• Journal of Information Processing Systems
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• 제4권3호
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• pp.103-112
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• 2008

This paper proposes a policy adjuster-driven Grid workflow management system for collaborative healthcare platform, which supports collaborative heart disease diagnosis applications. To select policies according to service level agreement of users and dynamic resource status, we devised a policy adjuster to handle workflow management polices and resource management policies using policy decision scheme. We implemented this new architecture with workflow management functions based on policy quorum based resource management system for providing poincare geometrycharacterized ECG analysis and virtual heart simulation service. To evaluate our proposed system, we executed a heart disease identification application in our system and compared the performance to that of the general workflow system and PQRM system under different types of SLA.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제13권2호
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• pp.53-60
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• 2007

Various changes in medical environments including growing elderly population, chronic diseases, deepening competition among hospitals since opening to foreign medical service, economic strategy for improvement of profit system have caused hospitals to be specialized. In this backgrounds, the purpose of this study is to receive basic data for architectural planning on the spatial organization of outpatient department in general hospital. The results of this study were as follows; First, major changes of outpatient department in general hospital are composed of 'co-work in medical examination and treatment', 'decentralization of diagnosis and treatment(D/T)' and 'patient-oriented medical service'. Changes by co-work system include appearance of medical offices for co-work, activation of specialized clinics, grouping of E/T section for outpatient and various types of specialized centers. Second, the grouping of E/T sections means the modification of E/T system and organization in general hospitals, and a new spatial organization will be needed. Third, the types of specialized centers are getting varied. they are classified into several types including disease-resource, social stratum-resource, human organ-resource, health-resource, rehabilitation-resource, alternative medical center and so on.

• 정보처리학회논문지D
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• 제11D권1호
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• pp.229-240
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• 2004

초$.$중등학교에서는 교육인적자원부 주관 하에 개발한 ERP시스템인 전국단위 교육행정정보시스템(National Education Information System： NEIS)을 활용하고 있다. 본 논문에서는 NEIS를 교육행정업무뿐만 아니라, 국가인적자원을 평생 관리하는 정보시스템으로도 활용할 수 있음을 보였다. 그동안의 초 중등학교 정보관리시스템은 현장 적합도와 사용자 편이성이 미흡하였다. 이와 같은 문제점을 해결하기 위해서는 시스템의 재구축 또는 개정작업이 필요하다. 개정과 보완의 한 방법으로, 전 국민의 건강정보를 학교와 의원에서 공동으로 활용할 수 있는 구체적인 예를 제시해 보고자 하였다. 이를 위해 NEIS의 학생건강기록부와 의사가 기록하는 전자의무기록부의 건강정보를 통합하여 평생관리 할 수 있는 방안을 모색하였다. 구체적으로는, 학교와 의원에서 공통으로 관리하여야할 건강정보들을 XML로 작성해 보았다. 여기에 수요자의 요구에 적합한 뷰를 제공하기 위하여 각기 다른 XSL 스타일시트를 적용하였다. 이 뷰를 이용하여 건강정보를 효율적으로 관리하고 활용할 수 있음을 알았다. 이에 건강정보관리 비효율성과 유관기관간 연계성 미흡을 해결하고, 국가인적자원을 평생관리 할 수 있는 가능성을 확인하였다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제17권2호
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• pp.27-34
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• 2011

It is very important to justify the reasonable role of healthcare facilities in the law in order to provide considerable medical services to the patient. Defining the right role of healthcare facilities makes it possible to build adequate Health Care Delivery System which might be helpful for the patient. However, the information of healthcare facilities in Korean law is so unclear that people are able to hardly understand what sort of proper medical service is for them. Furthermore, there is not enough regulation to differentiate each type of hospitals in the law. The result of this study is summarized into three points. Firstly, the current medical law does not reflect differences of function which each medical facility has. Secondly, the method of classification of healthcare facilities in the law disagrees with the Health Care Delivery System. Finally, there is no information on the type of sickbed in the law. Therefore, this study intend to analyze cause of problems which the law contains in order to be used for the fundamental resource for the healthcare facility planning.

