• 제목/요약/키워드: Home-Delivery System

검색결과 155건 처리시간 0.026초

원외 전자처방전달시스템의 비용.편익 분석 (Cost-Benefit Analysis of Interned-based Prescription Delivery System)

  • 정우진;이상호
    • 보건행정학회지
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    • 제12권1호
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    • pp.54-83
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    • 2002
  • Korea's recent attempt to separate prescription and dispensation of pharmaceuticals suffers serious, negative side effects. The interned-based prescription delivery system is being considered a supportive tool to alleviate such side effects. This paper conducts an economic evaluation of the system. We consider all possible types of pecuniary costs and benefits, from societal perspective, to conclude that nationwide adoption of the system would raise net social benefits by 5,892 billion won for the coming five years. Specifically, the net benefits would be distributed among consumers (5,667 billion won), pharmacies (216 billion won) and medical institutions (8 billion won). Net social benefits would be far mere enhanced by deregulation policies, such as removal of restrictions on electronic type prescription and home-delivery of dispensed drugs.

지역사회중심의 독립형 가정간호 시범사업소 운영체계 개발 및 운영결과 분석 (Development and Analysis of Community Based Independent Home Care Nursing Service)

  • 박정호;김매자;홍경자;한경자;박성애;윤순녕;이인숙;조현;방경숙
    • 대한간호학회지
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    • 제30권6호
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    • pp.1455-1466
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    • 2000
  • The purpose of this study was to develop the framework of community-based home care nursing delivery system, and to demonstrate and evaluate the efficiency of it. The study was carned out over a period of 3years from September 1996 to August 1999. The researchers developed Standards for operations, this was all aimed toward a home care recording system, and an assessment intervention algorithm for various diseases quality control and standardization. In the center, 185 patients enrolled, and of the enrollments cerebrovascular disorder and cancer were the most prevailment diseases. Also, a home care nursing activity classification was developed in six domains. Those domains were assessment, medication, treatment, education and consultation, emotional care, and referral or follow-up care. Ten sub-domains were divided according to the systematic needs. Among these nursing activities, treatment, assessment, and education and consultation were frequently performed. In sub-domain classification, skin integrity, respiration, circulation, and immobility related care were provided most frequently. The cost of home care nursing per visit was also suggested. The cost include direct and indirect nursing care, management, and transportation cost. Also, the researchers tried to overcome the limitations of hospital-based home care to provide more accessible, efficient, safe, and stable home care nursing. Therefore, clients were referred from other patients, families, public health care centers, industries, and even hospitals. As a result of this study, several limitations of operation were found. First, it was difficult to manage and communicate with doctor in the emergency situations. Second, there was too much time spent for transportation. This was because they are only five nurses, who cover all of the areas of Seoul and nearby cities. Third, preparation for special care of home care nurses was lacking. Fourth, criteria for the termination of care and the frequency of home visits were ambiguous. Finally, interconnection with home care machinery company was so yely needed. New paragraphs' strategies for solving these problems were suggested. This study will be the basis of community-based home care nursing, and the computerized information delivery system for home care nursing in Korea.

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우편물 중간 보관소의 효율적 운영 방안 연구 (A Study on the Efficient Operation of the Intermediate Storage for Mail Delivery)

  • 최명진;양재경
    • 산업경영시스템학회지
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    • 제36권3호
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    • pp.133-141
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    • 2013
  • The revitalization of e-business via Internet brings big changes to the postal business, and leads to a tremendous increase of heavy and large sized postal mails with continuing growth of home delivery business. Thus, even though the number of intermediate storages for mail delivery that mailmen use for picking up mails in the middle of mail delivery has been being increased, it has still many problems such as insufficient number and size of the storages as well as avoidance of mail keeping of trust agents. It is necessary that safety of mail keeping, seamless mail delivery, and individual parcel pick-up process reestablishment should be made through an improved counter plan for the problems described previously. This study presents the efficient and right operational plan for the intermediate storage for mail delivery with providing the number and size of intermediate storages per mail delivery sequence according to four different types of post offices.

ACSA : An Adaptive Content System Architecture

  • 이재동;김진성
    • 한국산업정보학회논문지
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    • 제16권2호
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    • pp.39-47
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    • 2011
  • Adapting content services to the needs of the users requires content adaptation for context and sensibility. Adapting to context may necessitate distinguishing between video delivery to a PC versus a smart phone, while adapting to sensibility may necessitate between video delivery outside, in a quiet environment, or at home, or offering different movie choices on a sunny summer day, a cold winter day or a holiday season. One key area to address in providing adaptive content services is the design of the delivery system architecture of the adaptive content server. This paper describes several alternatives for this architecture, and outlines some additional concerns that must be considered when the chosen architecture is implemented.

