• Asia pacific journal of information systems
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• 제28권3호
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• pp.154-166
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• 2018

As the number of online privacy incidents are increasing, lawsuits related with personal information infringements have been also growing as well. However, there are large differences between a plaintiff and a defendant to determine the amount of payment for damages from the incident. After the verdict was made, a plaintiff is not satisfied with the amount of compensation, whereas a defendant usually tries to their best to reduce the payment amount. This is because the value for personal information are hardly assessed exactly. In addition, there is no criteria for calculating the price of the information itself. Since the development of information technology enables the firms could collect and use any piece of information to identify a particular individual, the range of personal information has been also broadening. Based on these phenomenon, this study tries to grouping the types of personal information and exploring the perceived value of types of information. Therefore, this study could provide a foundation for narrowing the gap of the value of personal information between the firm and the defendant. Through AHP (Analytic Hierarchy Process), this study finds out that people usually value more on biometrics information, medical records, and criminal records whereas weigh less for email address and date of birth.

• 보건의료생명과학 논문지
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• 제11권2호
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• pp.173-180
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• 2023

본 연구는 2022년 전자의무기록시스템 관리포털에서 인증을 받은 전국의 상급종합병원, 종합병원 의료기관 종사자들을 대상으로 전자의무기록 인증 후 의료기관의 의료정보관리, 정보이용에 대한 업무변화에 관한 인식도와 EMR 시스템 기능성에 대한 인식을 조사하였다. 검증을 통해 향후 인증제 발전 및 전자의무기록 인증제도의 단, 장기적인 발전을 도모하기 위해 수행되었다. 구조화된 설문지를 이용해 총 1,189명의 응답 자료를 최종 분석에 사용하였으며, 특히 EMR 인증 후 인증제도 인식 및 시스템 기능성에 대한 직종별 인식 차이는 평균분석과 ANOVA를 실시해 검증을 적용하였다. 분석결과 전자의무기록 인증제는 의료기관 종사자들에게 긍정적인 업무변화와 인식에 영향을 주는 것을 확인했고, 전자의무기록 시스템 인증 후 다각적인 측면(내부 인식, 시스템 기능성, 상호운용성, 보안성, 추진목적)에서 운영 효과를 보였다. 향후 본 연구결과를 바탕으로 소통적인 후속 연구의 필요를 보인다.

• 융합보안논문지
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• 제19권4호
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• pp.151-163
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• 2019

세계적으로 의료분야는 스마트기기의 확산과 통신 기술의 발달로 매우 빠르게 발전하게 됨에 따라 의료보안 문제가 전면으로 대두되고 있다. 또한 진료정보교류로 개인의 민감한 의료정보가 네트워크 상에서 상호 교환되기 때문에 발생 가능한 보안위험이 매우 크다고 할 수 있다. 본 논문에서는 보건소, 보건지소, 보건진료소, 1차, 2차, 3차 병의원 등에서 운용하고 있는 의료기기와 의료시스템을 현장에서 검증한 결과를 토대로 NCS(National Competency Standards)와 국제표준, 의료기관 요구사항, 교육기관의 정보보호 학습모델을 참조하여 의료기관의 정보보호 인식교육을 위한 교육과정을 개발하였다. 이를 의료기관 종사자와 ICT 전문가 집단을 통한 타당성 검증을 진행하여 교육을 통한 의료기관의 정보보호 수준향상을 위한 방법을 연구 제안한다.

• Journal of Preventive Medicine and Public Health
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• 제53권5호
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• pp.307-310
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• 2020

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has placed unprecedented pressure on healthcare systems, even in advanced economies. While the number of cases of SARS-CoV-2 in Africa compared to other continents has so far been low, there are concerns about under-reporting, inadequate diagnostic tools, and insufficient treatment facilities. Moreover, proactiveness on the part of African governments has been under scrutiny. For instance, issues have emerged regarding the responsiveness of African countries in closing international borders to limit trans-continental transmission of the virus. Overdependence on imported products and outsourced services could have contributed to African governments' hesitation to shut down international air and seaports. In this era of emerging and re-emerging pathogens, we recommend that African nations should consider self-sufficiency in the health sector as an urgent priority, as this will not be the last outbreak to occur. In addition to the Regional Disease Surveillance Systems Enhancement fund (US$600 million) provided by the World Bank for strengthening health systems and disease surveillance, each country should further establish an epidemic emergency fund for epidemic preparedness and response. We also recommend that epidemic surveillance units should create a secure database of previous and ongoing pandemics in terms of aetiology, spread, and treatment, as well as financial management records. Strategic collection and analysis of data should also be a central focus of these units to facilitate studies of disease trends and to estimate the scale of requirements in preparation and response to any future pandemic or epidemic.

• 대한응급의학회지
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• 제29권5호
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• pp.391-398
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• 2018

Objective: This study was conducted to analyze and compare the classifications of a prehospital triage system and an in-hospital triage system. Methods: The records of patients transferred from the '119' emergency service for 5 months (from January 1 to May 31, 2016) were collected and records of first aid activities were assessed. We examined cases classified as four (urgent, semi-urgent, potentially urgent, and non-urgent) of five stages, excluding death. In the hospital, data were collected from medical records and classifications made using the five Korean Triage and Acuity Scale (KTAS) stages (1, resuscitation; 2, emergency; 3, urgent; 4, less urgent; and 5, non-urgent) were analyzed. Results: The number of patients enrolled in the study was 3,457. Of them, 2,301 were discharged after treatment and 1,156 were hospitalized. According to the prehospital triage classification, 726 of the 3,457 cases were urgent, 593 were semi-urgent, 1,944 were potentially urgent, and 194 were non-urgent. The results of the in-hospital triage were as follows: 114 KTAS 1 (3.3%), 491 KTAS 2 (14.2%), 1,345 KTAS 3 (38.9%), 1,227 KTAS 4 (35.5%), and 280 KTAS 5 (8.1%). The odds ratio trend for hospitalization showed a larger decrease according to in-hospital staging (95% CI, 0.32-0.39) than according to prehospital staging (95% CI, 0.50-0.60). The odds ratio trend for intensive care unit (ICU) admission also showed a larger decrease according to in-hospital staging (95% CI, 0.16-0.22) than according to prehospital staging (95% CI, 0.37-0.48). Conclusion: We found little correspondence in classifications made according to the KTAS and prehospital triage systems. However, the tendencies toward decreases in the hospitalization and ICU admission rates were similar.

