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최현림 대한노인병학회 2011 Annals of geriatric medicine and research Vol.15 No.2
Worldwide, aged population has been rising since the Second World War. Developed countries have already taken mea- sures to confront various problems brought by the phenomenon. Korea, with its population aging faster than any other countries, is developing national plans of action as well. The Korean government developed several strategies comprising long-term care insurance policies. In 2004, it attempted to newly recognize geriatric medicine as a specialty, but the efforts were futile in the face of medical societies seeking interests. Established in 1968, the Korean Geriatric Society reached 6,000 members in 2010. It has been decided that the 20th International Association of Gerontology and Geriatrics World Congress of Gerontology and Geriatrics in 2013 will be held in Seoul. Despite the circumstances, medical colleges are still failing to provide enough education on geriatric medicine, and geriatricians are not playing critical roles in caring elderly individuals in Korea. As the population is aging more rapidly, we will be facing numerous obstacles in maintaining the present society. It is imperative that the government recognize geriatric medicine as a major specialty to meet the demands of our future society. We hope that geriatricians will eventually take major actions to confront the health problems of the aged population and contribute not only to education of medical students but also to training of medical doctors in preparation for the near coming future.
입원환자 질병유형의 구성에 의한 지역별 진료기능에 관한 연구
최현림,이상일,신영수,김용익,Choi, Huyn-Rim,Lee, Sang-Il,Shin, Young-Soo,Kim, Yong-Ik 대한예방의학회 1988 예방의학회지 Vol.21 No.2
The objectives of the study were to provide the basic informations needed in the development of balanced medical services throughout the nation. As the national health care system was expanding rapidly along with the economic growth, quantitative re-evaluation of the system is of great need. For that reason, characteristics of the admitted patients were analyzed for the case-mix and patients' flow within and through regions. Materials were 421,530 cases of inpatients, who were reported through Korea Medical Insurance Corporation(KMIC) for insurance claim, during the period of March 1, 1985 through February 28, 1987. Korean Diagnosis Related Groups(K-DRGs) classification system was adopted for the study of case-mix and 189 cities and counties were classified into 5 district groups by factor analysis results of K-DRGS. The major findings of this study were as follows ; 1) Factor analysis of case-mix, employing K-DRG system, revealed 5 distinct funtional district groups. Group A(18 districts) was prominent for tertiary medical care. In group B(36 districts), rather simple procedures were prevalent. Group C(26 districts) was distinctive for the medical care of well organized internal medicine practices with qualified clinical laboratories. Group D(17 districts) was characterized by relatively high balanced medical care. Group E (92 districts) was with very low level of medical care. 2) Analysis of the case-flow through the districts showed 3 types of flow patterns : inflow, outflow, and balanced types. Inflow type of case-flow was found in Group A, C and D while Group B and E showed outflow type. Inflow was most prominent in Group A and Group E was of typical outflow type. Group B was consistently the outflow type except for Major Diagnostic Category XX regardless of the disease treaters, but Group C and D were inflow or outflow types according to the disease tracers.