• 한국병원경영학회지
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• 제24권1호
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• pp.1-10
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• 2019

Purpose: To analyze the results of an online survey conducted to develop a user-friendly respiratory disease management mobile application. Methodology: The questionnaires were conducted from July 26, 2018 to October 23, 2018 for 90 days. A total of 267 respondents were used for the analysis. Chi-square test, t-test, and multivariate logistic regression were used for statistical analysis. Findings: As a result of the analysis, preference for functions related to medical services was high in all ages and the odds of positive intention to use respiratory disease management application was 4.76 times higher than 40 years old compared with less than 40 years old. The group with more than one effort was found to be significantly higher than those who did not. Practical Implication: It is expected that the functions derived from the main results in this study will be helpful for the effective health management of patients with chronic respiratory disease.

• 한국산학기술학회논문지
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• 제17권8호
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• pp.477-484
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• 2016

본 연구는 자기공명영상(MRI)의 건강보험 적용 전 후 이용량 동향과 이용량에 영향을 미치는 요인을 알아보기 위해 실시하였다. 연구재료는 2004년 1월부터 2013년 12월까지 대전광역시 소재 종합병원(2차 의료기관)의 MRI 실시자료(처방 정보 전달 시스템), 보험심사자료, 건강보험요양급여자료(건강보험심사평가원)를 이용하였고, 분석대상은 2004년(건강보험 적용 전) 3,754명, 2005년 - 2013년(건강보험 적용 후) 4,107명-8,630명 이었다. 분석은 이용자 특성(성별, 연령, 검사부위, 보험유형)과 공급자 특성(진료과, 진료형태)의 MRI 건강보험 적용 전 후 이용량 비교를 $X^2$ 으로 하였고, MRI 이용량에 영향을 미치는 요인분석을 위계적 다중회귀분석으로 실시하였다. 연구결과 건강보험 적용 초기에 한시적으로 이용량이 감소하지만 이후 꾸준히 증가하였다. 특히 여성의 검사 율, Head & Neck의 검사 율, 일반수가적용 환자의 검사 율, 내과의 검사율, 입원환자의 검사 율이 건강보험 적용 전에 비해 증가하였다. 그리고 MRI의 건강보험 적용은 검사 율 증가에 영향을 미치는 것으로 분석되었다(P<.0001). MRI 검사 율이 증가하는 만큼 국민의료비 감소를 위해 건강보험 적용 확대가 적극적으로 이루어져야 할 것이다.

• 대한조현병학회지
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• 제19권1호
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• pp.10-16
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• 2016

Objectives : This article aims to describe the development of smartphone application for the case management of patients with schizophrenia. Methods : Gwangju Bukgu-Community Mental Health Center developed and launched a smartphone application (HYM) for cognitive-behavioral case management and symptom monitoring. The development of the application involved psychiatrists, nurses, social workers, psychologists, and software technicians from a software development company (Goosl Corp.). Results : The HYM application for clients includes six main modules including Thought record, Symptom record, Daily life record, Official notices, Communication, and Scales. The key module is the 'Thought Record' for self-directed cognitive-behavioral treatment (CBT). When the client writes and sends the self-CBT sheet to the case manager, the latter receives a notification and can provide feedback in real time. 'Communication' and 'Official notices' are useful for promoting communication between case managers and clients with schizophrenia. Ratings in 'Symptom record', 'Daily life record', and 'Scales' modules are stored in graphic or table form representing changes in them and shared with case managers. Conclusion : The interactive function of this application is the key characteristics that distinguishes it from other mobile self-treatment tools. This smartphone application may contribute to the development of a youth- and customer-friendly case management system for individuals with early psychosis.

• Journal of Nutrition and Health
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• 제53권3호
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• pp.319-328
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• 2020

본 연구는 만 19세 이상 60세 미만 성인남녀 98명을 대상으로 스마트폰 앱인 Gene-Health 이용하여 식사 기록을 통해 분석된 영양소섭취량과 동일한 날의 식사 섭취 전과 후의 사진비교를 통해 섭취량을 추정하여 분석된 영양소섭취량을 비교함으로 Gene-Health의 타당도를 조사하기 위해 수행되었다. 주요 결과는 다음과 같다. 첫째, Gene-Health의 영양소섭취량과 사진을 통해 추정한 영양소섭취량을 비교한 결과 에너지, 탄수화물, 지방, 지방으로부터의 에너지 섭취비율은 통계적으로 유의한 차이가 없었으나 단백질 섭취량과 단백질로부터의 에너지 섭취 비율은 Gene-Health가 높았고, 탄수화물로부터의 에너지 섭취비율은 사진추정군이 높았다. 둘째, Gene-Health와 사진을 통한 영양소섭취량의 상관성은 에너지, 탄수화물, 단백질, 지방섭취량과 탄수화물 비율, 단백질 비율, 지질 비율은 모두 상관계수 0.382-0.708로 유의적인 양의 상관관계를 보였다. 셋째, Gene-Health와 사진을 통한 에너지, 탄수화물, 단백질, 지방섭취량과 탄수화물 비율, 단백질 비율, 지질 비율의 가중 카파 계수는 0.588-0.662로 상당히 일치하는 경향을 보였다. 에너지와 다량영양소, 다량영양소 섭취 비율의 same agreement는 41.8%-48.0%이며 adjacent agreement는 75.5%-88.8%였다. 본 연구를 통하여 Gene-Health는 에너지와 다량영양소 섭취량을 추정하기 위한 타당한 도구라고 사료된다. 추후 연구에서는 다양한 연령과 여성 참가자를 확대하여 성별과 연령에 따른 Gene-Health의 타당도를 연구할 필요가 있다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권7호
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• pp.3505-3510
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• 2016

