• Title/Summary/Keyword: health management system

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Expectations for a Tele- Health Surveillance System by Residents of an Information Network Village (일 정보화 마을주민의 재택 건강관리 시스템에 대한 기대수준)

  • 박소미;황성오
    • Korean Journal of Health Education and Promotion
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    • v.21 no.1
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    • pp.285-295
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    • 2004
  • Purpose: The purpose of this study was to investigate the expectations toward a tele-health surveillance system by residents of an information network village. Method: A descriptive study was conducted using interviews with a questionnaire. Of the households in the village, 24 were selected for inclusion in a pilot study. All of the residents from these households, for a total of 67, participated in the survey. Result: Expectations for promotion of health by a tele-health surveillance system were higher in residents with higher level of education. Expectations for effectiveness of disease management and promotion of health status by a tele-health surveillance system were higher in residents with family history or experience with emergencies. The higher scores for health knowledge and health concerns were associated with higher expectations for effectiveness of disease management and promotion of health by a tele-health surveillance system Conclusion: Analysis of the characteristic of the residents should precede implementation of a tele-health surveillance system in any location as expectations for tele-health surveillance system differ according to the characteristics.

Improvement Status and Development Direction of New Health Technology Assessment (신의료기술평가제도 운영의 개선현황과 발전방향)

  • Lee, Seon Heui
    • Health Policy and Management
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    • v.28 no.3
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    • pp.272-279
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    • 2018
  • Since the introduction of new health technology assessment in 2007, benefit coverage process of health insurance related to new health technology has become an upgraded system through the evidence-based decisions. As a result of enforcing this system for 10 years, however, there have been several rising concerns. It needs to support the insufficient evidence of medical technologies, introduce reassessment system for post management of market entry technologies, and improve evaluation methods and process. In addition, there is the possibility of emerging an unheard-of medical technology, fused various categories like artificial intelligence, robot, information technology, physics and life science in the fourth industrial revolution. Now, new updated system introduced to improve new technology assessment, such as 'limited health technology assessment system,' 'system for postponement of new health technology assessment,' 'one-stop service system,' and 'integrated operation of approval for medical devices and new health technology assessment.' Therefore it needs to prepare the improvement plan for new health technology assessment to be established more advanced system, and we have to resolve concerns by communication with various healthcare experts and patients now and for ever.

An Empirical Study on the Effect of International Standards Management System Integration on Business Performance - Focused on Quality, Environment and Health & safety management system- (국제표준 경영시스템 통합이 경영성과에 미치는 영향에 대한 실증적 연구 - 품질, 환경 및 안전·보건 경영시스템 중심으로 -)

  • Kim, Yeun Sung;Suk, Ho Sam;Sung, Do Kyong
    • Journal of Korean Society for Quality Management
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    • v.45 no.4
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    • pp.781-810
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    • 2017
  • Purpose: This paper studied about the integration for management system of representative international standard related to sustainable development. The well-known International standards such as ISO 9001, ISO 14001 and OHSAS 18001 (ISO 45001) can be operated in accordance with the organizational situation individually, or in a variety of ways of integration. It can be applied to help organizations utilizing the newly established "ISO IEC Directive Part1 Annex SL", when integrating quality, environmental and safety & health management systems based on international standards. Methods: We conducted an empirical survey of management executives and experts to study how three factors (management systems, organizational capabilities and integration methods) could affect business performance. Results: The questionnaire was analyzed using AMOS structural equation model. Quality, environmental and safety and health management systems affected management performance, and integration methods of management system affected business efficiency, risk performance and financial performance. Integration method is also important because organizational competence affects various aspects of integrated management. However, factors that affect integration should also be considered in terms of organizational capabilities. This is because organizational capacity influences the integration plan. Conclusion: To integrate the document system at the strategic level, management should actively participate in integrated operations to integrate organizations, eliminate duplicate tasks, and foster document integration experts to reflect the characteristics of individual standard. In the case of document integration, quality management is focusing, but once ISO 45001 is issued, the use of Annex SL is increasing, and Quality, environment and safety & health integration will also be expanded. It is possible to increase the effect of integration by strategically approaching and establishing organization document system rather than simple integration according to management system standard arrangement.

