• Journal of Preventive Medicine and Public Health
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• v.26 no.2 s.42
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• pp.293-309
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• 1993

With expanded and extended coverage of the national medical insurance and fast growing health care expenditures, appropriateness of health service utilization and quality of care are concerns of both health care providers and insurers as well as patients. An accurate patient classification system is a basic tool for effective health care policies and efficient health services management. A classification system applicable to Korean medical information-Korean Diagnosis Related Groups (K-DRGs)-was developed based on the U.S. Refined DRGs, and the performance of the developed system was assessed in this study. In the process of the development, first the Korean coding systems for diagnoses and procedures were converted to the systems used in the definition of the U.S. Refined DRGs using the mapping tables formulated by physician panels. Then physician panels reviewed the group definition, and identified medical practice patterns different in two countries. The definition was modified for the differences in K-DRGs. The process resulted in 1,199 groups in the system. Several groups in Refined DRGs could not be differentiated in K-DRGs due to insufficient medical information, and several groups could not be defined due to procedures which were not practiced in Korea. However, the classification structure of Refined DRGs was retained in K-DRGs. The developed system was evaluated fur its performance in explaining variations in resource use as measured by charges and length of stay(LOS), for both all and non-extreme discharges. The data base used in this evaluation included 373,322 discharges which was a random sample of discharges reviewed and payed by the medical insurance during the five-month period from September 1990. The proportion of variance in resource use which was reduced by classifying patients into K-DRGs-r-square-was comparable to the performance of the U.S. Refined DRGs: .39 for charges and .25 for LOS for all discharges, and .53 for charges and .31 for LOS for non-extreme discharges. Another measure analyzed to assess the performance was the coefficient of variation of charges within individual K-DRGs. A total of 966 K-DRGs (87.7%) showed a coefficient below 100%, and the highest coefficient among K-DRGs with more than 30 discharges was 159%.

• 한국IT서비스학회:학술대회논문집
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• 2009.05a
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• pp.495-498
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• 2009

최근 고령사회로의 진입에 따른 실버산업의 성장과 더불어 많은 비즈니스 모델들이 개발되고 있다. 그러나 가사지원에서부터 금융까지 다양한 범위에 걸쳐있는 실버산업은 이를 바라보는 관점에 따라 다양한 정의와 분류를 가지고 있으며, 실버산업에 IT를 접목한 실버 IT서비스도 이를 바라보는 관점에 따라 다양한 분류를 가지고 있다. 이에 본 연구는 먼저 실버산업의 정확한 개념과 실버IT산업의 현황을 검토하여 산업의 속성에 대해 이해하고 이를 바탕으로 실버 IT서비스의 활성화를 위한 비즈니스 모델을 제안하였다. 제안된 실버산업의 분류 및 비즈니스 모델은 실버산업에 대한 보다 명확한 Insight를 주는 데 도움이 될 것이라 판단된다.

• The Journal of Korean Society for School & Community Health Education
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• v.12 no.2
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• pp.113-127
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• 2011

Background: University health services have provided comprehensive medical care, counseling, health promotion, and public health services to their students and several other local institutions. To their faculty and staff, university health care centers have served occupational health services and employee assistant program. Purpose: We performed this study to review the health promotion services on two kinds of health care center with different style of university formate. Methods: We tried to collect the data by literature review and interview with executive and provider at health care center in University of California at Berkeley and San Jose State University. Results: Our results were as followed. First, students could use the medical services just as they would their regular doctor's office and urgent care center. Second, the health promotion unit offered programs and services for keeping students healthy and safe, including many opportunities for students to get involved in shaping the public health of the campus. Third, the health promotion recommendation offered from ACHA was useful guideline to improve health status of their member in university campus. Finally, the student satisfaction surveys were used for evaluation and quality improvement. Conclusions: The systematic approach to improve health status of students, faculty and staff can use to maintain a state of optimum health among the diverse student community in support of academic excellence. Coupled with health promotion and public health programs, university health service have to reach all segments of the healthy campus community. To achieve study goals in university, the health care center contributes to promote accountability and responsibility for the health and well being of the members in their campus.

• Proceedings of the Korea Information Processing Society Conference
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• 2014.04a
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• pp.192-195
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• 2014

u-Health 서비스는 의료기술에 ICT을 접목하여 보다 나은 건강관련 서비스를 제공할 수 있는 패러다임이다. 그러나 이러한 시스템을 도입하기에는 현실적으로 많은 도전이 존재한다. 개인의 건강관리 도구로 존재할 수 있을 것처럼 보이는 이러한 서비스는 그것이 국민의료의 질과 연관되는 이슈로 확대될 때, 환자라는 소비자집단, 의료인이라는 공급자집단, 그리고 국가라는 보건행정을 담당하는 관리집단의 이익이 첨예하게 대립할 수 있는 이슈가 될 수 있다. 이에 본 연구에서는 이러한 서비스의 제공을 이러한 개개 이익집단의 관점에서 탈피하고 순수한 양질의 의료 서비스 제공의 관점에서 살펴보아 과연 어떠한 ICT 관련 서비스 제공이 의료 환경 제고를 위해 필요한지를 파악해 보고자 하였다. 특히, 원격지에서의 자료공유를 통한 의료 서비스의 질 제고에 대해 관심을 가지고 이를 이익집단간의 이해관계가 크지 않은 ODA국가를 대상으로 하여 적용할 수 있는 서비스 모델을 제안하고자 하였다.

