• Quality Improvement in Health Care
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• v.11 no.1
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• pp.46-60
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• 2004

Background : Recently, we have experienced various changes in the healthcare environment. Healthcare organizations are facing a financial crisis due to more competitive relationships among themselves as well with low health insurance fees. The purposes of the current study were: (1) to develop a data warehouse-based system for evaluating and monitoring the case management activities, and (2) to measure and analyze its effects. Methods : In order to collect the data for the study, the database on discharged patients was utilized at a university hospital located in Seoul from June 1, 2002 through December 31, 2002. Initially, a data warehouse was built for the case management system. The case management activities were analyzed using structured methodology to establish the case management system. Results : The findings of this study were as follows: (1) A case management system was developed to make it possible to monitor of healthcare quality and resource utilization. The Case management System included monitoring functions regarding utilization reviews, critical pathways, and clinical indicators. (2) Utilizing the case management system, unplanned readmissions were documented among total discharged patients during two months from November 1, 2002 through December 31, 2002. The unplanned readmission rate was 2.3%(276 patients) in total of 11,960 discharged patients. Among them 81 patients(0.7% of total discharges, 29.3% of unplanned readmission) were readmitted to the same physician in charge under the same diagnosis. No significant differences were found in the demographic variables such as gender and age among the patients. (3) After implementing the case management system, 2.9% of average length of stay reduced. Applying cost-benefit analysis, the 2.9% reduction of length of stay represents net profit of ${\backslash}$ 279,592,000 in the year of 2004. In addition, applying value acceleration analysis, cumulative net benefit of ${\backslash}$ 1,481,000,000 was expected by the year of 2007. Also we were able to expect ${\backslash}$ 247,800,000 of cumulative benefit for the prospective 5 years in value linkage analysis. It represents average ${\backslash}$ 787,700,000 of pure net benefit a year. Conclusion : The value of present study would be not only implementing the knowledge management system into the existing case management activities, but also evaluating its effects and estimating its financial benefits. This study suggested that the case management system would be a supportive tool for monitoring and improving the quality of healthcare, and a cost-effective tool for increment of healthcare organization's financial benefit.

• Journal of Digital Convergence
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• v.11 no.5
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• pp.347-354
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• 2013

In contrast to the increase in demand for high quality healthcare, there is limited medical human resources such as doctors and nurses so an excessive amount of workload is being forced to them. Therefore, a patient monitoring system using USN(Ubiquitous Sensor Network) is becoming a solution. This paper proposes a patient monitoring system applying USN in maternity hospital to reduce the workload of nurses. According to the efficiency evaluation test based on the model of two university hospitals(S, K University Hospital) and their doctor's diagnosis, the results showed that under the circumstances that one nurse is in charge of 12 patients(6 normal delivery patients and 6 cesarean delivery patients), a total of 1,260 minutes of workload was saved during hospitalization period(5 days). Also, we compared the workload of nurses with or without our proposed system, and the figures showed that in case of normal delivery patients, the workload of nurses decreased by 50 minutes per patient, whereas in case of cesarean delivery patients, the workload of nurses decreased by 130 minutes per patient.

• International journal of advanced smart convergence
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• v.6 no.2
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• pp.72-81
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• 2017

The developments in mobile technology and the increase in the production of smartphones have led to the growth of the mobile healthcare market. Moreover, the number of mobile healthcare apps is on the rise, and users are benefiting from using healthcare, exercise tracking, and body monitoring apps, as well as they have been searching for health information through mobile health apps. This paper evaluated the usability of a symptom checker application that provides information on diseases, treatment methods, and related hospitals through self-diagnosis of symptoms. Symptom checkers are currently being developed, and are widely used overseas. This paper sought to evaluate the usability of a symptom checker app, and suggested ways to introduce enhancements.

• The Journal of the Korea Contents Association
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• v.11 no.8
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• pp.14-22
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• 2011

It is important for the strategy of service to provide the health information in the environment that the healthcare has been changed focusing on the preventive medicine. Recently, the various applications of u-healthcare have been presented by researchers. In this paper, we proposed the health information monitoring system using the context sensors based band. By wearing the proposed hand, the health status is gathered and vital signals are transmitted to the connected UMPC. It can be easily monitored according to the user locations in real time. To provide the health index according to the temperature, the air conditioning, the illumination, the humidity, and the ultraviolet rays, we use the various XML links extracted from RSS of the Korea Meteorological Administration. The health information is analyzed in terms of factors, such as, the asthma index, the stroke index, the skin disease index, the pulmonary disease index, the pollen concentration index, and the city high temperature index. Ultimately, this paper suggests empirical application to verify the adequacy and the validity with the proposed system. Accordingly, the satisfaction and the quality of services will be improved the healthcare.

