• Title/Summary/Keyword: 직접복약관리

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Implementation of Digital Directly Observed Treatment (DOT) System using a Smart Pillbox (스마트 약상자를 이용한 디지털 직접 복약 관리 시스템의 구축)

  • Kim, Beom-Joon
    • The Journal of the Korea institute of electronic communication sciences
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    • v.7 no.5
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    • pp.1213-1219
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    • 2012
  • As Korea is expected to enter an aging society in near future, the number of patients who need a long-term prescribtion is expected to increase as well. In particular, Korea shows the highest in both the incident rate and the death rate among OECD member nations. The current situation requires more strict monitoring and management for patients' taking medicine, there are a few practical problems such as personnel expenses. Recently the concept of directly observed treatment (DOT) that is based on the IT technologies has been introduced. This paper, therefore, proposes a digital DOT system with a smart pillbox and drives key requirements for the smart pillbox that plays an important and essential role in the proposed digital DOT system.

Development of a smart pillbox and improvement of the medication adherence for the efficient management of medicine administration (효율적인 복약 관리를 위한 스마트 약상자의 개발과 약물순응도의 향상)

  • Kim, Beom-Joon
    • The Journal of the Korea institute of electronic communication sciences
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    • v.8 no.9
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    • pp.1391-1397
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    • 2013
  • As Korea is expected to enter an aging society in near future, the number of patients who need a long-term prescription is expected to increase as well. In particular, Korea shows the highest in both the incident rate and the death rate among OECD member nations. The current situation requires more strict monitoring and management for patients' taking medicine, there are a few practical problems such as personnel expenses. In order to realize the efficient management of medicine administration, this paper proposes a smart pillbox that is developed based on IT technologies. Through the experiments in which actual patients participate, it is proved that the smart pillbox is beneficial to the patients taking medicine.

A Multi-User Authentication Scheme for a Smart Medication Management and Monitoring System (스마트 복약관리 및 모니터링 시스템에서 다중 사용자 인증 방법)

  • Kim, Beom-Joon
    • The Journal of the Korea institute of electronic communication sciences
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    • v.10 no.5
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    • pp.571-578
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    • 2015
  • Even though DOT (Directly Observed Treatment) is the most definite method for the patients who need a long-term medication, its implementation is almost impossible considering the manpower and economic cost for it. The smart medication management and monitoring system that has appeared as an alternative requires a device for its implementation. In this paper, we propose so-called a smart pillbox for the smart medication management and monitoring system and the multi-user authentication scheme for sharing the smart pillbox among the patients. Through the smart pillbox and the multi-user authentication scheme, it is expected that the recovery rate would be raised by enabling the patients to take medicine in both timely and correct manner.

TB 클리닉 - 결핵환자 복약확인(DOT)시범사업

  • O, Su-Yeon
    • 보건세계
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    • v.59 no.3
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    • pp.8-12
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    • 2012
  • - DOT하 결핵환자 치료 성공율을 90% 이상 달성 ${\rightarrow}$ 치료 완료후 2년이내 균양성 재발율을 3% 미만으로 달성 - 질병관리본부와 결핵연구원, 보건소 및 민간 병의원에서 치료받고 있는 결핵환자에 대한 WHO의 결핵조기퇴치 기본 전략인 직접복약확인체계(DOTS, Directly observed treatment short course)시범사업 본격 실시

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Development of system NFC-based medication management for elderly patients (고령 환자를 위한 NFC기반 복약 관리 시스템의 개발)

  • Yoon, Taebok;Lee, Jong-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.8
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    • pp.5303-5309
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    • 2014
  • With entering into an aged society, more people need to pay attention to their health and disease. In particular, it is significant for senior citizens with chronic disease to have a medication system because it is related directly to their lives. This study suggested the NFC-based medication management system for elderly patents. By developing a NFC-based medication bottle cap and smart phone application program, the suggested method can assist elderly patients to take medicines properly without missing or abusing them through guidance and alarm, and maintain their health.

Implementation of a Drug Information Retrieval System Through OCR API pErformance Comparison (OCR API 성능 비교를 통한 복약 정보 검색 시스템 구현)

  • Jeong-Min Park;Sung-Kyeong Choi;Jun-Yeong Kim;Se-Hoon Jung;Chun-Bo Sim
    • The Journal of the Korea institute of electronic communication sciences
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    • v.18 no.5
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    • pp.989-998
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    • 2023
  • As diseases are already increasing due to aging population and changes in eating habits, interest in digital healthcare is increasing. According to the 2020 Elderly Status Survey, 84% of South Koreans aged 65 and older suffer from at least one chronic disease, and the number and duration of drugs taken by the elderly are also increasing. Effective management that enhances compliance of chronic disease patients can prevent the onset of complications, thereby averting progression to severe illnesses. Thus, a proper medication-taking habit is crucial. This paper proposes a medication information retrieval system using OCR technology. By leveraging Google Cloud Vision API, the system detects and recognizes the names of medicines. Once recognized, the medication name is searched in a database to provide users with medication information and medication schedule management services. By providing accurate medication information through the search, it is possible to induce changes in medication methods and habits. By eliminating the inconvenience of direct input through OCR technology, we anticipate enhancing user convenience by promptly delivering information.

