• 한국한의학연구원논문집
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• 제12권3호통권18호
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• pp.31-47
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• 2006

Nowadays Korean governments use Information Technology to improve the quality of life for a people. One of these tries is building the Food Tracing System based on Information Technology. Koreans have big concern about food that is good for health. The Food Tracing System means that the system can follows, traces, and records every steps of production and delivery of food and its ingredient. And this process should be identified and grouped by using tags, marks, and other methods. For example, producer of ingredient, processing steps of food, delivered place could be traced. In addition to food, medical herbs need consumer's trust in production and delivery. To trace and prosecute contaminated medical herbs, medical herbs also need this kind of Tracing System based on Information Technology. This study shows current medical herbs tracing ways and RFID(Radio Frequency IDentification) technology trend. As preceding study for future RFID based medical herbs tracing system, this study suggests the building plan and scenario of the Medical Herbs Tracing System. The determination of the main body for sticking RFID Tags is very important to design for RFID Traceability System. In this study, the starting point of information to medical herbs is an inspection agency. The Medical Herbs to product domestically or import moved to an inspection agency. An inspection agency bond the RFID Tags to packing of the Medical Herbs after examining the a basic its component. At the same time inspector give the information of production or importation to the Tags. This Tags are moved for logistical process to end point, the Korean medicine agency. The customer confirmed the traceability and certification information of the Medical Herbs. For success tracing of medical herbs, institutional support and close cooperation between related organizations is necessary besides good system design.

• 대한예방한의학회지
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• 제7권1호
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• pp.87-102
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• 2003

This study was conducted to examine recognition of oriental medical doctors on the quality control of herbal medicine and to provide useful information for the establishment of effective quality control system of herbal medicine. Data were collected from 202 oriental medical doctors working in oriental medical hospitals or clinics in Daegu-Gyungbuk province. Generally, there is a tendency that most respondents have low degree of recognition, trust and satisfaction of the quality control of herbal medicine while they think standardization and complete quality control systems of herbal medicine is needed highly. Thus, in order to increase confidence of consumers in herbal medicine, and to increase the utilization of oriental medical services, both strengthening of quality control systems and standardization and establishment of Oriental KFDA as a new government agency responsible for the work should be required.

• 보건행정학회지
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• 제34권3호
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• pp.223-225
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• 2024

의사인력 증가 정책에 반발하여 의과대학생이 수업을 거부하고 전공의들이 병원을 그만 둔 지 7개월이 되고 있다. 의학교육이 중단되고 대학병원 진료가 축소되면서 의료공백이 지속되는 가운데 의료체계에 위기가 발생하는 것을 걱정하는 우려도 높아지고 있다. 의사인력을 늘리겠다는 정책에 의사들의 반발이 큰 이유로서 정부의 결정과정에서 개선되어야 할 몇 가지 이슈들을 살펴보고자 한다. 첫째, 정책을 결정하는 근거자료는 다양한 특성들과 범위를 가지고 있기 때문에 이들 근거들을 이해 주체(stakeholders)들과 충분히 협의하는 과정이 매우 중요하다. 둘째, 근거자료를 검토하고 의사결정하는 논의구조가 다양한 이견들을 충분히 협의할 수 있는 구성원들로 구성되어야 하고 공정한 절차를 거쳐서 협의되는 방식으로 운영되어야 한다. 이런 과정들이 갖춰지지 않는다면 근거를 둘러싼 갈등이 더욱 심화될 수 있고 정부신뢰도를 떨어뜨리는 결과를 초래할 수 있다. 이해 주체들이 정부를 신뢰하지 않게 될 경우에 정책을 추진할 때 소요되는 사회비용이 커지고 정책 효율성이 떨어질 수 있다. 앞으로 정책 추진과정에서 발생할 수 있는 갈등을 줄이고 정부 신뢰를 높이는 방향으로 의사결정체계를 재구성해야 할 시점이다.

• 정보처리학회논문지C
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• 제17C권2호
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• pp.173-180
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• 2010

IT 기술의 발달에 힘입어 환자들의 위치에 상관없이 편리하게 진료가 가능한 유비쿼터스 헬스케어시스템이 개발되고 있다. 그러나 사용자의 수가 급증하고 다른 병원의 의사나 연구원 또는 환자의 가족들에게 의료 정보를 공개하도록 의료법이 개정되면서 사용자 관리와 프라이버시 침해라는 문제가 발생하였다. 이러한 문제를 해결하기 위하여 본 논문에서는 역할 기반 접근제어 모델에 기반한 사용자 접근 모델은 제안한다. RBAC 모델은 효율적인 사용자 관리 및 접근 제어를 제공하지만, 악의를 가진 사용자가 권한이 있는 역할을 가지고 정보를 유출하고자 할 경우 막을 방법이 없다. 이러한 RBAC의 취약점을 보완하기 위하여 "working status" 파라미터를 역할 속성과 연동하는 RBAC-WS 모델을 제안하였다. 역할에 working 속성을 연동함으로써 허가를 받은 사용자라 하더라도 업무 외 접근을 원천적으로 봉쇄함으로서 내부자에 의한 정보유출 문제를 해결하였다. 또한 RBAC을 위한 함수를 개발하여 도메인이 서로 다른 헬스케어 시스템에서도 유용하게 사용될 수 있도록 하였으며, RBAC-WS 모델의 기능 분석을 위하여 Healthcare 시스템 중 널리 사용되는 PACS에 적용하였다.

