• 제목/요약/키워드: Value-based healthcare

검색결과 178건 처리시간 0.024초

가치기반 체계에 근거한 의료기술평가: 영국 NICE의 신뢰 지향적 가치판단 과정을 중심으로 (Health Technology Assessment and Appraisal: Lessons from Reliability-Based Health Technology Appraisal in NICE, England)

  • 이현주;권영대
    • 보건의료산업학회지
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    • 제7권4호
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    • pp.273-288
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    • 2013
  • This paper is a general review contextualizing the state of the domestic health technology assessment. The aim of the paper is to present an overview of health technology assessment in Korea based on examining clinical efficacy as well as cost-benefit analysis, and to suggest the issue of appraisal based on social value. We have included a discussion of a major case study of the technology appraisal process of NICE (the National Institute for Clinical Excellence) in the UK. The review of the existing process of NICE shows that the appraisal both gives interest in health technology a sense of value perspective and raises methodological issues in terms of reliability. Details of the appraisal process and several guidelines for best practice have emerged. Suggestions are listed and their role in assessing is explained as a conclusion.

Behavioral Intention to Use Wellness Wearables: A Conceptual Model Development

  • Niknejad, Naghmeh;Hussin, Ab Razak Che;Ghani, Imran
    • International Journal of Internet, Broadcasting and Communication
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    • 제10권3호
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    • pp.1-10
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    • 2018
  • Wearable Technology is going to be the biggest buzzword and the next generation of digital revolution in the near future. Wearables have changed the focus of the healthcare industry to prevention programs in order to encourage individuals to be more active and to take the responsibility of their own health. Although, the intention of consumers to use wellness wearables has been growing rapidly, the number of individuals who refuses continued use of such devices increases day-by-day. Diffusion and innovation of new technology could be more efficiently gained by consumer's adoption. So, it is extremely important for providers and designers to understand the impact of positive and negative factors on consumers' intention to use wellness wearables. Moreover, a unified framework is required for better understanding of individuals' behavioral intention for using wellness wearables. Thus, the goal of this study is to identify the potential factors that influence consumers' willingness to use wellness wearables as well as proposing a unified framework based on Unified Theory of Acceptance and Use of Technology 2 (UTAUT2) and Value-based Adoption Model (VAM) with two extra factors, perceived trust and perceived health increase. The findings of this article improves the theoretical understanding of the engaged factors in the proposed research model of the study.

Comparison of the Tongue-Palate Pressure Patterns According to the Tongue Pressure in Community-Dwelling Older Adults

  • Min-Ji Jo;Soo-Min Kim;Seong-Chan Park;Hye-Jin Park;Yun-Seon Lee;Tae-Woo Kim;Ji-Seon Hong;Eui-Yeon Lee;Sung-Hoon Kim;Sun-Young Han
    • 치위생과학회지
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    • 제23권4호
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    • pp.320-329
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    • 2023
  • Background: Oral frailty has garnered considerable interest following its identification as a risk factor for physical frailty. The Korean oral frailty diagnosis criteria have emphasized the need for extensive research on oral frailty diagnostic items and interventions. Our study performed an in-depth analysis of the tongue-palate pressure patterns in healthy community-dwelling older adults. Methods: Of the 217 older adults aged ≥60 years who visited a senior center in Wonju, 205 participants who completed tongue pressure measurement were included in the final analysis. Pressure changes over time were recorded by instructing the participants to press their tongue against the hard palate with for 7 seconds per cycle. The participants were divided into the normal and abnormal tongue pressure (NTP and ATP, respectively) groups based on whether they achieved the target tongue pressure at least once; tongue pressure patterns were compared between the groups. Furthermore, the average time taken to achieve the standard tongue pressure value was calculated for the participants in the NTP group and used to evaluate the decrease in tongue pressure in the ATP group. Results: Among the 205 participants, 40.5% had ATP. The tongue pressure graph revealed a gentle and consistent incline that was maintained even after achieving standard tongue pressure in the NTP group. The graph was more extreme in the ATP group, and the changes in the pressure type varied across individuals; the tongue pressure was only 48.4%, 40.7%, 31.9%, and 22.6% of the NTP in the participants in their 60s, 70s, 80s, and ≥90s, respectively (p<0.05). Conclusion: Tongue pressure weakness was observed in 40.5% of the healthy community-dwelling older adults. Furthermore, ATP graphs were observed in the patients with tongue pressure weakness. Thus, activities improving the oral function in community-dwelling older adults and systematic oral rehabilitation programs should be devised to promote normal swallowing.

