• 제목/요약/키워드: health care system

검색결과 2,942건 처리시간 0.031초

정신적 건강 서비스를 위한 감성구를 활용한 주관적 웰빙 지수 측정 방법론 (A Methodology of Measuring Degree of Contextual Subjective Well-Being Using Affective Predicates for Mental Health Aware Service)

  • 권오병;최석재
    • 지능정보연구
    • /
    • 제17권3호
    • /
    • pp.1-23
    • /
    • 2011
  • 상황인식 컴퓨팅 사용자의 상황적이고 주관적 웰빙(SWB) 측정은 그에 맞는 정신건강 추천, 특히 대사증후군이나 우울증을 위한 추천에 매우 도움이 될 것이다. 현존하는 자가 진단식 측정법이나 자가 센싱 방법이 주관적 웰빙정보를 모니터링 하는데 제안되고 있음에도 불구하고 시의 적절한 서비스를 제공하지 못하여 상황인식 서비스로 쓰이기에는 부적합하다. 따라서 본 논문의 목적은 상황적이고 주관적 웰빙을 추정하는 방법을 제안하는 것이다. 이 방법은 사용자가 남기는 응답 글로부터 상황 자료를 획득하기 때문에 매우 적시적이며 따라서 그때마다의 감정 상태를 파악할 수 있다. 특히 본 연구에서는 온라인 대화나 기타 텍스트 기반의 의사소통에서 노출되는 분노심 등 부정적 감정에 관련된 감정동사와 정도 부사에 초점을 두어 측정한다. 제안된 상황적이고 주관적 웰빙 추정 방법을 기반으로 하여 웰빙 생활을 위한 추천 시스템을 개발하고자 한다. 이러한 아이디어의 실현가능성을 보이기 위하여 실제 운전자들을 대상으로 제안 방법이 얼마나 실제 감정을 잘 추론하는지에 대해 실험을 수행하였다.

스마트 헬스케어 기반의 디바이스 접근제어를 위한 키 생성 및 통신기법 설계 (A Design of Key Generation and Communication for Device Access Control based on Smart Health Care)

  • 민소연;이광형;진병욱
    • 한국산학기술학회논문지
    • /
    • 제17권11호
    • /
    • pp.746-754
    • /
    • 2016
  • ICT기반의 융합산업인 스마트 헬스케어 시스템은 건강관리부터 원격진료 범위에 걸쳐 다양한 산업분야의 핵심 연구주제이다. 스마트 헬스케어 환경은 웨어러블 디바이스를 통하여 사용자의 심박 수, 체온, 건강상태 등과 같은 생체정보를 주치의가 있는 병원 네트워크로 전달하는 기술을 의미하며 환자의 다양한 데이터를 수집하고 복합적인 정보를 추론할 수 있는 기술은 스마트 헬스케어 기술의 핵심기술이라 할 수 있다. 그러나 환자에 대한 개인의 의료정보를 다루는 만큼 정보관리에 대한 보안위협이 있으며, 무선 네트워크 환경에서 발생하는 공격기법에 대해서 취약점이 발생할 수 있다. 그러므로 본 논문에서는 스마트 헬스케어 기반의 디바이스 접근제어를 위한 키를 생성 후 생성한 키를 활용하여 안전한 통신 프로토콜을 설계하여 스마트 헬스케어 시스템의 보안성을 강화하였다. 성능평가에서는 스마트 헬스케어 환경에서 발생하는 공격기법에 대해서 안전성 분석을 하고, 기존의 키 암호화 방식과의 보안성 및 효율성을 분석하여 기존의 암호화 방식 대비 대략 15% 향상된 수치를 확인할 수 있었다.

율동적 운동 프로그램이 여성노인의 생리적 지수, 생활만족, Calcium, Phosphorous, Osteocalcin, Deoxypyridinoline에 미치는 영향 (The Effects of Rhythmic Exercise Program on Physiologic Variables, Life satisfaction, Calcium, Phosphorous, Osteocalcin, Deoxypyridinoline in the Elderly Women)

