• 한국병원경영학회지
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• 제spc호
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• pp.51-60
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• 2016

The forms of healthcare service delivery emerges from the interaction between technological progress and institutional changes. Building a healthcare system which enables effective and efficient patient care is a imperative to a sustainable operation of a society. Identifying of a promising medical technologies and diffusing them consists of the basic tasks of a good healthcare system. Inducing of a promising innovation in healthcare and utilization of the innovation requires a deep understanding of healthcare innovation system and delicate governmental intervention to the effective functioning of the system. Therefore, the support for R&D in healthcare field should be given to social and institutional technologies for the better organization of healthcare delivery and consumption system as well as basic and applied medical sciences.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제20권3호
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• pp.17-25
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• 2014

Purpose: Mental health facilities are facing a new social environment. To provide appropriate patient care environment, mental health and mental healthcare is changing the paradigm. In this situation, this study research and analysis mental healthcare service system and mental healthcare facility in Germany. The reason is that Germany has cosistently been building mental healthcare service system and mental healthcare facility for patient. Therefore, it aims to suggest a fundamental resource for amental healthcare service system and mental healthcare facility for mental healtn. Methods: This study was conducted literature researches and field studies. Literature researches for mental healthcare service system and facilities. Field study is to identify the characteristic and configuration of mental healtncare facilities. Results: Findings of this study can be summerrized inth three points. First, In Germany, Mental healthcare facility is critical environment in the community. And, the facilities are being turned into reasonable and alternative environment. Second, Facilities of Mental healthcare and service system designed by various level and configurations that can be providing places for people with mental problems. Third, Mental healthcare facilities consist of healing environment for patient. Implications: The future study on finding of the specific environment planning citeria in mental healthcare facility on the basis of findings of present study.

• 보건행정학회지
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• 제23권4호
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• pp.303-313
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• 2013

During last 65 years, Korea has achieved very rapid economic growth and social reformation including healthcare system. Many foreigners have praised that Korea healthcare system is very good in the respect of ease accessibility to healthcare under the lowest cost among the industrialized countries. Whole population are covered by the National Health Insurance. Also utilizations of healthcare among different income classes are even. However Korea healthcare system faced with several challenges, in terms of the an aging population and a rise in chronic disease problem, new threats of communicable disease due to globalization, the rapid increase of healthcare expenditure and high financial burden of patients even though they are insured. To cope with these challenges, we need reconsider the healthcare system as followings; to set up ideology of healthcare as normative public goods, to rebuild paradigm of healthcare for 21 century, to reform public health for strengthening health promotion, to develop new method for healthcare management including quality improvement and consumer responsiveness, to build new governance for health and to view new perspective on healthcare as a kind of industry.

• 서비스연구
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• 제2권2호
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• pp.45-51
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• 2012

U-Healthcare는 홈 네트워크, 휴대용 장치 등에 기반한 정보통신기술과 의료시스템이 서로 융합되어 개인의 생체정보 등을 실시간으로 모니터링하고, 자동으로 병원 및 의사와 연결되어 시공간의 제약을 줄임으로써 언제 어디서나 건강을 관리하고 질병을 예방하는 새로운 형태의 의료서비스이다. 본 논문에서는 진료 중심에서 예방 중심으로 변화되어가고 있는 최근의 U-Healthcare 시스템의 기술 발전 추세에 맞추어 조기 대응이 가능한 Healthcare 정보시스템 구축을 위한 요구분석 사항들에 대해 정리하고, 이를 기반으로 u-Healthcare의 실현을 위한 기존의 단위 시스템인 PACS, OCS, EMR, 응급의료시스템을 통합한 환자중심의 클라이언트 시스템을 설계한다. 특히, 온톨로지는 특정분야의 정보 모델에 이용되어 그 분야에서 공통의 어휘를 제공하고, 그 용어의 의미와 용어간의 관계를 다양한 수준의 형식성을 가지고 제공한다. 본 논문에서는 이러한 온톨로지 및 무질서한 데이터에 대한 관계를 정의하고, 보다 체계적으로 데이터를 군집화하는 클러스터링의 개념을 포함한 환자중심의 서비스를 위한 온톨로지 기반의 시스템을 제안한다.

• 한국융합학회논문지
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• 제3권2호
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• pp.13-17
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• 2012

현재 u-healthcare서비스가 활발하게 이루어지기 위해서는 통합의료정보시스템이 갖추어져야한다. 또한 통합의료정보시스템이 안전한 환경에서 구현되기 위해서는 인증시스템이 기반이 되어야 한다. 하지만 아직 여러가지 요구사항을 개발하는 단계에 있다. 본 논문에서는 통합의료정보시스템에 한발 나아갈 수 있도록 u-healthcare 서비스를 위한 생체인식 이용 인증시스템을 설계하여 제안하고자 한다.

