• 한국의료질향상학회지
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• 제6권1_2호
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• pp.80-91
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• 1999

Background : With the CQI concepts, which emphasize doing the right things right the first time, we tried to enhance the timely completion of medical records by changing the review process from retrospective method to concurrent one. Methods : Against the current retrospective QA activity, Medical record administrator did the concurrent QA of the inpatient medical records with the deficiency sheets. One general surgery ward was chosen as a trial one. The deficiency rate of the medical records of the discharged patients was compared before and after the enforcement of the system. Job analysis of the medical record departments was done about four tertiary care hospitals located in Seoul to estimate the cost and the time consumed by current system. Results : There was a little improvement in the completion rate of the medical records after the trial. The new system was effective. And job analysis showed that much money and time were wasted by current retrospective feedback system. Conclusion : Though the result was not so satisfactory, it should be considered that this test was a voluntary one and the interns and residents were not forced to complete the medical records during this trial period. If there be any strong motivation to complete the medical record in time, this system is sure to be succeed. As the DRG system requires the concurrent review of the medical records to confirm severity of the patient's illness and to assure the timely discharge, it is desirable to enforce this method with the DRG system together. DRG coding and reducing deficiency rate of the medical records can be accomplished simultaneously.

• 스마트미디어저널
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• 제5권4호
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• pp.124-130
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• 2016

빅데이터 기술의 발전에 따라 여러 분야에서 빅데이터의 필요성이 증가하고 있다. 그중 최근 의료 산업은 치료 중심에서 예방과 건강관리 중심으로 변화됨에 따라 질병 발생 가능성 예측 및 개인 맞춤형 의료 서비스의 중요성이 증대되고 있다. 이를 위해서는 개인의 생체정보를 수집할 수 있는 디바이스와 수집된 데이터를 분석할 빅데이터 시스템이 필요하다. 본 논문에서는 저가형 웨어러블 디바이스를 이용한 생체정보 빅데이터 시스템을 설계하였다. 웨어러블 디바이스는 심장 박동수와 걸음 수, 활동량 등의 기본적인 생체정보를 획득할 수 있는 Mi Band를 이용하였고, 수집된 생체정보는 MongoDB를 이용하여 NoSQL 형식으로 저장한 후 분석하였다. 본 연구의 결과를 기반으로 차후에는 Hadoop 등을 사용하여 실제 의료 환경에서 사용이 가능한 빅데이터 시스템을 구축하고 다양한 의료 정보용 웨어러블 디바이스와 연계하여 실제 의료 서비스에서 사용이 가능할 수 있다.

• 한국임상약학회지
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• 제22권4호
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• pp.291-303
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• 2012

As respiratory tract infections (RTI) account for about 60% of all antibiotic prescriptions in outpatient care setting, there are significant concerns about emerging resistance that are largely due to the excessive or inappropriate use of antibacterial agents for viral respiratory infections. This study was aimed to develop retrospective drug utilization review (DUR) program of antibiotics for RTIs using Delphi methods. Retrospective DUR criteria of antibiotics for RTIs were identified based on clinical practice guidelines and opinion of experts. Expert panel members were clinical doctors and pharmacists and Delphi method was applied by survey on 16 members of panels. The claim data from Korean Health Insurance Review & Assessment (HIRA) were used to examine trends in outpatient antibiotic prescription between Janunary to December of 2008. As results, Quality index for RTI was assessed for the claim type, antibiotics use of quantity, duration, number and cost. Antibiotic prescription rate for RTIs, Defined Daily Dose (DDD), and duration of antibiotics use were more recognized as significant quality index by experts' opinion. Use of first line agents suggested by guidelines was low and duration of antibiotics use was shorter compared to the recommendations. Antibiotics were over prescribed for RITs. However, dose and duration of antibiotics were under-used.

