• 품질경영학회지
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• 제40권3호
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• pp.381-393
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• 2012

Purpose: Considering various measurements for healthcare service quality, the purpose of this study is to examine measurement items for healthcare service quality (HCSQ) based on previous study and service quality evaluation institutions in the international community. Methods: The proposed research model was tested using measurement analysis, based on data collected from 387 respondents in the selected hospital with more than 500 beds in South Korea. Results: The results of the study shed insights about the relative importance of quality items as degree of improvements of care services tangible, safety, efficiency, and empathy. Also, the study provides new measurement model for healthcare service quality. Conclusion: Healthcare organization thrives to find the key factors for improving quality of care and service that meet customers' needs and expectations.

• 인터넷정보학회논문지
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• 제9권1호
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• pp.91-101
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• 2008

최근 IT, BT, NT 등의 융합과 각 분야에서 혁신적인 기술 발전은 건강하고 윤택한 삶에 대한 욕구와 부합하면서 의료 서비스 분야에서도 의료 장비 및 의료정보 시스템, 의료 비즈니스 애플리케이션 등 관련 기술이 더욱 다양화되고 고도화 되는 양상을 띠게 되었다. 그러나 대부분의 의료 기술은 서로 다른 의료 기관이나 관련 업체 간 상호작용 없이 독립적으로 개발되어 통합 및 호환에 큰 어려움을 겪고 있다. 본 논문에서는 기존의 헬스케어 정보 공유 시스템이 가지고 있는 기능 인터페이스들 간의 직접적인 헬스케어 정보공유 시 발생할 수 있는 문제점을 해결한다. 본 논문은 인터페이스들 사이에 각 기관들의 모든 헬스케어 정보를 저장할 수 있는 저장소를 개발하여 한번 작성된 문서를 여러 형태의 문서로 변환하여 배포한다. 즉, 최근 헬스케어 정보를 공유하기 위한 프로토콜인 HL7을 이용하여 XML로 저장하고, 저장된 문서를 관리 배포하기 위한 저장소(H-DISS: Healthcare-Document Integrated Shoring System)를 개발한다.

• 융합보안논문지
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• 제18권5_1호
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• pp.75-81
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• 2018

근래에 산업이 융합됨에 따라, 산업 간 융합 도구 활용이 조직 내 보안성에 미치는 영향이 증가하고 있다. 그러나, 조직구성원들은 기존의 시스템을 중심으로 비즈니스를 활동하기 때문에 새로운 시스템 도임에 대한 적응력이 부족하고, 이에 따라서, 보안에 대한 고려는 후 순위로 나타날 수 밖에 없는 환경이다. 본 연구에서는 의료융합산업에서 중소형 의료기관을 대상으로 보안 체계를 구축하기 위해 우선적으로 고려해야 할 요소들에 대한 비용 효율적인 선택방안에 대하여 연구하였다. 구체적으로 선행연구들을 통하여 현재의 법제도 체계를 고려하고 보안현황을 분석하였을 때, 중소형 의료기관에서 필요한 보안 솔루션/시스템/체계에 대하여 도출하였다. 그리고, 실제 비즈니스 환경에서 중소형 의료기관 관련자들을 대상으로 비용 효율적으로 보안 체계를 구축하기 위한 상대적 우선순위에 대하여 분석하고 전반적인 보안체계를 구축하기 위한 방안을 제시하였다.

• Journal of information and communication convergence engineering
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• 제10권4호
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• pp.337-342
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• 2012

The medical industries are integrated with information technology with mobile devices and wireless communication. The advent of mobile healthcare systems can benefit patients and hospitals, by not only providing better quality of patient care, but also by reducing administrative and medical costs for both patients and hospitals. Security issues present an interesting research topic in wireless and pervasive healthcare networks. As information technology is developed, many organizations such as government agencies, public institutions, and corporations have employed an information system to enhance the efficiency of their work processes. For the past few years, healthcare organizations throughout the world have been adopting health information systems (HIS) based on the wireless network infrastructure. As a part of the wireless network, a mobile agent has been employed at a large scale in hospitals due to its outstanding mobility. Several vulnerabilities and security requirements related to mobile devices should be considered in implementing mobile services in the hospital environment. Secure authentication and protocols with a mobile agent for applying ubiquitous sensor networks in a healthcare system environment is proposed and analyzed in this paper.

• 의학교육논단
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• 제24권1호
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• pp.35-45
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• 2022

Needs for public healthcare have recently increased. This paper proposes education topics for competency development in public healthcare in line with the needs of the times. In Korea, various lifelong education providers have already provided public health-related education. For example, the Research Institute for Health Policy (RIHP) under the Korean Medical Association provided an "executive course for physicians' public health care competencies" in 2019 and 2020. At the end of the course, the RIHP published a comprehensive report, entitled "Curricular development and evaluation for doctors' public healthcare competencies." This article is based on a summary of that report. To develop a curriculum for public healthcare, the RIHP adopted the following methodologies for a needs analysis; reviewing already-existing education subjects, evaluating end-of-course reports, and conducting in-depth focused group interviews and questionnaire surveys with doctors at public healthcare-related institutions. The results from the needs analysis can be categorized into two domains of education topics for public healthcare. The first domain includes education subjects related to the theory and practice of public healthcare, as follows: a general overview, community or population health, organizational administration, planning and evaluation, budget and finance, responses to disasters such as infectious diseases, health policy, and the legal system. The second domain contained education topics related to general professional competencies: leadership, communication, cooperation, teamwork, and professionalism. In conclusion, the curricular content for public healthcare will be an appropriate combination of competencies specific to public healthcare and core competencies for health professionals.

