• 제목/요약/키워드: 의료서비스의 질

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U-health wellbeing index system design for health care of crew on ships (상선승무원의 건강관리를 위한 u-health 웰빙 지수 서비스 시스템 설계)

  • Lee, Young-Ho;Kim, In-Jea;Lee, Soo-Hyun;Kim, Jong-Hoon;Kang, Young-Chang
    • Journal of Advanced Navigation Technology
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    • v.13 no.4
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    • pp.577-585
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    • 2009
  • Various studies on individual health-care application services have been lively going on due to recent development of information and communication technology and improvement of life quality. Moreover, U-health care area is emerging as a new growth industry as the demand of U-health care service for a quality life grows with the development of medical technology and ubiquitous environment. U-health care system for crew members on ships, who need to spend much time on sea far from their families, is especially needed because they find their job much more stressful not only physically but also mentally than any other people in different jobs do and have less chance to get proper medical services in time. In this paper, we suggested how to get more accurate and objective U-health wellbeing index by complementing SF-36, the general heath care index model in order to managing health of crew. Also we designed the U-health wellbeing index service system which can provide appropriate sports programs or diet contents according to health index.

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Effect of Images about Medical Organizations and the Quality of Medical Service on Customer Satisfaction in Obstetrics and Gynecology Patients (산부인과 환자의 의료기관에 대한 이미지와 서비스 질이 고객만족에 미치는 영향)

  • Jeong, Nam-Ok
    • Journal of Korean Academy of Nursing Administration
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    • v.11 no.1
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    • pp.59-66
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    • 2005
  • Purpose: The purpose of this study was to identify the effects images about medical organizations and the quality of service on customer satisfaction of obs and gyn patients. Method: The subjects of this study were selected conveniently 220 women among obstetrics and gynecology outpatients( who visited H- doctor's office of the first medical organ, P- hospital of the second medical organization, Chospital of the third medical organization). The data were collected from August, 20th 2004 using structured questionaires which included modified form of SERVPERF and customer's satisfaction scale by oliver & swan(1989), and modified form of image scale by kang(1997). Results: Image of hospital(45.3%), visiting frequencies(9.3%), service provider (3.9%) and convenient use(1.2%) of the quality of medical service were significant predictors to explain customer's satisfaction. Conclusion: To increase customer's satisfaction of obs and gyn patients, it is required to developed strategies that improve image of hospital and the quality of service to service provider and convenient use of hospital.

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The Differences in Quality Perceptions, Expectations, Evaluation, and Satisfaction for Nursing Service between Patients and Nurses: Small-medium Sized General Hospitals (중소 종합병원 입원환자와 간호사의 간호서비스에 대한 기대와 지각, 질 평가와 만족도 차이)

  • Kim Jeong-Hee;Lee In-Sook
    • Journal of Korean Academy of Nursing
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    • v.34 no.7
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    • pp.1243-1254
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    • 2004
  • Purpose: This study was performed to give direction to quality improvement strategies of nursing services by comparing the differences in quality perceptions and satisfaction for nursing services between patients and nurses in small-medium sized general hospitals with 200 beds. Method: The subjects, who were 150 inpatients and 162 nurses of 4 general hospitals in a community, answered a self-report questionnaire with a SERVQUAL scale. Result: There were differences between patients' and nurses' expectations and perceptions of nursing service and satisfaction. In the service expectation, the highest factor was 'the responsiveness', and in the perceived performance, the highest was the 'assurance'. In addition, overall patients' perceptions on nursing services showed higher than nurses'. There were positive correlations among the expectations and perceptions on nursing service, and satisfaction. The correlation between perception and satisfaction was higher than the correlation between expectations and satisfaction. Conclusion: To improve the nursing service quality at small-medium hospitals, strengthening the 'assurance' factor and improving the nursing service support system is needed. Also, this study on nurses' perceived nursing service at small-medium sized hospitals should be duplicated.

P2P DICOM System using Multiagent Systems Communicating with XML Encoded ACL (XML 기반 ACL로 통신하는 멀티에이전트 시스템을 이용한 P2P DICOM 시스템)

  • Kwon, Gi-Beom;Kim, Il-Kon
    • Journal of KIISE:Computing Practices and Letters
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    • v.8 no.5
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    • pp.598-606
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    • 2002
  • We suggest a distributed communication and management methodology using PC to PC Query multicasting strategy for efficient management of medical images produced by DICOM(Digital Imaging and Communications in Medicine) Modalities. It is absolutely necessary to reduce strict degradation of PACS system due to large sire of medical images and their very high transport rates. DICOM PC to PC Component is composed of a Service Manager to execute requested queries, a Communication Manager to take charge of file transmission, and a DICOM Manager to manage stored data and system behavior Each Manager itself is a component to search for requested file by interaction or to transmit the file to other PCs. Distributed management and transformation of medical information based on PC to PC Query multicasting methodology will enhance performance of central server and network capacity, reducing overload on both. We organize three major components for system operation. Each component is implemented as Agent. Communication between agents uses XML encoded Agent Communication Language.

