• 식품보건융합연구
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• 제8권6호
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• pp.19-29
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• 2022

Business intelligence (BI) is a process for turning data into insights that inform an organization's strategic and tactical decisions. BI aims to give decision-makers the information they need to make better decisions Patient safety analysis, illness surveillance, and fraud identification are just a few healthcare decision-making processes that can be supported by data mining. Thus, the purpose of the current research is to outline the need if BI as an essential factor in the healthcare sector by reviewing various scholarly materials and the findings. The present author conducted one of the most famous qualitative literature approach which has been called as PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) statement. The selecting criteria for eligible prior studies were estimated by whether studies are suitable for the current research, identifying they are peer-reviewed and issued by notable publishers between 2017 and 2022. According to the result based on the PRISMA analysis, BI plays a vital role in the healthcare sector and there are four business intelligence factors (Data, Analytic, Reporting, and Visualization) that will ensure that the healthcare sector provides the right healthcare services to the customers to be addressed in this section include; data, analytics, reporting, and visualization.

• 인터넷정보학회논문지
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• 제11권3호
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• pp.65-74
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• 2010

유비쿼터스 헬스케어에서 지능형 의사결정지원 및 빠른 진단결과를 제공하기 위한 자동진단은 일반적으로 에이전트 시스템에 의해 수행된다. 본 연구에서는 이동에이전트기술을 사용하여 저 부하 노드에 효율적으로 프로세스를 이주시켜 부하를 분산시키도록 유비쿼터스 헬스케어시스템을 설계하였다. 또한 실시간 자동진단시스템을 지원하는 이동에이전트 중심의 유비쿼터스 헬스케어 기술을 위한 프레임워크를 제시하며, 효율적인 자원활용을 고려하여, 노드들 내에 있는 프로세스의 부하분산을 위한 균형화된 클러스터링을 제안한다. 제안한 알고리즘은 시스템의 부하분산이 최소화될 때까지 과부하된 노드를 선택하여 프로세스를 가까운 노드에 이주시킨다. 제안한 균형화 클러스터링은, 가까운 노드에 이주시킴으로써 메시지오버헤드를 감안할 때, 효율적으로 프로세스를 모든 노드에 분산시킨다.

• 한국지능시스템학회논문지
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• 제23권5호
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• pp.400-405
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• 2013

The purpose of this study is to develop a composite platform for knowledge extractions, visualizations, and inference. Generally, the big data sets were frequently used in the healthcare and medical area. To help the knowledge managers/users working in the field, this study is focused on knowledge management (KM) based on Data Mining (DM), Knowledge Distribution Map (KDM), Decision Tree (DT), RDBMS, and SQL-inference. The proposed mechanism is composed of five key processes. Firstly, in Knowledge Parsing, it extracts logical rules from a big data set by using DM technology. Then it transforms the rules into RDB tables. Secondly, through Knowledge Maintenance, it refines and manages the knowledge to be ready for the computing of knowledge distributions. Thirdly, in Knowledge Distribution process, we can see the knowledge distributions by using the DT mechanism.Fourthly, in Knowledge Hierarchy, the platform shows the hierarchy of the knowledge. Finally, in Inference, it deduce the conclusions by using the given facts and data.This approach presents the advantages of diversity in knowledge representations and inference to improve the quality of computer-based medical diagnosis.

• 간호행정학회지
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• 제23권2호
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• pp.111-117
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• 2017

Getting evidence in to practice tends to focus on strategies, theories and studies that aim to close the gap between research knowledge and clinical practice. The evidence to practice gap is more about systems than individual clinician decision making. The absence of evidence for administration and management in the organization of healthcare is persistent. Teaching nurses and providing evidence as the solution to evidence-based healthcare is no longer axiomatic. Previous studies have concluded that unit level strategies integrate multi-professional teams with organizational needs and priorities. This 'best fit' approach that characterizes how healthcare is structured and delivered. The published literature shows that increased readiness for change is aligned with integrated approaches informed by conceptual models. The Joanna Briggs Collaboration is the largest global collaboration to integrate evidence within a theory informed model that brings together academic centres, hospitals and health systems for evidence synthesis, transfer and implementation. The best approaches to implementation are tailored to local culture and context, benchmark against international evidence, combine a theory informed model and stakeholder perspectives to improve the structure and processes of health care policy and practice.

