• 제목/요약/키워드: 의료의 질 관리

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The Study and Analysis of Role-Based Access Control Model for Protecting the Information (의료 정보 보호를 위한 역할기반 접근제어 분석 및 고찰)

  • Jeon, Gyeong-Hwan;Park, Seok-Cheon;Kim, Sung-Gyu
    • Proceedings of the Korea Information Processing Society Conference
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    • 2015.04a
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    • pp.494-496
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    • 2015
  • 개인의 의료 정보는 개인의 프라이버시에 관련되므로 민감하게 취급되어야 하는 정보이다. 이러한 개인정보 유출은 유출된 정보의 해당 당사자의 사회적 고립과 정보의 질에 따라 당사자의 생명도 위협하게 되므로 철저한 판리가 필요하다. 따라서 의사, 간호사, 환자, 일반인 등의 사용자 식별을 통해 병원 기록의 접근 통제 및 사용 권한에 따른 정보의 암호화 수준과 해당 정보에 특화된 역할기반 접근제어(Role-Based Access Control)를 제정해야 한다. 환자 자신이 자신의 의료정보를 특정한 사람에게 접근 권한을 주어 확인할 수도 있게 하고 그 외의 다른 부분들도 제어 할 수 있게 권한을 부여 할 수 있어야 한다. 본 논문은 현재 의료 및 진찰 정보 관리를 위해 RBAC모델을 기반으로 의료정보보호를 위한 접근제어 방법을 분석하고 각 정보의 객체들과 사용자 간의 효율적인 역할 분담과 한계를 통해 의료 정보의 보호방안을 고찰한다.

Health care system using smart phones (스마트폰을 이용한 건강관리 시스템)

  • Yeo, Ji-Min;Song, Gu-Deuk;Park, Su-Hyun
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2010.10a
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    • pp.565-566
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    • 2010
  • 최근 들어 스마트폰이 출시되면서 점차 스마트폰이 대중화되고, 삶의 질 향상과 고령사회로의 진입으로 건강 및 운동 관리에 대한 관심이 고조 되고 있다. 현대인들은 삶의 질을 높이기 위해 자신의 건강관리를 일상생활에서 확인해야한다. 본 논문에서는 맥박측정기를 이용하여 사용자의 건강정보를 실시간으로 측정하고, 측정된 값을 스마트폰을 이용하여 사용자의 건강을 관리하게 되며, 전문 의료기관의 힘을 빌리지 않고 사용자 스스로 자신의 건강상태를 알고 관리 할 수 있는 시스템을 설계 및 구현하였다.

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Research on Improvement of Patient Quality and Perception of Hospital Operation Effect after Medical Institution Certification - For Nursing Hospitals and Western Hospitals - (의료기관 인증 후 환자의 질 향상과 병원운영효과 인식도 조사연구 - 요양병원과 양방병원 대상 -)

  • Lee, Hye-Seung;Park, Hyun-Rin
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.7
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    • pp.559-570
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    • 2020
  • The purpose of this study was to classify the internal members of nursing hospitals and Western hospitals that received the certification system of medical institutions, and to examine the effect of certification on member satisfaction, job stress, hospital operation effect, and improvement of medical services. In nursing hospitals, the certification system was higher in member satisfaction, hospital operation effect, and medical service effect than in Western hospitals, and members of Western hospitals were higher in job stress. In both nursing hospitals and Western hospitals, the satisfaction of members, hospital operation effect, and medical service effect according to certification showed positive (+) results. It is believed that the effect of the certification system has been empirically high in nursing hospitals as mandatory certification from 2013. Therefore, this study aims to contribute to the efficiency of hospital management and improvement of patient satisfaction through continuous quality management of medical care by analyzing the effect of certification system on medical service improvement.

Development of an u-Health Service Model for ODA Recipient Countries (ODA 대상 국가를 위한 u-Health 서비스 모델 개발)

