• Title/Summary/Keyword: service continuity

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CDSS enabled PHR system for chronic disease patients (만성 질병환자를 위한 CDSS를 적용한 PHR 시스템)

  • Hussain, Maqbool;Khan, Wajahat Ali;Afzal, Muhammad;Ali, Taqdir;Lee, Sungyoung
    • Proceedings of the Korea Information Processing Society Conference
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    • 2012.11a
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    • pp.1321-1322
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    • 2012
  • With the advance of Information Technology (IT) and dynamic requirements, diverse application services have been provided for end users. With huge volume of these services and information, users are required to acquire customized services that provide personalized information and decision at particular extent of time. The case is more appealing in healthcare, where patients wish to have access to their medical record where they have control and provided with recommendation on the medical information. PHR (Personal Health Record) is most prevailing initiative that gives secure access on patient record at anytime and anywhere. PHR should also incorporate decision support to help patients in self-management of their diseases. Available PHR system incorporates basic recommendations based on patient routine data. We have proposed decision support service called "Smart CDSS" that provides recommendations on PHR data for diabetic patients. Smart CDSS follows HL7 vMR (Virtual Medical Record) to help in integration with diverse application including PHR. PHR shares patient data with Smart CDSS through standard interfaces that pass through Adaptability Engine (AE). AE transforms the PHR CCR/CCD (Continuity of Care Record/Document) into standard HL7 vMR format. Smart CDSS produces recommendation on PHR datasets based on diabetic knowledge base represented in shareable HL7 Arden Syntax format. The Smart CDSS service is deployed on public cloud over MS Azure environment and PHR is maintaining on private cloud. The system has been evaluated for recommendation for 100 diabetic patients from Saint's Mary Hospital. The recommendations were compared with physicians' guidelines which complement the self-management of the patient.

Review on Acceptability of Patients towards Obesity Treatment Program (비만 진료 프로그램에 대한 수용성 태도 분석)

  • Lee, Eom-jee;Kim, Seo-Young;Lim, Young-Woo;Park, Young-Bae
    • Journal of Korean Medicine for Obesity Research
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    • v.19 no.1
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    • pp.42-55
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    • 2019
  • Objectives: Acceptability of patients towards obesity treatment program is associated with better weight loss outcomes. The purpose of this study was to review previously published study results of the predictive factors associated with patients' acceptability in obesity treatment. Methods: Authors searched for the articles related to acceptability reported as continuation, attendance and adherence, published from 2011 to 2018 found on Pubmed, Scopus, Research Information Sharing Service, and Koreanstudies Information Service System. A total of 23 articles were finally selected. From the study results, unchangeable and changeable predictors were extracted, and these predictors were examined according to detail categories. Results: Regarding the continuation of the treatment, unchangeable factors such as younger age, lower educational level, male sexuality and lower accessibility to physical activity predicted lower continuation. Furthermore, changeable factors such as early and half weight loss, better accessibility to the treatment and financial incentives for retention predicted higher continuation rate. Greater degree of attendance was predicted by unchangeable factors such as economical affordability, and changeable predictors such as half weight loss and proximity to the clinic. Main factors of adherence to the recommendation were unchangeable predictors such as weight loss experience, and changeable predictors such as more physical activity and appropriate dietary habits. Negative psychological state predicted lower continuation, attendance and adherence rate. Conclusions: Our review results suggest that unchangeable and changeable predictors of acceptability of patients should be carefully examined during treatments of obesity.

