• Title/Summary/Keyword: 환자중심의료

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Development of Smart Care System of Urination of Severe for Demented Patients (치매환자의 배뇨처리용 스마트케어 시스템 개발)

  • Moon, Hee-Kyung;Lee, Geon-Yeob;Lee, Won-Jung
    • Proceedings of the Korea Information Processing Society Conference
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    • 2017.04a
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    • pp.535-536
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    • 2017
  • 고령화 인구가 증가함에 따라 실비케어에 대한 관심이 높아져 ICT 기술을 적용하여 환자 중심의 의료 서비스를 제공하기 위한 연구가 활발해지고 있다. 특히, 요양병원 및 재활 병원이 급증함에 따라 고령환자의 관리를 효과적으로 스마트케어 기술 개발이 활발해지고 있다. 최근 병원기관에서 환자관리에 대한 중요성이 점차 증가하고 있는 시점에서 거동이 불편한 환자의 관리는 중요한 이슈이다. 본 논문에서는 고령환자의 분노상태를 감지와 모니터링을 통해 신속하게 대처하기 위한 시스템을 제안하고자 한다. 제안한 시스템은 다양한 병원 기관에서 고령환자 관리를 위한 해결 방안이 될 것으로 기대하고 있다.

Changes in Compliance Rates of Evaluation Criteria After Healthcare Accreditation: Mainly on Radiologic Technologists working at University Hospitals in Daejeon Area (의료기관인증평가 전후 인증기준 준수율의 변화 : 대전지역 대학병원의 방사선사를 중심으로)

  • Ko, Eun-Ju;Lee, Jin-Yong;Bae, Seok-Hwan;Kim, Hyun-Joo
    • Journal of radiological science and technology
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    • v.36 no.4
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    • pp.281-290
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    • 2013
  • This study aimed to assess whether the changes in compliance rates of evaluation criteria after healthcare accreditation among radiologic technologists working at four university hospitals which had acquired healthcare accreditation in Daejeon metropolitan area. In this study, the evaluation criteria of healthcare accreditation were reclassified and reevaluated to three areas which include patient safety, staff safety, and environmental safety. Each area has eight, three, and five questions, respectively. Each compliance rate was quantitatively measured on a scale of 0 to 10 before and after in this study. The result shows that the overall compliance rates were decreased on all areas compared to the time healthcare accreditation was obtained. The compliance rate of hand hygiene was drastically reduced. To maintain the compliance rates, not only individuals but healthcare organizations should simultaneously endeavor. In particular, healthcare organizations should make an effort to provide continuous education opportunity to their workers and supervise the compliance regularly.

특수클리닉 팀 어프로치로 치료효율성 높여

  • An, Jeong-Mi
    • The Journal of the Korean dental association
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    • v.37 no.6 s.361
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    • pp.436-441
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    • 1999
  • 과거에는 생각지 못했던 치료방법이 속속 등장하고 환자들이 좀더 양질의 치료를 요구함에 따라 의과에서뿐만 아니라 치과에서도 다양한 특수클리닉이 개설돼 있다. 치과에서의 특수클리닉은 구취 클리닉, 임프란트 클리닉, 장애자 클리닉, 레이저 클리닉, 구순구개열클리닉 등이 있으며 이러한 특수클리닉은 의료의 질 향상과 환자의 편의를 도모하면서 점차 확대양상을 보이고 있다. 11개 치대병원을 중심으로 하여 특수클리닉의 현황과 장단점, 앞으로의 전망에 대해 살펴본다.

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PET-CT study of satisfaction with health services inspector (PET-CT 검사자의 의료서비스 만족도에 관한 연구)

  • Kang, Su-Man;Kim, Kap-Sik
    • Journal of the Korean Society of Radiology
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    • v.5 no.4
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    • pp.207-215
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    • 2011
  • This study was focused to the effects of cancer patient's perceived quality of medical service upon satisfaction as a customer who have been stressed to face the death. we established research model between medical service quality and customer satisfaction, and build up 4 hypotheses between tangibility, expertise, credibility, responsiveness and customer satisfaction. 220 responses were used to analyzed with multiple regression analysis by SPSS for Windows 14.0K. All 4 hypotheses were accepted. Among 4 independent variables tangibility was most effective to customer satisfaction as coefficient-0.298, and next expertise was as coefficient 0.237. From the results we suggested the implications as follows; first, the medical institute have to develop medical service based on tangibility, expertise, credibility, responsiveness. Second, such services might bring higher customer satisfaction. Third, the patient satisfaction may lead to extend its own life. Fourth, the hospital also may survive long against the competitive environment with such services.

