• 한국콘텐츠학회:학술대회논문집
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• 한국콘텐츠학회 2005년도 추계 종합학술대회 논문집
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• pp.275-278
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• 2005

본 논문에서는 유비쿼터스 환경에서 헬스케어를 제공하기 위한 새로운 유비쿼터스 헬스케어 서비스(UHS) 구조에 관해 서술한다. 이 새로운 서비스 구조는 두 가지의 특징을 가지고 있다. 첫 번째로 헬스 케어 서비스 에이젠트(Healthcare Service Agent)에 의한 헬스케어 서비스 요소(Healthcare Service Element) 선택에 관한 헬스케어 서비스 컴포지션(Healthcare Service Composition)과, 두 번째로 유비쿼터스 헬스케어 환경에서 서비스 요소 발견을 위한 새로운 헬스케어 서비스 에이젠트 구조에 관해 서술한다. UHS는 다양한 형태의 헬스케어 서비스 요소를 다루며, 이 헬스케어 서비스 요소는 사용자가 원하는 모든 의료정보에 관한 내용으로 나타낼 수 있다. UHS 기술은 유비쿼터스 컴퓨팅 환경에서 다양한 서비스를 제공할 것이다.

• 대한치과의료관리학회지
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• 제8권1호
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• pp.8-14
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• 2020

To provide high-quality oral health services, the concept of measurable oral health quality must first be defined. Owing to reports of significant preventable adverse events in the healthcare service provision process, the recognition and consensus of patient safety and patient-centered health service provision was formed. Six areas that are important medical care have been identified, including the quality along with existing concepts such as timeliness, effectiveness, equity, and efficiency of medical services. While there is ongoing research on the quality of oral health, there is not yet any internationally accepted definition. The purpose of this study is to introduce the ideas of oral healthcare quality and quality indicators that have been developed and announced in the field of dentistry.

• 융합정보논문지
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• 제7권4호
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• pp.83-89
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• 2017

본 연구의 목적은 간호사가 모바일 기반의 휴먼코칭 헬스케어서비스 제공이 당뇨병 환자의 자가관리 능력에 미치는 영향을 확인하기 위함이다. 당뇨병 진단을 받은 311명을 대상으로 자료를 수집하였으며 수집된 자료는 SPSS Win 23으로 분석하였다. 연구결과, 첫째, 모바일 기반의 휴먼코칭 헬스케어서비스 제공에 의한 혈당계 활용도는 남녀의 차이가 있었고 이는 통계적으로 유의한 차이(${\chi}^2=6.059$, p= .048*)가 있었다. 둘째, 모바일 기반의 휴먼코칭 헬스케어서비스 제공에 의한 혈당계와 활동밴드 활용도는 정적 상관관계가 있었고 통계적으로 유의하였다(r=.660, p<.01). 셋째, 모바일 기반의 휴먼코칭 헬스케어서비스 제공에 의한 혈당계 활용률 추이를 확인한 결과 1주차부터 49주차까지 79%에서 41% 이상으로 유지되었다. 결론적으로, 본 연구에서 모바일 기반의 휴먼코칭 헬스 서비스가 참여자들에게 자기건강관리 능력을 향상에 접근성이 쉽고 비용 효과적인 것으로 일부 확인되었다.

• International Journal of Contents
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• 제12권1호
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• pp.14-24
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• 2016

This study surveyed the variables associated with tailored user interfaces (UIs) to identify and apply to. healthcare web services. A total of 308 elderly people of age 50 and above), living in Incheon, South Korea, were surveyed through one-on-one interviews. The survey results of these 300 subjects were analyzed and used to demonstrate that younger subjects higher EQ-5D and TAM indices. The technology acceptance model showed the greatest effect on the perceived need for web services.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제5권11호
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• pp.2016-2034
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• 2011

Ubiquitous Healthcare (u-Healthcare) is the intelligent delivery of healthcare services to users anytime and anywhere. To provide robust healthcare services, recognition of patient daily life activities is required. Context information in combination with user real-time daily life activities can help in the provision of more personalized services, service suggestions, and changes in system behavior based on user profile for better healthcare services. In this paper, we focus on the intelligent manipulation of activities using the Context-aware Activity Manipulation Engine (CAME) core of the Human Activity Recognition Engine (HARE). The activities are recognized using video-based, wearable sensor-based, and location-based activity recognition engines. An ontology-based activity fusion with subject profile information for personalized system response is achieved. CAME receives real-time low level activities and infers higher level activities, situation analysis, personalized service suggestions, and makes appropriate decisions. A two-phase filtering technique is applied for intelligent processing of information (represented in ontology) and making appropriate decisions based on rules (incorporating expert knowledge). The experimental results for intelligent processing of activity information showed relatively better accuracy. Moreover, CAME is extended with activity filters and T-Box inference that resulted in better accuracy and response time in comparison to initial results of CAME.

