의료관광 이해관계자간 협력활동에 따른 관계품질, 관계성과와 의료관광 지지도 연구

진수남,윤유식 한국관광학회 2020 관광학연구 Vol.44 No.6

The purpose of this study is to present an advanced role for stakeholders of medical tourism by developing suitable models for cooperation, establishing theoretical frameworks, and analyzing factors and variables on cooperative activities. The attributes of cooperative activities by type were divided into four dimensions depending on their interdependence, involvement and type of cooperation. A total of 440 valid samples were used in the final analysis. This study suggests that the implementation of the cooperative activities among the stakeholders based on communication, value sharing, and role sharing would lead to an enhancement of the relational quality such as trust, relational immersion and relational satisfaction, as well as the creation of relational performance and the support of medical tourism. This study provides a theoretical basis for the establishment of ecosystem of Korean medical tourism by enhancing its service level and diversifying its products based on the cooperative relationship among the stakeholders. As mediation did not significantly affect the relational quality, it should be noted that mediation one of the cooperative activities to resolve business risks. This study also provide implications that Korean medical tourism can be developed into a large-scale industry by strengthening cooperative activities among the stakeholders, while lowering the access barriers to medical tourism services through the convergence of medical technology and tourism. 이 연구는 의료관광 협력 모델을 개발하고, 이론적인 프레임웍을 정립하며, 이해관계자 간 협력 활동에 미치는 요인과 변수들을 도출 및 분석하여 의료관광의 지속적인 발전을 위한 실증적인 대안을 제시하기 위함이다. 따라서 유형별 협력활동의 속성 요인을 도출하였고, 협력 활동을 상호의존성, 연계성, 협력 유형 등에 따라 4차원으로 구분하였다. 이 연구에서는 440개의 유효 표본을 추출하여 최종 분석에 사용했다. 한국 의료관광의 지속적인 발전을 위해서는 이해관계자간 협력활동이 소통, 가치공유, 역할분담 등의 기조 하에 원활히 이행됨으로써 신뢰와 관계 몰입 및 관계만족 등 관계품질을 제고하고, 관계성과 구축과 한국의료관광 지지도 제고로 귀결되어야함을 알 수 있었다. 또한. 이 연구는 이해관계자들을 주축으로 한, 시장 참여자들 간 협력관계를 바탕으로 의료관광의 서비스 수준을 높이고, 의료관광상품을 다양화함으로써 선순환 구조의 한국의료관광생태계를 구축하는데 있어서 그 이론적 근거가 되고 있다. 더욱이, 일반적 의미에서의 조정(coordination)에서 더 나아가 시장리스크뿐만 아니라 사업리스크, 각종 법적리스크 예방과 공동 대응 및 정책과 제도적 측면에서의 이해관계자간 갈등이나 마찰을 예방하거나 해결하는데 역점을 두는 조정(mediation)을 의료관광 이해관계자간 협력활동으로 중시해야 함을 제시하였다. 이는 이해관계자간 협력 활동중 조정협력이 신뢰감이란 관계품질에 유의한 영향을 미치지 않은 것으로 나타났기 때문이다. 아울러, 이해관계자간 협력활동 활성화를 통해, 의료관광서비스에 대한 접근장벽을 낮추며, 의료테크놀로지와 관광분야의 융·복합을 통해 한국의료관광이 규모있는 산업으로 발전할 수 있음을 시사해 주고 있다.

