• Journal of Digital Convergence
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• v.16 no.12
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• pp.533-540
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• 2018

The purpose of this study was to use the data from the Health Insurance Review and Assessment Service to analyze the disagreement in disease coding given by different medical institutions on the same disease of the same patient and provide basic data that could help improve the quality of national public health statistics. 9,976,826 patients' data records from the Health Insurance Review and Assessment Service-National Patient Sample (HIRA-NPS) of 2014 were analyzed. The disagreement in disease coding differed by movement paths for medical institutions; the disagreement rate tended to increase when moving from a medical institution other than public health centers to a public health center and decrease remarkably when moving from a specialized general hospital to another. Therefore, this analysis of disagreement in disease coding among medical institutions suggests the need to supplement the system so that domestic medical institutions can realize consistent disease coding.

• 보건세계
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• v.62 no.5
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• pp.9-9
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• 2013

정부와 사회단체는 소외된 계층을 보호하고 구제하기 위해 그간 많은 복지정책을 시행해왔다. 하지만 우리 주변에는 주민등록 말소자, 미등록 외국인 근로자, 노숙자 등 복지정책의 사각지대에 놓인 많은 이들이 여전히 제도권 내 의료 서비스조차 원활하게 받지 못한 채 어렵게 살아가고 있다.

• Health Policy and Management
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• v.34 no.1
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• pp.48-58
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• 2024

Background: The purpose of this study was to investigate the association between external medical service use and the characteristics of Chungcheongnam-do patients. We aimed to provide evidence of external medical service use enhance the healthcare delivery system in Chungcheongnam-do. Methods: We used the Health Insurance Cohort DB 2.0 of 2016-2019, and 2,570,439 patients were included in the study. Multivariate logistic regression and multinomial logistic regression were used to identify the association between external medical service use and each patient characteristic. Generalized linear model was used to identify the association between medical costs and external medical service use area. Results: During the study period, 32.2% of inpatients and 12.5% of outpatients had external medical service use in Chungcheongnam-do. In comparison to patients living in Cheonan and Asan, the odds ratio (OR) for external medical services use was higher across all regions. Specifically, hospitalized patients from Gyeryong, Nonsan, and Geumsan (OR, 116.817) and Gongju, Buyeo, and Cheongyang (OR, 72.931) demonstrated extremely high likelihood of external medical service use in the Daejeon area. Furthermore, compared to medical expenses incurred within Chungcheongnam-do, patients with external medical service use in the capitol area (outpatient=17.01%, inpatients=22.11%) and Daejeon area (outpatient=16.63%, inpatients=15.41%) spent more on healthcare services. Conclusion: This study found the evidence of external medical service use among Chungcheongnam-do patients. Further study should be conducted taking into account variables including satisfaction of local medical services, different types of patient diseases, and others. The study's findings may serve as a foundation for policy proposals aimed at ensuring the financial stability of our health insurance system, ensuring the efficient delivery of medical care, and localization of medical care.

• Journal of Digital Convergence
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• v.12 no.2
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• pp.237-242
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• 2014

Integrated health care system, which is one of the developing solution technologies of IT, BT and NT, could give us new medical environments in future. Health care is one of the most concerned fields in convergence environments. Many studies on the development and application related with health care industry in recent years has been actively. Therefore, in this paper, we described current integrated medical system trends and future works.

• Proceedings of the Korea Information Processing Society Conference
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• 2016.04a
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• pp.277-279
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• 2016

보건의료 산업에서 보건의료제공자와 의료 단체들은 국가와 국가간 환자의 정보를 교환한다. 이 때 교환되는 환자의 정보를 보호하기 위한 수단으로 공개키 기반 구조와 전자 인증서 기술을 사용해야 한다. 하지만 국가마다 전자인증서를 사용하기 위한 인증기관과 등록기관의 정책이 일치하지 않으므로, 여러 나라들과 기관이 신뢰하고 사용할 수 있는 프레임워크가 필요하다. 이러한 프레임워크를 구축하기 위한 국제 표준 문서가 ISO 17090이며, 본 고에서는 ISO 17090에 명시된 인증서 요구사항과 암호화 알고리즘에 대한 개선방안을 제시한다.

