• Title/Summary/Keyword: Healthcare provider

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An Improved Anonymous Authentication Scheme for Remote Health Monitoring System (원격 건강정보 모니터링 시스템을 위한 개선된 익명인증 기법)

  • Park, Youngho;Noh, Si-Wan;Rhee, Kyung-Hyune
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.26 no.6
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    • pp.1551-1560
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    • 2016
  • With the advancement of wearable devices and wireless body are networks, smart healthcare systems based on such technologies have been emerging to effectively monitor patient health and disease progression. In order to implement viable smart healthcare systems, the security and privacy of patient's personal health information must be considered. Yang et al. proposed a privacy-preserving authentication scheme using key-insulation technique for remote health monitoring system, however, key-insulation technique is not properly adapted to their scheme which in turn causes a security pitfall contrary to their assertions. Besides, Yang et al.'s scheme does not guarantee user anonymity against healthcare service provider. Therefore, in this paper, we discuss the security concerns for Yang et al.'s scheme and present an improved anonymous authentication scheme.

A Regionalization Model to Increase Equity of Access to Maternal and Neonatal Care Services in Iran

  • Daniali, Zahra Mohammadi;Sepehri, Mohammad Mehdi;Sobhani, Farzad Movahedi;Heidarzadeh, Mohammad
    • Journal of Preventive Medicine and Public Health
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    • v.55 no.1
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    • pp.49-59
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    • 2022
  • Objectives: Access to maternal and neonatal care services (MNCS) is an important goal of health policy in developing countries. In this study, we proposed a 3-level hierarchical location-allocation model to maximize the coverage of MNCS providers in Iran. Methods: First, the necessary criteria for designing an MNCS network were explored. Birth data, including gestational age and birth weight, were collected from the data bank of the Iranian Maternal and Neonatal Network national registry based on 3 service levels (I, II, and III). Vehicular travel times between the points of demand and MNCS providers were considered. Alternative MNCS were mapped in some cities to reduce access difficulties. Results: It was found that 130, 121, and 86 MNCS providers were needed to respond to level I, II, and III demands, respectively, in 373 cities. Service level III was not available in 39 cities within the determined travel time, which led to an increased average travel time of 173 minutes to the nearest MNCS provider. Conclusions: This study revealed inequalities in the distribution of MNCS providers. Management of the distribution of MNCS providers can be used to enhance spatial access to health services and reduce the risk of neonatal mortality and morbidity. This method may provide a sustainable healthcare solution at the policy and decision-making level for regional, or even universal, healthcare networks.

Design of a Data Grid Model between TOS and HL7 FHIR Service for the Retrieval of Personalized Health Resources (개인화된 건강 자원 조회를 위한 TOS 와 HL7 FHIR 서비스간의 데이터그리드 모델 설계)

  • Jeon, Young-Jun;Im, Seok-Jin;Hwang, Hee-Joung
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.16 no.4
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    • pp.139-145
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    • 2016
  • On the ICT healing platform designed to issue early disease alerts, TOS connected between the provider of personal health-related data and the service provider and relayed personalized health data. In the previous study, TOS proposed how to monitor the retrieval and management of document/measurement resources by taking mobile devices into account. Recently the healthcare field, however, defined the standard items needed for communication and data exchanges with a mobile device through HL7 FHIR. This study designed a data grid model between TOS and FHIR to provide personal health resources relayed through TOS in FHIR bundle search sets. The proposed design was organized as follows: first, it stated similarities between the method of TOS resource request and that of FHIR observation request. Then, it designed an eventbus module to process a retrieval request for FHIR service based on the imdb and cluster technologies. The proposed design can be used to expand the old service terminals of ICT healing platform to mobile health devices capable of using FHIR resources.

Self Role Perception of Health Teachers in Elementary Schools (초등학교 보건교사의 자기 역할 인식)

  • Lee, Jeong-Hee;Lee, Byoung-Sook
    • Research in Community and Public Health Nursing
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    • v.21 no.4
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    • pp.398-408
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    • 2010
  • Purpose: The purpose of this study was to describe and understand elementary school health teachers' role perception in their own perspectives. Methods: Data were collected from three focus groups composed of five participants for each group. Each focus group had an interview for two and a half hours on the average. The main question was "What is your perception on the roles of health teachers in elementary schools?" Qualitative data from transcribed notes and field notes were analyzed using qualitative content analysis. Results: Five main roles were identified from the participants. The participants perceived themselves as 'an expert of health education in school and community', 'a health service provider for school members', 'a health guardian for school members, the coordinator of healthcare related works in school, and the leader of school health. Conclusion: The participants have multiple role identities, which are very important for health management of school members. And the roles such as an expert of health education and a leader for school health are recently emphasized. The findings of this study can provide useful information to design orientation programs for newly appointed health teachers and continuing education programs for enhancing role performance of health teachers in elementary schools.

