• 제목/요약/키워드: Value-based healthcare

검색결과 176건 처리시간 0.031초

유-헬스케어 기반 실시간 혈압, 혈당 측정치 전송의 간호기록 시간 단축 (Shortening of Nursing Record Time about Real Time Transmission Effect of Blood Pressure, Blood Glucose Value Based on U-Healthcare)

  • 박정은;김화선;홍해숙
    • Journal of Korean Biological Nursing Science
    • /
    • 제15권4호
    • /
    • pp.164-172
    • /
    • 2013
  • Purpose: The aim was to measure the real-time trans-mission effect of blood-pressure and blood-glucose value based on u-healthcare for saving the time and effort of nursing recording time. Methods: This study used a u-healthcare system based on the international standards for the exchange of health information. In order to verify the effectiveness of the u-healthcare, a clinical trial for the system regarding blood-pressure and blood-glucose targeting of patients with endocrine disorders at KNUH from February 7 to 9, 2012 was performed. Results: According to the analyzed results, of the 86 times the 11 patients were tested, measuring blood-pressure and blood-glucose using the u-healthcare system, we found the time differences between the real-time transfer recording method and existing hospital records that were used in the hospital. Based on the average time interval, there was a difference of 1,090.45 seconds (18.17 minutes). Conclusion: Therefore, it's cumbersome that nurses in the hospital have to record the numerical values of the measured blood-pressure and blood-glucose manually and input the recorded values directly into the electronic nursing record system. However, it was found in terms of the newly designed system, that it could save time and effort for nurses, since measured information is sent to the hospital information system on a real-time basis.

한국 지역 간 보건의료수준의 상대적 위치 비교 연구: Position Value for Relative Comparison Index를 활용하여 (A Study on Regional Differences in Healthcare in Korea: Using Position Value for Relative Comparison Index)

  • 윤흰뫼;윤초아;강수현;권준현;이현지;박은철;장성인
    • 보건행정학회지
    • /
    • 제31권4호
    • /
    • pp.491-507
    • /
    • 2021
  • Background: This study aims to measure regional healthcare differences in Korea, and define relatively underserved areas. Methods: We employed position value for relative comparison index (PARC) to measure the healthcare status of 250 areas using 137 indicators in five following domains: healthcare demand, supply, accessibility, service utilization, and outcome. We performed a sensitivity analysis using t-SNE (t-distributed stochastic neighboring embedding). Results: Based on PARC values, 83 areas were defined as relatively underserved areas, 49 of which were categorized as moderate and 34 as severe. The provincial regions with the most underserved areas were Gyeongbuk (16 areas), Gangwon (13), Jeonnam (13), and Gyeongnam (12). Conclusion: This study suggests a relative comparison approach to define relatively underserved areas in healthcare. Further studies incorporating various perspectives and methods are required for policy implications.

Ensemble Deep Learning Model using Random Forest for Patient Shock Detection

  • Minsu Jeong;Namhwa Lee;Byuk Sung Ko;Inwhee Joe
    • KSII Transactions on Internet and Information Systems (TIIS)
    • /
    • 제17권4호
    • /
    • pp.1080-1099
    • /
    • 2023
  • Digital healthcare combined with telemedicine services in the form of convergence with digital technology and AI is developing rapidly. Digital healthcare research is being conducted on many conditions including shock. However, the causes of shock are diverse, and the treatment is very complicated, requiring a high level of medical knowledge. In this paper, we propose a shock detection method based on the correlation between shock and data extracted from hemodynamic monitoring equipment. From the various parameters expressed by this equipment, four parameters closely related to patient shock were used as the input data for a machine learning model in order to detect the shock. Using the four parameters as input data, that is, feature values, a random forest-based ensemble machine learning model was constructed. The value of the mean arterial pressure was used as the correct answer value, the so called label value, to detect the patient's shock state. The performance was then compared with the decision tree and logistic regression model using a confusion matrix. The average accuracy of the random forest model was 92.80%, which shows superior performance compared to other models. We look forward to our work playing a role in helping medical staff by making recommendations for the diagnosis and treatment of complex and difficult cases of shock.

가축 U-Healthcare 도입방안 연구 (A Study on the Introduction of Livestock U-healthcare)

  • 구지희;정태웅;안지연;이상락
    • 한국축산시설환경학회지
    • /
    • 제18권2호
    • /
    • pp.85-90
    • /
    • 2012
  • In Korea, livestock has grown into the most value-added business in the agricultural and forest industry. But due to the recent outbreak of deadly infectious diseases such as foot-and-mount disease and avian influenza (AI), the demand for IT-enabled cutting-edge management system is getting stronger. As for humans, pilot projects and researches concerning U-healthcare have been carried out since early 2000. So this study explored the current progress of U-healthcare introduction, and suggested the strategies to develop technologies of collecting, processing, and utilizing information; to apply elements for a service model development and prioritization; to provide policy and institutional support. Therefore it is expected to vitalize the livestock U-healthcare in the future through continuous study based on these results.

