• Title/Summary/Keyword: 의료 데이터

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EUS 도입에 따른 언더라이팅 효율극대화 방안

  • Jo, Seok-Hoon
    • The Journal of the Korean life insurance medical association
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    • v.24
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    • pp.79-96
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    • 2005
  • 1. 연구배경과 문제제기 - 보험시장의 환경변화 : 보험업법 개정, 방카슈랑스 도입, 고(高)보장성 생존급부(CI, LTC)상품의 등장, 통신판매 전문보험회사의 설립 허용 - 현행 언더라이팅 시스템의 문제점 : 위험난이도와 판매 채널별 특성이 고려되지 않고 언더라이터에 전건 배정 되어 업무의 효율성이 낮음 - 보험시장의 환경변화에 맞는 EUS(Expert Underwriting System) 도입으로 언더라이팅의 효율성을 증대하고자함 2. 국내/외 생보사 언더라이팅 시스템 현황 비교 및 개선방안 - 국내 언더라이팅 시스템 현황 : 청약서 입력/스캔 후 진단 및 적부 유무(有無)에 따라 자동으로 언더라이터에게 심사가 배정됨 - 미국 언더라이팅 시스템 현황 : EUS에 의한 1차 전산승낙여부 결정 후(後)언더라이터에게 심사가 배정됨 - 위험난이도의 고저(高低)와 관계없이 언더라이터에 배정되는 심사시스템의 문제점을 극복하고 체계적인 위험평가를 위해 EUS도입이 필요함 3. EUS 선행요건 - 고객정보의 확보 - 국내 생보사의 고객정보 수집원 : 청약서, 모집인 보고서, 건강진단서,적부조사, 보험사고정보조회시스템 (ICPS), 고액보험 및 상해보험 중복가입자에 대한 정보 교환제도 - 북미 생보사의 고객정보 수집원 : 청약서, 모집인 보고서, 의사소견서 및 진료기록서, 건강검진, 적부조사, 정보교환제도( 북미보험사간 의료정보 공유-MIB) - 정확한 고객정보의 확보방안 : 법률/제도의 정비, 청약서 질문 내용의 세분화, 의료정보교환제도의 구축 4. EUS 개요 및 현황 - EUS의 정의: 고객의 정보를 입력하여 청약부터 보험증권 발행 단계까지 One-Stop 서비스를 제공하는 것으로 언더라이터가 청약서를 가지고 언더라이팅 하는 것과 동일한 업무를 할 수 있는 전문가 시스템 - EUS의 장점: (1) 비용절감 및 인력의 효율적 활용 (2) 업무별 시스템화 되는 조직속성에 적합함. (3) 언더라이팅 정책이 경영 환경 변화에 대처하는데 신속함 - 국외 EUS 현황 (예: Cologne Re) 및 사례연구 5. 위험분류 및 EUS 개요현황 (언더라이팅 시스템 도입) - 위험관리 선행요건으로 위험요소별 분류가 체계적으로 수립되어야 함. - 데이터웨어하우스 (의사결정을 목적으로 설계된 조회와 분석이 가능한 통합된 정보저장소) 시스템 사용 - EUS 도입을 통한 언더라이팅 프로세스: 데이터마이닝 과정을 통해 "자동승낙, 언더라이터에게 심사배정, 적부의뢰, 진단의뢰, 텔레 언더라이터, 보완지시"등이 결정됨. 6. 판매채널별 EUS 활용방안 - 대면채널: 효용성 높은 정보제공과 정확한 위험분석이 가능한 시스템으로 고(高)보장, 고(高)위험 상품에 대해 언더라이터가 집중 심사 할 수 있게 함. - 방카슈랑스: 3S(간결, 신속, 서비스)의 특성에 맞는 전과정 무인자동심사시스템 - 비대면채널: 판매상품과 타겟시장을 명확히 한 후 도덕적 위험과 재무적 위험에 대한 평가시스템 및 의사결정 시스템을 도입 7. 결론 - EUS 도입의 기대효과 (1) 심사기일의 단축으로 고객만족 실현 (2) 체계적 과학적 리스크 관리로 위험률차익 증대에 기여 (3) 업무효율의 증대와 언더라이터의 역량강화 (4) CRM 활용증대와 모바일 청약시스템 구축의 근간 - EUS 도입시 경제적 법률적 제도적 문제 극복과 생보 업계 공동의 관심과 노력이 필요함 - EUS를 활용하여 종합적.체계적 리스크 관리가 가능한 금융회사로의 경쟁력 향상에 기여함.

