• Title/Summary/Keyword: Integrated health care system

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The Design of mBodyCloud System for Sensor Information Monitoring in the Mobile Cloud Environment

  • Park, Sungbin;Moon, Seok-Jae;Lee, Jong-Yong;Jung, Kye-Dong
    • International journal of advanced smart convergence
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    • v.5 no.1
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    • pp.1-7
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    • 2016
  • Recently, introduced a cloud computing technology to the IT industry, smart phones, it has become possible connection between mobility terminal such as a tablet PC. For dissemination and popularization of movable wireless terminal, the same operation have focused on a viable mobile cloud in various terminal. Also, it evolved Wireless Sensor Network(WSN) technology, utilizing a Body Sensor Network(BSN), which research is underway to build large Ubiquitous Sensor Network(USN). BSN is based on large-scale sensor networks, it integrates the state information of the patient's body, it has been the need to build a managed system. Also, by transferring the acquired sensor information to HIS(Hospital Information System), there is a need to frequently monitor the condition of the patient. Therefore, In this paper, possible sensor information exchange between terminals in a mobile cloud environment, by integrating the data obtained by the body sensor HIS and interoperable data DBaaS (DataBase as a Service) it will provide a base of mBodyCloud System. Therefore, to provide an integrated protocol to include the sensor data to a standard HL7(Health Level7) medical information data.

U-Healthcare & Medical Information System of Status and Operative Challenges for Integrated Medical Information System (U-Healthcare 및 의료정보시스템의 현황과 통합의료정보시스템을 위한 운영과제)

  • Kim, Bo-Soo
    • Journal of Digital Convergence
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    • v.9 no.5
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    • pp.65-75
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    • 2011
  • For the latest information and communication technology convergence with related technology to integrate all the systems has been developed in the form. In this era as well as the flow of the healthcare industry in recent years many studies on the development and application has been actively. Health IT in healthcare information systems that integrate information systems that have evolved rapidly in the direction to go, and in the future it is expected to do better acceleration. In this paper, state-led ubiquitous environment for building the hospital application system and IT application services are practical and Free in the integrated health information for the patient care service strengthening to integrated medical information system proposal and design do's and At the same time the establishment of integrated health information systems plans and operational challenges presented.

A Study on the Ageism and Age-integrated Perception of Healthcare Professional Groups with experience in treating elderly patients (노인의료전문가 집단의 연령주의 및 연령통합 인식에 관한 연구)

  • Oh, Hye In;Ju, Kyong Hee;Kim, Ju Hyun
    • Korean Journal of Family Social Work
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    • no.61
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    • pp.59-91
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    • 2018
  • Using a Consensus Qualitative Research approach, this study aimed to identify the ageism and explore age-integration as a solution of age discrimination that occurs during the delivery of medical services by nine healthcare professionals who have experience in treating elderly patients. There were two-sided confession has shown by health care professionals about the Ageism. They reported that they don't discriminate by age. However, They also appealed an inconvenience due to the elderly. There were real Ageism in the Healthcare Professional site as a way of Unsuitable care, elderly alienation and dependence on caregivers, polarization of medical service and double discrimination against poor elderly. They found it difficult to offer age integrated health care as a means to mitigate or solve. However they have sought to break barriers to communication, provided a comfortable environment not only for senior citizens but also for all others, and have diversified institutional and service standards. To ensure the healthy life and proper medical service of the rapidly increasing elderly patients, we proposed to do critical review of the factors in the Korean medical system that accelerate the Ageism, reorganization of the health care system for the poor elderly, including the curriculum associated with age-integrating within the health care professional education system, raising the Geriatric Medical Service and the relating professionals and improvements in perception of the health care domains for the elderly and older adults.

Evaluation on Utilization of the Health Care Service in One Urban Area in Korea (일개지역의 보건의료서비스 이용 평가;Y지역의 대학병원과 보건소 데이터베이스를 통하여)