Study on the Latest Trends of u-Health and Relations of Medical Technologist

  • Sung, Hyun-Ho;An, Yong-Ho;Lee, Dong-Beom;Kim, Sang-Won;Park, Chang-Eun
    • Korean Journal of Clinical Laboratory Science
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    • v.44 no.4
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    • pp.178-183
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    • 2012
  • We investigated the latest trend of u-Health and relations with clinical technologist. Since 2000, Korea has become an aging society. Korea will become an aged society by 2018, and it is expected to enter the ultra-high aged society by 2026. Increase in over 65 years population means that the desire of medical service and care demand for the elderly is greatly required. In addition, many predicted Korean national health insurance would falter financially. Medical suppression policies and regulations are also amended continuously. U-Health based on the IT industry and development of related technologies and industries contains the variety concepts of telemedicine, telehealth, e-health, u-healthcare and POCT. Especially, the use of POCT supplied quick clinical examination is extending steadily in medical center and hospital, which will generate the field friction between nurses and medical technologists. In the transition situation from provider-centric service to consumer-driven health care system, this study recommended the principal role and correspondence of clinical laboratory workers and offered information about changes in healthcare market and the basic concept of expert system, measurement and the diagnosis principle to clinical technicians throughout the investigation of the recent research and government policy trends.

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A Study on the Demand for Ubiquitous Computing Services (유비쿼터스 서비스 수요에 관한 연구)

  • KIm, Ji-Soo;Kim, Jong-Myoung;Lee, Tae-Soo
    • Journal of the Korea Society of Computer and Information
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    • v.12 no.4
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    • pp.103-110
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    • 2007
  • Ubiquitous computing is a vogue word, and its service is very popular in Korea. However, present ubiquitous service(u-Service) is thought to be more oriented to the provider's point of view, not the consumer's. To complement this problem, an online survey was performed for internet users, which consists of 24 single choice questions on six fields such as transportation, healthcare, environment/city-management, culture/education, administration, and industry. 2463 people joined the survey, who were grouped according to their age, resident region, level of education, and sex. Each group's demand for specific field of u-Service was examined. General level of demand was higher in case of the elderly and male than the younger and female for overall u-Service.

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Survey on the Satisfaction and Demand of Healthcare Providers who Participated in a Collaborative First-stage Pilot Project between Korean Medicine and Western Medicine (의·한의 협진 1단계 시범 사업 참여 의료인 대상 만족도 및 요구도 조사)

  • Lee, Hye Yoon;Lee, Dong Hyo;Lee, Go Eun;Kim, Jeong Hun;Kim, Hyun Min;Kim, Nam Kwen
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.32 no.2
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    • pp.134-140
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    • 2018
  • This study aims to evaluate healthcare providers' satisfaction and demands pertaining to the collaborative first-stage pilot project between Korean medicine and Western medicine. This survey was conducted via electronic mail among 33 healthcare providers participating in the pilot project. Likert type 5-point scale or Likert type 7-point scale was used to evaluate each item. The response of '${\geq}4$' on the 5-point scale, and '${\geq}5$' on the 7-point scale were analyzed as positive answers. A total of 27 healthcare providers (81.8%) responded, of which 9 were western medical doctors (33.3%) and 18 were Korean medical doctors (66.7%). In respect to satisfaction of the pilot project, 88.9% gave positive responses on improved patients' convenience, 59.3% on treatment efficiency and 55.6% on diagnosis efficiency. In terms of self-evaluation on the pilot project, 70.4% gave positive answers on changes in quality of collaborative treatment, 74.1% on cooperation of results, 63.0% on cooperation of structure and 51.9% on cooperation of process. In terms of demand for collaborative treatment or the pilot project, 'standardized manual' and 'simplification of administrative procedures' showed highest demand, resulting up to 88.9%, followed by 85.2% demanding more public relations and 63.9% demanding enlargement of participating hospitals. This survey revealed that healthcare providers are generally satisfied with patients' convenience and treatment effects. Further studies are needed to develop a standardized manual, simplified administrative procedures, and expanded pilot project contents.

