• Title/Summary/Keyword: 응급 의료서비스

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Analysis of the Use of Ambulance Services Among Pregnant, Childbearing, and Postpartum Women Using Data from the Korea Health Panel (한국의료패널을 이용한 구급 이송 서비스 이용 특성 분석: 임신, 출산, 산후기 여성을 중심으로)

  • Kang, Kyunghee
    • Fire Science and Engineering
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    • v.33 no.6
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    • pp.152-158
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    • 2019
  • This study examined the socio-economic and clinical characteristics associated with the use of ambulance services among pregnant, childbearing, and postpartum women based on data from the 2008-2016 Korea Health Panel. The analysis revealed that among the pregnant, childbearing, and postpartum women, the proportion using all ambulance services was 18.9% whereas 12.0% used private and 119 ambulances. Moreover, among those using ambulance services, delivery was the most common reason (38.7%) followed by complications of labor and delivery (20.0%) and pregnancy with abortive outcome (17.3%). There were statistically significant differences between the users and non-users of ambulance services in terms of the average annual household income, emergency arrival time, and delayed arrival at the emergency room. As childbirth becomes more complicated due to low fertility and elderly mothers, the expansion and improvement of ambulance services as a social safety net for pregnant, childbearing, and postpartum women will become increasingly important.

Role Based Smart Health Service Access Control in F2C environment (F2C 환경에서 역할 기반 스마트 헬스 서비스 접근 제어)

  • Mi Sun Kim;Kyung Woo Park;Jae Hyun Seo
    • Smart Media Journal
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    • v.12 no.7
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    • pp.27-42
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    • 2023
  • The development of cloud services and IoT technology has radically changed the cloud environment, and has evolved into a new concept called fog computing and F2C (fog-to-cloud). However, as heterogeneous cloud/fog layers are integrated, problems of access control and security management for end users and edge devices may occur. In this paper, an F2C-based IoT smart health monitoring system architecture was designed to operate a medical information service that can quickly respond to medical emergencies. In addition, a role-based service access control technology was proposed to enhance the security of user's personal health information and sensor information during service interoperability. Through simulation, it was shown that role-based access control is achieved by sharing role registration and user role token issuance information through blockchain. End users can receive services from the device with the fastest response time, and by performing service access control according to roles, direct access to data can be minimized and security for personal information can be enhanced.

Policy suggestions to educate and produce outstanding paramedics in Korea (우수한 1급 응급구조사 인력 양성 및 배출을 위한 정책 제안)

  • Choi, Eun-Sook;Koh, Bong-Yeun;Park, Hee-Jin;Kim, Hyo-Sik;Kwon, Hay-Rran;Choi, Hea-Kyung;Lee, Kyoung-Youl;Yun, Jong-Geun;Hong, Sung-Gi;Cho, Keun-Ja
    • The Korean Journal of Emergency Medical Services
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    • v.22 no.1
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    • pp.7-19
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    • 2018
  • Purpose: With the purpose of educating and producing outstanding paramedics by enhancing their competencies, this study aimed to make policy suggestions to re-establish the education system and improve the national examination and the certification scheme. Methods: This study used focus group interviews and questionnaires to collect data. Totally, there were 277 subjects, including experts from the education and field. Data were collected from September 9 to 20, 2016, and analyzed using SPSS 22.0. Results: To strengthen the curriculum of paramedics, this study suggested 27 courses with 94 credits as the standardized curriculum and derived 9 core competencies of paramedics. For the national examination, this study suggested consolidating written test subjects, adding scenario questions to practical tests, and applying critical criteria to simple practical tests that performs a procedure, grading these tests on a pass/fail basis. In addition, this study suggested converting certification into license, reflecting paramedics' healthcare job characteristics. Conclusion: The quality of emergency medical services in Korea will improve when those with core competencies that originated from the standardized curriculum based on the results of this study acquire their certification through the national test scheme, and the certification management system creates a virtuous cycle to further enhance paramedics' professionalism.