성년후견법제의 도입에 따른 의료행위와 동의권

송호열 원광대학교 법학연구소 2012 의생명과학과 법 Vol.7 No.-

The increase of the aging population has caused problems to those people who don't have ability to manage their own affairs due to an illness such as dementia. To solve many issues related to property management and protection of human rights, the proposed amendment to the Civil Act which will cover adult guardianship was declared in September 2009. Afterwards, as the Civil Act was amended in March 7, 2011 as Act number 10429, the existing system of incompetency and quasi-incompetency was abolished and instead Adult Guardianship System has been introduced, being scheduled to be in force on July 1, 2013. With regard to medical treatments, not only stoppage of treatments to a patient, but also all medical activities by themselves may cause health care hazards. As the worst result such as loss of life may becaused seriously, consents to those activities are also regarded as important issue. One of the most challenging issues in the adult guardianship of the amended civil act is whether or not duties of adult guardians set forth in Article 947-2 of the Civil Act include consents to medical activities to their guardianees. Considering the fact that in many cases long-term disease or disability of a guardianee leads to the decision on adult guardianship, it is a very important concern for anyone to secure medical treatments to a guardianee in the adult guardianship. As the adult guardianship system imposes the obligation to care the guardianee on the adult guardian, it is an important duty of the guardian to make medical treatment and hospitalization arrangements in consideration of the changes in health status of the guardianee. However, in the event that medical treatments such as surgery are required to a guardianee who doesn't have ability to consent, who is supposed to decide on it? Acc ordingly, it is an important issue for an adult guardian to have the authority to consent to medical treatments. This study claims to specify the scope of consent in more details in the civil act because neither Article 947-2 of the amended civil act nor the medical treatment act fails to specify the authority to consent given to adult guardians. This study aims to examine and clarify the authority of adult guardian to consent to medical activities.

한방의료관광에 대한 한방의료서비스 종사자의 인식과 활성화 방안에 관한 연구

손정기,이판제,한상일 한국관광학회 2015 관광학연구 Vol.39 No.6

Many countries and corporation devote themselves to find in Oriental medical tourism industry. The purpose of this study is first, to investigate the Oriental medical employee’s perception of current situation of Oriental medical tourism industry; Second, to suggest a strategy planning for Oriental medical tourism. The survey was undertaken for employees who work at Oriental medical and 103 valid samples were collected. This study used SPSS 18.0 for frequency analysis, t-test, and importance-performance analysis. The results of this study are as follows: First, Oriental medical employees think it’s really necessary to revitalize Oriental medical tourism. Second, Oriental medical’ strategy field appeared reasonable order, that is, Oriental skin care, constitutional medicine, Oriental diet, Oriental otorhinolaryngology, and Oriental plastic surgery. Oriental medical tourism promotion and marketing for activation appeared to be in most needed. Oriental medical technology and modernization were to be endeavored for continuous development and maintenance of Oriental medical tourism. Oriental medical tourism professionals, diversity and differentiation of the program, the promotion of products, and government support should be made with interest and efforts. 본 연구의 목적은 한방의료서비스 종사자가 인식하는 한방의료관광의 실태를 조사하고 그에 따른 활성화 방안을 제시하는 것이다. 설문조사는 2014년 1월 20일부터 2월 7일까지 19일 간에 걸쳐 한방의료서비스 종사자를 대상으로 실시되었다. 총 104부를 회수하여 불성실한 1부를 제외한 103부를 유효표본으로 최종 실증분석에 활용하였다. 연구결과를 살펴보면 한방의료관광 대한 인지도와 한방의료관광의 수준은 평균점보다 낮고 국내 한방의료관광 정도 또한 평균점 보다 낮다고 인지하고 있었다. 한방의료관광은 병의 치료를 위한 관광으로 인지하고 있었고 한방의료관광의 전략 분야는 한방 피부․미용, 체질의학, 한방다이어트 순으로 인지하고 있었다. 한방의료관광의 활성화를 위해 홍보 및 마케팅, 한방의료관광에 대한 정보, 정부 및 지자체의 관심 및 지원, 한방의료관광 프로그램, 한방의료관광 전문인력, 선진화된 의료기술, 한방의료시스템, 타계과와의 협진을 통한 진료, 체계화된 의료프로세스가 필요하다고 나타났다. 한방의료관광의 중요도-실행도 분석을 통해 활성화 방안 및 시사점을 제시하였다. 마지막으로 연구의 한계점과 향후 한방의료관광 활성화 연구에 대한 제언을 하였다.

