp.299-306
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    • 2018
  • Pork is a popular meat consumed in Korea. However, the consumption pattern has typically focused on preferred parts, like pork belly, which is usually broiled. This consumption pattern has increased both stocks of low fat parts and medical costs, and has thereby disturbed pork industry growth and the national health welfare. Changing the consumption patterns of preferred parts and encouraging consumption of low fat parts will improve consumers' quality of life and also increase their benefits. Thus, this study estimated WTP (Willingness To Pay) for health funds among consumers who eat pork meat, considering the health benefits gained by consuming low fat parts and changes in preferred part consumption. The results of this study show that WTP is higher when consumers have a smaller family and a higher income; these consumers plan to increase intake of pork meat in the future and think that the promotion of low fat pork meat consumption is more important. The WTP for health funds is estimated to be 49won to 287won through Logit Model. The health benefits of low fat consumption were estimated to be 92 billion won to 539 billion won per year. Therefore, reforming low fat pork consumption not only changes the traditional consumption pattern focused on preferred parts but also leads to a variety of benefits for consumers, including health benefits.

지불용의접근법을 이용한 간호서비스의 가격결정 (Determination of Nursing Price using Willingness to Pay)

  • 고수경;박정영
    • 간호행정학회지
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    • 제7권2호
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    • pp.205-221
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    • 2001
  • It will become more and more popular to use the long-term care facilities and home health care services with the chronic disease increasing. It depends on how much the consumers would pay and purchase the services. They might get more benefits from that kind of services than from ordinary hospitalization. So far, the study of determining the medical service price has focused most often on the efforts from the providers' view. But it must be reasonable to include the consumers' value for the service. This study was performed to assess WTP(Willingness to Pay) for home health care service in order to apply to the determination of nursing price in a reasonable manner. In this study, respondents were asked if they would pay for the service's intangible benefits under the four different types(open-ended minimum WTP, open-ended maximum WTP, bidding WTP, referendum WTP). The contingent valuation method is a potentially useful tool in understanding how people value the benefits of the service. As a result, average open-ended minimum WTP was W16,015 per day among 65 respondents. Average open-ended maximum WTP was W29,154 per day among 65 respondents. Average bidding WTP was W26,300 per day among 65 respondents. Average referendum WTP was W22,200 per day among 70 respondents. The results of regression analyses were also consistent with theoretical prediction, e.g., increasing WTP with consumers' value for the service, state of patients, and household income. This study demonstrated that it was more reasonable to consider the consumers' value in determining the services' price. In addition, a further study is needed to test the validity of this CV method and to determine a proper nursing price based on the consumers' view.

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