• Korean Journal of Clinical Pharmacy
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• v.31 no.2
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• pp.104-114
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• 2021

Objective: To explore the perception of drug utilization review (DUR) system and DUR modernization pilot project among healthcare professionals and patients. Methods: We conducted 8 times of focus group interviews (FGI) between August 1, 2019 to December 31, 2019. The healthcare professionals and patients who participated in the DUR modernization pilot project were included in the present study. Based on the type of project participation or medical institution, the participants were divided into the following four groups: group 1, hospital; group 2, clinic; group 3, pharmacy; and group 4, patient. Within each group, interviews were conducted under a pre-defined agenda to identify the implicit perceptions of the participants; the contents of the interviews were, then, categorized. Results: Healthcare professionals established a consensus on the positive aspects of the DUR system and DUR modernization pilot project. However, substantial concerns remain, such as additional workload associated with monitoring adverse events or acquiring consents from patients. Furthermore, a difference of opinion over the DUR convenience system was observed. Among 3 DUR convenience system, the personal medication history review service was highly utilized, but pop-up hold function and communication system was rarely used. Conclusion: We observed that systematic intervention using the DUR system is effective for both healthcare providers and consumers. Adverse events caused by inappropriate drug use can be prevented by continuous patient monitoring. Therefore, the role of DUR system needs to be expanded to establish a safe drug management system.

• The Magazine of the IEIE
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• v.32 no.12
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• pp.38-46
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• 2005

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2008.05a
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• pp.249-252
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• 2008

A wearable ubiquitous health care monitoring system using integrated ECG and accelerometersensors based on WSN is designed and developed. Wireless sensor network technology is applied for non intrusive healthcare in some wide area coverage with small battery support for RF transmission. We developed wearable devices which are wearable USN node, sensor board and base-station. Low power operating ECG and accelerometer sensor board was integrated to wearable USN node for user's health monitoring. The wearable ubiquitous healthcare monitoring system allows physiological data to be transmitted in wireless sensor network from on body wearable sensor devices to a base-station connected to server PC using IEEE 802.15.4. Physiological data displays and stores on server PC continuously.

• KIPS Transactions on Computer and Communication Systems
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• v.6 no.4
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• pp.197-202
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• 2017

The remote healthcare monitoring system enables a doctor to diagnose and monitor patient's health problem from a distance. Previous researches have focused on key establishment method between a patient and a particular doctor to solve personal health information disclosure problem in data transmission process. However, when considering a misdiagnosis of doctor, the result of a diagnosis by a many doctors is more reliable. In previous work, in order to select multiple doctors, patient should generate shared key for each chosen doctor and perform many times encryptions. Therefore, in this paper, we propose a secure data transmission protocol for receiving diagnosis from multiple doctors using identity-based proxy re-encryption scheme. In proposed protocol, a patient don't need key management work for session key. Also, monitoring server performs re-encryption process on behalf of patient. So, we can reduce computational burden of patient in previous work.

• Journal of Biomedical Engineering Research
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• v.41 no.1
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• pp.55-61
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• 2020

Recently, there have been many research on fever management using u-healthcare technology. Especially, fever of infants requires continuous monitoring of body temperature by parents. For infants between 4 weeks and under 5 years old, it is recommended to use an electronic thermometer or chemical thermometer in the axilla, or to use an infrared thermometer. However, in order to overcome the reality of not being able to waste significant time on continuous monitoring, there have been demands of patch type thermometers with the internet of things (IoT) and wireless communication technologies. Existing IoT thermometers are difficult to attach to infants' body because they do not take into account its size, and their interoperability is not guaranteed because they do not comply with standards in communication. Therefore, in this study, a patch-type thermometer with a diameter of 20 mm and a weight of 2.9 g was developed to manage the fever of infants, while it communicates wirelessly with Bluetooth Low Energy (BLE) communication protocol and complies with IEEE 11073 PHD(Personal Health Device) at the same time. We verified its performance under the requirements of thermometers regulated by the Korean Ministry of Food and Drug Safety.

• Journal of Information Processing Systems
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• v.5 no.2
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• pp.77-86
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• 2009

In this paper, we propose a framework for the real-time monitoring of wireless biosensors. This is a scalable platform that requires minimum human interaction during set-up and monitoring. Its main components include a biosensor, a smart gateway to automatically set up the body area network, a mechanism for delivering data to an Internet monitoring server, and automatic data collection, profiling and feature extraction from bio-potentials. Such a system could increase the quality of life and significantly lower healthcare costs for everyone in general, and for the elderly and those with disabilities in particular.