• Title/Summary/Keyword: 공공의료서비스

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Strategies for Public Health Service Development in the Times of Local Autonomy (지방자치시대의 공공보건사업 발전 전략)

  • 박정한
    • Health Policy and Management
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    • v.12 no.3
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    • pp.1-22
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    • 2002
  • Health is a fundamental human right and a sine qua non for happiness of people and for national development. Government has a responsibility for the provision of health services for their people. Recent changes of disease pattern, i.e. decrease of Infectious diseases and increase of chronic and degenerative diseases Including cancer and cardiovascular diseases, together with universal coverage of health insurance and improved living standard have prompted medical care utilization and skyrocketed the national health expenses. The goal of national health policy is improving the quality of life through the betterment of health level. To achieve this goal it is necessary to establish a healthcare system for lifetime, to improve the efficiency of healthcare delivery system, and to strengthen the public health services for disease prevention and health promotion. The current public health service programs are Inefficient due to an inconsistent policy for health service program, lack of health information system, irrational health program planning and evaluation, and Inadequate training of health workers. Local government has a legal responsibility for health service program planning and promoting the competence of health workers. Thus, municipal and provincial health departments should expand their roles and strengthen their function. The strategies for developing public health service programs at local level are ${\circled}1$ stipulating the goals of health policy, ${\circled}2$ promoting the ability for health program planning and evaluation, ${\circled}3$ establishing health information and surveillance system, ${\circled}4$ training of health workers, ${\circled}5$ establishing an institution for health information management and training of health workers, and ${\circled}61$ collaboration with local universities.

GIS-based Database for Development of Disease Prediction Model (질병 예측 모델 개발을 위한 지리정보시스템(GIS)기반 데이터베이스 구축)

  • Jang, Wooyeong;Woo, Changwoo;Song, Harim;Shon, Ho Sun;Ryu, Keun Ho;Kim, YoungGyu
    • Proceedings of the Korea Information Processing Society Conference
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    • 2014.04a
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    • pp.708-711
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    • 2014
  • 국민소득 증가와 고령화 사회에 진입하면서 다양한 의료소비가 의료서비스산업에 영향을 미치고 있으며, 이러한 사회 구조 및 환경변화에 따라 새로운 질병에 대한 대응 또한 절실히 요구되고 있다. 질병 예측을 위한 연구는 기후변화와 질병, 건강행태와 질병, 사회적 위치와 질병 등 질병에 영향을 주는 많은 요인들이 있다. 그러나 이러한 요인들을 통합, 분석 활용하는 데는 해결해야 할 문제들이 많이 있다. '정부3.0 공공데이터 개방 정책' 을 통해 질병에 관련된 자료가 공개 되면서 본 연구에서는 2010년부터 2012년까지의 질병에 영향을 주는 공공데이터를 연도별로 통합하여 지리정보시스템(GIS)기반 데이터베이스를 구축하고 활용 할 수 있게 하였다. 향후 기후변화에 민감한 질병을 찾기 위해 해당기관의 자료를 활용하여 월별로 데이터베이스를 구축하고, 이를 기반으로 의료서비스의 활성화 및 효율성에 기여 할 수 있다.

A Study on the Identity Direction of Korea Medical Marijuana Service (한국 의료용 대마 서비스의 아이덴티티 방향에 관한 연구)

  • Hwang, Ayoung;Pan, Young-Hwan
    • Journal of the Korea Convergence Society
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    • v.11 no.5
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    • pp.131-138
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    • 2020
  • Service industry has become the most important industry among various economic activities. These rapid changes have made the business environment more integral and important to balance the interests of various stakeholders. However, when a new service enters South Korea, there is a need to establish an identity that helps the various stakeholders to have a consistent understanding because different stakeholders have different understandings about the service. This paper is a study on the application of the optimized identity to the medical Marijuana service and the implementation plan. It consists of three steps: theoretical consideration, development of the optimization identity structure, and application to the medical Marijuana service.

An Action Convergence Research to Improve Evaluation Index of Pneumonia Adequacy in Regional Public Hospital (지역거점 공공병원의 폐렴 적정성 평가 지표 개선을 위한 융복합 실행연구)

  • Eun Young Choi;Yoen-Im Park;Seung-Ju, Kang;Ja-Ok Kim
    • Journal of Digital Convergence
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    • v.21 no.1
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    • pp.19-27
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    • 2023
  • This is an implementation study towards the development of a strategy to improve the pneumonia adequacy evaluation index of regional public hospital and to confirm its effectiveness. One physician, eight nurses, one computer room staff, and one nursing professor working at a regional base public hospital located in N city participated in this study from March to October 2021. An implementation study was conducted based on the conceptual model of Zuber-Skerritt & Fletcher. The stages of planning, implementation, evaluation, and reflection were operated in two cycles, and the effectiveness was evaluated in the second and third quarters. Compared to the pneumonia adequacy evaluation index in 2019, all indicators reached 100% of the standard target in 2021. The results of this study therefore infer that to provide higher quality medical services in the future, it is necessary to apply medical quality improvement activities through practical research under multidisciplinary participation and cooperation and to review the applicability of clinical sites.

