• 대한간호학회지
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• 제33권8호
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• pp.1111-1118
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• 2003

Background. A midwife is a medical professional who has a nursing license, and is also licensed as a midwife with one additional year of education. In this globalization era, a midwife's role is increasing in importance for women and children's health care worldwide. Purpose. The primary purpose was to analyze midwifery education programs in Korea and other nations. The secondary purpose was to define strategies to improve midwifery education and practice, and to extend the role of a midwife women and children's health care in Korea. Methods & Results. 1) The definition of a midwife and midwifery practice recognized internationally by World Health Organization (WHO) and International Council of Nurse Midwives (ICNM) was identified. 2) Midwifery education programs of Korea, U.S.A., Sweden, Australia, and Japan, were investigated and discussed. 3) Core competencies for the basic midwifery practice suggested by ACNM of the U.S.A. were reviewed as standard of midwifery practice. 4) As for the midwifery education system, a Masters degree program in a college of nursing is suggested. 5) The role of a midwife includes not only health care of childbirth women and newborn babies, but also a lifelong health care of women as well as her family and children. Conclusion. An effort to extend the midwife's role and to improve service is imperative. The Laws/Acts related to midwives should be revised in regard to education, and practices, and the national examination for midwifery licensure needs revision to qualify for international approval. Also, midwifery curriculum and standards of practice need to be evaluated periodically, and an effective system needs to be established to renew midwife licenses.

• 보건행정학회지
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• 제16권1호
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• pp.17-40
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• 2006

With the prospect of rapidly growing health insurance expenditures, particularly spending for ambulatory care, the introduction of a case-based payment method is discussed as an alternative to the current fee-for-service based method. A system to measure case mixes of providers is a core component of such payment systems. The objective of this study were to develop a classification system for ambulatory care, Korean Ambulatory Patient Group (KAPG) based on the U.S. APG version 2.0 and to evaluate the classification accuracy of the system. A database of 64,258,386 records was constructed from insurance claims submitted to the Health Insurance Review Agency (HIRA) during three months from August 2002. A total of 41,347,307 records with a single visit was used for the development and 7% random sample of the database was used for the evaluation. Additional groups were defined to include both physician and hospital fees in the classification, age splits were added to classify the entire population as well as the population older than 65, and the definition of medical groups used by the HIRA was adopted. The variance reduction in charges achieved by KAPGs was computed to evaluate the accuracy of classification. A total of 474 KAPGs was defined compare to 290 groups in the U.S. APG. The variance reduction for charges of all visits ranged from 20% to 37% depending on the type of provider, and ranged from 22% to 42% for non-outliers, that were better than those achieved by the system currently used by the .HIRA for its internal review purpose. Although further study is required to improve the classification for complicated care in larger hospitals, the results indicated that KAPGs could be used for better management of costs for ambulatory care.

• 보건의료산업학회지
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• 제13권4호
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• pp.201-214
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• 2019

Objectives: The purpose of this study was to identify the needs of the senior welfare center users of the health service program, and to establish a plan to adjust the health service functions of the senior center. Methods: A survey of 2,130 users of the Gyeonggi-do Senior Welfare Center was conducted from May 28 to June 30, 2018. Results: The major results of the study are as follows. First, 66.8 percent of senior welfare center users were willing to participate in health care. The requirement for health service programs was 3.87 points out of 5 points followed by cognitive ability improvement programs, senior movement programs, and chronic disease programs in lower areas. Second, the factors affecting the needs of health care service programs of senior welfare center users had a significant impact on women; the younger the age, the better the subjective health condition; the higher the number of medical conditions, the lower the out-of-patient experience; the longer the welfare center isused, the more people are willing to participate in healthcare. Conclusions: We believe that there is a need for social service policies and management to better understand the situation of senior citizens who are demanding various services due to illness and to integrate health and welfare services.

• 한국정보전자통신기술학회논문지
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• 제2권4호
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• pp.73-80
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• 2009

본 논문에서는 유비쿼터스 헬스케어와 지능형 홈 네트워크 시스템을 위한 전력선 통신과 Zigbee 통신 기반의 통합 게이트웨이를 구현하였다. 전체 시스템은 센서, 통합 게이트웨이, Zigbee 모듈, 전력선 모뎀으로 구성되어있다. 헬스케어 센서에 의해서 수집된 데이터는 통합 게이트웨이에서 저장 및 분석하여 헬스케어제어장치로 전송할 수 있으며, 의료시설 및 각 가정에 쾌적한 환경을 제공하기 위하여 가전 기기를 제어한다. 구현된 통합 게이트웨이는 다양한 유비쿼터스 헬스케어와 지능형 홈 네트워크를 지원할 수 있다.

• Safety and Health at Work
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• 제9권4호
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• pp.434-440
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• 2018

Background: In industrial countries, home care of community dwelling elderly people is rapidly growing. Frequent injuries in home caregivers result from slips, trips, and falls (STFs). The current study tests attentional cognitive failure to mediate the association between work stressors and STFs. Methods: A sample of 125 home caregivers participated in a questionnaire study and reported work interruptions, unreasonable tasks, quality-threatening time pressure, conscientiousness, attentional cognitive failures, and STFs. Results: In structural equation modeling, the mediation model was shown to fit empirical data. Indirect paths with attentional cognitive failures as the link between work stressors and STF were all significant in bootstrapping tests. An alternative accident-prone person model, that suggests individual differences in conscientiousness to predict attentional cognitive failures that predict more frequent work stressors and STFs, showed no significant paths between work conditions and STFs. Conclusion: To prevent occupational injury, work should be redesigned to reduce work interruptions, unreasonable tasks, and quality-threatening time pressure in home care.

