• 제목/요약/키워드: Value-based healthcare

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Correlating Height, Weight, Age and Amount of Exercise of Companion Dog: A Case Study for Yong-In City

  • Kim, Bokyung;Park, Shinjun
    • Journal of International Academy of Physical Therapy Research
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    • v.12 no.1
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    • pp.2286-2294
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    • 2021
  • Background: Exercise is necessary for the health of companion dogs. It is necessary to determine the relationship between height, weight, age and amount of exercise for the purpose of companion dog's health. Objectives: A survey was conducted in this study to small-dog owners living in Yongin city, Gyeonggi-do about their canine healthcare awareness. Design: Questionnaire design. Methods: The questionnaire was composed of exercise amount, type of exercise, and the necessity of exercise, general health condition, and environment. A total of 139 survey results were obtained. The average value of each item was analyzed and expressed in terms of frequency and percentage. Then, Pearson's correlation coefficients were used to find the relationship between these items. Results: The weight and height were not shown to have a significant difference in the amount of exercise in the results. The weight had a weak positive correlation with "exercise time of canine per day". The age had a weak negative correlation with "the number of canine exercise per week" and "frequency of canine exercise per day", while it had a weak positive correlation with "self-assessment of canine lack of exercise". Conclusion: Based on this study, it is believed that in the future, various environments where dogs can exercise are believed to be necessary for the era of convergence.

A Study on the Relationship between Ultraviolet Rays and Skin Color Using a Photoplethysmography Sensor

  • So-Yae Hur;Sun-Jib Kim
    • International Journal of Advanced Culture Technology
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    • v.11 no.1
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    • pp.363-369
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    • 2023
  • In this study, to check the function of managing the severity of ultraviolet rays with a smart watch, a popular health care IT device, It was tested whether measuring heart rate using a PPG(Photoplethysmography) sensor representatively used in a smart watch could tell skin changes caused by ultraviolet rays. Through this experiment, we examined the possibility that the skin color tanned by ultraviolet rays can be determined only by the heart rate measurement function of the PPG sensor. In addition, the possibility of expanding the heart rate measurement function of the PPG sensor to the use of skin condition management was considered. we used an Arduino-based reflective PPG sensor to measure changes in heart rate by selecting body sites with high and low UV rays exposure. A significant value was derived through tests considering factors such as gender, UV exposure, and age. As a result, the study identified the possibility of adding ultraviolet rays and skincare items to future smart watch healthcare items and the possibility of expanding skin measurement methods. It is also possible to suggest the direction of future research.

Exploring Barriers Affecting e-Health Service Continuance Intention in India: From the Innovation Resistance Theory Stance

  • Arghya Ray;Pradip Kumar Bala;Yogesh K. Dwivedi
    • Asia pacific journal of information systems
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    • v.32 no.4
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    • pp.890-915
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    • 2022
  • Although existing studies on e-health have usually focused on e-health services adoption intention, there is a dearth of studies on the barriers that affect e-health services retention intention especially in India. Additionally, although studies have mostly focused on utilizing expectation-confirmation model to understand innovation related barriers, innovation resistance theory (IRT) has been overlooked. As Indian e-health service providers face stiff challenges due to customer's unwillingness to continue using the service, there is a need to bridge the research gap that exists in this context. This mixed-method study, based on responses received from 289 participants and 1154 online negative reviews from e-Health providers in India, examines the barriers from the IRT stance. Results of this study reveal a notable negative association between tradition, value and financial barrier and intention to continue using e-health services. Additionally, continuance intention affects recommendation. The study concludes with various implications and scope for future research.

The PSA Testing Debate in the U.S and Flexible Evidence-Based Medicine (미국의 PSA 진단검사 논쟁과 유연한 근거중심의학)

  • Hyun, Jae Hwan
    • Journal of Science and Technology Studies
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    • v.13 no.1
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    • pp.77-109
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    • 2013
  • The global diffusion of Evidence-Based Medicine (EBM) is changing the landscape of medicine and the healthcare system. STS scholars have shown how EBM works when put into practice. In continuing to add to the literature of previous scholars, this paper traces the historical process and debate over Prostate-Specific Antigen (PSA) testing as an early screening test for prostate cancer in the U.S. This study will reveal that both pros and cons of the testing using EBM as a crucial resources of the debate, and in the process both 'flexibly' interpret and mobilize the hierarchy of scientific evidence for EBM despite the fact the hierarchy is imagined to being scientific criteria that is rigid. Furthermore, this paper will argue that this phenomenon, for which EBM currently seems to support the cons side of PSA screening, was constructed in the context of appraisal of the value 'quality of life' in the EBM system. This case study proposes that those who study the debate of medical technology in the EBM era should contextualize and analyze EBM as part of this debate rather than simply taking EBM for granted.