Current Status of Rehabilitation Services in Long-Term Care Hospitals for Health Promotion of Jeollabuk-do Residents (전라북도민 건강증진을 위한 요양병원 재활서비스 현황)

  • Cho, Seung-Hyun
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.1
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    • pp.199-206
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    • 2021
  • As the super-aged society is imminent, the number of people with senile diseases is also increasing, resulting in a lack of facilities and policies as a social problem. National Health Insurance Service is being talked about as a realistic alternative to medical coverage. Long-term care hospitals are classified into acute-stage hospitals and long-term care facilities and are acting as an alternative to reducing medical expenses. However, in long-term care hospitals, which are the core of maintenance rehabilitation, the quality of service issues have been raised seriously. Currently, there is a problem of mass production of refugees from rehabilitation due to a problem of the medical system. In particular, in the preceding study in 2015, the status of long-term care hospitals in Jeollabuk-do was the worst. Therefore, using public data, the general status of long-term care hospitals in Jeollabuk-do, status of frequent disease, status of rehabilitation services, and status of occupational therapy services are to be explored.

A Study on the Development of Internet-based Information Services for the Older Adults (노인들을 위한 인터넷기반 정보서비스 구축에 관한 연구)

  • 장혜란
    • Journal of the Korean Society for information Management
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    • v.19 no.4
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    • pp.185-208
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    • 2002
  • Information service for the aged is a new challenge for public libraries in Korea. To develop an internet-based information service at public library perspectives, information sources, information need, and information seeking and using behavior are investigated. Interview survey is performed to 1060 adults aged 60 and over. Finding revealed that the respondents led to few channels to information except for mass media and informal oral communication. It ascertain ways in which 23% of the respondents currently use internet, and identify barriers of nonusers. The information need of the elderly are diverse, but health/medicine, news, hobbies, religion, leisure/travel are most identified need in descending order. Based on data analysis and previous research results, a cooperative service model consisting of information contents, online reference, interface design, and education is developed. Finally problems and suggestions for future improvement are discussed.

Citizen Participation in the Process of Establishing the Community Health Plan: Based on the results of roundtable discussions to Resolve the Health Disparity (지역보건의료계획 수립과정에서의 시민참여: 건강 격차 해소방안을 위한 시민원탁회의 결과를 중심으로)

  • Lee, Su-Jin;Hong, Nam-Soo;Kim, Keon-Yeop;Ryu, Dong Hee;Bae, Sang Geun;Kim, Ji-Min
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.5
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    • pp.151-161
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    • 2021
  • The purpose of this study was to identify citizens' needs and what they perceive the health-related problems are so public opinion can be reflected in the Daegu Community Health Plan. A citizen participation group was organized, and two roundtable discussions were held in June and July 2018. The number of participants in the first and second round was 40 and 44, respectively. Customer itinerary guidance, DVDM (Definition, Value, Difficulty, and Method) Map, and Persona-based scenario method were used for the roundtable discussions. The measures to improve the health status proposed by the citizens included expanding access to health services, establishing health services centered on small-living areas, expanding mental health services, creating health-friendly environments, resolving environmental problems, and improving social health. In addition, enhancing communication and creating harmonized environments, improving access to healthcare, generating pleasant physical environments, and assigning socials roles for vulnerable individuals were brought up as the means to resolve health disparities. The strength of the present study lies in the fact that, unlike survey methods, the citizens' exact needs were identified by sharing their thoughts. Moreover, it was proven that practical measures would be needed to implement citizen participation in planning health-related projects.

A study on the selection of candidates for public bases according to the spatial distribution characteristics Automated External Defibrillator in Daegu City (대구시 자동심장충격기 공간분포 특성에 따른 공공 거점후보지 선정 연구)

  • Beak, Seong Ryul;Kim, Jun Hyun
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.38 no.6
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    • pp.599-610
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    • 2020
  • The AED (Automated External Defibrillator) is not evaluated for spatial accuracy and temporal availability even if it is located within a building or a specific area that needed necessary to partition by spatial analysis and location allocation analysis. As a result of the analysis, the spatial analysis was performed using the existing public data of AED with applied the GIS location analysis method. A public institution (119 safety center, police box) was selected as a candidate for a public AED base that can operate 24 hours a day, 365 days a year according to the characteristics of each residential area. In addition, Thiessen Polygons were created for each candidate site and divided by regions. In the analysis of the service was analyzed regional in terms of accessibility to emergency medical services in consideration of the characteristics of AED, that emergency vehicles could arrive within 4 minutes of the time required for emergency medical treatment in most areas of the study area, but it did not areas outside of the city center. As a result, It was found that the operation of the AED base service center centered on vehicles of public institutions is effective for responding to AED patients at night and weekend hours. 19 Safety Center under and police box the jurisdiction of Daegu City to establish an AED service center for public institutions, location-based distance, attribute analysis, and minimization of overlapping areas that the method of using a vehicle appeared more efficient than using the existing walking type AED.

