• 보건행정학회지
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• 제24권3호
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• pp.254-260
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• 2014

Background: The purpose of this study is to assume appropriate outpatient consultation time for each clinical department on the basis of measured outpatient consultation time and satisfaction of outpatient. Methods: We surveyed the feeling and satisfactory outpatient consultation time, satisfaction, revisiting intention and recommendation to others to 1,105 patients of single general hospital in Gyeonggi-do and measured their real outpatient consultation time from October 28 to November 27 in 2013. On the basis of satisfaction, we estimated appropriate outpatient consultation time through area under the receiver operating characteristic curve in logistic regression model. Results: Feeling outpatient consultation time was 5.1 minutess, satisfactory outpatient consultation time which was suggested by patient was 6.3 minutes, and real outpatient consultation time was 4.2 minutes. Department which had longest real outpatient consultation time was infection (7 minutes) and department which had longest satisfactory outpatient consultation time was neurology (9.4 minutes). From the univariate and the multiple linear regression analysis, real outpatient consultation time was longer in pulmonology patient, new patient and afternoon patient, satisfactory outpatient consultation time was longer in infection, neurology, neuropsychiatry, neurosurgery, and rehabilitation patient. Appropriate real outpatient consultation time was suggested as 5.6 minutes which differentiated high and low satisfied patient group. However, we could not assume appropriate outpatient consultation time for each clinical department because the number of patient who had bad satisfaction was too low. Conclusion: To improve patient's satisfaction, we hope outpatient reservation system is operated as each patient's outpatient consultation time is at least 5.6 minutes.

• 대한의용생체공학회:의공학회지
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• 제26권5호
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• pp.301-307
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• 2005

We introduce a new multimedia telemedicine system which is called Telemedicine for Real-time Emergency Multi-consultation(TREM), based on multiple connection between medical specialists. Due to the subdivision of medical specialties, the existing one-to-one telemedicine system needs be modified to a simultaneous multi-consulting system. To facilitate the consultation the designed system includes following modules: high-quality video, video conferenceing, bio-signal transmission, and file transmission. In order to enhance the operability of the system in different network environment, we made it possible for the user to choose appropriate data acquisition sources of multimedia data and video resolutions. We have tested this system set up in three different places: emergency room, radiologist's office, and surgeon's office. All three communicating systems were successful in making connections with the multi-consultation center to exchange data simultaneously in real-time.

• 한국콘텐츠학회논문지
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• 제7권4호
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• pp.213-223
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• 2007

본 연구에서는 화상 교육 시스템을 이용하여 사이버 집단 상담을 실시하고 그 효과를 검증하였다. 이를 위해 두 가지 가설을 설정하였다. 첫째, 실시간 화상 사이버 집단 상담은 자기 존중감을 증진 시킬 것이다. 둘째, 화상 교육 시스템을 활용한 사이버 집단상담은 학생들의 내적 행동 변화를 가져올 것이다. 이 두 가설을 검증하기 위해 대도시 D초등학교 학생 45명을 선발하고 이미 개발된 화상 교육 시스템을 이용하여 사이버 집단 상담을 실시하였다. 그 결과 실시간 화상사이버 집단 상담은 학생들의 자기 존중감을 증진시키고 내담자의 적극적인 참여를 유도하며 활발한 상호작용을 일으켜 상담자와 내담자 간에 정서적 안정감 및 친밀감을 형성시키는 것으로 나타났다. 따라서 본 연구의 결과는 집단 상담의 사이버 영역을 한 단계 넓히는 데 도움을 줄 것이며 본격적인 실시간 화상 교육 체제의 시행을 앞두고 다자간 화상시스템의 교육적 효과를 검증하는 연구에 기초 자료로 활용될 것으로 사료된다.

