• Title/Summary/Keyword: 진료 기록

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Phenomenological Analysis of the Task-Based Field Experience for Medical Students: Focusing on the Medical Care Support Department in the Hospital (의대생들의 과제해결기반 병원 내 진료지원부서 현장체험에 관한 현상학적 분석)

  • Park, Kwi Hwa
    • The Journal of the Korea Contents Association
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    • v.20 no.8
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    • pp.152-161
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    • 2020
  • The purpose of this study was to conduct a task-based field experience program for medical care support departments in hospitals for 1st medical students, and then to analyze the their experiences and its meanings phenomenologically. We selected the following department in hospital; nursing, medical records, pharmacy, diagnosis laboratory, radiology, administration, customer consulting center, organ transplant center, palliative medical ward, and international medical center. The students visited the department and used various methods such as interviewing, observation, and experience to solve the given task. As a result, in the program satisfaction, students rated the highest as having many department in the hospital and understanding their role. The essential structure of the experience of medical care support department in the reflection journal written by the students was the recognition of reality, respect and collaboration, and self-reflection from experience recognition.

Implementation of Computerized Assistant Diagnosis Software for Tongue Diagnosis in the Oriental Medicine (한방 설진을 위한 컴퓨터 지원 진단 소프트웨어 구현)

  • Lee, Woo Beom
    • Journal of the Institute of Electronics and Information Engineers
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    • v.51 no.6
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    • pp.175-182
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    • 2014
  • Development of an objective diagnosis index for diagnosing a the beginning nature of a disease is the most one of tongue diagnosis in the oriental medicine. However, previous systems have a difficult problem in the creation of objective diagnosis index, and focused on the expert system that can diagnose automatically without an oriental doctor behavior. Therefore, computerized assistant diagnosis software for calculating an optimized diagnosis index is proposed in this paper. This software is operated by the diagnosing behavior of oriental doctor. As developed software is a semi-automatic system, manual method is used to segment a tongue body. Futhermore, numerical diagnosis indices including the color information of non-tongue coating and tongue coating, WTCI are provided to oriental doctor automatically and real-timely. Also, probability estimation value for classifying no coating, thin coating, and thick coating is presented by using the tongue coating area ratio, and EMR chart can use for convenience of diagnosis. In order to evaluate the effectiveness of the our developed software, after building a various tongue image from 60 subjects, we experimented on diagnosis image with our software. As a result, the developed software showed the 95% use-effectiveness of subjects.

Informally Patients Prediction Model of Admission Patients (입원환자 데이터를 이용한 예약부도환자 이탈방지 모형 연구)

  • Kim, Eun-Yeob;Ham, Sung-Woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.11
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    • pp.3465-3472
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    • 2009
  • The aims of this study is to medical record data warehouse which had been collected from hospital information systems. continuous patient 2,118 60.5%, informally patient 1,385 39.5%. In using survival factors sex, age, area, insurance, admission-course, medical treatment, out-patient lesson, out-patient form, conference diagnosis, operation, cancer, medical reservation. As a result of making a predictive modeling using the logistic regression, the fitness of the predictive modeling of informally patient was 66.0% and neural network, the predictive was 66.72% and CHAID, the predictive was 63.25%, which is a data mining. The expected modeling of the informally patients, the hospital through the continuous patient management and trust of hospital.

Gateway design and performance evaluation based on health information standards in multi-platform environment (멀티플랫폼 환경에서 의료정보표준 기반 게이트웨이 설계 및 성능 평가)

  • Shim, Woo-Ho;Na, Hyun-Suk;Park, Seok-Cheon
    • Journal of the Korea Society of Computer and Information
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    • v.17 no.3
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    • pp.33-40
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    • 2012
  • Recently, to enhance the quality and efficiency of health care services, smart health care services utilizing a smart phone and tablet pc are mainly being introduced into the large hospital and the interest for personal health record service which manages personal medical information utilizing PC and smart phone and technology development is actively underway. In order to build a next generation hospital information systems, the interoperability of data between the different hospital information systems and UX consistency between the various user devices must be assured. Therefore, in this paper, medical information standard and the study for improving the performance is conducted to design the gateway system which converting and integrating the medical information under multi-platform environment. In this paper, CCR standard is adapted to the mapping method between the data which is the key feature of the gateway system and design the system utilizing multi-table-based mapping method. To evaluate the performance of the system, experiment was done and the result has been improved approximately 20 percent for response rate.

An analysis of patients referred to the advanced general hospital pain clinic center: multicenter study in province of Jeollabuk-do, Korea (3차 병원 통증 클리닉에 의뢰되어 오는 환자들의 특성 분석: 전라북도 지역의 다기관 연구)

  • Kim, Yeon-dong;Lee, Cheolhyeong
    • Journal of the Korea Convergence Society
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    • v.12 no.2
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    • pp.311-316
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    • 2021
  • The number of patients referred to pain clinic is increasing. The purpose of this study was to describe and understand characteristic of patients referred to the tertiary pain clinic. This study was conducted on 587 patients who had been referred to pain clinics at three university hospitals in the Jeollabuk-do region from January 2011 to December 2015. The data was retrospectively collected on a record sheet prepared in the clinic. we analyzed these patients according to their age, sex, chief complaint, pain location, coexisting disease, referring department, referral causes. There were various medical problems addressed by a pain clinic consultation. It is reasonable to develop standardized guidelines for pain management. To do so, it is necessary to identify the characteristics of the patients. A study with more patients in another area will be helpful in characterizing the patients referred to the pain clinic in Korea.