Activities and Planning for KRS Coordinates Maintenance

  • Kang, Hee Won;Cho, Sunglyong;Kim, Heesung;Yun, Youngsun;Lee, ByungSeok
    • Journal of Positioning, Navigation, and Timing
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    • v.11 no.4
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    • pp.327-332
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    • 2022
  • The Korea Augmentation Satellite System (KASS) is the Satellite-Based Augmentation System (SBAS) under development in Korea. KASS navigation service support navigation Safety of Life (SoL) service. KASS signal provides corrections to Global Positioning System (GPS) data received from KASS Reference Stations (KRS) and is broadcast form Geostationary Earth Orbiting (GEO) satellites to KASS users and is used by GPS/SBAS user equipment to improve the accuracy, availability, continuity and integrity of the navigation solution. Seven KRS's collect the satellite data and send them to the KASS Processing Stations (KPS) for the generation of the corrections and the monitoring the integrity. For performing its computation the KPS needs to know accurate and reliable KRS antennas coordinates. These coordinates are provided as configuration parameters to the KPS. This means that the reference frame in which the KPS work is the one represented by the set of coordinates provided as input. Therefore, the activity to maintain the accuracy of the KRS antenna coordinates is necessary, knowing that coordinates can evolve due to earth plates movements or earthquakes. In this paper, we analyzed the geodetic survey results for KRS antenna coordinates from Site Acceptance Test (SAT) #1 in December 2020 to August 2022. In the future, it is expected that these activities and planning for KRS coordinates maintenance will be produced and provided to KASS system operators for KPS configuration updates during the KASS lifetime of 15 years. Through these maintenance activities, it is expected that monitoring and analysis of unpredictable events such as earthquakes and seism will be possible in the future.

A Study on the Foreign Countries's cases of Strengthening the Qualifications of Franchisers - Based on the case study of USA, China, Australia, England - (해외사례를 바탕으로 프랜차이즈 가맹사업 자격 요건 강화 방안을 위한 제언 : 미국, 중국, 호주, 영국의 사례분석을 중심으로)

  • HAN, Sangho
    • The Korean Journal of Franchise Management
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    • v.10 no.3
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    • pp.7-12
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    • 2019
  • Purpose - This study examines the status of franchises and qualifications for franchising business, examines the franchising qualifications focusing on overseas cases, and suggests policy directions for strengthening the qualifications of franchising business. In order to achieve these purposes, the study reviewed the cases of USA, China, Australia, and United Kingdom franchising business law. Literature Review - According to the Fair Trade Commission, franchise is defined as a transactional relationship in which a franchiser provides certain support and education to franchisees in order to sell their goods and services more effectively. In addition, a franchise is a legally and financially independent business of franchisers and franchisees, and according to the concept of affiliates, it is necessary to define a franchise as a product and service marketing based on close and continuous collaboration. A franchiser can be defined as a company with the ability to develop a franchise system, create sustainable value based on it, and replicate "KNOW-HOW" to sellers. Case Study - This study examined the requirements for establishing a franchiser in the United States, China, Australia, and United Kingdom. In most countries, the requirements of franchisers must be operated for at least one year, which means that education, manual production, and continuity of stores should be checked. Suggestion - Based on Korea's population density and consumption sales index, we propose a screening system that registers through 2 + 1 systems, which require two stores to be operated for more than a year, by dividing Korea's commercial rights into two and a screening system instead of simple registration. In the case of a small franchisors, at least one franchsing retail store must be operated for at least one year, which should be applied to only one brand.

Assessing the Success rate of e-Learning Systems Aadoption in Saudi Higher Education Institutions during COVID-19 Pandemic: Student Perspective

  • Aljuhani, Nouf;Matar, Zinah;Alzahrani, Asma;Saeedi, Kawther;Badri, Sahar;Fakieh, Bahjat
    • International Journal of Computer Science & Network Security
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    • v.22 no.3
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    • pp.77-88
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    • 2022
  • In response to the significant COVID-19 outbreak, countries have enforced the use of E-learning systems as an alternative to traditional learning; to contain the virus and minimize the infection rate while maintaining the continuity of the learning experience. However, the effective adoption of E-learning systems requires a well-understanding of critical factors, especially in times of crisis. In this regard, this study intends to assess the success of the E-learning system adoption by Higher Education Institutions (HEIs) during the crisis of COVID-19 by utilizing the Information Systems Success (ISS) model. This study's adopted model consists of nine interdependent dimensions, namely: Technical System Quality, Information Quality, Service Quality, Learner Quality, Perceived Satisfaction, Perceived Usefulness, System Use, Intention to Use, and System Success. An electronic survey was distributed among higher education students from different universities in Saudi Arabia to explore each model's dimension. Structural Equation Modeling (SEM) has been applied via SmartPLS software to test the causal relationships between dimensions. This study's main results revealed that students' Service Quality, Learner Quality, and the Intention to Use by students are essential drives for E-learning System Use during the Covid-19 pandemic. Meanwhile, the Intention to Use the system is significantly influenced by Perceived Satisfaction and Perceived Usefulness dimensions. Further, Perceived Satisfaction, Perceived Usefulness, and System Use are interdependent, and all three have a significant positive impact on E-learning System Success.