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The Organizational Citizenship Behavior and Organizational Effectiveness of Hospital Employees (병원근로자의 조직시민행동과 조직효과성 관계 연구)

  • Kim, Sung Ho;Kim, Jang Mook;Seo, Young Joon
    • Health Policy and Management
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    • v.24 no.2
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    • pp.191-202
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    • 2014
  • Background: The organizational citizenship behavior is generally known as the important factor relevant to the organizational effectiveness. This research examined the mediating effect of the organizational citizenship behavior of hospital employees on the organizational effectiveness. Methods: Data were collected from 1,112 employees located in city of Seoul, Kyunggi and Chungnam province through self-administered questionnaires. Collected data were analyzed using IBM SPSS ver. 20.0, frequency analysis, t-test, analysis of variance, regression analysis, and path analysis. The main findings of the study are as follows. Results: First, it was found that many characteristics variables of personality, job, and relationship together affected organizational citizenship behavior of hospital employees. Especially, the following variables of negative affectivity, desire for growth, job value, job significance, and job security were found to have significant effect on the organizational citizenship behavior of hospital employees. Second, the results of path analysis showed that, through the mediating effect of organizational citizenship behavior, personality variables of positive and negative affectivity, and desire for growth, job characteristics variables of job value, job significance, and job security, and relationship variables of organizational support and task interdependence, had significant total effects on the level of job satisfaction of hospital employees. Conclusion: As a result, the organizational citizenship behavior seems to have both direct and indirect effects on the organizational effectiveness of hospital employees. Based on above findings, some theoretical and practical implications were discussed.

Validation of Critical Care Non-verbal Pain Scale for Critically Ill Patients (중환자 통증사정 도구의 타당성 평가)

  • Choi, Eun Hee;Kim, Jin Hee;Ko, Mi Suk;Kim, Ji Yang;Kwon, Eun Ok;Jang, In Sun
    • Journal of Korean Clinical Nursing Research
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    • v.19 no.2
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    • pp.245-254
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    • 2013
  • Purpose: This study was done to examine predictive validity of Critical Care Non-verbal Pain Scale (CNPS) and develop criteria for pain assessment using CNPS with critically ill patients who have communication problems. Methods: Data were collected from intensive care units at three major general hospitals in Seoul and Kyunggi province. During each observation, a nurse assessed pain severity using CNPS ratings (range 0-9) at four treatment stages: at rest, during central catheter dressing change (nonpainful procedure), position change and suctioning (routine painful procedures). Patients also assessed their pain using a self-report 4-point VRS-4. Results: There were significant differences between the four treatment stages except between "at rest" and "nonpainful procedure". Strong correlations were found between CNPS and VRS-4 for "at rest" (r=.552, p<.001), central catheter dressing change (r=.505, p<.001), position change (r=.709, p<.001), and suctioning (r=.662, p<.001). ROC curve analysis of CNPS based on 3 point on VRS-4 showed the cutoff point was 3 for CNPS, the starting point for pain management with 73% sensitivity, 92.2% specificity, 73% positive predictive value, and 92.8% negative predictive value. Conclusion: Results indicate that CNPS is a valid tool for measuring pain in critically ill patients with communication problems and 3 point should be the standardized pain treatment point.

Study on the Resolution Characteristics by Using Magnetic Resonance Imaging 3.0T (3.0T 자기공명영상을 이용한 해상력 특성에 대한 연구)

  • Min, Jung-Whan;Jeong, Hoi-Woun;Han, Ji-Hyun;Lee, Si-Nae;Han, Song-Yi;Kim, Ki-Won;Kim, Hyun-Soo;Son, Jin-Hyun
    • Journal of radiological science and technology
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    • v.43 no.4
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    • pp.251-257
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    • 2020
  • This study was purpose to quantitative evaluation of edge method of modulation transfer function(MTF) and physical image characteristics of by obtain the optimal edge image by using magnetic resonance imaging(MRI). The MRI equipment was used (MAGNETOM Vida 3.0T MRI, Siemense healthcare system, Germany) and the head/neck matrix shim MR coil were 20 channels(elements) receive coil. The MTF results of showed the best value of 0.294 based on the T2 Nyquist frequency of 1.0 mm-1. The MTF results of showed that the T1 image is 0.160, the T1 CE image is 0.250, T1 Conca2 image is 0.043, and the T1 CE (Concatenation) Conca2 image is 0.190. The T2 image highest quantitatively value for MTF. The physical image characteristics of this study were to that can be used efficiently of the MRI and to present the quantitative evaluation method and physical image characteristics of 3.0T MRI.

