• Title/Summary/Keyword: Health care systems

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Application Technologies of Smart Phone for Emotional Satisfaction and Mental Health-care of the Elderly (고령자의 감성 만족과 정신건강을 위한 스마트폰 응용 기술)

  • Cho, Myeon-Gyun;Kim, Shik
    • IEMEK Journal of Embedded Systems and Applications
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    • v.8 no.1
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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.

Integration and Efficiency Strategies of Evaluations for Medical Institutions (의료기관 대상 평가통합 및 효율화 방안)

  • Kim, Kyung-Sook
    • Quality Improvement in Health Care
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    • v.24 no.1
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    • pp.30-39
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    • 2018
  • Objectives: In Korea, there are many kinds of evaluations for medical institutions. However, evaluations are increasingly burdensome for medical institutions because evaluation agencies, evaluation timing, and evaluation methods are different. The purpose of this study is to improve the efficiency of evaluation for medical institutions and ultimately to provide quality medical services to patients. Methods: In this study, 2,310 indicators of 19 kinds of evaluation for medical institutions were analyzed. Results: 1,424 indicators were available for on-site surveys and 886 indicators were not available for on-site surveys. There were 4 kinds of evaluation that can be integrated in total, 12 kinds of evaluation that can be integrated partially, and 3 kinds of evaluation that need to maintain the current evaluation system. Conclusion: In order to provide patient-centered quality medical services through reduction of burden due to the evaluation for medical institutions, it is necessary to deeply discuss the efficiency of evaluation integration and result utilization.

Proposed Architecture for U-Healthcare Systems

  • Lee, Jong-Yong;Jung, Kye-Dong
    • International Journal of Advanced Culture Technology
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    • v.4 no.2
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    • pp.43-46
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    • 2016
  • Modernization of the medical healthcare system, through the use of technology, has become an important field of study today. The healthcare system is intended to efficiently deliver care and services to consumers. It is such that the healthcare system is defined as an industry which provides health services (health activities) so as to meet the health needs and demands of individuals, the family and the community. In this study, transforming healthcare so as to better meet the needs of patients will require changes in the strength of delivering care for patients who already have good access to services, while also improving the care for patients who find it harder to get the care they need.

Un-met Supportive Care Needs of Iranian Breast Cancer Patients

  • Abdollahzadeh, Farahnaz;Moradi, Narges;Pakpour, Vahid;Rahmani, Azad;Zamanzadeh, Vahid;Mohammadpoorasl, Asghar;Howard, Fuchsia
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.9
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    • pp.3933-3938
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    • 2014
  • Background: Assessment of supportive needs is the requirement to plan any supportive care program for cancer patients. There is no evidence about supportive care needs of Iranian breast cancer patients. So, the aims of present study were to investigate this question and s predictive factors. Materials and Methods: A descriptive-correlational study was conducted, followed by logistic regression analyses. The Supportive Care Needs Survey was completed by 136 breast cancer patients residing in Iran following their initial treatment. This assessed needs in five domains: psychological, health system and information, physical and daily living, patient care and support, and sexuality. Results: Patient perceived needs were highest in the health systems and information (71%), and physical and daily living (68%) domains. Logistic regression modeling revealed that younger participants have more un-met needs in all domains and those with more children reported fewer un-met needs in patient care and support domains. In addition, married women had more un-met supportive care needs related to sexuality. Conclusions: The high rate of un-met supportive care needs in all domains suggests that supportive care services are desperately required for breast cancer patients in Iran. Moreover, services that address informational needs and physical and daily living needs ought to be the priority, with particular attention paid to younger women. Further research is clearly needed to fully understand supportive care needs in this cultural context.

