• 한국임상수의학회지
• /
• 제35권1호
• /
• pp.1-6
• /
• 2018

This study reviewed the regulatory safety management system for prevention of side effects of veterinary medical devices in Korea based on data obtained through analyses of those medical devices. In order to ensure the safety of medical devices, Ministry of Food and Drug Safety has established the management system include licensing, test inspection (134 designated clinical trial agencies) and post management. In addition, it was introduce the good manufacture practice (GMP) certification system and device tracking requirements. In contrast, it is necessary to establish regulations for side effects report and awareness on veterinary medical devices in Korea. The center for veterinary medicine of FDA in the United States has been operated side effects reporting system of veterinary medical devices from user, manufactures and distributor. Due to increase the use of various kinds of veterinary medical devices for animals, it should be required to improve regulation related to the licensing procedures, GMP system, and the side effects reporting system in our country.

• 한국임상약학회지
• /
• 제26권4호
• /
• pp.330-340
• /
• 2016

Objective: The outbreak of Middle East Respiratory Syndrome (MERS) started in South Korea in May 2015 and the end of crisis was declared in December 2015 by Korea Centers of Disease Control and Prevention (KCDC). However, Zika virus emerged in less than 2 months following MERS and showed higher mortality than other countries. This study is to assess the current prevention system of overseas infectious diseases, based on MERS and Zika virus outbreak and to suggest effective response system for the future. Methods: We conducted two surveys on medical specialists working at tertiary general hospitals regarding the effectiveness of responding system by KCDC against MERS and Zika virus and education in individual medical institutions using 5-Likert points. Response system was examined in three different periods as initial period, spreading period, and post disease period. Results: Although medical specialists received the notifications in initial period, no practical prevention was proven to be placed in responding stage by medical facilities (averagely 3.5/5 points in total and sub-analyses). During spreading period, there were several academic seminars conducted, which were evaluated as helpful. In post disease period, all answered that there were changes on patient treatment in all medical facilities, with mainly report system and the treatment regulations in case of suspicious patients for infection. Only 49% respondents answered positive on the possibility of initial responses. For questionnaire items regarding Zika virus, all answered that there were notifications prior to the first outbreak of the infected patient. Eighty% of respondents were aware of 'the Guideline system for traveling to dangerous areas', and answered that the system was moderately effective (averagely 3.8/5 points in total). For the effectiveness of prevention measures for foreign novel disease by KCDC, the average point was 3.0 in both of total and sub-analyses. Conclusion: There is not enough response system to prevent infectious disease in medical institutional and governmental levels in Korea. It would warrant the modification of overall medical system to improve preventive measures for initial spread of such diseases.

• 의학교육논단
• /
• 제15권3호
• /
• pp.125-135
• /
• 2013

Since the establishment of the national medical licensing examination board in 1992, the medical licensing examination system has changed enormously and this has had a number of impacts on examination services. All those reforms were aimed at improving the relevance and reliability of the test. Several attempts of the testing system have appeared in the new examination service, and which have also brought about the changes in the medical school curriculum such as introducing integrated courses instead of traditional subjects, using test scores as a reference to the post-graduation selection test. Some examples of changes in the examination system are as follows: 1) choosing three integrated test subjects and outlines of their reference content instead of 15 academic subjects, 2) adjusting the ratio of multiple choice question items to focus more on the problem solving level, 3) introduction of 'one-best answer' single set and 'extended matching type items, 4) item construction based on real clinical cases and real clinical materials. Recently, a clinical skill test system has been introduced to measure examinees' basic clinical skills competencies. Despite continuing efforts, the examination system still has many issues remaining to be solved. These problems include the differential weighting of test items, appropriate threshold for passing, and practicality of pre-testing to stabilize the passing rate and avoid the hazards of newness and undesirably difficult test items.

• Journal of Microbiology and Biotechnology
• /
• 제32권7호
• /
• pp.825-834
• /
• 2022

Inflammatory bowel disease (IBD) is a global disease that is in increasing incidence. The gut, which contains the largest amount of lymphoid tissue in the human body, as well as a wide range of nervous system components, is integral in ensuring intestinal homeostasis and function. By interacting with gut microbiota, immune cells, and the enteric nervous system, the intestinal barrier, which is a solid barrier, protects the intestinal tract from the external environment, thereby maintaining homeostasis throughout the body. Destruction of the intestinal barrier is referred to as developing a "leaky gut," which causes a series of changes relating to the occurrence of IBD. Changes in the interactions between the intestinal barrier and gut microbiota are particularly crucial in the development of IBD. Exploring the leaky gut and its interaction with the gut microbiota, immune cells, and the neuroimmune system may help further explain the pathogenesis of IBD and provide potential therapeutic methods for future use.

