민간의료기관을 이용하는 결핵환자의 의료이용 분석

강길원,윤석준,김창엽,신영수,Kang, Gil-Won,Yoon, Seok-Jun,Kim, Chang-Yup,Shin, Young-Soo 대한예방의학회 1998 Journal of Preventive Medicine and Public Health Vol.31 No.4

In this study we analyzed the insurance claims data to investigate the medical care utilization pattern of tuberculosis patients in private sector. We selected the claims of principal or secondary diagnosis with tuberculosis from claims database of National federation of Medical Insurance, from December 1995 to November 1996. Both spell-based analysis and person-based analysis were carried out. In spell-based analysis, type and location of treatment facilities, distribution of diagnoses, number of outpatient/inpatient treatments were analyzed. Additionally in person-based analysis, number of tuberculosis patients, demographic characteristics, number of treatments per person, frequency and pattern of change in source of care were analyzed. The results were as follows 1. The number of treatments with tuberculosis was 863,641 from 1 December 1995 to 30 November 1996. The number of patients was 313.964. 2. Most of tuberculosis patients in private sector were treated in general hospital (45.8%) and clinics(42.2%) 3. About 77.7% of tuberculosis patients who were treated more than two times did not change the source of care. 18,9% of tuberculosis patients changed source of care only once. Even when we limited tuberculosis patient to those who were treated more than five times and whose treatment period were longer than six months, 94.7% of patients did not change source of care at all, or changed treatment facility only once. 4. The probability of change in source of rare was higher in pulmonary tuberculosis, in twenties, and in rural area respectively than other tuberculosis. In conclusion, healer shopping of tuberculosis patients was not serious as expected. However special attention is needed to pulmonary tuberculosis in twenties and rural area.

DRG 지불제도 도입에 따른 의료보험청구 행태 변화

강길원,박형근,김창엽,김용익,하범만,Kang, Gil-Won,Park, Hyoung-Keun,Kim, Chang-Yup,Kim, Yong-Ik,Ha, Beom-Man 대한예방의학회 2000 예방의학회지 Vol.33 No.4

Objectives : To evaluate the impacts of the DRG payment system on the behavior of medical insurance claimants. Specifically, we evaluated the case-mix index, the numbers of diagnosis and procedure codes utilized, and the corresponding rate of diagnosis codes before, during and after implementation of the DRG payment system. Methods : In order to evaluate the case-mix index, the number of diagnosis and procedure codes utilized, we used medical insurance claim data from all medical facilities that participated in the DRG-based Prospective Payment Demonstration Program. This medical insurance claim data consisted of both pre-demonstration program data (fee-for-service, from November, 1998 to January, 1999) and post-demonstration program data (DRG-based Prospective Payment, from February, 1999 to April, 1999). And in order to evaluate the corresponding rate of diagnosis codes utilized, we reviewed 820 medical records from 20 medical institutes that were selected by random sampling methods. Results : The case-mix index rate decreased after the DRG-based Prospective Payment Demonstration Program was introduced. The average numbers of different claim diagnosis codes used decreased (new DRGs from 2.22 to 1.24, and previous DRGs from 1.69 to 1.21), as did the average number of claim procedure codes used (new DRGs from 3.02 to 2.16, and previous DRGs from 2.97 to 2.43). With respect to the time of participation in the program, the change in number of claim procedure codes was significant, but the change in number of claim diagnosis codes was not. The corresponding rate of claim diagnosis codes increased (from 57.5% to 82.6%), as did the exclusion rate of claim diagnosis codes (from 16.5% to 25.1%). Conclusions : After the implementation of the DRG payment system, the corresponding rate of insurance claim codes and the corresponding exclusion rate of claim diagnosis codes both increased, because the inducement system for entering the codes for claim review was changed.

產前管理 및 分娩環境에 關한 硏究

姜吉遠(Kang, Kil-Won),金仁達 (Kim, In-Dal),權彛赫(Kwon, E-Hyock) 인구문제연구소 1970 人口問題論集 Vol.- No.10

보험 급여 : DRG지불제도 소개

강길원 ( Kang Gil Won ) 대한신장학회 2003 추계학술대회 초록집 Vol.22 No.2

척추측만증 교정수술의 수술 중 및 후 호흡기 및 순환기계 합병증에 대한 폐기능 검사의 임상적 예측성 평가: 후향적 연구

강길원 ( Gi Run Kang ),이일옥 ( Il Ok Lee ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.57 No.5

Background: This study was conducted to confirm the predictive power of preoperative pulmonary functions tests (PFTs) for intra-and post-operative cardiopulmonary complications during corrective surgery for scoliosis. Methods: A retrospective review of hospital charts of patients who underwent surgical correction for scoliosis and/or kyphosis at our medical center between September 2002 and September 2008 was performed. Results: A total of 141 patients were enrolled in this study. The overall intra- and post-operative cardiopulmonary complication rate was 33.3% (47/141). There were 32 and 19 complications related to pulmonary issues (22.7%) and cardiovascular complications (13.5%), respectively. The complication rate of neuromuscular scoliosis (NMS) was 47.3% (35/74), while that of non-neuromuscular scoliosis (NNMS) was 17.9% (12/67). The cardiopulmonary complication rates of groups with FEV1 volumes below 1 L, 1-1.5 L, 1.5-2 L and over 2 L were 66.7% (18/27), 43.3% (13/30), 20.0% (7/35) and 18.4% (9/49), respectively. The group with FEV1 volumes below 1 L showed a significantly increased risk when compared to the group with FEV1 volumes over 2 L (P<0.05, Odds ratio=5.15, multivariate logistic regression test). The cardiopulmonary complication rates of groups with FVC volumes below 1 L, 1-1.5 L, 1.5-2 L and over 2 L were 70.8% (17/24), 37.5% (9/24), 33.3% (11/33) and 16.7% (10/60), respectively. Additionally, the group with FVC volumes below 1 L showed significantly increased risk when compared to a group with FVC volumes greater than 2 L (P<0.001, Odds ratio=8.0, multivariate logistic regression). Conclusions: The correction for NMS carries a higher complication rate than NNMS. Intra- and post-operative cardiopulmonary complication rates of a group with FEV1 or FVC volumes below 1 L were higher than the rates of groups with FEV1 and FVC volumes greater than 2 L. (Korean J Anesthesiol 2009;57:590∼6)