  • 정영주
    • Journal of Korean Biological Nursing Science
    • /
    • 제4권2호
    • /
    • pp.93-112
    • /
    • 2002
  • Recently, the number of the elderly has increased according to the improvement of socioeconomic status and the efficient medical care system. In spite of the development of medicine, the elderly suffers from the various health problems caused by weakness of musculoskeletal system, cardiopulmonary function and immunologic dysfunction. Regular rhythmic exercise program is known to be one of the effective tools to enhance the health condition in the elderly. However, there has been few studies to evaluate the comprehensive effects of rhythmic movement program on the elderly. This study was focused to evaluate the indices of cardiopulmonary function, life satisfaction, calcium, phosphorous, osteocalcin and deoxypyridinoline which are the essential factors of health problems in the elderly women. Twenty six subjects, aged between 68 and 72, who can do the ordinary activities and do not have cardiovascular dysfunction and mental disorder, participated in this study. They were divided into two groups: 13 in the experimental group and 13 in the control group. The experimental group participated in the rhythmic movement program at the welfare center located in G-city. The program were consisted of three sessions a week during 10 weeks. Each session had three parts: warming up(10 minutes), main exercise(40 minutes), finishing(10 minutes). Heart rate, blood pressure and peripheral arterial oxygen saturation were measured for the evaluation of cardiopulmonary function. Serum calcium, phosphorous, osteocalcin and urine deoxypyridinoline were measured as the indices of bony metabolism. Data were analyzed with mean, standard deviation, $x^2$-test, t-test, paired t-test using SPSS PC+ program. The results of this study were as follows. 1) Heart rate of the experimental group showed significant decrease following the rhythmic movement program. Peripheral arterial oxygen saturation of the experimental group showed significant increase following the program. 2) The degree of life satisfaction of the experimental group showed significant increase following the program. 3) Calcium showed significant decrease following the program but remained within normal range. There was no significant difference of phosphorous between two groups. 4) Osteocalcin, the index of bone formation, showed no significant change following the program, but significant increase in the experimental group comparing with the control group. 5) Deoxypyridinoline, the index of bone resorption, in urine of the experimental group showed significant decrease following the program. In conclusion, the rhythmic exercise program in the elderly showed the improvement of physiologic function and favorable effects on life satisfaction and bony metabolism. According to the above results, the regular rhythmic movement program can be strongly recommended for the improvement of health in the elderly women.

  • PDF

노인보건의료의 현황과 법 제도적 개선방안 (Improvement Devices on the Law and Institution and Current Situation of Health and Medical Treatment for the Aged)

  • 노재철;고준기
    • 한국콘텐츠학회논문지
    • /
    • 제13권4호
    • /
    • pp.170-186
    • /
    • 2013
  • 인구가 고령화되면서 전체 인구의료비 가운데 고령인구에 지출되는 의료비의 비중은 증가하여, 건강보험 의료급여 등의 재정을 압박하는 경향은 갈수록 심화될 전망이다. 노인성 질환으로 인해 의료비용 부담이 증가함으로서 사회적 문제로 발전됨에 따라 노인보건의료의 현황을 분석하고, 현행 관련법제도를 살펴보고 문제점을 도출하고자 하였으며, 외국의 노인보건실태와 동향을 토대로 시사점을 도출하여 우리나라에의 법제도적 개선방안을 제시하고자 하였다. 그 결과 현행 노인보건의료보장의 관련법 체계의 문제점, 현행 노인장기요양보험법상의 문제점을 도출하였고, 법적 개선방안으로서는 건강보험의 보장성 강화, 장기 요양보험료 재정의 건전성 확보문제, 노인복지와 장기요양보험제도의 연계와 상호보완 기능을 강화, 치료요양에 대한 노인장기요양보험제도와 노인복지법의 중복성 문제, 등급판정체계의 개선, 재가서비스 지원강화 등 노인의 특수성을 반영하여 의료서비스의 질적 수준의 개선이 필요하다고 보고 노인장기요양법제의 개선과제를 제기하는 등 노인의료서비스의 지원확대 방안을 제시하였다. 노인을 대상으로 하는 중증응급 의료서비스의 질을 제고하기 위해서는 적정 응급의료자원의 확보뿐만 아니라, 그 효율적 운영체계의 마련도 필요하다. 아울러 급증하고 있는 노인의료비에 대응하기 위해서 "노인의 의료확보에 관한 법률"을 제정할 필요성을 제시하였다.

뇌성마비아 어머니의 경험 (Lived experience of mothers who have child with cerebral palsy)

