• 전기학회논문지
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• 제59권3호
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• pp.657-663
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• 2010

Today, rapid evolution of Internet makes various types of services in ubiquitous environment are intelligent and active. As a result, user's demand on high quality of life increases and health care service based on ubiquitous environment draws a lot of attention. However, user's private information used for health care service is illegally distributed and exposed, causing serious individual and social problems. Therefore, this thesis is intended to suggest a secure health care service to prevent unauthorized third party's access and to protect user's privacy in health care systems. The proposed scheme establishes a session key through communication channel between health care system and user based on explicit mutual authentication and provides secure communication and access control, improving security as one of the leading health care systems.

• 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.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제14권3호
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• pp.1014-1025
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• 2020

Cloud computing services changed the way the data are managed across the healthcare system that can improve patient care. Currently, most healthcare organizations are using cloud-based applications and related services to deliver better healthcare facilities. But architecting a cloud-based healthcare system needs deep knowledge about the working nature of these services and the requirements of the healthcare environment. The success is based on the usage of appropriate cloud services in the architecture to manage the data flow across the healthcare system.Cloud service providers offer a wide variety of services to ingest, store and process healthcare data securely. The top three public cloud providers- Amazon, Google, and Microsoft offers advanced cloud services for the solution that the healthcare industry is looking for. This article proposes a framework that can effectively utilize cloud services to handle the data flow among the various stages of the healthcare infrastructure. The useful cloud services for ingesting, storing and analyzing the healthcare data for the proposed framework, from the top three cloud providers are listed in this work. Finally, a cloud-based healthcare architecture using Amazon Cloud Services is constructed for reference.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제19권2호
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• pp.41-49
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• 2013

Purpose: Economic and social pressures are driving Korea to reform its mental health services. However, it is not easy for the governments to find to the proper method for the mental health service network. This study is to find the mental health service network in Japan. Methods: The survey was conducted by researches and field studies. 1) Researches for mental health service network and facilities. 2) Field study is for Mental Health and Welfare Network in Tokyo. Results: The result of this study can be summarized into three points. The first one, Reform measures are beginning to promote the concept of "normalization" in japanese society. The second one, Facilities of Mental health and welfare system designed by level that can be providing places for people with mental problems. The third one, Facilities consist of barrier-free environment for people with mental problems.

• 지역사회간호학회지
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• 제33권4호
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• pp.385-395
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• 2022

Purpose: To support implementation of comprehensive, person-centered healthcare, this study aimed to explore immigrant women's public health center (PHC) service experiences and needs while considering Photovoice's feasibility for this purpose. Methods: This qualitative study included 15 marriage-based immigrant women. Participants were recruited from churches and multicultural family support centers using purposive and snowball sampling. Data were collected through four focus group interviews and were subjected to inductive content analysis. Results: Five categories of experiences were identified: language barriers, hectic environment, affordable and practical primary healthcare, feeling ignored and discriminated against, and feeling frustrated. In addition, five categories of needs were identified: language assistance services, ease of access, healthcare across the lifespan, expansion of affordable healthcare, and being accepted as they are. This study provides preliminary evidence that the Photovoice approach can facilitate the interview process in a qualitative inquiry involving participants with limited ability to express their perspectives in the researchers' language. Conclusion: Study findings highlight the need to implement institutional policy and procedural changes within PHCs and to provide culturally competent, personcentered care for South Korea's marriage-based immigrant women and other ethnic minority populations. The findings also provide evidence-based direction for PHC service planning.

• 한국산학기술학회논문지
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• 제10권6호
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• pp.1256-1264
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• 2009

유비쿼터스 환경에서의 헬스케어 서비스는 환자의 의무기록 뿐 아니라 각종 검사 자료 등 환자에 대한 대부분의 정보를 데이터화 하게 되므로 인가되지 않은 시용자가 의료 시스템에 접근하여 의료 데이터를 원래의 목적과 다른 목적으로 사용하게 된다면 환자의 생명과 관련된 중요한 정보에 큰 위협을 가져올 수 있다. 따라서 이러한 문제를 해결하기 위해서 사용자의 위치나 시간과 같은 상황정보에 따른 접근제어가 가능하고 사용자의 프라이버시 보호를 가능하게 하는 RBAC for U-healthcare 모델을 설계하고 이를 구현함으로써 유비쿼터스 환경에서의 헬스케어를 위한 접근제어 모델의 유효성을 검증한다.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2014년도 춘계학술대회
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• pp.299-302
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• 2014

