• Title/Summary/Keyword: Health Center Information System

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Performance Evaluation of Information System for Health Center (보건소 정보시스템의 성과분석)

  • 채영문;이병화;최성해;김인숙;김찬호
    • Health Policy and Management
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    • v.3 no.2
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    • pp.1-24
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    • 1993
  • The purpose of this study is to analyze the effects of the health information system on the productivity and behavioral aspects of health workers as well as quality of services to the visitors using the Vaccination room at the Kwon Sun Ku health center located in Suwon city as a study subject. Three survery were conducted to measure the changes in productivity and adoptation process(knowledge, attitude, activity, and satisfaction) of health workers over time during the period of 20 months. In addition, the effects of the information system on the quality of services to the visitors were also masured 7 months after the 3rd survey by comparing the quality of services between the study health center and the similar health center as a control group. The following results were obtained. First, productivity of health workers has improved over time as they became familiar with the system. Second, knowlege and activity did not significantly changed, but attitude score unexpectly decreased in the second survey. This may be due to an effect of intensive training prior to the first survery. Third, quality of services for the study center was better than other health center. While the health information system had positive effects on the productivity as well as the adoptation process, there are several limitations to establish a causal effect relationship between the two variables. For example, the system has kept modified since its development to meet the changing needs of the workers, and this may affect the productivity more than the adoptation process. Furthermore, since the study subject was only one health oenter, it lacks representativeness to generalize the study findings. Therefore, more health centers should be included in the study to solve such problems in the future.

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Adoption of CDA(Clinical Document Architecture) for reporting laboratory results (검사실 정보 교류를 위한 임상문서표준규격의 적용)

  • Song, Joon-Hyun;Kim, Il-Kon;Lee, Sung-Hyun;Do, Hyoung-O;Yeah, Jung-Hoon
    • Proceedings of the Korean Information Science Society Conference
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    • 2007.06b
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    • pp.21-26
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    • 2007
  • HITSP(Healthcare Information Technology Standards Panel)은 헬스 케어 관련 산업의 상호 운용성을 위해 일반적으로 수용되고 유용한 표준들을 선별하여 표준 세트를 제공하는 것을 목적으로 한다. HITSP에서는 평생전자건강진료정보(EHR, Electronic Health Record)의 활성화를 위해 첫 번째 해결해야 할 영역으로 검사실 결과 정보 교류를 정하였다. 이에 본 논문에서는 검사실 결과 정보 교류를 위한 방법으로 HITSP에서 제시하는 HL7 버전 2.x 메시지와 CDA 방법 중 인증(authentication) 처리가 가능하고 영속성(persistence)이 있는 CDA 방법을 선택하였다. 또한 CDA를 작성하고 처리하는 방법을 제시하고, 더 나아가 평생전자건강진료정보(EHR)를 위해 CDA를 적용하여 검사실 결과 정보를 교류하여 보았다. 이에 병원과 EHR 시스템의 상호 운용성이 높아져 진료 과정의 효율성을 높일 수 있었고 환자와 의료진에게 양질의 검사 결과 정보를 제공할 수 있었다.

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Outpatient Clinical Summary System Design for Continuity of Care (계속 진료를 위한 외래환자 Clinical Summary 시스템 설계)

  • Lee, Hyo-Jung;Song, Jin-Tae;Kim, Il-Kon;Cho, Hune;Kwak, Yun-Sik
    • Proceedings of the Korean Information Science Society Conference
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    • 2005.11a
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    • pp.859-861
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    • 2005
  • 의료 환경이 점차 변화함에 따라 효율적인 건강관리와 의료사고를 룰이기 위한 새로운 병원정보시스템의 개발이 활발히 이루어지고 있다. 이에 본 논문에서는 지속적인 건강관리와 의료정보 공유를 위한 외래환자 Clinical Summary 시스템을 제안하였다. 환자진료에 필요한 core data set을 XML기반의 구조적 문서로 정의하고 이를 웹 서비스(Web Services)를 통해 여러 의료기관에서 활용할 수 있도록 함으로써 진료의 계속성을 높일 수 있도록 설계하였다.

