• 융합정보논문지
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• 제7권5호
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• pp.59-65
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• 2017

본 연구는 임상실습 전의 간호 학생들의 환자 개인정보보호 인식 정도를 확인하여 정보보호에 대한 관심을 불러일으키고 임상실습 학생들을 위한 환자 개인정보보호 교육 프로그램 마련에 필요한 기반 자료를 제공하고자 시도되었다. 간호학과 2학년 학생 126명을 대상으로 조사한 결과, 간호학생들의 환자 개인정보보호 인식은 높은 수준이었다(4.52점/5점). 일반적 특성에 따른 환자 개인정보보호 인식은 통계적으로 유의한 차이가 없었다. 향후 일부 간호학생으로 제한되었던 대상자를 확대하여 간호학생의 환자 개인정보보호 인식에 영향을 주는 요인을 파악하기 위한 다학제간 융합연구가 필요하고, 임상실습 미경험 간호학생들을 위한 환자 개인정보보호 교육 프로그램 개발과 적용이 필요하며. 환자 개인정보보호 인식을 향상시키기 위한 의료기관과 대학 측의 공동 방안 모색이 필요하다.

• 기본간호학회지
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• 제14권2호
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• pp.204-212
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• 2007

Purpose: The purpose of this study was to investigate the patient's perception of the nurse's behavior in protecting patient privacy and to make suggestions for medical facilities to increase protection of patient privacy. Method: The research was a survey study The data on protection of privacy in primary nursing, for physical privacy, of patient information and in private conversations were collected in October 2005 from 187 patients in a university hospital. Frequencies, means, t-test, ANOVA, and $x^2$-test were used to analyze the data. The SPSS 13.0 for Windows program was used. Results: The mean score for patients' perception of nurse protection of their privacy was 3.33. There were significant differences in perception of protecting patients' privacy according to gender for private conversation, according to level of education for all but physical nursing and for number of admissions for total score and for primary nursing. Conclusion: The results of this study suggest the following: a) Institutional polices and nursing guideline should be clearly stated as to the nurses' duty to protect patient privacy. b) Medical facilities should be arranged in a way that allows for the protection of patients' medical information, and should focus on patient privacy. c) It is necessary of nurses to receive periodic in-service education on protecting patient privacy.

• 정보처리학회논문지C
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• 제10C권3호
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• pp.281-286
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• 2003

최근 환자의 개인적인 의료정보가 외부에 노출되는 것은 사생활적인 측면뿐 아니라 사회 활동 및 환경에도 영향을 준다. 그러므로 불법적인 조작으로부터 환자의 개인적인 의료정보를 안전히 보호하는 것은 중요하다. 이에 본 논문에서는 첫 번째, IC 카드에 전자처방전 정보를 저장하는 방법을 연구하고 두 번째, IC 카드에 저장된 정보에 접근하기 위한 사용자(의사, 간호사, 의료기관 관계자, 약국, 약사, 환자 등)의 접근 권한을 설계한다. 마지막으로 윈도우즈 2000이 지원하는 인증 관리 모델의 보안 API를 이용하여 인증서를 발급하고, 보안 서비스 제공 프로그램을 이용하여 공개키/개인키를 생성하여, 전자처방전에 대해 전자서명을 한다. 본 논문에서 제시한 시스템은 전자처방전의 안전성과 신뢰성을 확실히 보장할 수 있으며, 진료에 대한 서비스를 향상시킬 수 있을 것으로 기대된다.

• 문화기술의 융합
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• 제4권2호
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• pp.53-60
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• 2018

본 연구는 18주간 임상실습을 경험한 간호학생들의 환자 개인정보보호 인식과 실천 정도를 확인하여 정보보호에 대한 관심을 불러일으키고 간호학생들을 위한 환자 개인정보보호 교육 프로그램 마련에 필요한 기반 자료를 제공하고자 시도되었다. 간호학과 4학년 학생 76명을 대상으로 조사한 결과, 환자 개인정보보호 인식 정도(4.62점/5점)가 실천 정도(3.84점/5점)에 비해 통계적으로 유의하게 높았다. 인식 정도와 실천 정도는 통계적으로 유의한 순상관관계가 있었다. 향후 일부 간호학생으로 제한되었던 대상자를 확대하여 간호학생의 환자 개인정보보호 인식과 실천에 영향을 주는 요인을 파악하기 위한 다학제간 융합연구가 필요하고, 간호학생들을 위한 환자 개인정보보호 교육 프로그램 개발과 적용이 필요하며. 환자 개인정보보호 인식과 실천을 향상시키기 위한 의료기관과 대학 측의 공동 방안 모색이 필요하다.

• The Journal of Asian Finance, Economics and Business
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• 제7권7호
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• pp.323-334
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• 2020

The quality of hospital services remains a concern of both the manager and the patient. The study aims to identify factors affecting outpatient satisfaction at private general hospitals in Ho Chi Minh City, establishing a scale for measuring them. Some 450 outpatients who were treated in five top private hospitals in Ho Chi Minh city (HCMC) in 2019 - An Sinh General Hospital, Hoan My General Hospital, Columbia Asia International Hospital, FV Hospital, and Vu Anh International General Hospital - were interviewed directly in the last quarter of 2019 to obtain the information. The SERVPERF model, plus the cost, together with the SPSS software, have been used to process information by Cronbach's alpha analysis, Exploratory Factor analysis, and linear regression analysis. The results show that there are five factors influencing outpatient satisfaction at private general hospitals in HCMC, in which four factors affects positively in the order of decreasing importance: treatment outcome, doctors and nurses' professional capacity, facilities and environment of the hospital, hospital care, and the treatment time factor affects negatively. The results of the study provide private hospital in HCMC managers with a number of suggestions to increase the level of hospital service quality, so that increase outpatients satisfaction.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제7권5호
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• pp.967-979
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• 2013