  • Yoo, Sun-Gil;Min, Se-Dong;Hong, Min;Jung, Bong-Keun;Oh, Dong-Ik;Shin, Won-Han;Soh, Jae-Young;Hyun, Young-Ho
    • Proceedings of the Korea Information Processing Society Conference
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    • 2014.04a
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    • pp.192-195
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    • 2014
  • u-Health 서비스는 의료기술에 ICT을 접목하여 보다 나은 건강관련 서비스를 제공할 수 있는 패러다임이다. 그러나 이러한 시스템을 도입하기에는 현실적으로 많은 도전이 존재한다. 개인의 건강관리 도구로 존재할 수 있을 것처럼 보이는 이러한 서비스는 그것이 국민의료의 질과 연관되는 이슈로 확대될 때, 환자라는 소비자집단, 의료인이라는 공급자집단, 그리고 국가라는 보건행정을 담당하는 관리집단의 이익이 첨예하게 대립할 수 있는 이슈가 될 수 있다. 이에 본 연구에서는 이러한 서비스의 제공을 이러한 개개 이익집단의 관점에서 탈피하고 순수한 양질의 의료 서비스 제공의 관점에서 살펴보아 과연 어떠한 ICT 관련 서비스 제공이 의료 환경 제고를 위해 필요한지를 파악해 보고자 하였다. 특히, 원격지에서의 자료공유를 통한 의료 서비스의 질 제고에 대해 관심을 가지고 이를 이익집단간의 이해관계가 크지 않은 ODA국가를 대상으로 하여 적용할 수 있는 서비스 모델을 제안하고자 하였다.

Design of Lab Management Service Platform for Providing Test Request and Result (검사의뢰 및 검사소견 제공을 위한 검사관리 서비스 플랫폼 설계)

  • Kim, jae-su;Kim, jae-woong;Park, koo-rack
    • Proceedings of the Korea Contents Association Conference
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    • 2016.05a
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    • pp.9-10
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    • 2016
  • 본 논문에서는 의료기관에서 수진자의 검사정보를 검사기관과 1:1 계약이 아닌 다양한 검사기관으로 위탁 의뢰 할 수 있고, 검사의뢰나 검사결과 보고만을 하는 기존 검사관리 시스템과는 달리 검사결과 정보를 바탕으로 한 다양한 부가서비스를 제공할 수 있는 통합 검사관리 서비스 플랫폼을 제안한다. 본 논문에서 제안하는 서비스 플랫폼은 다양한 의료기관과 검사기관을 하나의 통합 검사관리 시스템에 연결, 병 의원 업무의 효율성 및 서비스 질 향상을 지원한다.

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Strategies for Public Health Service Development in the Times of Local Autonomy (지방자치시대의 공공보건사업 발전 전략)

  • 박정한
    • Health Policy and Management
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    • v.12 no.3
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    • pp.1-22
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    • 2002
  • Health is a fundamental human right and a sine qua non for happiness of people and for national development. Government has a responsibility for the provision of health services for their people. Recent changes of disease pattern, i.e. decrease of Infectious diseases and increase of chronic and degenerative diseases Including cancer and cardiovascular diseases, together with universal coverage of health insurance and improved living standard have prompted medical care utilization and skyrocketed the national health expenses. The goal of national health policy is improving the quality of life through the betterment of health level. To achieve this goal it is necessary to establish a healthcare system for lifetime, to improve the efficiency of healthcare delivery system, and to strengthen the public health services for disease prevention and health promotion. The current public health service programs are Inefficient due to an inconsistent policy for health service program, lack of health information system, irrational health program planning and evaluation, and Inadequate training of health workers. Local government has a legal responsibility for health service program planning and promoting the competence of health workers. Thus, municipal and provincial health departments should expand their roles and strengthen their function. The strategies for developing public health service programs at local level are ${\circled}1$ stipulating the goals of health policy, ${\circled}2$ promoting the ability for health program planning and evaluation, ${\circled}3$ establishing health information and surveillance system, ${\circled}4$ training of health workers, ${\circled}5$ establishing an institution for health information management and training of health workers, and ${\circled}61$ collaboration with local universities.

Service Quality of Dental Institutes Measured by SERVQUAL Model and Intention to Re-visit (SERVQUAL 모형으로 측정한 일부 치과의원의 서비스 질과 재이용의도)

  • Jun, Mee-Jin;Noh, Eun-Kyung
    • Journal of dental hygiene science
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    • v.10 no.1
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    • pp.55-61
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    • 2010
  • The main purpose of this study was to identify the service quality of some dental clinics located in Gwangju and find an association between service quality and patient's intention to re-visit the same dental clinic. The search objects were 197 patients from five dental clinics, and data collected by self-administered questionnaire which was composed general characteristics, characteristics relating to visit of clinics, quality of service, patients satisfaction and intentions to re-visit. The used statistical analysis to find the association between quality of service and intention to re-visit was multiple regression analysis. This study looked at relations between quality of dental service, service satisfaction and intentions to visit again, and found that quality of service including six service areas had a statistically significant positive correlations with satisfaction and intentions of re-visit. When this study conducted a multiple regression analysis to identify variables that influence intentions of re-visit, it found that patients revisited the dental clinic only when quality of service was included. In conclusion, quality of service evaluated by patients influenced on their intention of re-visit and especially. Therefore, this study concludes that improvement in satisfaction and intentions of re-visit relies on Accessibility, that is, providing of medical information, consultant telephone, how delivery the dental medical system is. Service quality of dental institutes measured by SERVQUAL model and intention to re-visit.

