• Information Systems Review
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• v.7 no.1
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• pp.275-295
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• 2005

Changes in business environment caused by globalization of the world economy and the beginning of the knowledge society forced hospitals to equip with tools for the enhanced competitiveness. In other words, hospitals must aim three targets such as acquisition of advanced medical skills and equipments, improvement of service level for patients, and achievement of superior managerial performance simultaneously. This study has been done to suggest a way to reduce the possibility of hospital bill claim reduction as an alternative for the achievement of superior managerial performance. If the reduction rate of hospital bill claim is high, it will put negative impact on the hospital's revenue stream and hospital's reliability. Thus, if they want to stay competitive, hospitals need to device ways to cut the reduction rate as much as possible. In this study, a prototype system has been developed and implemented to check the possibility to cut the reduction rate through deep analysis of causes of reduction. The prototype first developed utilizing data mining techniques and the relation rules algorithm. Then the prototype was tested its performance using the D hospital's live data.

• Journal of radiological science and technology
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• v.27 no.3
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• pp.25-29
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• 2004

Among the digital radiography systems, the computed radiography Image Plate Detector System is most frequently being used for the general radiography and also this system commonly diffracts the x-ray images since it is the system that is influenced by the light diffusion from the fluorescent substances. In this study, by using the X-ray Generator, a comparative analysis has been made between 2 different models of computer radiography image plate investigate each model's resolution and sharpness through the modulation transfer function(MTF) measurement. For the analysis, two image plates for general radiography one Fuji ST-VN model(more than 3years old) and one Fuji ST-VL model(less than 2years old) that are currently being used in "Hospital A" were sampled for the MTF measurement here. As the experimental method for this study, the resolution chart method has been carried out by using X-ray generator. Also all the experimental data were printed out by laser printer and measured by microdensitometer. As the results of the experiment carried out in this study, some differences have been found between the two different IP models and Fuji ST-VL has shown its excellence in both of the resolution and the sharpness fields.

• Journal of the Korean Dietetic Association
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• v.8 no.4
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• pp.387-397
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• 2002

Foodservice information systems management practices were assessed in hospital foodservice operations. A total of 46 dietetic departments were responded for the study and their practices of foodservice information systems were analyzed. The respondents were questioned about general characteristics of respondents as well as hospital foodservices implementation status of information systems. Statistical data analysis was completed using the SPSS package program for descriptive analysis, factor analysis, t-test and ANOVA test. 43.2% of total respondents gained informations by benchmarking of other hospital foodservice operations, but 7.8% gained through career education. They expected the enhanced efficiency of their tasks through implementing information systems. Based on factor analysis, information systems were divided into 6 management areas such as database management, meal management, nutrition management, purchasing management, production management and foodservice management. The average implementing scores were : database management 3.77, meal management 3.26, nutrition management 3.52, purchasing management 3.26, production management 2.73 and foodservice management 3.70 (score 1 indicates very poor and score 5 is very good). Among database management areas, standard recipe database and food item specifications database build-up scores(3.91) were relatively very high, but meal assessment and foodservice management reporting scores(2.43) were very low. The results suggest that it is necessary to build up automated foodservice management reporting system for the improvement of efficiency and productivity of operational tasks.

• Journal of Digital Convergence
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• v.10 no.1
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• pp.413-422
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• 2012

In this study, we developed the severity-adjusted length of stay (LOS) model for acute myocardial infarction patients using data from the hospital discharge survey and proposed management of medical quality and development of policy. The dataset was taken from 2,309 database of the hospital discharge survey from 2004 to 2006. The severity-adjusted LOS model for the acute myocardial infarction (AMI) patients was developed by data mining analysis. From decision making tree model, the main reasons for LOS of AMI patients were CABG and comorbidity. The difference between severity-adjusted LOS from the ensemble model and real LOS was compared and it was confirmed that insurance type and location of hospital were statistically associated with LOS. And to conclude, hospitals should develop the severity-adjusted LOS model for frequent diseases to manage LOS variations efficiently and apply it into the medical information system.

