• Title/Summary/Keyword: U-Health care

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Public/Private Partnerships in Health in the UK: Theory and Practice

  • Richard Priestley;Yoo, Wang-Keun
    • Korean Journal of Health Education and Promotion
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    • v.1 no.1
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    • pp.43-57
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    • 1999
  • One of the most fundamental and the oldest issues in the provision of health care throughout the world has been the issue of the role of the public and private sector of health care, and the relationship between them. This paper describes issues associated with the concept of health oriented partnerships in the United Kingdom and seeks to contrast public and private partnerships both in health and in health care. In the United Kingdom it is suggested that health care is conceived by the population to equate to the National Health Service(NHS) with "add on" private health care for certain sectors of the community and within certain well defined clinical parameters. This paper can provide us with valuable information on the characteristics of UK health care systems, current health policies as well as issues relating to the public and private partnerships in health/ health care in the UK, thus offer important policy implications for the improvement of Korean health care system which lacks health-oriented coordinations and partnership between public and private sector very considerably.

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An Architecture of u-LifeCare Middleware in Ubiquitous Computing (유비쿼터스 컴퓨팅 기술에 기반한 u-LifeCare Middleware 구조 설계)

  • Choi, Ki-Moon;Huh, Eui-Nam
    • Proceedings of the Korea Information Processing Society Conference
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    • 2007.05a
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    • pp.826-828
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    • 2007
  • 건강과 복지에 대한 사람들의 관심이 증대함에 따라 고령층 인구를 중심으로 병원에서 건강 점검 및 진료가 이루어졌던 기존의 Health산업 패러다임에서 연령층에 관계없이 언제, 어디서나 진료를 받을 수 있는 u-Health산업 패러다임으로 변화하고 있다. 이러한 흐름에 발맞추어 유비쿼터스 컴퓨팅 환경에서 혈압, 맥박, 심전도 등과 같은 의료정보뿐만 아니라 일상생활에서 획득한 정보를 통해 건강증진, 질병예방, 진료를 가능하게 하는 u-LifeCare 의료체계가 필요하다. u-LifeCare 를 지원하는 미들웨어는 유비쿼터스 환경에서 필수적인 기술 요소인 센서 네트워크 미들웨어와 상황인지 미들웨어를 통합하는 미들웨어이며, 라이프케어의 특성을 고려한 '초경량(LightWeight)의, 확장성(Scalability)있는, 보안성(Security)을 갖춘' 미들웨어이다.

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Programs of Activities and Services of the Adult Day Care Center for the Elderly with Alzheimer's Disease and Dementia in the U.S.A (치매나 알츠하이머 환자를 위한 주간보호시설의 프로그램에 관한 미국사례 연구)

  • 곽인숙
    • Journal of the Korean Home Economics Association
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    • v.40 no.10
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    • pp.123-139
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    • 2002
  • The purpose of this study was to understand the adult day care center as a place for the elders and adults and to develop an initial understanding of the services and activity programs for adult day care for the cognitively-impaired in the U.S.A. The data were collected from 12 Adult Day Care Centers(ADC) from 2001 to 2002 by personal interview and the documents about the programs. ADC programs provided primarily social, recreational, and health activities and services in a group setting. Centers offered participants to socialize, enjoy peer support, and receive health and social services in a stimulating and supportive environment that promotes better physical and mental health. For this purpose those centers offered not only professional health care, occupational.speech.physical therapies but also socio-recreation and therapeutic-recreation services.

Tawian's Health Care Reform and Its Lessons (대만 의료보장개혁과 교훈)

