• 한국병원경영학회지
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• 제1권1호
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• pp.188-202
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• 1996

Telehealth is widely tested in the U.S.A and other developed countries. This system is expected to solve rural health problems reducing professional isolation. Some demonstration projects showed that the system can provide quality care in reasonable prices to rural residents. However, few study has been done on whether telehealth system can attract physicians by reducing professional isolation. The system is not available to most of the rural hospitals because the price for the equipment and telephone charges are not low enough. It is promising that the system cost and telephone charges are decreasing gradually. As time passes, rural hospitals will be more viable for the system. Satisfaction of the physicians and patients is a key factor for the implementation of the system. The physicians need to understand more about telecommunication and computer systems. After physicians are well-versed about the system, we can expect wide use of telehealth in rural areas. Effort for the confidentiality and standardization should be devoted to assure patient's privacy and compatibility of patient records and exam results. In Korea, two projects are being operated in Uljin and Kurye. A study evaluated the economic efficiency of the projects suggesting that increase of the number of patients up to three times of current number or decrease in hardware costs and telecommunication charges into two thirds of the current costs. The hardware and telecommunication charges are decreasing. Another area telehealth system can be applied is psychiatric accommodation facilities. Establishment of telehealth in the psychiatric facilities will increase the access of psychiatric care for patients and is expected to be economically efficient.

• Journal of Communications and Networks
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• 제17권5호
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• pp.453-462
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• 2015

Body area networks (BANs) have emerged as an enabling technique for e-healthcare systems, which can be used to continuously and remotely monitor patients' health. In BANs, the data of a patient's vital body functions and movements can be collected by small wearable or implantable sensors and sent using shortrange wireless communication techniques. Due to the shared wireless medium between the sensors in BANs, it may be possible to have malicious attacks on e-healthcare systems. The security and privacy issues of BANs are becoming more and more important. To provide secure and correct association of a group of sensors with a patient and satisfy the requirements of data confidentiality and integrity in BANs, we propose a novel enhanced secure sensor association and key management protocol based on elliptic curve cryptography and hash chains. The authentication procedure and group key generation are very simple and efficient. Therefore, our protocol can be easily implemented in the power and resource constrained sensor nodes in BANs. From a comparison of results, furthermore, we can conclude that the proposed protocol dramatically reduces the computation and communication cost for the authentication and key derivation compared with previous protocols. We believe that our protocol is attractive in the application of BANs.

• 정보처리학회논문지C
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• 제18C권6호
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• pp.379-388
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• 2011

의료정보는 환자에게 중요한 개인정보로써 반드시 보호돼야 한다. 특히 전자의무기록에 접근할때, 의료인의 강화된 신원확인에 대한 인증방식이 필요하다. 기존의 공인인증서 기반 인증모델은 개인키 관리, 권한위임 등 문제점으로 전자의무기록의 특성을 반영하지 못했다. 본 논문에서는 전자의무기록 시스템에 의료인이 접근하는 경우 지문인식 기반 인증 모델을 적용하여 강화된 인증방식을 제안한다. 전자의무기록의 지문인증 모델은 의료업무의 특성을 반영하여 개인키 관리, 권한위임 문제를 원천적으로 해결하였다.

• 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.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제29권1호
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• pp.53-62
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• 2023

Purpose: Recently, the number of severely mentally ill patients has been increasing rapidly in Korea, but there are no design guidelines for spatial planning of Korea's acute psychiatric wards. The study aims to clarify the areas and required rooms in Korea's acute psychiatric wards which are important in establishing the design guidelines for Korea's acute psychiatric wards. Methods: This study proposed a structural framework based on the results of investigating and analyzing the acute psychiatric ward guidelines in the UK, Australia, and the U.S. and the areas and the required rooms of the wards stipulated in the basic data for establishing acute psychiatric ward design guidelines in Korea. The design guidelines for overseas acute psychiatric wards are 'Adult Acute Mental Health' in the UK, 'Adult Acute Mental Health Inpatient Unit' in the Australia, and 'Specific Requirements for Mental Health Hospitals' in the United States. Results: As a result of investigating and analyzing the design guidelines for overseas acute psychiatric wards, the areas of wards applicable to acute wards in domestic psychiatric wards were access, patient, treatment, support, and employee areas. In addition, the required rooms for each area were defined around major considerations such as visibility, convenience, comfort, security, safety, patient observation, barrier-free design, and privacy protection. Implications: The results of the study will be presented as a structural framework and basic data for establishing design guidelines for Korea's acute psychiatric wards, which is still absent.

• Korean Journal of Radiology
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• 제22권12호
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• pp.2073-2081
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• 2021

Deep learning-based applications have great potential to enhance the quality of medical services. The power of deep learning depends on open databases and innovation. Radiologists can act as important mediators between deep learning and medicine by simultaneously playing pioneering and gatekeeping roles. The application of deep learning technology in medicine is sometimes restricted by ethical or legal issues, including patient privacy and confidentiality, data ownership, and limitations in patient agreement. In this paper, we present an open platform, MI2RLNet, for sharing source code and various pre-trained weights for models to use in downstream tasks, including education, application, and transfer learning, to encourage deep learning research in radiology. In addition, we describe how to use this open platform in the GitHub environment. Our source code and models may contribute to further deep learning research in radiology, which may facilitate applications in medicine and healthcare, especially in medical imaging, in the near future. All code is available at https://github.com/mi2rl/MI2RLNet.

