r&d and innovation for health in korean...
TRANSCRIPT
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R&D and innovation for health
In Korean hospitals2019. 8. 13.
Professor Kyungsik, Yoon Kyung Hee Univ. Medical CollegeDept. Biochemistry & Mol. Biology
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Contents part 1. KOREA
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ⅠIOverview of Healthcare in Korea & Globalization of Korean Hospitals
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The life expectancy at birth in Korea is
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Total Tertiary Hospital
General Hospital Hospital Clinic
Dental Hospital &
Clinic
Traditional Korean
MedicinePharmacy
Local Health
Center, Etc.
92,638 42 301 2,970 31,366 17,712 14,429 22,384 3,434
Ø Patients can freely choose any types of medical institutionsexcept tertiary referral hospitals.
Ø Universal coverage is provided for all the Korean citizens.
Ø Not all medical services are covered by NHI.
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History of National Health Insurance (NHI) in Korea
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41 medical schools in Korea§ Every year more than 3,000 students graduate from medical schools
§ Education Program and Curriculum- A total year of medical school in Korea is 6 years including 2 years premedical courses and 4 years medical courses
§ Professional training after graduation1 year of
internship program
4 years of residency program
2 years of fellowship
- Doctors complete the residency program⇒ They must pass the Korean Medical Specialist License
Examinationto be certified as a specialist.
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- 78,282 specialists (80% of the total 97,713 doctors)
No Specialty No Specialty
1 Internal Medicine 14 Radiology
2 Surgery 15 Radiation Oncology
3 Pediatrics 16 Anesthesiology and Pain Medicine
4 Obstetrics & Gynecology 17 Neurology
5 Psychiatry 18 Rehabilitation Medicine
6 Orthopedic Surgery 19 Tuberculosis Medicine
7 Neurosurgery 20 Clinical Pathology
8 Thoracic and Cardiovascular Surgery 21 Pathology
9 Plastic surgery 22 Preventive Medicine
10 Ophthalmology 23 Family Medicine
11 Otorhinolaryngology 24 Occupational medicine
12 Dermatology 25 Nuclear Medicine
13 Urology 26 Emergency Medicine
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ⅠII Direction of Bio-medical R&D in Korea
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• 2019 Total Budget: about 20 billion $
• Recently focused to biomedical health research
• R&D of Ministry of Health and welfare
• 43% Skills to overcome disease in diverse clinic area
• 27% New drug & medical divice
• 12% Advancing technology research(regenerative medicine, Precision medicine)
• 10% Infrastructue investment
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Response to social environment change
Health care disaster response
Vaccine sovereignty
Reduce medical expense
Expansion of public R & D investment to solve high-cost social problems
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Study on overcoming disease for the people
Improvement of feeling through ICT fusion
Strengthen investment in vulnerable groups
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Genome, Precision Medicine
Stem cell • regenerative medicine
Smart Hospital
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New Drug development
Medical Device
Dental & Oriental Medicine
Dermatology Part
§ Development of surgical instruments, rehabilitation therapy, care-assist robot
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Accelerated Application
Standardization
Master model
right Target
Equal Access & Quality
KOREA’s –
Recognition
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In 2014, coach Hiddink was treated with 'Cartistem', a treatment for regenerating
knee cartilage
’2013, A four-year-old Austin who suffered from acute
lymphoblastic leukemia was treated with 'Kymriah'
(ALLO-ASC-DFU) treatment for patients with diabetic foot ulcers.
[Cell Therapy] [Gene Therapy] [Tissue Engineering]
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04 Bio-medical industry in the 4th industrial revolution era
Big data dependence high & the area where human beings are directly benefited
Healthcare to benefit most from the 4th
industrial revolution, executives predict (Jan 21, 2016 The Economist)
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05 New Technologies in Healthcare (the 4th industrial revolution)
Mobility and ConnectivityEmerging Technologies
3D printing, development of genetic engineering technology, and AI / IoT / Big Data technology convergence
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05 Always-on Hospital
AI-based integrated monitoring system automatically monitors patient status
Increased patient freedom in the hospitalImproved treatment and diagnostic accuracy
Always-on Hospital
Improved diagnostic accuracy
Improving quality of medical service
Increased satisfaction
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05 Hospital in Body
28
4th industrial revolution
AIBig dataIoT
Robot & hardware
RobotNano & micorsystem
+Vascular surgery
Conservative cancer treatment
Image induction surgery
New concept surgical instrument
In Body Robot(Main Role)
Out Body Equipment(Assistant)
New Technology of Disease Treatment
Quality improvement
Overcoming incurable diseases-Future Hospital
MRI, X-ray
+
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05 Hospital Factory
Production base of hospitals concentrated on high-quality human resources-Implementation of customized treatment centered on patient / physician
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Needs from Hospitals !Proto-types
Efficacy, SafetyFunctions !Animal Tests
Basic Tech.
BiomaterialsManufacturing tech. and devices
Lab. ScaleProto-type
ClinicalTrials
Approval from Gov.
ProductsPre-ClinicalTests
Translational Research
Approval from Gov.
Sales
Insurance
Industrialization
Hospital
Gov.
