全國民 醫療保險의 課題와 改善方案에 關한 小考

서수교 대구보건대학 1992 대구보건대학 論文集 Vol.13 No.-

National Health Insurance has began in July 1989. It has been twelve years since Health Insurance system was executed. But actually it has many difficult problems to solve. We have to solve this problems by continuous research and improvement. Among of them, A priority problems are stability of the financial Health Insurance, efficiency of the union management, improvement of the publicity technique and activity of preventive medicine. At the same time, the present health system has to make an effort fot the efficient utilization. On the other hand, it has to improvement that Health Insurance of the Traditional Korean Medicine and Health Insurance of durgstore are in force the formality. Therefore it should be manage to combined system through more deeply research and effort. And all the people should be more cooperate and understand on the National Health Insurance for them.

醫院의 醫療保險診療費 收入分布와 그 決定要因

徐壽敎 대구보건대학 1995 대구보건대학 論文集 Vol.15 No.-

This study was to survey the influences upon the income of medical insurance treatment amount and to analyze revenue distribution and determinants of medical practitioners' revenue by medical insurance scheme concerning 1,268 clinics (767 in Taegu, 501 in Kyungpook Province in 1993)over one year of the opening-years in Taegu and Kyungpook Province and selected the characteristic of the patients and those of the regional population and medical system as valuables with center in the practitioners' individual characteristic. The average revenue of medical treatment amount was 136,510,000won, 137,7000,000won of-the man-practitioner was more than. 124,030,000won of the woman practitioner. In the ages, the group of forties appeared highest by 172,320,000won. The group of over-sixties was reduced to 84,480, 000won. And the revenue was the highest by the practitioners of opening year of 6-10years and tended to be lower. The more the number of the practitioners of clinic, of the employed, and of the possessed equipments were, the more revenue of medical treatment amount were. The clinics of city regions had the average revenue by medical treatment amount of 166,160,000won, but the clinics of county regions had 108,360,000won and the clinics of the big city had the revenue of 129,210,000won. To know revenue concentration rate by medical insurance, the result of calculating decile distribution rate in contrast with lower 40% of revenue occupied-rate and upper 20% of revenue occupied-rate was that decile distribution rate was 0.265 and Gini index was 0.438. The degree of inequality among the clinics was deep. In special departments, obstetrics (Gini index 0.568), general practitioners (Gini index 0.469) were deep in inequality degree of revenue of treatment amount in the same departments in comparison to other departments. Gini index of pediatrics was the lowest by 0.284. The big city in regions, the practitioners over sixties in ages were deeper in inequality distribution. The unbalanced distribution was deep like this. There were problems because of no use of higher man powers produced through the many hours and investments, and were patients disposition to limited clinics and the longer waiting hours. The phase of economic inefficiency and the quality phase of medical services were questioned, and so we need proper national measures limiting the number of daily patients and applying to reduction rate of treatment amount over the excess. To know the determinants of revenue of treatment amount by medical insurance, the results by the analysis of multi-regression were as follows : in view of the standard of practitioners, the characteristic of clinics and medical system, and population characteristic, the explanation power about revenue of treatment amount by medical insurance was 41.7%. Special departments, the age of practitioners, employed numbers and the numbers of possessed equipments had heavy influenced upon revenue of treatment amount. So the use of the device to reduce the difference of distribution of treatment amount by insurance treatment amount among treatment departments by the enlargement of insurance allowance, employed numbers, and the numbers of possessed equipments as estimated factors of insurance treatment amount must be put to as efficient management standard. The result by the analysis of regression was similar to treatment amount, and cases had influences upon the decision of treatment amount. The significant variables about treatment amount per case were true of the ages of practitioners, special departments, employed numbers, the number of beds, the numbers of possessed equipments, the big city and the variables of the patients' characteristics, In view of the tendency for the part of medical insurance to enlarge more and more in revenue of the whole treatment amount, and through the analysis of factors influencing upon treatment amount of medical insurance, we will anticipate the expenditure of treatment amount of insurance and need to establish efficient medical insurance policy to reduce the differences between the distributions of treatment amount of insurance among special departments. In the study, among the characteristics of practitioners, the special departments, and the employed numbers had more influenced upon in other treatment amount than other factors, the age of the practitioners and the number of equipment possession were factors. Expecting the expenditure of insurance treatment amount afterwards, the device and the number of the employed and equipment possession to reduce the difference of the distribution of insurance treatment among the special department, the practitioner and the efficient medical insurance policy expecting the expenditure of insurance treatment to characteristic of clinic must be established.