• 의료법학
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• 제20권1호
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• pp.109-132
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• 2019

최근 수술 관련 의료사고가 증가하고, 일부 의료사고가 보건범죄와 연루되었다는 사실이 언론에 보도되었다. 환자단체는 수술실 내 CCTV 설치 및 운영 의무화를 촉구하였고, 이에 대한 이해관계인들의 논의가 활발히 이루어지고 있어 관련 법령에 대한 검토가 필요한 상황이다. 본 연구에서는 수술실 CCTV에 대한 특성을 파악하고, 수술실 CCTV 설치 및 운영에 관련 법령에 대해 비판적으로 검토하고자 한다. 현재 의료기관 내에서 CCTV는 시설물 관리용 및 환자안전관리용을 주목적으로 사용되고, 수술실의 경우 의료기관이 선택적으로 CCTV를 설치 및 운영하고 있다. 헌법은 모든 개인의 사생활 및 통신의 비밀과 자유를 침해받지 않을 권리를 보장하고 있으나, 이는 공공복리를 위해 법률로써 제한할 수 있다고 규정하고 있다. 그러나, 수술실 CCTV 설치 및 운영과 관련하여 법률이 현재 존재하지 않기 때문에 이는 법률의 흠결에 해당할 수 있다. 현 법체계상으로는 수술실 CCTV 설치가 의무화될 경우 정보주체인 의료진의 권리에도 불구하고 보건의료서비스 공급자의 특성상 개인정보자기결정권을 침해받을 가능성이 크다. 또한, 영상정보처리기기운영자의 CCTV 조작 시 열람과 업무 중 알게 되는 비밀의 누설에 관한 제한규정이 미흡한 상태여서 영상정보의 안전성이 위협받을 수 있다. 나아가, 수술실 CCTV의 경우 영상정보 보관기간, 보관장소 등이 명확히 규정되지 않는다면 환자안전과 의료사고 예방이라는 본래 목적에 부합되지 못할 가능성이 크다. 수술실 CCTV 설치 및 운영에 대해서 현재 활발하게 논의가 이루어지고 있고, 관련 의안이 몇 차례 발의되고 있어 이에 대한 법적 검토의 필요성이 증가하고 있지만 이에 관한 선행연구가 거의 없다는 측면에서 본 연구의 의의가 있다. 향후 수술실 CCTV 설치 및 운영 관련 법령 제·개정 시 본 연구 결과를 활용할 수 있을 것으로 기대한다.

• 한국항행학회논문지
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• 제14권4호
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• pp.504-511
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• 2010

개인건강관리를 위해 PHD(Personal Health Device)로 부터 제공되는 개인 생체정보는 사생활 보호 측면에서 볼 때 개인의 생체와 관련한 매우 민감한 정보이며 환자를 가정할 때, 이것이 제 3자에게 노출되는 경우는 더욱 심각하다. 그러나 이번에 ISO에서 제정된 표준 프로토콜[1]의 경우, 개채 상호간에 생체 정보 교환을 위한 전송 부분만을 고려한 규격일 뿐 보안에 대한 요소는 전혀 고려되고 있지 않은 실정이다. 따라서 본 논문에서는 u-헬스 환경에서 개인건강관리를 위한 각종 보안 위협과 보안 요구사항에 대해 새롭게 제안하고자 한다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권3호
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• pp.933-936
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• 2016

Online social network technologies have become important to health and apply in most health care areas. Particularly in cancer care, because it is a disease which involves many social aspects, online social networks can be very useful. Use of online social networks provides a suitable platform for cancer patients and families to present and share information about their medical conditions, address their educational needs, support decision making, and help to coping with their disease and improve their own outcomes. Like any other new technologies, online social networks, along with many benefits, have some negative effects such as violation of privacy and publication of incorrect information. However, if these effects are managed properly, they can empower patients to manage cancer through changing behavioral patterns and enhancing the quality of cancer patients lives This paper explains some application of online social networks in the cancer patient care process. It also covers advantages and disadvantages of related technologies.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제11권2호
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• pp.924-944
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• 2017

Telecare Medical Information System (TMIS) helps the patients to gain the health monitoring information at home and access medical services over the mobile Internet. In 2015, Das et al proposed a secure and robust user AKA scheme for hierarchical multi-medical server environment in TMIS, referred to as DAKA protocol, and claimed that their protocol is against all possible attacks. In this paper, we first analyze and show DAKA protocol is vulnerable to internal attacks, impersonation attacks and stolen smart card attack. Furthermore, DAKA protocol also cannot provide confidentiality. We then propose a lightweight pseudonym AKA protocol for multi-medical server architecture in TMIS (short for PAKA). Our PAKA protocol not only keeps good security features declared by DAKA protocol, but also truly provides patient's anonymity by using pseudonym to protect sensitive information from illegal interception. Besides, our PAKA protocol can realize authentication and key agreement with energy-saving, extremely low computation cost, communication cost and fewer storage resources in smart card, medical servers and physical servers. What's more, the PAKA protocol is proved secure against known possible attacks by using Burrows-Abadi-Needham (BAN) logic. As a result, these features make PAKA protocol is very suitable for computation-limited mobile device.