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병원표준화심사의 질 향상 관련 항목에 대한 평가와 개산방안
김창엽,이상일,이건세,신영수 한국의료QA학회 1995 한국의료질향상학회지 Vol.2 No.1
Background: Korean Hospital Standardization Program(KHSP), as a hospital accreditation program initiated and promoted by Korean Hospital Association since 1981, has played a key role in the hospital quality improvement in structural aspect particularly. Recently, however, KHSP has been critisized by hospitals and health personnels in that it is unpractical to be utilized as an initiative to improve hospital quality. In particular, the section of quality assurance in KHSP, strongly influenced by old version of Hospital accreditation of Joint Commission in U.S.A., has been required to be fundamentally sevised. For design of new criteria in quality assurance section, a survey for evaluation of existing program and collection of opinions for ideal one was conducted. Methods: For a month in 1994, structured questionnaires were administered by mailing to 470 hospital staffs from 200 hospitals, participated in the survey for the 1994 KHSP in each hospital. The total number of respondents was 116. Results: Less than half of the respondents(34.5%) value positively on the impact of current KHSP in general on the quality improvement of their hospitals. Moreover, most responses indicated that KHSP should be reorganized towards more practical and applicable one. Current KHSP criteria for quality activities in hospitals were regarded as a unpractical one which should be basically renewed. For new criteria and standards, most respondents emphasized the importance of applicability of those in real siuations. Conclusion: For the KHSP to be effective, new evaluation criteria for quality activities should be more practical and fully accommodated to hospital situations in reality.
Costs During the First Five Years Following Cancer Diagnosis in Korea
Shin, Ji-Yeon,Kim, So Young,Lee, Kun-Sei,Lee, Sang-Il,Ko, Young,Choi, Young-Soon,Seo, Hong Gwan,Lee, Joo-Hyuk,Park, Jong-Hyock Asian Pacific Journal of Cancer Prevention 2012 Asian Pacific journal of cancer prevention Vol.13 No.8
Objective: We estimated the total medical costs incurred during the 5 years following a cancer diagnosis and annual medical use status for the six most prevalent cancers in Korea. Methods: From January 1 to December 31, 2006, new patients registered with the six most prevalent cancers (stomach, liver, lung, breast, colon, and thyroid) were randomly selected from the Korea Central Cancer Registry, with 30% of patients being drawn from each cancer group. For the selected patients, cost data were generated using National Health Insurance claims data from the time of cancer diagnosis in 2006 to December 31, 2010. The total number of patients selected was 28,509. Five-year total medical costs by tumor site and Surveillance, Epidemiology, and End Results (SEER) stage at the time of diagnosis, and annual total medical costs from diagnosis, were estimated. All costs were calculated as per-patient net costs. Results: Mean 5-year net costs per patient varied widely, from $5,647 for thyroid cancer to $20,217 for lung cancer. Advanced stage at diagnosis was associated with a 1.8-2.5-fold higher total cost, and the total medical cost was highest during the first year following diagnosis and decreased by the third or fourth year. Conclusions: The costs of cancer care were substantial and varied by tumor site, annual phase, and stage at diagnosis. This indicates the need for increased prevention, earlier diagnosis, and new therapies that may assist in reducing medical costs.
신세건,신병식 한국화학공학회 1974 Korean Chemical Engineering Research(HWAHAK KONGHA Vol.12 No.4
重量分率로서 ethyl alcohol 0.35%, n-butyl alcohol 0.45%, n-propyl alcohol 0.31%, iso-butyl alcohol 5.52%, n-hexyl alcohol 0.33%, iso-amyl alcohol 93.04%, 그리고 其他 成分을 微量 含有하는 Fusel油를 使用하여 Fusel 油·燐酸·水로 되는 3成分系의 相互溶解度와 tie-line data를 25℃ 大氣壓下에서 硏究하였다. 또한 水 20.5% 燐酸 58.9% Fusel油 20.6%로 되는 plait point를 찾았으며 fusel油가 燐酸油出溶媒로서 n-butyl alcohol이나 butyl acetate 보다 效果的인 溶媒임을 알았다. The mutal solubility and tie-line data were investigated at 25℃ under atomspheric pressure for ternary system of phosphoric acid (solute), water (dilute) and fusel oil (solvent) consisting of 0.35 wt% ethyl alcohol, 0.45 wt% n-butyl, 0.31 wt% n-propyl alcohol, 0.33 wt% n-hexyl alcohol, 5.52 wt% iso-butyl alcohol, 93.04 wt% iso-amyl alcohol and other in trace. It was found the plait point occurred at the composition of 20.5 wt% water 58.9 wt% phosphoric acid and 20.6 wt% fusel oil. The fusel oil was a more effective solvent for extracting phosphoric acid than n-butyl alcohol or butyl acetate.
