• Title/Summary/Keyword: Integrated Health Care

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A Study on The Integration of Healthcare Information Systems based on SOA for PHR services (PHR 서비스를 위한 SOA 기반 보건의료분야 통합정보시스템에 관한 연구)

  • Park, Yong-Min;Oh, Young-Hwan
    • Journal of the Institute of Electronics Engineers of Korea TC
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    • v.48 no.2
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    • pp.29-35
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    • 2011
  • PHR(Personal Health Record) to support the lifelong healthcare of their medical information to consumers anytime, anywhere can view and manage health information to help direct input can be defined as a service. The PHR is to provide services efficiently and PHR systems and health-related information systems should be integrated and linked. However, the current healthcare information systems field in order to meet the growing demand for healthcare construction and operation of various systems, and accordingly continues to increase budget for information, but the current system, although the association between a variety of system integration and linkage is being made. This paper proposes a Integrated information system on Healthcare based on Web service to solve problems mentioned above. SOA(Service Oriented Architecture) is a major method of integrating services on the Web. It enables new requirements to be added to existing systems without modification of legacy services, so it makes rapid adaption to varying business environment. Therefore, In this paper, PHR services based on SOA as a platform for the health care sector to design and implement an integrated information system by web services based PHR services for the construction of a new integrated information system is proving to be a suitable model.

A Study of Family Caregiver's Burden for the Terminally III Patients (지역사회 말기질환자 가족 부담감에 관한 연구)

  • Han, Sung-Suk;Ro, You-Ja;Yang, Soo;Yoo, Yang-Sook;Kim, Sek-Il;Hwang, Hee-Hyung
    • Journal of Home Health Care Nursing
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    • v.10 no.1
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    • pp.58-72
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    • 2003
  • The purpose of this study was to describe the perceived burden of the terminally III patients's caregiver and to analyze relationship between the perceived burden and the various demographics, illness characteristics, family relationships, and economic factor of the family & patients. The sample of 132 caregivers who care for the terminally III patients Kyung-Gi province, Seoul, Korea. The period of this study was from August to September, 2002. The perceived burden of the family caregiver was measured by the burden scale(20 items, 4 point scale) developed by Montgomery et al. (1985). The Data was analyzed using SAS-program by t-test and ANOVA. The results were as follows; 1. The mean of the family caregiver's burden score was 3.02. The score showed that caregivers perceive severe the level of burden. The hight items of the family caregiver's burden were' I feel it is painful to watch patient's diseases'(3.77). 'I feel afraid for what the future holds for my patients'(3.66), 'I feel it reduced to amount of privacy time'(3.64). 2. The caregiver's burden was significantly related to patient's gender(F=3.17, p= 0.0020), patient's job(F=2.49, p=0.0476), caregiver's age(F=4.29, p=0.0030), and caregiver's job(F=2.49, p=0.0476). 3. The caregiver's burden according to illness characteristics showed no significant difference. 4. The caregiver's burden was significantly associated with patient's family relationship (F=4.05, p=0.0041), patient's care mean period in a day(F=47.18,

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A Study of Methodology Based on Role-Based Serucity Agent Medical Information System Security Architecture Design (보안 에이전트 역할 기반에 기초한 의료정보시스템 소프트웨어 보안아키텍쳐 설계방안)

  • Lee, Dae-Sung;Noh, Si-Choon
    • Convergence Security Journal
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    • v.11 no.4
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    • pp.77-83
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    • 2011
  • In addition to the rapid development of health information technology services for the development of new medical information, a lot of research is underway. Improve health care services for patients are many ways to help them. However, no information about the security, if only the technology advances in health care systems will create an element of risk and threat. Today's issues and access issues are stable over a public network. Ad hocsensor network using secure, non-integrated health information system's security vulnerabilities does not solve the security vulnerabilities. In the development and utilization of health information systems to be subject to greater restrictions. Different security policies in an environment with a medical information system security policy mechanism that can be resolved if people get here are needed. Context-aware and flexible policy of integration and confidential medical information through the resistance should be guaranteed. Other cross-domain access control policy for telecommunications should be protected. In this paper, that the caller's medical information system, diversification, diversification Security agent in the environment, architecture, design, plan, role-based security system are proposed. The proposed system architecture, design work in the field and in the utilization of one model are expected to be.

