• 보건행정학회지
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• 제2권2호
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• pp.1-32
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• 1992

The Canadian experience-universal government health insurance administeredby the ten provinces and two territories with some fiscal and policy variations-suggests the possibility of more effectve and efficient health care delivery system. The central purpose of the Canadian health in surance was to reduce and hopefully eliminate financial barriers to medical care. In this it succeeded. But it also produced varous kinds of unexpected side-effects on cost and quality. The Federal and Provincial Governments of Canada continue to exert theri efforts to ameliorate these problems. The lesson from Canada is that the health care revenue should be raised at the national level and managed at the regional level, and the regional healthcare financing organization has to take over the functions of the public health center. These alternatives is expected to make the Korean health care delivery system more efective and efficient, and to achieve health for all. This paper also discussed the policy agenda for implementing such alternatives in Korea.

• 전자통신동향분석
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• 제34권1호
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• pp.86-97
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• 2019

Over the past 30 years, significant developments have been made in hyperspectral imaging (HSI) technologies that can provide end users with rich spectral, spatial, and temporal information. Owing to the advances in miniaturization, cost reduction, real-time processing, and analytical methods, HSI technologies have a wide range of applications from remote-sensing to healthcare, military, and the environment. In this study, we focus on the latest trends of HSI technologies, analytical methods, and their applications. In particular, improved machine learning techniques, such as deep learning, allows the full use of HSI technologies in classification, clustering, and spectral mixture algorithms. Finally, we describe the status of HSI technology development for skin diagnostics.

• International Journal of Computer Science & Network Security
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• 제21권2호
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• pp.221-228
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• 2021

Recent improvements on the quality, fidelity and availability of biometric data have led to effective human physical activity detection (HPAD) in real time which adds significant value to applications such as human behavior identification, healthcare monitoring, and user authentication. Current approaches usually use machine-learning techniques for human physical activity recognition based on the data collected from wearable accelerometer sensor from a single wearable smart device on the user. However, collecting data from a single wearable smart device may not provide the complete user activity data as it is usually attached to only single part of the user's body. In addition, in case of the absence of the single sensor, then no data can be collected. Hence, in this paper, a continuous HPAD will be presented to effectively perform user activity detection with mobile service infrastructure using multiple wearable smart devices, namely smartphone and smartwatch placed in various locations on user's body for more accurate HPAD. A case study on a comprehensive dataset of classified human physical activities with our HAPD approach shows substantial improvement in HPAD accuracy.

• 센서학회지
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• 제32권1호
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• pp.1-9
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• 2023

Recently, the digital healthcare technologies including non-invasive diagnostics based on Internet of Things (IOT) are getting attention. Human exhaled breath contains a variety of volatile organic compounds (VOCs), which can provide information of malfunctions of the body and presence of a specific disease. Detection of VOCs in exhaled breath using gas sensors are easy to use, safe, and cost-effective. However, accurate diagnosis of diseases is challenging because changes in concentration of VOCs are extremely small and lots of body factors directly or indirectly influence to the conditions. To overcome the limitations, highly selective nanosensors and artificial intelligent electronic nose (E-nose) systems have been mainly researched in recent decades. This review provides brief reviews of the recent studies for diabetes and lung cancer diagnosis using nanosensors and E-nose systems.

• 국제학술발표논문집
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• The 9th International Conference on Construction Engineering and Project Management
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• pp.188-195
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• 2022

Although issuing change orders is a common practice in the construction phase of any project, non-structural utility subcontractors are struggling and seek to find a way to reduce change orders. Therefore, this paper presents the analysis results on change orders to cultivate possible suggestions and solutions on how to reduce or minimize change orders in mechanical, electrical, and plumbing (MEP) works. Change orders in non-structural utility works are analyzed based on six categories such as rerouting and change of location, changes in weight, rejected design by Office of Statewide Health Planning and Development, District Structural Engineer, or the Structural Engineer of Record, unforeseen conditions, changed equipment, and owner-initiated change. The analysis findings showed that rerouting and changing location is the most significant cause, followed by unforeseen conditions. The results not only contribute to the existing body of knowledge on change order research area, but also help MEP contractors reduce the time and cost of change orders.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제17권1호
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• pp.16-30
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• 2023

The elderly population is increasing owing to a low fertility rate and an aging population. In addition, life expectancy is increasing, and the advancement of medicine has increased the importance of health to most people. Therefore, government and companies are developing and supporting smart healthcare, which is a health-related product or industry, and providing related services. Moreover, with the development of the Internet, many people are managing their health through online searches. The most convenient way to achieve such management is by consuming nutritional supplements or seasonal foods to prevent a nutrient deficiency. However, before implementing such methods, knowing the nutrient status of the individual is difficult, and even if a test method is developed, the cost of the test will be a burden. To solve this problem, we developed a questionnaire related to nutrient classification twice, based upon which an adaptive algorithm was designed. This algorithm was designed as a machine learning based algorithm for nutrient classification and its accuracy was much better than the other machine learning algorithm.