• 한국병원경영학회지
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• 제20권1호
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• pp.39-52
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• 2015

This study provides empirical evidence for the role of IT professional's expertise in hospital IT service encounters. It is posited here that IT professional's technological expertise and business expertise are associated with relationship quality(trust, satisfaction, commitment). Partial least square analyses are conducted, using data collected from 216 hospital workers. The results confirm that technological expertise strongly impacts on commitment and business expertise maintain a strong impact on satisfaction and trust. This study uses a cross-sectional survey as a research method. Longitudinal study seems necessary to further explore how expertise perception is actually formed between IT professionals and users in hospital service environments. The analysis also reveals that it takes time to grow relationship quality. Implications are discussed, and further studies are suggested.

• 한국병원경영학회지
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• 제23권4호
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• pp.1-14
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• 2018

Purpose : Customers with loyalty are very important to hospitals for sustainable growth in their medical market. Individuals with loyalty are likely to visit same hospital repeatedly when they need medical services. This study was to identify factors associated with selection of specialty hospitals among customers with loyalty. Methods : The subjects of this study were 735 inpatients in 22 specialty hospitals in 6 designated fields(joints, spine, colorectal-anal, obstetrics and gynecology, ophthalmology, otolaryngology). Customer types classified as customers with high loyalty, neutral customers, and customers with low loyalty according to net promoter score(NPS). Factor analysis was conducted to classify 22 hospital selection factors into some similar properties. Logistic regression analysis was conducted to confirm the selection factors related to loyal customers. Findings : Most of specialty hospitals received high NPS of 8 points or higher in all the designated fields. Five factors associated with selection of specialty hospital are (1) hospital facilities and convenience, (2) trust in doctor and hospital, (3) rapidness of treatment, (4) hospital awareness, and (5) accessibility. As a result of logistic regression analysis, selection factors related to loyal customers were 'hospital facilities and convenience', 'trust in doctor and hospital' and 'rapidness of treatment'. Differences in the degree of importance of three selection factors by customer types appeared for each designated field. Practical Implications : This study confirms the high level of patient experience among inpatients of specialty hospitals. Factors associated with selection of hospital among inpatients with loyalty are 'facilities and convenience of hospitals', 'trust of doctor and hospital' and 'rapidness of treatment'. This study will be meaningful as basic data to systematically enhance the roles and functions of the health care system and to provide securing competitiveness according to designated fields in the management aspect of specialty hospitals.

• 농촌의학ㆍ지역보건
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• 제49권3호
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• pp.216-234
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• 2024

Background: Hapcheon-gun, Gyeongsangnam-do, is designated as an emergency medical vulnerable area, facing significant challenges in transporting and treating emergency patients. A detailed analysis of the regional emergency medical system is required to identify effective solutions. Methods: This study employed a mixed-methods approach, combining quantitative data from the National Emergency Medical Information System and emergency activity logs with qualitative data from focus group interviews involving 24 stakeholders, including medical staff, paramedics, civil servants, and local residents. Results: Quantitative findings indicated an aging population in Hapcheon-gun, with a growing number of elderly emergency room users. Despite the utilization of local emergency medical institutions, a lack of trust and preference for urban hospitals led even patients with mild conditions to seek care at higher-level facilities. Following the COVID-19 pandemic, transport distances and times for patients using 119 emergency services increased. Qualitative analysis identified several issues: limited capacity of local institutions, challenges in patient transport due to misaligned emergency medical zones, an increase in severely ill patients, and the absence of a coordinated emergency medical consultative body. Recommendations include strengthening local institutions through government support, realignment of emergency zones, legal reforms, the establishment of a continuous consultative body, and enhancing the capacity of medical staff, paramedics, and residents. Conclusion: Improving the emergency medical system in Hapcheon-gun will require targeted efforts in institutional strengthening, legal and administrative support, and capacity-building initiatives.

