• Title/Summary/Keyword: 재택의료

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Comparison of medical use and medical expenses between participants and non-participants in the home-based care pilot project for rehabilitation patients (재활환자 재택의료 시범사업 참여자와 미참여자의 의료이용 및 진료비 비교)

  • Ji Man Kim;Sang Gyu Lee;Young Geon Ji
    • Korea Journal of Hospital Management
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    • v.29 no.3
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    • pp.1-10
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    • 2024
  • Purposes: When rehabilitation services are provided remotely using information and communication technologies to patients living at home, there is an advantage in providing rehabilitation services to individuals in their everyday social and physical environment, which can improve functional outcomes and satisfaction. The purpose of this study was to analyze the effectiveness of the pilot project by analyzing the outpatient and inpatient medical use and expenses of patients who participated in the rehabilitation patient home-based care pilot project. Methodology: To analyze the effectiveness of the home-based care pilot project for rehabilitation patients, health insurance claims data from the Health Insurance Review and Assessment Service was used. The subjects of analysis were patients who had undergone major lower extremity joint replacement surgery, including hip, knee, and ankle joint replacement surgery, and patients who had lower extremity fracture surgery, which were the targets of the rehabilitation patient home-based care pilot project. To compare medical use and expenses between patients participating in the rehabilitation patient home-based care pilot project and those not participating, chi-square test, t-test, and multiple regression analysis were performed. Findings: As a result of analyzing the number of medical use cases and expenses of patients who participated and those who did not participate in the rehabilitation patient home-based care pilot project, the average outpatient medical use and outpatient medical expenses per person for participating patients were lower than those for patients who did not participate. The average hospitalization cost per person and the average length of stay per person were also lower than those of patients who did not participate. Practical Implications: Home-based care for rehabilitation patients continues to provide medical services at home, not at medical institutions, and can be expected to reduce readmissions and complications by resolving patients' emergency situations at home or on their own, thereby reducing medical use.

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Development of telecommunications System for Aged Welfare Policy (노인복지정책을 위한 정보통신시스템의 개발 방향)

  • 박민수;박계원
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.3 no.4
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    • pp.715-722
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    • 1999
  • This paper was studied on developmental direction of Telecommunications system for aged welfare policy. The results of this study is as follow: An economic needs must development of home shopping system, home banking system and telecommuting system. A medical needs must development of medical support system, medical information system and telemedical support system. A house needs must development of home automatic system, internet system. A culture needs must development of event system, leisure information system. A traffic needs must development of automatic traffic geographical system, automatic operating system. An education needs must development of teleeducation system, knowledge studying support system.

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A Study on High Speed Transmission System of Medical Information Based on PXA255 (PXA255기반 의료정보 고속 전송 시스템에 관한 연구)

  • Han Young-Jae;Yu Ho-Jun;Kim Young-Kil
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2006.05a
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    • pp.386-389
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    • 2006
  • At ubiquitous environment of the future, the platform that is mobile and suitable in such environment transmit and receive many data freely. In medical treatment field, medical device with advancement of the sensor and multimedia technique will develop as the household and hand-held device. So It will be developed as the health care device easily exchanging data to other devices and transmitting information of medical device to server. In this paper, currently the mobile platform based on the PXA255 such as a powerful microprocessor which connected the WLAN for guaranteeing a mobility and a speed transmits medical information to hospital server. It put an importance in providing the system for an efficient service.

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Performance analysis of OFDM Wireless Transmission System for Medical Information transmission in Multi-path fading channel Environment (다중경로 페이딩 채널 환경에서 의료정보 전송을 위한 OFDM 무선 전송시스템 성능 분석)

  • Seo, In-Hye;Kang, Heau-Jo
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.11 no.1
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    • pp.40-45
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    • 2007
  • In this paper, aim to suggest the medical information wireless transmission system to provide the mobility of medical service by means of wireless area network which makes it possible, home or at a long range, to check and oversee the state of patients, and to can out a simulation. The proposed method converts medical information to digital data in an emergency and sends them to mobile terminals such as PDAs to make possible swift first aid. The simulation took advantage of the OFDM transmission method based on IEEE 802.1la in order to send reliable medical information in mobile wireless channel environment, and analyzed the system performance by applying convolution encoding to transmit reliable information in AWGN and 3-ray mobile multipath fading channel environment.

재택 건강관리 시스템

  • 윤영로
    • 전기의세계
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    • v.53 no.9
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    • pp.43-52
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    • 2004
  • 최근 한국사회는 국민소득향상, 생활수준의 개선, 의학기술의 발달 등으로 평균수명이 크게 연장 되어 고령화 사회로 발전되어 가고 있다. 평균수명이 짧았던 시대에는 고령화 문제가 크게 중요시되지 않았으나 수명이 연장됨에 따라 노후에 대한 경제적, 사회적 보호문제 등이 대두되고 있다. 노인들의 기본욕구는 주로 소득 보건 주택 여가 등에 관한 것으로 노후에도 자신의 능력과 적성에 맞는 일자리를 찾아 경제적 안정을 누리며 소득을 유지하고 의료보장으로 건강한 노후를 보낼 수 있으며, 가족관계가 안정이 되고 자기발전을 기하며, 사회참여와 역할을 지속하며, 휴식과 오락을 즐기고 문화를 창출하며 삶의 보람을 찾을 수 있는가 하는 것이 문제이다.(중략)

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How to Implement Quality Pediatric Palliative Care Services in South Korea: Lessons from Other Countries (한국 소아청소년 완화의료의 발전 방안 제언: 국외 제공체계의 시사점을 중심으로)