  • Lee, Byung-Wha;Ahn, Sung-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.11 no.4
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    • pp.401-414
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    • 2005
  • Purpose: This study was to evaluate the utilization of health care service and to provide supportive data for health care policy making in one urban area in Korea. Method: This study tested the significance of public health service using the database of an university hospital and public health center from Feb. 2000 to Dec. 2004. Data were analyzed by multidimensional analysis and data mining technique and produced the information on the classification of utilization characteristics by main disease and the total cost of use and disease association with the users of the public health center. Results: The Results were as follows: 1) Top 10 diseases in the area accounted for 22.4% of total frequency for the most recent 5 years in university hospital, while 59.0% in public health center. 2) There were significant correlations between university hospital and public health center user's insurance type and place of residence: It showed higher use of public health center for free service beneficiaries residing in Seoul than residents in nearby or local area. The medical insurance types for hospital users were more various than those for public health center users. 3) The use of hospital for patients of hypertension, diabetes mellitus and hyperlipidemia was tended to concentrate in mostly autumn and winter since August 2000, while the cost of using public health center for those patients has been steadily reduced since July 2000. 4) As a result of cluster analysis, there were classified into three homogeneous groups according to the total cost of using public health service, age, and the frequency of use. 5) The association analysis on patients with chronic disease in public health center produced a detailed information on accompanying diseases related to the incidence rate of disease of high frequency due to aging, information on drug abuse and immune disease. Conclusion: The health care policy for local community should be evaluated continuously. And the policy to build an integrated data warehousing by public health indicator system and to enhance the faithfulness of data is required.

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Analysis of Healthcare Quality Indicators using Data Mining and Development of a Decision Support System (데이터마이닝을 이용한 의료의 질 측정지표 분석 및 의사결정지원시스템 개발)

  • Kim, Hye Sook;Chae, Young-Moon;Tark, Kwan-Chul;Park, Hyun-Ju;Ho, Seung-Hee
    • Quality Improvement in Health Care
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    • v.8 no.2
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    • pp.186-207
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    • 2001
  • Background : This study presented an analysis of healthcare quality indicators using data mining and a development of decision support system for quality improvement. Method : Specifically, important factors influencing the key quality indicators were identified using a decision tree method for data mining based on 8,405 patients who discharged from a medical center during the period between December 1, 2000 and January 31, 2001. In addition, a decision support system was developed to analyze and monitor trends of these quality indicators using a Visual Basic 6.0. Guidelines and tutorial for quality improvement activities were also included in the system. Result : Among 12 selected quality indicators, decision tree analysis was performed for 3 indicators ; unscheduled readmission due to the same or related condition, unscheduled return to intensive care unit, and inpatient mortality which have a volume bigger than 100 cases during the period. The optimum range of target group in healthcare quality indicators were identified from the gain chart. Important influencing factors for these 3 indicators were: diagnosis, attribute of the disease, and age of the patient in unscheduled returns to ICU group ; and length of stay, diagnosis, and belonging department in inpatient mortality group. Conclusion : We developed a decision support system through analysis of healthcare quality indicators and data mining technique which can be effectively implemented for utilization review and quality management in a healthcare organization. In the future, further number of quality indicators should be developed to effectively support a hospital-wide Continuous Quality Improvement activity. Through these endevours, a decision support system can be developed and the newly developed decision support system should be well integrated with the hospital Order Communication System to support concurrent review, utilization review, quality and risk management.

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Implementing a 1-Night, 2-Day Mental Health Healing Center Program for Dementia Patients and Their Caregivers

  • Seojae Jeon;Do-Eun Lee;Namju Lee;Hyung Won Kang
    • Journal of Oriental Neuropsychiatry
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    • v.35 no.1
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    • pp.27-36
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    • 2024
  • Objectives: This study aimed to assess the effects of a 1-night, 2-day mental health healing center program on the physical stress, autonomic nervous system health, brain activity levels, brain stress, concentration levels, and Patient Health Questionnaire-9 (PHQ-9) scores of dementia patients and their caregivers. Methods: Forty-eight dementia patients (average age 80 years, 14 males and 34 females) and 48 caregivers (average age 65.23 years, 14 males and 34 females) participated in the program. Pre- and post-assessments were conducted to measure the variables. Results: Dementia patients experienced reduced physical stress, increased brain activity levels, decreased brain stress, improved concentration levels, and a significant decrease in PHQ-9 scores (p<0.05). However, there was a tendency for a decline in autonomic nervous system health among dementia patients. A significant decrease in physical stress was seen in caregivers, but no other significant differences were observed. Conclusions: While the 1-night, 2-day mental health healing center program did not produce significant changes in the caregivers of dementia patients, it exhibited overall positive effects in dementia patients. Consequently, mental healing programs should be utilized effectively for dementia patients. Furthermore, investigating the significance of ongoing programs for the mental well-being of dementia caregivers is imperative, mirroring the attention given to dementia patient care.