  • 이규식
    • Health Policy and Management
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    • v.8 no.1
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    • pp.232-265
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    • 1998
  • Taiwan has experienced rapid economic growth during the past two decades. As a result, the demand for health care in Taiwan has increased rapidly. To meet the rising demand, Taiwan implemented a National Health Insurance (NHI) program on March 1, 1995. This program now covers more than 96 percent of Taiwan's citizens. Implementation of the NHI in 1995 represents fulfillment of a primary social and health policy goals of Taiwan. The goals of the NHI program is to eliminate financial barriers of health care for the citizens, to improve the quality of care. To achieve these goals, the NHI was designed on the following principles: 1. All Taiwan citizens are compul내교 joined the NHI program by law; 2. The NHI program provides comprehensive services; 3. The NHI is run by one single govt' subsidy; 5. The NHI adopt fee-for-services scheme to pay medical expenses and copayment to avoid abouse of medical services. However, the scheme did not bring in the efficient use of health care C. National Health Council, 1986 NARC, Aging in Japan, International Publication Series 1991;2 Kahana EF. Kiyak HA. Attitude and behavior of staff in facilities for the aged, 1984 Naoki I, John CC. Health polic report japan's medical care system, New England Joumal of Medicine 1995; 333(19) National Economic Research Associates, The Health CAre System in Japan, NERA, 1993. National Federation of health Insurance Societies (KEMPOREM), Health Insurance and Health Insurance Societies in Japan, 1995. Owe Ahlund, Aging and housing in sweden, Paper presented at the International Symposium, Long term Care Facility, 1993. Statisitics Jahrbuch, Statistisches Bundesamt, 1992. Stein S. Linn, MIW. and Stein EM. Patient's anticipation of stress in nursing home care, 1985. U. S. Senate Special Committee on Aging, A Report of the special Committee on Aging, Washing D. C, 1992. U.S. Bureau of the Census, 1994.

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USN middleware based Sensor Datamining in u-SilverCare Service (u-SilverCare에서의 USN 미들웨어 기반 센서 데이터 마이닝)

  • Heo, Byeong-Mun;Lee, Jun-Ux;Chei, Duc-Jin;Chung, Jae-Du;Ryu, Keun-Ho
    • Proceedings of the Korea Information Processing Society Conference
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    • 2006.11a
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    • pp.429-432
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    • 2006
  • 기존의 u-HealthCare 서비스는 환자에 대해서 일정한 공간에서의 센서의 on/off 타입에 대한 모니터링/환자관리의 서비스를 제공하였다. 이러한 환경하에서의 주된 서비스는 현재 환자의 상태에 대한 수동적인 형태이다. 이러한 문제점들을 해결하기 위해 센서 데이터에 대한 연속센서 데이터마이닝 기법을 이용한다. USN의 응용서비스인 u-HealthCare 서비스는 센서데이터로부터 생체정보 및 위치정보를 이용하여 환자/보호자/관련 의료진에게 필요한 정보를 제공한다. 이것은 환자에 대한 관리/모니터링뿐만 아니라 환자의 상태에 따른 센싱(sensing)된 데이터를 이용한 패턴(pattern), 예측-(prediction), 이상치(outlier)를 분석함으로써 보다 나은 서비스를 제공할 수 있다. 본 논문에서는 센서 데이터에 대해 새로운 연속 센서데이터 마이닝 기법을 적용하여 질의를 통해 지식을 추출하고 보다 지능화된 서비스를 제공할 수 있는 응용서비스 기법을 제안한다.

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A Study on U-Health System Using CDMA and USN (CDMA와 USN을 이용한 u-Health 시스템의 구현에 관한 연구)

  • Jang, Dong-Wook;Kim, Jung-Hoon;Sun, Bok-Keun;Han, Kwang-Rok
    • 한국HCI학회:학술대회논문집
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    • 2007.02a
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    • pp.821-827
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    • 2007
  • 본 논문에서는 만성질환을 갖고 있으면서도 일상생활을 하고 있는 만성질환 환자의 응급상황에 대비할 수 있는 u-Health 시스템 구축에 대하여 논한다. USN과 전자청진기, GPS, CDMA 그리고 RFID로 구성된 PHC(Personal Health Care) 장치에 의해 환자의 위급상황이 감지되면 위치정보를 포함한 문자메시지를 병원과 보호자의 모바일 단말기로 전송하여 즉각 대처할 수 있도록 한다. 특히 유비쿼터스 센서로 구성된 기울기/가속도 센서와 진동센서로 부터 수신되는 신호패턴을 분석하여 기절현상 또는 발작 증상과 같은 응급상황 여부를 판단한다. 이 시스템을 항상 주의가 필요한 만성질환자에게 적용시킴으로써 응급 상황에 신속히 대처하여 귀중한 생명을 구할 수 있을 것으로 기대된다.