• 전기전자학회논문지
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• 제24권1호
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• pp.293-301
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• 2020

Consultation with the patient and doctor is very important in the examination. However, if the consultation cannot be done directly, such as corona virus, it is difficult for the doctor to determine the patient's condition more accurately. Recently, an image counseling system has been developed based on the Internet, but in the case of heart disease, remote medical counseling cannot be performed because it is not possible to stethoscope the heart sounds remotely. In order to solve this problem, it is necessary to develop an interactive mobile robot capable of remote medical consultation, and a doctor and a patient should be able to set a planting sound during consultation and transmit it in real time. In this paper, we developed a robot that can remotely control a medical counseling robot to move to a hospital room where patients are hospitalized, and to consult a patient in the room remotely from a doctor's office. A remote medical imaging stethoscope system for real-time heart sound transmission is presented. The proposed system is a kind of P2P communication that transmits video information, audio information, and control signal independently through webRTC platform, so that there is no data loss. Consults and sees doctors in real time and finds it more effective than traditional methods for patient security. The system implemented in this paper will be able to perform remote medical care in the place where the spread of diseases between humans like the recent corona 19 as well as the remote medical care of heart disease patients in the future.

• 보건행정학회지
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• 제27권1호
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• pp.39-46
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• 2017

Background: We evaluated new patient's satisfactory consultation time (SCT) and their willingness to pay additional costs (WPAC) for their SCT. Methods: We surveyed medical service satisfaction, SCT, WPAC for their SCT, and payable amount to 612 new patients of single general hospital and measured their real consultation time (RCT). To compare WPAC and payable amount, we divided RCT into 4 groups (${\leq}3$ minutes, 3-5 minutes, 5-10 minutes, and > 10 minutes), and SCT into 3 groups (${\leq}5$ minutes, 5-10 minutes, and > 10 minutes). On the basis of WPAC, we estimated new patient's SCT. Results: RCT was 6.2 minutes, SCT was 8.9 minutes, and medical service satisfaction score was 4.3 (out of 5). The number of patients having WPAC (payable group) was 381 (62.3%) and the amount was 5,853 Korean won. Their RCT and SCT were longer than non-payable group (6.4 minutes vs. 5.7 minutes, 9.3 minutes vs. 8.2 minutes). From multiple logistic regression analysis, WPAC of RCT 5-10 minutes was higher than that RCT ${\leq}3$ minutes (odds ratio= 1.78). Payable amount was highest in RCT > 10 minutes (6,950 Korea won) and SCT > 10 minutes (7,458 Korean won). Intuitively we suggest 10 minutes as SCT, based on payable group's SCT (9.3 minutes) and cut-off time differentiating payable group with non-payable group (10 minutes). Conclusion: We found that new patient had WPAC for their SCT and the longer the SCT, the greater the amount. From this, we hope that current simplified new patient consultation fee calculating system should be modified combining the consultation time factor.

• 한국의료질향상학회지
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• 제8권1호
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• pp.56-72
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• 2001

Background : To shorten processing time for variety of medical affairs of the patient at the outpatient clinic of a big hospital is very important to qualify medical care of the patient. Therefore, patient's waiting time for medical examination is often utilized as a strong tool to evaluate patient satisfaction with a medical care provided. We performed this study to investigate factors delaying related with waiting time for medical examination. Methods : The data were collected from June 26 to July 30, 1999. A total 275 case of medical treatment and 5,634 patients who visited outpatient clinics of a tertiary hospital were subjected to evaluate the waiting time. The data were analyzed using frequency, t-test, ANOVA, $X^2$-test by SPSS Windows 7.5 program. Results : The mean patient's waiting time objectively evaluated ($30.9{\pm}33.9$ min) was longer than that subjectively by patient evaluated ($25.1{\pm}26.2$ min). Patient waiting time objectively evaluated was influenced by the starting time of medical examination, consultation hours, patients arriving time etc, as expected. The time discrepancy between two evaluations was influenced by several causative factors. Regarding the degree of patients accepted waiting time with the medical examination is 20 min. Conclusion : The results show that, besides the starting time of medical examination, consultation hours and patients arriving time, influence the patient's subjective evaluation of waiting time for medical examination and his satisfaction related with the service in the big hospital. In order to improve patient satisfaction related with waiting time for medical examination, it will be effective examination rather than to shorten the real processing time within the consultation room.

