• Title/Summary/Keyword: Multi-hospital System

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The Financial Performance of Hospitals Belonging to Multi-hospital System : A Comparative Study (네트워크 시스템 병원의 경영성과 : 비교 연구)

  • Yoon, Young-Gyu;Suh, Won-S.
    • Health Policy and Management
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    • v.22 no.1
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    • pp.109-128
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    • 2012
  • The purpose of this study is to analyze the performance difference between multi-hospitals and free-standing hospitals. Scholars in industrial economics argue that, due to economies of scale and integration, multi-hospital system may have a better performance compared to freestanding hospitals. The study overturned the hypothesis based on a theory. By analyzing 425 acute-care hospitals in Korea, this research shows that multi-hospital systems and market factors, which have been perceived to be strengths to hospitals, are negatively related to hospitals' financial performance. Specifically, the results showed a better performance of freestanding hospitals compared to multi-hospital systems. Higher labor and administrative cost by multi-hospital system may be the reason for the difference, and it means they are not more effective at cost control. Managers in multi-hospital system, therefore, should pay attention on cost-reducing issues to regain managerial efficiency of organizations.

Implementation of the Classification system for Dental Behavior using Multi-Axial Classification System (다축분류체계를 이용한 치과용 의료행위 분류체계 구축)

  • Ahn, S.H.;Chun, M.C.;Kim, M.S.;Hong, J.Y.;Kim, K.T.;Jun, K.R.
    • Proceedings of the KOSOMBE Conference
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    • v.1998 no.11
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    • pp.255-256
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    • 1998
  • In this paper, we propose the multi-axial classification system using parallel coding method that is systemic and flexible properties for representing dental clinical behavior. The methodology and organization of this thesis as follows. First, an analysis of other classification systems. Second, the domain of medical behavior and axises using selected elements was were determined. Third, the new code system is constructed of these common factors in properties of prediction of hierarchy, brevity, simplicity, flexibility and mnemonic usage. Finally, the framework of classification system for dental was made using multi-axial code system. The result of the this study, the eight bases axis of multi-axial code system is composed and can be basic information of research for construction of classification system of all medical domain.

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Construction of Multi-agent-based Distributed Framework for Application Services of u-Hospital Information Systems (u-병원 정보 시스템의 응용 서비스를 위한 멀티에이전트 기반 분산 프레임워크 구축)

  • Jeong, Chang-Won;Shin, Chang-Sun;Joo, Su-Chong
    • Journal of KIISE:Computing Practices and Letters
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    • v.15 no.11
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    • pp.861-865
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    • 2009
  • As the hospital environment has been increasingly changed into a ubiquitous environment, the application services for the hospital environment are also faced with new requirements. In particular, the emergence of various mobile devices and the introduction of a wireless sensor network technology have accelerated the realization of the u-healthcare. The multi-agent paradigm has been introduced for satisfying both the integration of information and the various application scenarios established from various environments. This paper describes the software structure and u-applications for u-hospital information system based on ubiquitous environments. And it suggested the construction of a multi agent based distributed framework for supporting u-hospital information system. The suggested framework includes the JADE and distributed object group framework. And it implemented u-application services for supporting doctors and nurses, which provides the patient's health information and ward environment information. Especially, it is using a dynamic security mechanism on the security situation, which has not been emphasized in existing researches, and this paper shows the results for each user through the GUI.

Implementation of Stable Interface for Clinic Laboratory Equipment (임상검사장비를 위한 안정적 인터페이스의 구현)

  • Lee, Jong-Hyeok
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.13 no.11
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    • pp.2355-2360
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    • 2009
  • As for information system in hospital which digital hospital aims at, there are LIS(Laboratory Information System) and so on. Interface program gather the results from the clinic laboratory equipment and manage the results efficiently as well. To implement interface program, multi tasking and multi thread method is used. In this paper, we proposed the stable method after comparing and analyzing these two methods we present above through the simulation. Also we designed and implemented Interface program which satisfy the users' requirements applying the proposed method. The result of using the built interface program in the hospital field confirms that the program operates safely.

Gateway design and performance evaluation based on health information standards in multi-platform environment (멀티플랫폼 환경에서 의료정보표준 기반 게이트웨이 설계 및 성능 평가)

  • Shim, Woo-Ho;Na, Hyun-Suk;Park, Seok-Cheon
    • Journal of the Korea Society of Computer and Information
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    • v.17 no.3
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    • pp.33-40
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    • 2012
  • Recently, to enhance the quality and efficiency of health care services, smart health care services utilizing a smart phone and tablet pc are mainly being introduced into the large hospital and the interest for personal health record service which manages personal medical information utilizing PC and smart phone and technology development is actively underway. In order to build a next generation hospital information systems, the interoperability of data between the different hospital information systems and UX consistency between the various user devices must be assured. Therefore, in this paper, medical information standard and the study for improving the performance is conducted to design the gateway system which converting and integrating the medical information under multi-platform environment. In this paper, CCR standard is adapted to the mapping method between the data which is the key feature of the gateway system and design the system utilizing multi-table-based mapping method. To evaluate the performance of the system, experiment was done and the result has been improved approximately 20 percent for response rate.