Now a day, Wireless Sensor Networks (WSNs) are being widely used in different areas one of which is healthcare services. A wireless medical sensor network senses patient's vital physiological signs through medical sensor-nodes deployed on patient's body area; and transmits these signals to devices of registered medical professionals. These sensor-nodes have low computational power and limited storage capacity. Moreover, the wireless nature of technology attracts malicious minds. Thus, proper user authentication is a prime concern before granting access to patient's sensitive and private data. Recently, P. Kumar et al. claimed to propose a strong authentication protocol for healthcare using Wireless Medical Sensor Networks (WMSN). However, we find that P. Kumar et al.'s scheme is flawed with a number of security pitfalls. Information stored inside smart card, if extracted, is enough to deceive a valid user. Adversary can not only access patient's physiological data on behalf of a valid user without knowing actual password, can also send fake/irrelevant information about patient by playing role of medical sensor-node. Besides, adversary can guess a user's password and is able to compute the session key shared between user and medical sensor-nodes. Thus, the scheme looses message confidentiality. Additionally, the scheme fails to resist insider attack and lacks user anonymity.

• Journal of Yeungnam Medical Science
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• 제39권2호
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• pp.98-107
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• 2022

Background: Stroke patients usually experience damage to multiple functions and a long rehabilitation period. Hence, there is a large volume of patient clinical information. It thus takes a long time for clinicians to identify the patient's information and essential pieces of information may be overlooked. To solve this, we stored the essential clinical information of stroke patients in a blockchain and implemented the blockchain technology using the Java programming language. Methods: We created a mini blockchain to store the medical information of patients using the Java programming language. Results: After generating a unique pair of public/private keys for identity verification, a patient's identity is verified by applying the Elliptic Curve Digital Signature Algorithm based on the generated keys. When the identity verification is complete, new medical data are stored in the transaction list and the generated transaction is verified. When verification is completed normally, the block hash value is derived using the transaction value and the hash value of the previous block. The hash value of the previous block is then stored in the generated block to interconnect the blocks. Conclusion: We demonstrated that blockchain can be used to store and deliver the patient information of stroke patients. It may be difficult to directly implement the code that we developed in the medical field, but it can serve as a starting point for the creation of a blockchain system to be used in the field.

• 대한전기학회논문지:시스템및제어부문D
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• 제54권12호
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• pp.732-736
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• 2005

ln general, hospital information system should provide interoperability hat usually and operate independence of other HIS. This study proposes a new HIS paradigm that can be implemented within standard HL7 Interface engine and clinical data repository (CDR). We have developed an alternative architecture relying on agent solutions with distributed queries to heterogeneous databases. This architecture creates a very fine and flexible repository that can handle queries with the bases of standard HL7 messaging structure. Deploying Agent solutions to manipulate autonomy of storage management and sociality for communication with open world is another issue that keeps this system from reinventing existing wheels in medical informatics. This study the first attempt to construct CDR based private clinic. We used the information stored in the clinical patient record system of the internal medicine private hospital which is used rational database. We were searched increasing the 1,000 data entry from 1,000 to 10,000. By the result, experimental CDR showed highly efficient performance more than 6,000. In the future, the CDR can be further extended for clinical information among private hospitals estranged from EHR (Electronic Health Records).

• 한국치위생학회지
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• 제22권5호
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• pp.443-450
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• 2022

Objectives: This study was conducted to investigate the effect of professional self-concept and ethical awareness of dental hygiene (department) students attending a university located in Gwangju and Jeollanam-do on patients' willingness to protect personal information. Methods: Professional self-concept, ethical disposition, and patients' personal information protection intention according to general characteristics were analyzed using t-tests and one-way ANOVA. After confirming the correlation through Pearson's correlation analysis, the effect on the patient's personal information protection intention was confirmed using multiple regression analysis. Results: Professional self-concept, ethical disposition, and the patients' willingness to protect personal information all showed positive correlations. The higher the communication skills of professional self-concept and the higher the idealism of ethical orientation, the higher the patients' willingness to protect personal information. Conclusions: This study, ascertained the effect of dental hygiene students' professional self-concept and ethical consciousness on patients' personal information protection practices. The results suggest that it is necessary to develop an educational program that can enhance the practice of dental hygienists to protect patients' personal information, and to develop and conduct continuous policy development and research.

• 의료법학
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• 제9권2호
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• pp.339-382
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• 2008

Medical information is one of significant private information that includes in-dividual's own diverse information. Once opened, it exposes one's health condition and medical history to a third party, which could bring about serious troubles. On this account, the third parties are of much concerns about the information. If medical information collected through various routes is used with another purpose, oilier than the initial intention, it might cause serious results beyond one's control. Thus, it is essential to keep the information confidential. Also, the discrimination based on the medical information ought to be banned because it is likely to happen that exposed information socially stigmatizes a person, being discriminated in a work place or a school when he/she is employed or gets an insurance. In the current system, only medical institutions are responsible for protecting or securing medical records. Despite the information technology development and the increased interests in medical information, there are quite a few limitations in legal, technical, and administrative aspects. All kinds of organizations, involved in collecting and using the information, as well as medical institutions primarily producing and managing it should share the responsibilities.