• Title/Summary/Keyword: Health systems

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An Approach to program Design of Management Information Sytems for Health Centers and Subcenters (보건소 및 보건지소 정보체계의 프로그램 설계에 대한 고찰)

  • 이영조;권순호;최재준
    • Health Policy and Management
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    • v.1 no.1
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    • pp.109-115
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    • 1991
  • We are in the process of developing information systems that can be helpful for the effective management of community health services provided by the health center and subcenters in Hwachon Gun, Kangwon Do. In doing so, we have employed a different program design from those programs of information systems developed in other health centers or subcenters. The main idea of our design is dividing all the programs into two parts. One part is for the control of operation functions such as addding, seeking, editing, and printing needed to all the tasks. The other consists of a set of programs each of which deals with a specific task. It is believed that this program design would result in an information system that is simple to use, easy to modify and expand, and flexible to new computer technologies.

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Framework for Continuous Assessment and Improvement of Occupational Health and Safety Issues in Construction Companies

  • Mahmoudi, Shahram;Ghasemi, Fakhradin;Mohammadfam, Iraj;Soleimani, Esmaeil
    • Safety and Health at Work
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    • v.5 no.3
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    • pp.125-130
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    • 2014
  • Background: Construction industry is among the most hazardous industries, and needs a comprehensive and simple-to-administer tool to continuously assess and promote its health and safety performance. Methods: Through the study of various standard systems (mainly Health, Safety, and Environment Management System; Occupational Health and Safety Assessment Series 180001; and British Standard, occupational health and safety management systems-Guide 8800), seven main elements were determined for the desired framework, and then, by reviewing literature, factors affecting these main elements were determined. The relative importance of each element and its related factors was calculated at organizational and project levels. The provided framework was then implemented in three construction companies, and results were compared together. Results: The results of the study show that the relative importance of the main elements and their related factors differ between organizational and project levels: leadership and commitment are the most important elements at the organization level, whereas risk assessment and management are most important at the project level. Conclusion: The present study demonstrated that the framework is easy to administer, and by interpreting the results, the main factors leading to the present condition of companies can be determined.

Investigating the Impact of Establishing Integrated Management Systems on Accidents and Safety Performance Indices: A Case Study

  • Laal, Fereydoon;Pouyakian, Mostafa;Madvari, Rohollah F.;Khoshakhlagh, Amir H.;Halvani, Gholam H.
    • Safety and Health at Work
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    • v.10 no.1
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    • pp.54-60
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    • 2019
  • Background: Increasing the establishment of integrated management systems (IMSs) is done with the purpose of leaving traditional management methods and replacing them with modern management methods. Thus, the present study sought to analyze the events and investigate the impact of IMS on health and safety performance indices in an Iranian combined cycle power plants. Methods: This case study was conducted in 2012 in all units of the Yazd Combined Cycle Power Plant on accident victims before and after the implementation of IMS. For data analysis and prediction of indices after the implementation of IMS, descriptive statistics and Kolmogorov-Smirnov test, Chi-square, linear regression, and Cubic tests were conducted using SPSS software. Results: The number of people employed in the power plant in an 8-year period (2004-2011) was 1,189, and 287 cases of work-related accidents were recorded. The highest accident frequency rate and accident severity rate were in 2004 (32.65) and 2008 (209), respectively. Safe T-score reached to below -3 during 2010-2011. In addition, given the regression results, the relation between all predictor variables with outcomes was significant (p < 0.05), except for the variable $X^1$ belonging to the accident severity rate index. Conclusion: The implementation of safety programs especially that of IMS and its annual audits has had a significant impact on reducing accident indices and improving safety within the study period. Accordingly, health and safety management systems are appropriate tools for reducing accident rate, and the use of regression models and accident indices is also a suitable way for monitoring safety performance.

