• The Korean Journal of Health Service Management
• /
• v.5 no.4
• /
• pp.15-26
• /
• 2011

This study assessed and compared the expectation levels of in- and out-patients at hospitals of different size in relation to patients' view of their rights. A survey of out-patients visiting university hospitals (204 patients) and small to mid size community hospitals (215 patients) in Seoul and Kyeongki Province was conducted, where the respondents reported their perceptions of patient rights. Based on the survey, their respective expectation levels for the medical services that they would receive was assessed and analyzed for exploring possible factors for their selecting small to mid sized hospitals over larger hospitals. The results showed difference in perceptions between patients visiting or staying in lager and smaller hospitals. Namely, for out-patients, those at university hospitals had higher perceptions only about their rights to privacy while in hospital, whereas in the case of in-patients, those at small to mid size hospitals had higher perceptions only about their rights to access to inspection information. With respect to the results from analysis of difference in the expectation level for medical services between university and non-university hospital patients, it was found that in-patients at university hospitals had higher perceptions about their rights to choose to see hospital visitors while in hospital and rights to access to religious facilities.

• Journal of Korea Multimedia Society
• /
• v.17 no.10
• /
• pp.1182-1188
• /
• 2014

Recently, the research on database outsourcing has been actively done with the popularity of cloud computing. However, because users' data may contain sensitive personal information, such as health, financial and location information, the data encryption methods have attracted much interest. Existing data encryption schemes process a query without decrypting the encrypted databases in order to support user privacy protection. On the other hand, to efficiently handle the large amount of data in cloud computing, it is necessary to study the distributed index structure. However, existing index structure and query processing algorithms have a limitation that they only consider single-column query processing. In this paper, we propose a grid-based multi column indexing scheme and an encrypted query processing algorithm. In order to support multi-column query processing, the multi-dimensional index keys are generated by using a space decomposition method, i.e. grid index. To support encrypted query processing over encrypted data, we adopt the Hilbert curve when generating a index key. Finally, we prove that the proposed scheme is more efficient than existing scheme for processing the exact and range query.

• Asian Pacific Journal of Cancer Prevention
• /
• v.14 no.12
• /
• pp.7639-7644
• /
• 2013

Background: Breast cancer is the most common cancer diagnosed among women in Sri Lanka. Early detection can lead to reduction in morbidity and mortality. The objective here was to identify perceptions of public health midwives (PHMs) on the importance of early detection of breast cancer and deficiencies of and suggestions on improving existing breast cancer early detection services provided through Well Woman Clinics. Materials and Methods: A qualitative study using four focus group discussions (FGDs) were conducted among 38 PHMs in the Gampaha district in Sri Lanka and the meetings were audio-recorded, transcribed and analyzed using constant comparison and identifying themes and categories. Results: All the PHMs had a firm realization on the need of breast cancer early detection. The four FGDs among PHMs revealed non-availability of guidelines, inadequacy of training, lack of skills and material to provide health education, inability to provide privacy during clinical examination, shortage of stationery, lack of community awareness and motivation. The suggestions for the improvements of the programme identified in FGDs were capacity building of PHMs, making availability of guidelines, rescheduling clinics, improving the supervision, strengthening the monitoring, improving coordination between clinical and preventive sectors, and improving community awareness. Conclusions: Results of the FGDs can provide useful information on components to be improved in breast cancer early detection services. Study recommendations were training programmes at basic and post basic levels on a regular basis and supervision for the sustainance of the breast cancer early detection program.

• Convergence Security Journal
• /
• v.14 no.7
• /
• pp.75-84
• /
• 2014

The advancement in ubiquitous healthcare specifically in preventive healthcare can lead to longer life expectancy especially for the elderly patients. To aid in preventing premature loss of lives as well as lengthening life span, this research aims to implement the use of mobile and wireless sensor technology to improve the quality of life and lengthen life expectancy. The threats to privacy and security have received increasing attention as ubiquitous healthcare applications over the Internet become more prevalent, mobile and universal. Therefore, we propose Context-aware Service of U-Healthcare Application based Knowledge using Ontology in secure health information exchange. This research also applies ontology in secure information exchange to support knowledge base, context modeling, and context reasoning by applying the general application areas for ontologies to the domain of context in ubiquitous computing environments. This paper also demonstrates how knowledge base, context technologies, and mobile web services can help enhance the quality of services in preventive ubiquitous healthcare to elderly patients.

• Journal of the Korean Society for information Management
• /
• v.41 no.1
• /
• pp.283-311
• /
• 2024

This study examined the factors affecting the intention of the public to share electronic medical records(EMR) based on the theory of reasoned action and the privacy calculus model. It also investigated whether the purpose of EMR sharing varies depending on personal characteristics, such as the degree of interest in health and personal medical history. According to an online survey of 145 people, altruistic enjoyment, awareness of personal information protection, recognition of legal and institutional roles, and interest in health had a positive impact on the level of EMR sharing, and trust in hospitals positively adjusted the relationship between recognition of legal and institutional roles and sharing intentions. Accordingly, we confirmed that the public recognized the role of the government and hospitals in the sharing process as necessary. The public interest benefits of sharing are critical to activating public participation in the sharing of EMR, and it is also essential to prepare guidelines that legally guarantee the security and proper use of EMR.