의원의 특성에 따른 의료보험진료의 차이 연구

서수교,박재원 대구보건대학 1999 대구보건대학 論文集 Vol.19 No.-

The primary medical care is the most important part in the Medical Delivery System. So this study was to survey the average of treatment amount among the kind of specialty through the medical insurance claims concerning 963 clinics during the period of one year, 1997, in Taegu. The average revenue of medical treatment amount was 187,950,000won, the average case of medical treatment amount was 9,255cases and the charges per case was 21,596won. The result of survey about the internists, general surgeons, family physicians, general practitioners and pediatricians was as follows : Upon the treatment cases, significant variables of the internists were the number of practitioners of clinic, employed numbers and the number of equipments. Significant variables of the general surgeons were the age of practitioners, the opening year, the number of practitioners, employed numbers and the number of beds. Significant variables of the family physicians were the age of practitioners, the opening year and the number of equipments. Significant variables of the general practitioners were the number of practitioners of clinic and number of beds. Significant variables of pediatricians were the number of practitioners and employed numbers. In view of the tendency for the park of medical insurance to enlarge more and more in revenue of the whole treatment amount, and through the analysis of factors influencing upon treatment amount of medical insurance, we will anticipate the expenditure of treatment amount of insurance and need to establish efficient medical insurance policy to reduce the differences between the distributions of treatment amount of insurance among special departments. Therefore the health manpower policy about the private medical practitioners will be continuously study.

保健職公務員의 勤務實態에 關한 小考

徐壽敎 대구보건대학 1988 대구보건대학 論文集 Vol.11 No.-

In order to present the basic data of health officials' working morale and efficient working way, this thesis was surveyed concerning to the characteristics and working state of 427 health officials in Taegu city and Kyungpook province in March 1987. In general characteristics, among the above surveyed health officials were highly marked 62.5 % of male, 49.9 % in the high school education, 70.3 % in license holder and nursing assistant in female was 49.4 %. The percentage of respondents in business affairs characteristics who agreed, to major affairs was highly marked of supervision, control business and education in health, the working place of health center, the engaged method of special adoption and no personal transfer. In their satisfaction of payment, 56.5 % of them were dissatisfactory. The degree of dissatisfaction was marked higher to the male than to the female and to the knowledged person than the others. For the satisfaction of promotion, 83.1 % of them were dissatisfactory. The degree of dissatisfaction was highly shown to all of them for the scholarship, major subject, the working level, the holder or nonholder of license and engaged method. For the satisfaction about their quantity of business affairs, 38.4 % of them were dissatisfactory. The degree of dissatisfaction was shown higher degree to the male than the other. And the quantity of business affairs were shown significance with the resident area, the working office and major affairs. For the degree of satisfaction in recognition, 30.7 % of them were dissatisfactory. The degree of dissatisfaction was marked higher to the man than to the woman and to humanities subject than the others. For the satisfaction in their business pride, 10.7 % of them were dissatisfactory. And it was shown significance with the working position, major affairs and the cause of engaged. The more dissatisfactory to the payment, to the promotion, to the relation betweens higher officers and the recognition from others had increased the more diasatisfactory in their pride of business affairs. For the intention of quit at their public work, 49.9 % of them wanted to leave their position. And it was shown higher to the male than to the female. For the main reason of quit at their work, the lacking promotion of man and the low payment of woman were marked the most serious problem than the others. Health officials are special function workers at public field : such as supervision, control, education and enlightenment in health, prevention of epidemics, experiment and research…… etc, therefore, special adoption system for the health officials who will work in this field have to enlarge more as before. Because of high dissatisfaction about the payment and the promotion. It is necessary that promotion system, increasing payment and scope of business affairs should be improve and expend. At same time, it is regarded that qualification and over time allowance should be payed.

