• The Korean Society of Law and Medicine
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• v.10 no.1
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• pp.307-322
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• 2009

More than 80% of Japanese still want to face death at home, but only 10% of them can have his/her last moments of life at home. On the other hand, the end-of-life care has been a big issue in both ethical and economic aspect because of euthanasia and healthcare costs. It is generally known that the end-of-life care spends much more than the care for nonterminal years. This study approaches the key for the end-of-life care and suggests a desirable solution.

• Proceedings of the Korea Information Processing Society Conference
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• 2023.11a
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• pp.1224-1225
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• 2023

디지털 헬스케어 서비스 활성화에 따라 디지털 의료 데이터의 양은 매년 급속하게 증가하고 있으며, 의 데이터의 상호 교환과 연동을 위한 다양한 CDM(Common Data Model)이 개발되고 있다. 그러나, 의료 데이터 교류에 대한 요구가 증가하면서, 기존 레거시 시스템의 데이터를 CDM으로 변환하기 위한 추가적인 비용이 소요될 수 밖에 없다. 이에 본 연구에서는 OMOP CDM (Observational Medial Outcomes Partnership Common DataModel) 기반 의료 데이터 ETL (Extract, Transform, Load) 툴을 개발하였다. OMOP CDM ETL 툴은 기존의 레거시 데이터베이스 정보를 CDM으로 변환할 수 있는 효과적인 료인터페이스를 제공함으로써, 디지털 의료 데이터 공유와 관리 및 분석의 효율성을 증대할 수 있을 것이다.

• Journal of Internet Computing and Services
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• v.5 no.4
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• pp.1-10
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• 2004

Many hospitals tried to exchange their medical information between them. But they could not share efficiently medical information because of their different operating systems and database systems. In this paper, we developed an XML repository(called REPOMI : An XML Repository for Medical Information)based on HL7 that can store XML medical information. REPOMI is implemented by combining EJB components based on RDBMS. By REPOMI, we can manage more easily patient information and share efficiently medical information between hospitals. Therefore, medical informations can be exchanged between hospitals and general hospitals efficiently. As a result, hospitals can offer more efficient diagnosis to patients and it saves time and cost.

• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.10 no.2
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• pp.167-172
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• 2010

Recently most of hospitals progress toward setting up computer based medical information system, and there exists medical standard such as HL7 and DICOM to exchange efficiently between systems each other. However, Heterogeneous system built in each hospital gets a different data structure of medical information for patient and also makes it difficult to share information among hospitals. This paper proposes an integrated medical information system which changes existing diverse types of medical information to a unified structure and combines into one management model using XML from hospital specific medical information system. Thus, our proposed system makes it possible to get an effectively information share across hospitals without considering the internal system structure of other hospital. As a result, Hospitals provide a efficient and correct diagnosis, saving time and cost to patients.

• Health Policy and Management
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• v.6 no.2
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• pp.14-42
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• 1996

On rationale for government intervention is the failure of competition in the market. Health care markets are characterized by such unique aspects as information asymmetry, prevalence of insurance, and cost-increasing competition based on the adoption of costly medical technology. Therefore, government policy to guarantee a sufficient number of providers in markets may not lead to socially beneficisal outcomes such as higher quantity and lower price. This paper examines the unique nature of health services and its implications for competition, the evidence that competition may not reduce health care ex[enditures, and policy tools that government can use to encourage competition which contributes to supporting a sustainable health care system.

• Journal of Digital Convergence
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• v.15 no.11
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• pp.471-484
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• 2017

The present study explored factors that influence consumers' benefit expectancy about telemedicine service. Responses from a national online survey of 927 adults (aged 19-59), collected in January 2016, were analyzed with multiple regression analysis. The results revealed: (1) Health consciousness positively influenced all three benefit expectancies (all ps < .05); (2) Doctor-patient communication efficacy positively influenced expectancy for convenience improvement (${\beta}=.107$, p < .01) and service quality improvement (${\beta}=.086$, p < .05); (3) Use of health-related smart applications contributed to positive expectancy for service quality improvement (${\beta}=.081$, p < .05) and cost-saving (${\beta}=.067$, p < .05). Some of the relationships were moderated by gender and residence. This convergence study, which examined public's perception about telemedicine from the perspectives of consumer psychology, media, and public health, provides practical implications to promote telemedicine service and educate consumers about it.