Periodontal status of end-stage renal disease patients undergoing dialysis and referred for intraoral evaluation prior to kidney transplant surgery (투석을 받고 있으며 신장 이식 수술 전 구강내 평가를 위해 의뢰된 말기 신장 질환 자의 치주 상태)

  • Youn-Kyung Choi;Hye-Mi Jeon;Ji-Young Joo;Hyun-Joo Kim;Eun-Young Kwon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.40 no.2
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    • pp.46-54
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    • 2024
  • Purpose: The purpose of this study was to compare the periodontal status of end-stage renal disease patients undergoing dialysis and referred for intraoral evaluation prior to renal transplantation surgery with those having normal kidney function. Materials and Methods: Patients who had been undergoing dialysis for end-stage renal disease and been referred to the Dental Clinic Center by the Department of Nephrology at University Hospital for intraoral evaluation prior to kidney transplantation surgery. For comparison of periodontal status, subjects without abnormalities in kidney function were matched with the patients by age and gender and selected as healthy controls. The patients' age, gender, comorbidities, type of dialysis received, and duration of dialysis were investigated by reference to their medical records, and data on their periodontal status were analyzed via the relevant periodontal records. Results: A total of 102 patients, including 51 dialyzed patients and 51 healthy control group subjects, participated in this study. In the patients with end-stage renal disease undergoing dialysis with periodontal probing depth of 5 mm or more, percentage of sites with clinical attachment level of 4 mm or more, percentage of teeth with bleeding on probing, number of missing teeth, and ratio of moderate to severe periodontitis were all significantly greater than in the healthy controls. Conclusion: The periodontal status of end-stage renal disease patients undergoing dialysis and referred for intraoral evaluation prior to kidney transplantation was worse than that of healthy controls.

Letters by Medical Missionaries to Korea: Exploring Digital Humanities Approaches (북미지역에 소장된 내한 의료선교사 편지 기록의 현황과 디지털 인문학적 활용 가능성)

  • Hur, Kyungjin;Kim Han, Mikyung;Lee, Hye Eun
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.29 no.1
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    • pp.233-252
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    • 2018
  • The first Protestant medical missionary, Horace Allen, came to Korea in 1884 and built the first western-style hospital, Jaejungwon. John Heron, Oliver Avison and other foreign medical doctors soon followed. They established hospitals and medical schools, and, by treating patients and educating native doctors, they disseminated and developed modern medicine in Korea. At the same time, they wrote letters and reports to their sponsoring agencies, as well as family and friends, thereby leaving a vast body of literature that is scattered all over the world. Since the end of the 19th century, the records left by foreign medical missionaries have been valuable resources for the study of Korean history. While all types of records, such as diaries, memoirs, reports and travel logs, are available, these tend to be exaggerated or unverifiable because they are unilateral records. In contrast, letters can be verified because they are bilateral records between the recipient and the sender, and cannot be modified or altered according to changes in circumstances. Despite the academic value of these materials, however, there have been insufficient efforts to discover or identify these primary data sources, or to systematically organize them for scholars. This paper identified 49 archival collections from 29 institutions in North America. After analyzing their academic value, the paper will explore digital humanities options in utilizing the letters for future scholarship.

The Effect of Re-building of Public Health Facilities on the Hypertension Control in the Rural Area (농촌 보건기관의 신축이 고혈압 환자 혈압 조절에 미치는 영향)

  • Chun, Sung-A;Na, Baeg-Ju;Kim, Chul-Woung;Lee, Moo-Sik
    • Journal of agricultural medicine and community health
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    • v.33 no.1
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    • pp.37-45
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    • 2008
  • Objectivesthe hypertension control in the rural area.Method: 6 health centers and 59 health subcenters in some Chung-chung province was surveyed. And 29,503 patients were finally selected who had records of prescription about hypertension at list once in those medical doctor was a medical specialist or not, and whether the facilities were recently rebuilded or not was measured.Results: The Overall control rate was 53.9%. Women had higher hypertension control rate than men. And 60s and 70s years old are had higher hypertension control rate than 40s and 80s years old. Patients who patient who treated in rebuilded public health facilities had higher hypertension control rate.Conclusions: Rebuilding of public health facilities were related to increasing control rate of hypertensive patients.

The Acceptance Factors for Electronic Medical Record System (전자의무기록시스템의 수용요인)

  • Chun, Je-Ran
    • Journal of Digital Convergence
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    • v.13 no.12
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    • pp.47-53
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    • 2015
  • In this paper the factors are analyzed, which influenced on the acceptance of Electronic Medical System (EMR) of healthcare organization in Korea. The measured variables and factors were defined on the base of former research works. The questionnaires with Likert's 5 scale were administrated in the 102 general hospitals in Korea. This data was analyzed with SPSS v. 20. According to the result of factor analysis, the 4 influencing factors were grouped. They are, "ICT-infrastructure of healthcare organization", "Management strategy of healthcare organization", "EMR acceptance" and "EMR-performance". 5 hypotheses about the correlations between factors were formulated and analyzed with structural equation model(SEM). The result of this paper could be the good reference to the healthcare organizations on how they should implement and operate the EMR system.

A Study of personalized Medical Information Management System based on the HIS (HIS 연동을 통한 개인화된 의료정보 관리시스템에 대한 연구)

  • Kim, Min-Woo;Kim, Sung-Hyun;Jeon, Jae-Hwan;Oh, Am-Suk;Kang, Sung-In;Kim, Kwan-Hyung
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2010.10a
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    • pp.453-455
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    • 2010
  • HIS(Hospital Information System) is a medical information system to support a variety of tasks in hospitals. currently, Many of the hospitals maintain the medical information through the HIS. But It has a problem that each individual people do not confirm medical information correctly. because Medical information based on HIS is use in hospitals. In this paper, we studied plan for the individual medical information management system by confirming your medical history in a web site.

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