• 한국정보통신학회논문지
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• 제10권8호
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• pp.1519-1525
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• 2006

의료서비스 분야에서 의료와 컴퓨터 기술을 결합하여 온라인상에서 언제, 어디서나, 휴대 가능한 헬스케어(Healthcare) 장비와 유 무선 인터넷을 통해 실시간으로 환자의 생체정보 데이터를 수집하고, 이를 이용하여 진단 및 응급상황 인지가 가능한 U-헬스케어(Ubiquitous Healthcare) 시스템이 생겨났다. U-헬스케어 시스템은 기존의 의료 환경에서와는 달리, 사용자(환자, 보호자, 의료인등)들은 다양한 의료서비스를 요구하게 되고, 당연히 헬스케어 장비들은 통합된 의료서비스를 제공할 수 있도록 연동되어져야 한다. 본 논문에서 홈 네트워크(Home Network) 환경에서 사용자들의 다양한 요구를 처리하기 위해 분산 객체를 이용한 U-홈 헬스케어 미들웨어를 설계하였고, 다양한 헬스케어 장비들로부터 발생되는 생체 데이터를 통합하기 위한 데이터 변환 객체를 구현하였다.

• 보건행정학회지
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• 제28권3호
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• pp.280-287
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• 2018

There has been much efforts to facilitate healthcare innovation and many desirable outcomes were produced in Korea. However, some structural deficiencies were found. They are misalignment of research and development (R&D) subjects with healthcare system, lack of flexibility of current healthcare system to accommodate the radically innovative products, and lack of cooperation among innovation agent. Some suggestions to correct these deficiencies are discussed. The suggestions are as follows: relating Korean healthcare R&D to healthcare system, enhancement of institutional flexibility to allow innovative application of new technology, improvement of the R&D process, and reexamination of the role of academic medical centers.

• ETRI Journal
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• 제36권5호
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• pp.730-740
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• 2014

The rapid increase in the number of patients with chronic diseases is an important public healthcare issue in many countries, which accelerates many studies on a healthcare system that can, whenever and wherever, extract and process patient data. A patient with a chronic disease conducts self-management in an out-of-hospital environment, particularly in an at-home environment, so it is important to provide integrated and personalized healthcare services for effective care. To help provide effective care for chronic disease patients, we propose a service flow and a new cloud-based personalized healthcare system architecture supporting both at-home and at-hospital environments. The system considers the different characteristics of at-hospital and at-home environments, and it provides various chronic disease care services. A prototype implementation and a predicted cost model are provided to show the effectiveness of the system. The proposed personalized healthcare system can support cost-effective disease care in an at-hospital environment and personalized self-management of chronic disease in an at-home environment.

• 대한전해질대사연구회지
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• 제16권2호
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• pp.27-29
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• 2018

Peritoneal dialysis (PD)-related peritonitis is a major cause of injury and technique failure in patients undergoing PD. Aeromonas hydrophila is ubiquitous in the environment, and is a Gram-negative rod associated with infections in fish and amphibians in most cases; however, it can also cause opportunistic infections in immunocompromised patients. We report a case of A. hydrophila peritonitis in a 56-year-old male on automated PD. Peritonitis may have been caused by contamination of the Set Plus, a component of the automated peritoneal dialysis device. Although Set Plus is disposable, the patient reused the product by cleansing with tap water. He was successfully treated with intraperitoneally-administered ceftazidime and has been well without recurrence for more than 2 years.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제24권2호
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• pp.7-14
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• 2018

Purpose: The outbreak of Middle East Respiratory Syndrome(MERS) in KOREA has brought up the demands for ventilation guideline and regulations for healthcare facilities since most of the infection was spreaded inside healthcare facility. Currently KOREA has no ventilation guideline or regulations covering entire section of healthcare facility. The purpose of this study is to investigate current ventilation methods in KOREA healthcare facilities to in future, propose ventilation guideline. Methods: Research of foreign counties ventilation guideline and regulation for healthcare facilities were conducted for reference. Field investigation with survey of 21 healthcare were conducted to identify the ventilation system and operating methods. Additionally survey for healthcare workers were conducted to observe the recognition related to ventilation system in healthcare facility. Results: The result showed that most of foreign countries ventilation guideline and regulation suggests similar items to reduce the spread of infection and maintain good indoor air quality. The investigation results indicated that fixed guideline for ventilation in healthcare facility were required due to different ventilation operating methods. Survey result of healthcare workers has told us that ventilation guideline and regulation is needed to prevent further infection. Implications: Absence of ventilation guideline and regulations for healthcare facility in KOREA is an urgent issue.