• 제목/요약/키워드: national health information infrastructure

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도시민 유입을 고려한 농촌 서비스 및 인프라 개선 주요 항목 도출 - 복지문화 요인을 중심으로 - (Derivation of Rural Service and Infrastructure Factor Considering Urban-to-rural Migration - Focus on Welfare and Culture -)

  • 배승종;김수진;김대식
    • 농촌계획
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    • 제26권2호
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    • pp.39-49
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    • 2020
  • This study was attempted to grasp the push-pull factors of urban to rural migrants in relation to services and infrastructure of rural welfare and culture. Online and offline survey were conducted for urban residents who were willing to return to the rural area and those who were already returning to the rural area. In the fields of health care, social welfare, and education, it was found that the satisfaction level of urban-to-rural migrants was relatively higher than those of latent urban-to-rural migrants. In the field of culture, leisure and sports, the level of satisfaction and concern were similar, so it was found that the expectations for the field were relatively high before returning rural area. As for the agreement degree to expand support, the demand for emergency medical facilities and dementia care program was the highest, and the demand for health care was found to be relatively high. The results of the survey on the top priority items indicate that latent urban-to-rural migrants require support of facility and space item and expansion of program item, and urban-to-rural migrants have high demand for expansion of program item in all field except healthcare field. The results of this study are expected to provide useful information for establishing the direction of the rural area development project in connection with the revitalization of policy of people return to rural area.

국내 의료기관의 표준진료지침 개발 및 운영 현황 (Status of the Development and Utilization of Critical Pathways in Medical Institutions in South Korea)

  • 오인옥;장태익;김현진;한정미;이천균
    • 한국의료질향상학회지
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    • 제28권1호
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    • pp.2-13
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    • 2022
  • Purpose: This study assessed the status of the Development and Utilization of critical pathways (CP) in South Korea. Methods: We surveyed 195 hospitals obtained on the Korean Hospital Association website. Data were collected using structured questionnaires for staff members in charge of CP management personnel in these hospitals. The questionnaire included CP developed by the institutions, the coverage rates and completion rates of CP in the current year, and management indicators related to CP. The questionnaire also included CP support systems and content within the institutions and questions regarding the advantages of CP utilization and obstacles associated with the CP development process. Results: Analysis of the responses from 70 hospitals (35.9% response rate) showed that a total of 1,370 CP sets were developed. The number of CP related to surgery departments was 365 (26.6%), and CP related to surgery and procedure was 1,093 (79.8%), respectively. The CP coverage rate was the most frequently used indicator to monitor the effect of CP (97.1%), followed by the completion rate (90.0%) and the length of stay in hospital (61.4%). CP managers reported that CP were highly useful for communication (3.39±0.493) and accurate information provision (3.39±0.491). The perception that CP violated doctors' autonomy in treatment was relatively low (2.87±0.645). Conclusion: It is necessary to establish an infrastructure in hospitals for CP. CP can facilitate communication and provide accurate information.

우리나라 병원의 환자안전 향상을 위한 활동 현황 (Patient safety practices in Korean hospitals)

  • 황수희;김명화;박춘선
    • 한국의료질향상학회지
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    • 제22권2호
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    • pp.43-73
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    • 2016
  • Purpose: The aims of this study were to assess the presence of core patient safety practices in Korean hospitals and assess the differences in reporting and learning systems of patient safety, infrastructure, and safe practices by hospital characteristics. Methods: The authors developed a questionnaire including 39 items of patient safety staffing, health information system, reporting system, and event-specific prevention practices. The survey was conducted online or e-mail with 407 tertiary, general and specialty hospitals. Results: About 90% of hospitals answered the self-reporting system of patient safety related events is established. More than 90% of hospitals applied incidence monitoring or root cause analysis on healthcare-associated infection, in-facility pressure ulcers and falls, but only 60% did on surgery/procedure related events. More than 50% of the hospitals did not adopted present on admission (POA) indicators. One hundred (80.0%) hospitals had a department of patient safety and/or quality and only 52.8% of hospitals had a patient safety officer (PSO). While 82.4% of hospitals used electronic medical records (EMRs), only 53% of these hospitals adopted clinical decision support function. Infrastructure for patient safety except EMRs was well established in training, high-level and large hospitals. Most hospitals implemented prevention practices of adverse drug events, in-facility pressure ulcers and falls (94.4-100.0%). But prevention practices of surgery/procedure related events had relatively low adoption rate (59.2-92.8%). Majority of prevention practices for patient safety events were also implemented with a relatively modest increase in resources allocated. Conclusion: The hospital-based reporting and learning system, EMRs, and core evidence-based prevention practices were implemented well in high-level and large hospitals. But POA indicator and PSO were not adopted in more than half of surveyed hospitals and implementation of prevention practices for specific event had low. To support and monitor progress in hospital's patient safety effort, national-level safety practices set is needed.