Implementation of Wireless Realtime Monitoring System for Medical Information(ECG data) (의료 정보(심전도 데이터)를 위한 Wireless Realtime Monitoring System 구현)

  • 한민수;고성일;김양호;이강민;김영길
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.3 no.1
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    • pp.75-82
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    • 1999
  • This paper describes the implementation of wireless realtime monitoring system using modified CSMA/CA protocol. This system consists of wireless modem, central monitor, mobile station, DB server, and offer advantage of mobility, reduced installation time, long-term cost savings, and so on. And this system offers patient position pursuit service. Patient position pursuit service must be offered to deal with emergency which can be occured during patient movement. This paper proposes modified CSMA/CA protocol and patient position pursuit algorithm, implements wireless realtime monitoring system using it.

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A Design and Implementation of Physiological Data Measurement System using Ubiquitous Sensor Network (유비쿼터스 센서 네트워크를 이용한 생리학적 데이터 측정 시스템의 설계 및 구현)

  • Min, Gyeong-Woo;Seo, Jung-Hee;Park, Hung-Bog
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2010.05a
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    • pp.852-855
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    • 2010
  • Based on the rapid development of the computer network technology, the ubiquitous sensor network (USN) was developed to enable us to have access to the communication environment anywhere and anytime without the need for recognizing computers or networks. Moreover, with the increasingly high interest on individual health, the USN technology is being applied to diverse sectors for healthcare and disease prevention. In this paper, a system was designed and implemented using the USN-based RF communication for doctors and nurses who care patients in the hospital to easily measure and control the physiological data on blood pressure and blood sugar. In addition, a database was designed using MS SQL database to store and manage the blood pressure and blood sugar data, which were passively or actively measured from patients. Using the results of this study, the physiological data of patients can be managed in real time and emergency situation can be instantly addressed. It is expected that the healthcare service can be improved and the paradigm of healthcare service environment can be changed.

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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.

A Study on Security Weakness and Threats in Personal Health Record Services (개인건강기록 서비스에서 보안취약성 및 위협요소에 관한 연구)

  • Yi, Myung-Kyu;Hwang, Hee-Joung
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.15 no.6
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    • pp.163-171
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    • 2015
  • Personal Health Records(PHR) service offers patients a convenient and easy-to-use solution for managing their personal health records, crucial medical files, and emergency contacts. In spite of the indispensable advantages, PHR service brings critical challenges that cannot be avoided from consumer side if the security of the data is concerned. The problem of user's privacy infringement and leaking user's sensitive medical information is increasing with the fusion of PHR technology and healthcare. In this paper, therefore, we analyze the various security aspects that are vulnerable to the PHR service and needed to be resolved. Moreover, we analyze the security requirements from the point of view of the PHR users and application service providers and provides the PHR security mechanism for addressing PHR security threats and satisfying PHR security requirements.

A Study of Russian Patients' Satisfaction on Medical Tourism in Korea with Air Ambulance Service (해외 의료관광객의 Air Ambulance를 이용한 의료관광서비스 만족도에 관한 연구 : 러시아 이용객을 중심으로)

  • Kim, Pyung-Soo;Kim, Kee-Woong;Park, Sung-Sik
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.22 no.4
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    • pp.99-109
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    • 2014
  • Airline and medical industry in Korea have rapidly grown since 21st century. However, air ambulance service using an aircraft has not as popular as in Japan, Europe or United States. Central government has decided to start emergency helicopter service since 2011 to transport emergency patients transported in the past by fire fighter helicopter. Unfortunately, 32 OECD countries out of 33 have operated emergency aircraft system except Korea. There are more than 25 emergency helicopters in Japan, which can operate within five minutes. Such system could save a lot of social direct or in-direct cost by saving valuable lives of Japan citizens. This paper has tried to research the perception of overseas Russian medical tourists on using Air ambulance for their medical tourism to Korea. Researching air ambulance, this paper expects to find ways to enhance both medical tourism industry and airline, business jet industry. According to research results, it was proven that tangibility of medical tourism service has a positive effect on the human factor of air ambulance. The human factor has also a significant impact on the passenger comfortableness of air ambulance. Such comfortableness increases the overall satisfaction of medical tourism.

