• Title/Summary/Keyword: Patient privacy

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Digital Signature Considering the Medical Information Property on Mobile Environment (모바일 환경에서 의료 정보 특성을 고려한 디지털서명)

  • Kim Yong-Gug;Lee Yeun-Bae
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.9 no.2
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    • pp.374-379
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    • 2005
  • In the most of medical institution medical information is totally stored in a database and many number of researchers and staffs of the hospital access these information anytime. This can be caused patient's privacy to be violated. Introducing a tool for security should be considered as one of the most important requirement especially in the case that today's medical information service expands into an integrated one. In this paper we review the matters of security threat on a medical information system and propose a secure medical information service model equipped on mobile device such as PDA. Also we propose a security architecture employing a digital signature mechanism to protect the personal information on the model. Proposed architecture can lead the doctor to diagnose with high responsibility, help to build a reliable medical information system. and through the signed data, we can get some useful information against medical strife.

Nursing Students' Human Rights Sensitivity and Perception of Patients' Rights (간호대학생의 인권감수성과 환자권리에 대한 인식)

  • Hwang, Ju Yeon;Choi, Hyunkyung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.21 no.4
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    • pp.455-465
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    • 2015
  • Purpose: This study aimed to explore human rights sensitivity and the perception of patients' rights among nursing students. For the study, 253 nursing students from K and D universities located in Daegu and the Gyeongbuk region were asked to participate. Methods: Data were analyzed using IBM SPSS Statistics 20.0; in addition, descriptive statistics, a t-test, and a one-way ANOVA were used. Results: The average human rights sensitivity score was 2.40 out of 5 points. Human rights sensitivity was significantly different in education experiences in regards to human rights after getting into nursing school and in nursing courses, as well as experiences of clinical practice. Among the six episodes that measured human rights sensitivity, nursing students reported the highest score on the right to the pursuit of happiness of older people and the lowest score was reported on the right to privacy. The average score of patients' rights perception was 4.53 out of 5 points. In particular, nursing students considered the right to enjoy human worth/dignity and the right to equality to be the most important of patients' rights. Patients' rights perception, in general, was significantly different depending on the number of family members. Conclusion: It is needed to develop an effective nursing curriculum in order to improve nursing students' human rights sensitivity and foster positive perceptions regarding patients' rights.

Secure Healthcare Data Management and Sharing Platform Based on Hyperledger Fabric (하이퍼레저 패브릭 기반의 안전한 헬스케어 데이터 관리 및 공유 플랫폼 개발 연구)

  • Choi, Ye-Jin;Kim, Kyoung-jin
    • Journal of Internet Computing and Services
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    • v.21 no.1
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    • pp.95-102
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    • 2020
  • In this paper, we present a healthcare data integration management and sharing platform based on a permissioned blockchain-based system called the Hyperledger fabric. The Hyperledger fabric allows patients to easily access their data, share the data with agencies that need it, and also reward participants. The healthcare data is stored in the blockchain by a de-identification process. Privacy is protected by setting detailed access rights to the stored data. The proposed model provides higher security than other models using a public blockchain. This study confirms that patient data can be stored more securely, by comparing the data stored in the blockchain with that from existing information storage methods.

A Secure Personal Health Record System for Handling of Emergency Situations (응급 상황 처리를 위한 안전한 개인건강기록 시스템)

  • Yi, Myung-Kyu;Hwang, Hee-Joung
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.16 no.5
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    • pp.117-123
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    • 2016
  • In recent years, Personal Health Record (PHR) has emerged as a patient-centric model of health information exchange. The Personal Health Record (PHR) owners enjoy the full right of accessing their records anywhere and anytime making storage and retrieval more efficient. Due to the sensitivity and confidential nature of the PHR, however, the PHR is maintained in a secure and private environment with the individual determining rights of access. In this paper, we propose a system which enables access to the user's PHR in the event of emergency. In emergency situation where the user is unconscious, the emergency staff can use the PHR information to request a emergency access to the PHR server based on the predefined rights of access for PHR. Under the proposed system, the PHR owner can specify a fine grain access control policy during emergency situations.

