• Title/Summary/Keyword: medical study

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A Study on the Adjustment System and Role of an Expert Witness based on the Medical Dispute Settlement Act. (의료분쟁조정법상 조정제도와 감정의 역할)

  • Kim, Kee hong
    • Journal of Arbitration Studies
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    • v.30 no.1
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    • pp.185-198
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    • 2020
  • In the event of a medical conflict in South Korea, civil lawsuits can be very complicated, time-consuming, and costly. Under the Medical Conflict Conciliation Act, the mediation system has expanded its function to coordinate disputes between individuals and medical institutions in a more efficient manner prior to litigation. Currently, conflict mediation organizations and legal systems are established in each sector, and the Healthcare Dispute Settlement Commission will also play an important role in the public sector. In this study, the characteristics of the evaluation system of the Korea Institute of Medical Conflict Arbitration are examined; and, by looking at the case of medical examinations, it is proposed to show the mediation system and the manner and role of the examinations. Medical expertise is a very important area of the qualitative standards and expertise of participants because the participants must play a role in medical consultation and appraisal in connection with medical experts.

An Effect of Medical Service Quality on Relationship Quality, Customer Satisfaction and Reuse Intent in Oriental Medical Hospital (한방병원 의료서비스품질이 관계품질, 고객만족, 재이용의도에 미치는 영향)

  • Cho, Chul-Ho
    • Korea Journal of Hospital Management
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    • v.15 no.2
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    • pp.107-128
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    • 2010
  • These days, customer satisfaction and relationship quality are regarded as important mediating factor in successful hospital management. Generally, service quality affects relationship quality, customer satisfaction and reuse intent in diverse service industries, and most of researchers agree to this conclusion. This study is designed to explore medical service quality in Oriental Medical Hospital and causal relationship among medical service quality, customer satisfaction, relationship quality and reuse intention. Through conclusion of this study, we could find that Oriental medical service quality factors are composed of medical staff, subsidiary facilities, medical facilities and administration service, and they affected relationship quality and reuse intent directly and indirectly through customer satisfaction. Moreover we found that customer satisfaction and relationship quality were playing an important role as connecting bridge between service quality and reuse intent.

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The Study of Metadata Model to Identify Electronic Medical Record (전자의무기록 식별을 위한 메타데이터의 연구)

  • Hong, Sung Ho;Kim, Young Seop
    • Journal of the Semiconductor & Display Technology
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    • v.13 no.2
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    • pp.63-66
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    • 2014
  • Managing electronic medical record is very difficult, because the currently electronic medical system is not designed standard that is uniform and proper. In this paper, in order to overcome this situation, we propose meta-data for the management of the electronic medical record as a single system. To this end, we first analyzed the research on electronic medical records and related standards. Second, we, on the basis of the analysis result, abstracted electronic medical record and entities related on electronic medical, and we designed an entity-relationship model. And finally, we have to complete the meta-data through the setting attributes in this entity-relationship model. Through this study, it was possible that we can complete metadata highly expressive medical records, and suggest an alternative for problem of current medical records systems.

An Evaluation Study of 1339 and 119 Emergency Medical Dispatch Protocols (응급의료 전화상담과 응급의료 지시서에 관한 연구 - 전화내용 분석을 통하여 -)

  • 강경희;이인숙
    • Journal of Korean Academy of Nursing
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    • v.31 no.4
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    • pp.538-547
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    • 2001
  • Purpose: To evaluate the emergency medical protocols and need assessment through the case report Method: The study investigated the emergency call system through the 1339 emergency patients information center in 1997. Results: The emergency calls tend to follow general trends of the type of cases : abdominal pain (13.5%), unconsciousness(12.0%), traffic accidents (7.4%), bleeding (6.6%), respiration difficulty (5.9%). This was all collected through emergency medical protocols injury and poisoning (22.3%), symptom (51.6%), others (26.1%). Conclusion: The results suggest that a specific training program for emergency medical dispatchers should be established, and emergency medical dispatcher managers must review the cases on the basis of emergency medical protocols every year. Emergency medical services, furthermore, will continue to raise the standard for emergency medical dispatching.

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An Analysis on the Health and the Medical Demand in Korea: Using the Grossman Model (우리나라의 건강수요 및 의료수요에 대한 분석: Grossman Model을 중심으로)

  • Hwang, Yongha;Sakong, Jin
    • Health Policy and Management
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    • v.29 no.3
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    • pp.332-341
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    • 2019
  • Background: This study analyzes the effects of the individual's health behavior on the health and the medical demand for the management of health and medical expenses. Methods: This study uses the Korea Health Panel Survey data from 2010 to 2015. We utilize the panel ordered logit model and the panel Tobit model with the subjective health status and the medical expenses as the dependent variables. Results: Chronic diseases would cause the deterioration of his or her health and the increase in medical expenses. Smoking and drinking alcohol would deteriorate one's health. The total amount of cigarettes increases medical expenses. Exercises could make people healthier, whereas excessive exercise might increase medical expenses. Private health insurance would increase medical expenses. Conclusion: Since health could reduce the medical expenses, people should promote one's health by changing one's behavior for health.