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Singular Value Decomposition based Noise Reduction Technique for Dynamic PET I mage : Preliminary study (특이값 분해 기반 Dynamic PET 영상의 노이즈 제거 기법 : 예비 연구)

  • Pyeon, Do-Yeong;Kim, Jung-Su;Baek, Cheol-Ha;Jung, Young-Jin
    • Journal of radiological science and technology
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    • v.39 no.2
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    • pp.227-236
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    • 2016
  • Dynamic positron emission tomography(dPET) is widely used medical imaging modality that can provide both physiological and functional neuro-image for diagnosing various brain disease. However, dPET images have low spatial-resolution and high noise level during spatio-temporal analysis (three-dimensional spatial information + one-dimensional time information), there by limiting clinical utilization. In order to overcome these issues for the spatio-temporal analysis, a novel computational technique was introduced in this paper. The computational technique based on singular value decomposition classifies multiple independent components. Signal components can be distinguished from the classified independent components. The results show that signal to noise ratio was improved up to 30% compared with the original images. We believe that the proposed computational technique in dPET can be useful tool for various clinical / research applications.

The Determinant of the Length of Stay in Hospital for Schizophrenic Patients: Using Data from the In-depth Injury Patient Surveillance System (정신분열병 환자의 재원일수 결정요인: 퇴원손상심층조사 자료를 이용하여)

  • Cha, Sun Kyung;Kim, Sung-Soo
    • Journal of Digital Convergence
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    • v.11 no.4
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    • pp.351-359
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    • 2013
  • This study was conducted to investigate the factors that affect the length of stay in hospital for schizophrenic patients. Of the data from the in-depth injury patient surveillance system, the final subject included 2,239 patients with schizophrenia in their final diagnosis. Using SPSS 18.0, a hierarchical regression analysis was performed by sequentially entering the explanatory variables by setting sociodemographic characteristics, discharge characteristics and hospital characteristics as explanatory variables and the length of stay in hospital as a dependent variable. The findings showed that the sociodemographic characteristics had the highest explanatory power and the explanatory power changed when the explanatory variable of the hospital characteristics was added, as opposed to the discharge characteristics. Male, type-1 medicaid, Chungcheong-do and the number of beds were found to be the factors that mostly affect the length of stay. Since this study used the secondary data, it has a limitation in terms of additional variables that could better explain the length of stay for schizophrenic patients. Nevertheless, it has an implication in that it investigated a large scale of data on a national level. For the effort of reducing the length of stay, it is suggested that an effort should be made at the national level, by focusing more on the hospital characteristics as well as the individual characteristics of patients.

A Study on u-Care Service for the Health and Safety of the Elderly Living Alone (1인 가구 고령자의 건강과 안전을 위한 u-Care에 관한 연구)

  • Kang, Seungae
    • Convergence Security Journal
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    • v.17 no.3
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    • pp.59-64
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    • 2017
  • Korea is experiencing a rapid increase in the number of elderly living alone accompanying the aging society problem, a nd is making efforts to solve the problem through the policy of 'living alone u-care service'. The purpose of this study is to propose a better u-Care service improvement method by applying new technology to improve the user experience of ucare service for the health and safety of the elderly living alone. First, the improvement of u-Care service for elderly livin g alone by applying IoT technology. It provides remote monitoring service using health information data measured through wearable device, and transmits personal health status to medical institution by using personal device such as smart phone, so that remote medical consultation or telemedicine can be connected in the future. Second, improvement of u-Care service through consideration of emotional stability of elderly living alone as well as simple safety and health care through applica tion of emotional service robot technology.It is expected that it will be able to help independent living of one person's elde rly person in the future by providing caring function service to existing u-care service providing service.