病院管理의 現實態와 改善方案에 關한 小考

徐壽敎 대구보건대학 1994 대구보건대학 論文集 Vol.14 No.-

Medical demand was suddenly increased by the growth of economy, the promotion of life-style and the enforcement of National Health Insurance. As the same time, Hospital scale has larger than the past time. But hospital management has been more difficult than last because it has hospital general characteristics and external environment. Therefore hospital manager should be recognized about importance of management and rationalization. For rationalization of management, we must be regard to following thing. First of all, management of manpower is most important subject that is, personal composition is diversity and make up special person largely. Accordingly to the high quality medical will be provide, all branches should be realized mutural understading and harmony in hospital. The next is that it should be interested in Hospital Quality Assurance, Computerizing of affairs, Hospital public relation(publicity activities) and HMIS (Health Management Information System). This results will be supplied high quality Health Service for all people.

일부 초등학생의 불만과 생활환경의 관련성 조사

서수교,윤인숙,김경희 대구보건대학 2003 대구보건대학 論文集 Vol.23 No.-

The Purpose of this study was to examine the relationship between life environment and dissatisfactions from 10 elementary schools' students randomly chosen in Daegu City : 1,217 students in total with the upper grades 4, 5, 6. They are composed of 688 boys and 529 girls. As the results of this study, the general characteristics of the participants showed that the dissatisfaction levels were higher in females, upper grades, lower social-economic status, and lower family concord. In the parents' and school life's characteristics, the dissatisfaction levels of the students were higher in lower parents' care for their children. Lower parents' conjugal harmony, lower school records, and more discontented students in their school life.

일개 대학 자원봉사동아리 회원의 자원봉사인식

서수교,박재원 대구보건대학 2009 대구보건대학 論文集 Vol.29 No.-

대학생들의 흡연실태 조사

서수교,박재원,김성우 대구보건전문대학 2007 대구보건대학 論文集 Vol.27 No.-

This study was to survey for provide to institutional method about publicity of smoking dangerousness by 210 students of a college in Daegu city. As the result of this study, the gender smoking were significant difference between men(55%) and women(13%). A large majority(77%) in smoking group wanted to education of quit smoking. And starting age of smoking were a middle school(34%), a college(33%), a high school(25%), an elementary school(8%). Smoking amount per a day were less than a half(49%), less than a pack(35%), over than a pack(16%). The reason of continuous smoking were habituation(66%), to slove the stress(17%), to look smart(9%). So it is necessary to early education for quit smoking from elementary school. And a systematic program for college students must be established to solution the smoking at the government authorities, official quarters of school and citizens' groups, etc.

農漁村地域 醫療保險制度에 關한 小考

徐壽敎 대구보건대학 1991 대구보건대학 論文集 Vol.12 No.-

It has been twelve years since Health Insurance System was executed. And now it's will be covered the whole people by the effort of all people and goverment. But the system has many difficult problems to solve. Among of them, the most important thing at the moment is to study the Local Health Insurance System problems, and it s improvement. The big problems which we settle out are the factors of annual lossing finances, not to complete Health Delivery System, problems of health insurance societies management and a lack of understanding about system. The way of it's settlement, we have to established the standard insurance payments which depend on local situation, the contributions, the prevalence rate, the treatment amount per case and the insurance emergence fund for the stabilizing finance of the insurance. And then, for the suitable medical delivery system, The resonable medical treatment area should be devised, and the medical resource must be used in a sense of good way by making the proper function classification. In the management of insurance societies, we have to make an effort m order to the lawful and fair management and the economical and scientic management by nation wide electronic data processing system. Through out the positive public relations activities, all the community people should be participated by themselves. It is the desirable policy to make the local control better than the nation control insurance system, and in order to keep the above system, goverment officials, all the people and the staffs of who are working m this insurance office have to cooperate and understand one another.

해운대고등학교 - 특색있고 이상적인 교육과정 실천

서수교 대한사립학교장회(구 대한사립중고등학교장회) 2004 私學 Vol.107 No.-