• 의학교육논단
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• 제24권1호
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• pp.10-17
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• 2022

South Korea is not a wasteland of publicly funded health care-instead, it has a good medical social security system known as the national health insurance (NHI). The NHI of Korea has three unique features; (1) low premiums, low insurance fees, and low coverage; (2) obligatory designation of medical institutions; (3) and allowance of non-benefit services. These features have made hospitals and doctors interested in profit-seeking. However, the commercialization of medical institutions has taken place in both private- and public-established sectors. A basic problem of commercialization is the co-existence of the obligatory designation of medical institutions and non-benefit services. The problem became worse in the Kim Dae-Jung government because it officially permitted non-benefit services. Since 2000, the Korean government has consistently pursued benefit extension policies, but the coverage rates of the NHI have stagnated. In addition, premiums and current medical expenses have markedly increased because policy-makers have emphasized accessibility to the NHI, while ignoring important principles of medical social security such as a needs-based approach and patient-referral system. In order to resolve the commercialization problem, the obligatory designation of medical institutions to the NHI should be changed to a contract system, and non-benefit services should be prohibited at NHI institutions. We must re-establish the patient-referral system via a needs-based approach. We also need to build a primary healthcare system and public health policies. We should make a long-term plan for healthcare reform.

• 한국병원경영학회지
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• 제13권4호
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• pp.101-118
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• 2008

Japanese national health expenditure was 8.0% of GDP in 2004, and it was lower than average of OECD countries. But it has increased rapidly in recent years. Japan has relatively many acute care beds and high-price medical equipments, and the average length of stay is long. Japanese government is trying healthcare reform to contain healthcare expenditure, increase the efficiency of management and improve the quality of healthcare. As healthcare policies for hospitals such as DPC (Diagnosis Procedure Combination) for acute care beds, reduction of long-term care beds, and functional differentiation and liaison among healthcare institutions are implemented, the number of hospitals in financial difficulties is increasing. The serious situation urges hospitals to adapt to changes and search new directions of management. They need to establish and implement appropriate positioning strategy, and increase management efficiencies. Korean healthcare system has similarities with Japanese in many aspects. The recent reform and changes in Japanese healthcare system and hospitals give suggestions to Korean hospitals as to how they can prepare for environmental changes and improve management.

• Asian Journal of Innovation and Policy
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• 제11권1호
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• pp.87-109
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• 2022

The study attempts to examine the system-building activities of scientific institutions in developing the Molecular Diagnostic (MDs) Innovation System in India. Scientific Institutions are the precursor of any technological development with their capabilities in generating new ideas. MDs are advanced and accurate diagnostic technology with considerable scope to serve the diagnostic needs and requirements of the healthcare system. We adopted a System framework and analyzed the development of MDs in terms of the Technological Innovation System (TIS) functions, and the systematic challenges are assessed through the System Failure Framework (SFF). Based on the secondary and primary survey of prominent science base actors, the study finds that the role of government is crucial for facilitating technological development within a science base through the mobilization of resources. In India, the MDs technological development gained significant momentum over the last decade with the development of specialized human resources and dedicated research institutes. However, we do find that the innovative capabilities in attaining need-based TIS are sub-optimal owning to the specific diagnostic needs of highly burdened diseases in the society. The system analysis reveals that the TIS functions are underperforming because of the absence of a well-defined funding mechanism and goal-oriented targeted policy regime of the government. Since MDs have a transformative effect on the present healthcare system, we argue that the government has to address the system-based challenges and issues for developing a need-based technological innovation system for MDs in the country.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제19권4호
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• pp.29-36
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• 2013

Purpose: Currently meaning and the needs of the times for the mental health are extensively changing. Contemporary needs for mental health has led to a change in the mental health policy and mental health facilities. But Change on Most of the mental health facilities have been focused on quantitative increase. So, changes in mental health facilities due to changes in mental health policy are needed for the study. This study investigate to the mental health facility system through this changes. Methods: In order to determine the flow of Mental health policy in Korea the mental health laws and reports were investigated Results: the result of this study can be summarized into two points. Korea's mental health policy has changed from the rehabilitation of the mentally ill to the prophylaxis of all the people. So, mental health facilities are changing form rehabilitation facilities in the private sector to public mental health center. Especially, mental medical institutions and mental health center are changing to requirement for the needs of the times. Mental medical institutions are changing from inpatient to outpatient and mental health center are changing from the rehabilitation of the mentally ill to the prophylaxis of all the people. Implications: Understand the flow of mental health policy, mental health facilities and the corresponding need.

• Journal of Preventive Medicine and Public Health
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• 제45권3호
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• pp.148-155
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• 2012

Since the reformation of the National Health Insurance Act in 2000, the Health Insurance Review and Assessment Service (HIRA) in the Republic of Korea has performed quality assessments for healthcare providers. The HIRA Value Incentive Program (VIP), established in July 2007, provides incentives for excellent-quality institutions and disincentives for poorquality ones. The program is implemented based on data collected between July 2007 and December 2009. The goal of the VIP is to improve the overall quality of care and decrease the quality gaps among healthcare institutions. Thus far, the VIP has targeted acute myocardial infarction (AMI) and Caesarian section (C-section) care. The incentives and disincentives awarded to the hospitals by their composite quality scores of the AMI and C-section scores. The results of the VIP showed continuous and marked improvement in the composite quality scores of the AMI and C-section measures between 2007 and 2010. With the demonstrated success of the VIP project, the Ministry of Health and Welfare expanded the program in 2011 to include general hospitals. The HIRA VIP was deemed applicable to the Korean healthcare system, but before it can be expanded further, the program must overcome several major concerns, as follows: inclusion of resource use measures, rigorous evaluation of impact, application of the VIP to the changing payment system, and expansion of the VIP to primary care clinics.