• Title/Summary/Keyword: 관리의료

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COPD(만성폐쇄성폐질환)로 인한 국내 의료비 부담 심각

  • KOREA ASSOCIATION OF HEALTH PROMOTION
    • 건강소식
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    • v.28 no.9 s.310
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    • pp.28-29
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    • 2004
  • 현재 흡연으로 인한 COPD(만성폐쇄성폐질환)의 국내 의료비 부담이 심각한 것으로 드러났다. COPD 의료비 증가로 인한 경제적 부담감도 심각하지만, 천식 등으로 오인되는 COPD 환자 등 잠재환자의 증가와 더불어 COPD로 인한 사회경제적 손실도 더욱 커질 전망이다.

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An Efficient Personal Information Collection Model Design Using In-Hospital IoT System (병원내 구축된 IoT 시스템을 활용한 효율적인 개인 정보 수집 모델 설계)

  • Jeong, Yoon-Su
    • Journal of Convergence for Information Technology
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    • v.9 no.3
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    • pp.140-145
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    • 2019
  • With the development of IT technology, many changes are taking place in the health service environment over the past. However, even if medical technology is converged with IT technology, the problem of medical costs and management of health services are still one of the things that needs to be addressed. In this paper, we propose a model for hospitals that have established the IoT system to efficiently analyze and manage the personal information of users who receive medical services. The proposed model aims to efficiently check and manage users' medical information through an in-house IoT system. The proposed model can be used in a variety of heterogeneous cloud environments, and users' medical information can be managed efficiently and quickly without additional human and physical resources. In particular, because users' medical information collected in the proposed model is stored on servers through the IoT gateway, medical staff can analyze users' medical information accurately regardless of time and place. As a result of performance evaluation, the proposed model achieved 19.6% improvement in the efficiency of health care services for occupational health care staff over traditional medical system models that did not use the IoT system, and 22.1% improvement in post-health care for users who received medical services. In addition, the burden on medical staff was 17.6 percent lower on average than the existing medical system models.

A Study on the Improvement of Personal Information Protection in Small and Medium-sized Medical Institutions (중소형 의료기관의 개인정보 보안실태 및 개선방안)

  • Shin, Min ji;Lee, Chang Moo;Cho, Sung Phil
    • Convergence Security Journal
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    • v.19 no.4
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    • pp.123-132
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    • 2019
  • Rapid developments of IT technology has been creating new security threats. There have been more attacks to get patients' sensitive personal information, targeting medical institutions that are relatively insufficient to prevent and defend against such attacks. Although the government has required senior general hospitals to get the ISMS certification since 2016, such a requirement has been burdensome for small and medium-sized medical institutions. Therefore, this study was designed to draw measures to identify and improve the privacy status of the medical institution by dividing it into management, physical and cyber areas for small and medium-sized medical institutions. The results of this study showed that the government should provide financial support and managerial supervision for the improvement of personal information protection of small and medium-sized medical institutions. They also suggested that the government should also provide medical security specialists, continuous medical security education, disaster planning, reduction of medical information management regulations not suitable for small and medium sized institutions.

A Study on the Management of Exposure of Workers and Assistants Related to Diagnostic Radiation (진단용 방사선 관련 업무 종사자의 피폭관리에 관한 연구)

  • Lim, Chang-Seon
    • The Korean Society of Law and Medicine
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    • v.22 no.3
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    • pp.97-124
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    • 2021
  • In medical institutions, there are radiation-related workers such as radiological technologists, physicians, dentists, and dental hygienists who handle diagnostic radiation generators. Also, there are work assistants, such as nurses and assistant nurses, who assist in radiation treatment or transfer patients to the radiation examination room. Radiation exposure management for radiation-related workers is carried out under the 「Medical Service Act」, but there is no legal basis for work assistants, etc. And the management of radiation exposure for diagnosis is regulated by the 「Medical Service Act」, and the management of radiation exposure by therapeutic radiation and nuclear medical examination is governed by the 「Nuclear Safety Act」. Thus, to improve the management of radiation exposure for diagnosis, the regulations on radiation exposure management for diagnosis under the 「Medical Service Act」 were compared and reviewed with those of the 「Nuclear Safety Act」. As a result, the main contents are as follows. First, it is necessary to legislate to include nurses, assistant nurses, and clinical practice students who are likely to be exposed to radiation besides radiationrelated workers as subjects of radiation exposure management for diagnosis. Second, when a radiation-related worker for diagnosis is confirmed to be pregnant, the exposure dose limit should be defined. Third, it is necessary to revise the regulations on the types of personal exposure dosimeters in the 「Rules on the Safety Management of Radiation Generators for Diagnostics」. Fourth, it seems that health examination items for radiation-related workers, radiation workers, and frequent visitors should be the same. Fifth, It is necessary to unify and regulate diagnostic radiation and all medical radiation, including therapeutic radiation and nuclear medicine, in one legal system.