The Analysis of the Real Condition of School Health and the Establishment of a Management System (학교보건(學校保健)의 실태분석(實態分析)과 운영체계(運營體系) 정립(定立))

  • Chang, Kwan-Bong
    • Journal of the Korean Society of School Health
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    • v.6 no.2
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    • pp.24-55
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    • 1993
  • School health aims to guide and manage growing students from elementary schools to high schools in order to grow healthily through the formation of healthy life habits, the self-control health management guide and the making of pleasant school health environments. Even though this school health plays an important role in guiding the students who are in the period of growing to have a perfect personality as a democratic people of our country in the school education, there are many lacks, such as they still don't know the word itself, "school health" or recognize its importance. Also it's a real condition to practice items concerned with the health under the condition of unestablished structure. 1. The results of analyzing school health real conditions. Based on treatises concerned with school health and various statistical materials which are announced by concerned people. We divided and analyzed school health into the items concerned with health education, the items with health management, and the items with school health environments, and investigated the level of the present school health and its necessity. As the items concerned with health education, we investigated the necessary range of school health education, the effect of health education on children's daily life, family's health and the interesting contents of school health. And as the items with health management, I investigated children's obesity, dental caries, eyesight, clinics, a health examination, drug abuse, spirit health, providing meals for school children, and school health manpower. And as the items conerned with school health environments, we investigated the recognition of the problem of natural environments, the management of purification district around the school, the problem of environments within the school and classroom lighting. As the results of analyzing these, I realized that the present level of school health is still in unsatisfactory situation and school health is needed necessary. 2. The establishment of school health. In order to set the school health, above all, the management system of School health should be set. I classified and systemized the contents of each item which had been promoted till now according to the function. They are classified as followings Based on classifying school health into (1) health education, (2) health management and (3) health environments, I divided school health education into the health education of health subjects, the health education of concerned subjects and the education of health life. And I divided health management into the health managements for a prevention and a cure. And I divided health environments into the environment around the school and within the school. Each system set like these is not fixed invariably and I should keep the relationship of mutual supplement between health education and health management, between health management and health environments, and between health environments management and health education. When we run these systemetic school health, students' health could be maintained and improved to more proper directions.

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A Study of the Health Service Computerization State and the Occupational Nurses's Satisfaction Level on Computerization (산업간호현장의 보건업무 전산화시스템 활용현황과 산업간호사의 전산화 직무만족도 연구)