• Tuberculosis and Respiratory Diseases
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• 제78권3호
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• pp.175-179
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• 2015

The intensive care unit (ICU) is the most common place to die. Also, ethical conflicts among stakeholders occur frequently in the ICU. Thus, ICU clinicians should be competent in all aspects for ethical decision-making. Major sources of conflicts are behavioral issues, such as verbal abuse or poor communication between physicians and nurses, and end-of-life care issues including a lack of respect for the patient's autonomy. The ethical conflicts are significantly associated with the job strain and burn-out syndrome of healthcare workers, and consequently, may threaten the quality of care. To improve the quality of care, handling ethical conflicts properly is emerging as a vital and more comprehensive area. The ICU physicians themselves need to be more sensitive to behavioral conflicts and enable shared decision making in end-of-life care. At the same time, the institutions and administrators should develop their processes to find and resolve common ethical problems in their ICUs.

• 보건의료기술평가
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• 제6권2호
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• pp.81-87
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• 2018

With the recent change of healthcare environment including rapid technological development, evidences are more and more important and necessary to support relevant policies in health technology assessment to provide safe and effective health services, utilizing medical resources efficiently. Despite of the emphasis on the importance of real world data and real world evidence in health care research, current infrastructure supporting clinical research is considerably weak due to absence of legal and institutional basis. However, in accordance with the Article 26 of the Health and Medical Technology Promotion Act, there is a limited legal apparatus that can be used only in public data with other dataset for the purpose of healthcare technology assessment at the National Evidence-based Collaborating Agency. Although the use of linked data from various sources was often required in the field of clinical research, it was not yet working well due to insufficient environmental conditions. In order to support the decision-making of medical practice and health care policies, data-linking platform for clinical research is needed. If the legal system that can link up to the data of the private institutions without violating the significant value such as the protection of private informations is established, it will be a decisive foundation reinforcing the researches and policy making processes for the improvement of the national health care system.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제17권4호
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• pp.7-14
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• 2011

This paper is intended to suggest some reference materials for future elderly housing design, especially smart home, in Korea, by reviewing the elements and applications of smart home concept for older adults in USA. Research method includes collecting materials by attending the regular SmartHome$^{(R)}$ part meeting, the navigation of related homepages, and the analysis of collected materials. Current researches in Korea look initial stage and show some general principles without practical concept & technologies of elderly facilities. SeniorSmart$^{(R)}$ Center in USA started on August 2007 with the 3 parts of SmartHOME$^{(R)}$, SmartWHEELS$^{(R)}$ and SmartBRAIN$^{(R)}$. The Center has been doing various multidisciplinary research projects but slowing down the planned processes due to national economic recession. The major researches of SmartHome$^{(R)}$ part can be summarized as follows; CS-PFP( Continuous Scale Physical Function Performance) laboratory is being in operation to help older adults and families make the difficult decision regarding the ability and safety to live independently. Three levels of necessary laboratories from uninhabited space to senior living environment were accommodated for field research. As core technologies of SmartHome$^{(R)}$, predicting & warning system of fall risk on recognizing gait signature patterns to identify any deviation from the normal patterns of the older adults, home monitoring system which will send alerts to a specified relative and/or health care professional when vital signs of the older adults will not be within normal parameters, and Mobility & Research Clinic for evaluating, treating the older adults & multidisciplinary research are under development. SmartHome$^{(R)}$ has made collaborative research agreements for field laboratory with various retirement communities and also is continuing to work for experimental software engineering with the Fraunhofer Institute, Germany.

• 재활치료과학
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• 제12권4호
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• pp.9-22
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• 2023

