• Title/Summary/Keyword: 의료서비스 제공자

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Factors Influencing mHealth Use in Older Adults with Diabetes (당뇨병 노인의 mHealth 이용에 영향을 미치는 요인)

  • Minjin Kim;Beomsoo Kim;Sunhee Park
    • Knowledge Management Research
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    • v.23 no.4
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    • pp.113-132
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    • 2022
  • The development of information and communication technologies (ICT) and changes in medical services centering on daily life have ushered in an era of self-management through the smartphone health management app (mHealth). This study identified the factors affecting mHealth use among older adults with diabetes. A structured survey was conducted using online and offline channels for 252 older adults who were over 65 and had diabetes. The collected data were subjected to hierarchical multiple regression analyses, and subjective health status, e-health literacy, and interaction terms of social support were inputted to verify moderating effect. The main results of this study are as follows. First, mHealth use among older adults with diabetes was higher in the male, type 2 diabetes, and younger age groups. Second, the higher was the e-health literacy, the higher was the mHealth use. Third, a negative moderating effect of social support was found in the relationship between subjective health status and mHealth use. We expect this study to provide researchers and managers interested in mHealth and older adults with diabetes, with valuable theoretical and practical implications. Furthermore, this study contributes to improving mHealth use among older adults with diabetes and building a digitally inclusive society.

The Comparison of Recognizing Personal Health Record Between Healthcare Students and Medical Students (보건대학생과 의과대학생 간의 개인건강기록(PHR) 인식 비교)

  • Baek, Eun-Hae;Lim, Sung-Won;Kim, Han-Kyoul;Rhee, Hyun-Sill
    • Journal of Digital Convergence
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    • v.10 no.10
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    • pp.373-382
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    • 2012
  • With the paradigm shifts towards consumer-centered health service, it is expected that more health care consumers will keep their health information and manage their own health in the future. Thus, this study was conducted to compare "Understanding", "Utilization" and "Management" of Personal Health Record(PHR) between medical users(healthcare students) and health care providers(medical students). We collected data from 208 health and medical students via using self-reported questionnaires form April to June, 2011. The collected data were analyzed using frequency, t-test, Chi-square on SPSS 19.0 version. There was no significant difference in "Understanding" of PHR between two groups. Looking at the order of the importance of PHR contents, two groups equally emphasized medical records, surgical history, and test results. There was significant difference in both time and effectiveness of PHR(p=0.02). Intergrated type of PHR was preferred by both groups. Recently, PHR reflects needs and demands of users more than ever. However there are many limitations to promote the utilization. In the future, it is necessary to implement targeted strategies for the elderly groups and specific types of disease.

Analysis of Medical Expenses Structure for Patients on Percutaneous Coronary Intervention by Medical Security Type (의료보장형태에 따른 관상동맥중재술 환자의 진료비 구조분석)

  • Son, Mi-Kyung;Lee, Sok-Goo
    • Journal of agricultural medicine and community health
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    • v.44 no.4
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    • pp.195-208
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    • 2019
  • Objectives: The purpose of this study was to analyze whether there are differences in medical expenses according to medical security type in the use of medical services with high disease burden such as coronary intervention. Methods: Chi-square test and covariance analysis(ANCOVA) were conducted to identify the differences in the characteristics and costs according to medical security type of 1,904 patients who underwent coronary intervention in a university hospital from 2011 to 2012. Hierarchical regression analysis was conducted to determine whether the cost affects medical expenses. Results: In the medical aid group, the proportion of women, those without a job, those without a spouse, and those who received hemodialysis was high, length of stay was high, patients using the emergency room and those who died was high. The medical aid patients were significantly higher in the non-benefit medical expenses, optional medical expenses, physician and admission, meals, medications and injections. National health insurance patients were significantly higher in procedure. The medical security type was found to be significant as a variable affecting the medical expenses. Conclusions: Provision of medical expenses should be managed in advance by providing prevention and education services for the vulnerable, and care services in the region should be provided to suppress the occurrence of medical expenses due to the increase in the number of days spent. In addition, it is necessary to support medical expenses to prevent unsatisfactory medical services from occurring for non-benefit and optional care.

Factors Affecting on Medical Satisfaction in Multicultural Members (다문화 구성원의 의료만족도에 영향을 미치는 요인)

  • Ahn, Seong sin;Jang, Mi-Hwa
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.9
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    • pp.199-209
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    • 2020
  • This study was a descriptive study performed to identify factors affecting medical satisfaction in multicultural members. The survey participants were 301 multicultural members in A city. The data were analyzed using descriptive statistics and Independent t-tests, One-way ANOVA, and Stepwise multiple regression analysis with the SPSS 14.0 program. Stepwise multiple regression analysis revealed that the predictors of satisfaction among the medical staff were satisfaction with age and health insurance, which accounted for 28% of all variance. Predictors of satisfaction with the medical environment were age and jobs, which accounted for 17% of all variance. Predictors of satisfaction with medical expenses were multicultural form, educational level, and jobs, which accounted for 33% of all variance. These results suggest that we need to develop and implement strategies and programs that can enhance satisfaction with medical use among multicultural members.

Privacy-Preserving Outlier Detection in Healthcare Services (IoT환경에서 프라이버시를 보장하는 의료데이터 이상치 탐색 기법)

  • Lee, Bo Young;Choi, Wonsuk;Lee, Dong Hoon
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.25 no.5
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    • pp.1187-1199
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    • 2015
  • Recently, as high-quality sensors are being developed, it is available to conveniently measure any kind of data. Healthcare services are being combined with Internet of things (IoTs). And applications that use user's data which are remotely measured, such as heart rate, blood oxygen level, temperature are emerging. The typical example is applications that find ideal spouse by using a user's genetic information, or indicate the presence or absence of a disease. Such information is closely related to the user's privacy, so biometric information must be protected. That is, service provider must provide the service while preserving user's privacy. In this paper, we propose a scheme which enables privacy-preserving outlier detection in Healthcare Service.