Design and Implementation of the u-Health Care Services in the Life Environment (생활환경 기반 u-건강관리서비스 설계 및 구현)

  • Hong, In-Hwa;Kim, Ju-Young;Choi, Ho-Chun;Kim, Chan-Gyu;Jung, Kwang-Mo;Kim, Nam-Il;Kang, Jeong-Jin
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.11 no.6
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    • pp.107-118
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    • 2011
  • This paper shows a u-Health management system in user's Life environment, which is different from previous ones by enterprises. It's designed for users(citizens) and service provider(especially providing medical service). This paper is discussing on the proof on the service model being operated near the Tancheon stream in the city of Sung-nam. To maximize users' satisfaction, this service has been designed on four disciplines(so easy, so simple, well-customized, funny feedback) in the viewpoint for users. Its algorithm has 4 levels which are measurement, prescription, monitoring and feedback. In the system. there are HCBs(health check boothes) checking out status and assessment of users, customized health prescription customized a health management service prescription engine, exercise programs customized on exercise equipments near the stream and monitoring system.

Factors Influencing Perception of Hospice Palliative Care in High School Students in Korea (고등학생의 호스피스완화의료 인식 영향요인)

  • Lee, Young Eun;Kim, Mi Kyung;Choi, Eun Ah;Im, Min Suk
    • Journal of Hospice and Palliative Care
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    • v.19 no.3
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    • pp.222-232
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    • 2016
  • Purpose: This study was to investigate the relationships between spiritual well-being, attitude towards death and perception of hospice, and the factors influencing hospice perception of high school students. Methods: A survey was conducted with 229 students in four high schools in B city from May 1, 2015 through May 31, 2015. The data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, stepwise multiple regression using the SPSS 18.0 program. This study was approved by the internal review board. Results: The factors influencing hospice perception of the high school students were previous recognition of hospice (${\beta}=0.412$, P<0.001), attitude towards death preparation among sub-variables of attitude towards death (${\beta}=-0.244$, P<0.001), subjective school life satisfaction (${\beta}=-0.215$, P<0.001), and sex (${\beta}=0.191$, P<0.001). The more positive the attitude towards my body after death and that towards death preparation was, the more positive recognition for hospice was. The total explanatory power of these factors was 34.5%. Conclusion: To improve high school students' perception of hospice, it is necessary to provide them with a hospice education program to help them with their attitudes towards death preparation and their understanding of hospice.

Antibiofilm Activity of Scutellaria baicalensis through the Inhibition of Synthesis of the Cell Wall (1, 3)-${\beta}$-D-Glucan Polymer (세포벽 (1,3)-${\beta}$-D-Glucan Polymer 합성의 저해로 인한 황금(Scutellaria baicalensis)의 항바이오필름 활성)

  • Kim, Younhee
    • Microbiology and Biotechnology Letters
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    • v.41 no.1
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    • pp.88-95
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    • 2013
  • Candida biofilms are self-organized microbial communities growing on the surfaces of host tissues and medical devices. These biofilms have been displaying increasing resistance against conventional antifungal agents. The roots of Scutellaria baicalensis have been widely used for medicinal purpose throughout East Asia. The aim of the present study was to evaluate the effect of S. baicalensis aqueous extract upon the preformed biofilms of 10 clinical C. albicans isolates, and assess the mechanism of the antibiofilm activity. Its effect on preformed biofilm was judged using an XTT reduction assay and the metabolic activity of all tested strains were reduced ($57.7{\pm}17.3$%) at MIC values. The S. baicalenis extract inhibited (1, 3)-${\beta}$-D-glucan synthase activity. The effect of S. baicalensis on the morphology of C. albicans was related to the changes in growth caused by inhibiting glucan synthesis; most cells were round and swollen, and cell walls were densely stained or ruptured. The anticandidal activity was fungicidal, and the extract also arrested C. albicans cells at $G_0/G_1$. The data suggest that S. baicalensis has multiple fatal effects on target fungi, which ultimately result in cell wall disruption and killing by inhibiting (1, 3)-${\beta}$-D-glucan synthesis. Therefore, S. baicalensis holds great promise for use in treating and eliminating biofilm-associated Candida infections.