A study on the gratification of the patient in the Dental Hospital (치과병원 내원환자의 만족도 조사분석)

  • Kim, Min-Young;Lee, Keun-Woo;Moon, Hong-Suk;Chung, Moon-Kyu
    • The Journal of Korean Academy of Prosthodontics
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    • v.46 no.1
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    • pp.65-82
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    • 2008
  • Statement of problem : Today's market economy has been changed more and more to consumer concerned. It is owing to not only consumers ' rising standard of living and education, but also purchasers' easy accessibilities to products through various mass media. The consumer centered market system, where customer can choose items with diverse alternatives to satisfy their self esteem, is also applied to the field of medical business, and accelerated by an increasing income level of shoppers and introducing the whole nations' medical insurance system. Today, the medical industry has become competitive due to increasing number of medical institutions and medical personnel, and this offers wide choices to consumers in the medical market place. At this point of time, it is essential to survey on the primary factor of gratification for the patient in the Dental clinic, as well as on the problems and suggestions in medical service. Purpose : The analysis in this study shows essential factors and expected influential elements in satisfaction of the patient in the Dental Hopsital, and strategic suggestions for the provider of dental service, which can be of benefit to the prospective customer as well as can make improvement in the quality of dental treatment service. Material and method : This study had been researched by collecting and analyzing the organized questionnaires, which were filled in directly from 784 patients, who visit Dental Hospital, Yonsei University in Seoul, from January 23rd to April 15th. Result : It can be summarized like the followings. 1. The social and demographical peculiarities of respondents are as follows. Samples of gender and marital status are adequately extracted, but data on occupation and treatment are are under a bias toward students, undergraduates and graduate students, and orthodontics. 2. 74% of patients who answer the questionnaire were highly satisfied with the service of dental clinic in the section of overall satisfaction. 3. The survey result about specific service of dental treatment, within sections of independent variables, is like the followings; Patients are highly gratified with service system, kindness, explanation, explanation on expected waiting hours, reservation system, emergency measures, expert treatment, existence of knowledge of dentistry, size of hospital, disinfection, equipment and parking, but lowly satisfied with expense of treatment, preparatory hours for treatment, waiting hours, treatment hours and the period of subscription. 4. The correlation analysis showed that there is no significant linear relationship between the independent variables. 5. The probit regression analysis showed that 8 out of 34 independent variables explained the dependent variables at the level of 0.01. 6. It shows that 8 independent variables, which can affect customers 'satisfaction, are clearing up of inconvenience, service system, kindness, explanation, treatment hours per attendance, reservation system, existence of knowledge of dentistry, and contentment of equipment in the hospital. Conclusion : The consumer's satisfaction totally relies on subjective evaluations of customers. Providing appropriate service, which can meet the criteria for the customer who demands various wares, pursues luxury goods, and expects high quality of medical service, is essential to fulfill patients' satisfaction. Many medical institutions do their best to satisfy their customer, touch their consumer, and offer patience centered services, and it is also applied to the field of dentistry. Establishing brand new strategic managements and elevating the quality of dental service based on this survey are required to improve the satisfaction of patience in the Dental Hospital.

The Impact of Patient Satisfaction With Nursing Care Services, Switching Costs and Perceived Risk on Intention of Reuse in the Emergency Medical Center (응급의료센터 내원환자의 간호서비스 만족도, 전환비용 및 지각된 위험이 재이용 의도에 미치는 영향)

  • Kim, Hyun-Jeong;Yom, Young-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.17 no.4
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    • pp.432-442
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    • 2011
  • Purpose: The purpose of this study was to identify the factors influencing the intention of the reuse in patients admitted in university hospital emergency medical center. Method: The participants were 253 patients admitted to a niversity hospital emergency medical center. Data were collected with self-administrated questionnaires and analyzed by hierarchical multiple regression. Results: Patient satisfaction with nursing care service and switching cost were positively correlated with reuse by patients while the perceived risk was negatively correlated. As levels of satisfaction with nursing care services and switching cost increase, intention of reuse increases. Satisfaction with nursing care service, switching cost and perceived risk in emergency medical center influence intention to reuse and explain 68.8% of total variation of intention to reuse. Conclusion: Findings provide strong empirical evidence for importance of atient satisfaction with nursing care service, the switching costs and the perceived risk in explaining the intention of reuse an emergency medical center.