포항세명기독병원

  • 대한병원협회
    • Journal of the Korean hospital association
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    • v.34 no.4 s.296
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    • pp.57-65
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    • 2005
  • 포항세명기독병원(원장 한동선)은 일반적인 중소종합병원의 이미지를 벗고 3년전 전문특성화 병원으로 과감하게 탈바꿈한 이래 최고의 전문센터를 이룩하기 위해 부단히 노력하고 있으며 6월 11일 정형성형센터 신축과 함께 첨단장비를 도입, 한층더 업그레이드 된 의료서비스로 국민들에게 다가가고 있다. 이 병원은 특히 진료안내 표지 현판에 전체 스탭의 사진을 부착함으로써'환자중심 최선의 진료'에 대한 강한 의지를 나타내 보이고 있다.

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바이오인식 국제표준화 동향

  • Kim, Jason
    • Review of KIISC
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    • v.29 no.4
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    • pp.29-34
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    • 2019
  • 바이오인식기술은 사람의 지문 얼굴 홍채 정맥 등 신체적 특징(Physiological characteristics) 또는 음성 서명 자판 걸음걸이 등 행동적 특징(Behavioral characteristics)을 자동화된 IT 기술로 추출 저장하여 다양한 IT 기기로 개인의 신원을 확인하는 사용자 인증기술이다. 전통적으로 바이오인식기술은 출입국심사(전자여권, 승무원 승객 신원확인), 출입통제(도어락, 출입 근태관리), 행정(무인민원발급, 전자조달), 사회복지(미아찾기, 복지기금관리), 의료(원격의료, 의료진 환자 신원확인), 정보통신(휴대폰인증, PC 인터넷 로그인), 금융(온라인 뱅킹, ATM 현금인출) 등 다방면에서 폭넓게 보급되어 실생활 깊숙이 자리잡게 되었다. 2001년 미국의 911 테러사건으로 인하여 전 세계 국제공항 항만 국경에서 지문 얼굴 홍채 등 바이오정보를 이용한 출입국심사가 보편화됨과 동시에 ISO/IEC JTC1 SC37(Biometrics) 국제표준화기구를 중심으로 표준화가 급속도로 진행되어 왔다. 최근 들어 스마트폰 테블릿 PC 등 모바일기기에 지문 얼굴 등 바이오정보를 탑재하여 다양한 모바일 응용서비스를 가능하게 해주는 모바일 바이오인식 응용기술이 전 세계적으로 개발 보급되고, 삼성전자 페이팔 중심으로 바이오인식기술을 이용한 모바일 지급결제솔루션에 대하여 페이팔 구글 마이크로소프트 비자카드 마스터카드 등 미국 주도의 사실표준화협의체인 FIDO1), ITU-T SG17 Q9(Telebiometrics) 국제표준화기구를 중심으로 표준화가 진행되고 있다. 특히, 이러한 모바일 바이오인식기술은 스마트폰을 통한 비대면 인증기술 수단으로서 핀테크, 원격의료분야에서 중요한 요소기술로 작용될 전망이다. 본 논문에서는 이러한 바이오인식 표준화를 위한 국외 표준화 기구를 소개하고, 각 기구별 표준화 현황을 살펴본다.