라이프스타일-형성 모델(Lifestyle-DEPER [Decision, Execution, Personal Factor, Environment, Resources])은 라이프스타일이 어떻게 형성되는지를 설명해 준다. 라이프스타일은 결정, 실행, 습관화 단계를 거쳐 형성된다. 결정 단계는 무엇을 할 것인가를 결정하는 단계이고, 실행 단계는 실제로 활동과 작업을 수행하는 단계이다. 두 단계가 지속적으로 반복되는 것을 습관화라고 한다. 라이프스타일 형성 단계에 영향을 주는 요소들은 환경, 자원, 개인적 요소로 구분된다. 환경은 우리 주변을 둘러싸고 있는 것으로 사회적 환경, 물리적 환경, 문화적 환경, 가상적 환경이 포함된다. 자원은 개인이 가지고 있는 것으로 건강적 자원, 시간적 자원, 경제적 자원, 사회적 자원 등으로 분류된다. 개인적 요소는 역량, 욕구, 가치가 포함된다. 역량은 할 수 있는 능력, 욕구는 현재 상태와 원하는 상태의 차이, 가치는 개인이 중요하다고 생각되는 것을 뜻한다. 라이프스타일의 형성 단계에서 환경, 자원, 개인적 요소는 각 단계별로 서로간에 영향을 준다. 이러한 전반적 과정을 흔드는 것을 사건이라고 하며, 개인적 사회적 사건을 모두 포함한다. 건강과 관련된 라이프스타일 요소는 신체활동, 식습관, 사회관계, 활동 참여이며, 이것들이 라이프스타일 중재의 목표이다. Lifestyle-DEPER 모델을 기반으로 한 중재 전략 KEEP (지식, 경험, 평가, 계획[Knowledge, Evaluation, Experience, Plan])은 라이프스타일 형성 단계와 영향 요소들을 다면적으로 고려한 건강을 위한 중재 전략이다. 본 문헌을 통해 Lifestyle-DEPER 모델을 소개하고, 건강을 위한 라이프스타일 중재 전략(KEEP)을 제시하였다. 추후 연구를 통해 Lifestyle-DEPER 모델과 KEEP 전략은 타당성과 적용 가능성에 대한 검증이 필요할 것으로 사료된다.

• 한국전자거래학회지
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• 제25권1호
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• pp.109-121
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• 2020

본 연구의 목적은 미세먼지를 줄이고 국민 삶의 질을 개선하기 위해 정부와 지방자치단체간의 역할분담과 협업을 하는 정책수립과정에서 도입하려는 정책의 우선순위를 도출하는 것이다. 심각한 미세먼지 문제는 건강뿐만 아니라 경제 특히 상거래에도 많은 영향을 미치고 있으나, 아직 미세먼지 저감 정책 선정에 관한 연구는 많지 않은 실정이다. 본 연구에서는 환경부와 지자체의 환경정책전문가, 학계 및 환경업계 전문가 25명을 대상으로 AHP 방법론을 사용하여 조사 및 분석하였다. 상위계층은 교통, 생산시설, 생활환경 및 도시계획 관리 분야의 4개로 나누고 각 분야는 다시 3개씩 세분화하여 12개의 정책을 선별하였고, 생산업의 대기오염 감축 의무화 및 공장가동 중단이 가장 우선시되는 정책으로 분석되었다. 본 연구결과는 향후 미세먼지와 관련된 정책 수립 시 가이드라인으로 활용할 수 있다.

• 보건행정학회지
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• 제23권1호
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• pp.3-18
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• 2013

This paper investigates the possibility of expanding pay-for-performance (P4P) program as a provider payment system, in terms of financial, economical, and political sustainability. In order to expand the sustainable P4P, P4P should have usefulness in terms of economic value as well as efficiency in the financial aspects of health care. More importantly, the P4P would be politically sustainable only when both providers and consumers can accept. Korea's healthcare system seems to have logical ground for the P4P program financially and economically. However, how well the P4P can work remains to be proven in its implementation. After 43 tertiary hospitals applied the P4P program for acute myocardial infarction (AMI) and C-section in 2007, the number of hospitals adopting the P4P program for AMI and C-section has increased to 316 in 2011, and an incentive for hospitals applying the P4P has risen to 2% from 1% of health insurance benefits. This shows that the P4P program introduced by Health Insurance Review and Assessment Service is quite successful. In addition, people are aware of the need for improved P4P program and policy alternatives have been already made. Therefore, it is very important to come up with politically supportable strategies that can make providers and consumers accept the P4P program while maintaining the governance of the existing health insurance policy. To this end, there are some tasks to be considered. First, the expansion of the P4P program should be placed on the agenda of the Health Insurance Policy Review Committee, the highest decision-making body, and a separate agency for P4P planning should be established. Second, for more efficient P4P program, the processes of review and assessment, currently carried out separately, should be integrated into a single process. Third, infrastructure to measure the quality of medical services should be sharply expanded. Fourth, the current paradigm for the assessment should be changed. Lastly, a P4P program for consumers should be considered. Given that the consumers in Korea can use medical services freely, the National Health Insurance Corporation could initiate the P4P program for consumers as a means of controlling excessive use of medical services and adjusting consumer's moral hazard.