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Development and Use of Data for Chemical Risk Assessment (화학물질 유해성 평가를 위한 정보의 작성 및 활용)

  • Rim, Kyung-Taek;Kim, Hyun-Ok;Kim, Young-Kyo;Cho, Hae-Won;Ma, Yong-Seok;Lee, Kwon-Seob;Lim, Cheol-Hong;Kim, Hyeon-Yeong;Yang, Jeong-Seon
    • Environmental Analysis Health and Toxicology
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    • v.22 no.1 s.56
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    • pp.91-101
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    • 2007
  • The new chemicals are developed and circulated without the verified toxicity data. So, the accidents and occupational diseases, such as explosion, fire, suffocation about deadly poisons etc. are frequently to workers. Classifications of chemicals suited with guideline and an offer of correct chemical information data are the molt important thing for the establishment of suitable chemical management system. The GHS (Globally Harmonized System of classification and labeling of chemicals) is based with the chemical classifications and unification plan. The warning symbol and phrases are established for improvements of chemical information data system. According to these unified and improved systematic form of data, and the chemical information data, the workplaces will be presented many chemical safety and risk data correctly. In this paper, we will present constructions and accomplishment contents-based chemical management of workplace through development of chemical information data and the nice using for new chemical investigation and risk assessment of chemicals in workplaces.

The Evaluation of Information System Success Factors In Health Center (보건소 정보시스템의 평가에 관한 실증적 연구)

  • Kim, Mee
    • Health Policy and Management
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    • v.10 no.2
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    • pp.78-102
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    • 2000
  • Factors influencing the success or failure of information systems9IS) have been discussed in many literes. However, little thertical development or empirical research has examined effectiveness of information systems in health center. This study evaluates several model that contribute to IS success in bealth center. In this study, we propose a process model that exhibits several variables influence one after another. These can be classified into six different dimensions. These inclube system aspect, invidual effect. The system aspect is classified by system quality, information quality and service quality. On individual and organizational aspect, this study uses computer self-efficacy and support of top management. The results of this study are as follows: according to multiple regression analysis of user satisfaction, information quality and support of top management are statistically significant influence on user satisfaction. System quality and service quality are a partially significant influence on user satisfaction. Hypothesis 5, proposing that computer self-efficacy would relate positively to user satisfaction, ws not supported by the questionnaire results. Based on these results, information quality and support of top management are very important variables for IS success.

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A Study on the Utilization Pattern of Information Systems for Health Centers (보건소 정보시스템의 활용현황 분석)

  • 박두희;채영문;이병화;이은경
    • Health Policy and Management
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    • v.9 no.3
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    • pp.113-128
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    • 1999
  • This study was designed to analyze the status of government policy on the computerization of health centers throughout the country and to identify the factors affecting a successful implementation of the information system. As expected, age and commitment of health center director, computer budgets, user training, and technical supports from the information specialists were the important factors influencing the successful implementation of the system. Compared with the urban health centers, fewer rural health centers installed the system perhaps due to lack budgets and the urban-oriented system features. Moreover, the systems were unevenly distributed according to the geographic regions. Some strategies for successful dissemination of the systems were also suggested.

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Study on the Establishment of Threshold Criteria for Heat Health Watch Warning System in Korea; Part I : Establishment of Criteria and Verification (고온건강경보시스템 기준 설정에 관한 연구( I ) - 기준 설정 및 검증 -)

  • Park, Jong-Kil;Jung, Woo-Sik;Kim, Eun-Byul
    • Journal of Environmental Science International
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    • v.18 no.7
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    • pp.767-780
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    • 2009
  • This study investigates the standard, duration period and excess mortality of extreme heat using the standardized daily mortality data from 1991 to 2004, establishing a standard threshold Criteria for Heat Health Watch Warning System in Korea. It ultimately aims to provide the guidance in building up Heat Health Watch Warning System for Korea by suggesting the standard to quantify thermal stress from heat. The standard threshold Criteria for Heat Health Watch Warning System for Seoul metropolitan city takes into account both daily maximum temperature and daily maximum heat index(HI) and consists of four phases; caution, extreme caution, danger, and extreme danger. Extreme caution phase and danger phase are used as the advisory and warning of extreme heat, respectively. Since the nationwide distribution of the frequency of extreme heat day and the excess mortality rate shows little difference across regions, the standard threshold Criteria for Heat Health Watch Warning System for Seoul metropolitan city can be used for other regions.

