• 제목/요약/키워드: managed care

검색결과 303건 처리시간 0.022초

의료시설의 발전과정에 관한 연구 - 미국의 의료시설을 중심으로- (A Study on the Developing Process of Healthcare Facilities - Focused on the Healthcare Facilities of U.S.-)

  • 유영민
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제8권1호
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    • pp.37-43
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    • 2002
  • Healthcare systems around the world are struggling to cope with the pressures of rising costs, aging populations, and decisions about how to allocate and pay for seemingly limitless advances in high-technology medical procedures. Today healthcare environments are also changing greatly in Korea. The United States healthcare is being reinvented by reducing the costs and bringing service close to the consumer, and multi-strategies are being used to strive in the market driven shift. This study is aiming to get the lesson and direction of the future healthcare facilities in Korea by analysing the past and current trends of healthcare facilities in U.S..

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Implementation of Medical Device Integration Module for Integrated Patient Monitoring System

  • Park, Myeong-Chul;Jung, Hyon-Chel;Choi, Duk-Kyu
    • 한국컴퓨터정보학회논문지
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    • 제22권6호
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    • pp.79-86
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    • 2017
  • In this paper, we implement a common module that can integrate multiple biometric information for integrated patient monitoring system. Conventional biomedical instruments have many devices attached to each patient, making it difficult to monitor abnormality signs of many patients in real time. In this paper, we propose a module for an integrated monitoring system that can perform centralized monitoring using a common module that integrates multiple measurement devices. A protocol for sending and receiving packets between the measuring device and the common module is designed, and the packets transmitted through the network are stored and managed through the integrated monitoring system and provide information to various users such as medical staff. The results of this study are expected to contribute to the management of patients and efficient medical services in hospitals.

비만학생을 위한 건강증진프로그램의 제안 (A Proposal of Health Promotion Program for Overweight Schoolchildren)

  • 최선화
    • 지역사회간호학회지
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    • 제11권2호
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    • pp.526-537
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    • 2000
  • This study was conducted to contribute to the expansion of activity areas for school nurses in the field of health promotion services whose importance are increasing daily. To achieve such goals the researcher proposed that health promotion programs for obesity management in overweight schoolchildren conducted by literature review to apply to school settings. In this program, the principal components developed a behavior modification program and an exercise program, which could be educated and managed by a nursing staff during for 9 weeks, three times per week, 60 minutes each. The program consisted of exercise, health education. health counseling, and a direct nursing care. This kind of approach may support the need of behavior modification programs and exercise programs on a regular base via the social organization, which may mean an intentional change of life style. A comprehensive approach to health promotion services proposed by this research would contribute greatly to the effectiveness of school health services and to promote health in overweight schoolchildren.

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유비쿼터스 환경하에서의 헬스케어 구현 시의 고려 사항 (Security Consideration for Implementation in Ubiquitous Healthcare System)

  • 김정태
    • 한국정보통신학회:학술대회논문집
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    • 한국해양정보통신학회 2010년도 춘계학술대회
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    • pp.639-641
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    • 2010
  • Healthcare applications involve complex structures of interacting processes and professionals that need to exchange information to provide the care services. In this kind of systems many different professional competencies, ethical and sensibility requirements as well as legal frameworks coexist and because of that the information managed inside the system should not be freely accessed, on the contrary. it must be subject to very complex privacy restrictions. This is particularly critical in distributed systems, where additionally, security in remote transmissions must be ensured. In this paper, we address the fundamental security issues that must be considered in design of a distributed healthcare application.

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Successful Management of a Tracheo-gastric Conduit Fistula after a Three-field Esophagectomy with Combined Sternocleidomastoid Muscle Rotation Flap and Histoacryl Injection Treatment

  • Chung, Yoon Ji;Kim, Ji Hyun;Kim, Dong Jin;Kim, Jin Jo
    • Journal of Gastric Cancer
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    • 제20권4호
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    • pp.454-460
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    • 2020
  • Tracheo-gastric conduit fistula is an extremely rare but severe complication that is difficult to manage. Conservative care, esophageal or tracheal stent placement, or cutaneomuscular flaps have been suggested; however, no definite treatment has been proven. We report a case of tracheo-gastric conduit fistula that occurred after a minimally invasive radical three-field esophagectomy. Following the primary surgery, the diagnosis was made while evaluating the patient's frequent aspiration and coughing. Conservative management failed, and a surgical correction was undertaken to identify the multifocal mucosal defect and exposed tracheal ring. A sternocleidomastoid muscle rotation flap and subsequent Histoacryl injection into the remaining fistula were performed, and the fistula was successfully managed.

COVID-19 감염증이 호흡기 알레르기 질환에 미치는 영향 (The Influence of COVID-19 on Asthma and Allergic Rhinitis)

  • 김영효
    • 항공우주의학회지
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    • 제31권1호
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    • pp.17-20
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    • 2021
  • As the coronavirus disease 2019 (COVID-19) pandemic continues, doctors face many difficulties in managing patients with respiratory allergies. As research continues, much new knowledge has emerged about the link between COVID-19 infection and respiratory allergies. Studies to date have shown that there is no significant increase in the risk of COVID-19 infection in patients with respiratory allergies. However, in patients undergoing treatment for moderate to severe asthma or allergic rhinitis, more severe clinical manifestations, increased hospitalization period, and increased mortality may occur, so patients need to be managed with more care. In addition to personal efforts, social consideration should be accompanied to prevent deterioration in patients' quality of life with respiratory allergies due to COVID-19. Lastly, as clinical doctors, we should treat patients with respiratory allergies to protect ourselves appropriately by actively utilizing remote medical treatment and minimizing tests that generate droplets. Also, by appropriately educating patients and continuing drug treatment, efforts should be made to ensure that patients receive the best treatment even in a pandemic situation.