A Scoping Review on the Expected Role of Community Pharmacists in the Era of COVID-19 Pandemic Crisis Across OECD Countries (OECD 회원국에서 COVID-19 팬더믹 위기시대 지역약사의 확장된 역할에 대한 주제범위 문헌고찰)

  • Iyn-Hyang Lee;Nam Kyung Je
    • Korean Journal of Clinical Pharmacy
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    • v.32 no.4
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    • pp.288-302
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    • 2022
  • Objective: Community pharmacists are frontline health care providers, but have been considered as underutilized professionals on a daily basis. The purpose of this scoping review was to identify information about the impact of the COVID-19 pandemic on community pharmacy services and to evaluate new services that could be applicable. Methods: We searched MEDLINE and EMBASE for studies published up to January 10, 2020. Search terms consisted of keywords relevant to this review, including "COVID-19", "community pharmacy", and "community pharmacist". This review targeted studies of pharmacist services provided by community pharmacies in OECD member countries during the COVID-19 pandemic period. Results: Twenty-seven studies were included in this review. Changes in community pharmacist services due to the COVID-19 pandemic were broadly classified into four categories. First, as the face-to-face services became challenging, various non-face-to-face services were being tried. Second, community pharmacists directly participated in the services to prevent the spread of COVID-19. Third, community pharmacists made efforts to support continuity of care for patients who experienced difficulties due to the reduced professional care as health and medical resources are concentrated in response to COVID-19. Fourth, community pharmacist services were emerging, targeting patients suffering from greater health inequality during the pandemic. Patients expressed high demand and satisfaction for the service of the community pharmacist, and pharmacists reported self-efficacy and professional pride. Conclusion: This study demonstrated that in the era of the COVID-19 pandemic, various community pharmacist services have been tried and received positive evaluations from patients in several OECD countries.

The Impact of COVID-19 on Healthcare Services in Bangladesh: A Qualitative Study on Healthcare Providers' Perspectives

  • Sharmin Parveen;Md. Shahriar Mahbub;Nasreen Nahar;K. A. M. Morshed;Nourin Rahman;Ezzat Tanzila Evana;Nazia Islam;Abu Said Md. Juel Miah
    • Journal of Preventive Medicine and Public Health
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    • v.57 no.4
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    • pp.356-369
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    • 2024
  • Objectives: The objective of this study was to explore healthcare providers' experiences in managing the coronavirus disease 2019 (COVID-19) pandemic and its impact on healthcare services. Methods: A qualitative study was conducted with 34 healthcare professionals across 15 districts in Bangladesh. Among the participants, 24 were health managers or administrators stationed at the district or upazila (sub-district) level, and 10 were clinicians providing care to patients with COVID-19. The telephone interviews were conducted in Bangla, audio-recorded, transcribed, and then translated into English. Data were analyzed thematically. Results: Most interviewees identified a range of issues within the health system. These included unpreparedness, challenges in segregating COVID-19 patients, maintaining isolation and home quarantine, a scarcity of intensive care unit beds, and ensuring continuity of service for non-COVID-19 patients. The limited availability of personal protective equipment, a shortage of human resources, and logistical challenges, such as obtaining COVID-19 tests, were frequently cited as barriers to managing the pandemic. Additionally, changes in the behavior of health service seekers, particularly increased aggression, were reported. The primary motivating factor for healthcare providers was the willingness to continue providing health services, rather than financial incentives. Conclusions: The COVID-19 pandemic presented a unique set of challenges for health systems, while also providing valuable lessons in managing a public health crisis. To effectively address future health crises, it is crucial to resolve a myriad of issues within the health system, including the inequitable distribution of human resources and logistical challenges.