A Study of Preference and Satisfaction Factors between Senior Specialized Hospitals and Senior Care Facilities for Senior Stroke Patients (뇌졸중 환자들의 노인전문병원 및 노인요양시설 선택요인과 이용만족도)

  • Ahn, Kwang-Ho;Sohn, Tae-Yong;Oh, Hyohn-Joo
    • The Korean Journal of Health Service Management
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    • v.5 no.1
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    • pp.147-158
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    • 2011
  • This study compares the degree of satisfaction and the causes of selecting facilities for stroke patients in the senior specialized hospitals and other senior care facilities. The research results are followed. First, The patients who held the level of senior long-term care used senior specialized hospitals, while the patients who had the level of 2 or 3 degree used senior care facilities. The patients helped by cooperative care service used senior care facilities, and the patients helped by private service or family service used senior specialized hospitals. Second, The patients in senior specialized hospitals had affirmative attitude for their service system, while the patients in senior care facilities preferred their various service systems. In the satisfaction of the facilities, the patients in senior care facilities felt more satisfaction to staff, environment, service, and other factors than the patients in hospitals did. Third, in the result of logistic analysis, the patients had an affirmative attitude in case that they had spouse, experience of senior specialized hospitals or senior care facilities, without senior long-term care insurance. They also valued the service standard and the staff quality. As this study points out, the overall preference is higher in the senior care facilities. So, the stroke patients recognized the new role between the hospitals and the facilities after the establishment of long-term senior medicare system. This research had some limitation for the research areas and numbers. So the data analysis for the types of facility and the responses may not be generalized. However, the standard of choosing facility and satisfaction will be a guideline for establishing a new future role between hospitals and facilities. This result will be used as a basic data for the renovation of long-term senior medicare insurance.

The research on Swedish elderly welfare (스웨덴의 노인복지 고찰)

  • Lee, Hyun-Woo
    • Journal of Fisheries and Marine Sciences Education
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    • v.6 no.2
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    • pp.161-182
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    • 1994
  • The steady rise in life expectancy resulting from progress in medical science and economic growth and improved living conditions is responsible for large and increasing-number of older peoples in our country. The older peoples who are increasing make up a large percentage of our total population. Now a day the percentage of older people 60 and 65 years old over compose around 8.7% and 5% of the total population in each. In spite of such a rapidly increasing trend of older population, there has had no provisions for elderly welfare in our country. The reason why some children do not want to take care of their older parents, and the other is the lack of elderly welfare, are responsible for large and increasing anxiety of livelihood and alienation to the number of older peoples. As mentioned above, especially studying Swedish elderly welfare model of many developed countries, it intend to provide many of the useful materials to make the elderly welfare systems in our country. The main research for Swedish elderly welfare are as follows : (1) Old age pension systems (2) Social service systems (3) Health care service systems (4) Housing care service systems.

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Requirement Analysis and Architecture Design for Ubiquitous Healthcare Service Systems

  • Yang, Won-Seob;Hwang, Kyung-Soon;Lee, Keon-Myung;Lee, Kyung-Mi;Kim, Wun-Jae;Yun, Seok-Jung
    • International Journal of Fuzzy Logic and Intelligent Systems
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    • v.7 no.3
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    • pp.209-215
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    • 2007
  • Various kind of ubiquitous healthcare services have been developed and tried in patient care and health care fields. Due to technical restrictions and not enough application practices, the service systems have been developed somewhat in ad hoc way. This paper describes the requirements for ubiquitous healthcare service systems most of which need to have and presents a ubiquitous healthcare service system architecture with which various ubiquitous healthcare services can be developed. It also introduces an application system for ubiquitous benign prostatic hyperplasia (BPH) patient care which has been developed based on the architecture.