Implementation of Patient Experience Assessment and Subsequent Changes at the Ground Level in Health Care: Patient Experience Employees' Perspective (환자경험 평가와 의료 현장의 변화: 의료기관 환자경험 업무 담당자의 관점)

  • Song, Yeong-Chae;Yoon, Eun-Sil;Han, Se-Young;Tae, Ji-Yeon;You, Soo-Kyeong;Do, Young-Kyung
    • Quality Improvement in Health Care
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    • v.28 no.1
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    • pp.14-33
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    • 2022
  • Purpose: To examine whether the Patient Experience Assessment (PEA) has led to perceptible changes at the ground level of health care, as a way of evaluating PEA as a policy intervention for quality improvement. Methods: Four focus group discussions (FGDs) were conducted, each comprising six to eight participants who were employees responsible for patient experience at their respective hospitals. The primary focus of the FGDs was on questions such as: 1) How do hospitals respond to PEA? 2) What significant changes were observed after the implementation of PEA? 3) What were the unintended consequences of implementing PEA, if any? 4) What areas of improvement have been identified for maximizing the potential of PEA? Results: Two broad themes emerged out of the FGDs: changes observed post implementation of PEA, and areas for improvement of PEA. Four significant changes were reported by participants: changes in perception and attitude regarding patient experience in hospital employees, increased active involvement by the hospital leadership, enhanced efforts to improve patient experience, and increased cooperation between such activities. Furthermore, eight areas of improvement were identified, which have been grouped in three categories: improving the process of data collection for PEA, introducing additional catalysts to facilitate further changes, and paying attention to structure- and patient-level constraints that must be addressed in parallel. Conclusion: The implementation of PEA led to perceptible changes within hospitals, which implies that it can serve as an effective catalyst for improving patient experience. A number of areas of improvement that would aid in maximizing the potential of PEA were also identified.

The Recent Trends in Telemedicine in the era of COVID-19 and Policy Recommendations for the Balanced growth of Healthcare Service Industry in Korea (COVID-19 시대 국내외 원격의료 동향과 의료서비스산업의 균형 성장을 위한 정책 제언)

  • Lee, Jaehee
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.4
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    • pp.591-598
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    • 2020
  • Since COVID-19's 1st pandemic came in February 2020, the demand for telemedicine grew greatly that in most countries the deregulation for telemedicine policy have been implemented in more countries. Also in Korea, with the name of 'Non-face-to-face Treatment' telemedicine began to be approved. Telemedicine having strength in chronic disease management has been effective in more and more specialties along with the recent development of ICT that it is expected to contribute to the improvement of the quality of healthcare service and creation of new treatment model. On the contrary it may also exacerbate the distortion in the hospital healthcare service industry in Korea, which is the excessive tipping toward large hospitals. So the dual promotion policy approach in which the settlement of family doctors system extensively utilizing telemedicine for chronic disease management and the support for tertiary hospitals and hospitals focusing on treating foreign patients to provide quality service using telemedicine technology are pursued simultaneously are recommended.

국립대 병원 입원환자의 재이용의사 결정요인

  • 정승원;서영준;이해종;이견직
    • Proceedings of the Korean Society of Health Policy and Administration Conference
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    • 2004.05a
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    • pp.169-185
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    • 2004
  • 최근 병원 간 경쟁이 격화되고 의료시장의 개방이 임박하면서 많은 병원들이 경쟁력강화를 위한 전략 수립에 많은 노력을 기울이고 있다. 일반적으로 서비스산업의 경영에 있어서 고객의 요구를 파악하고 이를 경영관리에 반영하는 것은 중요한 경쟁력강화 전략의 하나로 인식되고 있다. 특히 의료서비스에 있어서 환자 만족은 소비자 선택에 직접적인 영향을 미치고 있는 것으로 나타나고 있다(Burns, 1994). 최근 강조되고 있는 환자중심의 병원도 병원을 찾는 환자를 의료소비자 개념의 고객으로 보고 그들을 만족시킬 수 있도록 의료 기술적, 인간 관계적, 서비스 편의적 노력을 다해야 한다는 의미를 내포하고 있다. 병원에서의 환자만족 향상 노력은 그 자체가 매우 다차원적인(multidimensional) 개념으로 양질의 의료서비스를 통한 삶의 질 향상과 환자들에게 병원에 대한 좋은 이미지를 심어줌으로써 충성도를 높이고자 하는데 그 목적이 있다. (중략)

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