• 정보관리연구
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• 제29권2호
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• pp.1-17
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• 1998

분산되고 복잡한 정부 및 공공기관의 현행 기업지원체제의 어려움을 해소하기 위하여 창업, 자금, 기술, 입지, 판로, 무역투자 등 기업의 모든 경영활동에 관련된 정보를 체계적이고 종합적으로 구축, 제공하고 기업의 애로 및 민원을 신속히 발굴, 해소하기 위하여 정부 및 관련기관을 인터넷을 통해 상호 연계하는 종합기업서비스정보망의 구축과 이를 효율적으로 운영하기 위한 추진체계에 대하여 기술하였다.

• 한국산학기술학회논문지
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• 제20권12호
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• pp.21-26
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• 2019

본 논문에서는 IoT 기술 기반의 명찰을 활용하여 영유아 교육기관 내에서 각 영유아의 개별적인 위치와 타 유아와의 근접거리 유지정도를 파악할 수 있는 실시간 모니터링 시스템을 구축하였다. 이 시스템은 정밀위치 추적 모듈, 게이트웨이 위치정보 산출을 위한 데이터 전송시스템, 서비스 플랫폼 서버, 영유아의 발달을 고려한 데이터 분석 처리 모듈로 구성하였으며, 각 영유아가 어떤 유아와 상호작용을 많이 하는 지에 대한 정보를 추출하고자 하였다. 본 시스템을 통하여 수집한 정보는 소외나 배척을 당하는 영유아뿐만 아니라 사회성 발달 측면에서 문제가 없는 영유아, 더 나아가서 인기가 많은 영유아들에 이르기까지 모든 영유아의 또래관계를 개선할 수 있는 중요한 정보로 활용할 수 있다. 또한, 교사는 영유아간의 근접거리 정보를 토대로, 긍정적인 상호작용인지 부정적인 상호작용인지에 대해 파악하고 이를 토대로 영유아의 또래관계 개선을 위한 교육이 가능하다. 이러한 결과를 학부모와의 상담 시 활용하고 본 시스템을 통하여 수집한 정보를 DB화하여 영유아 또래관계 개선을 위한 체계 구축이 가능하다.

• 전자통신동향분석
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• 제37권5호
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• pp.33-43
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• 2022

We evaluated the problems of the current disaster psychological recovery support system of the Ministry of Interior and Safety for periodic infectious disease disasters, including COVID-19 (coronavirus disease 2019). The current disaster psychological recovery support systems are challenging to preemptively respond to infectious disease disasters over a wide range and for a long period. These result from the workforce shortage according to the face-to-face consultation method and the limited real-time application of consultation contents. Additionally, due to the workforce shortage, it is difficult to track those who have experienced disasters in the long term. Furthermore, most disaster psychology evaluation tools are for adults, and there are few evaluation tools for children and adolescents. This paper presents an advanced disaster psychological recovery support platform technology that can actively assist people in psychological recovery from disasters while mitigating these issues.

• 농촌지도와개발
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• 제15권3호
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• pp.461-497
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• 2008

The objective of the study was to evaluate the impact of the Call System of agricultural extension services in Korea. The respondents were satisfied on the speedy solution (74.5%), consultation (88.4%), and accessibility (79.7%) of the call system. However, satisfaction of farmers on in-depth consultation was higher (74.3%) than the satisfaction rated by the public servants of RDA (48.9%). Both groups replied positively (70.4%) on the need for expansion of the call system. The analyses of the results leads to a conclusion that there is a need to increase marketing on the importance of RDA's Call System to customers of agricultural extension and to improve accessibility through expansion of the system in other areas. These could solve the decreasing number of extension professionals and improve the quality and efficiency of extension services. These analyses may be useful as bases for a nationwide Call System that connects the center with other districts and for planning a renovation of information-oriented agricultural extension services. The issue that needs improvement is to abandon the grounds of agricultural technology information provider and respond to the customers' needs efficiently by building an established Call System which can minimize the side effect of the trends of reforming and downsizing the organization. It is needed to develop a unified management Call System of agricultural technology information that could provide real-time information, and database the results simultaneously for use as feedback to the Rural Development Programs. Related laws and policies need to be improved to establish a nationwide information network that maximizes the current network in agricultural regions to spread information, to provide institutional support, and to encourage development of training system and research and development by concerned institutes.