2015 재난적 의료비 경험률과 추이 (Catastrophic Health Expenditure Status and Trend of Korea in 2015)

  • 김우림;박은철
    • 보건행정학회지
    • /
    • 제27권1호
    • /
    • pp.84-87
    • /
    • 2017
  • Catastrophic healthcare expenditure refers to out-of-pocket spending for healthcare exceeding a certain proportion of a household's income and can lead to subsequent impoverishment. The aim of this study was to investigate the proportion of South Korean households that experienced catastrophic healthcare expenditure between 2006 and 2015 using available data from the Korea Health Panel, National Survey of Tax and Benefit, and Household Income and Expenditure Survey. Frequencies and trend tests were conducted to analyze the proportion of households with catastrophic healthcare expenditure. Subgroup analysis was performed based on income level. The results of the Household Income and Expenditure Survey revealed that around 2.88% of households experienced catastrophic healthcare expenditure in 2015 and that this proportion was highest in the low income group. Results also showed a statistically significant increasing trend in the number of households with catastrophic healthcare expenditure (annual percentage change= 0.92%, p-value < 0.0001). Therefore, the findings infer a need to strengthen public health care financing and to particularly monitor catastrophic healthcare expenditure in the low income group.

Effectiveness of Ultrasonographic Screening for Thyroid Cancer: Round-table Conference in the National Evidence-based Healthcare Collaborating Agency (NECA) in conjunction with the Korean Thyroid Association

  • Shin, Sangjin;Park, Sae Eun;Kim, Soo Young;Hyun, Min Kyung;Kim, Sun Wook;Kwon, Jin Won;Kim, Yeol;Kim, Won Bae;Na, Dong Gyu;Park, Hyun-Ah;Sheen, Seung Soo;Yi, Ka Hee;Chang, Hang-Seok;Cho, Jung Jin;Chung, Jae Hoon
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제15권12호
    • /
    • pp.5107-5110
    • /
    • 2014
  • Background: The incidence rate of thyroid cancer has been increasing worldwide in recent years, and it is also the most prevalent cancer when it comes to the number of patients among Korean women. With it, ultrasonographic screening test has also become very common. However, there is still controversy over the performance of this screening test. Therefore, the National Evidence-based Healthcare Collaborating Agency (NECA) organized a Round-table Conference on the issues regarding ultrasonographic screening for thyroid cancer in Korea. The objective of the conference was mainly about delivering worthwhile information reflecting social value for the current situation, which was based on evidence surrounding thyroid cancer screening that relevant experts investigated and agreed on. The significance of this Round-table Conference lies in the fact that we reviewed the current evidence, and we were able to discuss the social value and future direction for ultrasonographic screening in Korea.

헬스케어 정보 수집을 위한 딥 러닝 기반의 서브넷 구축 기법 (Subnet Generation Scheme based on Deep Learing for Healthcare Information Gathering)

  • 정윤수
    • 디지털융복합연구
    • /
    • 제15권3호
    • /
    • pp.221-228
    • /
    • 2017
  • 최근 IoT 기술이 발달함에 따라 헬스케어 서비스를 제공하는 많은 의료기관에서는 IoT 기술을 이용한 의료 서비스가 점점 증가하고 있는 추세이다. 그러나, 사용자 신체에 부착된 IoT 센서의 갯수가 증가하면서 서버에 전달되는 헬스케어 정보는 점점 복잡해져서 서버에서 사용자의 헬스케어 정보를 분석하는 시간이 증가하는 문제점이 발생하고 있다. 본 논문에서는 사용자에 부착된 IoT 장치를 통해 전달되는 다량의 헬스케어 정보를 서버에서 의료 목적에 맞게 헬스케어 정보를 수집 및 처리하기 위한 딥 러닝 기반의 헬스케어 정보 관리 기법을 제안한다. 제안 기법은 서버에 전달된 헬스케어 정보에 속성값을 부여하여 속성값에 따른 서브넷을 구축한 후 서브넷간 연계 정보를 시드로 추출하여 계층적 구조로 그룹화 한다. 제안 기법은 서버에서 그룹화된 헬스케어 정보를 딥 러닝에 적용하여 사용자의 치료 및 처방에 대한 관찰 속도 및 정확도를 향상시킬 수 있어 최적화된 정보를 추출할 수 있는 특징이 있다. 성능평가 결과, 제안기법은 헬스케어 서비스 모델에서 동작되는 의료 서비스의 처리속도가 기존기법에 비해 평균 14.1% 향상되었고, 서버의 오버헤드는 기존 기법보다 평균 6.7% 낮았다. 헬스케어 정보 추출에 대한 정확도는 기존 기법보다 평균 10.1% 높은 결과를 얻었다.

