The purpose of this study is to analyze the difference of medical care between medical assistance and health insurance patients to evaluate the increase of medical care costs due to the moral hazard of medical care patients and to provide a basis for rational medical care policy decision. For this purpose, we compared health insurance benefit data for Seoul citizens by gender, age, and type of medical institutions. The results of the analysis are as follows. First, all of the hospitalized and outpatient use of the advanced general Hospitals, medical assistance patients were less than those of the health insurance patients, so that the medical assistance patients could not use the high cost medical services. Second, in general hospitals, patients with health insurance are often hospitalized. On the other hand, medical assistance patients use a lot of outpatient services because they are less burdened. Third, in hospitals and clinics, medical benefits patients often use inpatient and outpatient services. Therefore, medical assistance patients are likely to use unnecessary medical care of outpatient and hospitalization clinics and hospitals, outpatient of general hospitals. But, in hospitalization and outpatient use in advanced general hospitals and medical assistance patients can not use due to excessive medical burden. Therefore, the policy to reduce the burden of medical expenses for patients with severe illness will continue, and the medical care patients using clinics and hospitals should be careful not to use unnecessary medical services.
Journal of the Korea Academia-Industrial cooperation Society
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v.21
no.5
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pp.281-293
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2020
This study examines the effect of a counselor's supervision experience on counselor development, and verifies the moderating effect of supervision satisfaction on the relationship between the counselor's supervision experience and counselor development. Data were collected via survey administered to 299 counselors who were actively engaged in counseling practice for institutions and public organizations in Seoul, Gyeonggi, Gangwon, and Jeolla regions, such as schools, universities, and professional counseling services. Data analysis was conducted using SPSS version 21.0. The results of the analysis are as follows. First, the amount of participation in individual supervision and group supervision had a significant effect on counselor development. Second, age and years of counseling experience had major effects on counselor development. Third, when the moderating effect of supervision satisfaction on the relationship between the amount of participation in individual or group supervision and counselor development was verified, it was found that supervision satisfaction had a moderating effect on the relationship between the amount of participation in group supervision and counselor development (regarding the level of understanding with cases). The result can be interpreted as meaning that a counselor's positive supervision experience has a direct influence on the outcome and quality of counseling services. Based on these results, proposed implications are presented regarding counseling supervision.
Purpose: This study examined the association of fruit and vegetable consumption with asthma in Korean adults. Methods: Data on 16,528 adults aged 19-64 were collected from the Korea National Health and Nutrition Examination Survey (KNHANES). The general characteristics of the subjects, daily food intake, and daily energy and nutrients intake were investigated according to fruit and vegetable consumption. All statistical analyses were conducted based on SAS software version 9.4. Results: The prevalence of doctor-diagnosed asthma was 2.6%, and ranged between 1.8% and 3.1% depending on fruit and vegetable consumption. As fruit and vegetable consumption increased, the individuals showed a higher average age and household income, but a lower educational level, smoking rate, and frequency of alcohol consumption. The group with higher fruit and vegetable consumption had higher intakes of all food groups without milk and dairy products and energy and nutrients than the counterpart group. For the intake rate of energy, the group with higher consumption of fruit and vegetables had a higher intake rate of carbohydrate and protein and a lower intake rate of fat. The risk rate of asthma with the third quartile group regarding fruit and vegetable consumption was 35%-40% lower than that of the first quartile group. Conclusion: The results suggest that adequate consumption of fruit and vegetable will help to improve the risk of asthma. Moreover, prospective cohort studies and clinical test research are necessary to measure the effects of fruit and vegetable consumption on the occurrence of asthma.
The purpose of this study was to examine the awareness of parents with preschoolers about multiple-intelligence education programs, the state of their multiple-intelligence education and their needs. This was done in an effort to provide information on the successful utilization of early childhood multiple-intelligence programs, as parents exercise a great influence on the development of early childhood multiple intelligences. The subjects in this study were 350 parents of preschoolers in six different kindergartens located in the city of Busan, on whom a survey was conducted. The findings of the study were as follows: first, as for the awareness of the parents of the preschoolers on multiple-intelligence education, they placed an importance on that education in general. Second, concerning the state of their multiple-intelligence education, there was a strong tendency for them to rely on early childhood education institutions and study aids produced by relevant companies to foster the strength of their children. Third, regarding a time for early childhood multiple- intelligence education, they considered it advisable for preschoolers to start to receive that education at the Western age of 2 to 7, and they preferred teachers who had a good understanding of the psychology and needs of preschoolers. The parents wanted their children to receive that education, and hoped to receive parent education about it.