지역보건의료 정보화 사업의 현황과 발전방향

  • Sin Ui-Gyun
    • 대한예방의학회:학술대회논문집
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    • 2001.04a
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    • pp.27-38
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    • 2001
  • 보건소 정보화 사업은 지역단위 공공보건의료의 최일선 기관인 보건소에 정보시스템을 설치하여 내부운영을 효율화하고 생산성을 증대시킴으로써 양질의 보건의료 서비스를 제공하고, 동시에 지역보건의료의 효과적인 정보체계 구축과 정보의 원활한 교류를 통하여 국가보건정책수립을 위한 기본정보를 제공하며, 이를 통해 공공보건의료의 환경변화를 이끌어 갈 기반을 확충하려는 목적으로 추진되었다. 보건소 전산화 사업을 근간으로 하는 지역보건의료분야 정보화 사업은 보건 의료부문의 정보화를 위한 국민복지망 기본계획에 의거하여 94년 12월부터 2기로 나누어 8차 년도에 걸쳐('94.12 $\sim$ '01. 10) 연차사업으로 시행 중에 있다. 보건소 정보화 프로그램 개발을 목적으로 시행된 제1기 정보화 사업('94.12 $\sim$ '98.7)을 통해 개발된 보건소 정보시스템이 현재 242개 보건소 중 108개 보건소에서 사용중이며, 이를 통해 보건소 업무의 효율화와 함께 지역보건의료분야 전산화 구축의 기초단계가 확립되었다. 제2기 사업은('98.10 $\sim$ '01.10) 보건소 중심의 지역보건의료망 구축과, 보건소 정보시스템의 전국 확산, 관련기관 정보망과의 연계를 통한 정보교류 확대와 정보활용도 제고 등의 목표로 시행중이다. 2기 1차 사업을 통하여 보건소-보건지소 진료소간 지역보건의료망의 기본 하부골격의 토대가 구축되었고, 2기 2차 사업에서는 보건의료원의 전산화 프로그램이 개발되었다. 또한 현재 진행중인 2기 3차 사업에서는 지역보건정책 수립을 지원하는 진료현황, 보건사업현황 등의 자료를 통합D/B로 구축하여 시범적으로 운영함으로써 정보망의 활용도를 높이고, 광역단위의 지역보건정보 의사결정시스템(EIS) 개발을 추진하고 있다. 한편, 최근 급속한 정보기술의 발달과 보건의료 환경의 변화로 인하여 보건정보시스템의 변화 필요성이 증대되고 있다. 이를 위해서 중앙정부와 광역자치단체, 보건소를 연결하는 전국 단위 정보네트워크 구축에 있어 신기술 적용방안 연구를 통하여 보건소 정보화 사업의 발전 방향(ISP)을 모색 중에 있으며, 시군구 행정정보망과 연계를 통해 생애주기에 따른 주민 평생건강관리를 위한 정보시스템 구축을 도모하고 있다.

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Service Trend Analysis for Life and Culture related Geographic Information System (생활지리정보의 서비스 동향 분석)

  • Woo, Je-Yoon;Koo, Jee-Hee;Kim, Eui-Myoung;Ahn, Byung-Ik
    • 한국공간정보시스템학회:학술대회논문집
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    • 2002.03a
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    • pp.77-82
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    • 2002
  • NGIS 2단계사업(2001년${\sim}$2005년)은 국가공간자료기반 확충, 지리정보의 전 국민 유통 및 활용, GIS 산업육성 등의 목표를 가지고 추진되고 있다. 민간부분의 GIS 산업을 육성하기 위해서는 다양한 컨텐츠의 개발과 생활지리정보의 서비스 방향을 설정하고 법 제도적으로 지원할 필요가 있다. 이에 본 연구에서는 생활지리정보의 개념을 설정하고 국내외 생활지리정보관련 사이트를 조사 분석하여 향후 민간부분의 생활지리정보서비스 방향을 설정하고자 한다. 본 연구를 통해 기존의 인터넷 사이트를 조사하여 생활지리정보 항목을 11개로 분류하였으며, 공공부분에서는 중앙정부(건설교통부)와 지자체의 생활지리정보 현황을 분석하고 민간부분에서는 생활지리정보관련 36개 사이트를 조사 분석하였다. 또한 국외 사례는 미국, 일본, 영국, 스코틀랜드, 호주의 17개 사이트를 대상으로 생활지리정보현황을 분석하였다. 국내외 생활지리정보 서비스분석결과 국내의 경우는 도로/교통, 건강/의료 서비스가 우세한 반면 국외사례에서는 도로/교통뿐만 아니라 문화/관광 서비스가 상당히 많이 제공되고 있는 것으로 나타났다. 생활지리정보서비스의 방향은 공공부문에서는 기 구축된 업무시스템을 민원을 중심으로 웹서비스를 통해 생활지리정보의 형태로 구현되어야 하고 민간부분의 생활지리정보는 기술부분과 컨텐츠부분으로 나누어 개발이 이루어져야 한다.

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