• 한국콘텐츠학회논문지
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• 제15권9호
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• pp.541-554
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• 2015

본 논문에서는 첫째, 스마트헬스케어서비스(Smart Health Care Services)의 수용의도에 영향을 미치는 요인들을 규명하였고, 둘째 스마트헬스케어서비스의 수용의도에 대한 영향요인들의 영향력이 의료인과 비의료인에 따라서 어떻게 달라지는지 살펴보았다. 연구모형의 독립변수로는 개인혁신성, 자기효능감, 촉진조건, 보안성을 적용하였으며, 매개변수로는 인지된 용이성과 유용성을, 종속변수로는 수용의도, 조절변수로는 사용자유형(의료인 vs. 비의료인)을 적용하여 연구가설을 수립하여 데이터를 수집하고 분석하였다. 분석결과, 스마트헬스케어서비스 사용자들의 자기효능감은 인지된 용이성과 유용성에 유의한 영향을 미쳤으며, 그 영향력은 의료인과 비의료인 사이에 유의한 차이가 없었다. 스마트헬스케어서비스에 대한 촉진조건은 인지된 용이성과 유용성에 유의한 영향을 미쳤으며, 용이성의 경우 그 영향력은 비의료인이 더 민감하였다. 스마트헬스케어서비스의 보안성은 인지된 용이성에 유의한 영향을 미쳤으며, 그 영향력은 의료인이 더 민감하였다. 스마트헬스케어서비스의 용이성과 유용성은 각각 수용의도에 유의한 영향을 미쳤으며, 용이성의 영향력은 비의료인이 더 민감하였고 유용성은 의료인이 더 민감하였다.

• 한국병원경영학회지
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• 제8권2호
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• pp.111-129
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• 2003

This study discusses the direction of legislation to strengthen the legal protection of medical records privacy in information age. The legislation trends on privacy protection of medical records in European Union and United States are analysed and the current law and regulation of Korea on medical records are compared. The issues discussed include the ownership of medical records, the patient's right of access to medical records, medical information publication for other than treatment or insurance processing use, confidentiality responsibility of provider organizations, medical information management in provider organizations, penalty for the unlawful use of patient information. This study concludes that the patients' right on medical record and provider organization's responsibility in processing patient information should be strengthened in order to protect patients' privacy and to conform to the international standard on medical record protection in the information age.

• Tuberculosis and Respiratory Diseases
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• 제79권3호
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• pp.127-133
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• 2016

Tuberculosis (TB) is one of the most important occupational risks for healthcare workers (HCWs) in South Korea. Many policies regarding the control and prevention of TB in healthcare settings recommend that HCWs are tested for latent tuberculosis infection (LTBI) in addition to active TB. Moreover, the Korean Tuberculosis Prevention Act also recommends that HCWs receive regular testing for LTBI. However, there are no specific or detailed guidelines for dealing with LTBI in HCWs. Herein, we discuss the diagnosis and treatment of LTBI in HCWs and focus particularly on the baseline screening of hired HCWs, routine follow-up, and contact investigation.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제23권6호
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• pp.548-557
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• 2020

Purpose: To better understand the benefits and harms of engagement with online pediatric liver disease communities within social media. Methods: We conducted a survey of caregivers of children with liver disease participating in online pediatric liver disease communities within social media, as well as a survey of healthcare providers (e.g., physicians, surgeons, nurse coordinators) from this field to better understand the perceived benefits and harms of participation. Results: Among 138 caregivers of children with liver disease that completed the survey, 97.8% agreed social media was a good place to learn about patient experiences and 88% agreed it was a good source of general information. Among caregivers, 84.8% agreed social media helps them to better advocate for their child. While 18% agreed that the information over social media was equal to the information from their healthcare team and 19% neither agreed/disagreed, only 3% indicated they would use this information to change care without telling their provider; in contrast, among 217 healthcare providers, 55% believed social media may lead caregivers to change management without telling their team. Conclusion: Engagement with online disease-specific communities in social media yields several benefits for caregivers and, in contrast to healthcare providers' concerns, participation is unlikely to lead to problems including caregivers changing the treatment plan without first discussing these plans with their team. Openness between caregivers and medical teams about the role for social media can help to improve trust and maximize the potential benefits of engagement with these groups.

• 한국컴퓨터정보학회논문지
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• 제16권3호
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• pp.9-15
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• 2011

u-healthcare 시스템은 센서 네트워크로부터 수집된 대량의 생체신호를 신속히 처리 분석하여 의료진에게 전달함으로써 시간과 장소에 관계없이 환자에게 적절한 의료 서비스를 제공할 수 있다. 현존하는 u-healthcare 시스템들은 단지 환자의 건강 상태만을 모니터링 한다. 본 논문에서는 무선 센서네트워크에 기반한 u-health 모니터링의 프로토타입을 구현하고 검증하였다. 이 시스템은 수집된 생체 신호를 신속히 분석하여 의학적으로 의미 있는 결과를 도출하는 것이 용이하다. 이 모니터링 시스템은 피검자의 이상 데이터 수집 시에만 서비스 제공자에게 데이터를 전송한다. 이러한 방법은 모니터링부와 서비스 제공자사이의 무선 데이터 패킷의 부하를 줄일 수 있다. 실시간 생체 신호 모니터링 시스템을 구현함으로 유-헬스 서비스가 가능하게 되고 의료서비스의 효율성을 향상시킨다.