감각통합 장애 아동을 위한 작업치료적 가정 방문 자원활동의 만족도 (The Satisfaction of Volunteer Activity to Home-visiting Occupational Therapy for the Child with Sensory Integrative Dysfunction)

  • 이성아;최정실
    • 대한감각통합치료학회지
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    • 제4권1호
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    • pp.57-64
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    • 2006
  • Objective : The purpose of this paper was to suggest a model of the home-visiting occupational therapy for the child with sensory integrative dysfunction through parent's satisfaction of volunteer activity to home-visiting occupational therapy. Method : A questionnaire survey were conducted to investigate the satisfaction on after of volunteer activity to home-visiting occupational therapy for the child with sensory integrative dysfunction. The 12 parents agreed on this service that students of department of occupational therapy visited at home 2 or 3times during the 16weeks. Results : Parents responded that satisfaction was seen orderly agreed(66%), very agreed (34%) in the convenient portion of service process, orderly agreed(50%), very agreed(42%), moderate agreed(8%) in the therapeutic technique and professionalism, very agreed(58%), agreed(42%) in the portion of general satisfaction. Correlation was not between satisfaction of convenient portion and related questions, but in the student attitude and the therapeutic technique, professionalism and related question was related to all question except a family treatment access method portion. Conclusions : It will be able to present the model of the home-visiting service in various occupational therapy field above the results and home-visiting occupational therapy service system must be introduced with the hygienic medical treatment delivery system through the deepening research.

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한국 장기요양 방문간호의 정책적 함의와 일본 방문간호의 시사점 (Policy Implications for Home-Visit Nursing(HVN) of the Korean Long Term Care Insurance through the implications of the Japanese HVN)

  • 유호신
    • 한국보건간호학회지
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    • 제29권3호
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    • pp.403-411
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    • 2015
  • Due to lack of an information system regarding the status of using home-visit nursing (HVN), it has barriers of providing improvement of the HVN for management of elderly health care in Korea. The twofold aims of the current review are to expose the existing agendas for HVN and to suggest the political implications for HVN of Korea based on the transition process and revised HVN system of Japan. This review suggests that an information evaluation system has to precede for HVN services in detail. And, the service provided per manpower should be assessed by separating the code of manpower (registered nurse, nurse aide, dental hygienist) as well as securing detailed and precise information on the HVN services. The other suggestion, development of a community-based home health care nursing model in order to provide necessary services for long-term health insurance beneficiaries. In addition, a master plan for health care for elderly should be established at the national level in order to establish an effective home health nursing delivery system.

지역사회중심 가정간호사업 개발 및 평가 (Development & Evaluation of Community-Based Home Care Nursing Service Program)

  • 이원희;김조자;강규숙;오의금;박희옥;조원정
    • 지역사회간호학회지
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    • 제15권2호
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    • pp.209-217
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    • 2004
  • Purpose: The purpose of this study was to construct the structure, process and outcome of community-based home care nursing service and to examine their validity. Method: There were two steps. The first step was developing the structure and process of community-based home care and the second was evaluating the outcome of community-based home care. Home care services were provided to 25 clients who had health problems. Data on these clients were analyzed. Result: According to Albrecht Model, in the developed structure and process of community-based home care, structure contained facility's philosophy, organization, delivery system, steering committee, office, equipments, medical instruments, the home care nurse and client of home care nursing. Process contained classification of client. nursing diagnosis and nursing intervention. The majority of clients were men (56%). The service was used mostly by people aged over 50 (82%). The most frequent nursing diagnoses were altered urinary elimination (23.2%). impaired skin integrity (21.8%) and risk for infection (17.6%). Nursing interventions included wound care (16.7%), tube care (15.1%) and catheter care (14.5%). Conclusion: Several strategies are suggested from this study: first, activate a referral system within the national health care system: second, increase public information on home care nursing: third, develop home care nursing services for elderly people: and fourth, construct a cooperation system between home care services and social welfare services.

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원격 장치 제어를 위한 임베디드 기술 기반의 개인용 커뮤니케이터 설계 및 구현 (Design and Implementation of Personal Communicator based on Embedded Single Board Computer for Controlling of Remote Devices)

  • 장성식;변태영
    • 한국산업정보학회논문지
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    • 제16권2호
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    • pp.99-109
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    • 2011
  • 본 논문에서는 손동작 인식을 통하여 원격지의 로봇이나 기타 구동장치를 제어할 수 있는 개인용 커뮤니케이터(personal communicator)와 가정 내 정보가전기기를 제어할 수 있는 홈게이트웨이 및 이동형 홈서버의 설계 및 구현 대용을 기술한다. 임베디드 보드 기반의 개인용 커뮤니케이터는 사용자의 손동작을 인식하고 그 동작을 추적하여 원격지의 이동형 홈서버의 동작을 제어하기 위한 적절한 명령으로 변환한다. 본 구현에서는 LN2440 임베디드 전용보드 상에 손동작 인식 및 추적, 원격 이동형 홈서버 제어 명령 변환, 무선 접속기능을 이용한 홈게이트웨이 제어, 사용자 인터페이스의 설계 및 구현, 단위 및 통합 테스트의 내용을 기술한다. 본 구현은 원격탐사로봇 제어, 장애인 구동장치 제어 등 원격지의 구동 장치를 제어할 수 있는 다양한 분야에 활용될 수 있는 장점이 있다.