Cervical cancer is a major public health problem in Thailand, being ranked second only to breast cancer. Thai women have been reported to have a low rate of cervical cancer screening (27.7% of the 80% goal of WHO). We therefore aimed to apply the social marketing theory and health belief model in promoting cervical cancer screening in Kanthararom District, Sisaket Province. A total of 92 from 974 targeted women aged 30-60 years were randomly divided into two groups. The experimental group underwent application of social marketing theory and a health belief model program promoting cervical cancer screening while the control group received normal services. Two research tools were used: (1) application of social marketing theory and health belief model program and (2) questionnaire used to evaluate perceptions of cervical cancer. Descriptive and inferential statistics including paired sample t-test and independent t-test were used to analyze the data. After the program had been used, the mean score of perception of cervical cancer of experimental group was at a higher level (${\bar{x}}=4.09$; S.D.=0.30), than in the control group (${\bar{x}}=3.82$; S.D.=0.20) with statistical significance (p<0.001). This research demonstrated an appropriate communication process in behavioral modification to prevent cervical cancer. It can be recommended that this program featuring social marketing and the health belief model be used to promote cervical cancer screening in targeted women and it can be promoted as a guideline for other health services, especially in health promotion and disease prevention.

• 대한임베디드공학회논문지
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• 제8권1호
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• pp.31-42
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• 2013

Considerations of how to facilitate aging-in-place(AIP) are becoming increasingly pertinent as care-givers are overwhelmed by an aging population. Aging friendly home-care services combined with IT can satisfy the needs of the elderly suffer from chronic diseases such as depression and dementia. Therefore, we propose future smart phone services and application technologies which can estimate emotional states of the aged and respond to the desire to be happy with mental health, connectedness and consolation from peoples. Firstly, we introduce depression measurement techniques to estimate the severity of depression using multiple sensors. At second, the emotional responding services are categorized to four parts and the details are described. Lastly, we propose the process to implement emotional communication and the application techniques(services) to fulfill the emotional satisfaction and mental healthcare for AIP using smart phone as a mediator.

• 한국정보처리학회:학술대회논문집
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• 한국정보처리학회 2011년도 춘계학술발표대회
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• pp.89-91
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• 2011

Diabetes is a chronic disease which may lead to other life threatening health complications like heart disease, stroke and peripheral vascular disease that diminished quality of life. In order to assists diabetic patients, we develop a smartphone application to monitor the regular medicine intake and exercise routines through repetitive user friendly and motivational reminders. Health-practitioners including doctors and nurses can frequently view and analyze the daily routine of patients through a web-interface. This paper presents architecture to improve the quality of life with android smart phone as user terminal, and integration of webbased application through web services for health care professionals. We also explain how each of the application interacts with each other and internal integration.

• 보건교육건강증진학회지
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• 제32권1호
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• pp.77-87
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• 2015

Objectives: This study aims to explain the process of photovoice, to review relevant research cases, and to discuss the issues in photovoice applications for community health promotion. Methods: Literature review is performed on photovoice manuals, systematic review literature on international photovoice research, and Korean photovoice studies. The review was based on 8 research papers and 6 practice manuals. Results: Photovoice so far has specified its orientation to participatory research. Its implementation includes photovoice training, photo taking and sharing, interviews and discussions, photo exhibit, and social action planning for policy change. SHOWeD questions and the like guide photovoice discussions while they face some challenges in application. Social action planning for policy change part of the photovoice needs attention in implementation and evaluation. Conclusions: Adherence to the participatory principles and action research orientation in photovoice requires persistent efforts. Process and impact evaluation with development of photovoice research infrastructure will enhance photovoice application.

• 환경영향평가
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• 제4권1호
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• pp.59-64
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• 1995

Environmental Impact Assesment(EIA) is composed of various procedures, such as screening, scoping, inventory survey, prediction, assessment, mitigation measure, alternative assessment, and post management. Remote sensing introduced lately begins to be applied ecosystem and land use in inventory survey and assessment of EIA. This study explains on land use classification, buffering analysis of residential area, and overlaying analysis of odor predictive data with residential area for application to EIA with remote sensing data. Residential area extracted from land use classification of remote sensing provides effectively buffering analysis of residential area in selection of landfill site with GIS. It could assess also residential effect to an offensive odor by overlaying analysis. Application methods in EIA should be enlarged to assess effectively.

• 보건교육건강증진학회지
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• 제26권1호
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• pp.141-158
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• 2009

Community-Based Participatory Research(CBPR) has gained attention as a public health approach to develop community health interventions to address health disparities in recognition of the community relevance of specific health issues associated with social determinants of health. It emphasizes community involvement in equal partnership with researchers and public health professionals to address community-identified needs. The characteristics and principles of CBPR discussed in this paper highlight participatory nature, capacity development, partnership building, and process-orientation of CBPR. A 6-step process model for community empowerment is then introduced as a CBPR operationalization strategy. Mixed methods research approaches are valuable in CBPR as well as process evaluation. For the application of CBPR in Korean contexts, the Diffusion of Innovation theory is suggested as a theoretical framework for implementation. Building public health partnerships between public and private sectors to create partnership synergy is a necessary condition for successful CBPR for health promotion in Korea. Accompanying critical factors for the CBPR application include: common understanding of CBPR and its values, establishment of the definition of 'community,' 'community-based' and 'participation' in community health, development of accommodating research infrastructure for CBPR, recognition of the importance of program evaluation (particularly process evaluation), and training CBPR specialists.