21세기 소비자 문화 트렌드 특성 연구 (A Study on the Characteristics of the Costumer's Cultural Trend)

  • 양희영
    • 한국의상디자인학회지
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    • 제14권2호
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    • pp.199-214
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    • 2012
  • $21^{st}$ century customer is voluntary actor, who has hegemony of communication based on digital surrounding. They are co-creator dismantling boundary between production and spending, and digital homonarrance of digital storyteller acting on the emotion. What is more, they prove the utility of 5 sense, value, experience, and story in market. 20th century Me generation is changing into We generation, who overcomes a sense of alienation and aim at smart life style for harmonious symbiosis with earth environments. Customer cultural trends are as follow as that 1) personalization of taste and experience, 2) spreading and sharing about personal use and experience, 3) consumption centered the value, 4) retreat and healthcare, 5) counter trend comes into the reaction about the forceful major trend. Contemporary customer changes essence of the life on the ground of emotion, symbol, image, and value not a commodity, function, and logos, and demands into change about direction of business to mostly enterprises. Customer's need and desire are on the increase as various emotion and value. Therefore, change of customer cultural trend is barometers for the growth and development of new fashion industry in $21^{st}$ century.

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경쟁우위와 의료기관 경영성과 -자원기반관점을 중심으로- (The Influence of Competitive Advantage on Hospital Performance: Focused on Resource-based View(RBV))

  • 이예진;서원식
    • 한국병원경영학회지
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    • 제21권3호
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    • pp.53-64
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    • 2016
  • The study empirically examines the classic hypothesis on resource-based view(RBV) theory, which is the possible relationship between competitive advantage and performance. For the study, we have surveyed 198 hospital administrators in Korea. By testing the hypotheses at conceptual level, a more robust approach, we found that (1) if a hospital possesses and exploits resources and capabilities that are both valuable and rare, it will attain a competitive advantage, and (2) the attaintment of such advantage will enable the hospital to improve its performance. The results may be interest to both academics and practitioners. From an academic standpoint, the study more accurately captures the dynamics of the theory by pairing resources-capabilities as opposed to individual resources or capabilities. From a practitioner perspective, it is suggested that hospital managers need no necessarily seek out novel resources and capabilities, but rather develop novel ways in which to combine those resources and capabilities to which they do have access.

건강 보험료 개편에 따른 보험료 조정 계수의 적합성: 취업성공패키지 대상자 선정을 중심으로 (The adjustment coefficient of health insurance in the successful employment package by the health insurance reform)

  • 신영석;김은아;이진형
    • 한국병원경영학회지
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    • 제24권4호
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    • pp.33-42
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    • 2019
  • Purpose: many domestic welfare programs use the amount of health insurance premiums as a way of measuring individuals' income levels for administrative convenience. As health insurance reform has been made, we examines the income level is still appropriately measured by the health insurance premiums for the employment success package as one of domestic welfare program. Methodology/Approach: we investigate whether the upper limit of the premiums of the self-employed health insured is appropriate or not after healthcare reform, which currently calculated by multiplying the insurance premium of the employee based insured by the adjustment factor (1.2). Findings: we examined appropriateness of the adjustment factors by comparing the premiums before and after the healthcare reform by utilizing the national health insurance data as well as Korea Welfare panel data. We found that the new value of adjustment factor (1.0~1.1) is smaller than the current one (1.2). Practical Implications: to improve the equity between the employee and the self-employed insured after the health insurance reform, the adjustment factor should be lower.

중족골 바 형태의 전족부 라커 신발이 하지 근 활성도 및 족저압력 분포에 미치는 영향 (Effects of Forefoot Rocker Shoes with Metatarsal Bar on Lower Extremity Muscle Activity and Plantar Pressure Distribution)

  • 박인식;정지용;전근환;원용관;김정자
    • 한국운동역학회지
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    • 제22권1호
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    • pp.113-121
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    • 2012
  • The purpose of this study was to evaluate the effects of forefoot rocker shoes equipped with a metatarsal bar on lower extremity muscle activity and plantar pressure distribution. Ten healthy women in the age of twenties were participated in this study as the subjects. All subjects walked on a treadmill(Gait Trainer, BIODEX, USA) wearing normal shoes and metatarsal bar shoes, during which the plantar pressure distribution and muscle activity were measured. Using Pedar-X system(Novel Gmbh, Germany), the plantar pressure was measured for six regions of the foot: forefoot, midfoot, rearfoot, 1st metatarsal, 2-3th metatarsal, and 4-5th metatarsal, and for each sub-region, 4 features such as maximum force, contact area, peak pressure, and mean pressure were analyzed based on the plantar pressure. EMG(Electromyography) activity was measured by attaching surface electrodes to the rectus femoris, biceps femoris, tibialis anterior, and gastrocnemius medial head, and magnitude of muscle contraction was analyzed in IEMG(Integrated EMG) value. The results show that the maximum force, contact area, peak pressure, and mean pressure in the midfoot all increased while maximum force, peak pressure, contact area, mean pressure in the 1st metatarsal and 2-3th metatarsal all decreased when wearing functional shoes. Also, muscle activities in the four muscles were all decreased when wearing the functional shoes. This paper suggests that forfoot rocker shoes equipped with a metatarsal bar can help disperse the high pressure and absorb the shock to the foot as well as give positive influence on gait pattern and postural stability by reducing muscle fatigue during walking.