나무의사 자격시험의 실태분석과 제도개선 방안 - 제1차 시험을 중심으로 - (Analysis of the Actual Condition of the Tree Doctor Qualification Test and Improvement of the System - Focus on the First Test -)

  • 정용조;김학철
    • 한국환경과학회지
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    • 제32권1호
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    • pp.11-24
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    • 2023
  • This study aimed to provide preliminary data for the improvement of the tree doctor qualification test (first written test), which was newly created by enforcing the Forest Protection Act on June 28, 2018., The high demand for system improvement accelerated this study. The results were analyzeds through literature and questionnaire surveys. Writing test questions and the license of the tree doctor qualification exam are currently managed by the Korea Forestry Research Institute, and it is deemed that the test should be entrusted to Human Resources Development Service of Korea for fair and transparent management. Additionally, the plan for the improvement of the subject-wise scope of examination questions writing, difficulty of test questions, and acceptance rate of the first test should be prepared after public hearings or seminars related to the examination questions.

폐경기 여성을 대상으로 제공하는 디지털 기반 운동 치료: 서비스 디자인 제안 (Study on Digital-based Exercise Therapy for Menopausal Women)

  • 박채은;강현민;서석교;전용관;김진우
    • 한국멀티미디어학회논문지
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    • 제25권4호
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    • pp.640-648
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    • 2022
  • Menopausal women have to care for their health. Menopause is a symptom that needs to be managed in the long term, which requires safe and economical treatment even after long term use. This study proposes digital-based exercise therapy. This study also suggests resistance exercise and walking exercise methods according to the proof of previous studies. It provides motivational contents for those who cannot perform regularly. As motivational methods, self-efficacy and narrative-based history methods are accepted. Self-efficacy is improved through voice agents feedback during exercise. Feedback is a type of messages such as encouragement and motivation. The narrative-based history consists of characters of visualization that improves through values, which leveraged by the exercise.

전북지역 보육시설의 시설유형에 따른 급식운영관리 실태 조사 (Assessment of Food Service Management Practices in Child Care Centers Operated by Various Types of Foundations in the Chonbuk Area of Korea)

  • 노정옥;이은파;이진숙
    • 한국식품조리과학회지
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    • 제25권1호
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    • pp.74-83
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    • 2009
  • We investigated the food service management practices in child care centers operated by various types of foundations in the Chonbuk area of Korea. Self-administered questionnaires were collected from 125 child care center directors. The statistical analysis was completed using an SPSS v11.5 program. Approximately 82.4% of the directors were women with an the average age of 45 years old. The average number of children in each public and private child care center was 84.7 and 88.8, respectively (P<.001), and the difference in time of operation was significant(P<.001). Only 20.8% of the centers employed a dietitian, whereas 92.0% of the centers employed a cook, thus, food service was not managed by professionals in most centers. In approximately 99.2% of the centers, meals were prepared in a conventional manner. The difference in daily meal frequency was significant(P<.05), with approximately 85.6% of the centers serving snacks twice a day primarily to supplement the intake of nutrients(4.44 point) and to add fun to the daily lives of the children(4.12 point). Approximately 40.7% of the directors of public centers and 57.6% of the directors of private centers responded that the most difficult aspect of food service management was financial management. Overall, 56.8% of the directors responded that the details of financial management had the greatest effect on their ability to improve the quality of food service. In most centers, the center director was also the purchasing manager and half of them purchased food every day. Approximately 97% of the directors responded that they do not include instant foods in their menu plans but they would use them if the children wanted to eat them. These results indicate that the food service management in child care centers in the Chonbuk area is relatively inadequate. We strongly recommend that they hire dietitians for food service administration and focus on strengthening sanitation management.

비콘 기술을 적용한 유아 위치관리 실시간 알림 서비스 (Real-time Alert Service for Infant Location Management Using Beacon Technology)

  • 백유진;이효승;오재철
    • 한국전자통신학회논문지
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    • 제15권1호
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    • pp.205-210
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    • 2020
  • 어린이들은 성인에 비해 힘, 상황 인지 능력, 상황 판단 능력 등이 부족하기 때문에 성인 및 관련단체 또는 국가로부터 보호받을 권리를 제공 받아야 한다. 현재 어린이집에서 교사 1명이 관리하는 어린이는 적게는 3명에서 많게는 20명가량 이며 관리해야하는 어린이가 많으면 많을수록 어린이를 모두를 신경 쓴다는 것은 교사 입장에서 매우 어려운 일이 아닐 수 없을 것이다. 특히 개방된 공간에서 이루어지는 원외 활동 시에는 원내의 비해 어린이들의 활동범위가 넓어지고 인솔 교사의 통제에 따르지 않는 어린이가 발생할 수 있기 때문에 교사들의 시각에 의존한 어린이 통제 및 관리는 한계가 존재하게 된다. 이에 본 연구에서는 상호통신이 가능한 휴대용 디바이스를 사용하여 어린이와 인솔 교사 간의 위치 또는 간격을 시스템화하여 어린이들에게 안전을 제공하고 보호자 및 교사들에게 편리함을 제공할 수 있도록 IoT 단말기 및 시스템을 설계 및 구현 하였으며 이를 통해 유아의 안전에 기여할 수 있기를 기대한다.