Public welfare services and the needs of the Haenyeo and a comparative analysis (해녀의 공공복지서비스 실태와 욕구 비교 분석)

  • Kim, Sang-Mi;Hwang, Kyung-Soo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.10
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    • pp.4557-4563
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    • 2012
  • The purpose of this study is to suggest the criteria to public welfare service support for improving life quality of the haenyeo (female divers) through analyzing public welfare services and desires of the haenyeo in Jeju, Busan, and Tongyeong. Accordingly, research period was set from May 11 to June 21, 2010. The haenyeo in each region of Jeju, Yeongdo-gu (Busan), Tongyeong-si were selected as subjects. Recording of interviewing methods was used to recognize current status of public welfare. We analyzed by comparing desires of the haenyeo to public welfare services by dividing them economically, medically, educationally, and culturally. As a result of researching public welfare services to the haenyeo in each region, supports for protection of diving, growing area, public welfare service for aged diving haenyeo, and medical service were conducted. Tewak protecting net, Seonjinji visiting, and welfare facilities are supported in Busan-si but there is no support in Tongyeong-si. Therefore, desires of the haenyeo to such public welfare services are as followings: First, the desires of the haenyeo in Jeju to economic supports are indicated as supports for haenyeo experience spot, diving suit, and overseas visiting. To educational supports, it is indicated as supports for identity education, diving disease prevention education, and foreign language education. To cultural supports, it is indicated as supports for installation of welfare hall and exchange visit to foreign haenyeo culture. Second, in Busan, there were desires to establish changing room and fishery sales lot and to support diving suit as for economic supports, desires to support diving disease and medical benefits as for medical supports, desires to education of diving skill as for educational supports, and desires to establish welfare hall and haenyeo museum as for cultural supports. Third, in Tongyeong where public welfare services to the haenyeo are very poor, there were desires to support diving suit and to support changing room as for economic supports, as same as in Busan, desires to support diving disease and medical benefits as for medical supports.

Implementing Spinal Disease Education System based on e-Spine (e-Spine 기반으로 한 척추 질환 교육 시스템 개발)

  • Seo, Dongmin;Lee, Seungbock;Sung, Won-Kyung;Jung, Joon-Yong;Lee, Sangho
    • Proceedings of the Korea Contents Association Conference
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    • 2015.05a
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    • pp.233-234
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    • 2015
  • 사회 고령화에 따라 노화와 동반하여 나타나는 퇴행성 질환의 정복을 통한 삶의 질 확보가 시급한 것으로 나타났다. 특히, 노인성 척추 질환은 매년 국민의료 부담 및 경제 손실을 큰 폭으로 증가시키고 있으며, 이 질환은 개별 환자에 최적화된 척추의 수술 및 재활 치료를 요구한다. 최근 노령화 사회가 급속히 진행되면서 일반인들은 다양한 기관에서 제공하는 의학정보 서비스를 통해 많은 의학정보를 활용하고 있다. 하지만, 기존 의학정보 서비스들을 통해 다양하고 풍부한 정보를 얻기 위해서는 많은 시간과 노력을 투자해야 하며, 일부 서비스는 일반인들이 이해하기 어려운 정보를 서비스하기도 한다. 그래서 본 논문에서는 한국과학기술정보연구원에서 구축한 e-Spine을 기반으로 사용자 수준별 척추 질환 정보 온톨로지를 구축하고, 이를 기반으로 PC, Tablet PC, Mobile Phone에서 활용 가능한 교육 시스템을 개발했다. 마지막으로 본 논문에서 개발한 척추 질환 교육 시스템은 일반인들에게는 좀 더 쉬운 정보 제공을 목적으로, 전공의들에게는 좀 더 풍부한 정보 제공을 목적으로 활용됨으로써, 차후 노인성 척추 질환 대응 서비스의 하나로 자리매김 할 것으로 기대한다.

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The Design and Implementation of the Real-time Data Stream Server for Continuity of Care Record (실시간 헬스케어 시스템을 위한 데이터 스트림 서버의 설계 및 구현)

  • Wu, Zejun;Li, Yan;Bae, Hae-Young
    • Journal of the Korea Society of Computer and Information
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    • v.16 no.12
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    • pp.71-81
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    • 2011
  • The EMR management services can monitoring the patients' record with any doctors in any hospital by using the internet and smartphones online. To handle the real time, multidimensional, continuous data, database management systems (DBMS) must cope with high insert rates for updates, however the traditional DBMS suffers from processing these kinds of data due to its serious design bottlenecks. So the researchers put forward to Data Stream Management System (DSMS). In this paper we describe the real-time Data Stream Server for Continuity of Care Record (CCR) that including continuos query processor. This system is compiled with DSMS and DBMS in EMR system for processing and monitoring the coming CCR data stream, and also storing the processed result with high-efficiency. The system enables users not only to query stored CCR information from DBMS, but also to execute continue query on real-time CCR Data Stream, and health information can be transferred between different healthcare providers that would reduce medical error. At last, we develop a IPhone mobile application to test the proposed real-time data stream server.