The Simulation and Research of Information for Space Craft(Autonomous Spacecraft Health Monitoring/Data Validation Control Systems)

  • Kim, H;Jhonson, R.;Zalewski, D.;Qu, Z.;Durrance, S.T.;Ham, C.
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.2 no.2
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    • pp.81-89
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    • 2001
  • Space systems are operating in a changing and uncertain space environment and are desired to have autonomous capability for long periods of time without frequent telecommunications from the ground station At the same time. requirements for new set of projects/systems calling for ""autonomous"" operations for long unattended periods of time are emerging. Since, by the nature of space systems, it is desired that they perform their mission flawlessly and also it is of extreme importance to have fault-tolerant sensor/actuator sub-systems for the purpose of validating science measurement data for the mission success. Technology innovations attendant on autonomous data validation and health monitoring are articulated for a growing class of autonomous operations of space systems. The greatest need is on focus research effort to the development of a new class of fault-tolerant space systems such as attitude actuators and sensors as well as validation of measurement data from scientific instruments. The characterization for the next step in evolving the existing control processes to an autonomous posture is to embed intelligence into actively control. modify parameters and select sensor/actuator subsystems based on statistical parameters of the measurement errors in real-time. This research focuses on the identification/demonstration of critical technology innovations that will be applied to Autonomous Spacecraft Health Monitoring/Data Validation Control Systems (ASHMDVCS). Systems (ASHMDVCS).

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Instructional Design for Systems Thinking Education in Health Systems Science (의료시스템과학에서의 시스템사고 교육을 위한 교수설계)

  • Sejin Kim;Sangmi T Lee;Danbi Lee;Bo Young Yoon
    • Korean Medical Education Review
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    • v.25 no.3
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    • pp.212-228
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    • 2023
  • Systems thinking, a linking domain of health systems science (HSS), is an approach that investigates specific problems from a holistic perspective. It supports improving patients' health, fulfilling their health needs, and anticipating issues that threaten patient safety within the healthcare system. It also helps solve problems through critical thinking and ref lection. This study aimed to develop an curriculum on systems thinking, explore the effectiveness of the course, and investigate the applicability of HSS education at individual universities. In this study, the ADDIE (Analysis, Design, Development, Implementation, and Evaluation) model was utilized to design, develop, implement, and evaluate an elective course on systems thinking. In the design process, learning outcomes and goals were developed, and educational content, teaching-learning methods, and student evaluation methods were linked. In the development process, class materials and evaluation materials were prepared. In the implementation process, the course was implemented, and the evaluation process analyzed the results of learning performance and curriculum assessments. The evaluation found the following results. First, the students in the study realized the importance of systems thinking and experienced the need for systems thinking through non-medical and medical situations. Second, the students were very satisfied with the learning activities in the course (mean=4.84), and the results of the self-competence evaluation, conducted before and after the course, also showed a significant improvement. This study confirmed the effectiveness of the elective course, and its results can serve as a reference for developing an HSS curriculum.

Systematizing Information Use to Address Determinants of Health Worker Health in South Africa: A Cross-sectional Mixed Method Study

  • Muzimkhulu Zungu;Annalee Yassi ;Jonathan Ramodike;Kuku Voyi;Karen Lockhart;David Jones;Spo Kgalamono;Nkululeko Thunzi;Jerry Spiegel
    • Safety and Health at Work
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    • v.14 no.4
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    • pp.368-374
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    • 2023
  • Background: Recognizing that access to safe and healthy working conditions is a human right, the World Health Organization (WHO) calls for specific occupational safety and health (OSH) programs for health workers (HWs). The WHO health systems' building blocks, and the International Labour Organization (ILO), highlight the importance of information as part of effective systems. This study examined how OSH stakeholders access, use, and value an occupational health information system (OHIS). Methods: A cross-sectional survey of OSH stakeholders was conducted as part of a larger quasi experimental study in four teaching hospitals. The study hospitals and participants were purposefully selected and data collected using a modified questionnaire with both closed and open-ended questions. Quantitative analysis was conducted and themes identified for qualitative analysis. Ethics approval was provided by the University of Pretoria and University of British Columbia. Results: There were 71 participants comprised of hospital managers, health and safety representatives, trade unions representatives and OSH professionals. At least 42% reported poor accessibility and poor timeliness of OHIS for decision-making. Only 50% had access to computers and 27% reported poor computer skills. When existing, OHIS was poorly organized and needed upgrades, with 85% reporting the need for significant reforms. Only 45% reported use of OHIS for decision-making in their OSH role. Conclusion: Given the gap in access and utilization of information needed to protect worker's rights to a safe and healthy workplace, more attention is warranted to OHIS development and use as well as education and training in South Africa and beyond.

