• Title/Summary/Keyword: delivery of healthcare

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Development of Patient-Centered Healthcare Services Evaluation Scale (환자중심 의료서비스 평가도구 개발)

  • Lee, So Ra;Yang, Nam Young
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.27 no.2
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    • pp.198-209
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    • 2020
  • Purpose: This study sought to develop a scale to evaluate patient-centered healthcare services at hospitals and verify its reliability and validity. Methods: We conducted a literature review and interviewed medical personnel and practitioners in medical institutions. We also conducted a content validation and preliminary survey of experts, including 40 preliminary items. We conducted the main survey among 240 medical institution workers to assess the validity and reliability of the preliminary measurement tool. Results: The validity and reliability of the scale were assessed by 29 items underlying six factors: ease of communication, continuity and extension of the hospital's role, stable environment, emotional support, respect for patients' values, and offer of information. Cronbach's α of the whole tool was .91, while the value of each factor ranged from .82 to .74, thereby verifying its reliability. Conclusion: The patient-centered healthcare services scale was identified as a tool appropriate for healthcare professionals. This tool will be useful in a diverse range of research on the development of educational programs for patient-centered healthcare services and the promotion of patient-centered causes.

Customized Ontology Mappings for Data Interoperability among Healthcare Systems (상호교류 헬스케어시스템을 위한 사용자정의 온톨로지 매핑)

  • Khan, Wajahat Ali;Hussain, Maqbool;Afzal, Muhammad;Lee, Sungyoung;Chung, Tae Choong
    • Proceedings of the Korea Information Processing Society Conference
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    • 2013.05a
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    • pp.470-471
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    • 2013
  • Accuracy of mappings is the key for achieving true interoperability among different healthcare systems. The initial step towards interoperable healthcare systems is compliancy with healthcare standards (HL7, openEHR, CEN 13606). Ontologies for these standards are developed that require ontology matching to generate generalized ontology mappings. Organizations conform to specific concepts of different standards based on their requirements. This step is called as conformance claims and is based on Personalized-Detailed Clinical Model. It invalidates some of the generalized mappings because of non-conformed concepts and leads to the necessity of the proposed technique of customized ontology mappings. These customized ontology mappings compliment the generalized ontology mapping to increase the level of accuracy of mappings and thus achieving data interoperability. The proposed system ensures quality of care to patients by timely delivery of healthcare information.

Addressing Concurrency Design for HealthCare Web Service Gateway in Remote Healthcare Monitoring System

  • Nkenyereye, Lionel;Jang, Jong-Wook
    • International journal of advanced smart convergence
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    • v.5 no.3
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    • pp.32-39
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    • 2016
  • With the help of a small wearable device, patients reside in an isolated village need constant monitoring which may increase access to care and decrease healthcare delivery cost. As the number of patients' requests increases in simultaneously manner, the web service gateway located in the village hall encounters limitations for performing them successfully and concurrently. The gateway based RESTful technology responsible for handling patients' requests attests an internet latency in case a large number of them submit toward the gateway increases. In this paper, we propose the design tasks of the web service gateway for handling concurrency events. In the procedure of designing tasks, concurrency is best understood by employing multiple levels of abstraction. The way that is eminently to accomplish concurrency is to build an object-oriented environment with support for messages passing between concurrent objects. We also investigate the performance of event-driven architecture for building web service gateway using node.js. The experiments results show that server-side JavaScript with Node.js and MongoDB as database is 40% faster than Apache Sling. With Node.js developers can build a high-performance, asynchronous, event-driven healthcare hub server to handle an increasing number of concurrent connections for Remote Healthcare Monitoring System in an isolated village with no access to local medical care.

Reliability-based Message Transmission System in Healthcare Devices (헬스케어 디바이스에서의 신뢰성 기반 메시지 전달 시스템)

  • Lee, Young-Dong
    • Journal of the Institute of Convergence Signal Processing
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    • v.21 no.3
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    • pp.142-147
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    • 2020
  • The Internet of Things is valuable as a means of solving social problems such as personal, public, and industrial. Recently, the application of IoT technology to the healthcare industry is increasing. It is important to ensure reliability and security in IoT-based healthcare services. Communication protocols, wireless transmit/receive techniques, and reliability-based message delivery are essential elements in IoT healthcare devices. The system was designed and implemented to measure body temperature and activity through body temperature and acceleration sensors and deliver them to the oneM2M-based Mobius platform.