Data Storage and Security Model for Mobile Healthcare Service based on IoT (IoT 기반의 모바일 헬스케어 서비스를 위한 데이터 저장 및 보호 모델)

  • Jeong, Yoon-Su
    • Journal of Digital Convergence
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    • v.15 no.3
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    • pp.187-193
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    • 2017
  • Objects Internet-based healthcare services provide healthcare and healthcare services, including measurement of user's vital signs, diagnosis and prevention of diseases, through a variety of object internet devices. However, there is a problem that new security vulnerability can occur when inter-working with the security weakness of each element technology because the internet service based on the object Internet provides a service by integrating various element technologies. In this paper, we propose a user privacy protection model that can securely process user's healthcare information from a third party when delivering healthcare information of users using wearable equipment based on IoT in a mobile environment to a server. The proposed model provides attribute values for each healthcare sensor information so that the user can safely handle, store, and store the healthcare information, thereby managing the privacy of the user in a hierarchical manner. As a result of the performance evaluation, the throughput of IoT device is improved by 10.5% on average and the server overhead is 9.9% lower than that of the existing model.

Assisted Outpatient Treatment and Crisis Intervention in USA and their Implications for Korea (미국의 외래치료명령제도 및 위기대응과 국내적 시사점)

  • Park, Inhwan;Han, Meekyung
    • The Korean Society of Law and Medicine
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    • v.19 no.1
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    • pp.23-80
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    • 2018
  • Since the 1960s, the United States' (U.S.) deinstitutionalization policy has reinstated people with mental illness into communities. Unfortunately, when untreated, some people with psychiatric disorders become homeless, and some commit serious crimes during a psychological crisis. Assisted Outpatient Treatment (AOT), also known as Kendra's Law in New York and Laura's Law in California, provides treatment, services and support to people with mental illness in the community. AOT has repeatedly been found effective and is recognized as an evidence-based practice. The response to the mental health crisis (crisis intervention) in the U.S. has also been successful in preventing worsening mental illness and related criminality and other issues. This paper provides an opportunity to create a platform from which to learn how to successfully apply the AOT and crisis intervention of the U.S. to South Korea within the cultural and societal context when establishing social services for people with mental illness in South Korea's communities.

인터넷 웹기반의 유학정보 데이터베이스 시스템 구축

  • 곽재홍;곽정필;최재원
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2000.05a
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    • pp.314-319
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    • 2000
  • 현재 HP9000/H70 워크스테이션에 Sybase 10.01 DBMS를 근간으로 하여 '해외 유학정보'와 '의료정보' 등 5개의 DB가 구축되어 하이텔의 인포샵 서비스를 통해 일반 대중을 상대로 한 IP가 진행중이다. 이들 DB는 텍스트 위주의 명령을 기초로 하고 있어 정보접근과 사용이 어렵고, DB가 사장되는 결과를 초래한다. 따라서 기존의 DB로부터 유용한 정보를 쉽게 접근하게 하고, IP 정보제공자는 기존의 정보 추가와 갱신을 원활히 할 수 있다. 현재 서비스 중인 5개의 Database 중에 “유학정보”만을 인터넷 통합 정보망으로 구축함으로서, 사용자는 GUI 환경에선 쉽게 정보를 제공받으며, 사업자는 사장되는 DB를 쉽게 개발 할 수 있도록 도와주며, 기존의 Database뿐만 아니라 타 Database 까지 수용할 수 있는 DataBase Bank 역할을 할 수 있다.

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Health and Medical Practice Revisited with a Historical Review of Health Care Legislature and Application to Health Policy (보건의료법제의 연혁적 검토를 통해 본 건강과 의료행위 개념의 변화와 정책 적용)

  • Bae, Hyun-A;Kim, Hyo-Sin;Kang, Min-Ah
    • Journal of Legislation Research
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    • no.44
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    • pp.387-433
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    • 2013
  • Understanding the concepts of health and medical practice are significant because they are the basis of health and medical policy and law. How legislators, policy makers, and the public perceive those concepts defines the direction of legislation and policy making. This study aims to show the changes of the concepts by reviewing the history of major Statutes relating to health and medicine. Alongside medicalization of human conditions and daily activities, the concepts of health and medical practice also expanded. On the other hand, as technologies of health and medicine have specialized and segmented, the large portion of public services of the past is now provided by the private sector. We argue that the actual laws and decisions by the judiciary should be responsive to social and scientific changes, which may cause the changes of the perceptions of health and medical practice. By doing so, they not only can have actual legal force but also even initiate a movement for establishing new medical policy or law.

The Effect of Health Behavior Practice and Jab Characteristics on Periodontal Disease of Employees (근로자의 건강행위실천과 직업특성이 치주질환에 미치는 영향)

  • Lee, Byung-Ho
    • Journal of the Korea Convergence Society
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    • v.9 no.11
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    • pp.145-152
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    • 2018
  • The purpose of this study was to reveal association between health behavior practice and jab characteristics on periodontal disease of employees. The analysis was conducted on 1,737 of above the age of nineteen in employees by using raw data from the 2015 National Health and Nutrition Survey. The data were analyzed using SPSS for windows version 24.0. Smoking, BMI and aerobic exercise in health behavior practice had statistically significant difference. Occupation, work status and regular work in jab characteristics had statistically significant difference. In conclusion, business owners need active management to health behavior practice their employees and the government needs to resolve the polarization of medical services through the development of oral health care policies for low-income people.