• 대한간호학회지
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• 제43권4호
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• pp.507-516
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• 2013

Purpose: The purpose of this study was to use cost-benefit analysis of activity to clarify the economic effect of prepared nurses versus atmospheric environment managing engineers as healthcare managers. Methods: For the study 111 workplaces were surveyed, workplaces in which nurses or atmospheric environment managing engineers were employed as healthcare managers. The survey content included annual gross salaries, participation in external job training, costs in joining association covered by the company, location and year of construction of the healthcare office, various kinds of healthcare expenditures, costs in operating healthcare office, health education, and activity performance in the work of environment management. Results: In the case of the healthcare manager being a nurse, benefit was larger than input costs at a ratio of 2.31. On the other hand, in the case of healthcare manager being an atmospheric environment managing engineer, input costs were larger than benefits (benefit-cost ratio 0.88). Conclusion: Results indicate that nurses are an effective healthcare human resource and can offer good quality healthcare service. Therefore companies should hire nurses and actively promote the economic efficiency of nurses in workplace.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제20권3호
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• pp.17-25
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• 2014

Purpose: Mental health facilities are facing a new social environment. To provide appropriate patient care environment, mental health and mental healthcare is changing the paradigm. In this situation, this study research and analysis mental healthcare service system and mental healthcare facility in Germany. The reason is that Germany has cosistently been building mental healthcare service system and mental healthcare facility for patient. Therefore, it aims to suggest a fundamental resource for amental healthcare service system and mental healthcare facility for mental healtn. Methods: This study was conducted literature researches and field studies. Literature researches for mental healthcare service system and facilities. Field study is to identify the characteristic and configuration of mental healtncare facilities. Results: Findings of this study can be summerrized inth three points. First, In Germany, Mental healthcare facility is critical environment in the community. And, the facilities are being turned into reasonable and alternative environment. Second, Facilities of Mental healthcare and service system designed by various level and configurations that can be providing places for people with mental problems. Third, Mental healthcare facilities consist of healing environment for patient. Implications: The future study on finding of the specific environment planning citeria in mental healthcare facility on the basis of findings of present study.

• 한국병원경영학회지
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• 제24권4호
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• pp.43-56
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• 2019

Purpose: Importance of patient satisfaction related to patient-centeredness has been emphasized, and it is known to have effect on various health outcomes including health resource utilization. However, the effect of patient satisfaction has been discussed mostly in terms of hospital marketing in Korea. This study aims to examine the effect of patient satisfaction in patient-physician communication on healthcare utilization in a nationally representative adult population of South Korea. Method: Patient satisfaction with physician communication is assessed using 4 items in the 2011 Korea Health Panel Survey. Generalized linear regression analysis is conducted using 9,325 adults' healthcare utilization in 2012. Findings: Adjusting for the socio-demographic, economic factors, individual health status, health behaviors and healthcare utilization in 2011, more satisfied individuals, more likely to utilize the outpatient service, especially in clinical setting. Practical Implications: The study findings suggests that in context of South Korea healthcare system such as insufficient medical consultation time and the absence of health delivery system, patient satisfaction as a subjective healthcare quality indicator would have effect on the individual's outpatient visit. This study contributes to stimulate patient satisfaction research and discussion in South Korea to further explore its relationship with potential and various health related outcomes. Further implications of the study are discussed.

