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      • KCI등재
      • KCI등재

        한국의 정신분열병 외래 환자의 직ㆍ간접비용

        박종익,송선희,서동우,장현종,이종국,장안기,김윤,이철,홍진표 大韓神經精神醫學會 2000 신경정신의학 Vol.39 No.3

        연구목적 : 정신분열병 외래 환자의 직접 비용과 간접 비용을 추산해 보고, 의료 자원의 적절한 운용과 효과적인 배분을 위한 보건 정책의 기초자료로 사용하고자 한다. 방 법 : 정신분열병 진단을 받은 289명의 환자를 대상으로 6개월간 외래를 방문하면서 사용한 의료비와 시간을 조사하여 직접 비용을 추산하였고, 이 기간 동안 소실된 생산성을 간접 비용으로 환산하였다. 만성질환인 관상동맥 질환을 앓고 있는 환자 82명을 대조군으로 하여 비용을 비교하였다. 결 과 : 정신분열병 환자의 실업률은 72.1%였으며, 직장을 가지고 있는 경우에도 단순노무직의 비율이 64.5%로 매우 높았다. 정신분열병의 직접 비용은 평균 81.5만원으로 관상동맥 질환의 평균 71.5 만원보다 상대적으로 많이 추산되었으나 유의하지는 않았다. 간접 비용은 평균 645.6만원, 258.9 만원으로 정신분열병군이 2.5배 정도 높았다. 결 론 : 정신분열병은 다른 만성질환에 비하여 상대적으로 매우 고비용이 요구되는 질환이며, 보다 체계적인 비용의 추산을 통하여 양질의 정신 보건 서비스를 제공할 수 있는 토대가 마련되어야 할 것이다. Objectives : We have aimed to estimate the direct and indirect costs of treating out-patients with schizophrenia in Korea, to use this fundamental data for the effective management and proper distribution of the medical resource. Method : To estimate the direct cost, we surveyed the medical cost and time of two hundred and eighty-nine out-patients with schizophrenia for six months. And the lost productivity as many months was converted into the indirect cost. Those of eighty-two coronary heart disease patients were also estimated as a comparison group. Results : An unemployement rate of schizophrenic patients was 72.1 percent. Moreover the ratio of the laborer in the sample was, even if employed, 64.5 percent. The mean direct cost of schizophrenic patients was, about 815,000 won, higher than that of coronary heart disease, 715,000 won however it was not statistically significant. The former was also estimated 2.5 times more than the latter for the indirect cost, or 6,456,000 won versus 2,589,000 won. Conclusion : Schizophrenia is a relatively costly illness compared to other chronic illness, so the systematic estimation of the cost is necessary to provide mental health service of high quality.

      • T 및 B cell 測定 : 1. 1次 成績 Ⅰ. Results, Primary

        金在植,崔成萬,金在龍,全東錫,朴正姬,徐相喆,金仁子,金在崇,金重明 慶北大學校 醫科大學 1982 慶北醫大誌 Vol.23 No.2

        E-rosette法에 의한 T cell의 百分率과 螢光抗體法, 感作牛赤血球擔體法, 酵素抗體法 및 마우스赤血球 rosette法에 의한 B cell 의 百分率을 檢査하여 다음과 같이 요약할 수 있었다. 정상성인군의 active T cell은 26±8.2%이었고 total T cell은 72±4.9%이었다. B cell 는 螢光抗體法으로 22±5.4%, 感作牛赤血球擔體法으로 15.8±4.9%, 酵素抗體法으로 15±5.2% 그리고 mouse RBC-rosette法으로 17.2±4.1%이었다. 惡性腫瘍에 있어서 active T cell은 27.±10.4%이었고 total T cell 은 59±11.2%로서 정상인군에 비하여 유의한 감소를 보였다. 良性疾患에 있어서 T cell 은 정상인군에 비하여 유의한 차이를 볼 수 없었다. T cell percent by E-rosette and B cell by fluorescent antibody, senitized ox RBC rosette, enzyme antibody and mouse RBC rosette tests were performed. In healthy adult group the active T cell was 26±8.2% and total T cell was 72±4.9%, B cell by fluorescent antibody was 22.±5.40%, by ox RBC rosette 15.8±4.9%, by enzyme antibody 15±5.2% and by RBC-rosette 17.2±4.1%. In malignant tumor the active T cell was 27±10.4% and total T cell was 59±11.2%. In benign diseases T cell count showed no significant difference from normal adult group.