Study on image quality and dosage comparison of F/S system and DR system (F/S시스템과 DR시스템의 화질과 피폭선량 비교에 관한 검토)

  • Kim, Sun-Chil;Jung, Jae-Eun
    • Journal of radiological science and technology
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    • v.26 no.3
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    • pp.7-11
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    • 2003
  • Currently, many hospitals are hastening to introduce digital radiography systems. This is a direct result of the intentions to improve medical services and to digitalize radiology information systems, and is also leading to the improvement of medical imaging technology. Throughout F/S system's long history, many people have researched the image quality and dosage concerning these systems, and as a result, huge improvements in the dosage of patients were possible. Similarly, I believe that DR systems need the same kind of effort. Of course, decreases in dosage that ignore image quality are unthinkable. The results of experiments conducted by five hospitals during a period of 3 months brought to us the conclusions listed below. 1. Based on the comparison and analysis of the exposure control of F/S systems and DR systems, DR systems generally showed higher exposure control for parts of the phantom that became thicker, and the exposure control improved rapidly as the thickness increased. 2. DR systems still proved to be somewhat deficient in resolution measurements compared to existing F/S systems. The image processing part of DR systems contributed much to these result. 3. Under conditions used clinically, the dosage measurements of DR systems were generally higher regardless of region. 4. According to the evaluation of image quality, DR systems showed a higher degree of satisfaction as the thickness of the region became thinner. As mentioned above and based on the mutual relationship experiments between the dosage and image quality of F/S systems and DR systems, research to increase the satisfaction of DR systems must be considered.

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Activities to Improve the Accessibility to clinical social work for Patients from Vulnerable/Disadvantaged/Marginalized Social Groups (취약계층 환자의 의료사회 복지서비스 접근성 증진 활동)

  • Hur, Lib;Lee, Young-Sook
    • Quality Improvement in Health Care
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    • v.19 no.2
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    • pp.80-88
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    • 2013
  • Objectives: With the increase in the number of people who are marginalized in receiving medical services, the role of Seoul National University Hospital as a public hospital is being emphasized. However, many patients are either experiencing delays in receiving medical services or simply being left out as a result of the inaccessibility to the department of social work on part of both the patients and the medical staff. Methods: In order to increase consultation from other departments and the accessibility to the department of social work for the socially marginalized group through early consultation from other departments, the following steps were taken. First, an orientation program for novice medical residents led by clinical social worker was introduced/implemented. Second, posters and brochures on various financial aids programs were produced and distributed. Third, a system of early screening was built/constructed, and once a week rounds and early screening meeting were executed/carried out. Result: The department of social work's rate of consultation from other departments increased by 4.4% compared to last year, while it showed 61% increase for those wards that had an early screening meeting. In addition, the average time of consultation from other departments was reduced by 3.1 days, securing sufficient amount of time for clinical social work services, both in terms of quality and quantity. Conclusion: It is believed that the various promotional activities, along with the strengthening of accessibility to clinical social work services and early consultation on part of social disadvantaged/marginalized group, would undoubtedly help provide quality services to patients and increase their level of satisfaction. In this way, the wards can effectively reduce the number of unnecessary hospital stay days while the hospital can prevent the accumulation of outstanding bills/fees as well as contribute to the publicness of hospitals. The promotion of clinical social work programs in various ways are crucial to ensuring the satisfaction of patients and hospital staff.

Sharing Treatment Information Between Family Members on the Web-based Telemedicine System (웹기반 원격진료시스템에서의 가족간 진료자료공유 알고리즘)

  • Kim Seok-Soo
    • The Journal of the Korea Contents Association
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    • v.5 no.4
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    • pp.141-149
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    • 2005
  • The paper's suggestion is Web based Tele-Medicine System will be open to public, low-budget featuring high quality of extensive medical services. It will keep a log of personal medical history to allow doctors to share information on patients and their families. This will result in the reduction of erroneous diagnosis and ensure successful e-business. On top of this, the new system will provide a solution for membership (client) management. It will combine online and offline medical services and be available 24 hours a day to anywhere users have Internet access, setting itself apart from the existing distance medical services system. Specially, The paper's suggestion is sharing medical treatment information between family members is suggested. This approach makes possible understanding physical constitution and environment between family members, and can result in bringing a faster treatment effect if some family member suffers from a similar disease.

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