Estimation for Economic Scale of Radioactive Usage in Korea using Input-Output Table 2005 (2005년 산업연관표를 이용한 우리나라의 방사선 이용의 경제규모에 대한 추정 연구)

  • Kim, Yoon-Kyung
    • Journal of Korea Technology Innovation Society
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    • v.13 no.4
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    • pp.772-793
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    • 2010
  • In this paper, author estimated economic scale of radiation usage in Korea using Input-Output table 2005 and other micro data published. This estimation focused all kind of radiation usage in whole economic activity. Estimation of economic scale is quantitative analysis for how much radiation usage increase productivity and welfare. Economic scale estimation of radiation usage in Korea 2005 is 6,297 Billion Won and it occupies 0.74% of GDP. It is smaller level compared with that of US and Japan. It is 1.5% of GDP in US (1997) and 1.2% of GDP in Japan (2005). Radiation usage in industrial sector is 5,775 Billion Won and it is 0.68% of GDP. Radiation usage in agriculture sector is 171 Billion Won and it is 0.02% of GDP. Radiation usage in medical sector is 351 Billion Won and it is 0.04% of GDP. This implied that radiation usage in industrial sector is larger than other sector. Use of medical radiology may be enlarge in the future due to population structure. The result that radiation usage occupied 0.74% of GDP arouse contribution of radiation usage in daily life. It helps people to have more understanding and public acceptance for radiation.

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Design and Implementation of IEEE 11073/HL7 Translation Gateway Based on U-Healthcare Application Service for M2M (M2M을 위한 U-헬스케어 응용 서비스 기반 IEEE 11073/HL7 변환 게이트웨이 설계 및 구현)

  • Chun, Seung-Man;Nah, Jae-Wook;Park, Jong-Tae
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.36 no.3B
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    • pp.275-286
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    • 2011
  • As the 21st century paradigm of healthcare service changes from post-therapeutic treatment to disease prevention and management in advance, the M2M-based u-healthcare application service is increasingly important. M2M-based u-healthcare application service uses mobile handsets equipped with sensors to measure vital information, and the medical staff in remote locations can manage the health of the patient or the public in real time. In this paper, IEEE/HL7 translation gateway, utilizing the gateway based on M2M u-healthcare application service structure, which is based on international standards, has been designed and implemented. Specifically, the gateway between ISO/IEEE 11073 standards and ANSI HL7 has been developed. The former defines the protocol for the exchange of information between the agent device and the manger devices for measuring and handling biological signal, and the latter defines the application layer protocol for the exchange of various healthcare information systems. Finally, in order to demonstrate the functionality of the proposed architecture, the M2M-based U-healthcare application service based on IEEE/HL7 translation gateway, utilizing the gateway, has been developed which can measure, collect and process a variety of vital signs such as ECG or SpO2.

The Effect Organizational Justice on Organizational Citizenship Behavior focus on Nurses in Secondary Hospitals (임상간호사의 조직공정성이 조직시민행동에 미치는 영향 : 2차 의료기관을 대상으로)

  • Chang, Kyung-Wha
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.11
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    • pp.7648-7655
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    • 2015
  • Nursing service quality can vary depending on the work attitude and behavior of nurses. Nursing attitude and behavior that can be described as voluntary and proactive organizational citizenship behavior(OCB). OCB affects the work performance of nurses in clinical practice is very important and organizational justice is an important influencing factors of OCB. The purpose of this study was to determine the influential factors of organizational justice on OCB of nurses. The descriptive-correlational method was applied. The study was carried out less than a 500-bed hospital. Participants of the study included 230 nurses working in secondary hospitals. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and multiple regression with the 18.0 SPSS/Window program. Considering the components of organizational justice, there was a significant positive correlation(r=.172~.540, p=.000) between OCB and distributive, procedural and interactional justice. Also, Total organizational justice explained 29.1% of total OCB with influencing factor (${\beta}$=.540) and was statistically significant(F=93.777, p=.000). The influencing factors to OCB were distributive justice(${\beta}$=.283) and interactional justice(${\beta}$=.249) except procedural justice. The findings suggest that strategies of nursing management are needed to focus on distributive justice for compensation and interactional justice for social relationship in order to induce nurses' organizational citizenship behavior.