강소기업 (주)서진인스텍의 도전과 미래

강길원(Kil-Won Kang),고영희(Young-Hee Ko) 한국경영학회 2019 Korea Business Review Vol.23 No.2

본 연구에서는 ㈜서진인스텍(www.seojin.biz)의 지난 약 40년간의 도전과정과 핵심전략에 대해서 분석하였다. 이 기업은 국내 산업용 계측기기의 개발-제조-유통업계의 선두주자이자 2017년 고용노동부장관이 인정한 강소기업이다. 1979년 창업 후 개인회사로써 초기보육과정을 거쳐 일본의 유명 산업용 계측기기 제조사인 노켄(Nohken Inc.(株)能硏工業)과 외국인합작투자에 의해 법인으로 전환 설립되었고, 일본 노켄의 기술이전과 지도로 당시 낙후된 국내의 수공업 기반에서 벗어나 선진기술과 경영전략 전반을 도입하는 계기를 마련하였다. 이후 국내 경영여건과 산업환경의 격차를 극복하기 위해 모든 제조품목과 경영시스템의 대대적인 수정을 통해 새로운 진화과정을 창출하였고, 일본 노켄에 새로운 제조기술을 이전해 주기도 하는 성과를 이루어냈으며 현재는 노켄보다 폭 넓은 산업현장에 적용 가능한 다양한 품목의 제품개발을 자체자금 및 정부의 연구개발자금 지원을 통해 완성해가고 있다. 본 사례연구에서 우리는 이 기업의 전략적 진화과정에 네 단계의 진화과정이 있었음을 알게 되었다. 첫째, 창업과 선진기술의 도입 및 정착, 자체기술의 확보 및 축적 단계, 둘째, 두 차례에 걸친 경제위기 극복과정에서의 생존 및 진화 단계, 셋째, 사업 다각화 추진과 실패 극복 단계, 마지막으로 세계시장을 향한 글로벌 네트워크 구축 단계이다. 현재까지는 이러한 발전과정들이 국내시장의 범위에서 성공적이었다고 말할 수 있겠으나 진행되고 있는 글로벌 네트워크 구축과정에서 또 다른 도전과 전략이 필요한 시점이다. 본 사례를 통해서 국내 중소기업의 성장모델을 제시하고 글로벌 강소기업으로서의 발전을 위한 역량과 전략을 분석해 보고자 한다. In this study, we analyzed about 40 years challenge process and core strategy of Seojin Inc. It is a Korean Hidden Champion recognized by the Ministry of Employment and Labor in 2017 as a leader in the development, manufacturing and distribution of domestic industrial measuring instruments. Since its inception in 1979, it has been a private company and has been established as a corporation by foreign joint venture with Nohken Inc., a well-known manufacturer of industrial measuring instruments in Japan, through early childcare process. With the map, we set out to introduce the advanced technology and management strategy out of the domestic handicraft base which was backward then. In order to overcome the gap between domestic and industrial environments, Seojin Instec have created a new evolutionary process through major revisions of all manufacturing items and management systems, and have succeeded in transferring new manufacturing technologies to Nokken, Japan. Seojin Instec are developing various products that can be applied to a wider range of industries through self-funding and government R&D funding. In this case study, we learned that there were four stages of evolution in the companys strategic evolution. Up to now, it can be said that these developments were successful in the domestic market, but it is time for another challenge and strategy in the process of establishing global network. In this case, we will present the growth model of Korean SMEs and analyze their capabilities and strategies for developing as a global mid-sized company.

海山 全垂鏞의 抗日鬪爭

姜吉遠(Kang Gil-won) 역사학회 1984 역사학보 Vol.101 No.-

회계학의 제문제 : 어업권 (漁業權) 자산의 회계학적 고찰

강길원 ( Kil Won Kang ) 고려대학교 경영대학 1964 경영논총 Vol.10 No.1

姙産婦의 臨床·統計的 觀察

姜吉遠(Kil Won Kang) 서울대학교 보건환경연구소 1966 보건학논집 Vol.3 No.2

항해형 지식을 이용한 DCAl 프로그램의 설계

강길원(K. W. Kang),신현철(H. C. Shin),이종득(J. D. Lee),김용성(Y. S. Kim),장옥배(O. B. Jang) 한국정보과학회 1995 한국정보과학회 학술발표논문집 Vol.22 No.2A

교육 훈련용 멀티미디어에 관한 연구는 컴퓨터의 교육적 활용에 대한 연구를 중심으로 개별 컴퓨터 보조학습 프로그램의 개발과 활용, 컴퓨터 중심의 교육용 소프트웨어의 개발, 교육용 저작언어와 저작도구의 개발 등으로 나누어 볼 수 있다. 특히 교육용 저작언어와 저작도구는 컴퓨터보조학습 프로그램이나 기타 소프트웨어를 개발할 때 효율성과 프로그램의 질을 높이기 위한 것으로 연구가 진행되고 있으며 본 연구에서는 컴퓨터를 이용한 효율적인 DCAI 프로그램 학습이 이루어지기 위하여 텍스트, 그래픽, 도움말 시스템 기능을 제공한다.