• 한국병원경영학회지
• /
• 제19권1호
• /
• pp.32-42
• /
• 2014

It is necessary to calculate prime cost of medical services accurately in order to evaluate the adequacy of medical fee. This paper aims to identify cost analysts' perception on prime cost of medical services and needs in establishing a cost accounting system in hospitals, proposing future directions and guidelines for the calculation of medical fee. A self-administered questionnaire and telephone survey on operation of a hospital cost-accounting system was conducted in November, 2012, among cost analysts currently working in the hospitals and hospital administrators planning to implement the hospital cost-accounting system. Our study shows that most of the cost analysts were aware of the importance of calculating prime cost and responded that collection of the prime cost data from government is necessary although they are less likely to provide the data in the future concerning the risk of data misuse and data security. They also responded that lack of budget allocation and excessive workload were the main reasons for not estimating the prime cost and operating cost management information system. Results show that hospital cost analysts considered the data accuracy is the most critical factor in calculating prime costs of medical services. However, there was no investment budget allocated in some hospitals or limited to less than 100 million, indicating that hospitals are reluctant to invest on implementing the cost accounting system. Respondents stated the organization that collects the prime cost of medical services among hospitals should display strong analytical capabilities, ensure data security, and maintain independence, which is most demanded. There are 57 hospitals that calculated the prime cost of medical services for 2012 by each medical department and 20 hospitals that calculated the prime cost by fee-for-services, aiming to establish a cost accounting system. Our results indicate that hospitals should voluntarily provide the accurate prime cost for medical services in order to properly evaluate the adequacy of medical fee. Consequently, it is critical to establish an independent organization to collect and appraise the data. It is also recommended that government should implement various policies to encourage hospitals to participate in the data collection to achieve the data accuracy and representativeness.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제25권1호
• /
• pp.7-16
• /
• 2019

Purpose: Analysis on the spatial configuration characteristics of dental department in medical center through examining outpatient department of medical center is necessary for the development of architectural planning of the dental healthcare system in Korea. This study has been performed to provide data for the planning of hospital architecture. Methods: Literature review of dental healthcare system and investigation on current status of dental department in medical center have been conducted. The plan and spatial configuration of seven medical centers in Seoul area have been analyzed. Results: The result of this study can be summarized in four points. The first one is that the clinical dental spaces are classified by dental school's dental hospital, dental department in medical center, dental hospital, private dental clinic, and public dental healthcare center in Korea. The second one is that the dental department in medical center is a result from medical law regulation and it is specified and subdivided with dental specialist system. The third one is that the types of the dental department in medical center are divided into independent type or comprehensive type according to the relationship with main outpatient department. The fourth one is that the spatial configuration of dental department in medical center is planned with 5-7 specialized departments and they are allocated in the dental department. Implications: In addition to the spatial configuration of dental department in medical center, it is necessary to analyze the other factors like circulation, relationship with other facilities in medical center to develop the dental healthcare system.