General Radiography Usage and Exposure Dose of Korean Elderly: Based on Data from Aged Patients in 2016 (한국 노인의 일반촬영 이용량 및 피폭선량: 2016년 고령환자데이터 기반)

  • Gil, Jong-Won;Yoo, Se-Jong;Lee, Won-Jeong
    • Journal of radiological science and technology
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    • v.44 no.5
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    • pp.495-502
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    • 2021
  • This study aims to provide basic data for elderly health insurance policy and medical radiation safety management by analyzing the general radiography usage and exposure dose of the elderly in Korea. The effective dose for each general radiography was calculated using the ALARA-GR program for 260 general radiography codes selected from 'National Health Insurance Care Benefit Cost'. The usage of general radiography was analyzed in the 2016 elderly patient data of the Health Insurance Review and Assessment Service, and the effective dose for each general radiography was applied. The general radiography usage and exposure dose per person aged 65 years and over was 6.47 cases and 0.56 mSv. Females showed higher value than males as 7.15 cases and 0.66 mSv(p<.001). By age, those between 75 and 79 showed the highest number as 6.97 cases and 0.62 mSv(p<.001). Those who were supported by Medical Aid showed higher value than those who were insured by National Health Insurance as 8.82 cases and 0.76 mSv(p<.001). In addition, the ratio by radiography was in the order of Chest 20.85%, Knee Joint 15.58%, and L-spine 14.67%, and the exposure dose was L-spine 29.40%, Chest 15.82%, Abdomen 7.97%, and Entire Spine 7.20%. General radiography, which is widely used due to the high frequency of diseases in the elderly population should be taken into consideration when establishing health insurance policies. In addition, it is necessary to check whether the general radiography with high exposure dose is performed as a routine examination without considering medical necessity.

Position Recognition and User Identification System Using Signal Strength Map in Home Healthcare Based on Wireless Sensor Networks (WSNs) (무선 센서네트워크 기반 신호강도 맵을 이용한 재택형 위치인식 및 사용자 식별 시스템)

  • Yang, Yong-Ju;Lee, Jung-Hoon;Song, Sang-Ha;Yoon, Young-Ro
    • Journal of Biomedical Engineering Research
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    • v.28 no.4
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    • pp.494-502
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    • 2007
  • Ubiquitous location based services (u-LBS) will be interested to an important services. They can easily recognize object position at anytime, anywhere. At present, many researchers are making a study of the position recognition and tracking. This paper consists of postion recognition and user identification system. The position recognition is based on location under services (LBS) using a signal strength map, a database is previously made use of empirical measured received signal strength indicator (RSSI). The user identification system automatically controls instruments which is located in home. Moreover users are able to measures body signal freely. We implemented the multi-hop routing method using the Star-Mesh networks. Also, we use the sensor devices which are satisfied with the IEEE 802.15.4 specification. The used devices are the Nano-24 modules in Octacomm Co. Ltd. A RSSI is very important factor in position recognition analysis. It makes use of the way that decides position recognition and user identification in narrow indoor space. In experiments, we can analyze properties of the RSSI, draw the parameter about position recognition. The experimental result is that RSSI value is attenuated according to increasing distances. It also derives property of the radio frequency (RF) signal. Moreover, we express the monitoring program using the Microsoft C#. Finally, the proposed methods are expected to protect a sudden death and an accident in home.

Registered Nurses' Knowledge, Attitudes, and Practice about Evidence-Based Practice at General Hospitals in Korea (상급종합병원 간호사의 근거기반실무에 대한 지식과 태도 및 수행)

  • Lim, Kyung Choon;Park, Kwang Ok;Kwon, Jeong Soon;Jeong, Jae Sim;Choe, Myoung Ae;Kim, Joo Hyun;Lee, Kyung Sook
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.3
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    • pp.375-387
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    • 2011
  • Purpose: Evidence-based practice (EBP) has emerged as a marker for healthcare quality and a global issue in nursing care. This study was conducted to identify Korean registered nurses' knowledge, attitudes, and practice about EBP in Korea. Methods: With a cross-sectional design, the EBP questionnaire (EBPQ) was administered to a convenience sample of nurses (N=453) recruited from 44 general hospitals. To increase the response rate, the directors of nursing were individually contacted by the researchers. The final response rate was 95.7%. Results: The majority of participants were females (99.3%), staff nurses (57.8%), and with bachelors degree (40.6%). Most of them (314, 73.4%) had ever heard about EBP. The overall mean score for the EBPQ was $4.72{\pm}0.69$ out of maximum score of 7. The mean score for the knowledge of EBP, attitudes towards EBP, and practice/use of EBP were $4.61{\pm}0.75$, $4.85{\pm}0.94$, and $4.90{\pm}0.88$, respectively. Educational level, age, and exposure to EBP were statistically significant predictors of Korean nurses' EBP perception. Conclusion: The findings showed that nurses with higher education are more likely to use and value the best available evidence for practice. This study suggests needs not only for further exploration but also for developing educational plans provided by each institute to assist nurses with the process of EBP and the associated skills.