• 임상간호연구
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• 제21권3호
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• pp.377-388
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• 2015

Purpose: To identify user requirements for electronic nursing record (ENR) systems so as to ensure system usability. Methods: A mixed methods approach were applied in three steps : (i) task and workflow analysis with literature review of nursing documentation, (ii) literature reviews of system usability, and (iii) Use Case idenfication and consensus-based validation. We analyzed the nursing activity logs collected from a time-motion investigation of six hospitals. The Use Cases were validated by eight clinical experts from different hospitals and two experts from academia in a sequential Delphi survey. Consensus was achieved for the significance score and agreement among the panel. Results: Eight task groups and patterns of task flow were observed, which were translated into nine Use Cases. The specification of Use Cases was derived from principles, guidelines, and recommendations on nursing documentation and electronic health record systems, which was organized into three requirements of each Use Case: functionality, information, and design characteristics. Each Use Case achieved an agreement of 50~70%, and significance scores of 4 or 5 on a 5-point Likert scale. Conclusion: The nine Use Case identified were considered to be important and adequate in terms of both clinical and informatics contexts.

• 한국산업정보학회논문지
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• 제14권2호
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• pp.32-50
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• 2009

의료 정보화는 정보기술 발전과 사회환경의 변화와 더불어 양질의 진료와 고객관리 및 경영효율화의 필요성으로 1990년부터 처방전달시스템(OCS)을 도입하면서부터 시작되었다. 의료계의 정보화는 빠른 속도로 발전하고 있으며, 원격진료 시스템 도입과 각종 U-Health Care 관련 제품 및 의료 서비스 등 유비쿼터스 환경으로 새로운 변화를 맞고 있다. 최근 의료계와 정부는 병원에 발생하는 모든 진료기록을 디지털화 하여 관리하는 전자의무기록(EMR)에 관심을 가지게 되었다. 특히 환자 진료데이터 기록은 계속적인 진료관리와 치료 내용을 기록한 것으로 매우 중요하며, 대형 의료기관을 중심으로 EMR시스템 도입이 늘고 있다. EMR시스템은 진료 중 발생한 환자의 진료정보를 전산화함으로써 고객서비스 향상, 대기시간 단축, 진료의 질 향상, 진료정보의 다양한 활용, 정확한 진료, 비용 절감, 진료부서 및 진료 지원부서 등의 업무효율화를 가져와 병원의 경쟁력을 확보하게 한다.

• 가정∙방문간호학회지
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• 제15권2호
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• pp.99-105
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• 2008

Purpose: We evaluated patient nutritional status in a home care setting. Method: We recruited 81 patients who received in-home care using a screening sheet. The level of nutrition-related serum marker (albumin) was checked via medical records and data analyzed using descriptive analysis, t-tests, and $X^2$-test. Results: Nutritional status varied according to the primary medical diagnosis. Poor nutritional status was significantly higher in cancer patients than in other diseases. Serum albumin levels were significantly lower in the malnutrition group than the good nutrition group. Conclusions: Nutrition screening can determine the nutritional status in home care patients. Home care nurse practitioners should consider nutritional status when assessing patient health.

• 한국정보통신학회:학술대회논문집
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• 한국해양정보통신학회 2009년도 추계학술대회
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• pp.892-895
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• 2009

Medical records must be well protected because they are needed to care for the health of patients. For that reason, user authentication and medical data encryption are essential for the security of both wired and wireless Healthcare Information Systems (HIS). The main focus of this paper is on the analysis of the numerous possible attacks and the countermeasures to overcome these attacks in Mobile Healthcare Environment (MHE) with an appropriate security protocols. To draw a conclusion, this will propose why a healthcare architecture should establish a multi-layered defense against the risks.

• 한국전자통신학회논문지
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• 제15권1호
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• pp.199-204
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• 2020

IT기술의 발달로 현재 여러 분야에서 융·복합 시스템을 적용하고 운영 중에 있다. 그중 대표적인 분야가 의료분야로 나노기술 및 바이오 기술을 접목하여 다양한 형태로 발전해 나가고 있다. 하지만 실제 의료데이터를 운영하고 관리하는 측면에서는 기술적인 혁신이 부족한 것이 현실이다. 대표적인 예로 전자의무기록 또는 SAM 파일과 같이 데이터를 전송 또는 보관하는 업무의 운영에 있어 현재는 데이터와 문서의 양식을 별도로 저장하고 조합하는 형태를 취하고 있으며 그렇지 않은 경우에도 종이에 기록 후 보관하는 방식을 고수하고 있다. 본 연구에서는 데이터와 문서의 양식을 캡슐화 하고 업무 처리상 발생할 수 있는 문서 형태 그대로를 데이터화 하여 운영 및 보관할 수 있는 EMR 시스템을 설계 및 구현함으로써 업무적인 측면과 관리적인 측면에서 보다 효율적인 전자문서의 운영이 가능할 수 있기를 기대한다.