• Journal of Korea Multimedia Society
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• v.19 no.5
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• pp.808-817
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• 2016

Recently, the wearable computing technology with bio-sensors has been rapidly developed and utilized in various areas such as personal health, care-giving for senior citizens who live alone, and sports activities. In particular, the wearable computing equipment to measure vital signs by means of digital yarns and bio sensors is noticeable. The wearable computing devices help users monitor and manage their health in their daily lives through the customized healthcare service. In this paper, we suggest a system for monitoring and analyzing vital signs utilizing smart healthcare clothing with bio-sensors. Vital signs that can be continuously acquired from the clothing is well-known as unstructured data. The amount of data is huge, and they are perceived as the big data. Vital sings are stored by Hadoop Distributed File System(HDFS), and one can build data warehouse for analyzing them in HDFS. We provide health monitoring system based on vital sings that are acquired by biosensors in smart healthcare clothing. We implemented a big data platform which provides health monitoring service to visualize and monitor clinical information and physical activities performed by the users.

• Quality Improvement in Health Care
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• v.25 no.1
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• pp.11-28
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• 2019

Purpose: The purpose of this paper is to derive implication on the adoption of PROMs (Patient-Reported Outcome Measures) to improve quality of care in South Korea. With this purpose, the paper examines the status of PROMs in South Korea and other countries including OECD's PaRIS (Patient Reported Indicators Survey) initiative, and reviews policy cases that have adopted PROMs to improve performance of healthcare system. Methods: We conducted literature review on OECD reports on PaRIS, peer-reviewed journals, and information from the websites of relevant institutions such as ICHOM, NQF and OECD. Results: To identify healthcare services of best values and support patient-centered health system, OECD has initiated PaRIS which develops, collects and analyzes patient-reported indicators for cross-countries comparison. PaRIS is implemented on two work streams: 1) collect, validate and standardize PROMs in the areas where patient-reported indicators already exist such as breast cancers, hip and knee replacement, and mental conditions, 2) develop a new international survey on multiple chronic conditions. Countries like England, U.S., Sweden and Netherlands use PROMs for measuring performance of hospitals and performance evaluation at the national level, and provide the financial incentives for reporting PROMs. Conclusions: The use of PROMs can support the current policy agenda that is the patient-centered healthcare system which has been emphasized to reinforce the primary and the community-based care. For the use of PROMs, it is recommended to actively participate in PaRIS initiative by OECD, select appropriate instruments for PROMs, and continue on standardization of them. This will assure patients' involvement in improving health system performance, systemize information generated in the process of adopting PROMs, and develop a system to evaluate performance.

• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.11 no.2
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• pp.51-56
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• 2011

Recently, it is emerging in computing industry related ubiquitous. Also U-Healthcare system develops rapidly based on this trends. It is required system of health-status information to check user's health information on real-time and wireless network environment. Consequently, in this paper propose a health-Information system based on wireless and real-time environment. It can check a tremor pulse with method of photo-plethysmography. It convert pulse state information into 2-dimension bar code in order to confirm health information using mobile and also this system provide service of pulse visual record and explanation from specialist with MMS.

• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.8 no.4
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• pp.111-118
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• 2008

RIA(Rich Internet Application) has the best User Interface and easy way to use. It is used in many Application System and Web Application. This Paper introduces a RIA technology for Implementation of u-Hospital Application. This System uses a history of customers in the hospital and question about diseases, so we can improve the satisfaction of service. This paper shows that the u-Hospital System using RIA is more fast and easy than HTML application. Because RIA has special features that data can be obtained from server without reloading entire page and every user interaction does not require web server response. The proposed technology can improve the efficient u-Hospital System because it can be extended to ubiquitous mobile application.

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.4
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• pp.307-312
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• 2010

Purpose: In this paper, we have dealt with problems of army supply system for eyeglasses and improvement plan. Methods: We collected the latest service request of MND (Ministry of National Defence) and case of U.S. Army and analyzed the data. Results: We treated contents, construction methods and plans for efficient use of vision DB (database) for Korean Army. We suggested several alternative proposal for eyeglasses supply system which made possible quicker delivery of eyeglasses to the soldiers and increase satisfaction. Conclusions: The Korean Army must construct vision DB to service high quality vision service to the solider. It is urgent that the Korean Army set up a unit to take charge of vision management and service. And the Korean Army need to upgrade supply system for eyeglasses.

• Journal of Korea Multimedia Society
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• v.17 no.8
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• pp.995-1011
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• 2014

In consideration of the rapid changes in the so-called information society of the $21^{st}$ century, about 80% of a total population in Korea has used the Internet. However, the social effect of the Internet and related devices has not been yet systematically studied in the literature. In healthcare as well, consumers' efficient use of the Internet for their positive health outcomes is becoming an issue. The purpose of this study was to analyze the medical subject headings keywords of the selected studies on consumers' use of Internet and mobile health information. For the analysis, social network analysis was used to provide basic information to present directions for future research on the field of interest.