Prerequisites on Smart Healthcare in the Perspective of Service Design : Focusing on the Elderly Experience Case (서비스 디자인 관점에서 본 스마트 헬스케어의 선행 조건 : 고령자 경험 사례를 중심으로)

  • Kim, Ho-Da;Joo, Ae-Ran
    • Journal of Information Technology Applications and Management
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    • v.28 no.3
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    • pp.49-58
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    • 2021
  • Due to the increasing interest in wellness aroused by the aging population and the pursuing feature of active old age, Korean elderly set importance on long life with their healthy condition. Following the change in the paradigm of the medical delivery system from hospital-oriented, treatment-oriented to personal-centered and self-care, Service design application of Smart Healthcare for the elderly became valuable. Smart Healthcare is a healthcare service provided through the fusion of ICT technologies including mobile/wearable devices, IoT, big data, and information technology, and it is utilized to prevent diseases managing abundant health information and living habits. As a methodology for delivering such Smart Healthcare to the elderly, Service design can be adopted. Therefore, this study would like to present the perquisites of Smart Healthcare design for the elderly through analyzing the results from in-depth interview methods between the elderly and medical staff. As a result of this study, guidelines for Service design application of health vulnerability management for the elderly utilizing smart phones were presented. Therefore, this study presented four prerequisites composed of 'high level of supplementation and ethical decision making', 'improvement of inequality in accessibility and experience', 'resolving problems in policy implementation' and 'user-friendliness' for the Smart Healthcare service design for the elderly. Overall, Service design is expected to play an innovative role in improving the quality of life for the elderly through the process of collecting and delivering information on Smart Healthcare centered on the experience of the elderly.

Artificial oocyte activation in intracytoplasmic sperm injection cycles using testicular sperm in human in vitro fertilization

  • Kang, Hee Jung;Lee, Sun-Hee;Park, Yong-Seog;Lim, Chun Kyu;Ko, Duck Sung;Yang, Kwang Moon;Park, Dong-Wook
    • Clinical and Experimental Reproductive Medicine
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    • v.42 no.2
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    • pp.45-50
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    • 2015
  • Objective: Artificial oocyte activation (AOA) is an effective method to avoid total fertilization failure in human in vitro fertilization-embryo transfer (IVF-ET) cycles. AOA performed using a calcium ionophore can induce calcium oscillation in oocytes and initiate the fertilization process. We evaluated the usefulness of AOA with a calcium ionophore in cases of total fertilization failure in previous cycles and in cases of severe male factor infertility patients with non-motile spermatozoa after pentoxifylline (PF) treatment. Methods: The present study describes 29 intracytoplasmic sperm injection (ICSI)-AOA cycles involving male factor infertility at Cheil General Hospital from January 2006 to June 2013. Patients were divided into two groups (control, n=480; AOA, n=29) depending on whether or not AOA using a calcium ionophore (A23187) was performed after testicular sperm extraction-ICSI (TESE-ICSI). The AOA group was further split into subgroups according to sperm motility after PF treatment: i.e., motile sperm-injected (n=12) and non-motile sperm-injected (n=17) groups (total n=29 cycles). Results: The good embryo rate (52.3% vs. 66.9%), pregnancy rate (20.7% vs. 52.1%), and delivery rate (10.3% vs. 40.8%) were lower in the PF/AOA group than in the control group. When evaluating the effects of restoration of sperm motility after PF treatment on clinical outcomes there was no difference in fertilization rate (66.6% vs. 64.7% in non-motile and motile sperm, respectively), pregnancy rate (17.6% vs. 33.3%), or delivery rate (5.9% vs. 16.7%) between the two groups. Conclusion: We suggest that oocyte activation is a useful method to ensure fertilization in TESE-ICSI cycles regardless of restoration of sperm motility after PF treatment. AOA may be useful in selected patients who have a low fertilization rate or total fertilization failure.