Effectiveness of Medical Aid Case Management in Excessive Healthcare User by Interventions based on the Number of Accesss (의료급여 과다이용자의 중재방법별 접근횟수에 따른 사례관리 효과)

  • Song, Myeong-Kyeong;Cho, Jeong-Hyun;Kim, Soon-Ok
    • Journal of Digital Convergence
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    • v.15 no.7
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    • pp.259-269
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    • 2017
  • This study analyzed medical aid case management effects based on the number of access by visits, phone calls, letters, internal investigation, resource links, and requests, in medical aid case management business that is carried out to improve the quality of life of medical care beneficiaries and reduce financial cost. Secondary analysis study using data of 564 high-risk group in the medical aid case management and their healthcare utilization data. Letters had positive correlations with the scores of all case management domains. The higher visits was, the lower the score of self-health care ability was, and the higher the number of phone calls was, the higher the score for reasonable medical use was. While there was no significant difference in medical cost according to aid management by interventions, the higher visits and resource links were, the lower the subjects' total number of payment days was. There is a difference in the various areas of the quality of health -related life and medical use depending on case management by intervention method and its number. It is necessary to carry out the efficient number of access to case management by intervention method.

U-healthcare Service Management Scheme for Big Data of Patient Infomation (환자 정보를 빅 데이터화 하기 위한 유헬스케어 서비스 관리기법)

  • Jeong, Yoon-Su
    • Journal of Convergence Society for SMB
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    • v.5 no.1
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    • pp.1-6
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    • 2015
  • Recently the disease by eating of the modern prevention, management, and trends in the u-healthcare service that provides healthcare services including health promotion is changing rapidly. However, u-healthcare service is a healthcare information that provides users of the disease can not be analyzed even if the service is stored or not stored in the management server status is giving the inconvenience caused to users of the health services. In this paper, we propose a management method of health care services and a big data formation information that provides users of the disease to facilitate the users of health care services through the use magazine big data information regardless of time and place. The proposed method has the user's bio-information and the measured health information and transmits data through a wired or wireless communication to the medical institution and the user's health information data formation by the big user of the analysis of the health information and the disease of the user feedback to the user.

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Medical CRM Frame Design for Medical Institution (의료기관 전문 의료용 CRM 프레임 설계)

  • Kim, Gui-Jung
    • The Journal of the Korea Contents Association
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    • v.8 no.12
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    • pp.20-27
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    • 2008
  • Hospitals today use independent systems for each department and job such as Hospital Information Sytem(HIS), Picture Archiving Communications System(PACS), Ordering Communication System(OCS), Electronic Medical Record(EMR), Enterprise Resource Planning(ERP), etc and each system employs its own DB. So, it is impossible to integrate information within the institution and difficult to keep transparency and consistency of data. I in this study offered a data integration environment through flexible management linked with other systems, and by doing that, designed a medical CRM frame which offers the optimum service the customer wants at the optimum time. I designed 4 of medical CRM frame: customer relationship management, public relations/marketing, service management, and statistics/analysis by the customer relationship management process standardization and aimed to offer tailored mobile contents according to customer's characters and health situation on the basis of customer's data by securing mobile medical contents for personalized medical information service.

Efficient certificate management system design and implementation on the use of medical solutions (의료솔루션 사용과 관련된 효율적인 인증서 관리 시스템 설계 및 구현)

  • Lee, Hyo Seung;Oh, Jae Chul
    • Smart Media Journal
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    • v.5 no.1
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    • pp.114-121
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    • 2016
  • Currently, different medical institutions have been carrying out the e-healthcare system project. The system includes electronic medical record and prescription delivery system, and, the Medical Treatment law permits electronic signature for medical record management, which reduced the relevant costs and enabled sharing medical record. And medical solution using online certificates is expanding its application. In that light, the role of certificates became more important than ever. However, in contrast to active effort made to manage personal certificates, certificates related to medical solutions and other types of work are not being managed properly. Most work-related certificates are saved in office computers, which makes them vulnerable to various security threats. Although certificate servers can be used as a solution to this problem, hospitals must build the server separately and, therefore, small and medium-size hospitals can be reluctant to bear the burden. This study proposed a way to design and implement an effective and secure certificate management system by save the certificate file as a BLOB, using existing resources without needing to build a separate certificate server, at minimized costs.

Assessment of Covid-19 Response of the Medical Institutions Based on ISO Public Service Quality Management Framework (ISO 기반 공공서비스 품질관리 프레임워크를 바탕으로 한 의료기관의 COVID-19 대응 현황 평가)

  • Pyun, Jebum;Kim, Seungbeom
    • Journal of Korea Society of Industrial Information Systems
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    • v.25 no.6
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    • pp.69-84
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    • 2020
  • This study is conducted to improve the quality of healthcare services responding to COVID-19 by applying the public service quality management framework that is developed from ISO18091:2019 by the Ministry of the Interior and Safety of South Korea. The COVID-19 pandemic has been impacting the world since early 2020, and now in November 2020, it still has not been eliminated. The Korean medical institutions were able to prevent the spread of COVID-19 by agile test and strict cohort isolation. As a result, the so-called K-medical defense has achieved a positive reputation from around the world. In this study, we check and evaluate the current status of the COVID-19 response targeting some Korean hospitals by applying a quality control checklist based on the public service quality management framework. Status of 7 categories are analyzed based on the interview with 3 medical institutions. We also suggest improvements for better medical service quality in case of COVID-19 being prolonged.