• 보건행정학회지
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• 제22권4호
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• pp.703-710
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• 2012

Purpose : The aim of this study is to review the current status of healthcare provision and its human resources administrative management and propose a coordinated human resource management plan for the more efficient operations of healthcare organizations. Methods : We reviewed the literature and held discussions with officials from the United States Department of Health and Human Services to survey United States Public Health Service Commissioned Corps operations. In addition, we surveyed the literature to analyze the current structure and responsibilities of governing bodies involved in public healthcare in Korea. Results : In Korea, there are several administrative offices involved in public health: the Ministry of Health and Welfare, the Ministry of Defense, the Environment Ministry and others. Since these diverse agencies don't integrate their operations, it is difficult to grasp their management of both public healthcare services and their personnel. A potential model is the United States Public Health Service Commissioned Corps, a sub-group of the Department of Health and Human Services and an elite team of highly qualified, public health professionals, which coordinates and manages the overall work and personnel of diverse healthcare organizations. Conclusion : We suggest the establishment of a federal level, public health administrative department of human resource management to centralize and coordinate the existing, disparate healthcare administrative agencies.

• 한국정보전자통신기술학회논문지
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• 제15권2호
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• pp.134-143
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• 2022

디지털 헬스케어를 이끄는 핵심 요소는 '데이터'이다. 헬스케어 데이터는 대부분 정보주체의 개인정보이며, 데이터 특성상 민감정보를 포함한다. 기업은 데이터 수집 및 이용, 제공, 파기되는 라이프사이클 동안 데이터를 준법하고 안전하게 활용하는 것이 매우 중요하지만, 헬스케어 서비스 산업의 78%를 차지하는 중소·벤처·스타트업은 개인정보보호 관련 업무를 수행하는데 어려움을 겪고 있었다. 개인정보를 이용하는 목적에 따라 개인정보보호법에서 요구하는 사항이 다르고, 개인정보 라이프사이클 시점마다 요구하는 사항들도 다양하므로, 데이터 활용 시 법적·기술적 측면에서 충분히 고려되어야 한다. 이에 본 연구에서는 기업이 헬스케어 데이터를 활용하는 목적을 여섯 가지로 제시하고, 개인정보가 수집되어 파기되는 라이프사이클 동안 고려해야 하는 사항에 대해 제안하고자 한다.

• Healthcare Informatics Research
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• 제24권4호
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• pp.387-393
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• 2018

Objectives: This paper describes an experience of implementing seamless service trials online and offline by adopting Internet of Things (IoT) technology based on near-field communication (NFC) tags and Bluetooth low-energy (BLE) beacons. The services were provided for both patients and health professionals. Methods: The pilot services were implemented to enhance healthcare service quality, improve patient safety, and provide an effective business process to health professionals in a tertiary hospital in Seoul, Korea. The services to enhance healthcare service quality include healing tours, cancer information/education, psychological assessments, indoor navigation, and exercise volume checking. The services to improve patient safety are monitoring of high-risk inpatients and delivery of real-time health information in emergency situations. In addition, the services to provide an effective business process to health professionals include surveys and web services for patient management. Results: Considering the sustainability of the pilot services, we decided to pause navigation and patient monitoring services until the interference problem could be completely resolved because beacon signal interference significantly influences the quality of services. On the other hand, we had to continue to provide new wearable beacons to high-risk patients because of hygiene issues, so the cost increased over time and was much higher than expected. Conclusions: To make the smart connected hospital services sustainable, technical feasibility (e.g., beacon signal interference), economic feasibility (e.g., continuous provision of new necklace beacons), and organizational commitment and support (e.g., renewal of new alternative medical devices and infrastructure) are required.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제15권1호
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• pp.35-57
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• 2021