Industry
06 Bio-Health Eco –Chain (TRAIN)
ü Translation & Industrialization (TRAIN)
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07 Key Technology 1
ü Biodegradable Metals [2013~2017 (5years), PI : Dr. Kim Yoo-Chan]
contents
outcomes
(2)‘Long-term clinical study result ofbiodegradable Mg alloy and multiscaleanalysis of in vivo biodegradation’, PNAS 19(2016) 716-721 (IF=9.674)
(1) 2016 Excellent National R&D 100
(3) Proto-type and spin-off
- Spin-off to Grand Projcet (1 mil. US$ per year, 5 years) with manufacturing co.
- Pre-clinical tests with proto-types- Clinical Trial will be finished by 2019
with Screws and plates for oral surgery
BRI Oral Surgery
Urology
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07 Key Technology 2
ü Minimally Invasive Robot Surgical Device for Joints [2013~2018 (6years), PI : Dr. Kim Kye-Ree]
§ Applications of Steering cannula and Wire drive style end-effector to joint surgery
§ Tech. Transfer to Hanyang Digitech.
contents
outcomes
Electrosurgical device
Steering cannula Wire drive device
KIST End Effector
Steerable Electrosurgical device
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07 Key Technology 3
ü 3D Virtual Surgery System for Cranial Face [2016~2018 (3years), PI : Dr. Kim Young-Joon]
Korean Standard Ophthalmic Model
• Provide Clinical Data
• Clinical ApplicationsCustom made 3-D System:
• 3D virtual surgical Planning SW,
• After surgery analysis SW
3D virtual surgical Planning SW for Ophthalmic Fracture
2 Tech. TransfersKIST bio venture in 2019
contents
outcomes
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Contents part 2
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ⅠIII Korean Oriental medicine?
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01 Introduction-Korean Medicine Hospital
ü General Direction of Korean-Oriental Hospital Jin Yong Lee
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• 1971 : The KOREAN MEDICINE Hospital of Kyung-hee University started with the departments of
Internal Medicine, Gynecology, Pediatrics, Acupuncture and Moxibustion, etc. on October 5, 1971
• 1976 : Succeeded in anesthetizing a subject of Caesarean operation by acupuncture on March 22,
1976
Held the first World Congress of Acupunture on October 29, 1976.
• 1977 : Preliminary medical examination appliances of Oriental Medicine and made the data auto-
recorded on September 16, 1977.
• 1981 : Begin publishing the collection of Oriental Medicine materials in July, 1981.
• 1987 : Medical insurance by the government to oriental medicine, treatments in our facilities
began to be covered by medical insurance.
• 2007~Now : We have the 300 beds, 8 special departments, a subsidiary administrative office,
preliminary medical office, medicine office, a team of nurses, etc. preliminary medical office,
medicine office, a team of nurses etc
• In all, we boast more than 300 employees, and treat more than 300,000 outpatients and 120,000
inpatients per year.
02 Introduction-Korean Medicine Hospital
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03 Korean Medicine Education System
§ Modern educational System from 1948
§ 11 KM Univ.
- premedical (2) and medical course(4)
§ 1 Graduate School of Pusan National
Univ. (4+4 course)
§ Master and Doctor Degree
§ Annually 800~900 new KMD doctorswho pass the national examination
EDUCATIO
N
EDUCATIO
N
Dong Eui Univ. www.deu.ac.kr
Dong Guk Univ. www.dongguk.ac.kr
Daegu Hanny Univ. www.dhu.ac.kr
Dae Jeon Univ. www.dju.ac.kr
Dong Shin Univ. www.dsu.ac.kr
Ga Chon Univ. www.gachon.ac.krKyung Hee Univ. www.khu.ac.krPusan National Univ. kmed.pusan.ac.kr
Sang Ji Univ. www.sangji.ac.kr
Se Myung Univ. www.semyung.ac.kr
Woo Suk Univ. www.woosuk.ac.kr
Won Kwang Univ. www.wku.ac.kr
List of KM Univ.
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§ 19,116 Licensers(‘12) & 17,353 Practitioners(‘12)§ 201 KM Hospitals(over 80 beds) & 12,705 KM Clinics(‘12)
§ Use of Modern Medical Instrument computerized
instruments for diagnosis
§ Cooperative Diagnosis & Treatment with Western Medicine
§ Specialization : Obesity, Sterility, ENT, Aesthetic treatment and Chuna etc
Current Trend
of Clinics
& H
osp
itals
<The Change in the Number of KM Medical Institutions(1995-2012)>
04 Korean Medicine Practice
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ⅠIVKyung Hee University Medical Center
& Kyung Hee University
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01 Introduction of Kyung Hee Univ. Medical center
KYUNG HEE UNIVERSITY HEALTHCARE SYSTEM was opened in October 5th 1971, as complex of Medical, Dental and Korean healthcare system. Also a top-notch medical facilities consisting of Gangdong Kyung Hee University Hospital(opened June 12th, 2006)
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02 World-class R&D platforms Concentrated in the Capital Atea
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03 Bio-Competitiveness of Northeast Seoul (Hongneung)
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Global Healthcare, outstanding medical center in KoreaThe first university hospital with medical and oriental comprehensive healthcare
Kyung Hee UniversityMedical Center
SEOUL, KOREA
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04 KH University Hospital Facility
Land area(㎡) Building area(㎡) BED
Kyung Hee University Medical Center 27,253 110,879 1,047
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05 Education in Figures
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06 KHU Globalization
ü International Cooperation in Figures
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07 Four Seasons (Seoul Campus)
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07 Four Seasons (Global Campus)
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Thank you.