Comparison of Prevalence of Hyperlipidemia, Medical Expenses, Inpatient, Emergency and Outpatient According to the Level of Physical Activity of Korean Adults: A Cross-Sectional Study of 2018 Korea Medical Panel

이병근 대한운동학회 2021 아시아 운동학 학술지 Vol.23 No.1

[OBJECTIVES] The purpose of this study is to compare the difference in the prevalence of hyperlipidemia according to the level of physical activity in adults, and to compare the difference between annual personal medical expenses, hospitalization, emergency and outpatient use depending on the level of physical activity for hyperlipidemia patients. [METHODS] The 2018 Korea medical panel data was used (14,489 adults and 2,559 Hyperlipidemia). Physical activity was measured with short form of IPAQ and converted to MET-minutes per week. The days of hospitalization, and personal medical expenses were compared, and frequency analysis, logistic regression, ANOVA and chi-square were performed. [RESULTS] The prevalence of hyperlipidemia based on the inactive group were decreased both minimally active group (OR = 0.94) and the active group (OR = 0.74, p<0.01). Annual personal medical expenses I (p<.01) and II (p<.01) with hyperlipidemia were all showed significant differences depending on the level of physical activity. On active group basis, medical expenses showed slight differences of 3.0 to 3.2% with the minimally activity group, but that of the inactive group were 19.3 ~ 21.7% higher. The annual days of hospitalization were 6.8 ± 7.2 days in activity group, minimally activity group 7.1 ± 7.2 days, inactive group 11.7 ± 26.0 days. There was no significant difference in the annual days of hospitalization and emergency between the three groups. In particular, the annual days of outpatient increased sharply at the inactive group. Participation in physical activity has been shown to have a significant effect on hospitalization and decreasing use of emergency rooms. [CONCLUSIONS] Hyperlipidemia prevalence was similar to inactive groups and minimally activity groups, and that of activity groups was 0.74. On medical expenses of hyperlipidemia, the activity and minimally activity group was similar, the inactivity group was 19.3 to 21.7% higher. Physical activity was found to have a positive effect on hospitalization and emergency use reduction.

한국과 대만의 의료보험 통합과 의료보험 만족도 비교연구

국민호(Kuk Min Ho) 동양사회사상학회 2015 사회사상과 문화 Vol.18 No.2

이 글은 한국과 대만의 의료보험의 통합과정과 그 특징을 비교 고찰함으로써 두 나라 사이에 나타나는 커다란 의료보험에 대한 만족도의 차이를 설명해보고자 하였다. 비교는 크게 의료보험의 재원과 의료비 지불제도와 만족도, 그리고 의료체계의 효율성을 중심으로 살펴보았다. 이 글의 주장은 한국과 대만의 만족도의 차이는 주로 의료비 지불제도의 차이에서 기인한다는 것이다. 행위별 수가 제를 적용한 한국에서는 과잉진료와 의료기관들의 부당청구 문제가 끊이지 않는다. 이러한 과도한 의료행위는 의료비용을 부풀리는 결과를 가져와 한국에서 매년 의료비 지출이 급증하는 원인이 되었다. 반면에 대만은 총액예산제를 실시하였는데 이는 정해진 범위 내에서 의료비용을 합리적으로 조정하게 함으로써 의료비용 합리화와 업무량 합리화를 이룩해 의료비용을 크게 절감시켰다. 한국에서 과다 진료행위는 결국 본인부담률을 높이는 결과를 가져와 환자들에게 심각한 재정적 부담이 되는 동시에 국가 재정 부담을 증가시켰다. 한국의 높은 본인 부담률과 매년 급증하는 보험료는 환자들의 불만족 요소가 될 뿐 아니라 사회적 이슈가 되고 있다. 한국에서의 또 다른 문제는 의료체계의 비효율성으로 3차 의료기관으로는 환자가 몰리는 반면 1차 의료기관의 기능이 미비하다는 것이다. 나아가 과도한 고가 의료장비 보급률과 고가 의료장비의 낮은 보장성에 따른 고가 치료비 또한 한국 국민의 의료보험 불만의 대상이 되고 있다. 더욱 엄격하고 합리적인 진료체계 구축과 총액예산제 도입과 같은 의료재정 안정화 대책이 의료보험제도에 대한 국민들의 불만족을 줄이는 길이 될 것이다. This paper explores the difference of the degree of satisfaction about medical insurance between South Korea and Taiwan by analysing the integration process and the characteristics of medical insurances in South Korea and Taiwan. I analyse it focusing on its financial resources, financial expenditure system and the degree of satisfaction, and the efficiency of medical system. This paper insists that the difference of the degree of satisfaction about medical insurance between South Korea and Taiwan mainly depends on the difference of the payment system of financial expenditure. “Payment System for Each Medical Activity” in South Korea caused the increase of over-medication and illegal demand of the medical hospitals. Over-medication caused the big increase of the medical cost by inflating medical payment. The over-medication in South Korea caused the increase of personal payment and became a big financial burden for the patients. High rate of personal payment and ever-increasing medical insurance caused the dissatisfaction of the patients and became social issues in South Korea. Another cause of dissatisfaction in South Korea is the inefficiency of medical system. Patients pay more by visiting the 3rd medical institutions directly rather than going to the 1st medical institutions first. Thus the function of the 1st medical institutions is very weak. Also most Korean hospitals are over-equipped with high-price medical equipment and people have to pay more by using the equipment without covering the medical insurance. All these things make Korean people to be more unsatisfied with the medical insurance system. The “Total Budget System” in Taiwan decreased greatly the medical cost by achieving the rationalization of medical cost and the lord of work. They have to rearrange the use of the amount of medical money within the limit. The price of the use of high-price medical equipment in Taiwan has been covered by the medical insurance system from the beginning of medical insurance system for all the people in 1995. Also the introduction of the “Referral System” to save the medical cost made people to visit the 1st medical system first when they seek. If they go directly to the 1st medical institution, then they have to pay much more. All these things make Taiwanese people more satisfied for their medical insurance system.