The Lived Experience of Home Health Nurses' Role Conflicts: A Phenomenology Study (가정전문간호사의 역할갈등 체험에 관한 현상학적 연구)

  • Kim, Seulki;Oh, Seung-Eun;Lee, Kyunghwa
    • Journal of Home Health Care Nursing
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    • v.29 no.1
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    • pp.93-104
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    • 2022
  • Purpose: To explore the lived experience of home health nurses' role conflicts and the associated meaning of those as perceived by the home health nurses. Methods: This qualitative study was conducted between November 2021 and January 2022 among five home health nurses who were recruited. Data were collected through in-depth interviews and inductively analyzed using Colaizzi's descriptive phenomenological inquiry. Results: The participants' lived experience of role conflicts were grouped into four main categories, namely role conflicts due to shortage of qualified home health nurses, role conflicts exacerbated by the COVID-19 pandemic, interpersonal relationship conflicts, and conflicts with existing systems and their solutions. Conclusion: Knowledge developed from the experiences of the participants indicated various role conflicts, both interpersonal and systematical, while they recognized the significance of their role as the home health nurses. In the future, support systems should be established at the organizational and systematical levels to ensure a better workforce environment for home health nurses.

Comparison of the Core Competency and Job Training Needs of New Employees of Primary Health Care Posts Appointed before 2008 and after 2009 (2009년 전후 임용자의 보건진료 전담공무원의 핵심역량별 교육 필요도 및 세부주제별 교육필요도 비교연구)

  • Seo, Inju;Im, Eunsil
    • Journal of Korean Academy of Rural Health Nursing
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    • v.14 no.2
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    • pp.38-46
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    • 2019
  • Purpose: The purpose of this study was to analyze differences in the needs of primary health care posts before 2008 and after 2009. Methods: For the final analysis data on 1,905 public health centers and 1,521 public health practitioners were analyzed. The chi-test was used to examine differences between the employees before and after 2008 in general, and T-test for differences in core competencies and job training needs. The test was carried out during June and July, 2017. Results: There were statistically significant differences in general characteristics, future health clinic function, necessity for core competency education, and for job education. Conclusion: Information on the need for new job training should include information the use of public health center information systems, drug mechanisms, medication guidance, discrimination of major symptoms, treatment for common diseases, patient referral and follow-up, health management for elders, dementia management, and chronic disease management. In future job training, it is necessary to elaborate intensively details and evaluate effectiveness.

A Study on the Recognition and Attitude on Home Health Care Program between Physicians and Nurses in a Hospital, Pusan (병원중심 가정간호사업에 대한 의사, 간호사의 인식과 태도에 대한 조사연구)

  • Kim, Jung-Soon;Ko, Young-Hee;Kim, Dae-Suk;Kim, Jeung-Hwa;Shin, Jae-Shin;Lee, Jil-Ja;Jeong, Ihn-Sook;Hwang, Sun-Kyung
    • Journal of Home Health Care Nursing
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    • v.8 no.2
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    • pp.148-158
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    • 2001
  • Purpose: This study is to investigate the attitudes on the Home Health Care among the physicians and nurses in P University. Method: Data were gathered from 71 physicians and 264 nurses. working at P University Hospital. from May 1 to May 15, 2001 and analyzed using descriptive statistics and Fisher exact test. Results: 1) As to the previous information about home health care program, those who have been familiar to it were 100% of physicians, and 99.6% of nurses, and 39% of the physicians and 66.1% of the nurses. were found to have responded with right answers, 2) As to the acceptance of the home health care program, 87% of physicians and 98.5% of nurses were found to be positive and there showed a significant difference(p= .019), 3) The main reasons for accepting the system were: the alleviation of the family burden of time, the maintenance of continuity of care, and the reasons for opposing the system were incomplete legal assurance. the possibility of providing illegal medical services. 4) The physician's intention rate of patient referrals to home care program reveled 49.2%. 5) According to the services related to Home Health Care. the orders of acceptance rates were medical tests related services (77.8%, 92%); therapeutic nursing interventions(69.0%, 88.2%): and services for medication(68.3%, 82.5%) among physicians and nurses. respectively. Conclusion: For the stabilization and successful implementation of home health care system. it should be accompanied with education for physicians about home care. setting specific laws and regulations for home care. legal assurance of home care business. outcome research for home care recipients. and support systems of hospital administration.

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