Privacy-Preserving Outlier Detection in Healthcare Services (IoT환경에서 프라이버시를 보장하는 의료데이터 이상치 탐색 기법)

  • Lee, Bo Young;Choi, Wonsuk;Lee, Dong Hoon
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.25 no.5
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    • pp.1187-1199
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    • 2015
  • Recently, as high-quality sensors are being developed, it is available to conveniently measure any kind of data. Healthcare services are being combined with Internet of things (IoTs). And applications that use user's data which are remotely measured, such as heart rate, blood oxygen level, temperature are emerging. The typical example is applications that find ideal spouse by using a user's genetic information, or indicate the presence or absence of a disease. Such information is closely related to the user's privacy, so biometric information must be protected. That is, service provider must provide the service while preserving user's privacy. In this paper, we propose a scheme which enables privacy-preserving outlier detection in Healthcare Service.

Determinants of Adherence to Diabetes Screening in Iranian Adults With a Positive Family History of Diabetes

  • Malih, Narges;Sohrabi, Mohammad-Reza;Abadi, Alireza;Arshi, Shahnam
    • Journal of Preventive Medicine and Public Health
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    • v.54 no.3
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    • pp.190-198
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    • 2021
  • Objectives: Insufficient evidence exists regarding factors that affect screening adherence among people with a family history of diabetes, who comprise roughly half of all patients with diabetes. Therefore, we aimed to identify the determinants of diabetes screening adherence in adults with a family history of diabetes who had not yet been diagnosed with diabetes. Methods: This cross-sectional study was conducted at selected urban primary healthcare facilities in Tehran, Iran. The study population was clinically non-diabetic adults above 20 years of age with a family history of diabetes in at least 1 first-degree relative. All eligible people identified on randomly-selected days of the month were invited to join the study. Results: Among 408 participants, 128 (31.4%) had received a fasting blood glucose check during the last year. Using binary logistic regression, the independent predictors of screening adherence were knowledge of adverse effects of diabetes such as sexual disorders (odds ratio [OR], 3.05) and renal failure (OR, 2.73), the impact of family members' advice on receiving diabetes screening (OR, 2.03), recommendation from a healthcare provider to have a fasting blood glucose check (OR, 2.61), and intention to have a fasting blood glucose check within the next 6 months (OR, 2.85). Other variables that predicted screening adherence were age (OR, 1.05), job (being a housekeeper; OR, 3.39), and having a college degree (OR, 3.55). Conclusions: Knowledge of the adverse effects of diabetes, physicians' and healthcare providers' advice about the benefits of early disease detection, and family members' advice were independent predictors of screening adherence.

Design Concept Value Competitive Research Between Service Provider and Service Receiver (수면무호흡 환자의 양압기 제품서비스디자인 개발에 대한 서비스 제공자와 수혜자가 느끼는 디자인 컨셉 가치 비교연구)

  • Lee, Sung Pil;Jung, Ju Young;Lee, Sang Ki;Hong, Jung Pyo
    • Journal of Service Research and Studies
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    • v.7 no.4
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    • pp.39-50
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    • 2017
  • As a comparative study on the value of design concept between service provider (Developer) and service receiver (Customer) group, the aims of this study was to present a service model focused on Continuous positive airway pressure (CPAP) based on U-health care and user environment. Double Diamond-based methods led to a case study that conducted jointly by the department of otolaryngology in U hospital, Ulsan. By targeted on Sleep Apnea patients from the stage of diagnosis to CPAP treatment, variety of meaningful experiences have been extracted and classified into several types of customers. In the final analysis of the 13 service scenario models, Kano Satisfaction and Potential Customer Satisfaction Improvement Index (PCSI) were conducted with the customers, yet Score Model and Concept Position were evaluated by the service provider groups who engaged in development services. The results of this study showed that 7 items in the total of 12 items reached a consensus of viewpoint on value between service receiver and service provider, which the attributes of the service model are based on user environment. Whereas the other 5 items showed the divergent viewpoint on value which included the attributes of U-healthcare service model.