• 한국정보통신학회:학술대회논문집
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• 한국해양정보통신학회 2002년도 춘계종합학술대회
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• pp.130-133
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• 2002

사회의 발전에 따라 고령화 현상과 예전에 없던 많은 병들이 생겨나고 있다. 특히 고령환자의 경우는 건강 상태가 언제 악화될지 모르기 때문에 지속적인 관찰의 필요성에 원격 의료정보 시스템 연구가 활발히 이루어지고 있다. 생체 전위 신호의 일종인 심전도 신호는 심장 질환 보유 환자의 일상적 임상 진단 수단으로 의료 정보 시스템에 널리 사용되고 있다. 블루투스란 2.4GHz 대의 무선 주파수를 사용하는 근거리 무선 통신 기술로서 저전력 특성과 고속의 주파수 호핑 방식에 따른 높은 신뢰성 및 자체 에러 정정 기술을 지니고 있다. 이는 기존의 무선모뎀보다 데이터 전송에 있어서 높은 신뢰성을 얻을 수 있게 해준다. 또한 무선 모델은 무선 단말기 소형화에 따른 제약을 받고 있으나 블루투스를 사용함으로써 저전력 특성과 더불어 휴대용으로의 기능에 부합시킬 수 있으며, 모듈의 원칩화가 진행됨에 따라 자은 크기로의 가능성이 제시된다. 이에 따라 블루투스를 이용한 작업 중 외부로부터 입력되는 의료 정보를 블루투스 모듈이 호스트 PC에 연결된 불루투스 모듈에 무선으로 전송하고, 호스트 PC는 연결된 블루투스 모듈로부터 받은 의료 정보를 인터넷 망으로 전송하는 시스템이 구현된 바 있다. 본 연구는 기존의 시스템에서 더 나아가 호스트 PC를 임베디드화하고, Tcp/Ip 프로토콜 스택을 추가하여 의료 정보를 모두 임베디드화된 환경 하에서 웹으로 전송 할 수 있게 해준다.

• 정보처리학회논문지:컴퓨터 및 통신 시스템
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• 제10권1호
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• pp.1-6
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• 2021

최근 대리수술(무면허의료행위)과 같이 환자의 안전을 위협하는 사건들이 언론에 보도되고 있다. 대리수술 방지를 위한 수술실 감시카메라 장치도입 등의 대안이 등장하고 있지만, 의료계의 거센 반발로 인해 시행되기에는 현실적인 어려움이 있다. 하지만 대리 수술과 같은 사건이 빈번히 발생함에 따라 의사에 대한 사회적 신뢰도가 추락하고 있다. 본 논문에서는 근거리 무선 통신 장치인 비콘(Beacon)과 생체인식 중 안전하고 신뢰할 수 있는 홍채인식을 결합한 의료진 신분 확인 시스템을 제안한다. 이 시스템은 블록체인 상에서 동작하도록 하여 신뢰성을 더한다. 이 시스템은 홍채인식을 통해 사용자 인증을 수행함으로써 1차적인 신분확인을 하고 비콘을 통해 의료진이 수술실에 있다는 것을 증명한다. 또한 백그라운드로 비콘 신호를 수신하고, 무작위 주기로 홍채인증을 수행하여 의료진이 초기 인증만 수행하고 수술실을 떠나는 경우를 방지함으로써 집도의에 대한 환자의 신뢰를 보장한다.

• 대한방사선기술학회지:방사선기술과학
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• 제44권5호
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• pp.545-554
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• 2021

According to the changes of the medical environment of the times, it is necessary to discuss the issues of the doctor's medical guidance and to conduct continuous research so that alternatives can be prepared systematically. Furthermore, in order to enhance the professionalism of radiological technologists and to develop the medical technician system, the new Radiological Technologist Independent Act has been established, which contains the overall contents of the scope of work, professional qualifications, and specialized education of radiological technologists, and provides quality medical services to patients through professional procedures and treatment. In order to increase the level of medical care, the purpose, definition, mission, role, and scope of work specified in the Medical Act, Medical Service Technologists, etc. Act, the Enforcement Decree, and the Enforcement Rules were variously analyzed and new directions were presented. First, the definition of a medical technician should use a generic term so that the factors of conflict and prejudice could be resolved. Second, change the doctor's guide to doctor's prescription; and then legislate the authority to sign and write medical records after examination by radiological technologists, thereby prohibiting unlicensed technicians that seriously endanger patient safety. Third, an accurate definition of radiological technologists' roles should be established; not only selection and management of radiological technologists' work but also procedures and treatment for each radiology field should be specified to suit the current medical system. Fourth, a professional radiological technologists' qualification system and a specialized education system should be established in order to secure human resources that could provide patients trust in procedures and treatment based on professional knowledge and experience in the field of radiology. Fifth, the Education and Evaluation Institute should be operated in Korea education system to educate the professional knowledge and competency for students. In addition, it is necessary to in-depth analysis of foreign cases could be applied to the medical system and education system in Korea; it could strive to nurture systematic human resources.