  • 이화자;김이순;이지원;권수자;강인순;안혜경
    • Child Health Nursing Research
    • /
    • 제2권1호
    • /
    • pp.93-111
    • /
    • 1996
  • The purpose of the study is to identify the lived experience of mothers who have children with cerebral palsy in order to understand their agony. Moreover, the result of study was to find some nursing intervention for disabled children and their mothers. For this purpose, ten mothers who are willing to cooperate with this research were selected at random from those who have children with the cerebral palsy, currently using the municipal facilities for the handicapped with cerebral malfunction. Data collection was done from October 4, 1994 th December 31, 1994. The data were collected by asking the mothers mentioned above with some unstructured open-ended questions, recorded on the tapes with permission by the interviewee in order to prevent missing of the interviewed contents. These collected data have been substantiated and properly analyzed on the basis of phenomenological approach initiated by Colaizzi's method. The results and validity are proved to be credible by means of the individual checking of the interviewed mothers. The results of this study are as follows : 1. When the mother is first informed of the diagnosis of cerebral palsy on her child, she usually misses the crucial timing needed for proper treatment of the child's disorder because she is notified through the doctor's indifference and his apparently inactive, matter-of-fact attitude. At first she suspects the doctor's diagnosis and tries to attribute it to the unknown cause from a certain genetic problem and then she quickly wants to deny the whole situation that her child is really suffering from the cerebral palsy. The reality is too much for her to accept as it is and she would not believe her child is abnormal. Therefore, she even attempts depend on the power of God for its solution. 2. The mother, who goes thorough this kind of uncommon experiences, is totally devoted to the treatment and care of the child and completely ignores her own life and happiness. At the same time, she feels sorry for her other normal children she believes having not enough care and concern. Also, she feels sorry for the sick child when the child's brothers or sisters show special concern for the patient out of sympathy. It is sorry and not satisfied for her that the child is growing with abnormality and neighbor other around have inappropriate attitudes. Likewise, she is discontent with her husband's lack of concern about the child's treatment. She believes that the health care system in this society isn't fulfilling its due purpose. In the state of her utmost distress and anxiety, she always feels the need of competent consultants, and is angry about that her child is treated as an abnormal being, she is trying to hide the child from other people and to make him or her disappear, if possible. Although she doesn't have harmonious relation with her husband, she id happy when he shows his affection for the child and she feels relieved and thankful when the relatives don't mention about the child's condition Since the child's overall status of health is continuously in unstable conditions, requiring her all-time readiness for an emergency, she feels guilty of her child's illness toward the fEmily members as if it was her own fault to have borne such an abnormal child and she feels responsible for the child morally and financially if necessary Because her life is centered on taking care of the child, she cannot afford to enjoy her own life and happiness. She is a lonely mother, fatigued, with no proper relationship with other people around her. With this sense of guilt and responsibility as a mother of an unusual disease, she has no choice but to grieve her destiny from which she is not allowed to escape. 3. Nevertheless, the mother with the child suffering from the cerebral palsy does not easily give up the hope of getting her child cured and she believes that in the long run, though slower than hoped, her abnormal son or daughter will be eventually cured to become a normal sibling someday. This kind of hope is sustained by the mother's strong faith coming from observing the progress of other similar children getting better. Sometimes she is encouraged to have this faith by other mothers who share the same painful experiences, believing that her child will improve even more rapidly than others with the same palsy. Full of hope, she painstakingly waits for the child's healing. Moreover, she plans to have another child. she thinks that the patient child's brothers and sisters only can truly understand and look after the patients. However, when she notices that the progress of other children under the treatment does not look so hopeful, she is distressed by the thoughts that her child may never get well. Too, she is worried that the patient's brother or sister will be born as the same invalid with the cerebral disease. She is discouraged to have another baby as much as she is encouraged to. She is also troubled by the thought that in case she has another baby, she will have to be forced. to neglect the patient child, especially when she does have an extra hand or some reliable person to help her with taking care of the patient.

  • PDF

미용사의 근골격계 질환에 대한 지식과 예방행위 수준 (Knowledge and Preventive Behavior on Work-related Musculoskeletal Disease in Beauty Artists)

  • 권현숙;박용억;이은숙;양숙희;남철현
    • 보건교육건강증진학회지
    • /
    • 제22권4호
    • /
    • pp.245-256
    • /
    • 2005
  • The purpose of this study is to research the situation and related knowledge and behavior of Korean beauty artists on their musculoskeletal disorders and the factors on them. It was researched by questionnaire from March 1 to May 31, 2003, and the subjects were 984 of beauty artists who were working as hair designers, skin care specialists, and make-up artists over 1 year in big cities including Seoul, Daegu, Busan and Gwangju. The analyzation was done by frequency, percentage, $x^2-test$, t-test. The results can be summarized as follows; 1. As for their degree of pain according to part of their body, the highest was shoulder as 88.3%, and next were neck(cervical region) as 83.2%, waist as 77.6%, and wrist(hand) as 71.8%, in order. 2. The level of knowledge on the muscloskeletal disorder was 65.6 points on the basis 100points. As for their level of protective behavior and knowledge on the disorders of musculoskeletal system according to their educational experience, the higher educational level they had the higher knowledge level they showed, as 42.6% of 'high', 30.4% of 'medium', and 27.0% of low; and as for degree of performing the protective behavior, they showed the higher protective behavior level when they had the higher educational level. 3. As for their level of knowledge on disorders of musculoskeletal system according to their general uniqueness as beauty artists, they showed statistical significance on the field of their marriage status, educational degree, specialized field, and numbers of customers they manage; and as for the degree of their protective behavior, they showed statistical significance in the field of age, marriage status, specialized field, and rank in their jobs. 4. The level of protecting behavior on the muscloskeletal disorder was 57.4 points on the basis 100points. As for their degree of pain on each part of their body according to their protective behavior and knowledge on musculoskeletal system, it had statistical significance on their elbows and hips, and the less pain they showed when the higher knowledge they had; it had statistical significance on their neck(cervical region), shoulders, backs, waists, knees and ankles(feet) according their protective behavior, and the less pain they showed when the higher level of protective behavior they did.