Journal of Physiology & Pathology in Korean Medicine
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v.21
no.6
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pp.1590-1596
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2007
Complementary and alternative medicine (CAM) has gained in popularity among cancer patients in recent years. The use of CAM in cancer patients is common with about one third of patients using some form of CAM in Western countries. The purpose of this study was to analyze the use of CAM and determine what factors affect to use CAM among cancer patients to provide CAM therapy information and assist therapy selection among various CAM therapies to cancer patients. The design of the study was descriptive cross-sectional, and data were collected using a 16-item questionnaire. This study was conducted in subjects with confirmed diagnosis of stomach, colon, liver, or pancreas cancer, in both out-patients clinics and inpatients setting in a tertiary hospital in Seoul Korea. As a result, among the participants, past or current CAM use was reported by 75%, which shows a statistically significant difference in income groups(P<0.05), but no difference in age and religion groups. The most common therapies use by cancer patients included traditional Korean medicine (32.1%), folk remedies (26.6%), exercise (14%), dietary supplements (11.6%), physical therapy (9.9%), diet therapy (5%), and meditation (4%). 77.8% of patients show satisfaction and 64.4% shows perceived effectiveness of CAM. Male patients with higher income, and previous treatment were more likely to use CAM. The main benefits from CAM reported by cancer patients were psychological improvement and symptom improvement. Of the cancer patients used CAM, 30.9% were dissatisfied, 25.8% did not have benefits from the use, and 7.6% experience side effects. Cancer patients who prefer CAM (more than 3 kinds) used it to cure cancer, on the contrary, the one who do not prefer CAM used to improve symptoms and psychological stability. The main sources of information about CAM were family and friends(54.4%), and media(24.5%), doctor and nurse(18.3%), and religion group(2.6%). Findings suggest that due to the relatively high use of CAM among cancer patients in Korea, this topic should be taken into account in the development of a holistic approach to cancer patients and efficient cancer patients management system and proactive and consistent management of CAM is necessary in the health care system in Korea.
An aim of this study is to find out influenced factors of satisfaction degree on the clinical practice for the dental technology student and it can be provided the basic necessary data for the educational planning of the curriculum for the clinical practice. The target of study are selected form 7 junior health college students and colleges are located in around seoul form 14 junior health college throughout the nation. The questionnaries were distributed between 24th Feb to 30th July in 1997 to the 100 dental technicians who finished clinical practice and entered profession in 1997. All collected data were analysed by using SPSS/PC, Technical Statistic, One-Way ANOVA, Ttest, Person Correnlation Coefficient, Chrobach Alpha Coefficient and the result of the study is follow. 1) The satisfaction degree were classificated as 7 aspect and overall average score was 3.042. During that period satisfaction of personal relation aspect(M=3.737) shows highest level. Satsfiaction of clinical parctice(M=3.571) shows as second, Satisfiaction of environment(M=3.028), Satisfaction of guidance(M=2.915), satisfaction of subject are ordered of their scores. According to above study satisfaction's degree of subject show lowest level. 2) According to the result of verification of study. general character of student and satisfiaction degree has not much relation with sex, location of college, religion, period for enrolling college, teaching method of clinical practice. But the result show similar relation with following items. Satisfaction if subject and satisfaction of clinical practice(P=0.000), place of clinical practice and satisfaction of clinical practice(P=0.002), Academic record of college and satisfaction of clinical practice(P=0.000). 3) The relation of satisfaction(Subject, method of teaching, environment, period, rating, personal relation) of clinical practice and age of investigation's target Older student show higher satisfaction(P=0.040). Also method of teaching, environments, period, rating, personal relation has similarities with satisfaction. Therefore student who has higher satisfaction of clinical practice they also have higher rate for subject, environment, period, personal relation. 4) The result fo investigation, most interesting subject was crown & bridge and most difficult factor was too many simple-works to the student. One of ideal factor was discussing with counselor before they choose place for clinical practice. Third grade and first semester is most efficient time for clinical practice and 8 week is proper period for clinical practice. Clinical practice is absilutory mecessary and we find out most student rated positively. However we need more specific study about satisfcation of each subject. Because it shows lowest level and we need more pay attention for planning of clinical practice.