Development of the Intelligent Multi-Casting System (지능형 멀티 캐스팅 방송 시스템의 개발)

  • Lim Chan-Ho
    • Journal of Korea Society of Industrial Information Systems
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    • v.10 no.4
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    • pp.90-96
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    • 2005
  • This paper develops a multi-casting system could be used in a school and hospital and government and municipal public offices. The developed multi-casting system uses various educational multimedia titles effectively and is capable of remote control by using a network(LAN). The developed system includes speaker control module that make individual or group broadcasting, AV contents control module for using a diverse educational multimedia title effectively and light control module. The system uses RS-485C communication module and the effective control system interface based on GUI.

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BDI Architecture Based on XML for Intelligent Multi-Agent Systems

  • Lee, Sang-wook;Yun, Ji-hyun;Kim, Il-kon;Hune Cho
    • Proceedings of the Korea Inteligent Information System Society Conference
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    • 2001.01a
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    • pp.511-515
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    • 2001
  • Many intelligent agent systems are known to incorporate BDI architecture for cognitive reasoning. Since this architecture contains all the knowledge of world model and reasoning rule, it is very complex and difficult to handle. This paper describes a methodology to design and implement BDI architecture, BDIAXml based on XML for multi-agent systems. This XML-based BDI architecture is smaller than any other BDI architecture because it separates knowledge for reasoning from domain knowledge and enables knowledge sharing using XML technology. Knowledge for BDI mental state and reasoning is composed of specific XML files and these XML files are stored into a specific knowledge server. Most systems using BDIAxml architecture can access knowledge from this server. We apply this BDIAXml system to domain of Hospital Information System and show that this architecture performs more efficiently than other BDI architecture system in terms of knowledge sharing, system size, and ease of use.

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The Relationship between Hospital Specialization and Operational Performance: Focusing on Diseases of the Musculoskeletal System and Connective Tissue (병원의 전문화 전략과 운영성과 간의 관계: 근골격계 및 결합조직 질환을 중심으로)

  • Seo, Seul-Ki;Kim, Yang-Kyun
    • Korea Journal of Hospital Management
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    • v.25 no.3
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    • pp.53-66
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    • 2020
  • This study is aimed at investigated and compared the differences in the affect of hospital specialization according to hospital size using claims data of the Health Insurance and Review Assessment National Inpatient Sample in 2018 for diseases of the musculoskeletal system and connective tissue. To this end, we used multivariate hierarchical linear models(a.k.a., multi-level models) using two-tier data from 106,599 patients discharged after diseases of the musculoskeletal system and connective tissue from 734 hospitals. Multivariate results indicate that patients who were discharged with diseases of the musculoskeletal system and connective tissue from specialized hospitals with 200 beds or less stayed shorter and paid less inpatient charge than those who were discharged from less specialized hospitals. But for hospitals with 201-300 beds, no positive impact relationship was found between hospital specialization and operational performance. This finding may be limited evidence that the affect of a hospital's specialization strategy may vary depending on the size of the hospital. We discussed several managerial and health policy implications below.

A Multi-Perspective Benchmarking Framework for Estimating Usable-Security of Hospital Management System Software Based on Fuzzy Logic, ANP and TOPSIS Methods

  • Kumar, Rajeev;Ansari, Md Tarique Jamal;Baz, Abdullah;Alhakami, Hosam;Agrawal, Alka;Khan, Raees Ahmad
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.15 no.1
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    • pp.240-263
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    • 2021
  • One of the biggest challenges that the software industry is facing today is to create highly efficient applications without affecting the quality of healthcare system software. The demand for the provision of software with high quality protection has seen a rapid increase in the software business market. Moreover, it is worthless to offer extremely user-friendly software applications with no ideal security. Therefore a need to find optimal solutions and bridge the difference between accessibility and protection by offering accessible software services for defense has become an imminent prerequisite. Several research endeavours on usable security assessments have been performed to fill the gap between functionality and security. In this context, several Multi-Criteria Decision Making (MCDM) approaches have been implemented on different usability and security attributes so as to assess the usable-security of software systems. However, only a few specific studies are based on using the integrated approach of fuzzy Analytic Network Process (FANP) and Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) technique for assessing the significant usable-security of hospital management software. Therefore, in this research study, the authors have employed an integrated methodology of fuzzy logic, ANP and TOPSIS to estimate the usable - security of Hospital Management System Software. For the intended objective, the study has taken into account 5 usable-security factors at first tier and 16 sub-factors at second tier with 6 hospital management system softwares as alternative solutions. To measure the weights of parameters and their relation with each other, Fuzzy ANP is implemented. Thereafter, Fuzzy TOPSIS methodology was employed and the rating of alternatives was calculated on the foundation of the proximity to the positive ideal solution.