• 유통과학연구
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• 제16권2호
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• pp.53-65
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• 2018

Purpose - The purpose of this study is to investigate the effect of gamma - irradiation on the effluent from food distribution in the large agricultural and marine products market. This study will contribute to the distribution process as well as the agricultural and fishery distribution facilities. Research design, data, and methodology - In order to reduce the odor, the smell was examined in the anaerobic digestion process by irradiating gamma rays to the wastewater of mixed food discharged from a large restaurant. An odor determination panel list was constructed to determine if the odor was present in the air dilution drainage and the odor concentration was analyzed by instrumental analysis. Results - It was confirmed that the sulfur content increased gradually from 3 months. Ammonia decreased from 33.57ppm at the initial measurement to 4.12 ppm at the end of the experiment. Methane production was highest at 100kGy when exposed to gamma rays of 0-200kGy at pH 12. In other words, it is considered that gamma irradiation doses are most effective at 100kGy and are suitable for large capacity wastewater treatment facilities in terms of economic feasibility. Conclusions - In pre-treatment of compound food wastewater, gamma irradiation is most cost effective when examined at 100kGy. The economic efficiency of the pre-treatment method by gamma irradiation is much higher than the wastewater treatment in the large-scale agricultural and marine products distribution market.

• 보건행정학회지
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• 제23권4호
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• pp.434-444
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• 2013

Background: Regional Cardiocerebrovascular Centers (RCC) were established for the prevention and treatment of cardiocerebrovascular disease and funded by the Ministry of Health and Welfare. The purpose of this study was to develop and validate the measurement tool of public benefits in RCC. Methods: Through the intensive literature review, experts surveys and their repetitive feedback, we selected the 46 items about the public benefits in RCC. Development of measurement tool involved content validity test using Content Validity Index (CVI), construct validity test through factor analysis and reliability test. Results: Thirty-five items were selected by content validity test, which CVI was 0.08 or higher. Through the construct validity test, 32 items in 7 factors were derived. And Cronbach's alpha was 0.951. Finally, public benefits measurement tool is composed of 32 items in 7 factors which are comprehensiveness of health care services, market complement, emergency care, cost, governance, quality improvement, and government control. Conclusion: Though we developed the measurement tool of public benefits in RCC, it would be utilized to measure the public benefits of various health agencies.

• 한국치위생학회지
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• 제19권4호
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• pp.493-502
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• 2019

Objectives: This study aimed to investigate the current status of oral health applications developed for smartphones because they can be used as a new educational medium to manage and improve oral health. Methods: This study examined 60 basic oral health applications provided by Google Play Store and Apple App Store as of May 2019 and examined delivery contents, delivery methods, application types, and other information. Results: Apple included 65.4% of oral apps in the game category whereas Android included 64.3% in the education category (p>0.05). All Apple's apps and 71.4% of Android apps were developed overseas (p<0.01). The delivery contents were 61.5% for Brushing + tooth decay in Apple, and 78.6% for others (oral care products and gum diseases) in Android (p>0.05). For the delivery method, game + video was 65.4% in Apple, and game and other methods (text, image, augmented reality) was 42.9% in Android (p>0.05). In the case of application type, play type was the most common with 88.5% in Apple, and 46.4% play type and 39.3% other type (text, appreciation, problem-solving types) in Android (p<0.01). In addition, play type was high in both education (53.8%) and game (90.0%) categories (p>0.05). The average review score was 4.30 in the education category, 4.34 in the case of brushing and care (delivery contents), 4.37 in the case of using game + video (delivery methods), and 4.57 in the case of Play + other types (application type) (p>0.05). Conclusions: The use of healthcare apps is expected to increase owing to improved lifestyles, an increase in the elderly population, cost-effectiveness, and convenience that is not affected by time and place. Effective use of oral health apps will require the participation of dental professionals in the development process to identify the exact status, expand subjects, and provide appropriate information.