The review of Health Care System (보건의료체계에 대한 소고)

  • 정영일;강성홍
    • Korean Journal of Health Education and Promotion
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    • v.9 no.2
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    • pp.89-102
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    • 1992
  • This study is aimed both to define a conception of Health Care Systems and to suggest Desirable Reorganization Directions in Korea. The Desirable Reorganization Directions of Health Care System in Korea is as follows ; 1. The Health Care System of Free Market System has to reorganize step by step for the Directions of National Health System. 2. The Health Care System has to reorganize with local socite as the center of local community. Especially, Health Sub-Center should be reorganized to provide Compresensive Health Care, so that the Sub-Center consist at least 15 members of health workers including a chief of governmental office. 3. The Health Care System has to reorganize for the Directions responding problems of the Elder, New Medical Technology Development, and Health Information System.

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Development and Management of Database for School Health Improvement (학교보건 증진을 위한 데이터베이스의 개발 및 관리)

  • Choung Hye Myoung
    • Journal of Korean Public Health Nursing
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    • v.18 no.1
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    • pp.154-166
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    • 2004
  • The purpose of this study was to design and implementation of database for school health activity. This database system was designed stand-alone application for college school health center without a hospital affiliation and the database system was made of relational database management system, Microsoft access 2000 to be made GUI (Graphic user interface) type design and made up 7 tables: patients. symptoms. departments, income and outgo. medical cures. and medicine. The construction of this database system was patient management. code management. medicine management. and statistics management. The results of the database system were as follows; 1) This database system could be used for college school health center. 2) This database system could be made correct statistic data. 3) This database system could be managed income and outgo. 4) This database system could be changed for the better activity of community health service. 5) This database system could be simply attired administrative system. This database system will be used for students and employees to protect and promote health to measure for health level and quality of health service. In conclusion. this database system can be applied for unit health center to manage the college school health activity and advanced data management can be applied for health profession to do quality improvement. cost containment. management information system. and decision support system.

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A Study on the Operation Regional Emergency Medical Center and the Using Behavior by Visiting Patients (한 지역 권역 응급의료센터 내원환자의 이용 행태 분석)

  • Ryu, Hwang Gun;Song, Hyun Kyung;Kim, Hye Suck;Kim, Tae Gon
    • The Korean Journal of Health Service Management
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    • v.1 no.1
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    • pp.110-124
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    • 2007
  • Currently, we have seen sudden increase of demand for emergency medical services by reason for high-speed economic development increase of traffics, etc. in this society. Consequently the government enforced & operated emergency medical system in 1991 as a link of more positive countermeasure against it, but many problem; still remain in reality. In particular, the regional emergency medical center designated by the Ministry of Health and Welfare falls short of our expectations for its essential role by the reason of such as insufficiency in professional manpower and institutions concerned in small-scale hospital, matters with transportation system, preference of large hospital, etc. Therefore, this study was conducted grasp for the actual conditions of emergency medical system based upon literature research & the preceding studies and interview research the motive of coming hospital, satisfaction & understand to the subject of 150 persons of patients and their guardians who used regional emergency center of Pusan National University Hospital, thereby examining & analysing the cause of emergency room overcrowding by non-emergency cases, one of the problem; enumerated from preceding studies. The main result of this study is as follows. First the actual condition of non-emergency patients coming hospital for examining overcrowding of emergency medical center showed that, of the patients who used the emergency medical center, non-emergency patients accounted for 49.3%, which acted as the main cause of delaying medical care for emergency cases, cases of which medical person or first-aid man decided to come hospital accounted for 36.1 %, thereby suggesting essential need for re-education & wide public information to even the professional manpower besides patients & guardians for their using emergency medical system. Second, as the result of researching patient acknowledgement with reference to their using emergency medical center, the rate of their giving right answer is no more than 60%, which means that non-emergency cases' using as such is due to the shortage of their knowledge of the said emergency medical center, which suggests us that wider P.R for emergency medical system to common people who may be one of the patients of it at any time is still in need. Third, the result of researching for finding out a future remedy of emergency medical system showed that the users who know well of the way of using emergency medical center had relatively high satisfaction of it, ones who have lesser knowledge of it lower satisfaction and users who feel in need of emergency specialized manpower feel the necessity of public information of emergency medical information center(1339) at the same time. The finding of examining the subject of study, in conclusion, showed that the degree of the patients & their guardians' understanding of emergency medical system is lower and the medical persons concerned also had no distinct difference in their understanding of it from the common people's, which suggests us for extensive enforcement of systematic education and public information in aspect of the government via various media for the purpose of effective operation of emergency medical center.

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