조선시대 의녀의 역할

이미숙 한국사상문화학회 2012 韓國思想과 文化 Vol.61 No.-

This study aimed to inquire about 'Eui-nyeo'who used to assume the responsibility for woman with medical profession when the 'Eui-nyeo' system was established in Joseon Dynasty. The purpose of the establishment of the 'Eui-nyeo' system was to implement the morality of distinction between sexes and to faithfully follow the lessons from the doctrines of Chu-tz. The 'Eui-nyeo' system, however, was the dedicated woman related medical system which was implemented in our country for the 1st time in the world. There were very little number of women who had outstanding medical knowledge and skills among the group of Eui-nyeo and also total number of 'Eui-nyeo' were not much. But as they had certain functions as maternity nurses as well as some treatment and general nursery, they played important role in the society at that time particularly from the aspect of medical care for women and girls. Eui-nyeos were engaged in various activities and important duties among their activities were nursery activities. They also helped medical officers in taking care of medical examination for diseases of women from the royal family or nobilities including the King. They carried out medical examination for woman patient on behalf of medical officer in charge and delivered the state of the patient to the medical officer in charge for prescription. Their main duties was to assist doctors as such, but sometimes there were some Eui-nyeos who had excellent medical knowledge and skill as medical officers in diagnosing patients. Besides the function as women with medical profession, Eui-nyeos contributed to society at that time in many aspects assuming the responsibilities of the discernment of sex for criminals, the examination of ladies from nobilities, the examination of injury for women, the existence of wrong conducts in relation to wedding presents, wedding presents of silk and wedding ceremony which are non-medical related duties. The Eui-nyeo's were from humble people but as they were the persons who had skills to cure human diseases, they could maintain the status equivalent to noble class. Some outstanding Eui-nyeos or women doctors in the medical department among them were received fairly high treatment. After all the establishment of 'Eui-nyeo' system and their activities were remarkable incidents which provided the clue for the opening of women's social participation in Joseon society which used to be customarily closed. 본 연구는 조선시대 의녀제도가 설치되면서 여성의료인으로서 활동하였던 의녀(醫女)에 대해 고찰해 보고자 하였다. 의녀제도의 설치는 남녀유별의 도(道)를 실천하고 그 당시 시대의 학문인 성리학의 가르침에 충실하고자 했다는 데에 그 목적이 있었다. 그러나 의녀제도는 우리나라가 세계에서 가장 먼저 시행한 제도였다. 의녀는 의술에 뛰어난 자도 적었고, 또 그 수도 많지 않았으나 치료와 간병 그리고 산파로서의 기능을 가지고 있었기 때문에, 특히 부녀자에 대한 의료시혜라는 면에 있어서 사회적으로 매우 중요한 위치를 차지하고 있었다. 의녀는 여러 가지 활동을 하였지만, 그중에서 중요한 임무는 간호활동이었다. 또 임금을 비롯한 왕족이나 고관 또는 그 가족 중 여인의 질병을 주로 진맥(診脈)을 통해 진찰하는 경우가 많이 있었다. 이들은 왕족 부인들의 병을 진찰하고 그 상태를 어의(御醫)에게 전달하여 처방하도록 의관을 보좌하였다. 의녀는 이렇게 의원을 보좌하는 것이 주 임무였지만, 때로는 증후를 의관과 같이 파악하는 등 의원 못지않은 실력을 갖고 있는 의녀도 있었다. 의녀는 이러한 의료인으로서의 기능 이외에 범죄자의 성별감식, 양가부녀에 대한 심문, 구타를 당한 부인의 상처 조사, 그리고 납채·납폐·성혼일에 혼가에 가서 부정의 유무를 조사하는 등, 치료 이외의 임무도 가지고 있어서 다각도로 사회에 기여하였다. 의녀는 천민(賤民)이었지만, 인간의 질병을 치료할 수 있는 기술을 가진 사람들이었기 때문에 양인(良人)에 준하는 사회적 지위를 유지할 수 있었고, 그 중에서도 내의원(內醫院)의 의녀나 의술에 뛰어난 여의(女醫)들은 상당한 대우를 받았던 것이다. 결국 의녀제도의 창설과 이들의 활동은 폐쇄되어 있던 조선사회에 여성이 사회에 참여할 수 있는 길을 열어 주는 단초를 제공한 획기적 사건이었다.

