• Title/Summary/Keyword: Health care need

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Design and Implementation of Healthcare System Based on Non-Contact Biosignal Measurement (비접촉 생체신호 측정 기반 헬스케어 시스템 설계 및 구현)

  • Hong, Seong-Pyo
    • The Journal of the Korea institute of electronic communication sciences
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    • v.15 no.1
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    • pp.185-190
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    • 2020
  • The rapid aging is increasing as the shortage of medical facilities and the resulting of decline in the quality of public health. In order to ease the burden of rising medical expenses, advanced medical institutions are expanding their remote medical care to lower the cost of services. U-healthcare detects the changes in physical and chemical phenomena occurring in the human body and converts them into electrical signals that can be processed and feeds back to the results through analytical and visualization processes to select only the desired information from the measured signals. The service is provided through a process of providing an alarm to a user. However, traditional biometric methods of attaching sensors directly to the body can be annoying and rejected in daily life. Therefore, there is a need for a method of continuously measuring biometric information without causing inconvenience to daily life. In this paper, we propose an IR-UWB-based non-contact and non-responsive respiratory measurement system that can continuously monitor biological information without any inconveniences to daily life.

Concept Analysis of Presence ('함께있음(Presence)'에 대한 개념분석)

  • Jo Kae-Wha;Kim Myung-Ja
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.6 no.2
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    • pp.320-330
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    • 1999
  • Nursing, a behavior of caring, means a connection of patients and clients has done through the caring of clients. Nurses are always with patients. In fact, caring is very important and the core of nursing, the true meaning of caring was embedded in our custom and consciousness before the approach of academic research. As a result, the existence of caring has not seen and revealed. Therefore, there is a need to study and confirm that caring has been placed in nursing and, nurses are doing caring in practice. The purpose of this study is to present the basis of nursing theory and practice through careful analysis of presence being, an aspect of caring. The presence of nurse shows a personal and healing relationship between nurses and patients on the basis of the respect for the humanity, Also, the role of nurses is to help a patient to integrate one's physical, mental and spritual aspects. Thanks to role of nurse, the pratical nursing has the characteristic of art and becomes more aesthetic and artistic. As we have seen above, we define 'presence' as 'being there' and 'being with' a patient for the purpose of meeting the health care needs. The attributes for which presence would be most appropriate would include the following : (1) being with and being together (2) take attention (3) mutual openness (4) experience an empathy (5) have an intention (6) therapeutic interaction process A caring situation as a necessary condition must be presupposed and the factors in that situation are the nurse's intense attention to the patient and a humanistic philosophy of the institutions of the patient. In any nursing intervention skill, there is listening, touching, giving hope, reassurancing, comforting and so on ; as a result, some positive effects can be expected between nurse and patient.

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Determinants of Foreign Customer's Loyalty to Korean Medical Institutions (외국인의 국내의료기관에 대한 고객충성도 영향요인)

  • Kim, Min-Sook;Bang, Ho-Yeol
    • International Commerce and Information Review
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    • v.17 no.2
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    • pp.95-120
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    • 2015
  • Under the stiff competition in the health care industry, the long run survival of medical institution depends on building up customer loyalty. The purpose of this study is to figure out the influencing factors on customer loyalty. This new model is based on Bettman(1979)'s customer purchasing decision making process(awareness-interest-final decision). The key characteristics of this model reflects the psychological change of customer purchasing decision The influencing factor at each purchasing stage must need to be identified because the inner decision making process is generally carried out by multistage. In this respect, this study shows the brand awareness of hospital plays an important role at the first stage. In a second stage, the servciescape and service quality of hospital must be considered. Finally, customer's perceived value is adopted. By using a sample of 116 Chinese tourists, this study empirically examines the influencing factors of customer loyalty. The results that the brand awareness and perceived value have a positive effect on customer loyalty.