디지털 기기 간 융합과 무선 통신 기술의 발전, 생체신호 측정 센서의 소형화, 종이나 수기로 관리되던 의료관련 정보를 디지털화한 전자의무기록(EMR, Electronic Medical Record) 구축 및 전자건강기록(EHR, Electronic Health Record)의 도입 등으로 인해 '언제 어디서나' 자신의 건강 상태를 모니터링하고 개인 맞춤 건강관리 서비스를 받을 수 있는 Ubiquitous Healthcare (u-헬스케어) 시대가 도래하였다. 또한 클라우드 컴퓨팅(Cloud computing) 기술의 등장은 u-헬스케어 서비스의 발전을 더욱 가속화시키고 있는 요인 중 하나이다. 그러나 이러한 u-헬스케어 서비스 활용 과정에서 개인의 정보가 악의적으로 사용될 경우 정확하고 신뢰성 있는 헬스케어 서비스를 제공받지 못할 뿐만 아니라 단순 건강 검진 및 치료의 수준을 넘어 크게는 개인의 생명과 직결되는 심각한 문제를 초래한다. 이에 본 논문에서는 클라우드 컴퓨팅 환경에서의 u-헬스케어 서비스와 관련된 다양한 보안 이슈를 분석하고 이를 토대로 안전한 보안 의료정보 공유 시스템 구축을 위한 보안 요구사항에 대하여 서술한다. 더불어 향후 국내 u-헬스케어 산업 활성화를 위한 발전방향에 대하여 논하고자 한다.

• 융합정보논문지
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• 제8권3호
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• pp.63-69
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• 2018

최근 의료 서비스 분야는 사용자의 헬스케어 데이터를 효율적으로 관리하기 위해서 클라우드 서비스를 이용하고 있다. 그러나, 클라우드 환경에서 처리되는 사용자의 헬스케어 데이터의 안정성을 보장하는 연구는 미진한 상태이다. 본 논문에서는 클라우드 환경에서 헬스케어 데이터를 효율적으로 암호화하는 부분 랜덤 암호화 기법을 제안한다. 제안 기법은 병원 의료 서비스에 최적화하도록 사용자가 생성하는 랜덤키(p, q)를 2개 생성하여 공개키와 개인키 생성에 반영한다. 제안 기법에서 사용되는 랜덤 키는 데이터를 전체 암호화하지 않고 일부분만을 암호화하여 사용자의 헬스케어 데이터 처리 효율을 향상시켰다. 성능평가 결과, 제안 기법은 암호화 생성 비용을 평가한 결과 기존 기법에 비해 21.6% 낮추었고, 병원 내 사용자 헬스케어 데이터 처리 시간도 18.5% 향상된 결과를 얻었다.

• 보건의료산업학회지
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• 제4권1호
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• pp.1-10
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• 2010

The purpose of this study is to investigate the effects of provider and consumer characteristics, and patient trust on relational commitment among healthcare customers of an university hospital, and to suggest some implications for improving customer relation management of hospitals. Data were collected from 250 patients of an university hospital located in Ulsan using structured self-administered questionnaire. Major result of the analysis is as follows: First, study variables are significantly varied by age and income among socio-economic factors. Second, assurance, and empathy among provider characteristics and customer satisfaction and reputation among consumer characteristics are found to be significant affecting factors on patient trust. Third, trust affects significantly both on re-visit and recommendation among relationship commitment, while reputation affects on re-visit and customer satisfaction and reputation affect on recommendation. Above results imply that relationship management strategy for enhancing patient trust is crucial to improve competitiveness of hospitals in turbulent competition environment.

• 보건의료산업학회지
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• 제9권3호
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• pp.13-30
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• 2015

Objectives : The aim of this study was to investigate changes in job satisfaction of hospital workers according to different occupations at a university hospital in Seoul. Methods : A survey questionnaire was sent out to people working in a University Hospital in Seoul. Four hundred questionnaires were included in the final analysis. Results : The results of this study are as follows. Sense of accomplishment was a significant job satisfaction factor resulting in a high level of satisfaction. Work environment, compensation and job stability also affected job satisfaction; however, satisfaction levels appeared to be relatively low. Conclusions : When looking at the most important factors among the influencing factors that the members of the organization thought were most important for job satisfaction, the results showed that achievement, work environment, job stability and compensation were important factors.