스마트밴드를 이용한 사용자 모션인식 헬스 케어 시스템 구현 (User Motion Recognition Healthcare System Using Smart-Band)

  • 박진태;황현서;윤준수;박경수;문일영
    • 한국항행학회논문지
    • /
    • 제18권6호
    • /
    • pp.619-624
    • /
    • 2014
  • 스마트폰의 발달과 더불어 각종 스마트 디바이스가 발달되고 있는 요즘 사람의 신체에 부착하여 컴퓨팅할 수 있는 웨어러블 디바이스가 각광받고 있다. 본 논문에서는 사용자의 움직임을 감지할 수 있는 손목시계형 웨어러블 디바이스를 개발하고 더불어 스마트TV, 스마트폰과 연동하여 사용자들이 효과적으로 자신의 신체정보를 저장, 관리를 할 수 있는 시스템을 개발 및 연구를 진행하였다. 기존의 헬스케어 웨어러블 디바이스는 스마트폰과의 연동을 통해 정보를 저장한다. 그리고 스마트 TV 헬스 애플리케이션은 카메라를 이용한 모션인식이 주를 이룬다. 하지만, 스마트폰과의 연동에서는 제조사마다 지원하는 기기에 제한이 있으며 스마트 TV의 경우도 제조사마다 카메라의 장착 여부가 다르기 때문에 사용자가 사용하기에는 한계가 있다. 웨어러블 디바이스와 스마트폰을 이용하여 수집된 사용자 정보를 이용하여 언제, 어디서나 운동하고 관리할 수 있다. 또한 이러한 정보는 스마트TV 애플리케이션을 통해 확인할 수 있다. 이 시스템을 이용하여 향후 사용자의 움직임을 더욱더 정밀하게 측정할 수 있는 인식기술과 타 디바이스와의 연동에 관한 연구에 활용할 수 있을 것이다.

A Study on Digital Healthcare Optometry System Using Optometry DB

  • Kim, Do-Yeon;Jung, Jin-Young;Kim, Yong-Man;Park, Koo-Rack
    • 한국컴퓨터정보학회논문지
    • /
    • 제26권9호
    • /
    • pp.155-166
    • /
    • 2021
  • 최근 디지털헬스케어 기술이 여러 분야로 전파되며 발전하고 있다. 그래서 본 논문에서는 비교적 디지털 헬스케어 기술이 적용되지 않은 분야가 검안분야라고 파악하여 정밀한 렌즈 제작을 위한 디지털 헬스케어 검안시스템을 구현했다. 렌즈를 제작하기 위해서는 프롭터란 기기가 사용되며 이 기기는 안경을 의뢰한 피측정인의 시력을 측정하여 렌즈를 세팅해 준다. 그리고 피측정인이 안경 착용시 동공중심과 렌즈초점을 맞추기 위해 PD미터란 기기를 사용한다. 그러나 PD 측정 오차, 프롭터 수동제어로 인한 불편함 및 오차, 검안 정보를 축적하고 분석할 수 있는 데이터베이스와 프로그램의 부재로 정밀한 렌즈 제작 및 검안 편의성에 한계가 있다. 그래서 본 논문에서는 보다 정확한 PD 측정을 위한 PD미터 설계, 프롭터 자동제어를 위한 프롭터 설계, 프롬터 제어 어플리케이션 설계, 피측정인별 검안정보를 활용해 렌즈를 자동 세팅해 주는 데이터베이스와 분석 프로그램 설계를 통해 최종적으로 검안 데이터베이스를 활용한 디지털 헬스케어 검안기 시스템을 구현했다.

