• Title/Summary/Keyword: 통합병원

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Design of Integrated Medical Information System based on XML (XML 기반 통합의료정보 시스템의 설계)

  • Lim, Chae-Gyun;Rho, Kyung-Taeg
    • 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.

Medical Image Similarity Measurement Method for Patient Identification Algorithms (환자 식별 알고리즘 보완을 위한 의료 영상 유사도 측정 방법)

  • Jeong, Byung-Hui;Yang, JunYong
    • Proceedings of the Korea Information Processing Society Conference
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    • 2014.11a
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    • pp.942-944
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    • 2014
  • 최근 병원정보시스템의 도입으로 병원 내 의료서비스 효율성 향상이 두드러지고 있다. 이러한 병원정보시스템의 개선으로 의료정보 통합이라는 문제가 대두되고 있으며, 이를 시도하고자 하는 움직임이 나타나고 있다. 그러나 의료정보 통합을 위한 선행 단계로 동일 환자를 찾는 문제해결이 우선시 되며, 이를 위한 환자 식별 알고리즘의 연구가 필요시 되고 있다. 대표적인 사례로 MPI(Master Patient Index) 모듈을 통해 환자의 기본 정보 및 진료 정보 등의 여러 필드를 비교하여 유사도를 산출할 수 있으나, 국내에 적합하지 않는 언어체계, 필드별 최적 가중치의 산정 등 여러 가지 문제점들을 가지고 있다. 본 논문은 이러한 MPI 등과 같은 매칭 알고리즘의 정확도를 높일 수 있는 보완적인 방법으로, 환자 필드 정보 외에 촬영한 의료 영상(MRI) 정보를 활용하여 동일 환자를 찾는 방법을 제안한다. 기존의 영상 정보만을 활용한 방법과는 달리, 의료영상의 물리적인 정보를 환자 식별 시 가장 높은 가중치를 부여하여 변하지 않는 불변의 특정 값으로 하여 높은 정확도를 검출하였다. 이러한 영상 정보를 활용한 유사도 측정 결과는 향후 환자 식별에 있어 보조적인 수단으로 활용하고자 한다.

The Effect of Hospital Mobile App Quality Factors on Users ' Continuous Use Intention: An Integrated Approach of Information Systems Success and Expectation-Confirmation Models (병원모바일앱 품질요인이 이용자의 지속이용의도에 미치는 영향: 정보시스템성공모형과 기대일치모형의 통합적 접근)

  • Min Soo Kim;Sang-Hyeak Yoon;Sae Bom Lee;Sung-Byung Yang
    • Journal of Service Research and Studies
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    • v.13 no.1
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    • pp.76-95
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    • 2023
  • As information and communications technology-based "smart hospitals" and "digital healthcare" have become a hot topic in the healthcare field, hospital mobile apps are gaining attention; but, the utilization rate is low due to lack of publicity, unstable systems, and late updates. In this situation, systematic research is needed to increase the utilization rate of hospital mobile apps, but related research has been rare. Therefore, this study integrates the information systems success model (ISSM) from the technical perspective and the expectation-confirmation model (ECM) from the cognitive perspective to demonstrate the influence mechanism on the continuous use intention of hospital mobile apps. For this purpose, an online survey was conducted among 181 Korean adults who have used hospital mobile apps. The results of the structual equation modeling showed that most of the quality factors have significant effects on expectation confirmation, perceived usefulness, and satisfaction. Additionally, expectation confirmation significantly affects perceived usefulness and satisfaction, and both perceived usefulness and satisfaction significantly affect the continuous use intention of hospital mobile apps. This study is of importance in that it integrates the ISSM and ECM and applies them to the context of using hospital mobile apps, which are underutilized in the healthcare field, and provides practical implications for increasing the utilization rate of hospital mobile apps and operating effective and efficient services through the findings.