Establish Selection Process of Performance Management Medical Devices and Test items Based on Risk Management (위험관리기반의 성능관리 의료기기 선정 절차 수립 및 시험 항목 도출)

  • Park, Ho Joon;Jang, Joong Soon
    • Journal of Biomedical Engineering Research
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    • v.40 no.1
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    • pp.20-31
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    • 2019
  • Medical device performance management is an activity that allows a device to be safely used and maintained even after it is put on the market. The purpose of this study is to provide procedures and criteria for selection of medical device items that should manage the safety and performance among medical devices in hospital. Investigate the performance management status of medical devices in hospitals and identify the performance management status by domestic and advanced regulatory agencies. Provides selection procedures and test methods for medical devices subject to performance management in hospitals based on medical device risk management and reliability. In addition, a case study on drug infusion pumps was conducted.

A Survey on the Introduction of Medical Humanities and Sociology into the National Medical Licensing Examination (인문사회의학의 의사국가시험 도입에 대한 인식도 조사)

  • Lee, Seunghee;Chung, Myung-Hyun;Shin, Jwa-Seop;Chung, Eun Kyung
    • Korean Medical Education Review
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    • v.12 no.1
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    • pp.33-41
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    • 2010
  • Purpose: This study aimed at investigating the current situation of Medical Humanities and Sociology-related-curriculum in Korean medical schools, and suggesting the courses of study for the contents and methods of the Medical Humanities and Sociology examination, which can be included in the National Examination for Medical Practitioners. Methods: We analyzed Medical Humanities and Sociology-related courses which are offered in Korean medical schools, and a survey was conducted by medical school professors and students and medical journalists. In the survey, the Medical Humanities and Sociology-related courses were divided into 8 parts, and the participants were asked to evaluate the importance of duty, necessity of education, necessity of evaluation and the evaluation method of each part using a seven-point scale. Results: A total of 207 medical school professors and students and 9 medical journalists participated in the survey. The results were similar for the importance of duty and necessity of education of each part, but those for the necessity of evaluation were different. - As a result, there seems to be a gap between the importance of duty and the importance of education of each course. Medical journalists and students group answered differently on the necessity of evaluation of each course was also reserved. Conclusion: It is necessarily recommended to include Medical Humanities and Sociology-related courses such as medical ethics, self-improvement and doctors' social responsibilities in the National Examination for Medical Practitioners.

Trichostatin A-induced Apoptosis is Mediated by Krüppel-like Factor 4 in Ovarian and Lung Cancer

  • Zohre, Sadeghi;Kazem, Nejati-Koshki;Abolfazl, Akbarzadeh;Mohammad, Rahmati-Yamchi;Aliakbar, Movassaghpour;Effat, Alizadeh;Zahra, Davoudi;Hassan, Dariushnejad;Nosratollah, Zarghami
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.16
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    • pp.6581-6586
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    • 2014
  • Background: The istone deacetylase (HDAC) inhibitor trichostatin A (TSA) is known to mediate the regulation of gene expression and antiproliferation activity in cancer cells. Kr$\ddot{u}$ppel-like factor 4 (klf4) is a zinc finger-containing transcription factor of the SP/KLF family, that is expressed in a variety of tissues and regulates cell proliferation, differentiation, tumorigenesis, and apoptosis. It may either either function as a tumor suppressor or an oncogene depending on genetic context of tumors. Aims: In this study, we tested the possibility that TSA may increase klf4 expression and cancer cell growth inhibition and apoptosis in SKOV-3 and A549 cells. Materials and Methods: The cytotoxicity of TSA was determined using the MTT assay test, while klf4 gene expression was assessed by real time PCR andto ability of TSA to induce apoptosis using a Vybrant Apoptosis Assay kit. Results: Our results showed that TSA exerted dose and time dependent cytotoxicity effect on SKOV-3 and A549 cells. Moreover TSA up-regulated klf4 expression. Flow cytometric analysis demonstrated that apoptosis was increased after TSA treatment. Conclusions: Taken together, this study showed that TSA increased klf4 expression in SKOV3 and A549 cell lines, consequently, klf4 may played a tumor-suppressor role by increasing both cell growth inhibition and apoptosis. This study sheds light on the details of molecular mechanisms of HDACI-induced cell cycle arrest and apoptosis.