Fog computing aims to provide the solution of bandwidth, network latency and energy consumption problems of cloud computing. Likewise, management of data generated by healthcare IoT devices is one of the significant applications of fog computing. Huge amount of data is being generated by healthcare IoT devices and such types of data is required to be managed efficiently, with low latency, without failure, and with minimum energy consumption and low cost. Failures of task or node can cause more latency, maximum energy consumption and high cost. Thus, a failure free, cost efficient, and energy aware management and scheduling scheme for data generated by healthcare IoT devices not only improves the performance of the system but also saves the precious lives of patients because of due to minimum latency and provision of fault tolerance. Therefore, to address all such challenges with regard to data management and fault tolerance, we have presented a Fault Tolerant Data management (FTDM) scheme for healthcare IoT in fog computing. In FTDM, the data generated by healthcare IoT devices is efficiently organized and managed through well-defined components and steps. A two way fault-tolerant mechanism i.e., task-based fault-tolerance and node-based fault-tolerance, is provided in FTDM through which failure of tasks and nodes are managed. The paper considers energy consumption, execution cost, network usage, latency, and execution time as performance evaluation parameters. The simulation results show significantly improvements which are performed using iFogSim. Further, the simulation results show that the proposed FTDM strategy reduces energy consumption 3.97%, execution cost 5.09%, network usage 25.88%, latency 44.15% and execution time 48.89% as compared with existing Greedy Knapsack Scheduling (GKS) strategy. Moreover, it is worthwhile to mention that sometimes the patients are required to be treated remotely due to non-availability of facilities or due to some infectious diseases such as COVID-19. Thus, in such circumstances, the proposed strategy is significantly efficient.

• 대한방사선기술학회지:방사선기술과학
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• 제44권2호
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• pp.133-140
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• 2021

This study aims to analyze the quality and satisfaction of healthcare perceived by patients using hospitals and to provide basic data necessary for expanding and settling Vietnamese healthcare services by analyzing the impact on recommendation intentions. The research method selected one hospital in Vietnam and collected data from patients using the hospital and used a total of 286 effective samples as data for hypothesis verification. The research model and hypothesis verification were analyzed with the statistical data from SPSS and AMOS. The findings show that, first, tangibility, accessibility, and reliability all have a positive effect on the quality of healthcare. Second, it has been shown that only accessibility among the quality of healthcare has a positive effect on recommendation intentions. Third, customer satisfaction has been shown to have a positive effect on recommendation intentions. Fourth, when looking at the mediating effect, reliability among the quality of healthcare was shown as a full-mediated effect, but accessibility was shown to have a partial mediating effect and tangibility to have no mediating effect. Contact management is important because customer satisfaction is highly regarded when customers feel positive emotions at the interface from the provision of convenience facilities that support medical services to the reduction of waiting time for patients, employees kindness, treatment, medication, and inspection. It is also confirmed that the demand for convenient and rapid use of hospitals is increasing in Vietnam. In addition, if customer satisfaction is increased through friendly medical staff's response, the intention of recommendation will be even greater.

• 한국콘텐츠학회논문지
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• 제15권10호
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• pp.626-635
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• 2015

건강에 대한 사회적인 욕구와 관심에 따라 만성질환 예방 및 식생활관리 서비스의 새로운 모델로 U-Healthcare 서비스가 주목 받고 있다. 본 연구는 50세 이상의 남녀 중장년층을 대상으로 U-Healthcare 서비스 관련 요구 특성을 조사하였다. 조사대상의 U-Healthcare 서비스에 기대하는 부분으로 개인 맞춤형 진료 및 관리 부분(37.7%), 개인의 건강상태의 체계적인 파악(21.4%)이 높게 나타났다. 건강관리 이용 분야에서는 식이요법 관리(43.9%)가 가장 높게 나타나 U-Healthcare 서비스에서 개인 맞춤형 식이요법 서비스가 필요할 것으로 보였다. 건강 정보 검색 관심분야는 질병관리(35.6%), 식재료(28.6%), 건강음식 조리법(22.7%) 순으로 나타나 조사대상의 50% 이상이 식품에 관심이 있었다. 식단 정보에 대한 요구사항은 영양성분, 건강상태별(질환별) 맞춤형 식단 등을 5점 척도로 조사한 결과 모든 항목이 3.9 이상의 필요성이 있다고 답변하였다. 이상의 결과를 통해 현재의 중장년층은 U-Healthcare 서비스를 통해 질병관리와 더불어 식생활 관리 서비스를 요구하고 있는 것을 확인하였다. 따라서 본 연구의 후속 연구로 남녀 중장년층 집단의 요구 특성을 반영하여 원격 진료를 통해 매일매일 개인의 건강상태 및 질환의 진행 정도를 파악하고 그에 따라 필요한 식재료, 식단, 조리법에 대한 처방을 U-Healthcare 서비스로 제공할 수 있는 데이터베이스를 구축하고자 한다. 이를 통해 식생활 관리 콘텐츠의 활용도를 높이고 미래의 고령자들이 건강한 삶을 영위할 수 있을 것으로 기대한다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제5권9호
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• pp.47-59
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• 1999

With the unparalleled rate of aging and rapid modernization, Korean society faces the situation in which it has to increase the supply of elderly care services dramatically in the near future. Among these services, nursing homes are considered as an essential alternative provision because Korea can no longer rely on traditional familism nor medical facilities for the care of her older population. It is necessary, therefore, to prepare a future plan for the delivery of nursing homes in Korea. This paper has identified elderly care context and analyzed elderly care facilities of Korea in the point of supply and utilization rate of nursing homes according to the region and type of facilities. On the bases of this analysis, the delivery planning of nursing homes in Korea has been proposed in order to increase welfare status of older people and efficient utilization of health care resources.