가정 방문 물리치료 (Home - Visiting Physical Therapy)

  • 이한숙;박돈목;김충식
    • The Journal of Korean Physical Therapy
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    • 제8권1호
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    • pp.91-98
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    • 1996
  • It is urgent to introduce home visiting physical therapy in order to prevent the unnecessary increase of demand and extravagance for the nation-wide execution of medical insurance and for the medical demand and supply of medical delivery system. We think that it is very important for us, as a physical therapist preparing 21 centry, to clearly undersand the necessity of home visiting physical therapy, which will be needed as the new therapeutic field in the future. When the terms for a new health and medical system, that is, useful trained-manpower, well-equipped facilities, financial and legal support, well-prepared design for this project, positive cooperation between people involved in this project and rational development of the project is held and this project is settled by sieving tile expected problems, this project will give a contribution to the promotion of national health and social welfare

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호스피스 전달체계 모형

  • 최화숙
    • 호스피스학술지
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    • 제1권1호
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    • pp.46-69
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    • 2001
  • Hospice Care is the best way to care for terminally ill patients and their family members. However most of them can not receive the appropriate hospice service because the Korean health delivery system is mainly be focussed on acutly ill patients. This study was carried out to clarify the situation of hospice in Korea and to develop a hospice care delivery system model which is appropriate in the Korean context. The theoretical framework of this study that hospice care delivery system is composed of hospice resources with personnel, facilities, etc., government and non-government hospice organization, hospice finances, hospice management and hospice delivery, was taken from the Health Delivery System of WHO(1984). Data was obtained through data analysis of litreature, interview, questionairs, visiting and Delphi Technique, from October 1998 to April 1999 involving 56 hospices, 1 hospice research center, 3 non-government hospice organizations, 20 experts who have had hospice experience for more than 3 years(mean is 9 years and 5 months) and officials or members of 3 non-government hospice organizations. There are 61 hospices in Korea. Even though hospice personnel have tried to study and to provide qualified hospice serices, there is nor any formal hospice linkage or network in Korea. This is the result of this survey made to clarify the situation of Korean hospice. Results of the study by Delphi Technique were as follows: 1.Hospice Resources: Key hospice personnel were found to be hospice coordinator, doctor, nurse, clergy, social worker, volunteers. Necessary qualifications for all personnel was that they conditions were resulted as have good health, receive hospice education and have communication skills. Education for hospice personnel is divided into (i)basic training and (ii)special education, e.g. palliative medicine course for hospice specialist or palliative care course in master degree for hospice nurse specialist. Hospice facilities could be developed by adding a living room, a space for family members, a prayer room, a church, an interview room, a kitchen, a dining room, a bath facility, a hall for music, art or work therapy, volunteers' room, garden, etc. to hospital facilities. 2.Hospice Organization: Whilst there are three non-government hospice organizations active at present, in the near future an hospice officer in the Health&Welfare Ministry plus a government Hospice body are necessary. However a non-government council to further integrate hospice development is also strongly recommended. 3.Hospice Finances: A New insurance standards, I.e. the charge for hospice care services, public information and tax reduction for donations were found suggested as methods to rise the hospice budget. 4.Hospice Management: Two divisions of hospice management/care were considered to be necessary in future. The role of the hospice officer in the Health & Welfare Ministry would be quality control of hospice teams and facilities involved/associated with hospice insurance standards. New non-government integrating councils role supporting the development of hospice care, not insurance covered. 5.Hospice delivery: Linkage&networking between hospice facilities and first, second, third level medical institutions are needed in order to provide varied and continous hospice care. Hospice Acts need to be established within the limits of medical law with regards to standards for professional staff members, educational programs, etc. The results of this study could be utilizes towards the development to two hospice care delivery system models, A and B. Model A is based on the hospital, especially the hospice unit, because in this setting is more easily available the new medical insurance for hospice care. Therefore a hospice team is organized in the hospital and may operate in the hospice unit and in the home hospice care service. After Model A is set up and operating, Model B will be the next stage, in which medical insurance cover will be extended to home hospice care service. This model(B) is also based on the hospital, but the focus of the hospital hospice unit will be moved to home hospice care which is connected by local physicians, national public health centers, community parties as like churches or volunteer groups. Model B will contribute to the care of terminally ill patients and their family members and also assist hospital administrators in cost-effectiveness.

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