• 한국지능시스템학회:학술대회논문집
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• 한국퍼지및지능시스템학회 2006년도 춘계학술대회 학술발표 논문집 제16권 제1호
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• pp.297-301
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• 2006

최근 생명 연장과 삶의 질에 관한 많은 관심에 따라서 의료 부문에 있어서도 Ubiquitous 환경을 도입하는 노력이 시도되고 있다. 그 중 Ubiquitous Hospital은 여러 가지 병원 서비스 부분의 편의성을 제공하고자 분야로써 이것을 이용하여 시간과 장소의 제약 없이 각종 의료서비스와 건강관리를 제공 받을 수 있는 Ubiquitous Healthcare 서비스에 대한 관심이 증대되고 있다. 본 논문에서는 이 Ubiquitous Healthcare 서비스 제공 system 구현을 위한 framework을 제안한다. 이 framework에서는 사용자가 되는 의사와 환자에 적합한 인터페이스를 제공하고 환자에 대한 추적 관찰과 증상의 판단 및 환자 진료시의 지원 서비스를 제공한다. 또한 보험회사나 병원과 같은 외부시스템과 연계하여 필요한 데이터의 공유가 가능하도록 한다. 그리고 제안된 framework를 이용하여 전립선 환자를 위한 BPH 환자관리 시스템을 구현한다.

• 한국IT서비스학회:학술대회논문집
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• 한국IT서비스학회 2008년도 춘계학술대회
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• pp.503-506
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• 2008

현대 사회가 고령화 사회로 빠르게 접어들면서 노인에 대한 의료 복지 서비스의 필요성은 증가하였다. 그러나 의료비 상승과 관련 인력 부족으로 노인 의료 환경 조성에 대안 시스템의 개발이 요구되었고, 이에 따라 IT 기술을 이용한 U-Health 시스템이 발달하고 있다. 본 논문은 가속도 감지 센서와 무선 통신, 인터넷을 이용하여 노인을 대상으로 하는 USilverCare용 노인 건강 관리 시스템의 서비스의 시나리오를 구상하고 구현한다.

• Child Health Nursing Research
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• 제14권2호
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• pp.146-154
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• 2008

Purposes: The purposes of this study are to describe the health problems experienced by VLBW premature infants and their health care services utilization during the first year of life Method: Eighteen mothers of VLBW premature infants completed a survey questionnaire, asking socioeconomic/demographic information, health/developmental problems experienced by their infants, and their use of health care services. Results: Of the 18 infants, 78% experienced respiratory problems such as cold/running nose and wheezing during the first year and 33% experienced gastrointestinal problems such as vomiting, diarrhea and constipation. Twelve (67%) infants visited the emergency department at least one time and 10 infants (56%) were hospitalized at least once during their first year of age. Interestingly, infants without chronic lung disease visited the emergency department more than infants without chronic lung disease (p=.213). Infants living in non-disadvantaged neighborhoods were hospitalized more than infants living in disadvantaged neighborhoods (p=.000). Conclusions: Health care providers should initiate educating mothers, particularly those living in disadvantaged neighborhoods, about post-NICU discharge health care needs of their VLBW premature infants while their infants were still in the NICU so that unnecessary visits to the emergency department and rehospitalizations can be possibly prevented.

• 한국정보통신학회논문지
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• 제16권7호
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• pp.1533-1540
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• 2012

u-라이프 케어 단말기는 생체 정보를 수집하고, 운동을 패턴 별로 분류, 저장하고 일정 시간마다 안드로이드 폰에 블루투스 무선통신을 통해 전송한다. 전송된 정보는 안드로이드 폰 어플리케이션을 통해 확인할 수 있다. u-라이프 케어 단말기는 3축 가속도 센서를 이용하여 활동량을 모니터링한 후 소모한 칼로리를 계산한다. 생체 데이터 마이닝을 통해 건강상태를 판단하고 적절한 맞춤형 운동치료를 컨설팅하게 된다. 생체 정보를 전송할 때 블루투스 무선통신을 통해 안드로이드 폰에 바로 전송하기 때문에 기존의 라이프케어 제품들에서 센싱된 정보를 웹서버에 전송하기 위해 사용되어지는 모바일 게이트웨이나 홈 게이트웨이가 별도로 필요치 않다는 장점을 가지고 있다.

• 한국컴퓨터정보학회논문지
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• 제11권6호
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• pp.107-111
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• 2006

IT산업 발전에 따라 일상생활은 점차 편리해지고 있으며 이와 비례하여 환경오염의 확산과 각종 질병들에 대한 위험도 점차 높아지고 있다. 인간의 생명을 위협하는 위험한 질병 중에는 사전에 예방하지 않으면 돌이킬 수 없는 사태로 확산되기도 하지만 바쁜 현대인들에게는 자신의 건강상태를 사전에 파악하고 관리하기 힘든 실정이다. 이에 유비쿼터스 환경에 접어든 IT기술을 바탕으로 의료진단 및 예방 시스템을 구축하여 사용자들이 센서를 통해 컴퓨터를 직접 이용하지 않더라도 자신의 건강상태를 유지 관리할 필요가 있다. 그러므로 본 논문에서는 이와 같이 유비궈터스 환경으로 변화해가는 기술적 변화를 바탕으로 의료 진단 및 예방이 가능한 시스템 구축을 위한 모델로서 뇌혈관 질환에 대한 모델을 제시하고자 한다. 또한, 이를 통해 향후 구축하고자 하는 u-헬스 케어 의료진단 시스템 구축 모델에 활용하고자 하며, 본 모델을 통해 의료정보를 활용한 산업 발전과 인류의 편이성 증대 및 건강상태의 주기적 검사를 통해 향상된 복지문화를 유도할 수 있을 것이다.