• 대한간호학회지
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• 제48권6호
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• pp.731-742
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• 2018

Purpose: The purpose of this study was to test a hypothesis explaining direct and indirect relationships among the factors affecting self-care behaviors of kidney transplant patients, based on self-determination theory. Methods: Data were collected from 222 outpatients with kidney transplantation. The endogenous and exogenous variables of the hypothetical model consisted of healthcare provider's autonomy support, duration after kidney transplantation, basic psychological need satisfaction, autonomous and controlled motivation, depression, and self-care behaviors. Collected data were analyzed using SPSS/WIN 24.0 and AMOS 24.0. Results: The hypothetical model demonstrated a good fit: RMSEA=.06, SRMR=.04, TLI=.94, CFI=.97. Statistically significant explanatory variables for the self-care behaviors of kidney transplant patients were duration after transplantation and basic psychological need satisfaction. Healthcare provider's autonomy support was indirectly significant, while autonomous motivation, controlled motivation and depression were not statistically significant for self-care behaviors. The variables accounted for 59.5% of the self-care behaviors of kidney transplant patients. Conclusion: It is necessary to develop an autonomy support program for healthcare providers to enhance the self-care behaviors of kidney transplant patients. Preventing the deterioration of self-care behaviors will be possible by conducting this program at one year and six years post-transplantation. In addition, the results suggest the need to developing personalized autonomy support programs for healthcare providers that can meet the basic psychological need satisfaction of kidney transplant patients.

• 의료법학
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• 제10권1호
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• pp.171-211
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• 2009

Because Korea has the excellent informational technology, it was expected to be able to improve the accessibility to healthcare and compete with other nations in excellence through u-Healthcare. But we can't complete the excellent u-Healthcare because of the law to be able to use only the tele-counselling between doctor to doctor or doctor to nurse. First of all, we must complete the law to be able to use the improved u-Health containing of telemedicine between doctor to patient. Though other factors, the procurement of safe IT, the credibility to healthcare service provider containing of nutritionist and occupational therapist etc. are prepared for erecting u-Healthcare, we can get the final and decisive u-Health policy only by means of Law for supporting u-Healthcare's Activation. The important sections of Law for supporting u-Healthcare's Activation are as follows. Sec. 4 The Minister for Health, Welfare and Family Affairs and the dean of associated administrative division have to erect the combined plan for u-Healthcare's Activation. Sec. 11 Government and local autonomous entity can support the facility and equipment to be necessitated for using u-Healthcare to improve the medical accessibility of person in the region with poor medicine. Sec. 13 Doctor can support other doctor's medical action through IT and if there are not medical risk, doctor can give medical act directly to the special patients. Sec. 21 If pharmaceuticals is necessitated in u-Healthcare, remote doctor has to send the patient the electronic prescription and the pharmaceutist to receive the electronic prescription has to delivery the pharmaceuticals in accordance with patient's demand.

• 정보처리학회논문지D
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• 제15D권3호
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• pp.411-420
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• 2008

본 논문에서는 헬스케어 홈 서비스를 위해 가정 내에 설치된 센서/기기로부터 수집된 위치, 건강 그리고 쾌적환경 정보를 이용하여 유비쿼터스 헬스케어를 지원하는 u-헬스케어 상황정보 시스템(HCIS)을 구현했다. HCIS는 분산자원의 맞춤형 관리모델인 분산객체그룹프레임워크(DOGF)를 기반으로 헬스케어 홈 환경에서 다양한 상황정보, 응용 그리고 장치들을 논리적인 하나 또는 그 이상의 단위로 그룹화하고 관리한다. 또한 본 시스템은 DOGF의 구성요소인 모바일프락시와 컨텍스트제공자를 통해 가정 내 거주자의 위치를 기반으로 연속적인 헬스케어용 멀티미디어 서비스를 지원하고, 거주자에게 필요한 상황정보를 제공한다. 본 시스템의 수행성을 검증하기 위해 홈 내에서 제공되는 헬스케어 응용으로 거주자 위치기반의 끊임없는 멀티미디어 서비스와 처방 주의 및 스케줄 알림/알람 서비스를 구현했다. 그리고 시나리오에 따라 거주자가 위치한 영역의 서비스 장치를 통해 헬스케어 홈 서비스의 수행결과를 보였다.

• 한국병원경영학회지
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• 제15권1호
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• pp.93-111
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• 2010

This research is studied for investigative purposes of preparation status for healthcare telematics service enforcement via making an analysis of understanding & expectation effect about healthcare telematics introduction. The study is investigated with two groups, professional medical persons (doctors, nurses, pharmacists) and medical demanders (customers), to analyze the recognition difference between two groups. Questions are carried in face to face interviews by using structured questionnaire & Delphi technique. The survey result shows medical demander's expectation level is higher than the other's at all items such as social changes, medical service provider, medical service users, national and government agencies, medical system suppliers.

• 유통과학연구
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• 제19권2호
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• pp.5-14
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• 2021

Purpose: We examined informational justice, cognitive trust, and satisfaction in healthcare distribution market and their associations within the physician-patient (provider-purchaser) relationship. Methodology: 253 valid survey samples collected from patients and used structural equation modelling for analysis. Findings: We postulated that (1) physicians' informational justice has a positive impact on patients' cognitive trust, (2) patients' cognitive trust has a positive impact on satisfaction, and (3) patients' perceived informational justice has a positive impact on satisfaction. Participants were 253 people who had visited a hospital in South Korea in the past year. Results confirmed that the presence of informational justice has a positive impact on patients' cognitive trust and satisfaction in the physician-patient relationship. Additionally, once cognitive trust was built, it positively influenced patients' satisfaction. We discussed the concept and the impacts of informational justice in light of our analyses regarding patients' perceived cognitive trust and their satisfaction in the physician-patient relationship. Implications: These results emphasize the importance of ethics in healthcare, particularly physicians' frankness and honesty when providing information to patients. Further, these findings present implications for physician education, as part of their training must involve building their patients' cognitive trust as a prerequisite for developing patient satisfaction.