      • KCI등재

        경험 효과를 반영한 도시농업의 가치분석

        서동주 ( Tong Joo Suh ),손민수 ( Min Su Son ),김홍석 ( Brian H. S. Kim ) 한국농업경제학회 2014 農業經濟硏究 Vol.55 No.2

        Recently urban farming attracts a lot of interest and attention from the citizens. Increasing demand of the urban farming can be closely associated with values of the urban farming. The objective of this study is to observe the value of urban farming and to look for ways to improvement of value using one of the stated preference methodology called Contingent Valuation Method. Specifically, this study focuses on experience effect and examines urban farming values from experience group and unexperienced group and variability of their willingness to pay (WTP).

      • AHCISCOPUSKCI등재
      • KCI등재

        공중보건의의 정신장애자 진료실태에 관한 연구

        서동우,이부영,문옥륜 大韓神經精神醫學會 1991 신경정신의학 Vol.30 No.5

        The authors investigated the current status and problems of care for the mentally ill patients by public health physicians. The subjects were 314 public health physicians, who replied to self reporting questionnaires. The results are as follows; 1) There are few phychiatric facilities near mos of health subcenters, and only 18.5% of Public Health Physicians consult with psychiatrists. 2) The average proportion, of mental illness namely the number of mentally ill patients divided by that of the whole patients, is 2.1%. The number of mentally ill patients per resident population of 100,000 is 172. 3) Most of public health physicians show positive attitude toward his participation in the care for mentally ill patients. 4) The will ingness of participation of public health physicians in care for mental ill patients are significantly different depending on experience of intership, interested field of medicine, and attitude of family member to the psychiatric admission. The proportions of mental illness were significantly different depending on their experience in the psychiatric ward. 5) 71.0% of public health physicians treat mentally ill patients with psychotropic drugs, but many of them dont`s have nor prescribe psychotropic drugs except anxiolytics. 6) Public health physicians refer 35.9% of the mentally ill patients to the psychiatric facilities, and the referral rate of the psychosis is higher than that of the neurosis. 7) Public health physicians reported the difficulties in care of the mentally ill patients as follows; low affordability for medical costs lack of psychiatric knowledge of the public health physicians, deficiency of effectiveness in the delivery and consultation system of mental healthservice. 8) Public health physicians suggested the followings as possible solutions for above problems; providing practical manual for the mental illness, extended support for the mentally ill patients by the government, establishment of the psychiatric consultation system, reinforcement of psychiatric education in medical college, inclusion of psychiatric lectures in the public health physicians`reeducation programs and etc,. 9) The desirable delivery system of mental health service in rural area is that the public health physicians care for the mentally ill patients under the consultation with the psychiatrist. 10) The performance of the public health physicians` roles in mental health as identifier, referral agent, care provider and consultant was insufficient.

      • Salmonella typhi의 phage型과 抗菌性物質 感受性과의 相關性

        徐仁銖,趙陽子,李東厚 中央醫學社 1976 中央醫學 Vol.31 No.1

        The relationship between antibiotic resistance and phage types was studied on -184 strains of Salmonella typhi identified during the period from 1967 to 1968 in this department, and the following results were obtained. There was considerable relationship between resistance to several antibiotics and specific phage types of Salmonella typhi. The ratios of resistant strains to chloramphenicol, ampicillin, erythromycin, and polymyxin B were remarkably higher in Ml phage type of Salmonella typhi than other phage-types, kanamy?cin, frazolidone were considerably higher. Similiar results were also obtained between resistance to chloramphenicol, ampicillin, polymyxin B and frazolidone and A degraded phage type. But there was no relationship between A phage type-of Salmonella typhi and antibiotic resistance. In fifty percent minimal inhibiting dose to various antibiotics of Salmonella typhi tested, fratrizine and ampicillin were the lowest, and tetracycline, kana?mycin, frazolidone, chloramphenicol, plymyxin B increased in order and streptomycin and erythromycin were significantly highest.

      • 하부요관결석에 대한 요관경하배석술

        박동춘,김영수,모성종,서준규 영남대학교 의과대학 1990 Yeungnam University Journal of Medicine Vol.7 No.2

        Ureteroscopic removal of the stone is now popular for the management of the lower ureteral stone. A clinical study was performed on our 75 patients with lower ureteral stone treated with ureteroscopy. Of the 75 stone manipulations 62(83%) were immediately successful and the final success rate including spontaneous delivery of stone or fragment after the procedure was 87 percents(65 cases). Of 57 smaller calculi than 1Cm(radiographic largest diameter) 50(88%) were removed successfully. Mean duration of postoperative hospitalization was 5.6 days. There were no interrelations between the success rate and anesthetic methods. Significant complications durinf or after procedure were not identified. We conclude that ureteroscopic removal of stones under direct vision can be done safely and be the first choice of procedure for the lower ureteral stones.

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