• 한국병원경영학회지
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• 제26권1호
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• pp.55-70
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• 2021

Purpose: The purpose of this study was to examine the influencing factors of the patient leaning phenomenon in tertiary hospitals. Based on the results of this study, we intended to find implications for improving the problems of the delivery system imbalance in tertiary hospitals caused by patient leaning phenomenon. Methodology/Approach: Qualitative studies were conducted, using focus group interviews and in-depth interviews. The focus group interviews were conducted for 12 users of tertiary hospitals by 2 groups. And in-depth interviews were conducted for 6 tertiary hospital managers. This was considered to be the most effective approach to gather diverse and in-depth information about the influencing factor of patient leaning phenomenon in tertiary hospitals. Findings: In focus group interviews, the reason for choosing tertiary hospitals was the reliability of the hospital(physician, reputation, etc.). And the effect of the policy to strengthen coverage of National Health Insurance and private medical insurance was relatively small. In other words, we found that the individual's desire to receive medical services suitable for one's health status and disease condition was the biggest factor, rather than the cost and policy factors. Practical Implications: We suggested that the appropriate medical care provision should be strengthened according to the role and function of medical institutions. In addition, the education system needs to be reorganized to activate the referral program, expand community medical capabilities, and foster quality primary medical care.

• Tuberculosis and Respiratory Diseases
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• 제79권4호
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• pp.234-240
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• 2016

Transmission of tuberculosis (TB) is a recognized risk to patients and healthcare workers in healthcare settings. The literature review suggests that implementation of combination control measures reduces the risk of TB transmission. Guidelines suggest a three-level hierarchy of controls including administrative, environmental, and respiratory protection. Among environmental controls, installation of ventilation systems is a priority because ventilation reduces the number of infectious particles in the air. Natural ventilation is cost-effective but depends on climatic conditions. Supplemented intervention such as air-cleaning methods including high efficiency particulate air filtration and ultraviolet germicidal irradiation should be considered in areas where adequate ventilation is difficult to achieve. Personal protective equipment including particulate respirators provides additional benefit when administrative and environmental controls cannot assure protection.

• 한국콘텐츠학회논문지
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• 제19권11호
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• pp.71-79
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• 2019

본 연구는 어린이집 IoT 헬스케어 디바이스 활용에 대한 부모와 교사의 인식과 요구를 실증적으로 알아보고자 수행되었다. 이를 위하여 부모 200명, 어린이집 교사 200명을 대상으로 설문조사를 실시하였다. 수집된 자료는 SPSS WIN 22.0을 이용하여 빈도분석, t-검정, 𝑥2 검정을 실시하였다. 연구결과 첫째, IoT 헬스케어 디바이스 활용에 대하여 교사가 부모에 비해 긍정적 인식과 지지도를 나타내어 더 높은 호감도를 보였으며 정보유출문제에 대해 부모보다 높은 인식을 나타내었다. 둘째 어린이집 IoT 헬스케어 디바이스 활용 요구로 교사, 부모 모두 응급상황 대처 영역과 웨어러블 형태에 대한 요구를 가장 높게 나타내었다. 비용은 부모, 교사 모두 기관과 부모가 공동으로 금액 부담의 요구를 가장 높게 나타내었다. 본 연구결과를 중심으로 어린이집에서 IoT 헬스케어 디바이스 활용 가능성을 논의하였다.

• 가정∙방문간호학회지
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• 제8권1호
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• pp.74-84
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• 2001

This descriptive study was conducted to determine the awareness by doctors and patients of the hospital based home nursing service, and the willingness of the patients as well as the doctors to use the service if provided. The convenience samples consisted of 240 hospitalized medical-surgical patients, and 64 doctors from one' hospital. The data was collected from June 1 to June 30, 2000, by questionnairs and interviews. The results of the study were as follows: 1. 57.4% of the subjects were male patients. 35.8% were over 60 years old. and incomes ranged from 1.000,000 to 1.990,000 Won per month in 33.2% of the subjects. 2. 61.3% were unaware of home nursing. 52.7% of the subjects got information about home nursing via TV, magazines, and newspapers, and 83.4% of them showed a willingness to use the service if available. For doctors, 87%, of them said that they were aware of home nursing, and 84.4% viewed the service as necessary. However, only 39.1% responded that they are willing to refer their patients to the home nursing service if it is available. 3. Those who know about the service perceived it more advantageous; however, many do not know about it. Based on the above findings, the following suggestions are made: (1) It is necessary to hold a workshop or a seminar about hospital based home nursing service to draw attention of hospital personnel. (2) There is a need to publicize home nursing service to patients and their family members. (3) Further research is necessary to analyze cost/effectiveness of a hospital based home nursing service for the hospital.