• Title/Summary/Keyword: healthcare research

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A Lifelog Common Data Reference Model for the Healthcare Ecosystem (디지털 헬스케어 생태계 활성화를 위한 라이프로그 공통데이터 참조모델)

  • Lee, Young-joo;Ko, Yoon-seok
    • Knowledge Management Research
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    • v.19 no.4
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    • pp.149-170
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    • 2018
  • Healthcare lifelog, a personal record relating to disease treatment and healthcare, plays an important role in healthcare paradigm shifts in which medical and information technology converge. Healthcare services based on various healthcare lifelogs are being launched domestically by both large corporations and small and medium enterprises, however, they are being built on an individual platform that is dependent on each company. Therefore, the terms of lifelog data are different as well as the measurement specifications are not uniform. This study proposes a reference model for minimum common data required for sharing and utilization of healthcare lifelog. Literature study and expert survey derived 3 domain, 17 essential items, and 51 sub-items. The model provides definition, measurement data format, measurement method, and precautions for each detailed measurement item, and provides necessary guidelines for data and service design and construction for healthcare service. This study has its significance as a basic research supporting the activation of ecosystem by ensuring interoperability of data between heterogeneous healthcare devices linked to digital healthcare platform.

Association Between Anxiety and Depression and Gastroesophageal Reflux Disease: Results From a Large Cross-sectional Study

  • Choi, Ji Min;Yang, Jong In;Kang, Seung Joo;Han, Yoo Min;Lee, Jooyoung;Lee, Changhyun;Chung, Su Jin;Yoon, Dae Hyun;Park, Boram;Kim, Yong Sung
    • Journal of Neurogastroenterology and Motility
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    • v.24 no.4
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    • pp.593-602
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    • 2018
  • Background/Aims The different clinical manifestations of gastroesophageal reflux disease (GERD) may be influenced by associated psychological factors. We evaluated the psychological status (anxiety and depression) according to each subtype of GERD. Methods Subjects who underwent esophagogastroduodenoscopy and completed a symptom questionnaire between January 2008 and December 2011 were analyzed. The subjects were classified into the following groups: erosive reflux disease (ERD), non-erosive reflux disease (NERD), asymptomatic erosive esophagitis (AEE), and controls. Anxiety and depression were assessed using the State-Trait Anxiety Inventory and Beck Depression Inventory, respectively. Results We analyzed 19 099 subjects: 16 157 (84.6%), 176 (0.9%), 1398 (7.3%), and 1368 (7.2%) in the control, ERD, NERD, and AEE groups, respectively. Multiple multinomial logistic regression revealed a significant association of increased state (adjusted OR, 1.89; 95% CI, 1.53-2.33) and trait anxiety (adjusted OR, 1.78; 95% CI, 1.34-2.35) and depression (adjusted OR, 2.21; 95% CI, 1.75-2.80) with NERD. ERD group showed a significant association only with state anxiety (adjusted OR, 2.20; 95% CI, 1.27-3.81) and depression (adjusted OR, 2.23; 95% CI, 1.18-4.22). The AEE group, however, did not show any significant association with psychological factors. Conclusion This cross-sectional study revealed that anxiety and depression levels were significantly higher in subjects with GERD (notably in the NERD) than in controls.

A Study on the Regulation for Mental Healthcare Facility and Delivery System in China (중국의 정신의료시설 및 지원체계에 관한 법제도 연구)

  • Gao, Wen Mei;Yun, Woo Yong;Chai, Choul Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.24 no.1
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    • pp.7-14
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    • 2018
  • Purpose: This study analyzes mental healthcare delivery services and types of facilities, the status of installation and operation, and planning standard. The purpose of the study is to propose a basic data for the performance of related research and work tasks, along with an understanding of the Chinese mental healthcare facility type and support system. Furthermore, it will show a lack of current function management as the changes of mental health concept and demand for services increases, and it is intended to provide implications for the construction of mental health facilities. Methods: This study was conducted by a research on law and regulation of China's mental healthcare delivery service system and mental healthcare facility. The analyzed data are the national standard GB, the optional national standard GB/T, the building construction standard JGJ, and the report issued by the Health Planning and Development Committee. Results: At present mental healthcare facility construction in China is in the period of rapid development and it exposes the layout of medical facilities, which is not currently reasonable and the service does not reach the designated position and so on. Overall, it requires more detailed guidelines to enhance the quality of mental healthcare service. Implications: It is expected that the research of this paper will provide effective reference for future research on Chinese Mental healthcare system and facilities, and can promote construction of Chinese mental healthcare facility theory in perfect condition.

The Primary Process and Key Concepts of Economic Evaluation in Healthcare

  • Kim, Younhee;Kim, Yunjung;Lee, Hyeon-Jeong;Lee, Seulki;Park, Sun-Young;Oh, Sung-Hee;Jang, Suhyun;Lee, Taejin;Ahn, Jeonghoon;Shin, Sangjin
    • Journal of Preventive Medicine and Public Health
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    • v.55 no.5
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    • pp.415-423
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    • 2022
  • Economic evaluations in the healthcare are used to assess economic efficiency of pharmaceuticals and medical interventions such as diagnoses and medical procedures. This study introduces the main concepts of economic evaluation across its key steps: planning, outcome and cost calculation, modeling, cost-effectiveness results, uncertainty analysis, and decision-making. When planning an economic evaluation, we determine the study population, intervention, comparators, perspectives, time horizon, discount rates, and type of economic evaluation. In healthcare economic evaluations, outcomes include changes in mortality, the survival rate, life years, and quality-adjusted life years, while costs include medical, non-medical, and productivity costs. Model-based economic evaluations, including decision tree and Markov models, are mainly used to calculate the total costs and total effects. In cost-effectiveness or costutility analyses, cost-effectiveness is evaluated using the incremental cost-effectiveness ratio, which is the additional cost per one additional unit of effectiveness gained by an intervention compared with a comparator. All outcomes have uncertainties owing to limited evidence, diverse methodologies, and unexplained variation. Thus, researchers should review these uncertainties and confirm their robustness. We hope to contribute to the establishment and dissemination of economic evaluation methodologies that reflect Korean clinical and research environment and ultimately improve the rationality of healthcare policies.