Journal of the korean academy of Pediatric Dentistry
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v.42
no.2
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pp.164-171
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2015
This study was aimed to retrospectively evaluate the clinical findings and treatments of odontomas in the Korean demographic group. The subject of the present study included 75 odontomas in 74 patients who received treatment from Chonbuk National University Dental Hospital between April 2005 and March 2014. The average age of the subjects were 10.3 years old (range 3 - 23 years old). 42 (56.8%) males and 32 (43.2%) females were in the present study. It was found that compound odontomas were about 4 times more common than complex odontomas. Odontomas equally occurred in both maxillary and mandible. The impaction of permanent teeth (73.3%) was the most common complication of odontomas on adjacent teeth. Most odontomas (96.0%) were surgically removed either to induce spontaneous eruption or to guide orthodontically to occlusion. When the impacted tooth could not be naturally or forcefully erupted to occlusion, it was extracted. Early detection and treatment of odontomas would increase the possible preservation of the impacted tooth by eliminating the source of disturbance. Therefore, this study recommends that periodic radiographic examination from birth until the eruption of the permanent third molar to prevent possible hindrance to the teeth eruption.
Recently with the entrance to the aging society, the demand on health care services is being increased. However, there are still few GUI types of research considering the characteristics of new-silver generation progressively preparing for their golden(old) age. As the new-silver generation showed less reluctance to the information acquired through the Internet comparing to general seniors, but it is urgent to conduct researches about GUI of mobile healthcare services considering their physical, psychological and social characteristics. Hence, the purpose of this study was to propose some guidelines of GUI evaluation so that new-silver generation being emerged as main consumer group in future medical consumption could efficiently use mobile health care services. As the research methods, first, this study analyzed the characteristics of new-silver generation through reviewing literature and previous studies and understood the status quo of mobile health care services, and second, it analyzed the visual composition factors being preferred in each field of current mobile healthcare application and drew out a usability evaluation matrix of mobile GUI design appropriate for elderly people's characteristics. Third, with the drawn evaluation matrix, this study conducted the usability evaluation of 8 subjects in new-silver generation ranging from 57 years old to 65 years old through a heuristic way. This study expects that it would be contributed in increasing the GUI usability by proposing some guidelines for GUI being appropriated for new-silver generation user's characteristics, and thinks that researches about developing health-care mobile applications will be continued in future at the same time.
This Paper presents the severity analysis result of the year 2006 national pedestrian crashes using the data base of 37,589 records prepared for the National Police Bureau. A set of attributing factors considered to affect pedestrian crash patterns were selected, and their contributing effects were investigated by applying the Ordered Logit Model. This model was selected because this model has been able to afford satisfactory results when the dependent variable involved ordered severity levels; fatal, injury, and property- damage-only in this investigation. The investigation has unveiled the followings; First, the pedestrian crash patterns were dependent upon human -drivel and pedestrian- characteristics including gender, age, and drinking conditions. Second, other contributing factors included vehicle, roadway geometric, weather, and hour of day characteristics. Third, seasonal effect was not contributive to crash patterns. Finally, the application of the Ordered Logit Model facilitated the ordered severity level analysis of the pedestrian crash data. This paper concludes that conventional wisdom on the pedestrian crash characteristics is largely truthful. However, this conclusion is limited only to the data used in this analysis, and further research is required for its generalization.
Lee, Soo Jin;Kim, Min Jin;Shin, Hee Eun;Yeo, Jeong Mi;Jeong, Su Dong;Jung, Eun Jung;Chae, Han
The Journal of the Korea Contents Association
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v.21
no.10
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pp.537-549
/
2021
The purpose of the present study was to investigate the research trends of published articles in Korean journals dealing with Temperament and Character Inventory (TCI) from 1998 through 2018. A total of 185 papers were analyzed about an affiliation of corresponding author, type and dimension of TCI, and research contents considering the major publication regarding the Korean version of the TCI and major event in Korea. The results were as followed. First, most researchers belonged to university (53%) and hospital (44%). Second, both temperament and character dimensions (65%) were often used rather than temperament dimension only (34%). Third, regarding the subjects, adults (52%), children and adolescents (38%), and preschoolers (10%) appeared the most frequently used in the order. Fourth, we found that psychopathology (36%), personality (22%), health (16%), addiction (10%), assessment (8%) were the most popular areas of concern. Based on these results with the focus of analysis on the relationships between research subjects and research contents, implications and directions for future research and clinical settings regarding the treatment effect using the TCI character dimensions and diverse age groups were discussed.
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