Developing a Smart Pillbox to Improve the Medication Adherence of the Patients Requiring a Long-term administration (장기 투약대상자의 약물순응도를 높이기 위한 스마트 약상자의 구현)

  • Kim, Beom-Joon
    • The Journal of the Korea institute of electronic communication sciences
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    • v.8 no.4
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    • pp.611-617
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    • 2013
  • Although tuberculosis can be recovered if patients take medicine consistently, Korea shows significantly high rate in terms of incident rate and death rate of the tuberculosis patients. Considering such a situation, this paper has developed a smart pillbox that facilitates for patients requiring a long-term administration to take medicine in a regular and consistent manner. The developed smart pillbox is equipped with a load cell that can measure the weight in unit of 0.1g so that it can determine whether or not the medicine is dispensed out of itself. In addition, a software has been developed to determine the status of patient's taking medicine based on the measurement result.

Review of 2017 Major Medical Decisions (2017년 주요 의료판결 분석)

  • Lee, Jung Sun;Lee, Dong Pil;Yoo, Hyun Jung;Jeong, Hye Seung;Park, Tae Shin
    • The Korean Society of Law and Medicine
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    • v.19 no.1
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    • pp.207-254
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    • 2018
  • The major court rulings delivered in 2017 include the ruling that separated the legal character of denture production agreement signed together with medical care agreement and found a subcontracting dimension in the former, and the ruling that overcame the limitations of the theory of entire appearance of a fetus as discussed in civil law by using the legal principle of insurance which suggests that unborn child insurance takes effect after the contract is signed and the first installment of the premium is paid in. As more court rulings find the medical specialists responsible for accidents and injuries from drugs, some argue that medication counseling by the druggist who makes and dispenses drugs should be upgraded. And with respect to a court ruling that denied the hospital's responsibility for an infection-involving accident even if there were no records on specific measures taken in infection management, some criticized the court for being too conservative in recognizing responsibilities. And with respect to infectious disease management, some criticized the court for its interpretation and application of the facts in the direction of denying the negligence. In addition, some claimed that it is necessary to establish institutional system for hospital infection control and its aid for victims, and to improve the system including the reversal of the burden of proof given the special nature of hospital infections. A number of rulings on the duty to disclose included the one which stated that the specific matter did not require a doctor's explanation as it was explained or the specific medical service would have been performed even if no explanation had been given. There was a greatly controversial ruling over the scope of indemnification, which accepted the occurrence of multiple scars and deformation as disorders while regarding breast as a thoracic organ. And a Supreme Court ruling over interpreting Medical Service Act was criticized as overstepping the boundary allowed in the law.

The Implementation and limits of Involuntary Detention of the Tuberculosis Prevention Act (결핵예방법의 격리명령의 실행과 한계에 관하여)

  • Kim, Jang Han
    • The Korean Society of Law and Medicine
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    • v.16 no.2
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    • pp.55-84
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    • 2015
  • The tuberculosis is the infectious disease. Generally, the active tuberculosis patient can infect the 10 persons for one year within the daily activities like casual conversation and singing together. The infectivity of tuberculosis can continue for a life time, and infected persons can remain at risk for developing active tuberculosis. To control this contagious disease, along with the active tuberculosis patients, non-infectious but non-compliant patients who can be infectious if their immune systems become impaired have to be managed. To control the non-complaint patients, medical treatment order should be combined with the public order. Because tuberculosis is the risk of community health, the human rights like liberty and freedom of movement can be restricted for public welfare under the article 37(2) of constitution. Even when such restriction is imposed, no essential aspect of the freedom or right shall be violated. The degree of restriction on the rights of citizens is different what methods are chosen to non-complaint patients. For example, under the directly observed therapy program, the patients and medical staffs make an appointment and meet to confirm the drug intakes according to the schedule, which is the medical treatment combined with the mildest public order. If the patients break the appointments or have the history of disobedient, the involuntary detention can obtain the legitimate cause. The Tuberculosis Prevention Act has the two step programs on this involuntary detention, The admission order (Article 15) is issued when the patients are infectious. The quarantine order (Artle 15-2) is issued when the patients are infectious and non-complaint. The legal criteria for involuntary detention are discussed and published through the international conventions and covenants. For example, World Health Organization had made guidance on human rights and involuntary detention for tuberculosis control. The restrictions should be carried out in accordance with the our law and in the legitimate objective of public interest. And the restriction should be based on scientific evidence and not imposed in an unreasonable or discriminatory manner. We define and adopt these international criteria under our constitution and legal system. Least restrictive alternative principle, proportionality principle and the individual evaluation methods are explained through the reviews of United States court decisions. Habeas Corpus Act is reviewed and adopted as the procedural due process to protect the patient rights as a citizen. Along with that, what conditions and facilities which are needed to performed quarantine order are discussed.

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