Analysis of research trends in healthcare service marketing (의료서비스 마케팅 국내 연구동향 분석)

  • Kim, Woojin;Kim, Ji Man;Shin, Jaeyong;Kim, Tae Hyun;Lee, Sang Gyu
    • Korea Journal of Hospital Management
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    • v.24 no.1
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    • pp.21-35
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    • 2019
  • Purposes: This study examines academic research trends and the change of patterns by analyzing researches related to healthcare service marketing from 1988 to 2016. Methodology: As research subjects, a total of 486 published articles were selected. It's to analyze them by dividing into research topics, methods and data by classifying the period into 1988-1999, 2000-2009, 2010-2016. Findings: From 1988 to 2016, 486 research articles on healthcare service marketing were published in academic journals. Research on healthcare service marketing has steadily increased. Most of the articles were about service quality, satisfaction, revisitation, and reuse. 452 research articles were quantitative research. Generally questionnaire surveys were used. Practical Implications: We suggest future research directions on the basis of the status of research on healthcare service marketing for the last 30 years.

Comparative Analysis of Healthcare Architecture Design Research between Korea and the United States - Centered on the Analysis of Research Trends in KIHA and HERD (한국과 미국의 의료건축 설계 연구의 특성 비교 - KIHA와 HERD의 연구경향 분석을 중심으로)

  • Kim, Duksu;Kwun, Joon Bum
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.30 no.2
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    • pp.7-14
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    • 2024
  • Purpose: This study aims to examine the trends in healthcare architecture research by analyzing papers published in KIHA (Journal of the Korea Institute of Healthcare Architecture) and HERD (Health Environments Research and Design Journal) in the USA. The analysis categorizes these papers into Evidence-Based Design (EBD) and non-EBD research from a comparative perspective. Methods: A systematic literature review was conducted on 370 papers published in KIHA and 399 papers published in HERD from 2007 to 2022. The research trends were analyzed based on the researchers' fields of study, research focus, and research attributes. Results: The findings indicate that HERD involves researchers from 43 different fields, whereas KIHA involves researchers from 16 fields, indicating less diversity. HERD predominantly includes interdisciplinary and empirical studies, while KIHA primarily features theoretical and single-discipline studies. Papers in HERD generally demonstrate a higher level of evidence compared to those in KIHA. Implications: Direct comparisons should be approached with caution due to the differing contexts of healthcare architecture research in the two countries. The methodological efforts in HERD and the functional analysis results in KIHA provide valuable references for the future direction of healthcare architecture research. Expanding collaborative and interdisciplinary research involving various professionals is essential to advance the field.

The Role of Wearable Devices for the Success of the Healthcare Business: Verification from PRISMA Approach

  • KIM, Ji-Hye;KANG, Eungoo
    • The Journal of Economics, Marketing and Management
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    • v.10 no.4
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    • pp.13-24
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    • 2022
  • Purpose: Although numerous research has covered content on trends in the adoption and use of wearable devices, their uses across several sectors such as healthcare, gaming, and fashion, there seems to be a considerable paucity with regard to empirical research focusing on the solutions for factors that undermine the effectiveness of wearable devices in healthcare. The present research aims to highlight what has been covered on wearable devices in healthcare while highlighting the limitations for future research. Research design, data, and methodology -The present authors conducted one of the most famous qualitative literature approach which has been called as PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) statement. The selecting criteria for eligible prior studies was estimated by whether studies are suitable for the current research, identifying they are peer-reviewed and issued by notable publishers between 2017 and 2022. Result - Our results indicated that (1) Increasing the Affordability and User Education on Wearable Devices in Healthcare (2) Tackling the Technological Issues in Wearable Devices to Promote Healthcare Delivery (3) Solving Security and Privacy Issues Associated with Wearable Devices (4) Promoting Standards and Appropriate Regulations for Wearable Devices. Conclusion - To add, resolving the technological issues associated with wearable devices in healthcare will ensure that the new devices in the market will have longer battery life, multiple functions, and enhanced accuracy, thus ensuring that patients receive better care. Necessary interventions are taken on time to avoid any deleterious consequences such as proliferating mortality rates among the different patient groups.

Current Issues of Healthcare Research and Development in Korea (한국 보건의료 연구개발의 현황과 과제)

  • Kim, Kwangjum
    • Health Policy and Management
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    • v.28 no.3
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    • pp.280-287
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    • 2018
  • There has been much efforts to facilitate healthcare innovation and many desirable outcomes were produced in Korea. However, some structural deficiencies were found. They are misalignment of research and development (R&D) subjects with healthcare system, lack of flexibility of current healthcare system to accommodate the radically innovative products, and lack of cooperation among innovation agent. Some suggestions to correct these deficiencies are discussed. The suggestions are as follows: relating Korean healthcare R&D to healthcare system, enhancement of institutional flexibility to allow innovative application of new technology, improvement of the R&D process, and reexamination of the role of academic medical centers.