병원의 활동기준원가를 이용한 총체적 질관리 모형 및 질비용 산출 모형 개발 (Development of the Model for Total Quality Management and Cost of Quality using Activity Based Costing in the Hospital)

  • 조우현;전기홍;이해종;박은철;김병조;김보경;이상규
    • 보건행정학회지
    • /
    • 제11권2호
    • /
    • pp.141-168
    • /
    • 2001
  • Healthcare service organizations can apply the cost of quality(COQ) model as a method to evaluate a service quality improvement project such as Total Quality Management (TQM). COQ model has been used to quantify and evaluate the efficiency and effectiveness of TQM project through estimation between cost and benefit in intervention for a quality Improvement to provide satisfied services for a customer, and to identify a non value added process. For estimating cost of quality, We used activities and activity costs based on Activity Based Costing(ABC) system. These procedures let the researchers know whether the process is value-added by each activity, and identify a process to require improvement in TQM project. Through the series of procedures, health care organizations are service organizations can identify a problem in their quality improvement programs, solve the problem, and improve their quality of care for their costumers with optimized cost. The study subject was a quality improvement program of the department of radiology department in a hospital with n bed sizes in Metropolitan Statistical Area (MSA). The principal source of data for developing the COQ model was total cases of retaking shots for diagnoses during five months period from December of the 1998 to April of the 1999 in the department. First of the procedures, for estimating activity based cost of the department of diagnostic radiology, the researchers analyzed total department health insurance claims to identify activities and activity costs using one year period health insurance claims from September of the 1998 to August of the 1999. COQ model in this study applied Simpson & Multher's COQ(SM's COQ) model, and SM's COQ model divided cost of quality into failure cost with external and internal failure cost, and evaluation/prevention cost. The researchers identified contents for cost of quality, defined activities and activity costs for each content with the SM's COQ model, and finally made the formula for estimating activity costs relating to implementing service quality improvement program. The results from the formula for estimating cost of quality were following: 1. The reasons for retaking shots were largely classified into technique, appliances, patients, quality management, non-appliances, doctors, and unclassified. These classifications by reasons were allocated into each office doing re-taking shots. Therefore, total retaking shots categorized by reasons and offices, the researchers identified internal and external failure costs based on these categories. 2. The researchers have developed cost of quality (COQ) model, identified activities by content for cost of quality, assessed activity driving factors and activity contribution rate, and calculated total cost by each content for cost for quality, except for activity cost. 3. According to estimation of cost of quality for retaking shots in department of diagnostic radiology, the failure cost was ₩35,880, evaluation/preventive cost was ₩72,521, two times as much as failure cost. The proportion between internal failure cost and external failure cost in failure cost is similar. The study cannot identify trends on input cost and quality improving in cost of qualify over the time, because the study employs cross-sectional design. Even with this limitation, results of this study are much meaningful. This study shows possibility to evaluate value on the process of TQM subjects using activities and activity costs by ABC system, and this study can objectively evaluate quality improvement program through quantitative comparing input costs with marginal benefits in quality improvement.

  • PDF

IoT 기반의 융합 맞춤형 식단추천시스템 프레임워크 (A Framework for IoT-Based Convergence Personalized Menu Recommendation System)

  • 조영희
    • 한국융합학회논문지
    • /
    • 제5권4호
    • /
    • pp.147-153
    • /
    • 2014
  • 개인 식단을 작성하기 위해서는 많은 고려 사항들이 있다. 개인 식단은 질병에 대한 식이요법, 체중에 따른 다이어트 등에 따라 다르다. 또한 음식의 선호도와 계절, 날씨, 기분에 따라 선택하는 식단이 달라진다. 개인은 건강관리를 위해 영양상태의 균형을 바로잡는 식단 추천을 기대한다. 본 논문에서는 이 같은 요구를 충족시키기 위하여 개인 맞춤형 식단추천시스템 구축 프레임워크를 제안한다. 식단을 추천하기 위해서는 시스템은 개인의 신체상황, 식품 재료 상황, 환경 상황, 심리 및 감정 상황 등의 정보를 입력으로 받고, 다른 외부의 응용시스템으로부터 생성된 식단 작성 관련 온톨로지를 이용해 추론함으로써 식단 추천 서비스를 제공할 수 있다. 이 같은 서비스를 제공하기 위해서는 사물인터넷(IoT) 환경이 토대가 되어야 한다. 따라서 본 논문은 oneM2M 공통 서비스 플랫폼을 갖고 있는 IoT 표준화 환경에서의 개인 맞춤형 식단추천시스템 프레임워크를 제안한다.