한국사상(韓國思想)(사학(史學)) : 조선시대 의녀의 역할

이미숙 ( Mi Sook Lee ) 한국사상문화학회 2012 韓國思想과 文化 Vol.61 No.-

본 연구는 조선시대 의녀제도가 설치되면서 여성의료인으로서 활동하였던 의녀(醫女)에 대해 고찰해 보고자 하였다. 의녀제도의 설치는 남녀유별의 도(道)를 실천하고 그 당시 시대의 학문인 성리학의 가르침에 충실하고자 했다는 데에 그 목적이 있었다. 그러나 의녀제도는 우리나라가 세계에서 가장 먼저 시행한 제도였다. 의녀는 의술에 뛰어난 자도 적었고, 또 그 수도 많지 않았으나 치료와 간병 그리고 산파로서의 기능을 가지고 있었기 때문에, 특히 부녀자에 대한 의료시혜라는 면에 있어서 사회적으로 매우 중요한 위치를 차지하고 있었다. 의녀는 여러 가지 활동을 하였지만, 그중에서 중요한 임무는 간호활동이었다. 또 임금을 비롯한 왕족이나 고관 또는 그 가족 중 여인의 질병을 주로 진맥(診脈)을 통해 진찰하는 경우가 많이 있었다. 이들은 왕족 부인들의 병을 진찰하고 그 상태를 어의(御醫)에게 전달하여 처방하도록 의관을 보좌하였다. 의녀는 이렇게 의원을 보좌하는 것이 주 임무였지만, 때로는 증후를 의관과 같이 파악하는 등 의원 못지않은 실력을 갖고 있는 의녀도 있었다. 의녀는 이러한 의료인으로서의 기능 이외에 범죄자의 성별감식, 양가부녀에 대한 심문, 구타를 당한 부인의 상처 조사, 그리고 납채·납폐·성혼일에 혼가에 가서 부정의 유무를 조사하는 등, 치료 이외의 임무도 가지고 있어서 다각도로 사회에 기여하였다. 의녀는 천민(賤民)이었지만, 인간의 질병을 치료할 수 있는 기술을 가진 사람들이었기 때문에 양인(良人)에 준하는 사회적 지위를 유지할 수 있었고, 그 중에서도 내의원(內醫院)의 의녀나 의술에 뛰어난 여의(女醫)들은 상당한 대우를 받았던 것이다. 결국 의녀제도의 창설과 이들의 활동은 폐쇄되어 있던 조선사회에 여성이 사회에 참여할 수 있는 길을 열어 주는 단초를 제공한 획기적 사건이었다. This study aimed to inquire about ``Eui-nyeo``who used to assume the responsibility for woman with medical profession when the ``Eui-nyeo`` system was established in Joseon Dynasty. The purpose of the establishment of the ``Eui-nyeo`` system was to implement the morality of distinction between sexes and to faithfully follow the lessons from the doctrines of Chu-tz. The ``Eui-nyeo`` system, however, was the dedicated woman related medical system which was implemented in our country for the 1st time in the world. There were very little number of women who had outstanding medical knowledge and skills among the group of Eui-nyeo and also total number of ``Eui-nyeo`` were not much. But as they had certain functions as maternity nurses as well as some treatment and general nursery, they played important role in the society at that time particularly from the aspect of medical care for women and girls. Eui-nyeos were engaged in various activities and important duties among their activities were nursery activities. They also helped medical officers in taking care of medical examination for diseases of women from the royal family or nobilities including the King. They carried out medical examination for woman patient on behalf of medical officer in charge and delivered the state of the patient to the medical officer in charge for prescription. Their main duties was to assist doctors as such, but sometimes there were some Eui-nyeos who had excellent medical knowledge and skill as medical officers in diagnosing patients. Besides the function as women with medical profession, Eui-nyeos contributed to society at that time in many aspects assuming the responsibilities of the discernment of sex for criminals, the examination of ladies from nobilities, the examination of injury for women, the existence of wrong conducts in relation to wedding presents, wedding presents of silk and wedding ceremony which are non-medical related duties. The Eui-nyeo`s were from humble people but as they were the persons who had skills to cure human diseases, they could maintain the status equivalent to noble class. Some outstanding Eui-nyeos or women doctors in the medical department among them were received fairly high treatment. After all the establishment of ``Eui-nyeo`` system and their activities were remarkable incidents which provided the clue for the opening of women`s social participation in Joseon society which used to be customarily closed.