The Urgency of Reforming the Healthcare System for the Aged Society (고령사회에 대응한 보건의료체계 개편의 시급성)

  • Park, Eun-Cheol
    • Health Policy and Management
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    • v.28 no.2
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    • pp.105-106
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    • 2018
  • Korea, which entered the aged society in 2018, is accelerating the progress of the aged society due to the rapid decrease in birth. Although the low birth rate is the important issue, comprehensive measures to cope with the aged society should be established. In particular, the reform of the healthcare system in response to the aged society is very urgent. The reorganization of the healthcare system in response to the aged society should focus on improving the functional abilities of the elderly and should be transformed into integrated older person-centered health service. The benefit package of National Health Insurance should be diversified and appropriate payment of each benefit package should be applied. The ageism should be overcame, and it is important to recognize that the measures for the older person are investments in future society. The reform of healthcare system for older person are very urgent in Korea, which is advancing into a rapidly aged society.

Development of Integrated Infant Care Management App Prototype System in Mobile Environments (모바일 환경에서의 통합 육아정보관리 앱 프로토타입 시스템 구현)

  • Sok, Yun-Young;Kim, Seok-Hun
    • Journal of the Korea Convergence Society
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    • v.7 no.1
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    • pp.31-36
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    • 2016
  • Recently with the wide spread smart devices and the flexible forms of work such as working from home due to changes in work practices, people are getting various information easily. Many women with a baby get to be interested in foods, health, and growth of their baby and the new task of raising a baby comes with a new burden added to taking care of their family and can develop into obsessive compulsive disorder to be a great mother. So many mothers suffer from child-rearing stress. Also, as the balance of work and life in mobile environment emerged as an important issue, the need for integrated information management applications that give infant care assistance to new mothers was increased. This study analyzed preferences on infant care information apps and developed prototype apps for infant care information management that can provide integrated customized infant care information that is actually needed.

Current Issues and Future Considerations in Undergraduate Medical Education from the Perspective of the Korean Medical Doctor Development System (우리나라 의사양성체제의 관점에서 본 의과대학 교육의 문제점과 개선방향)

  • Han, Jae Jin
    • Korean Medical Education Review
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    • v.20 no.2
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    • pp.72-77
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    • 2018
  • Observation of the current Korean medical education and training system shows that certain negative traits of unchangeable solidification engraft themselves so deeply into the overarching system that they are now hampering the state of the national health welfare. Focusing only on undergraduate medical education, we can point out some glaring side-effects that should be of concern to any stakeholder. For instance, a graduate can legally begin his career as an independent practitioner immediately after passing the licensing exam and return to the old stuck school-year system of 2-year-premedical and 4-year-medical programs where outcome-based and integrated curricula are incomplete and unsatisfactory. In terms of learning opportunities, the balance between patient care and public health, as well as that between in-hospital highly specialized practice and community-based general practice, has worsened. Every stakeholder should be aware of these considerations in order to obtain the insight to forge a new direction. Moreover, our medical schools must prepare our students to take on the global roles of patient care within the Fourth Industrial Revolution, health advocacy for the imminent super-aged society, and education and research in the bio-health industry, by building and applying the concept of academic medicine. We will need to invest more resources, including educational specialists, into the current undergraduate medical education system in order to produce proper outcomes, smart curriculum, innovative methods of teaching and learning, and valid and reliable monitoring and evaluation. The improved quality of undergraduate medical education is the starting point for the success of the national system for public health and medical care as a whole, and therefore its urgency and significance should be emphasized to the public. The medical society should go beyond fixing what is broken and usher in a new era of cooperation and collaboration that invites other health professionals, governmental partners, law-makers, opinion leaders, and the general public in its steps toward the future.

Conditions for Integrated Public Welfare Delivery System: Case Studies in Britain (통합적 공공 복지전달체계를 위한 조건: 영국 사례 연구)

  • Kim, Bo-Yung
    • 한국사회정책
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    • v.25 no.2
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    • pp.403-428
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    • 2018
  • There has been constant attempts for integration of public welfare delivery system which lead to integrated case management, then this become more significant issue regarding 'community care' recently in Korea. However, most of them was limited to fractional organization rearrangement or more use of private resources rather than realising user-centred approach. Therefore, in this research, we would like to do a couple of case studies in Britain which has rich experience of reforms for integrated approaches between health and social services and Troubled Family programme resembles the integrated case management in Korea by visiting a London Borough and a local council respectively. In conclusion, we found three conditions are required to establish successful integrated delivery system: elimination of institutional barriers relating to workforce, organization, and finance; shared objectives and partnership among the professional groups and agencies; and information sharing system with technical support regarding individual cases.