A Study on Sexual Concern and Sexual Satisfaction in Diabetic Patients (당뇨병환자의 성생활 관심과 성생활 만족정도)

  • Lee, Kang Yi;Kim, Keum Sook
    • Journal of Haehwa Medicine
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    • v.8 no.1
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    • pp.853-863
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    • 1999
  • This study was designed and undertaken to examine the sexual concern and sexual satisfaction in diabetic patients. The data were collected from September to November, 1997. The subjects in this study were 77 diabetic patients who visited to check their blood glucose level to the outpatient department of internal medicine in one of hospitals located in Taejon city. The questionnaires developed by Derogatis L. R. were used. Data were analysed using percentages, means, F-test, done with the SAS program. The results of this study were as follows ; 1) In the question that If the patients want to be counselled about sexual need or not, male and female diabetic patients answered "moderate"(37 patients(48.1%). 2) In the question that if the patients are worry for their sexual life or not because of present illness, male and female diabetic patients answered "moderate"(27 patients (35.1%). 3) In the question that If the patients worried about sexual life, they wish to counsell for who, the majority of patients answered that want to counsell the medical doctor(49 patients(64.5%). 4) In the question that if a medical team is concerned about patient's sexual need or not, the patients usually answered negatively. 5) In the question of attitude about masturbation, male and female answered that they think it doesn't matter if they maintain privacy. 6) In the question that if they use professional therapeutic method for sexual act or not, it is highly appeared not using(72 patients(93.5%). 7) In the relationships between the sexual satisfaction and the sex, age, the period of disease, want to counselling about sexual need, the concern of the medical team about sexual need of the Patients showed statistically significant differences.

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A Study on Emergency Medical Information Management Methods for Elderly Patients using QR code and Finger-print Recognition (QR 코드와 지문인식을 이용한 고령 환자의 응급 의료정보 관리 방법에 대한 연구)

  • Lee, Jung-hyun;Cho, Myeon-gyun
    • Journal of Convergence for Information Technology
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    • v.7 no.6
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    • pp.135-141
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    • 2017
  • Recently, as elderly people suffering from chronic diseases have increased and disasters such as traffic accidents have increased, urgent rescue workers and doctors need to respond effectively to such emergencies. For elderly people, the difficulty in communicating their condition especially the health condition during disaster is one of the problems in which delay on immediate handling by rescue team can cause death. Providing a solution for this problem is one of the main issues in our research. In this paper, we use the QR code to communicate the minimum personal information and medical history needed for emergency medical treatment to emergency medical personnel, and to transmit the medical history and treatment data to the doctors of the hospital through QR code and fingerprint recognition, respectively. Especially, by using both QR code of smart phone and fingerprint of individual, we can protects personal information and strengthens privacy and security of medical information by allowing only authorized physicians to check medical records of the old patient.

A Chronological Study on the Transformation and the Spatial Characteristics of Inpatient Care Facilities in the United States (미국의료시설 병동부의 시대적 변천과 공간적 특성에 관한 연구)

  • Lee, Sukyung;Choi, Yoonkyung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.23 no.3
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    • pp.57-69
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    • 2017
  • Purpose: This study aims to emphasize interrelation between healthcare policies, design standards and hospital architecture of the United States since 1950s; to examine spatial characteristics of inpatient care facilities through case studies; and to consider the social implication of these spatial changes. Methods: In this study, reviewing the overall healthcare system, design standards and inpatient care facilities of the United States since 1950s, a total of five inpatient care facilities, one for each period, were selected in order to analyze the spatial characteristics. The spatial maps of Space Syntax were employed for analyzing five case studies. Results: The distance between the nursing station, the support service, and inpatient room were getting closer. The spatial structure of inpatient care facilities is transformed from tree structures to annular tree structures. This result shows that the efficiency between patient, staff and support service is higher and the depth of the spaces is getting deeper, which indicates that efficiency for improving healthcare quality affect the spatial structure of inpatient care facilities. Implications: In the future, if Korea's health policy is changed to a demand-oriented health care policy, this conclusion predicts medical planning of hospital will be focused on the efficiency.

A Study on Legal Protection, Inspection and Delivery of the Copies of Health & Medical Data (보건의료정보의 법적 보호와 열람.교부)

  • Jeong, Yong-Yeub
    • The Korean Society of Law and Medicine
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    • v.13 no.1
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    • pp.359-395
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    • 2012
  • In a broad term, health and medical data means all patient information that has been generated or circulated in government health and medical policies, such as medical research and public health, and all sorts of health and medical fields as well as patients' personal data, referred as medical data (filled out as medical record forms) by medical institutions. The kinds of health and medical data in medical records are prescribed by Articles on required medical data and the terms of recordkeeping in the Enforcement Decree of the Medical Service Act. As EMR, OCS, LIS, telemedicine and u-health emerges, sharing and protecting digital health and medical data is at issue in these days. At medical institutions, health and medical data, such as medical records, is classified as "sensitive information" and thus is protected strictly. However, due to the circulative property of information, health and medical data can be public as well as being private. The legal grounds of health and medical data as such are based on the right to informational self-determination, which is one of the fundamental rights derived from the Constitution. In there, patients' rights to refuse the collection of information, to control recordkeeping (to demand access, correction or deletion) and to control using and sharing of information are rooted. In any processing of health and medical data, such as generating, recording, storing, using or disposing, privacy can be violated in many ways, including the leakage, forgery, falsification or abuse of information. That is why laws, such as the Medical Service Act and the Personal Data Protection Law, and the Guideline for Protection of Personal Data at Medical Institutions (by the Ministry of Health and Welfare) provide for technical, physical, administrative and legal safeguards on those who handle personal data (health and medical information-processing personnel and medical institutions). The Personal Data Protection Law provides for the collection, use and sharing of personal data, and the regulation thereon, the disposal of information, the means of receiving consent, and the regulation of processing of personal data. On the contrary, health and medical data can be inspected or delivered of the copies, based on the principle of restriction on fundamental rights prescribed by the Constitution. For instance, Article 21(Access to Record) of the Medical Service Act, and the Personal Data Protection Law prescribe self-disclosure, the release of information by family members or by laws, the exchange of medical data due to patient transfer, the secondary use of medical data, such as medical research, and the release of information and the release of information required by the Personal Data Protection Law.

