• Title/Summary/Keyword: delivery of healthcare

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A Fundamental Study Architectural planning of the Medial Recording Department in Hospital (병원 의무기록부의 건축계획을 위한 기초적 연구)

  • Ryu, Jai-Kown;Lee, Nak-Woon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.1 no.2
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    • pp.29-37
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    • 1996
  • It is an important to notice that the the importance of the medical recording department in hospital will be increased in the future. Therefore, this study aims to analyze the organization of space and to seize the computerization of medical record system in hospital. For these purposes, the operation of medical recording department and the delivery of the patieent's medical recard paper were investigated.

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바이오 센서 및 랩온어칩

  • 박유근
    • The Magazine of the IEIE
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    • v.31 no.1
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    • pp.58-72
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    • 2004
  • Smart sensors and biochip technologies have received a great deal of attention in recent years not only because of the enormous potential markets in the healthcare expenditures but more importantly because of its great impact on the quality of human life in the future. Collaborative research among BT (Bio Technologies), IT (Information Technologies) and NT (Nano Technologies) will bring us a new paradigm of the healthcare services. Examples include disease prediction based on the genetic tests, personal medicines, point-of-care analysis, rapid and sensitive infectious disease diagnostics, environmental monitoring for chemical or biological warfares, intelligent drug delivery systems etc. In this report, recent accomplishment in the research area on biosensors, DNA chips, Protein Chips and Lab-on-a-chips are reviewed.

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Validating a Building Prototype: A Post-Occupancy Evaluation of a Women's Medical Center (여성전문병원의 거주후 평가에 관한 연구)

  • Lee, Hyung-Sook;Shepley, Mardelle McCuskey
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.4 no.6
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    • pp.95-102
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    • 1998
  • The validity of new building prototypes must be confirmed to support the design process for comparable future projects. This project invovled a post-occupancy study at a new women's health center that provides LDR/P (labor, delivery, recovery, postpartum). The study's objectives were to test whether the intentions of the designers were effectively executed, to provide feedback to the hospital about the new facility, and to provide design guidelines.

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Design and Management of Health Care Financing and Delivery System -What can We Learn from the Canadian Experience\ulcorner- (국민건강보장을 위한 효율적인 보건의료체계 -캐나다 의료보장재원의 배분과 활용을 중심으로-)

  • 김병익
    • Health Policy and Management
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    • v.2 no.2
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    • pp.1-32
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    • 1992
  • The Canadian experience-universal government health insurance administeredby the ten provinces and two territories with some fiscal and policy variations-suggests the possibility of more effectve and efficient health care delivery system. The central purpose of the Canadian health in surance was to reduce and hopefully eliminate financial barriers to medical care. In this it succeeded. But it also produced varous kinds of unexpected side-effects on cost and quality. The Federal and Provincial Governments of Canada continue to exert theri efforts to ameliorate these problems. The lesson from Canada is that the health care revenue should be raised at the national level and managed at the regional level, and the regional healthcare financing organization has to take over the functions of the public health center. These alternatives is expected to make the Korean health care delivery system more efective and efficient, and to achieve health for all. This paper also discussed the policy agenda for implementing such alternatives in Korea.

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An Analysis of the Changes in the Financial Performance of Teaching Hospitals after the Implementation of the Separation Policy of Prescription and Drug Dispensing: A case of the teaching hospitals in D area (의약분업이후 대학병원 경영수지변화 비교 분석 (D지역 대학병원 사례를 중심으로))

  • Eun, Jong-Seong;Youn, Kyung-Il
    • Korea Journal of Hospital Management
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    • v.8 no.1
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    • pp.64-80
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    • 2003
  • The separation policy of prescription and drug dispensing which has been implemented since the 1st of July, 2000, has brought about great changes in patients flow within the healthcare delivery system. The changes in the patients flow, in turn, resulted in the change in the distribution of financial resources among the participating entities in the healthcare delivery system: pharmacies, clinics, small hospitals, general hospitals, and teaching hospitals. The purpose of this study is to shed some light in the change in the financial performance of teaching hospitals under the separation policy that has created environmental changes such as the decrease in the number of out patients visits, the increase in the capital expenditures, the rapid increase in labor costs and so on. For the purpose, this study has compared and analyzed the balance sheets, the income statements and other operational data of three teaching hospitals located in D area. The data include two periods: before(year 1999) and after(year 2001) the implementation of the separation policy. The analysis was conducted with an emphasis on the changes in the financial ratios such as liquidity, turnover ratio, performance ratio. and capitalization ratio. The results show that the financial performances of the hospitals under study were weaker than before the implementation of the separation policy, and that, while the operating expenses have increased remarkably, there was no tendency to corresponding increase in revenue. And the result of analysis of other operational indicators also show that the performance of the hospitals is getting worse. Based on the results, this study has suggested the directions of the healthcare policies. This study suggests to improve the current model of separation of prescription and drug dispensing, to grant subsidies for the training of residents in teaching hospitals, and to lower the rate of patients' out of porket payment in teaching hospitals.

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A Study on the Healthcare Delivery System in China (I) - Focused on the Regulations in China (중국의 의료지원체계에 관한 연구 (I) - 관련 법제도를 중심으로)

  • Lyu, Cheng;Yun, Woo Yong;Chai, Choul Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.23 no.1
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    • pp.37-46
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    • 2017
  • Purpose: There is little information about China's medical service system and health care facilities in Korean medical architecture papers, which is inconvenient for scholars engaged in medical building research and comparison. Futhermore, the transformation of the notion of health and the ascension of the service needs show the lack of medical function, and then make functions of hospital construction are always in the state of dynamic renewal. Therefore, the purpose of this study is to analyze the Chinese medical service system and general hospital related laws and regulations for future research to provide effective analysis of data, and find shortcomings. Methods: This study was conducted by a research on law and regulation of China's medical service system and general Hospital. Results: At present hospital construction in China is in the period of rapid development and it exposes the layout of medical health facilities is not reasonable and the service does not reach the designated position and so on. Overall, it requires more detailed guidelines to enhance the quality of medical health services. Implications: It is expected that the research of this paper will provide effective reference for future research on Chinese medical architecture system and medical facilities, and can promote and perfect the construction of Chinese medical architecture theory system.