• 한국시스템다이내믹스연구
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• 제17권1호
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• pp.5-24
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• 2016

This study structurally analyzes major inefficiency of Korea's healthcare delivery system by utilizing the systems thinking. In particular, the phenomenon of patient's concentrated visits to large hospitals, waste of resource due to competitions between clinics and large hopitals, and the structure of oversupply were visualized using the causal loop diagram. The inefficient structure of healthcare delivery system can be understood more clearly by utilizing the major system archetypes of 'success to the successful', 'tragedy of commons', 'escalation' and 'limits to growth'. This study also finds solution from archetypal structure suggested by Wolstenholme. The inefficient status of healthcare delivery system might be explained by the 'out of control' archetype. In conclusion, the public resources such as the national health insurance need to be acknowledged as the entire achievement. All the participants should cooperate with each other in order to improve the inefficiency of the healthcare delivery system. In addition, the arrangement of incentive system for cooperation, acceleration of health information technology, and development of innovative business models make the sustainable healthcare delivery system.

• 가족자원경영과 정책
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• 제23권1호
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• pp.17-34
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• 2019

Older women who live alone are among society's most vulnerable people, since they experience increased risk of multiple chronic diseases and have limited financial protection. This can lead older women living alone to catastrophic health expenditure(CHE), which is defined as a healthcare expenditure that exceeds a certain portion of a household's ability to pay. Using the Korean Longitudinal Study of Ageing(KLoSA), this study investigated the incidence of CHE among older women living alone and identified the factors related to this incidence. Applying health expenditure thresholds of 10%, 20%, 30% and 40% of ability to pay, the proportions of those with CHE were 41.3%, 22.9%, 14.6%, and 9.4%, respectively. Logistic regression models were used to identify factors related to CHE incidence, which include demographics, income, the number of chronic diseases, perceived health status, and health insurance type. The results show that the health care safety net in South Korea is insufficient for older women living alone. The findings can guide policymakers in improving healthcare and welfare policies to protect people from catastrophic payments. Particularly, welfare policies should be established for poor non-recipients who are not included within the benefits scope of the National Basic Livelihood Security System due to the unrealistic criteria of income recognition and family support obligation.

• 가족자원경영과 정책
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• 제26권3호
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• pp.49-64
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• 2022

이 연구는 우리나라 노인들을 의료취약성 정도에 따라 네 집단으로 세분화하여 경제적, 비경제적 사유로 인한 미충족의료 경험 차이를 분석하고, 이에 따른 정책적 시사점을 도출하였다. 2018년 한국의료패널 자료를 사용하였으며, 65세 이상 노인 4,147명에 대해 분석을 실시하였다. 노인들을 세분화한 결과, 일반건강보험가입자가 79.6%, 비수급빈곤층이 13.6%, 차상위경감대상자가 1.1%, 의료급여수급자가 5.7%의 비율을 차지하였다. 분석결과에 따르면, 병의원 또는 치과진료에 대해 노인들의 12.6%는 경제적 사유로, 10.6%는 비경제적 사유로 미충족의료를 경험한 것으로 나타났다. 의료취약계층 노인의 미충족의료 경험률은 비취약계층인 일반건강보험가입자에 비해 전반적으로 높았는데, 이는 대부분 경제적 사유에 따른 경험률 차이에서 비롯된 것이었다. 경제적인 사유로 인한 미충족의료 경험률은 일반건강보험가입자가 9.8%였던 반면, 비수급빈곤층은 18.9%, 차상위경감대상자는 40.0%, 의료급여수급자는 31.5%로 큰 차이가 있었다. 다른 영향요인을 통제한 로지스틱 분석 결과, 모든 의료취약계층이 일반건강보험가입자에 비해 경제적 사유로 미충족의료를 경험할 확률이 유의하게 높았는데, 비수급빈곤층은 약 1.4배, 차상위경감대상자는 3.3배, 의료급여수급자는 2.4배 높아졌다. 반면, 비경제적 사유로 인한 경험은 일반건강보험가입자 대비 의료급여수급자의 경우에만 1.7배 증가하였고, 다른 집단에서는 유의한 차이가 없었다. 이를 바탕으로 본 연구는 의료취약계층 노인들의 필수적 의료자원 보장을 위한 정책적 시사점을 제시하였다.