약사법상 담합행위에 관한 고찰

장연화(CHANG, Yeon Hwa),백경희(BAEK, Kyoung HEE) 인하대학교 법학연구소 2013 法學硏究 Vol.16 No.2

의약분업 후 환자에 대한 진단·처방과 조제·투약의 과정을 분리하여 진단과 처방은 의사가, 조제와 투약은 약사가 담당하게 되었다. 그럼에도 불구하고 환자를 유치하기 위하여 약사와 의사는 의사의 처방전을 발부하는 단계과 환자에게 약을 전달해 주는 방식에 있어서 서로 공조하는 현상이 발생하게 되었다. 특히 고도의 중독성과 장기 복용의 위험성이 존재하는 ‘살 빼는 약’에 관한 약사와 의사 사이의 담합행위는 국민의 생명과 건강을 위협하고 있어 사회적 문제로 대두되고 있고, 이와 관련된 판례가 생성되고 있다. 본고에서는 ‘살 빼는 약’에 대한 의사와 약사 사이의 담합행위를 다룬 두 개의 대상 판결을 비교해 보고, 대상판결이 의약분업제도의 목적, 약사와 의사 사이의 담합행위를 금하는 약사법의 취지에 부합하는지를 분석하고자 한다. 먼저 의약분업에 따른 약사의 주의의무에 관한 일반론에서 접근하여 대상판결의 결론이 타당한지 고찰하고자 한다. 다음으로 최근의 대법원판례에서 처방전 발급과 전달 과정에서 금품 수수가 있어야 담합 행위라고 그 범위를 좁게 보는 것과 관련하여 일정 의원의 환자의 처방전이 일정 약국에만 전달되는 것이 그 자체로 다른 약국의 진입을 차단하는 것임과 동시에 환자의 약국에 대한 선택권을 저해하는 것이기에 위 판례의 태도가 담합금지규정의 취지와 맞는지 살펴보고자 한다. 마지막으로 판례의 사안이 약사법상의 담합행위 외에 의료법상 영리 목적 유인행위와의 어떠한 관계에 있는지, 만약 약사법상 담합행위에 해당하지 않더라도 의료법상 영리목적 유인행위로의 처벌은 가능한지 검토해 보고자 한다. The separation of pharmaceuticals and medical practice divided up the responsibility of diagnosis and treatment to medical doctors and the responsibility of dispensary and administration of drugs to pharmacists. Nevertheless, evidences of collusion between pharmacists and medical doctors where they cooperate in the issuance and delivery of prescriptions have been prevalent, especially for "diet pills". Because ‘pills’ come with inherent dangers of addiction and long-term dosage, collusive acts between pharmacists and medical doctors can turn into a societal problem that threatens citizens’ life and health. This study compares two cases dealing with collusive activities between pharmacists and medical doctors then analyzes whether the cases conform with the purpose of separating pharmaceuticals and medical practice and the reasons for prohibiting such collusive activities through the pharmaceutical affairs law. First, the appropriateness of the decisions will be analyzed from the general theory of pharmacists" duty of care following the separation of pharmaceuticals and medical practice. Next, we turn to a recent Supreme Court"s decision that had a narrow view of finding collusion only when bribery existed between issuance and delivery of prescription. With this case as a basis, we analyze whether acts a doctor issuing and delivering prescriptions to one particular drug store can create entry barriers for other drug stores and deter patient"s right of choices for drug stores, which ultimately trigger the regulation prohibiting collusive activities. Last, in case such activities are not encompassed as collusive activities, we analyze whether such activities can be penalized as acts of inducement for-profit under the medical law.