U-헬스케어 관련산업의 경제적 파급효과 분석 (An Analysis of the Economic Effects of the U-healthcare Industry)

  • 서정교
    • 보건의료산업학회지
    • /
    • 제10권4호
    • /
    • pp.153-165
    • /
    • 2016
  • Objectives : Recently, concern about the ubiquitous healthcare industry has increased worldwide. This study estimated the economic effects of the ubiquitous healthcare industry by Input-Output Analysis. Methods : In this study, $384^*384$ sector statistics of the Bank of Korea were used as the initial analysis tool, after adjustments, $9^*9$ sector statistics were used as the major research method for that industry. The main analysis tools of this study included a comparison of the backward and forward linkage effects, as well as the induced effects of the self-industry and other industries and the induced coefficients including products, value-added, employee's pay, sales surplus, and employment. Results : Based on the results of the analysis, the ubiquitous healthcare industry has great economic impacts which affects major macroeconomic factors including production and the backward linkage effect. Additionally, the induced effects of the self-industry, the ubiquitous healthcare industry, are significant compared to other industries in terms of production, employee's pay and operating surplus. Conclusions : The ubiquitous healthcare industry is a growth engines for national development. This paper offers alternatives for efficient industrial policies.

CCR 기반 스마트 헬스케어 서비스에 대한 탐색적연구 (An Exploratory Study on CCR-based Smart Healthcare Services)

  • 김준환;임석진
    • 문화기술의 융합
    • /
    • 제9권5호
    • /
    • pp.91-98
    • /
    • 2023
  • 본 연구는 스마트 헬스케어 서비스에 대한 탐색적 연구로 멀티채널을 이용한 CCR 기반 헬스케어 서비스 시스템에 대한 개요와 작동원리를 살펴보고, 이러한 서비스가 사용자들과의 상호 커뮤니케이션이 중요한 역할과 기능인만큼 서비스 품질이 사용자 만족 및 지속사용의도에 미치는 영향을 조사하였다. 이를 위해, 헬스케어 디바이스 및 앱을 소유 및 이용한 경험이 있는 사용자 188명을 대상으로 구조방정식모형(SEM)으로 분석하였다. 분석결과, 첫째, 헬스케어 서비스에 대한 서비스 품질(유형성, 신뢰성, 공감성, 반응성, 보증성)은 모두 사용자 만족에 긍정적인 영향을 미치는 것으로 나타났다. 둘째, 사용자 만족도 지속사용의도에 유의한 영향을 미치는 것으로 발견되었다. 본 연구의 결과는 CCR 기반 스마트 헬스케어 서비스의 효과와 잠재적인 가치를 탐색하는 데 기여할 것으로 기대된다. 이를 통해 개인의 건강상태 관리와 예방에 대한 정확한 정보와 개인 맞춤형 서비스를 제공하는 향후 스마트 헬스케어 시스템의 발전에 기여할 수 있을 것이다.

A Development of Healthcare Monitoring System Based on Internet of Things Effective

  • KIM, Song-Eun;MUN, Ji-Hui;KIM, Kyoung-Sook;KANG, Min-Soo
    • 한국인공지능학회지
    • /
    • 제8권1호
    • /
    • pp.1-6
    • /
    • 2020
  • The Recently there has been a growing interest in health care due to the COVID-19 situation. In this paper, we intend to develop a healthcare monitoring system to provide users with smart healthcare systems in line with the healthcare 3.0 era. The system consists of a wireless network between various sensors, Android smartphones, and OLEDs using Bluetooth, and through this, a health care monitoring system capable of collecting user's biometric information and managing health by receiving data values of sensors connected to Arduino. In conclusion, the user's BPM value was calculated using the heart rate sensor, and the exercise intensity can be adjusted through this. In addition, a step derivation algorithm is implemented using an acceleration sensor, and calorie consumption can be measured using the step and weight values. As such, the heart rate, step count, calorie consumption data can be transmitted to a smartphone application through a Bluetooth module and output, and can be output to an OLED for users who are not easy to access the smartphone. This healthcare monitoring system can be applied to various groups and technologies.