  • Jung, Hee Young;Park, Hyoung-Sook
    • Korean Journal of Occupational Health Nursing
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    • v.13 no.1
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    • pp.5-18
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    • 2004
  • This study aims to investigate the use state of the health service computerization system in the occupational nursing field and the occupational nursers' satisfaction level, and provide basic data to promote the development of the health service computerization system for the nursing field. For this study, a questionnaire was provided to 118 occupational nurses who belong to Busan and Gyeongnam branches of KAOHN(Korean Association of Occupational Health Nurses) for 2 months (from Dec. 1, 2002 to Jan. 31, 2003). A tool of Choi Yong-Heui(2000) was used to investigate the satisfaction level of using the health service computerization system. The collected materials were analyzed in real number and percentage, average and standard deviation, t-test and ANOVA by using the SPSS WIN 10.0 program. This study is summarized as follows: 1. The average age was $31.99{\pm}5.58$ old in this study. The married were 54.2%. Participants who graduated from a junior college was 76.9%. The average service period was $4.48{\pm}4.68$ years. In service types, 79.7% of participants served in a health care center. The average service period was $3.22{\pm}2.89$ years. The service place which had 1000 workers or more was 35.6%. 2. Only 20.3% of participants in this study had a computer use education. 3. The field who participants used mostly was communication/internet, $3.29{\pm}.85$ hours in average. 4. 97.1% of occupational fields had computers and peripheral devices: 71.4% in pentium computer, 42.8% in the hard disk capacity of 20-29GB, 60.0% in 15 inch monitors, 86.2% in printers, 18.1% in digital cameras, 12.4% in LAN, and 9.5% in scanners. 80.1% of the occupational fields which were objects of study could use communication. 5. The occupational fields which did not introduced the health service computerization system were 62.8%. The main cause was attributable to entrepreneurs' insufficient recognition 66.6%. 51.5% of the entrepreneurs did not have an introduction plan. 37.2% of participating companies had the health service computerization system. 56.4% of them introduced it since the year 2000. 81.6% of the introduction motivation aimed to the efficiency of health service. The most issue upon introduction was insufficient understanding of a person in charge - 25.6%. The in-house development of the system covered 56.4%. 61.5% of the participants accepted their demands from the first stage of development. The direct effect of computerization showed the increase of 25.9% in the quickness and continuity of service treatment, and 25.9% in the serviceability of statistical treatment. 6. 22.0% of the participants had a computerization system use education. 69.2% of them had a in-house education. An educational method by nurses who used the computerization system was 76.9%. 92.3% of the education was helpful for practical duties. 7. An analysis of the computer use by health service fields showed that the medicine management in a health management field was 15.9%. the work environment measuring management in a work environment filed was 32.9%. the employment. general and special examination management in a heal th management field was 61.1 %. the various reports management in an administrative field was 64%. the health education data preparation management in an educational field was 58.0%. and the medicine and expendables management in an equipment management field was 51.6%. An analysis of the computerization system use showed that the various statistical data manage in a health management field was 13.0%. the work environment measuring management in a health management field was 34.8%. the personal disease management in a health management field was 51.9%. the heal education data preparation management in an educational field was 54.5%. and the equipment management of health care centers in an equipment management field was 52.6%. 8. 31.6% of the participants wanted that health service computerization system would include the generals of health services. 42.4% of the participants thought that first of all. the aggressive interest and investment of employers were required to build the health service computerization system. 9. The participants' satisfaction level on the computerization system use was $3.51{\pm}.57$ points. An analysis by each factor showed $3.62{\pm}.68$ points in a service change factor. $3.15{\pm}.63$ points in a computer program use factor, and $3.45{\pm}.71$ points in a continuous computerization use factor. 10. An analysis of the computerization system use by general characteristics of participants showed that the married (p = .022) had the satisfaction level higher than the unmarried. 11. The satisfaction level of the computerization system use by participants' computer use ability tended to be higher in proportion to the increase of computer use abilities in spreadsheet (F=2.606. p=.048). presentation (F=3.62. p=.012) and communication/internet(F=2.885. p=.0321. Based on the study results mentioned above. I will suggest as follows : The nationwide enlargement and repetition study is required for occupational nurses who serve in occupational nursing fields. The computerization system in a health service field is inferior comparing with other fields. The computerization system standard by business types and characteristics should be prepared through employers's aggressive participation and national support. Therefore various statistical data which occurs in occupational fields will be managed systematically and efficiently. A regular and systematic computer education plan for occupational nurses in charge of health services in the filed is urgently required to efficiently manage and improve the health of on-site workers.

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Community based strategies and directions for the management of hypertension and diabetes (고혈압 및 당뇨병 관리를 위한 지역사회중심의 접근전략과 발전방향)

  • Lee, Soon Young
    • Korean Journal of Health Education and Promotion
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    • v.33 no.4
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    • pp.67-77
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    • 2016
  • Objectives: The study was to propose strategies and directions how to manage the hypertension and diabetes in communities. Methods: The survey data from 606 patients with hypertension or diabetes based on Community Health Survey, 2013 were analyzed and the hypertension and diabetes projects in communities for last 10 years were reviewed. Results: The patients visiting the primary clinics had statistically significant lower rates than those of teaching hospitals in physician's recommendation experience, perception level of attention from doctors, self-efficacy and health habit practice level. Since the Hypertension and diabetes registration and management system in 2007, there have been several trials for management of hypertension and diabetes such as Chronic diseases management system on the primary clinics, Community based primary medical care pilot projects, Post-national health screening management, and Pilot project on reimbursement for chronic diseases care services. Conclusions: The upmost urgent task might be to have a support system for patients' self care affiliated with primary clinics. To achieve it, it is necessary to expand the current Hypertension and diabetes registration and management system into nation and to find a way to attract the active participation from primary clinics.