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Predicting the Number of Confirmed COVID-19 Cases Using Deep Learning Models with Search Term Frequency Data (검색어 빈도 데이터를 반영한 코로나 19 확진자수 예측 딥러닝 모델)

  • Sungwook Jung
    • KIPS Transactions on Software and Data Engineering
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    • v.12 no.9
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    • pp.387-398
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    • 2023
  • The COVID-19 outbreak has significantly impacted human lifestyles and patterns. It was recommended to avoid face-to-face contact and over-crowded indoor places as much as possible as COVID-19 spreads through air, as well as through droplets or aerosols. Therefore, if a person who has contacted a COVID-19 patient or was at the place where the COVID-19 patient occurred is concerned that he/she may have been infected with COVID-19, it can be fully expected that he/she will search for COVID-19 symptoms on Google. In this study, an exploratory data analysis using deep learning models(DNN & LSTM) was conducted to see if we could predict the number of confirmed COVID-19 cases by summoning Google Trends, which played a major role in surveillance and management of influenza, again and combining it with data on the number of confirmed COVID-19 cases. In particular, search term frequency data used in this study are available publicly and do not invade privacy. When the deep neural network model was applied, Seoul (9.6 million) with the largest population in South Korea and Busan (3.4 million) with the second largest population recorded lower error rates when forecasting including search term frequency data. These analysis results demonstrate that search term frequency data plays an important role in cities with a population above a certain size. We also hope that these predictions can be used as evidentiary materials to decide policies, such as the deregulation or implementation of stronger preventive measures.

Fusion of Gamma and Realistic Imaging (감마영상과 실사영상의 Fusion)

  • Kim, Yun-Cheol;Yu, Yeon-Uk;Seo, Young-Deok;Moon, Jong-Woon;Kim, Yeong-Seok;Won, Woo-Jae;Kim, Seok-Ki
    • The Korean Journal of Nuclear Medicine Technology
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    • v.14 no.1
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    • pp.78-82
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    • 2010
  • Purpose: Recently, South Korea has seen a rapidly increased incidence of both breast and thyroid cancers. As a result, the I-131 scan and lymphoscintigraphy have been performed more frequently. Although this type of diagnostic imaging is prominent in that visualizes pathological conditions, which is similar to previous nuclear diagnostic imaging techniques, there is not much anatomical information obtained. Accordingly, it has been used in different ways to help find anatomical locations by transmission scan, however the results were unsatisfactory. Therefore, this study aims to realize an imaging technique which shows more anatomical information through the fusion of gamma and realistic imaging. Materials and Methods: We analyzed the data from patients who were examined by the lymphoscintigraphy and I-131 additional scan by Symbia Gamma camera (SIEMENS) in the nuclear medicine department of the National Cancer Center from April to July of 2009. First, we scanned the same location in patients by using a miniature camera (R-2000) in hyVISION. Afterwards, we scanned by gamma camera. The data we obtained was evaluated based on the scanning that measures an agreement of gamma and realistic imaging by the Gamma Ray Tool fusion program. Results: The amount of radiation technicians and patients were exposed was generated during the production process of flood source and applied transmission scan. During this time, the radiation exposure dose of technicians was an average of 14.1743 ${\mu}Sv$, while the radiation exposure dose of patients averaged 0.9037 ${\mu}Sv$. We also confirmed this to matching gamma and realistic markers in fusion imaging. Conclusion: Therefore, we found that we could provide imaging with more anatomical information to clinical doctors by fusion of system of gamma and realistic imaging. This has allowed us to perform an easier method in which to reduce the work process. In addition, we found that the radiation exposure can be reduced from the flood source. Eventually, we hope that this will be applicable in other nuclear medicine studies. Therefore, in order to respect the privacy of patients, this procedure will be performed only after the patient has agreed to the procedure after being given a detailed explanation about the process itself and its advantages.

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