Analyzing Service Failure Themes on Online Healthcare Product: Focusing on Online Consumers' Word-of-mouse

  • Oh, Su-Jin
    • International Journal of Contents
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    • v.8 no.3
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    • pp.71-78
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    • 2012
  • The emergence of the Internet has provided a new outlet for consumers who experience service failure from products and services, augmenting the traditional options of entry, voice and action. Consumers' negative word of mouth through online (word-of-mouse or eWOM) far exceeds traditional word of mouth (WOM) in respect of its potential effectiveness, speed and spread. This paper tries to figure out the service failure themes in the health care industry by analyzing online word-of-mouse using the critical incidents technique (CIT). Complaint themes in the area of healthcare are identified and analyzed. The results identify that major complaint theme differed according to the site type. Also, the findings indicate that delivery and customer services are critical issues when consumer makes negative WOM.

Triboelectric Nanogenerators for Self-powered Sensors

  • Rubab, Najaf;Kim, Sang-Woo
    • Journal of Sensor Science and Technology
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    • v.31 no.2
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    • pp.79-84
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    • 2022
  • Self-powered sensors play an important role in everyday life, and they cover a wide range of topics. These sensors are meant to measure the amount of relevant motion and transform the biomechanical activities into electrical signals using triboelectric nanogenerators (TENGs) since they are sensitive to external stimuli such as pressure, temperature, wetness, and motion. The present advancement of TENGs-based self-powered wearable, implantable, and patchable sensors for healthcare monitoring, human body motion, and medication delivery systems was carefully emphasized in this study. The use of TENG technology to generate electrical energy in real-time using self-powered sensors has been the topic of considerable research among various leading scholars. TENGs have been used in a variety of applications, including biomedical and healthcare physical sensors, wearable devices, biomedical, human-machine interface, chemical and environmental monitoring, smart traffic, smart cities, robotics, and fiber and fabric sensors, among others, as efficient mechanical-to-electric energy conversion technologies. In this evaluation, the progress accomplished by TENG in several areas is extensively reviewed. There will be a discussion on the future of self-powered sensors.

A Study on the Recent Trend of German Healthcare Delivery System and Types of Medical Facilities for the Aged (최근 독일 노인 의료시설의 공급체계와 시설유형에 관한 조사 연구)

  • Yang, Nae-Won;Yu, Young-Min
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.4 no.7
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    • pp.47-55
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    • 1998
  • The average life span of Koreans has been increased recently. The percentage of the old(over 65), which was 5% in 1990, is expected to be increased to 15% in 2020. Therefore, the social problems of old people occur in various aspects nowadays, and will become more serious in the near future. In Germany, the have developed a comprehensive welfare system which enables the aged to be more independent, such as various welfare facilities for the aged that are built in consideration of the physical conditions.

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Analysis of Perceived Levels on Health in Paraguay (파라과이 보건의료분야에 대한 인식수준 실태분석)

  • Lee, Myung-Sun
    • The Journal of Korean Society for School & Community Health Education
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    • v.14 no.3
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    • pp.67-76
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    • 2013
  • Objectives: This study was intended to provide the base of developing countries' Health Partnership Strategy by investigating the Paraguay's awareness level of health and analyzing the actual state. Methods: The data was collected from 11 government employees, 20 hospital staffs, 26 local residents on Asunci$\acute{o} $n, Paraguay in February, 2012. The method of the study was the questionnaires consisting of 62 questions including 7 questions of general features, 3 questions of awareness on maternal health care, child health care, planned parenthood program, 52 questions of awareness on health. The questionnaires was translated into Spanish which is local language in Paraguay. Results: The results of this study are summarized as follows; 1) The most important awareness on maternal healthcare, child healthcare, planned parenthood program was providing child health care. 2) The most important awareness to prevent non-health behavior was sufficient nutrition. The most important awareness to reduce the rate of chronic disease was diabetes. The most important awareness to eradicate communicable disease was HIV/AIDS. 3) The most important awareness to provide healthcare service was vaccination. 4) The most important awareness on healthcare delivery system was policy. The most important awareness on health education was student's health education. 5) The most important awareness to strength healthcare capacity was developing domestic economy. Conclusion: The results of this study suggest that awareness levels on health are high against low health behavior status in Paraguay. But awareness on health can lead to health behavior by healthcare system. Therefore, it has to induce the healthcare network and system by injecting public health funds, infrastructure, human resources on prevention of disease and healthcare management.

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