Min-Seok Ko

Factors Affecting Medical Treatment and Expenses for the Inpatients under Coverage of Car Insurance by Traffic Accident

This study deals with an analysis into the details of medical treatment and expenses by items of treatment as well as the factors related to the ratio between the medical treatment and expenses for 1583 patients who were hospitalized in and discharged from 2 general hospitals located at a city under the coverage of car insurance during the year 2009. As a result, there was statistically significant difference in the details of medical treatment and expenses by items of treatment as well as their composition ratio depending on the individual characters as sex, age and the number of days staying in hospital. Each medical institution should conduct a close analysis of its patients under the car insurance program as well as the factors related to medical expenses with a view to utilize them as basic data for mapping out plans for effective operation of its organization in consideration of the characters as a medicalinstitution.

Directions for Health and Welfare Policy Setting : a case study of psychiatric patients

Objectives. The purpose of this study was to make a case analysis of psychiatric patients in their 20s to find out their lives and physical and mental state. Its basically meant to lay the foundation for health and welfare policy setting for psychiatric patients and suggest some of the right directions for mental health care projects. Methods. The subjects in this study were five psychiatric patients who were in their 20s and hospitalized at the department of psychiatry in a general hospital in North Jeolla Province. A survey was conducted from May 1 to Jun 30, 2008. The findings of the study were as follows: Result. As for general characteristics including gender, two of the five patients investigated were male, and the other three were female. By marital status, many were unmarried, and most of them benefitted from the health insurance. They werent ordinarily engaged in social activities, and most of them were unemployed. Every patient complained of economic difficulties. Concerning their diseases, three got 55 on the GAF scale, and two got 65. Every patient had no family history of mental disease except one, and the duration of illness ranged from four to eleven years, which showed that they suffered from chronic mental disease. And they were repeatedly hospitalized. Regarding their state, they didnt find themselves to be properly supported. Their state upon hospitalization was marked by self-injury, anxiety, insecurity, hostile behavior, unstable mood and difficulties in controlling aggressiveness, which indicated that they were in a similar state. Some of them showed little intelligence. As to mental state, they were irritated, nervous and suffered from visual and auditory hallucinations, and they were depressed and felt an impulse to commit suicide. In regard to physical state, they suffered from chronic or acute diseases in addition to mental illness. In terms of nursing diagnosis, they were lost in wild fancies, and they were consequently likely to use violence or respond to others in a defensive manner. Besides, they were left out from others. Conclusions. In order to prevent mental illness, its required to take measures to help people in general to get rid of stress and stay away from depression. The government should take legal actions to gather and share information on psychiatric patients to facilitate their treatment, and build a inpatient change system in view of inpatients change rate for different types of psychiatric patients to promote more energetic mental health care projects. Public mental health care projects should be enlarged to provide psychiatric patients with better treatment and expedite the rehabilitation of the mentally disabled in order to create a healthy society. In health and welfare projects, a separate budget should be earmarked for patients who suffer from severe illness and need long-term hospitalization so that they and their families could be relieved of the economic burden. Every local community should provide the mentally disabled with job rehabilitation training to guarantee their job security, and the government should prepare efficient policies and budget to facilitate their job rehabilitation.