• Journal of the Korean Society for Railway
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• v.13 no.2
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• pp.236-243
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• 2010

We examine the change in healthcare utilization pattern of cancer patients since the launch of KTX in 2004. It is found that during the year of 2004 and 2005 the rapid increase in the ratio of cancer patients' healthcare utilizations for the tertiary hospitals in Seoul to the total healthcare utilizations has accompanied the rapid decrease in the corresponding ratio for the tertiary hospitals in the local metropolitan areas under the influence of KTX while the corresponding ratio for the tertiary hospitals in the local cities with little influence of KTX on them has exhibited mild change. Since healthcare consumers' choice of hospitals can be characterized by "foot voting" action in the healthcare service market in Korea, such a phenomenon may have strong implication that the introduction of KTX may have affected substantially the inter-area healthcare utilization pattern by cancer patients by reducing various sorts of long-distance travel costs. Therefore, considering the potential contribution of KTX to the increase of cancer patients' accessibility to hospitals with higher qualities, support policies such as fare discount for low-income cancer patients in local areas may need to be taken into consideration where the well-designed fare discount program for low-income cancer patients may increase utilizations of KTX by lowincome cancer patients without incurring additional costs to running of KTX.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.10 no.6
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• pp.1124-1131
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• 2006

The recent medical treatment guidelines and the development of information technology make hospitals reduce the expense in surrounding environment and it requires improving the quality of medical treatment of the hospital. Moreover, MIS, PACS(Picture Archiving and Communication System), OCS, EMR are also developing. Medical Information System is evolved toward integration of medical IT and situation is changing with increasing high speed in the ICT convergence. Mobile component refers to construct wireless system of hospital which has constructed in existing environment. Through RFID development in existing system, anyone can log on easily to internet whenever and wherever. It is the core technology to implement automatic medical processing system. This paper provides a basic review of RFID model, PACS application component services. In addition, designed and implemented database server's component program and client program of mobile application that recognized RFID tag and patient data in the ubiquitous environments. This system implemented mobile PACS that performed patient data based db environments, and so reduced delay time of requisition, medical treatment, lab.

• 한국노년학
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• v.29 no.2
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• pp.645-656
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• 2009

The purpose of this study was to address the current status of hospital-based home care(HBHC). We analyzed the data on HBHC from national electronic data information of Health Insurance Review Agency. Beside, we surveyed 75 hospital-based home care agency. In 2006, 20,343 elderly(64.0% from all HBHC user) used 333,889 visits(76.8%from all visits). Medical diagnosis was composed of circulatory disease including cerebrovascular diseases 41.3%, endocrine system disease including Diabetes mellitus 10.4%, neoplasm 9.7%. Some of subjects used HBHC in excess of maximum covered 8 visits a month by National Health Insurance, decubitus 7.0%, the cancer 5.4%, the diabetes 2.5%, the hypertension 1.1%, and the stroke 0.9%. This results will contribute to expand the coverage of hospital-based home care by National Health Insurance. There was distribution difference in medical diagnosis and nursing intervention between HBHC and Public health center-based home care(PBHC) subjects. Therefore, HBHC subjects had more severe medical diagnosis, and were intervened more injections, examinations, than PBHC subjects. These differences must be considered to set up functional role among the three types of home visit care.

• The Journal of the Korea Contents Association
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• v.13 no.12
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• pp.348-356
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• 2013

This study examines nonpatient revenues of hospital in korea. The data source for this study was the 11 national university hospitals over the period 2008-2012. In this study, patient revenues, patient expenses, operating profit, nonpatient revenues, total revenues, ratio of the nonpatient revenues in the total revenues, operating margin, normal profit to gross revenues were analysed by the annual. The analysis of nonpatient revenue differences by management performance, bed size, location was performed. The results were as follows. Nonpatient revenues of national university hospitals were increased during the period 2008-2012. Nonpatient revenues were no significant differences by management performance. Nonpatient revenues in hospitals which are large bed size and located in big city were larger. Based on these results, this study suggests implications to diversify profitability for management performance in hospitals.