• Proceedings of the Korean Society of Medical Physics Conference
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• 2003.09a
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• pp.81-81
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• 2003

목적 : 현재, 많은 병원이 방사선과 의료영상정보를 기존의 필름형태로 판독하고, 진료하는 방식에서 PACS 를 도입하여 디지털 형태로 영상을 전송, 저장, 검색, 판독하는 환경으로 변화하고 있다. 한편, PACS 가 가지는 가장 큰 제한점은 휴대성의 결핍이다. 본 연구는 이동형 장치가 가지는 호스트의 이동성 및 휴대성의 장점들을 살리면서, 무선 채널 용량의 한계, 무선 링크 사용이라는 제약점들을 감안하여 의료영상을 JPEG2000 영상압축 방식으로 부호화한 후 무선 환경을 고려한 전송 패킷의 크기를 결정하고자 하였으며, 무선 통신 중 발생되는 패킷 손실에 대응하기 위한 자동 오류 수정 기능도 함께 구현하고자하였다. 방법 : Window 2000 운영체계에서 의료영상을 로드하고, 데이터베이스화하며, 저장하고, 다른 네트워크와 접속, 제어가 가능한 PC급 서버를 구축하였다. 영상데이터는 무선망을 통해 전송하기 때문에 가장 높은 압축비율을 지원하면서 에너지 밀도가 높은 JPEG2000 알고리즘을 사용하여 영상을 압축하였다. 또한, 무선망 사용으로 인한 패킷 손실에 대비하여, 영상을 JPEG2000 방식으로 부호화한 후 각 블록단위로 전송하였다. 결과 : PDA에서 JPEG2000 영상을 복호화 하는데 걸리는 시간은 256$\times$256 크기의 MR 뇌영상의 경우 바로 확인할 수 있었지만, 800$\times$790 크기의 CR 흉부 영상의 경우 약 5 초 정도의 시간이 걸렸다. CDMA 1X(Code Division Multiple Access 1st Generation) 모듈을 사용하여 영상을 전송하는 경우, 256 byte/see 정도에서는 안정된 전송 결과를 보여주었고, 1 Kbyte/see 정도의 전송의 경우 중간 중간에 패킷이 손실되는 결과를 관찰할 수 있었다. 반면 무선 랜의 경우 이보다 더 큰 패킷을 전송하더라도 문제점은 발견되지 않았다. 결론 : 현재의 PACS는 유선과 무선사이의 인터페이스의 부재로 인해 유무선 연동이 되지 못하고 있다. 따라서 이동형 JPEG2000 영상 뷰어는 PACS가 가지는 문제점인 휴대성을 보완하기 위하여 개발되었다. 또한 무선망이 가지는 데이터 손실에 대하여서도 허용할 수 있는 범위에서 재전송을 가능하게 함으로서 약한 연결성을 보완하였다. 본 JPEG2000 영상 뷰어 시스템은 기존 유선상의 PACS와 이동형 장치간에 유기적인 인터페이스 역할을 하리라 기대된다.

• Health Policy and Management
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• v.4 no.2
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• pp.1-26
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• 1994

As the hospital environment is changing rapidly, management is therefore obligated to use new ways to provide better service to patients. For example information system is introduced to some hospitals in Korea. Information system has several benefits such a soperational efficiency by on-line delivery and processing of data, accurate and rapid information production, continuous monitoring of performance and feedback, improvement of work process and better service quality. Still, many hospitals cannot be sure that information system is useful for improving organization performance. Because only one or two area of hospital information system were considered for development and with limited development hospital information system cannot be used effectively. The purpose of this study is to suggest the model of information system utilizaton and to analyze the hospital in formation system in Korea. The results are following; 1. In Korea, proportion of operating system of comuter is 31% of UNIX, 11% of IBM OS and 10% of PC LAN. 2. As we expect, scope of application software and amounts of heardware and software invest ments are affected by concern of CEO. 3. Many CIO(chief information officer) say that the biggest problems are lack of after-service and obsolescence of computer equipments in terms of hardware and shortage of application software for hospital in terms of software. 4. Personnel of information system department is so small that hospital information system can't be improved. 5. During the development of information system, full-time participation of end user is only 20% hospital with almost less than 12 person-month. This study was accomplished by survey through mail questionnaires. Response to the survey was only 55% and it was hard to generalize all the result obtained from this survey. However, We hope that this study would be helpful for helth care organization to acknowlege hospital information system in korea and to design the future architecture and frame of information system.