Service-oriented Architecture of Integrated Healthcare System for Remote Collaboration (원격 협업 환경을 위한 서비스 기반 통합 헬스케어 시스템의 구조)

  • Jeong, Sangjin;Kim, Heejae;Youn, Chan-Hyun
    • Proceedings of the Korea Information Processing Society Conference
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    • 2011.11a
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    • pp.1126-1128
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    • 2011
  • 병원 이외의 환경, 특히 댁내 기반의 헬스 모니터링 관련 연구는 최근 헬스케어 시스템 관련 연구자 및 개발자들의 많은 관심을 받고 있다. 심장병이나 당뇨병 같은 만성질환을 앓고 있는 경우에는 생리학적 요소들을 일상 생활 중 지속적으로 모니터링 하는 과정이 특히 중요하다. 본 논문에서는 댁내 환경에서 서비스되고 있는 헬스케어 시스템과 병원에서 운용되고 있는 헬스케어 시스템과의 연동을 지원하고, 클라우드 환경을 활용한 생리학적 데이터 분석을 지원하는 통합 헬스케어 시스템의 구조를 제안한다. 또한, 제안된 통합 헬스케어 시스템의 구조를 활용한 질병진단 시나리오도 제시한다.

Development of Information Architecture for User-centered Hospital Kiosk (사용자 중심의 병원용 키오스크 정보구조 제안)

  • Park, Min-Hee;Song, Dae-Sik;Kim, Hyun-Jeong
    • The Journal of the Korea Contents Association
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    • v.11 no.7
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    • pp.248-258
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    • 2011
  • Hospital Kiosk is a useful means to decrease human resources and to extend service hour to non-working hour for the stance of hospital and to obtain useful services without time loss in waiting in lines for the stance of user. However, various kinds of information kiosks are respectively installed with independent functions, and they have bad usability due to complexity in manipulate and unclear information architecture. In this paper, we tried to analyze usability and respective functions of each kiosk and aimed to suggest alternative information architecture for the integrated hospital kiosk. We categorized users as patient, guardian and visitor and we conducted usability test and in-depth interview with each group of users. based on result analysis from the research, we could suggest proper information architecture for the integrated user centered hospital kiosk. The new information architecture for the integrated hospital kiosk has better accessibility to the menus which reflects users's preemptive needs and it includes more specific information that can support user tasks.

Performance of Comprehensive Nursing Care Service in an Acute Care Hospital: Focusing on Accidental Falls and Pressure Injuries (급성기병원에서의 간호 · 간병통합서비스 운영 전후 낙상 및 욕창 발생 변화)

  • Nam, Seung Nam;Ryu, Hye Ran;Kim, Se Hyun;Seo, Su Ryang;Oh, Yoon Hee;Choi, Sun Mi;Chung, Eun Jin
    • Journal of Korean Clinical Nursing Research
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    • v.29 no.1
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    • pp.56-66
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    • 2023
  • Purpose: This study aimed to investigate whether the comprehensive nursing care service positively affected accidental falls and pressure injuries. Methods: This study was a retrospective study that analyzed the accidental falls and pressure injuries cases in an acute care hospital located in Seoul and compared the rates of accidental falls and pressure injuries before and after the comprehensive nursing care service was operated. Results: Comparing the accidental fall incidence rates per 100 person-months between a comprehensive nursing care ward and a general ward, it showed fewer accidental falls by 0.44 in comprehensive nursing care wards, but the result was not statistically significant. In the case of pressure ulcers, the incident rate per 100 person-month was 6.17 in general wards and 4.77 in comprehensive nursing care wards, which showed that the number of pressure ulcer patients was lower in comprehensive nursing care wards, however it was also not statistically significant. Conclusion: It is not confirmed that the operation of the comprehensive nursing care service contributes to the reduction of accidental hospital falls or pressure injuries. Follow-up studies are recommended to determine the effectiveness of comprehensive nursing services in quality indicators.