Effects of Usual Source of Care by Patients with Diabetes on Use of Medical Service and Medical Expenses (당뇨병 환자의 상용치료원 보유가 의료이용 및 의료비에 미치는 영향)

  • Lee, So Dam;Shin, Euichul;Lim, Jae-Young;Lee, Sang Gyu;Kim, Ji Man
    • Korea Journal of Hospital Management
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    • v.22 no.3
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    • pp.1-17
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    • 2017
  • Purposes: Diabetes is a metabolic disorder that requires continuous care in order to prevent complications, as it can impose a critical burden on families and society due to various complications, including terminal renal failure, non-traumatic lower extremity amputation, and adult blindness. The usual sources of care are "specified private clinics, public health centers, or other facilities to visit when ill or when health-related advice is needed". These usual sources of care offer preventative services, have a high overall satisfaction rate in terms of public health care, and decrease the inpatient rates and medical costs of medical aid recipients. This study analyzed the current status of diabetic patients over 20 years of age based on their possession of a usual source of care, and the effects of this possession on the frequency of their medical service usage and its costs. Methodology: Based on data from the 7th Korea Health Panel, a Tobit analysis was used to analyze the different factors that can affect the frequency of medical service usage and its costs for diabetic patients with and without a usual source of care. Findings: The medical costs of diabetic patients with a usual source of care decreased in terms of inpatient, and the outpatient visits and inpatient costs of the group with a usual source of care in the form of a mainly-visiting doctor decreased more than those of the group with a mainly-visiting medical institution only. Practical Implications: Having a usual source of care can increase the treatment continuity, leading to reduced inpatient, and having a mainly-visiting doctor as the usual source of care further increases the treatment continuity. Based on these results, a new policy is needed to increase and strengthen diabetic patients? possession of a usual source of care.

A Study on Pseudolite-augmented Positioning Method for Automatic Docking (자동접안을 위한 의사위성 보강 측위기법에 관한 연구)

  • Park, Sang-Hyun;Cho, Deuk-Jae;Oh, Se-Woong
    • Journal of Navigation and Port Research
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    • v.30 no.10 s.116
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    • pp.839-845
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    • 2006
  • A laser docking system provides a centimeter-level accuracy distance from jetty mounted laser sensors in order to help a vessel to approach to a pier. It is very accurate & useful, whereas there are too many considerable problems. Laser sensors of the laser docking system need to be correctly positioned and installed on a jetty to allow for full range of vessels to be berthed and to consider loading condition and tidal variations. Above all, the laser docking system is expensive and its service coverage is limited. In order to solve these problems, CDGPS positioning method using GPS satellites has been proposed. This paper presents that, through RHDOP simulation, the previous CDGPS positioning method using only GPS satellites is not able to provide the continuous service with centimeter-level positioning accuracy. And this paper proposes a pseudolite-augmented positioning method for vessel docking in order to solve the problem of the continuous service on the previous CDGPS positioning method. In this paper, pseudolite is used to aid in CDGPS positioning. This paper shows that the proposed method can provides the continuous service through comparison analysis of RHDOP simulation results between the GPS satellite constellation and the pseudolite-augmented GPS satellite constellation. Furthermore, it is shown that the proposed positioning method satisfies the positioning performance required for vessel automatic docking at a test bed designed for performance evaluation.

Hybrid Mobile IP Protocol for Service Session Continuity between WiBro and HSDPA (WiBro와 HSDPA 망간 서비스 연속성을 제공하기 위한 Hybrid Mobil IP 프로토콜)

  • Kim, Sung-Jin;Choi, Woo-Jin
    • 한국정보통신설비학회:학술대회논문집
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    • 2008.08a
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    • pp.223-228
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    • 2008
  • Recently, various types of wireless access networks, such as WLAN, WiBro and HSDPA, etc, have been successfully deployed by commercial service providers (i.e., KT, KTF). In this situation, there are many efforts to provide high quality of services to guarantee seamless mobility between heterogeneous networks. The IP layer mobility protocols are efficient mechanisms to provide seamless mobility between IP based heterogeneous networks as well as homogeneous networks. However, to apply IP mobility protocols in real heterogeneous networks (i.e., WiBro and HSDPA), we must consider not only the basic features of techniques of wireless access networks (i.e., Data rate, Coverage, Quality of Service) but also the problem of real environment of service provider (i.e., Expanse cost to change the access network). Due to this reason, it is difficult to satisfy required conditions by using only one IP mobility protocol in real heterogeneous networks. Therefore, in this paper, we propose an efficient mobility protocol to solve the complex problems that are occurred in real heterogeneous networks. The proposed protocol, so-called, "Hybrid Mobile IP" tries to provide a synergy effect by integrating Client Mobile IPv4 (CMIPv4) and Proxy Mobile IPv4 (PMIPv4), and using the two mobility protocols selectively according to the situation of real heterogeneous networks.

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