Mammography Screening according to Breast Cancer Disease and Social Network Characteristics of Married Korean Women (기혼여성의 유방암과 사회연결망 특성에 따른 유방촬영술 수검행위)

  • Ko, Yun-Hee;Kim, Sue;Kim, Gwang-Suk;Chang, Soon-Bok
    • Women's Health Nursing
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    • v.17 no.2
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    • pp.157-168
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    • 2011
  • Purpose: This study was done to examine differences in mammography screening according to breast cancer and social network characteristic. Methods: Data were collected from 187 married women 35 years and older who were using public health centers, health promotion centers, cultural centers, obstetrics and gynecology hospitals or other relevant community sites. Data were collected between October 24 and December 4, 2008. Data were analyzed using the SPSS/WIN 15.0 program. Results: The participation rate for mammography screening was 35.3%. The following general and breast cancer characteristics showed statistically significant differences: religion, family incomes, regular medical-care, general health examinations during past 2 years, and history of breast disease. The following social network characteristics showed statistically significant differences: social norms and subjective norms. Using logistic regression analysis, regular medical-care, breast cancer risk appraisal, social norm, and subjective norms were highly predictive of subsequent mammography. Conclusion: The results of this study indicate that it is important to develop and provide tailored intervention programs through integrated socially mediated programs. By consciously including social network and support systems, breast cancer detection efforts would not end as a one-time event, but naturally build on network structure of adults women, thus facilitating regular mammography screening.

Analysis of Needs for Clinical Dental Hygienist's Performances Using Borich Needs Assessment and the Locus for Focus Model

  • Yang-Keum Han;An-Na Yeo
    • Journal of dental hygiene science
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    • v.23 no.1
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    • pp.1-12
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    • 2023
  • Background: This study aimed to identify the present level and needs of clinical dental hygienists and to present the Borich needs assessment and the locus for focus model as integrated priorities. Methods: The participants of this study were dental hygienists working in dental clinics (hospitals). The final data of the 194 participants were analyzed using frequency analysis and a paired sample t-test. To analyze the need for clinical dental hygienists to perform work, the Borich priority determination formula was used. The x-y plane consisting of four quadrants was used to analyze the need using the locus for focus model, which helps to determine the priority while showing visual effects. Results: "Scaling" was the highest required level for clinical dental hygienists, and "panorama taking" was the highest present level. The priorities of educational needs were systematically and visually derived from dental hygienists who were currently working through the Borich needs assessment and the locus for focus model for each task performed in the clinical field. Through the priorities of these two models, a total of 13 items appeared in the common high-level area; "oral health care (disability)," "oral health care (systemic disease)," "applying a rubber dam," "professional mechanical tooth cleaning," "root planing," "taking vital signs," "medication counseling," "wire cutting," "removing cement after removing band/bracket," "delivering bracket," "preparing mini-screw implantation," "dental insurance claim," and "patient reception." Conclusion: Based on the results, the department of dental hygiene should maintain and improve the standardized clinical practice curriculum and clinical dental hygienists' practical skills and contribute to the realization of the legal scope of dental hygienists, reflecting the requirements of clinical fields.

Association between cardiovascular disease and limited oral function (심혈관계 질환과 구강기능제한의 관련성)

  • Kim, Sun-Mi;Kim, In-Ja
    • Journal of Korean society of Dental Hygiene
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    • v.21 no.6
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    • pp.751-761
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    • 2021
  • Objectives: The purpose of this study was to examine the relationship between limited oral function and cardiovascular disease in adults over 40 years of age. Methods: Data from the Seventh Korean National Health and Nutrition Examination Survey (2016-2018) was used. In this study, 8,766 adults over the age of 40 years were included as study subjects. They completed a health survey which included current prevalence of hypertension, stroke, myocardial infarction, and angina pectoris, as well as information about blood tests, physical measurements, and oral examinations. Statistical analyses were carried out using complex sample cross-tabulation analysis, general linear model, and logistic regression analysis. Results: The study showed that limited oral function was experienced by patients with stroke (61.3%), myocardial infarction (49.1%), cardiovascular disease (38.5%), hypertension (38.1%), and angina (36.4%) (p<0.05). In patients with stroke, the risk of limited oral function was 2.393 times higher than in patients without stroke. Patients with hypertension were 1.233 times more at risk of speaking difficulty than those without hypertension. Conclusions: Limited oral function is associated with cardiovascular disease. To improve oral health, it is necessary to provide integrated, health-based oral care.