Effect of Changes in Nursing Delivery System on Satisfaction of Nurses and Patients and Direct Nursing Time (간호전달체계의 변화가 간호사 직무만족도와 환자만족도 및 직접간호시간에 미치는 효과)

  • Choi, Eun Hee;Lee, Hyun Su;Kim, Jin Hee;Ko, Mi Suk;Kim, Bok Soon
    • Journal of Korean Academy of Nursing Administration
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    • v.19 no.2
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    • pp.217-226
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    • 2013
  • Purpose: Purpose of this research was to identify effects of application of a modified primary nursing system. Methods: Measurement was done of direct nursing time and satisfaction of nurses and patients before and after one month of the modified primary nursing system in a surgery unit in C university hospital, Seoul. Results: There was no statistically significant difference between average for patient satisfaction (4.24) before and (4.11) after application of the modified primary nursing system. Total average for nurse satisfaction with the nursing delivery system was 2.89 before application and, 3.34 after, indicating some significant differences (t=-4.06, p<.001). The KPCS-1 was 10.19 before application of the modified primary nursing system and 9.52 after application. Recalculated into direct nursing time, the average direct nursing time for one patient was 92 minutes before application, and 85.98 minutes after, indicating no significant difference. Conclusion: Through this research an attempt was made to build and test a modified primary nursing system. Results indicate that the most important thing is to clearly regulate office work and safely implement the new system.

A Study on the design of the outpatient and inpatient conversion factors based on the medical expenditure budget system (진료비 예산에 기초한 외래 및 입원 환산지수 설계에 관한 연구)

  • O, Dongil
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.2
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    • pp.470-478
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    • 2020
  • In this paper, a theoretical model that separates one single conversion factor into two conversion factors for both outpatients and inpatients is introduced. By using hypothetical numbers, two conversion factors and an adjustment factor were calculated. The major implications are as follows. Firstly, by introducing two conversion factors, a minimum incentive mechanism for admitting outpatients to a clinic and high risk inpatients to a hospital was installed. Secondly, the introduction of two conversion factors decreased the drive to admit outpatients to a hospital by reducing the economic benefits for the hospital. Thirdly, it is possible to make explicit contracts for several factors rather than a single conversion factor, so that it can be used as an appropriate management tool for rapidly increasing medical expenses. Finally, this research can be used to set up policy tools to establish a proper healthcare delivery system in Korea by inducing behavioral changes in healthcare institutions.

Current Status and Future Direction of Artificial Intelligence in Healthcare and Medical Education (의료분야에서 인공지능 현황 및 의학교육의 방향)

  • Jung, Jin Sup
    • Korean Medical Education Review
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    • v.22 no.2
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    • pp.99-114
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    • 2020
  • The rapid development of artificial intelligence (AI), including deep learning, has led to the development of technologies that may assist in the diagnosis and treatment of diseases, prediction of disease risk and prognosis, health index monitoring, drug development, and healthcare management and administration. However, in order for AI technology to improve the quality of medical care, technical problems and the efficacy of algorithms should be evaluated in real clinical environments rather than the environment in which algorithms are developed. Further consideration should be given to whether these models can improve the quality of medical care and clinical outcomes of patients. In addition, the development of regulatory systems to secure the safety of AI medical technology, the ethical and legal issues related to the proliferation of AI technology, and the impacts on the relationship with patients also need to be addressed. Systematic training of healthcare personnel is needed to enable adaption to the rapid changes in the healthcare environment. An overall review and revision of undergraduate medical curriculum is required to enable extraction of significant information from rapidly expanding medical information, data science literacy, empathy/compassion for patients, and communication among various healthcare providers. Specialized postgraduate AI education programs for each medical specialty are needed to develop proper utilization of AI models in clinical practice.

Establishment and Application of a Comprehensive Business Model Framework : Focusing on Healthcare Business Models (포괄적 비즈니스 모델 프레임워크 구축 및 적용 : 헬스케어 비즈니스 모델을 중심으로)

  • Yeon, Younghee;Lee, Baekhee;Kim, Eunha;Park, Boyoung;You, Heecheon
    • Journal of Korean Institute of Industrial Engineers
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    • v.41 no.6
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    • pp.530-539
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    • 2015
  • A business model (BM) can be developed based on a business model framework (BMF) consisting of key components such as value proposition, customers, and resources. To systematically generate and analyze emerging BMs such as healthcare BM, an integration of diverse BMF components is needed. The present study is to establish a comprehensive BMF and evaluate its applicability to healthcare BMs. Based on a review of eight BMF studies, ten BMF components were identified and classified into five major components (value proposition, resources, organizing model, customers, and revenue model) and five minor components (technology, service platform, delivery, competitive strategy, and growth/exit) by analyses of frequency and functional importance. Lastly, the BMs of three emerging healthcare companies (WellDoc, Inc., CFW Shops, and Aravind Eye Care System) were analyzed and compared in terms of the proposed BMF components. The comprehensive BMF components presented in the study can be of help for developing new BMs and analyzing the strengths and weaknesses of BMs.