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Estimation of cost by unnecessary readmission of the tertiary hospitals (불필요한 재입원 비용 추정에 관한 연구)

  • Shin, Min Sun;Lee, Won Jae
    • Journal of the Korea Convergence Society
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    • v.8 no.12
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    • pp.149-157
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    • 2017
  • Unnecessary readmissions could be the result of the inadequate and unnecessary treatments. Adequate quality indicators for readmission are important because they can identify inadequate spending by inpatients as well as quality screening. This study attempted to estimate the cost incurred by unnecessary readmissions. The Health Insurance Claims Data of 18 years or older who were admitted in the tertiary hospitals in 2014 were analyzed. Admissions and readmissions were sorted and readmissions were classified into planned and unplanned readmissions. We adopted 28 days as a criteria for the classification of the readmission. Proportion of the patients were higher in readmissions among cancer, accompanied diseases, and special rehabilitation patients. Cost of the readmissions were 50% of the total cost of the admission among the patients of same diseases, same departments, and same hospitals. Almost 1,000billion Won were used by the unnecessary readmissions. We need to reduce the readmissions in regions, departments, and diseases studying the pattern of the readmissions. National level efforts are required to improve quality of care and reduce cost by the unnecessary readmissions.

The Influence of Disease-related Characteristics and Symptom Stress on Endometriosis Quality of Life of Women with Endometriosis (자궁내막증 여성의 질병관련 특성과 증상 스트레스가 자궁내막증관련 삶의 질에 미치는 영향)

  • Park, Jung-Hyun;Ha, Yeongmi
    • Journal of Digital Convergence
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    • v.16 no.8
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    • pp.243-252
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    • 2018
  • The purpose of this study was to examine relationships among disease-related characteristics, symptom stress, quality of life in women with endometriosis, and then to identify predictors of quality of life in them. The self-reported questionnaires were administered to 99 women in one general hospital. As results of multiple regression analysis, the factors affecting quality of life in women with endometriosis were sick leave (${\beta}=-.27$, p=.000) and symptom stress (${\beta}=.59$, p=.000), explained women's quality of life with 57.0% (F=11.39, p<.001). Based on the findings, there is a need to develop a self-care program for chronic pain and a nursing intervention for enhancing a quality of life in women with endometriosis.

The Effects of Maternal Parenting Stress Trajectory on Affective Parenting and Socioemotional Development of Preschooler: Differences Between Employed and Unemployed Mothers (영아 자녀를 둔 어머니의 양육스트레스 변화가 온정적 양육행동 및 유아의 사회정서발달에 미치는 영향: 어머니 취업여부에 따른 차이)

  • Park, Saerom;Park, Hye Jun
    • Korean Journal of Child Studies
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    • v.37 no.5
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    • pp.33-52
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    • 2016
  • Objective: This study aimed to investigate the trajectory of maternal parenting stress during infancy according to the employment status of mothers when each year's depression was controlled and examine the longitudinal effects of parenting stress on affective parenting and socioemotional developmental outcomes for preschoolers. Methods: Using latent growth modeling, the first 4 waves of panel data collected from 2,078 mothers and their babies were analyzed. This nationwide data was provided from the 2008 Panel Study on Korean Children, conducted by the Korea Institute of Child Care and Education. Results: First, maternal parenting stress showed a linear increasing pattern, and there were individual differences in intercept and slope. Second, when each year's maternal depression was controlled, the intercept of parenting stress was lower, but the rate of increase was higher. In multiple group analyses, this increasing pattern of parenting stress was significant only in unemployed mothers. Lastly, the increase of unemployed mothers' parenting stress had direct effects on child emotionality and peer interaction and had an indirect effect on child peer interaction (mediated by affective parenting). Conclusion: The current study verified that the longitudinal effects of increasing parenting stress of unemployed mothers on affective parenting and child socioemotional development when maternal depression level was controlled. These results imply that we need to pay more attention to emotional health and resources of unemployed mothers and provide them with social support as well as employed mothers.

Information Needs and Behavior of North Korean Refugees (북한이탈주민의 정보요구와 정보행태에 관한 연구 - 부산지역 거주자를 중심으로 -)

  • Cho Yong-Wan
    • Journal of the Korean Society for Library and Information Science
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    • v.40 no.3
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    • pp.121-149
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    • 2006
  • In recent days North Korean refugees. who hope to move into and settle in South Korea, have been rapidly increasing. However their adaptation to South Korea is reported to have not been so much successful as they expected. Considering such situations, this study attempts to investigate their information needs and behavior. North Korean refugees have various and strong information needs for settlement and daily life. The strongest were information needs related to economic Problem, specifically job and business related information needs. It was followed by information needs related to social welfare, health and security child care and education, and North Korean situation In order to meet their information needs. North Korean refugees were heavily dependent on informal interpersonal information sources such as their family members. friends. and their own neighborhoods. as compared to such formal interpersonal information sources as Public officers. social welfare agents, and NGOs members. Meanwhile. their usage of mass media such as TV. newspapers, and internet as information sources was also heavy However the overall information environment surrounding them appeared to be relatively inferior to that of average South Koreans.