Effects of Music Therapy and Horticultural Therapy Programs on Depression in Rural Seniors in Yeongam-gun, Jeollanam-do

  • Se-Hui KIM;Eun-Ju OH;Ik-Sung KIM
    • The Journal of Economics, Marketing and Management
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    • v.12 no.1
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    • pp.89-96
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    • 2024
  • Purpose: This study explored the impact of using a music and horticultural therapy program on depression among rural seniors living in Yeongam-gun and conducted a comparative analysis before and after the program to present basic data helpful for an integrated mental health promotion program tailored to rural areas. Research methodology: The analysis subjects of this study were users of the rural residential program of 'Our Village Day Care Center' in Yeongam-gun in 2023, with a total of 20 people, 10 seniors for each program. The research analysis used SPSS to determine the effect on participation and depression before and after the program was implemented. Results: As a result of the analysis, depression levels decreased after completion of the horticultural therapy program and music therapy program, and this was statistically significant. Conclusion: Three implications are presented based on the following research results. First, the need for programs that can improve not only the physical health but also the mental health of elderly people living in rural areas is suggested. Second, the need for programs that link cultural programs such as music and gardening activities with welfare programs is suggested. Third, the need for follow-up management and verification of periodic mental health checkups for rural elderly is suggested.

Integrated Medical Perspective View on Forest Healing Instructor Training Program and Curriculum Development (통합 의료적 관점에서 바라 본 산림치유 지도사 양성 교육과정 개발안)

  • Lee, Min Sun;Baek, Tae Sun;Shin, Hee Sung;Lee, Wang Lim;Park, Su Jin;Park, Chan Woo;Yeo, Sang Hee;Lee, Sung Jae
    • Journal of Digital Convergence
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    • v.11 no.8
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    • pp.227-234
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    • 2013
  • The purpose of the study is to realize and develop the healing process that applies the Forest Healing Program to complementary and alternative therapies within the integrated medical health care place call ' Healing Forest'. Various healing programs need to develope and distribute to educate tentatively name ' Forest Healing Instructor' whom will be the key roll player on the program. Hereupon, collected the feedback of the program from 20 of professors, health care professionals and complementary alternative related professionals who are deeply related on the dendrology using Delphi examine. The study suggests the professional, who knows on dendrology, base medicine knowledge and healing power, Forest Healing Instructor Course includes education and assessment method base on education subject, course complete scope, instructor curriculum, education goal and education operation process. The Journal of Digital Policy & Management. This space is for the of your study in English.

Curriculum Model in Integrated Practicum of Nursing Management and Community Health Nursing (일 간호대학의 간호환경시스템 통합실습방안 적용;간호관리학과 지역사회간호학의 통합)

  • Lee, Kyung-Ja;Kim, Eui-Sook;Lee, Chung-Yul;Kim, In-Sook;Lee, Tae-Hwa;Cho, Yoon-Hee;Chung, Je-Ne;Lee, Hyun-Jung;Bae, Sun-Hyoung;Kim, Eun-Hyeon;Kim, Gwang-Suk
    • Journal of Korean Academy of Nursing Administration
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    • v.14 no.1
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    • pp.51-62
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    • 2008
  • Purpose: Integrated curriculum has been considered as a desirable method in health related school course. The present study was conducted to develop practice curriculum which integrates nursing management and community health nursing and measure the education effect. Method: Literature review and scores of professional meeting were carried out to generate main educational goals, contents, operating principle, and evaluation item. Student evaluation was done by survey and in-dept interview in right after practicum and three months respectively. Results: Six concepts were derived as main component of the integrated curriculum. From 2 to 3 sub-categories were matched to each main component as well. Subsequently, practice contents were suggested on the basis of sub-categories. Attainment of practicum goal scores ranged from 2.82 to 3.54 in four points index. Students expressed that they found nursing manager's role in the community setting. Conclusion: This new approach encouraged students to ascertain relationship between hospital oriented and community based practice. Additionally, they can be prepared to comprehend diverse health care environment.

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A Study on the Patient-centered Medical Delivery System -Focusing on EU examples of strengthening primary care- (환자 중심의 의료전달체계 구축에 관한 연구 -일차 의료 강화와 관련된 유럽연합의 예를 중심으로-)

  • Kim, Yong-Min
    • The Korean Society of Law and Medicine
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    • v.20 no.3
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    • pp.235-262
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    • 2019
  • While traditionally threatening human infectious diseases are decreasing, chronic diseases such as cancer and diabetes, including cardiovascular diseases, are spreading rapidly. Reflecting the characteristics of chronic diseases that are difficult to treat, the management of risk factors and the preparation of health promotion policies corresponding to them have emerged as important concerns around the world. Providing so-called multi-sector approach such as health promotion and disease prevention policy and solution for community response, The value of primary care is once again highlighted in the changed medical environment. As the existing medical delivery system has become difficult to cope with the people's desire for rapid aging, disease paradigm change, and quality of life improvement, European Union countries have made various efforts to improve the quality of their primary medical system, which provides continuous, com- prehensive and coordinated management. This paper examines the current status and problems of the healthcare delivery system in Korea, draws implications from the European Union examples related to the strengthening of primary care, and discusses the plans for establishing a patient-centered future medical delivery system.