• Journal of the Korean Institute of Rural Architecture
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• v.12 no.4
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• pp.29-36
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• 2010

The purpose of this study is to have detailed data of the distribution, locations, and the amount of people in the waiting line of the nursing home. Also, we studied the accessibility to the facilities by using Web GIS to analyze the transit time it takes from the nursing home to health center and hospitals. We can provide the basic data that could contribute when future plans for the nursing homes' locations, health and medical policy are made. The results are as follows. 1. The nursing homes are stiffly concentrated in regions of Seoul and Gyeongi-do where large number of the elderly covered by long-term care insurance and the waiting line was very long for the elderlies to enter the nursing homes. In these cities of Ulsan and Jeju where number of the elderly covered by long-term care insurance is relatively small, there were less facilities. 2. The nursing homes located in urban areas had higher occupancy rate and higher number of people in the waiting line. 3. The average time taken by driving from the nursing homes and health center was 10 minutes and there was not a noticeable difference between the cities. Driving from the nursing homes to hospitals in rural areas took 22 minutes which is 2.5 times of the time taken for urban areas. Daegu-si and Incheon-si had relatively short distance from the nursing homes and the hospitals while Jeju-do had the furthest. For rural areas, it is needed for health center to be equipped with a wider medical coverage, have closely connected with hospitals to minimize the differences they have from ones in rural areas. It is also needed to have ambulances equipped for tele-medical examination and treatment system.

• Journal of Korean Clinical Nursing Research
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• v.19 no.3
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• pp.345-356
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• 2013

Purpose: To provide clear estimates of the adoption and use of electronic nursing records (ENRs) with standard terminology in Korea and identification of the scope and use as well as perceived or potential benefits of ENRs. Methods: A survey was done of 733 hospitals at three levels: tertiary advanced hospitals, general hospitals, and community hospitals. After performing a literature review a modified version of an existing survey tool was used for 2 months in 2012. The collected information related to EHR functionality and coverage of nursing documentation and nursing process, application of standard terminology, and perceived satisfaction and benefits of ENRs. Results: The response rate was 39.4% (289/733), and 202 hospitals (70.1%, 95% CI64.8~75.5%) of the respondents had ENR systems (82.5% of tertiary hospitals, 66.7% of general hospitals, and 70.1% of community hospitals). Out of these hospitals less than 10% had ENRs fully covering nursing documentation. The adoption rate of standard terminology was 55%, and hospital satisfaction with ENRs was 70%. But personalized care was identified as needing improvement in ENRs. Conclusion: The ENR adoption rate was high but there are many potential opportunities for improving ENR systems in terms of the data standardization and personalized care.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.33 no.3A
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• pp.319-326
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• 2008

All over the world more than 2,000 VORs(VHF Omni-directional Ranges) including 39 in Korea are being operated for formulating air routes. But VOR reveals some difficulties in cost and time when relocating already an installed one due to its poor performance from the interference by its geometrically surrounding obstacles. DVOR(Doppler VOR) which is more popular than CVOR(Conventional VOR) has huge antennas and make it very difficult to assume a sufficient number of proper site candidates for permanent installation. This paper develops an efficient method for predicting proper site of DVOR installation by isolating transmitter from sideband antennas and counterpoise, making the transmitter easily moveable and verifying the performance of DVOR only with a transmitter and an antenna. The method was tested with a real flight measurement for DVOR performance around Gwangju Airport in Korea.

• Journal of Veterinary Clinics
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• v.34 no.2
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• pp.146-151
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• 2017

Six major outbreaks of highly pathogenic avian influenza (HPAI) occurred from 2003 to 2016 in Korea. Epidemiological investigations of each outbreak revealed that migratory birds were the primary source of the HPAI virus. During the last five years, the geographic transmission pattern of domestic HPAI seems to have extended from local to nationwide; therefore, it is necessary to identify specific locations in which poultry farms are at elevated risk for HPAI outbreak to enable targeted surveillance and other mitigation strategies. Here, a geographical information system (GIS)-based analysis was used to identify geographic areas at high risk for future HPAI incidents in Korea based on historical outbreak data collected between December 2003 and April 2016. To accomplish this, seven criteria were used to identify areas at high-risk for HPAI occurrence. The first three criteria were based on defined spatial criteria buffering of 200 bird migration sites to some defined extents and the historical incidence of HPAI outbreaks at the buffering sites. The remaining criteria were based on combined attribute information such as number of birds or farms at district levels. Based on the criteria established for this study, the most-likely areas at higher risk for HPAI outbreak were located in Chungcheong, Jeolla, Gyeonggi, and Gyeongnam provinces, which are densely populated poultry regions considered major poultry-production areas that are located along bird migration sites. The proportion of areas at risk for HPAI occurrence ranged from 4.5% to 64.9%. For the worst criteria, all nine provinces, including Jeju Island, were found to be at risk of HPAI. The results of this study indicate that the number of poultry farms at risk for HPAI outbreaks is largely underestimated by current regulatory risk assessment procedures conducted for biosecurity authorization. The HPAI risk map generated in this study will enable easy use of information by policy makers to identify surveillance zones and employ targeted surveillance to reduce the impact of HPAI transmission.