Prevalence of Cryptosporidium-Associated Diarrhea in a High Altitude-Community of Saudi Arabia Detected by Conventional and Molecular Methods

  • Hawash, Yousry;Dorgham, Laila Sh.;Al-Hazmi, Ayman S.;Al-Ghamdi, Mohammed S.
    • Parasites, Hosts and Diseases
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    • v.52 no.5
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    • pp.479-485
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    • 2014
  • Cryptosporidium diarrhea represents a relevant clinical problem in developing countries. In Al-Taif, a city of Saudi Arabia that lies at an altitude of an around 2 km above the sea level, Cryptosporidium infection seems to be undiagnosed in nearly all clinical laboratories. Furthermore, nothing was published regarding Cryptosporidium-associated diarrhea in this area. The objectives of this research were to (1) determine the Cryptosporidium prevalence among patients with diarrhea and (2) to estimate the performances of 3 different diagnostic methods. Total 180 diarrheal fecal samples, 1 sample per patient, were collected between January and August 2013. Samples were screened for Cryptosporidium with modified Zeihl Neelsen (ZN) microscopy, $RIDA^{(R)}$ Quick lateral flow (LF) immunotest, and a previously published PCR. The Cryptosporidium prevalence rate was 9.4% (17/180), 10% (18/180), and 11.6% (21/180) by microscopy, LF, and PCR test, respectively. Infection was significantly (P=0.004) predominant among children <5 years (22%) followed by children 5-9 years (11.1%). Although infection was higher in males than in females (16.2% males and 8.5% females), the difference was not statistically significant (P=0.11). Compared to PCR, the sensitivity of microscopy and the LF test were 80.9%, 85.7%, respectively. To conclude, high Cryptosporidium-associated diarrhea was found in this area especially in children ${\leq}9$ years. The PCR test showed the best performance followed by the LF test and ZN staining microscopy. The primary health care providers in Al-Taif need to be aware of and do testing for this protozoon, particularly for children seen with diarrhea.

Determinants of Bypass Healthcare Utilization for Hospitals in Seoul -The Case of KTX passengers- (서울지역으로의 원거리 의료 이용에 대한 영향 요인 -KTX 이용자를 중심으로-)

  • Lee, Jae-Hee;Lee, Won-Jae;Jung, Hyun-Yong
    • The Journal of the Korea Contents Association
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    • v.11 no.7
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    • pp.259-274
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    • 2011
  • The study analyzed the determinants of bypass healthcare utilization for hospitals in Seoul, of which phenomenon has rapidly risen since the introduction of KTX in 2004. 203 interviewees who had visited hospitals in Seoul using KTX were analyzed. We found that probability of utilization of inpatient service is increased with statistical significance by visiting hospital for the purpose of disease treatment, being aged over 40, being married and so on. This implies that the government needs to consider policies to support higher-level general hospitals in non-Seoul areas to enhance the quality of healthcare. Also hospital accreditation program and P4P program need to be used to help patients choose hospitals based on the accurate information on the quality of health care.

A Study on the Convergence of Sleep Patterns and Sleep Disturbance Factors of Inpatients Children Recognized by Care Providers (돌봄 제공자가 인식하는 입원아동의 수면양상 및 수면방해 요인에 대한 융합연구)

  • Park, So-Yeon
    • Journal of the Korea Convergence Society
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    • v.11 no.6
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    • pp.311-318
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    • 2020
  • This was a basic study to ascertain the changes in sleep patterns and the factors disrupting sleep in hospitalized children. The participants were children aged 6 years or younger who had been hospitalized in an advanced general hospital in a particular region. A total of 81 participants were included, and for data analysis using SPSS/WIN 21.0. The results showed that children's sleep duration decreased significantly after hospitalization compared to before (p<.001), and there were significant differences in sleep onset latency (p<.001) and frequency of sleep deprivation (p<.001). Factors perceived by the children's mothers to disrupt sleep included the child's health state, noise in the ward, nurses' treatments, and lighting in the ward. This study verified that children's sleep quality and duration decreases during hospitalization, demonstrating the need to prepare measures to improve sleep in hospitalized children based on an understanding of changes in sleep patterns and disrupting factors.