하이퍼 스케일 클라우드에 적합한 정보보호 및 개인정보보호 관리체계 인증 통제항목 연구 (A Study on ISMS-P Controls for Hyper Scale Cloud)

  • 신용녀
    • 한국인터넷방송통신학회논문지
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    • 제23권3호
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    • pp.19-26
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    • 2023
  • 전 세계적으로 에너지, 금융 서비스, 보건, 통신, 교통 분야의 클라우드 전환에 따라 지속적으로 클라우드제공업체에 대한 주요기반시설 지정 움직임이 확산되고 있다. 또한, 우크라이나 사태에서는 국가 주요시설의 클라우드 사용 규제 철폐와 신속한 주요 데이터에 대한 클라우드 전환으로 인해 러시아의 기반시설을 겨냥한 사이버 공격에 효율적으로 대처할 수 있었다. 한국에서는 체계적, 종합적인 정보보호 관리체계를 구현하고, 조직의 정보보호 및 개인정보보호 관리 수준 향상을 위해 ISMS-P가 기업의 정보보호 및 개인정보보호 수준 제고를 위해 운영되고 있다. 클라우드 환경을 고려한 통제항목이 수정, 추가 되어 기업의 심사에 운영되고 있다. 그러나, 클라우드의 국내외 기술적 수준이 상이하고 하이퍼스케일 규모에 대한 국내 인증심사원들의 교육을 위해서는 Microsoft같은 클라우드 공급업체의 결함사항에 대한 정보를 구하기 쉽지 않았다. 이에, 본 논문에서는 하이퍼스케일 클라우드상 에서의 결함사항을 분석하고, 하이퍼스케일환경과 ISO/IEC 27001 및 SOC 보안 국제 표준과의 정합성을 고려하여 보다 클라우드에 특화된 통제항목 개선방안을 제시하였다.

Health System Preparedness for Tobacco Control: Situational Analysis of Existing Health Programs in Andhra Pradesh, India

  • Panda, Rajmohan;Mathur, Manu Raj;Divya, Persai;Srivastava, Swati;Ramachandra, Srikrishna Sulgodu
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권12호
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    • pp.5969-5973
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    • 2012
  • Introduction: Andhra Pradesh (AP) is one of the largest tobacco producing states in India. About 29% of adults in AP currently use tobacco in some form. Almost 24% of males and 4% of females are smokers. The prevalence of tobacco use in the state is higher than the national average of 15% for male and 2% for female smokers. However, few attempts have been made to understand the current situation of tobacco control resources, activities and strategies in the context of such a high tobacco prevalence state. The present study aimed to identify the gaps in existing tobacco control program and areas where tobacco control efforts can be integrated. Methods: Data were collected using both quantitative and qualitative methods. Semi-structured interviews were undertaken with a total of 95 key officials of state health departments, program managers, and project directors in six districts to understand ongoing tobacco control efforts. To facilitate the interviews, semi-structured guides were developed. Simple descriptive statistical analysis was conducted on the quantitative data using SPSS version 17. Results: The results of the situational analysis suggest that a sufficient health workforce and infrastructure with the potential to integrate tobacco control activities is available in the surveyed districts. However, lack of integration of the tobacco control program intothe tuberculosis control program and the National Rural Health Mission was observed. Information, education and communication activities were lacking at block level health facilities. Conclusions: Our findings indicate that lack of trained health professionals, paucity of dedicated funds, lack of information, education and communication materials and low priority given to tobacco control activities are some of the factors which impede integration of tobacco control into existing health and developmental programmes in the districts of Andhra Pradesh, India.

Reversible and High-Capacity Data Hiding in High Quality Medical Images

  • Huang, Li-Chin;Hwang, Min-Shiang;Tseng, Lin-Yu
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제7권1호
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    • pp.132-148
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    • 2013
  • Via the Internet, the information infrastructure of modern health care has already established medical information systems to share electronic health records among patients and health care providers. Data hiding plays an important role to protect medical images. Because modern medical devices have improved, high resolutions of medical images are provided to detect early diseases. The high quality medical images are used to recognize complicated anatomical structures such as soft tissues, muscles, and internal organs to support diagnosis of diseases. For instance, 16-bit depth medical images will provide 65,536 discrete levels to show more details of anatomical structures. In general, the feature of low utilization rate of intensity in 16-bit depth will be utilized to handle overflow/underflow problem. Nowadays, most of data hiding algorithms are still experimenting on 8-bit depth medical images. We proposed a novel reversible data hiding scheme testing on 16-bit depth CT and MRI medical image. And the peak point and zero point of a histogram are applied to embed secret message k bits without salt-and-pepper.

Data-processing pipeline and database design for integrated analysis of mycoviruses

  • Je, Mikyung;Son, Hyeon Seok;Kim, Hayeon
    • International journal of advanced smart convergence
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    • 제8권3호
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    • pp.115-122
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    • 2019
  • Recent and ongoing discoveries of mycoviruses with new properties demand the development of an appropriate research infrastructure to analyze their evolution and classification. In particular, the discovery of negative-sense single-stranded mycoviruses is worth noting in genome types in which double-stranded RNA virus and positive-sense single-stranded RNA virus were predominant. In addition, some genomic properties of mycoviruses are more interesting because they have been reported to have similarities with the pathogenic virus family that infects humans and animals. Genetic information on mycoviruses continues to accumulate in public repositories; however, these databases have some difficulty reflecting the latest taxonomic information and obtaining specialized data for mycoviruses. Therefore, in this study, we developed a bioinformatics-based pipeline to efficiently utilize this genetic information. We also designed a schema for data processing and database construction and an algorithm to keep taxonomic information of mycoviruses up to date. The pipeline and database (termed 'mycoVDB') presented in this study are expected to serve as useful foundations for improving the accuracy and efficiency of future research on mycoviruses.