• 정보처리학회논문지:컴퓨터 및 통신 시스템
• /
• 제11권9호
• /
• pp.317-322
• /
• 2022

정보기술의 급격한 발달은 의료 환경에서도 많은 변화를 가져오고 있다. 특히 빅데이터와 인공지능(AI)을 활용한 의료영상 정보 시스템의 빠른 변화를 견인하고 있다. 전자의무기록(EMR)과 의료영상저장전송시스템(PACS)으로 구성된 처방전달시스템(OCS)은 의료 환경을 아날로그에서 디지털로 빠르게 바꾸어 놓았다. PACS는 여러 솔루션과 결합하여 호환, 보안, 효율성, 자동화 등 새로운 발전 방향을 보여주고 있다. 그 중, 영상의 질적 개선을 할 수 있는 빅데이터를 활용한 인공지능(AI)과의 결합이 활발히 진행되고 있다. 특히 딥러닝 기술을 활용하여 의료 영상 판독을 보조할 수 있는 시스템인 AI PACS가 대학과 산업체의 협력으로 개발되어 병원에서 활용되고 있다. 이처럼 의료 환경에서 의료영상 정보 시스템의 빠른 변화에 맞추어 의료시장의 구조적인 변화와 이에 대처할 수 있는 의료정책의 변화도 필요하다. 한편, 의료영상정보는 디지털 의료영상 전송 장치에서 생성되는 DICOM 방식을 기본으로 하고, 생성하는 방법의 차이에 따라 Volume 영상, 단면 영상인 2차원적 영상으로 구분된다. 또한, 최근 많은 의료기관에서는 스마트 병원 서비스를 내세우며 차세대 통합 의료정보시스템의 도입을 서두르고 있다. 차세대 통합 의료정보시스템은 EMR을 바탕으로 전자동의서, AI와 빅데이터를 활용한 정밀의료, 외부기관 등을 통합한 솔루션으로 구축하며, 이를 바탕으로 환자 정보 DB 구축과 데이터의 표준화를 통한 의료 빅데이터 기반의 의학 연구를 목적으로 한다. 우리나라의 의료영상 정보 시스템은 앞선 IT 기술력과 정부의 정책에 힘입어 세계적인 수준에 있으며, 특히 PACS 관련 프로그램은 의료 영상정보 기술에서 세계로 수출을 하고 있는 한 분야이다. 본 연구에서는 빅데이터를 활용한 의료영상 정보 시스템의 분석과 함께 의료영상 정보 시스템이 국내에 도입되게 된 역사적 배경을 바탕으로 현재의 흐름을 파악하고 나아가 미래의 발전 방향을 예측하였다. 향후, 20여 년 동안 축적된 DICOM 빅데이터를 기반으로 AI, 딥러닝 알고리즘을 활용하여 영상 판독률을 높일 수 있는 연구를 진행하고자 한다.

• 의료법학
• /
• 제13권2호
• /
• pp.141-178
• /
• 2012

Korea's medical law prohibited medical advertisements in principle and permitted them on an exceptional cases. However, the decision of the Constitutional Court of 20005. 10. 27. 20003 Heonga 3, it was changed to a negative system which allows advertisements in principle and restricted only exceptionally. Dramatic increase of medical advertisements was made after that and many argued more deregulation because there was actually heavy regulations. In particular, there is almost no actual regulation on the article type advertisement due to the reason of protection of the freedom of press, media and occupation. However, there may be an unjust result if a specific article or specialists' opinion is made using a newspaper, broadcasting or magazine as a form of article type advertisement to specific medical specialists or medical institution or medical treatment method that falsifies consumers or makes consumers confused by unjust medical expectations or reliability, that also deteriorates just competition and that causes the misrecognition of consumers. In fact, there were actual damages of article type advertisements on the eye whitening surgery not long after the transfer to a negative system of medical advertisements. Victims raised a medical proceeding against the doctor who carried out the surgery, but there is actually no systematic warranty except for the indemnity request. Thus, this case demonstrated a vulnerable result of a negative system. As such, it is problematic that there is no proper regulations defined in the current law and regulations because of the reason of the protection of the freedom of press, publication and occupation despite damages of such article type advertisements. Accordingly, it is urgent to apply the current prevention regulations on the article type advertisements strictly, and to set up specific regulations.

• 대한의사협회지
• /
• 제61권11호
• /
• pp.638-642
• /
• 2018

Surgery is a very hands-on area of medical care, in that surgeons identify problems in patients' bodies and directly change them through operations. Therefore, it is not only necessary for surgeons to have a high level of expertise, but also to take considerable responsibility for the outcomes of each operation. However, surgery, which was once an object of envy, has long been a process to avoid, due to various circumstances, such as abnormal medical expenses in the medical field and social phenomena that avoids difficult work. It is unfortunate that medical professionals do not receive sympathy from others within the same medical field because of the general difficulties of the profession. The fundamental problem in this situation is the abnormal profit structure of the Korean medical system. Efforts by various related organizations will be needed to objectively evaluate the problems of the current medical insurance system and to make reasonable adjustments considering the difficulty, frequency, and resource-intensiveness of medical care.

• 대한디지털의료영상학회논문지
• /
• 제15권1호
• /
• pp.9-20
• /
• 2013

PACS is one of the most used medical information system and share information from other hospitals through the PACS. Data integrity means zero defects data and this is a prerequisite of information system performance. but I wonder if I can trust these informations that Incorrect information from radiotechnologist's mistakes, anonymous in emergency department, Newborn baby department, modified informations at later. And Modified informations causes defect in integrity of the data. When we import, we use DICOM header not DB data. so error occurs that DB data is deferent with DICOM Header information. This paper discusses to resolve as above problem using DICOM object such as DICOM PR, SR. And propose quality management system that can guarantee the patient information and can manage exam history.