2002년 건강보험재정현황 및 전망

  • Han, Man-Ho
    • Journal of the Korean hospital association
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    • v.31 no.2 s.276
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    • pp.11-21
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    • 2002
  • 건강보험 재정위기는 장기적으로 누적되어 온 적자 요인에다 2000년 관리체계의 통합과 동시에 시행된 의약분업과 수가인상으로 일시에 재정수요가 집중되면서 발생하게 되었다는데 대한 분석에는 별다른 이견이 없다. 다만, 각각의 제도 변화가 어느 정도 영향을 미쳤는지에 대한 견해 차이를 갖는 정도이다.

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Digital-hospital Research on the Factors that Lead to the Success of the Overseas-hospital Export Business through an Analysis of the Bidding Documents (해외병원 입찰분석을 통한 디지털병원 수출사업 성공요인)

  • Cha, Maengkyu;Kim, Jung Ok;Yu, Kiyun
    • KIISE Transactions on Computing Practices
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    • v.23 no.6
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    • pp.359-370
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    • 2017
  • In overseas-hospital construction, the digital hospital is a trend that is based on the developments of the information and communication technologies, state-of-the-art medical equipment, smart health, and telemedicine. Along with the increasing proportion of IT, this has resulted in the spreading of the concept throughout city-like hospitals and their transformation into digital hospitals. In the hospital-construction business, IT is a key element that will link the modernization of the mechanical, electrical, and equipment systems, construction, and medical equipment for efficiency maximization through integration. The purpose of this study is the analysis of the market-expansion success factors through the construction of a success-story-based, IT-driven overseas-hospital business. The digital-hospital concept and the development process are analyzed through a literature review, and the success factors are analyzed in terms of the cost, time, and quality that are proposed in the project-management body of knowledge. The main contributions of this study regarding the success factors are as follows: First, a cost-side need exists regarding the establishment of strategic-value engineering in terms of increasing the value from the perspectives of the IT and operational infrastructures; second, in terms of the construction time, all of the hospital systems must comply with the established deadlines for the integrated test and commissioning; and lastly, in terms of quality, it is important to ensure that the System Integration digital-hospital services are delivered according to the user requirements.

Intern rotational schedule in integrated residency training program for medical staff (병원군별 전공의 총정원제에서의 인턴 순환근무 수련일정계획)

  • 강성민
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 2003.05a
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    • pp.81-86
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    • 2003
  • 다수의 수련병원이 단일 병원군을 형성하려 전공의를 공동으로 모집선발하고, 또한 공동 책임에 수련시키는 전공의 통합수련프로그램인 "병원군별 전공의 총정원제"에서 인턴 순환근무 수련일정 계획은 순환교육과 임상경험을 위란 인턴의 일년간 수련일정을 수립하는 의사결정문제이다. 전공의의 순환배치와 관련하여 병원간의 갈등 또는 인턴의 불만 등이 발생할 수 있기에 병원군별 전공의 총정원제는 질적으로 우수하면 객관적인 인턴수련일정을 필요로 한다. 본 논문은 인턴일정계획의 수리모형을 제시하고, 면실의 데이터를 사용해 산출된 순환일정을 다각도로 분석한 결과를 제시한다. 작성된 수련일정은 9개병원이 참여한 CMC병원군에서 2003년 현재 263명 인턴의 일년수련 순환배지에 사용되고 있다.

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Development of Medical Examination and Treatment System for Dental Clinic (치과병원 전산화를 위한 통합 진료 시스템 구축)

  • 채옥삼;강승훈
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.40 no.2
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    • pp.26-37
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    • 2003
  • Unlike a medical doctor, a dentist performs all the tasks necessary for diagnosis and treatment of a disease all by himself. To increase the diagnostic accuracy, dentists need an efficient working environment providing much more integrated information of clinical data and radiographic image. In this paper, we propose an integrated environment for the dental hospital. It provides paperless and filmless hospital environment by integrating seamlessly three major operations for the dental hospital including patient record generation and management, clinical image acquisition and analysis, and treatment planning and simulation. This system also allows clinicians to provide more predictable dental care for the patients by supporting instant access to all the clinical data and quantitative data analysis.