부산지역 의료기관 종사자의 의료관광에 대한 인식과 활성화 방안에 관한 연구

이진민,조정은 한국서비스경영학회 2012 한국서비스경영학회 학술대회 Vol.2012 No.5

This study aims to investigate the perception of medical institution personnel about the medical tourism and to propose the activation plan for invigorating the medical tourism. Also this study examined whether there are the differences between foreign patients registered institutions and non-registered institutions for the perceptions of Busan medical tourism as well as the vitalization plan and efforts. As a task for activation of medical tourism industry in the region of Busan, this study found that training of medical tourism specialist, the use of advanced technology, improvement of health care service, more focused marketing activities. and the development of specialized Busan medical tourism program development are required.

Odd Ratio of the Prevalence of Arthropathy according to Physical Activity, Relationship between Health Behavior, Mental Health and Physical Activity, and Comparison of Medical Expenses and Outpatient Days in Arthropathy Patients

이병근 한국코칭능력개발원 2023 코칭능력개발지 Vol.25 No.5

The purpose of this study is to analyze the difference in odds ratio of the prevalence of arthropathy according to the level of physical activity in Korean adults, to find out the relationship between the physical activity according to health behavior and mental health status, and to compare the annual individual medical expenses and the outpatient days according to the level of physical activity in arthropathy patients. Korea Medical Panel 2018 were used, and the study subjects were 13,029 adults with arthropathy and 3,340 patients diagnosed with arthropathy by doctors. Physical activity, health behavior, mental health status, individual annual medical expenses and outpatient use were investigated. Frequency analysis, t-test, ANOVA and logistic regression analysis were performed. Compared to the inactive group, the OR of the prevalence of the minimal active group decreased to 0.74 (p<.01) and the prevalence of the active group to 0.49 (p<.01), and even when covariates were controlled, it ranged from 0.88 to 0.71, and it decreased as the level of physical activity increased. Among the health types of patients with arthropathy, the male, highly educated, having a spouse, and participating in economic activities showed high levels of physical activity (p<.01), and the group with low and medium stress (p<.01), depression (p<.05), suicidal ideation (p<.05), and no experience of frustration (p<.05) showed high levels of physical activity. There was no significant difference in both the annual personal medical expenses (p=.78) and the outpatient days (p=.51) between arthropathy patients and the active groups. As physical activity increased, the prevalence of arthropathy decreased from 0.74 to 0.49, and the better the health behavior and mental health status, the higher the physical activity. There was no significant difference in individual annual medical expenses and outpatient use according to the level of physical activity.