Linux-based ARINC 653 Health Monitor (리눅스 기반 ARINC 653 헬스 모니터)

  • Yoon, Young-Il;Joe, Hyunwoo;Kim, Hyungshin
    • IEMEK Journal of Embedded Systems and Applications
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    • v.9 no.3
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    • pp.183-191
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    • 2014
  • The software running on avionic system is required to be highly reliable and productive. The air transport industry has developed ARINC Specification 653(ARINC653) as a standardized software requirement of avionics computers. The document specifies the interface boundary between avionics application software and the core executive software. Dependability in ARINC 653 is provided by spatial and temporal partitioning whilst fault-tolerance is provided by health monitoring mechanism. Legacy real-time operating systems are used to support ARINC653 health monitor on integrated modular avionics(IMA). However, legacy real-time operating systems are costly and difficult to modify the kernel. In this paper, we suggest a Linux-based ARINC653 health monitor. Functionalities to support ARINC653 health monitor are implemented as a Linux kernel module and its performance is evaluated.

The Health and Occupation Research Network: An Evolving Surveillance System

  • Carder, Melanie;Hussey, Louise;Money, Annemarie;Gittins, Matthew;McNamee, Roseanne;Stocks, Susan Jill;Sen, Dil;Agius, Raymond M.
    • Safety and Health at Work
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    • v.8 no.3
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    • pp.231-236
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    • 2017
  • Vital to the prevention of work-related ill-health (WRIH) is the availability of good quality data regarding WRIH burden and risks. Physician-based surveillance systems such as The Health and Occupation Research (THOR) network in the UK are often established in response to limitations of statutory, compensation-based systems for addressing certain epidemiological aspects of disease surveillance. However, to fulfil their purpose, THOR and others need to have methodologic rigor in capturing and ascertaining cases. This article describes how data collected by THOR and analogous systems can inform WRIH incidence, trends, and other determinants. An overview of the different strands of THOR research is provided, including methodologic advancements facilitated by increased data quantity/quality over time and the value of the research outputs for informing Government and other policy makers. In doing so, the utility of data collected by systems such as THOR to address a wide range of research questions, both in relation to WRIH and to wider issues of public and social health, is demonstrated.

A systems thinking approach to explore the structure of urban walking and health promotion in Seoul (서울시민의 보행과 건강증진에 관한 시스템 사고 기반의 구조 탐색)

  • Kim, Dong Ha;Chung, Chang-Kwon;Lee, Jihyun;Kim, Kwang Kee;JeKarl, Jung;Yoo, Seunghyun
    • Korean Journal of Health Education and Promotion
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    • v.35 no.5
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    • pp.1-16
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    • 2018
  • Objectives: This study aimed to examine systems behavior of urban walking by analyzing a dynamic structure in Seoul, South Korea. Methods: As a systems thinking approach to urban walking and health promotion, we developed a Casual Loop Diagram based on literature review and expert consultation. The reviewed literature included: 1) qualitative studies that explores the experiences of urban walkers in Seoul; 2) a systematic review study on the built environmental factors related to walking; 3) policy research reports related to urban walking in Seoul. Results: The feedback structure for urban walking was related to the three urban environments (safety & walking environment, socioeconomic environment, and public transportation environment), and was characterized by a trade-off consisting of eight reinforcing loops and four balancing loops. Conclusions: The policies for a walkable city require multi-sectoral cooperation in order to change the causal loop structure related to the decline of walking. Therefore, it is necessary to establish legal and institutional conditions so that multi-sectoral and multidisciplinary approaches are possible.

Study on relationship of patients' information need, e-Health system use and outcomes: CHIS system in patients with breast cancer center (환자들의 정보요구가 e-Health 시스템 사용과 성과에 미치는 영향에 관한 연구: 유방암환자대상 수요자의료정보시스템을 중심으로)

  • Lee, Seog-Jun;Park, Sung-Sik;Hahm, Yukeun;Gustafson, D.
    • The Journal of Information Systems
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    • v.22 no.2
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    • pp.105-129
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    • 2013
  • Recently, since the interest with well-being has been getting higher than ever, people want reliable source of information related with health and medical treatment. Because of the characteristics of information related with medical care, there have been difficulties to find the information from books, television and internet surfing, for treating disease. Misinformation that can be obtained when considering dangerous situations or side effects, the role of the e-Health system is becoming more important. The objective of this study is an analysis of correlation and effect among patient's information need, e-Health system use and system outcome. To achieve the object of this study, e-Health system had been given to patients of breast cancer in Wisconsin and Detroit for 16 weeks. As a result, 282 sample was gathered and modified to meet purpose of the study. As a result, the information needs of patients due to the performance of the e-Health systems and shown to affect even the perception of patients' emotional and physical health and social support.