• 한국IT서비스학회:학술대회논문집
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• 2006.05a
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• pp.282-289
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• 2006

의료기관의 정보화 수준이 높아짐에 따라 권한 없는 자의 정보 접근 및 유출, 진료정보 및 개인정보의 손실이나 파손, 환자 안전에 대한 위협 등 여러 가지 정보보호 리스크 요인이 대두되고 있다. 의료기관이 취급하고 있는 의료정보는 환자 개인을 식별할 수 있는 개인정보뿐만 아니라 개인의 사생활보호 차원에서 신중하게 취급해야 하는 매우 민감한 진료 정보를 포함하고 있으므로 정보보호의 중요성이 매우 크다고 볼 수 있다. 따라서 개인의료정보를 컴퓨터와 네트워크를 통해 처리하는 의료기관의 정보보호 수준 제고가 매우 중요하고 시급한 과제로 인식되고 있다. 본 연구에서는 의료기관 정보화의 진전과 원격의료/재택의료의 발전, 국가보건의료정보 인프라 구축, e-Health 및 유비쿼터스 건강관리 시대의 도래 등과 같은 중대한 의료정보 패러다임의 변화 속에서 정보보호의 이슈와 해결방안을 모색해 보았으며, 의료정보보호 수준제고를 위한 정책방향을 제시하였다. 개별 의료기관뿐만 아니라 국가 차원의 의료정보 인프라 구축 사업 추진 시에도 본 연구에서 제안한 의료정보 보호 수준제고 방안이 적용되어 정보화의 효율성과 정보보호가 균형을 이룰 수 있을 것으로 기대된다.

• Journal of Convergence for Information Technology
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• v.10 no.6
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• pp.200-208
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• 2020

The purpose of this study was to investigate and compare health, medical and welfare service providers' and local residents' perception on community care. The participants were 68 service providers and 95 local residents. The data were analyzed using independent t-test and chi-square test. The results showed that the degree of agreement of service providers on the need for policy, and visiting services were higher. Service providers' ability to link local residents with a need for care to community resources was higher, but in the activation of self-help group in community, local residents agreed more. In add budget of policy to health insurance, local residents agreed less. In perception on priority for community care policy, high priorities were preparation of financial resources and care culture. To effectively operate community care policy, it is necessary to establish a care culture through active exchanges for reducing differences in policy and opinions of recipients.

• Health Policy and Management
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• v.27 no.2
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• pp.95-96
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• 2017

The new president was elected unusually within short period, because of the president's impeachment. As the result, policy window as the president's election was rarely opened in healthcare sector. The new government has to overcome the era of aged society, low birth rate, and low economic growth rate and to prepare the unification of nation. The new government should set the priority of healthcare policies through a holistic and systematic approach. And the new government must implement a balanced healthcare policy with equity and efficiency, regulation and support, consumers and suppliers, in-kind benefits and cash benefits, and so on.

• KDI Journal of Economic Policy
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• v.33 no.1
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• pp.125-148
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• 2011

Although the patient's problem with access to health information has been improved due to rapidly developing information technologies, such as the internet, some patients still do not have enough ability to understand, interpret, and analyze the health information. Given this view on the patient's asymmetric information problem, if a doctor provides sufficient effort to help patients understand and interpret medical information, the efficiency of patient's medical care use could be improved. This paper shows firstly that the patient's inefficient use of medical care originates from his information problems, such as the misperception of the effectiveness of medical care and secondly suggests that if the doctor makes sufficient effort to correct patient's information problems, the inefficiency can be ameliorated. This paper also suggests the manipulation of a doctor's payment method can lead a doctor to provide optimal level of efforts which can in turn lead patients to use the optimal level of medical care. With an optimal level of effort, a doctor can more easily achieve a patient's compliance with the newly recommended amount of medical care.

• Journal of Digital Convergence
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• v.15 no.6
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• pp.273-282
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• 2017

The objective of this study was to verify the mediating effects of self-efficacy between metacognition and learning flow in college students in healthcare field. Participants were 300 college students. Self-administered questionnaire data were collected from November 21 to December 2, 2016. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and hierarchical regression analysis with the SPSS/WIN 23.0 program. Results are as follows. Metacognition had positive effects on learning flow(${\beta}=.678$, p<.001). Self-efficacy had a partial mediating effect on the relationship between metacognition and learning flow. The findings of study showed that metacognition was very important for enhancing learning flow and self-efficacy influenced these relationship. This study suggested that it is important to develop and implement teaching and learning strategies with improved metacognition in healthcare field.