• 보건행정학회지
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• 제27권4호
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• pp.359-365
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• 2017

Background: Computed tomography (CT) is one of the most efficient diagnostic methods for stroke patients. The number of CT scanners in South Korea, however, is higher than in other countries, and may cause the overuse of this tool in healthcare. We aim to study the relationship between using CT and various patient and hospital characteristics among patients with cerebral infarction. Methods: We analyzed nationwide health insurance claims data for patients due to cerebral infarction during the second half of 2013 for up to 3 months. We performed multilevel analysis, including both inpatient and hospital-level variables, to determine how factors affect CT spending and utilization. Results: The data used in our study consisted of 17,046 hospitalizations at 583 hospitals. Inpatients who visited more than one hospital had higher CT utilization numbers and cost (number: ${\geq}3$: ${\beta}$ hospitals, 2.27; p < 0.05; 2 hospitals: ${\beta}$, 0.70; p < 0.05; cost: ${\geq}3$ hospitals: ${\beta}$, 251,108; p < 0.05; 2 hospitals: ${\beta}$, 77,299; p < 0.05). People who visited a general hospital had higher numbers and cost of CT utilization than people who visited a smaller hospital. Conclusion: Increased sharing of records and improved continuity of care between hospitals are needed to help curb the overuse of CT.

• 한국융합학회논문지
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• 제11권11호
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• pp.147-154
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• 2020

이 연구의 목적은 부모와 관련된 배경적 요인, 목적, 기대 및 가치가 자녀지원행위에 미치는 영향을 분석하는 것이다. 이를 위해 가구소득, 자녀의 성취수준, 부모의 스포츠양육 목적, 성취기대, 과제가치 변인에 따른 부모지원비용, 부모지원시간의 영향관계를 단순회귀분석, 위계적 회귀분석을 통해 분석하였다. 연구 결과, 가구소득과 정체성 목적은 자녀지원시간에 유의한 영향을 미치고, 가구소득은 자녀지원비용에 유의한 영향을 미치는 것으로 나타났다. 성취기대는 가구소득의 자녀지원비용에 대한 정적인 조절효과를 나타냈고, 유용성 가치는 소득, 관계적 목적의 자녀지원비용에 대한 정적인 조절효과를 나타냈다. 이 연구는 엘리트스포츠에서 부모의 자녀지원행위를 이해하기 위한 정량적 근거를 제공했다는 의의가 있다.

• Journal of Preventive Medicine and Public Health
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• 제42권4호
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• pp.243-250
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• 2009

Objectives : The purposes of this study is to estimate the cost of cancer care after its diagnosis and to identify factors that can influence the cost of cancer care. Methods : The study subjects were patients with an initial diagnosis one of four selected tumors and had their first two-years of cancer care at a national cancer center. The data were obtained from medical records and patient surveys. We classified cancer care costs into medical and nonmedical costs, and each cost was analyzed for burden type, medical service, and cancer stage according to cancer types. Factors affecting cancer care costs for the initial phase included demographic variables, socioeconomic status and clinical variables. Results : Cancer care costs for the initial year following diagnosis were higher than the costs for the following successive year after diagnosis. Lung cancer (25,648,000 won) had higher costs than the other three cancer types. Of the total costs, patent burden was more than 50% and medical costs accounted for more than 60%. Inpatient costs accounted for more than 60% of the medical costs for stomach and liver cancer in the initial phase. Care for latestage cancer was more expensive than care for early-stage cancer. Nonmedical costs were estimated to be between 4,500,000 to 6,000,000 won with expenses for the caregiver being the highest. The factors affecting cancer care costs were treatment type and cancer stage. Conclusions : The cancer care costs after diagnosis are substantial and vary by cancer site, cancer stage and treatment type. It is useful for policy makers and researchers to identify tumor-specific medical and nonmedical costs. The effort to reduce cancer costs and early detection for cancer can reduce the burden to society and improve quality of life for the cancer patients.

• 한국콘텐츠학회논문지
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• 제13권9호
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• pp.322-333
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• 2013

외국인 환자 유치 활동을 통해 내원한 외국인 환자들의 데이터를 바탕으로 그들의 특성을 조사, 분석하여 차후 국가별 마케팅 전략 수립 시 필요한 근거자료로 사용하기 위하여 최근 3년 동안 W척추전문병원에 내원한 외국인 환자의 만족도를 연구하였다. 2010년부터 2011년 사이에 91명의 입원환자를 대상으로 조사를 실시하였다. 환자들은 국적에 따라 방문동기, 의료 및 의료외 서비스에 대한 이용 양태와 만족도에 차이가 있었다. 이 연구는 사회인구학적 특성, 방문목적, 한국 체류일, 총 한국 방문횟수, 동반자, 치료 계획 여부, W병원 선택이유, 의료비용, 총 한국 체류비용 등을 분석하였다. 분석결과, 한국을 더 많이 방문한 환자들, 한국 방문 이전에 치료계획을 세운 방문자들, 진료비가 적정했다고 생각하는 환자들의 만족도가 높았다. 외국인 환자를 더 많이 유치하기 위해서는 의료팸투어1, 진료비의 투명화, 의료서비스 수준의 향상과 더불어 척추전문병원의 육성이 필요한 것으로 분석되었다.