• Asian Pacific Journal of Cancer Prevention
• /
• v.14 no.3
• /
• pp.1707-1713
• /
• 2013

Background: This study aimed to better understand the barriers to perinatal hepatitis B prevention and to identify the reasons for poor hepatitis B knowledge and delivery of education to hepatitis B surface-antigen-positive pregnant women among healthcare providers in Santa Clara County, California. Materials and Methods: Qualitative interviews were conducted with 16 obstetricians and 17 perinatal nurses in Santa Clara County, California, which has one of the largest populations in the United States at high risk for perinatal hepatitis B transmission. Results: Most providers displayed a lack of self-efficacy attributed to insufficient hepatitis B training and education. They felt discouraged from counseling and educating their patients because of a lack of resources and discouraging patient attitudes such as stigma and apathy. Providers called for institutional changes from the government, hospitals, and nonprofit organizations to improve care for patients with chronic hepatitis B. Conclusions: Early and continuing provider training, increased public awareness, and development of comprehensive resources and new programs may contribute to reducing the barriers for health care professionals to provide counseling and education to pregnant patients with chronic hepatitis B infection.

• The Korean Society of Law and Medicine
• /
• v.12 no.2
• /
• pp.163-187
• /
• 2011

On March 11, 2011, the Korea National Assembly finally passed the bill on the Damage Relief on the Medical Malpractice and Mediation for Medical Dispute. One of the features of this Act is including "The Subrogation Payment System for Damage (abbreviated SPSD)". This System is that 'Korean Medical Dispute Mediation-Arbitration Board' pays the damages, instead of the health care provider, for the patient who isn't paid damages by the health care provider despite of the Mediation or ruling. The purpose of this study is to search the problems and make improvement on SPSD. This System was introduced extreamly to the patients in order to induce them to the mediation. However,there remains several problems. In this articles, I have examined thoroughly the legal issues on SPSD. There are legal issues about the methods and ratio of the financial burden. In this connection, wide discretionary authority has been granted to administrative agencies specifically. On this account, this System clearly contains elements of a violation against the Constitutional Law. Moreover, this System can be broadly applied to the case of court ruling or the Korea Consumer Agency's mediation. But these measures go against the aim of legislation that the medical dispute can be resolved through the mediation or arbitration by this Act. In the end, these problems must be revised through the additional discussion.

• Journal of the Korea Institute of Information Security & Cryptology
• /
• v.26 no.6
• /
• pp.1551-1560
• /
• 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.

• Journal of Preventive Medicine and Public Health
• /
• v.55 no.1
• /
• pp.49-59
• /
• 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.

• The Journal of the Institute of Internet, Broadcasting and Communication
• /
• v.16 no.4
• /
• pp.139-145
• /
• 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.

• Research in Community and Public Health Nursing
• /
• v.21 no.4
• /
• pp.398-408
• /
• 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.

• Korean Journal of Clinical Laboratory Science
• /
• v.44 no.4
• /
• pp.178-183
• /
• 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.

• Journal of the Korea Society of Computer and Information
• /
• v.12 no.4
• /
• pp.103-110
• /
• 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.

• Journal of Physiology & Pathology in Korean Medicine
• /
• v.32 no.2
• /
• pp.134-140
• /
• 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.

• Journal of the Korea Institute of Information Security & Cryptology
• /
• v.25 no.5
• /
• pp.1187-1199
• /
• 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.