Safety and Efficacy of Peripherally Inserted Central Catheters in Terminally Ill Cancer Patients: Single Institute Experience

  • Park, Kwonoh;Lim, Hyoung Gun;Hong, Ji Yeon;Song, Hunho
    • Journal of Hospice and Palliative Care
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    • v.17 no.3
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    • pp.179-184
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    • 2014
  • Purpose: We investigated the safety and efficacy of peripherally inserted central catheters (PICCs) in terminally ill cancer patients. Methods: A retrospective review was conducted on patients who underwent PICC at the hospice-palliative division of KEPCO (Korea Electric Power Corporation) Medical Center between January 2013 and December 2013. All PICCs were inserted by an interventional radiologist. Results: A total of 30 terminally ill cancer patients received the PICC procedure during the study period. Including one patient who had had two PICC insertions during the period, we analyzed a total of 31 episodes of catheterization and 571 PICC days. The median catheter life span was 14.0 days (range, 1~90 days). In 25 cases, catheters were maintained until the intended time (discharge, transfer, or death), while they were removed prematurely in six other cases (19%; 10.5/1000 PICC days). Thus, the catheter maintenance success rate was 81%. Of those six premature PICC removal cases, self-removal due to delirium occurred in four cases (13%; 7.0/1000 PICC days), and catheter-related blood stream infection and thrombosis were reported in one case, each (3%; 1.8/1000 PICC days). Complication cases totaled eight (26%; 14.1/1000 PICC days). The time to complication development ranged from two to 14 days and the median was seven days. There was no PICC complication-related death. Conclusion: Considering characteristics of terminally ill cancer patients, such as a poor general condition, vulnerability to trivial damage, and a limited period of survival, PICC could be a safe intravenous procedure.

A Migrant Clinic at the Thailand - Myanmar Border: Legitimacy, Partnerships, and Cross-border Health Care Mobility (태국-미얀마 국경지역 미얀마 이주민 클리닉에 관한 연구: 정당성, 파트너십, 초국적 의료 이동성을 중심으로)

  • LEE, Sang Kook
    • The Southeast Asian review
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    • v.27 no.4
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    • pp.77-115
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    • 2017
  • This study examines how a Burmese migrant clinic in a Thai border town cares for migrant patients and activates cross-border health care mobility. Established in 1989, the clinic has developed its capacity and serves as a prominent healthcare institution across the border. Despite its illegality, Thai authorities recognize its importance and collaborate with the clinic. The study reveals that collaborations with various partners play important roles in the constitution of the clinic. Unlike existing literature on the health of migrants, which concerns structural constraints, the study emphasizes migrants' agency in creating their own health care institution through collective partnerships, shedding light on the cross-border health care mobility of underprivileged patients. The legitimate presence of the migrant clinic in the border town mediates and strengthens their transnational mobility across the border. Partnerships with various individuals and organizations have empowered the clinic to undertake a unique role in the border society.

The Trends and Prospects of Health Information Standards : Standardization Analysis and Suggestions (의료정보 표준에 관한 연구 : 표준화 분석 및 전망)

  • Kim, Chang-Soo
    • Journal of radiological science and technology
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    • v.31 no.1
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    • pp.1-10
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    • 2008
  • Ubiquitous health care system, which is one of the developing solution technologies of IT, BT and NT, could give us new medical environments in future. Implementing health information systems can be complex, expensive and frustrating. Healthcare professionals seeking to acquire or upgrade systems do not have a convenient, reliable way of specifying a level of adherence to communication standards sufficient to achieve truly efficient interoperability. Great progress has been made in establishing such standards-DICOM, IHE and HL7, notably, are now highly advanced. IHE has defined a common framework to deliver the basic interoperability needed for local and regional health information networks. It has developed a foundational set of standards-based integration profiles for information exchange with three interrelated efforts. HL7 is one of several ANSI-accredited Standards Developing Organizations operating in the healthcare arena. Most SDOs produce standards (protocols) for a particular healthcare domain such as pharmacy, medical devices, imaging or insurance transactions. HL7's domain is clinical and administrative data. HL7 is an international community of healthcare subject matter experts and information scientists collaborating to create standards for the exchange, management and integration of electronic healthcare information. The ASTM specification for Continuity of Care Record was developed by subcommittee E31.28 on electronic health records, which includes clinicians, provider institutions, administrators, patient advocates, vendors, and health industry. In this paper, there are suggestions that provide a test bed, demonstration and specification of how standards such a IHE, HL7, ASTM can be used to provide an integrated environment.

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