• International journal of advanced smart convergence
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• 제13권1호
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• pp.122-128
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• 2024

This study delves into the unique transformation of South Korea's elderly population, distinctively termed 'Nomad Silver'. Characterized by individuals aged 65 and above who actively seek novel experiences and embrace new activities, this demographic shift signifies a departure from traditional perceptions of the elderly. The Nomad Silver cohort, distinguished by their significant economic influence and evolving needs, necessitates a tailored approach to healthcare services. This paper underscores the importance of comprehending both the fundamental biological needs and the personalized desires of the Nomad Silver, aiming to enhance their satisfaction and overall well-being. Hospitals, in response, should innovate their services to resonate with the emotional, psychological, and social facets of this age group. Consequently, the paper proposes a four-pronged strategy for hospitals to adapt: comprehensive healthcare provision, patient-centric service development, senior health education coupled with community engagement, and establishing a generational bridge hub. Furthermore, the paper posits that catering to the Nomad Silver not only promises substantial financial gains for hospitals but also fosters new business opportunities across various sectors.

• 한국경제지리학회지
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• 제26권3호
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• pp.289-309
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• 2023

우리나라의 국민건강보험은 빠른 시간에 보편적 의료시스템을 정착시키는데 큰 기여를 했다. 하지만 연령대에 따른 의료서비스의 차이는 지속되고 있으며, 내과, 가정의학과, 소아청소년과와 같은 핵심의료 서비스에서 이러한 불평등이 존재하는 것은 큰 우려를 불러일으킬 수 밖에 없다. 진료기관 접근에 대한 불평등은 연령대만이 아니라 지역, 특히 도시와 농촌 사이에도 크게 나타나고 있다. 본 연구는 1995년부터 2021년까지 초기진료기관의 분포를 이용하여 변화하는 경제환경 속에서 의료서비스의 공간적 불평등이 어떻게 변화되어 왔는지를 살핀다. 다양한 불평등 지수와 공간통계분석의 결과를 토대로 볼 때, 1997년 IMF 경제위기, 2008년 금융위기, 그리고 2020년의 COVID-19 공중보건 위기를 겪으며 불평등이 심화 확대된 것을 확인할 수 있었다. 또한 초기의료기관의 불균등 분포에 큰 변화가 온 시기도 밝혀낼 수 있었는데, 이러한 변화에는 유소년이나 전체 인구 분포보다는 고령인구의 분포가 큰 역할을 하고 있었다. 본 연구결과는 인구와 의료서비스의 공간적 분포를 통합적으로 고려하여 핵심적인 의료자원의 불평등을 해소하기 위한 노력이 절실히 필요하다는 것을 강조한다. 특히 이러한 노력은 미래의 경제적 충격에도 적절한 수준의 의료 서비스를 지속할 수 있는 기반이 될 수 있을 것이다.

• 보건의료산업학회지
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• 제12권3호
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• pp.1-11
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• 2018

Objectives: The purpose of this study is to evaluate patient experience assessment of inpatients, and to prepare measures to improve the quality level of medical services and guarante patient rights. Methods: The study was conducted among 199 patients admitted to hospitals and general hospitals in the metropolitan area. The analysis method used was crossover analysis, including a comparison of means, and logistic regression analysis. Results: The overall average score of satisfaction with healthcare service was 3.39 for nurses, 3.35 for hospitals and 3.42 for general hospitals. Age at the time of hospitalization affected satisfaction. The overall average score of healthcare service satisfaction was 3.09 for doctors, 3.14 for hospitals, and 3.04 for general hospitals. The factors affecting hospital satisfaction were gender and subjective health status. The factors affecting satisfaction in general hospitals were education, medical department, and hospitalization route. Conclusions: Hospitals should also introduce a systematic management system of general hospitals and strengthen the guarantee of the rights of patients who can improve the quality of medical care through positive communication between medical personnel and patients.