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Study on the Latest Trends of u-Health and Relations of Medical Technologist

  • Sung, Hyun-Ho;An, Yong-Ho;Lee, Dong-Beom;Kim, Sang-Won;Park, Chang-Eun
    • Korean Journal of Clinical Laboratory Science
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    • v.44 no.4
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    • pp.178-183
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    • 2012
  • We investigated the latest trend of u-Health and relations with clinical technologist. Since 2000, Korea has become an aging society. Korea will become an aged society by 2018, and it is expected to enter the ultra-high aged society by 2026. Increase in over 65 years population means that the desire of medical service and care demand for the elderly is greatly required. In addition, many predicted Korean national health insurance would falter financially. Medical suppression policies and regulations are also amended continuously. U-Health based on the IT industry and development of related technologies and industries contains the variety concepts of telemedicine, telehealth, e-health, u-healthcare and POCT. Especially, the use of POCT supplied quick clinical examination is extending steadily in medical center and hospital, which will generate the field friction between nurses and medical technologists. In the transition situation from provider-centric service to consumer-driven health care system, this study recommended the principal role and correspondence of clinical laboratory workers and offered information about changes in healthcare market and the basic concept of expert system, measurement and the diagnosis principle to clinical technicians throughout the investigation of the recent research and government policy trends.

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A Study on the Developing Process and Future Trend in the U. S. Health Care Facilities (미국 의료시설의 발전과정과 최근 동향에 관한 연구)

  • Choi, Kwang-Seok;Park, Jae-Seung;Mann, George J.;Kim, Kwang-Moon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.5 no.8
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    • pp.7-14
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    • 1999
  • Current Korean healthcare facilities face on a difficult period as much as financial difficulty in Korean economy. Most of all the hospitals have difficulty in minus profit margin and hospital investments are also reducing rapidly. Probably, these seem to set in the period of re-organizing its structures and enhancing productivity from the rapidly growing period, which was to concentrate its resources and prefer large scaled structures. Analyzing the developing process and future trend in the U. S. health care facilities, already experienced in financial difficulty of current Korean health care facility in 70s thru. 80s, this paper is to present directions in future Korean health care policy and healthcare facility planning.

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Development of the Practical Garment Apparatus to Measure Vital Sign of ECG for U-Health Care (ECG 생체신호 측정을 위한 실용적 U-헬스케어 의복개발)

  • Park, Hye-Jun;Hong, Kyung-Hi;Kim, Seung-Hwan;Shin, Seung-Shul
    • Journal of the Korean Society of Clothing and Textiles
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    • v.31 no.2 s.161
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    • pp.292-299
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    • 2007
  • Development of portable device measuring the vital sign continuously with no limit of time and space is absolutely prerequisite for the U-health care that grafts the ubiquitous concept into medical system. Accordingly, it requires to develop a garment style apparatus for measuring vital-sign that is easy to wear on for a long time period. This study suggests a method to improve the insulation of electric cable and the skin adhesion of electrode by integrating the electric conductive material to garment, in order to develop a garment apparatus for measuring ECG for U-health care. Results of the research are as follows; In order to provide the adjacent conductive yarns with insulation, braid with narrow woven end was interlaced using polyester yarn. As a result, the direct contact between electric conductive yarns was restrained, which would be interposed into pin-tuck structured cable. Washable silicone gel applied around the electrode made of electric conductive fabric improved the adhesion, which prevents electrodes from dropping off from the skin surface during body movement. ECG signals on the human subject were tested using the garment apparatus developed by the above method. And the result was that the clear QRS wave formation in the typical form of ECG could be measured in both conditions of still and moving state as well. The result of this study is expected to contribute for the production of U-health care related medical apparatus by accelerating the practical uses of the garment measuring vital sign at a reasonable price.

Agenda and Alternatives for Home Health Care Policy in Low Fertility and High Aged Society of Korea (저 출산 고령 사회에 대비한 재가 간호사업 정책 과제와 대안)

  • Ryu, Ho-Sihn
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.14 no.1
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    • pp.11-17
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    • 2007
  • The purpose of this study was to describe the policy agenda and alternatives for the home health care system in Korea. The home health care system development was not fully integrated while the medical laws were established in 2000, community health law in 1995, and elderly long-term health insurance law in 2007. Because of the increasing population of people over the age of 65 and dramatically decreasing fertility rate, the burden of various health-care expenses has become a great obstacle for the Korean government. Under these circumstances, the home of home health care system in has taken on an important role under the mandate of the national health care system. The types of home health care system in Korean shows a greater contrast from those utilized in other more industrialized countries, such as, U.S. or Japan. In conclusion, the strategy in overcoming the obstacles to enhance home health care system under the national health system would be developing it as a comprehensive and exchangeable consumer-focused organization.

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