• 보건행정학회지
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• 제29권3호
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• pp.248-261
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• 2019

Establishing a healthcare delivery system is key to building a cost-effective healthcare system that can prevent the waste of healthcare resources and increase efficiency. Recently, the rapid increase in the national medical expenditures due to the aging of the population and the increase in chronic diseases has raised the question about the sustainability of the healthcare system including the health insurance system. This is why we need to reform the medical delivery system, including the function setting of medical institutions. Accordingly, gradual and practical efforts based on the recognition of reality are needed for solving the problems and improving the medical delivery system. The first effort is to secure policy measures to establish functions and roles of medical institutions which are the basis of the healthcare delivery system, and a systematic medical use system for appropriate medical use. This approach can be achieved through a reasonable health insurance schemes. Without reasonable reform efforts, it will be difficult for Korea's health care system to develop into a system that can provide cost-effective and high-quality medical services that the people want.

• 동서간호학연구지
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• 제26권1호
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• pp.28-38
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• 2020

Purpose: The aim of this study was to provide information on the extent and variations of elderly residents' nursing care needs, and provision of nursing care across long term care facilities. Methods: A nationwide survey was conducted on nurse managers from 1,041 long term care facilities, by e-mail or fax, from August 16 to September 30 in 2017. A self-reported questionnaire consisting of 5 domains was used to collect data. Results: Facilities with more than 30 residents were more likely to need skilled nursing services and to obtain the nursing staff such as a registered nurse and a nurse's aide. Awareness and satisfaction of hospital-based home nursing care was high in all facilities. In addition, there are some differences in nurse managers' perceptions of the level of healthcare resources and required action by facility size. Nurse managers of senior congregate housings were more likely to have considerable difficulty in dealing with healthcare needs of residents and recognizing the healthcare resource shortage. A majority of nurse managers agreed on the need to employ a registered nurse. Conclusion: This study confirmed that it is essential to increase nurse staffing level and to reform the long term care insurance for enhancing the accessibility of healthcare services, especially for the residents in small long term care facilities. There is also a need to provide diverse education and training opportunities for nursing staff working in long term care facilities.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제6권4호
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• pp.1090-1105
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• 2012

A multi-modal sensing M2M healthcare monitoring system for the continuous monitoring of patients under their natural physiological states or elderly persons with chronic diseases is summarized. The system is designed for homecare or the monitoring of the elderly who live in country side or small rest home without enough support from caregivers or doctors, instead of patient monitoring in big hospital environment. Further insights into the natural cause and progression of diseases are afforded by context-aware sensing, which includes the use of accelerometers to monitor patient activities, or by location-aware indoor tracking based on ultrasonic and RF sensing. Moreover, indoor location tracking provides information about the location of patients in their physical environment and helps the caregiver in the provision of appropriate support.

• 한국정보처리학회:학술대회논문집
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• 한국정보처리학회 2014년도 추계학술발표대회
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• pp.137-139
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• 2014

Objective: Data exchange, interoperability, and access as a service in healthcare information management systems (HIMS) is the basic need to provision health-services. Data existing in various HIMS not only differ in the basic underlying structure but also in data processing systems. Data interoperability can only be achieved when following a common structure or standard which is shareable such as semantics based structures. We propose web-enabler: A Hadoop MapReduce based distributed approach to transform the existing huge variety data in variety formats to a conformed and flexible ontological format that enables easy access to data, sharing, and providing various healthcare services. Results: For proof of concept, we present a case study of general patient record in conventional system to be enabled for analysis on the web by transforming to semantics based structure. Conclusion: This work achieves transformation of stale as well as future data to be web-enabled and easily available for analytics in healthcare systems.

• Journal of Preventive Medicine and Public Health
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• 제54권2호
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• pp.129-136
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• 2021

Objectives: This study examined demographic factors hampering access to healthcare at hospitals and suggests policy approaches to improve healthcare management in Thailand. Methods: The data for the study were drawn from a health and welfare survey conducted by the National Statistical Office of Thailand in 2017. The population-based health and welfare survey was systematically carried out by skilled interviewers, who polled 21 519 384 individuals. The independent variables related to demographic data (age, sex, religion, marital status, education, occupation, and area of residence), chronic diseases, and health insurance coverage. The dependent variable was the degree of access to healthcare. Multiple logistic regression analysis was subsequently performed on the variables found to be significant in the univariate analysis. Results: Only 2.5% of the population did not visit a hospital when necessary for outpatient-department treatment, hospitalization, or the provision of oral care. The primary reasons people gave for not availing themselves of the services offered by government hospitals when they were ill were-in descending order of frequency-insufficient time to seek care, long hospital queues, travel inconvenience, a lack of hospital beds, unavailability of a dentist, not having someone to accompany them, and being unable to pay for the transportation costs. Multiple logistic regression analysis showed that failure to access the health services provided at hospitals was associated with demographic, educational, occupational, health welfare, and geographic factors. Conclusions: Accessibility depends not only on health and welfare benefit coverage, but also on socioeconomic factors and the degree of convenience associated with visiting a hospital.