The Evaluation of Information System Success Factors In Health Center (보건소 정보시스템의 평가에 관한 실증적 연구)

  • Kim, Mee
    • Health Policy and Management
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    • v.10 no.2
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    • pp.78-102
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    • 2000
  • Factors influencing the success or failure of information systems9IS) have been discussed in many literes. However, little thertical development or empirical research has examined effectiveness of information systems in health center. This study evaluates several model that contribute to IS success in bealth center. In this study, we propose a process model that exhibits several variables influence one after another. These can be classified into six different dimensions. These inclube system aspect, invidual effect. The system aspect is classified by system quality, information quality and service quality. On individual and organizational aspect, this study uses computer self-efficacy and support of top management. The results of this study are as follows: according to multiple regression analysis of user satisfaction, information quality and support of top management are statistically significant influence on user satisfaction. System quality and service quality are a partially significant influence on user satisfaction. Hypothesis 5, proposing that computer self-efficacy would relate positively to user satisfaction, ws not supported by the questionnaire results. Based on these results, information quality and support of top management are very important variables for IS success.

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Improvement Plan of Implementing Condition Assessment in Process Safety Management (PSM) System (공정안전관리(PSM)제도의 이행상태평가 개선방안)

  • Lee, Joo Yeob;Lee, Keun Won;Ahn, Byung Joon;Kim, Tae-Ok
    • Journal of the Korean Society of Safety
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    • v.31 no.4
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    • pp.27-34
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    • 2016
  • Process Safety Management (PSM) system was introduced since 1996 and it makes voluntarily organizing and managing chemical accident prevention system by company itself that contributes to reduce the chemical accidents. However, large or small scaled chemical accidents had occurred frequently in these days. This trend is brought up the necessity to analyze and improve PSM system. In this study, it was conducted by the questionnaire survey and workshop for prevention of major industrial accidents in PSM sites in order to collect extensive opinions from all walks of life and identify overall operation condition. It was proposed to establish improvement plan of implementing condition assessment in PSM system. By results of the study, company's voluntary safety management will be induced by improved PSM system and management plan and it expects to prevent the major industrial accidents.

The Roles of the National Health Insurance Service in the Public Health Security (건강보장과 국민건강보험공단의 역할)

  • Kim, Yong-Ik
    • Health Policy and Management
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    • v.28 no.3
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    • pp.210-216
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    • 2018
  • National Health Insurance Service (NHIS) has put a great effort on extending life expectancy, for last 40 years. The system has also made remarkable outcomes in achieving universal health coverage. However, it is facing challenges of low health insurance benefits and sustainability risk due to low birth rate and aging society at the same time. To overcome the difficulties and build a lifelong health security system for the nation, it is required for NHIS to make multilateral changes in its roles. Based on the quantitative growth achieved so far, NHIS needs to strive for the growth in quality by not only increasing coverage and reforming contribution imposition system, but also reorganizing the relevant systems such as lifelong health management support, rational adjustment to the medical fee, and benefit costs monitoring. In addition, it's important for NHIS to restructure the organizational culture by having specialty and communicating with people for high quality of administration and health insurance sustainability.

Development of School Health Information System (학교보건정보체계(學校保健情報體系)의 개발(開發))

  • Chang, Chang Gok
    • Journal of the Korean Society of School Health
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    • v.11 no.2
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    • pp.271-277
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    • 1998
  • Gradually computerized information systems have become increasingly important in the management of health service and management, The purpose of this study is to develop information system of school health care. This study identified the soureses of health information produced in elementary school environment and classified them into four different categories such as physical information, health status and disease information, school environment information, and health education and school health services information, Those information are analyzed and categorized as one of the element of information system for the development of school health information system. To manage and improve the health of school population and to meet the need of fast growing health information, unit model of evaluation system of school of health and components of constructing school health information system are suggested.

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