의료 IT 융합 서비스 산업을 위한 인재 양성방안 (Education Plan of Human Resources required in Convergence Industry of Medical and IT)

  • 우성희
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2014년도 춘계학술대회
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    • pp.844-847
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    • 2014
  • 정부의 '창조경제' 키워드와 의학과 정보통신기술(ICT) 융합을 중심으로 대두된 '헬스케어 3.0' 패러다임이 만나 새로운 고부가가치 시장과 산업, 일자리 창출을 가져올 '기회의 땅'으로 부각되고 있다. 세계적인 경기후퇴에도 불구하고 세계 헬스케어 시장은 지난 2009년부터 꾸준한 성장을 보이며 국내 산업은 2010년 기준 153조원 규모로 연간 10% 이상의 높은 성장세가 전망된다. 특히 의료와 ICT, 생명기술(BT), 나노기술(NT)을 결합한 이른바 '슈퍼 융합'이 헬스케어 산업 도약의 새 패러다임을 열어줄 것으로 기대를 모은다. 이와 더불어 2020년경에는 IT융합 헬스케어 산업이 모든 IT융합산업 중 가장 큰 비중을 차지하고, 5만 여명의 고용창출 효과를 낼 것으로 전망하고 있다. 이에 여러 학문들이 융합되는 융합학문분야가 생기고 이를 교육하기 위한 융합학부가 새롭게 생기고 있다. 따라서 본 연구에서는 의료 IT 융합 기술의 문제점을 살펴보고 의료 IT 융합과 의료서비스 산업의 미래, 수요 인력을 분석하고 의료 IT 융합 인재 양성 방안을 제시한다.

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치과위생사의 근무지 유형에 따른 치과 감염관리 전담자 업무에 관한 인식 (Recognition of dental infection-control coordinator according to the type of workplace of dental hygienist)

  • 박보영;최마이;문소정
    • 한국치위생학회지
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    • 제22권4호
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    • pp.273-280
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    • 2022
  • Objectives: This study aimed to investigate the perception of dental infection-control coordinator (DICC) among dental hygienist and determine whether there is a difference in perception depending on the type of work. Methods: Dental hygienists working at the dentistry were conveniently extracted and distributed to 351 patients, and the data of 320 patients were finally analyzed. The chi-square test was conducted to determine the difference in perception of the DICC according to the type of work, and the one-way ANOVA was performed to determine the difference in the perception of DICC tasks. A p-value of <0.05 was statistically significant. Results: General hospitals and university hospitals (100%), dental hospitals (95.8%), and dental clinics (86.6%) showed the highest awareness of the need for DICC. The dental clinics had the lowest level of awareness regarding the duties of the DICC, and dental hospitals and clinics were in different areas with different levels of awareness regarding infection control-related administrative support areas (3.98-4.21 and 3.79-4.12 of 5). Conclusions: Because of a difference in perception regarding the work of DICC according to the type of work, dental organizations should establish the tasks of DICC and develop an education program for a person in charge based on this.

김종성과 승효상 작품의 허공에서 표현되는 치유성에 관한 비교연구 (A Comparative Study on the Sense of Healing expressed in the Void Space of Jong-soung Kimm and Hyo-sang Seung's works)

  • 김광호
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제14권2호
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    • pp.15-23
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    • 2008
  • The criterion of 'void space' in this paper is based on the sense of unusual experiences to afford the improvement of the value of cultural life with the sense of Healing. The more chances to spiritual converse with nature and oneself, the higher the value of healing experiences that one has will grow. This analysis has been done on the premises that this is derived from the inner conversation with 'nature' and 'oneself', as well as among 'others'. In other words, while the 'community void' affords programmatic aspect in relations between humans, the 'ecological void', systemic aspect in relations between human and nature, the 'meditation void', the aspect of image in relations between human and human's inside. Jong-soung Kimm and Hyo-sang Seung are Korean architects who have consistently expressed contrastive essential characteristics of the 'void space' in their contemporary works. While the void space of contemporary Korean architectures have shown various external forms, there has been a trace deeply rooted from the absolute and neutral concepts of the masters of Modern architects and 'Madang'of Korean traditional space. The integrated composition in the works of Jong-soung Kimm suggested integrated characters and healing affordances of 'Madang', but it hardly showed the poetic simplicity that could be seen from the image of traditional 'Madang'. On the other hand, the works of Hyo-sang Seung represented the simple and silent image of 'Madang', but showed fragmented characteristics that didn't sufficiently afford the integrated healing functions of 'Madang'.

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