Proposal of Urban Agricultural Park Management and Operation Plan Using the Public Service Design Process

  • Lee, Sang-Mi;Yun, Hyung Kwon;Jung, Young-Bin;Hong, In-Kyoung
    • 인간식물환경학회지
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    • 제24권2호
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    • pp.153-167
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    • 2021
  • Background and objective: With the revision of the Act on Urban Parks, Green Areas, Etc. in 2013, the "urban agricultural park" was newly established under the subcategory of "themed park," thereby establishing the institutional basis for the creation of urban agricultural parks. However, urban agricultural parks are still in the early stages of their introduction. There is a lack of research on direction setting and specific operation management that considers urban residents' needs and the city's physical infrastructure. Methods: We utilized the public service design process suggested by the Ministry of the Interior and Safety of the Republic of Korea in 2019 to identify problems and develop directions for urban agricultural parks. The process consisted of the following four steps: Understanding, Discovering people's needs, Defining real problems, and Developing ideas. Results: As four types of ideas for revitalizing urban agricultural parks, 'information users want to know,' 'user participation in design,' 'venue for local communities,' and 'urban agricultural parks as health and rest areas' were derived. This means that urban agricultural parks must provide the information users want; users must plan, decide, and implement such information by directly participating in the creation and efficient management and operation of urban agricultural parks; and urban agricultural parks must be used as a venue for local communities. Urban agricultural parks should also be spaces for health and relaxation. Conclusion: Urban agricultural parks should avoid the unified space and passive participation patterns of existing urban parks, and become real spaces for resident participation that can satisfy all the production, leisure, landscape, ecology, and psycho-social needs of the users of urban agricultural parks. Furthermore, it is necessary to introduce a more systematic and diverse operating system so that it can work to revitalize the local community and connect organically with the function of the city.

한국의료패널 데이터를 활용한 공동연구 동향 분석: 공동 연구자들 연결망 구조를 중심으로 (A Study on the Trend of Collaborative Research Using Korean Health Panel Data: Focusing on the Network Structure of Co-authors)

  • 엄혜미;이현주;최승은
    • Journal of Information Technology Applications and Management
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    • 제25권4호
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    • pp.185-196
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    • 2018
  • This study investigates the social network among authors to improve the quality of Panel researches. Korea Health Panel (KHP), implemented by the collaborative work between KIHASA (Korea Institute for Health and Social Affairs) and NHIC (National Health Insurance Service) since 2008, provides a critical infrastructure for policy making and management for insurance system and healthcare service. Using bibliographic data extracted from academic databases, eighty articles were extracted in domestic and international journals from 2008 to 2014, April. Data were analyzed by NetMiner 4.0, social network analysis software, to identify the extent to which authors are involved in healthcare use research and the patterns of collaboration between them. Analysis reveals that most authors publish a very small number of articles and collaborate within tightly knit circles. Centrality measures confirm these findings by revealing that only a small percentage of the authors are structurally dominant, and influence the flow of communication among others. It leads to the discovery of dependencies between the elements of the co-author network such as affiliates in health panel communities. Based on these findings, we recommend that Korea Health Panel could benefit from cultivating a wider base of influential authors and promoting broader collaborations.

클라우드 컴퓨팅 환경에서 개인의료정보를 통합한 CloudHIS 시스템 (The CloudHIS System for Personal Healthcare Information Integration Scheme of Cloud Computing)

  • 조영복;우성희;이상호
    • 한국컴퓨터정보학회논문지
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    • 제19권5호
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    • pp.27-35
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    • 2014
  • 오늘날의 의료산업은 첨단 IT에 기반으로 언제, 어디서나 사용 및 접근이 가능한 인간중심의 U-헬스케어 패러다임으로 대변될 수 있다. 또한의료산업은정보통신기술발달을기반으로많은발전 및 응용에 관한 연구가 활발히 진행되고 있다. 의료정보시스템은 의료 IT 정보 시스템들이 통합되는 방향으로 진화해가면서 발전된 IT와 융합한 u-헬스케어 시스템 구축을 목표로 하고 있다. 따라서 이 논문에서는 분산된 의료정보 시스템을 이용해 자유로운u-헬스케어 서비스를 제공한다. 제안 시스템은 상호 이질적인 개인의료정보 데이터인 PHR을 하나로 통합하여 IaaS 클라우드 컴퓨팅 기반으로 운영관리 한다. 제안 시스템은 PHR을 기존 웹기반으로 통합 운영하는 방법보다 접근시간은 24%, 서비스 처리를 위한 대기시간은 4.3% 향상됨을 실험을 통해 증명하였다.