  • Kim, Cho Hee;Kim, Min Sun;Shin, Hee Young;Song, In Gyu;Moon, Yi Ji
    • Journal of Hospice and Palliative Care
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    • v.22 no.3
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    • pp.105-116
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    • 2019
  • Purpose: Pediatric palliative care (PPC) is emphasized as standard care for children with life-limiting conditions to improve the quality of life. In Korea, a government-funded pilot program was launched only in July 2018. Given that, this study examined various PPC delivery models in other countries to refine the PPC model in Korea. Methods: Target countries were selected based on the level of PPC provided there: the United Kingdom, the United States, Japan, and Singapore. Relevant literature, websites, and consultations from specialists were analyzed by the integrative review method. Literature search was conducted in PubMed, Google, and Google Scholar, focusing publications since 1990, and on-site visits were conducted to ensure reliability. Analysis was performed on each country's process to develop its PPC scheme, policy, funding model, target population, delivery system, and quality assurance. Results: In the United Kingdom, community-based free-standing facilities work closely with primary care and exchange advice and referrals with specialized PPC consult teams of children's hospitals. In the United States, hospital-based specialized PPC consult teams set up networks with hospice agencies and home healthcare agencies and provide PPC by designating care coordinators. In Japan, palliative care is provided through several services such as palliative care for cancer patients, home care for technology-dependent patients, other support services for children with disabilities and/or chronic conditions. In Singapore, a home-based PPC association plays a pivotal role in providing PPC by taking advantage of geographic accessibility and cooperating with tertiary hospitals. Conclusion: It is warranted to identify unmet needs and establish an appropriate PPD model to provide need-based individualized care and optimize PPC in South Korea.

A Study on Mobile Personalized Healthcare Management System (모바일 개인건강관리시스템에 관한 연구)

  • Lee, Nan Kyung;Lee, Jong Ok
    • KIPS Transactions on Computer and Communication Systems
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    • v.4 no.6
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    • pp.197-204
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    • 2015
  • Recent changes in health care environment including aging population and prevalence of chronic disease encourage the adoption of new innovative technological solutions including wearable vital sensors, wireless networks, and smart phone. In this paper, we present an effective at-home lifestyle monitoring system that can be used for self-management and health intervention of patient himself in the Management-by-Exception perspectives. We implemented the filtering and queuing algorithms as a preprocessor of monitoring system to enhance efficiency of proposed system, and the effective UX design for self-management of patients themselves. The 94,467 actual clinic data was used to test the efficiency of the proposed system. As as a result, 64.8% of the incoming vital data was identified to be filtered out.

Development of a Home-Based Multimedia Tutoring System for Postpartum Depression Management (산모의 산후우울 간호관리를 위한 멀티미디어 재택관리 시스템 개발)

  • 배정이
    • Journal of Korean Academy of Nursing
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    • v.29 no.1
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    • pp.9-20
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    • 1999
  • Postpartum depression is one of the most serious problems in maternal health because it affects not only the mother but also her family. Postpartum depression disturbs maternal -infant interaction and attachment. However, most postpartum depression patients ignore this problem and do not seek treatment. Thus this study in conducted to development of a Home-Based Multimedia Tutoring System for postpartum depression management. With this computerized system, mothers in the postpartum periods can check the level of postpartum depression using a personal computer. This system will go through each mother's data and screen those who have abnormal values. In addition this system includes intervention programs -education for nutrition, hygiene care, sleep, postpartum exercise, methods of relaxation, deep breathing, visualization, music therapy and family therapy-to relieve postpartum depression. Using this system, a mother who has a minor level of depression can manage it by herself. Computer language used in this study were html 3.2, OS used was Microsoftware NT Server 4.0, the graphic tool was Adobe Photoshop 4.0, and the Webpage tool was Notepade. The results of this study are show at internet “URL : http : //203.241.225.42/”. Finally, the author suggests that this system could be adequately applied to assessing postpartum depression and as a intervention strategy for mothers during the postpartum period. Further this study contributes to designing an appropriate postpartum depression prevention strategy.

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A Study on Research Framework and Research Trends in the Healthcare Information Technology Area (헬스케어 정보기술 분야의 연구 프레임워크 및 연구동향)

  • Lee, N.K.;Lee, J.O.;Hwang, K.T.
    • Informatization Policy
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    • v.21 no.3
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    • pp.3-32
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    • 2014
  • Recent developments of smart phone and ICT, and explosive developments of wireless sensor area drive radical changes on traditional health care service. To accommodate the changes, many researchers have studied to expand traditional healthcare service areas including home care for independent living and public care for preventive and collaborative wellness area. This study proposes a research framework for healthcare information technology area based on Mettler and Raptis's(2012) work. Then, the study analyze the research trends in the area based on the framework. The area of monitoring patients health status at home using smart phone, providing innovative healthcare service by out-patients monitoring, and implementing preventive healthcare services are identified most active and emerging research agenda. It is expected that the research framework and implications of this study can assist future research efforts and practical utilization of healthcare information technologies.

Policy of Information Service for Aged Welfare (노인복지정보서비스 향상을 위한 정책방향)

  • 박민수
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.4 no.2
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    • pp.337-346
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    • 2000
  • This paper was studied on policy direction of information service for aged welfare. An element on social changes is as follow: economic problem, medical problem, leisure problem, alienation problem. Solution of this problem needs information service. Information service is Telecommuting service, home shopping service, medical support service, medical information service, telemedical support service, internet service, and knowledge studying support service. The results of this study is as follow: First, aged welfare organization must be constructed. Second, Network for aged welfare must be constructed. Third an aged must be utilization of information service. Fourth, policy of nation must be changes. Fifth, information service of aged welfare must be developed.

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