한국인 농촌 건강주민에서 비만지표가 혈청지질치와의 상관성 연구
신영수,이홍규,김용익,유근영,이건세,김진규,박용수,강기철,김창엽 한국지질학회 1996 韓國脂質學會誌 Vol.6 No.2
Obesity is related with hypertension and diabetes mellitus. The association between these diseases with lipid levels is well known. If we estimate quantitatively the relation between obesity and lipid levels, the measurement of obesity is meaningful to identify the high risk persons and to evaluate the effect of obesity control. We evaluated quantitatively the relation between obesity and lipid levels in healthy population of rural Korean community and analysed the influence of the associated factors such as age, excercise level, smoking amount. The cross sectional survey on the population of Yonchon county in Korea in 1993 was used(667 men and 913 women). Waist to hip ratio, body mass index(㎏/㎡) Serum total cholesterol and HDL cholesterol was measured. Total cholesterol was positively correlated with BMI(r=0.200 in men and 0.166 in women) and WHR(r=0.092 in men and 0.176 in women). HDL cholesterol was negatively correlated with BMI(r=-0.281 in men and -0.099 in women) and WHR(r=-0.169 in men and -0.076 in women). In men, the correlation coefficient between BMI and total cholesterol in old age group(older than 60) is lesser than in younger age groups, but in women greater in old age group than in younger groups. Smoking and excercise level were not confounding variables.
Lee, Kun-Sei,Kim, Hyeong-Su,Shin, Eun-Young,Kim, Young-Taek,Chang, Soung-Hoon,Choi, Jae-Wook The Korean Society for Preventive Medicine 2009 예방의학회지 Vol.42 No.2
Objectives : To increase the booster vaccination rate, the Korean government legislated a measles vaccination for elementary school students in 2001, requiring parents to submit a certificate of vaccination upon the admission of the students to elementary school. The purpose of this study was to evaluate the validity of measles vaccination certificates which were issued to parents. Methods : Using questionnaire survey data of 890 general practitioners and 9,235 parents in 2005, we investigated the evidence for booster vaccination certificates of measles. Results : In the survey of general practitioners, 59.5% of the certificates depended on the medical records of clinic, 13.5% was immunization booklets, 23.7% was reimmunizations, 1.9% was confirmation of record of other clinics, and 1.4% was parents statements or requests without evidence. In the survey of parents, 36.2% of the certificates depended on the medical records of clinic, 43.4% was immunization booklets, 18.0% was reimmunizations, and 2.4% was parents statements or requests without evidence. Conclusions : Our findings show that a majority of the booster vaccination certificates of measles was issued on the basis of documented vaccinations and it means that the implementation of the law requiring the submission of elementary school students' vaccination certificates has been very successful in Korea.
이건세 ( Kun Sei Lee ),신은영 ( Eun Young Shin ),정효선 ( Hyoseon Jeong ),이정현 ( Jung Hyun Lee ),김희숙 ( Hee Sook Kim ),임영실 ( Young Sil Lim ),김영택 ( Young Taek Kim ) 한국보건행정학회 2013 보건행정학회지 Vol.23 No.4
Background: Regional Cardiocerebrovascular Centers (RCC) were established for the prevention and treatment of cardiocerebrovascular disease and funded by the Ministry of Health and Welfare. The purpose of this study was to develop and validate the measurement tool of public benefits in RCC. Methods: Through the intensive literature review, experts surveys and their repetitive feedback, we selected the 46 items about the public benefits in RCC. Development of measurement tool involved content validity test using Content Validity Index (CVI), construct validity test through factor analysis and reliability test. Results: Thirty-five items were selected by content validity test, which CVI was 0.08 or higher. Through the construct validity test, 32 items in 7 factors were derived. And Cronbach`s alpha was 0.951. Finally, public benefits measurement tool is composed of 32 items in 7 factors which are comprehensiveness of health care services, market complement, emergency care, cost, governance, quality improvement, and government control. Conclusion: Though we developed the measurement tool of public benefits in RCC, it would be utilized to measure the public benefits of various health agencies.