• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.9 no.4
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• pp.9-15
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• 2009

As disease and aging increased on the map of nuclear families, the interests in protecting individual privancy and u-Healthcare has increased as well. Until now, the health management of individual medical institutions have limited their researches on the future of offline diagnostics and treatment works, time and space only to medical services. However, in the future, healthcare through mobile medical devices to real-time online personality, mobility, and bulwark where patients can receive personal health statues anywhere seems inevitable. Therefore, in this paper, the PDA based on the each individual elderly and patients that updates their physical health statues through the signal meter management system can notify both the individual and the hospital when a medical emergency occurs. Additionally, it provides relevant information on the results of measurements monitoring system.

• 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.

• Proceedings of the IEEK Conference
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• 2005.11a
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• pp.493-496
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• 2005

For home healthcare, the unconstrained measurement of physiological signal is highly required to avoid the inconvenience of users. The recording and analysis of the fundamental parameters during sleep like respiration and heart beat provide valuable information on his/her healthcare. Using the air mattress sensor system, the respiration and heart beat movements can be measured without any harness or sensor on the subject's body. The differential measurement technique between two air cells is adopted to enhance the sensitivity. The balancing tube between two air cells is used to increase the robustness against postural changes during the measurement period. The meaningful frequency range could be selected by the pneumatic filter with balancing tube. ECG (Electrocardiography) and respiration sensor (plethysmography) were measured for comparison with the signal from air mattress. To extract the heart beat information from air pressure sensor, digital signal processing technique was used. The accuracy for breathing interval and heart beat monitoring was acceptable. It shows the potentials of air mattress sensor system to be the unconstrained home sleep monitoring system.

• KSII Transactions on Internet and Information Systems (TIIS)
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• v.10 no.3
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• pp.1229-1248
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• 2016

With the feature of convenience and low cost, remote healthcare monitoring (RHM) has been extensively used in modern disease management to improve the quality of life. Due to the privacy of health data, it is of great importance to implement RHM based on a secure and dependable network. However, the network connectivity of existing RHM systems is unreliable in disaster area because of the unforeseeable damage to the communication infrastructure. To design a secure RHM system in disaster area, this paper presents a Secure VANET-Assisted Remote Healthcare Monitoring System (SVC) by utilizing the unique "store-carry-forward" transmission mode of vehicular ad hoc network (VANET). To improve the network performance, the VANET in SVC is designed to be a two-level network consisting of two kinds of vehicles. Specially, an innovative two-level key management model by mixing certificate-based cryptography and ID-based cryptography is customized to manage the trust of vehicles. In addition, the strong privacy of the health information including context privacy is taken into account in our scheme by combining searchable public-key encryption and broadcast techniques. Finally, comprehensive security and performance analysis demonstrate the scheme is secure and efficient.

• 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.

• Journal of information and communication convergence engineering
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• v.9 no.2
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• pp.235-243
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• 2011

With the recent trends and the adaptation of further advancement in personal healthcare system leads to develop some application which can work independent and user can operate that application without much interference of physician or any specialist user. To meet these needs, this paper proposes and implements a progressive architecture for the personal healthcare information system. This new architecture will not only play the role of middleware but also provide a analysis tool to process that different sensor data which is collected from different sensors implemented on patient body and environment. After collecting that data, with the help of various developed applications this data can be convert into useful information which will be stored in application server for further use and research. These features can be enabled by simple and effortless interactions of normal users and act autonomously to support their activities. This proposed personal healthcare architecture will also provide analysis report to the doctors and patient or various users for further instructions. The analysis report consists of healthcare data analysis results and history of patients. We are considering healthcare data like ECG, which is an important aspect for basic healthcare need.

• Journal of Korea Society of Digital Industry and Information Management
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• v.7 no.4
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• pp.15-22
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• 2011

U-Healthcare service is a real-time service using the vital signs which are continuously transferred from monitoring sensors attached to mobile patients under the wireless network environments. It should monitor the health condition of mobile patients everywhere at any time. In this paper, we have improved two features of the three layered mobile patient monitoring system with load balancing ability. First, the simulation process has been improved by allowing the number of related nodes to be changed. Secondly, we have modified S node to which queue is added to reduce the loss rate of collecting data from patients during the delay of S node process. And the data from the patient with high priority can be transferred to the server immediately through the filtering function. Furthermore, we have solved the problem of redundancy in sharing information among S nodes by differentiating process time to each S node. By performing a DEVS Java-based system simulation, we have verified the efficiency of this improved system.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.17 no.6
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• pp.1365-1369
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• 2013

Recently, the Personal Health Device(PHD) that measures various biometric data easily are highlighted for ensuring portability, scalability and interoperability among the device as well as needs for a standardization of managing information measured by. In this paper, we'd like to propose u-healthcare monitoring system that measure biometric data(Oxygen saturation, Body weight, ECG and Blood pressure) by PHD featured with transferring data into devices such as smartphone using Bluetooth Health Device Profile(HDP) based on the ISO/IEEE 11073.

• Journal of Service Research and Studies
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• v.2 no.2
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• pp.45-51
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• 2012

U-healthcare is real-time monitoring of personal biometric information using by portable devices, home network and information and communication technology based healthcare systems, and fused together automatically to overcome the constraints of time and space are connected with hospitals and doctors. As u-healthcare gives health service in anytime and anywhere, it becomes to be a new type of medical services in patients management and disease prevention. In this paper, recent changes in prevention-oriented care is analyzed in becoming early response for Healthcare Information System by requirements analysis for technology development trend. According to the healthcare system, PACS, OCS, EMR and emergency medical system, U-healthcare is presenting the design of a patient-centered integrated client system. As the relationship between the meaning of the terms is used in the ontology, information models in the system is providing a common vocabulary with various levels of formality. In this paper, we propose an ontology-based system for patient-centered services, including the concept of clustering to clustering the data to define the relationship between these ontologies for more systematic data.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.15 no.7
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• pp.1628-1634
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• 2011

With the advancement of ubiquitous computing technology, u-Healthcare (i.e. ubiquitous health care), is regarded as a key application for information society, which provides health management service at anytime in anywhere. To implement U-Healthcare system, it is essential to monitor stable biological information in daily life. In this paper, we proposed a small size, light weight, patch type real time temperature monitoring system based on wireless sensor network (WSN) technology to monitor patients' body temperature without any inconvenience of activity.