• Proceedings of the Korea Contents Association Conference
• /
• 2006.11a
• /
• pp.434-437
• /
• 2006

Today, Hospital Information System that integrates ubiquitous technologies are introduced in limited basis due to problems like standardization and limits on medical use, where responsibilities lie, legal safeguard on transmission, invasion of privacy etc. Particularly, problems like absence of tag design suitable for medical environment, compatibility issue with previous medical information system. In order to solve such problems, we have designed medical tags for the first time that are consistent with future ubiquitous environment by deciding on medically suitable field with 96bit tag offered by EFC as its base. Second, improving on previous multi-tag recognizing crash prevention algorithm, we have designed a priority anti-collision algorithm that reflects priorities on the needs in medical environment.

• Journal of the Korea Institute of Information and Communication Engineering
• /
• v.16 no.6
• /
• pp.1223-1228
• /
• 2012

The use of a mobile agent in hospital environment offers an opportunity to deliver better services for patients and staffs. Furthermore, medical errors will be reduced because M-health system helps to verify the medical process. Optimized security protocols and mechanisms are employed for the high performance and security. Finally, a challenge in the near future will be converge the integration of Ubiquitous Sensor Network (USN) with security protocols for applying the hospital environment. We proposed secure authentication and protocol with Mobile Agent for ubiquitous sensor network under healthcare system surroundings.

• Proceedings of the Korea Information Processing Society Conference
• /
• 2013.11a
• /
• pp.868-870
• /
• 2013

전자의무기록(Electronic Medical Record, EMR) 시스템은 기존에 수기로 작성하던 의무기록을 디지털화 한 것이다. 이는 다양한 장점이 있지만 의료인이 관리 도메인을 통해 환자의 정보를 세밀하게 수집할 수 있는 환자 개인의 프라이버시 침해 문제가 발생하게 된다. 즉, 관계자에 의해 의도적인 유출이 발생하거나 의료정보의 거래, 복제 등 위험성이 존재한다. 특히 일부 의료정보는 고용 차별이나 사회적 차별 등 환자에게 정신적 고통을 안겨줄 수 있다. 이러한 프라이버시 침해는 유전성 질환 유전자를 가진 사람에게 유전적 요인에 근거하는 고용 차별이 발생할 수 있다. 관련연구에서는 환자의 임상적(Clinical) 또는 유전적(Genomic) 정보가 자신의 신원과 연계되어 있다면 프라이버시 침해가 발생할 수 있음을 나타낸다. 이러한 프라이버시 문제로 인해 EMR 시스템에 기반을 둔 전자건강기록(Electronic Health Record, EHR) 시스템 또한 개인 프라이버시 침해의 위험이 존재하게 된다. 따라서 의료정보의 프라이버시 보호를 위해 부당한 고용 차별 보험 차별 사회적 차별로 연결될 수 있는 개인 의료정보의 유출방지, 타인에게 알려지고 싶지 않은 개인 의료정보가 무단으로 거래되지 않는 것을 보장해야 한다. 이를 위해 본 논문에서는 의무기록의 익명화를 통해 환자와 의무기록 간의 관계를 제거하는 여러 방법들을 소개한다.

• Journal of Convergence for Information Technology
• /
• v.7 no.6
• /
• pp.135-141
• /
• 2017

Recently, as elderly people suffering from chronic diseases have increased and disasters such as traffic accidents have increased, urgent rescue workers and doctors need to respond effectively to such emergencies. For elderly people, the difficulty in communicating their condition especially the health condition during disaster is one of the problems in which delay on immediate handling by rescue team can cause death. Providing a solution for this problem is one of the main issues in our research. In this paper, we use the QR code to communicate the minimum personal information and medical history needed for emergency medical treatment to emergency medical personnel, and to transmit the medical history and treatment data to the doctors of the hospital through QR code and fingerprint recognition, respectively. Especially, by using both QR code of smart phone and fingerprint of individual, we can protects personal information and strengthens privacy and security of medical information by allowing only authorized physicians to check medical records of the old patient.

• Journal of Korea Society of Industrial Information Systems
• /
• v.17 no.1
• /
• pp.47-62
• /
• 2012

To propagate clinical disease management service, there should be built a ecosystem where service developers, service providers, device suppliers closely cooperate for u-Health platform. However, most u-Health platform is difficult to build an effective ecosystem due to the lack of secure and effective PHR(Personal Health Record) management, the lack of personalized and intelligent service, difficulties of N-screen service. To solve these problems we suggest the CDMP(Chronic Disease Management Platform) architecture. The CDMP is a software platform that provides the core functions to develop the chronic disease management services and performs a hub function for the link and integration rbetween various services and systems. CDMP is SOA based platform that enables a provision of reusability, expansibility and it provides open API where everybody can share information, contents and services easily. CDMP supports the multi platform system foN-screen service and the self management functions via SNS. In this paper, we design and implement the CDMP including PHR service based on hybrid data model for privacy preservation. Experiment results prove the effectiveness of hybrid model-based PHR service.