• Journal of Digital Convergence
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• v.18 no.6
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• pp.401-409
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• 2020

The purpose of this study is to develop a convergence inpatient medical service patient experience management model(IMSPEMM) that can help in the management strategy of a medical institution to create a patient-centered medical culture. Using the original data from the 2018 Medical Service Experience Survey, 593 people with medical services inpatient(MSI) over the age of 15 were analyzed. By using the decision tree model, we developed a prediction model for overall satisfaction(OS) with the inpatient medical service experience(IMSE) and the intention to recommend patient experience(RI), and were classified into 4 and 7 types. The accuracy of the model was 68.9% and 78.3%. The OS level of IMSE was the nurse area and the hospital room noise management area, and the RI decision factor was the nurse area. It is significant that the IMSPEMM for MSI was presented and confirmed that the nurse area and the noise management area of the hospital room are important factors for the inpatient experience. It is considered that further research is needed to generalize the IMSPEMM.

• The Journal of Information Systems
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• v.20 no.3
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• pp.237-255
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• 2011

지난 수십 년 간 연구자들은 효과적인 진료지원시스템을 개발하기 위해 다양한 도구와 방법론들을 제안하였고 지금도 새로운 방법론과 도구들을 계속적으로 개발하고 있다. 그 중에서 흉통으로 응급실에 내원한 노인환자에 대한 정확한 진단은 중요한 이슈 중의 하나였다. 따라서 많은 연구자들이 의사의 진단 능력을 향상시키기 위한 지능적인 의료의사결정과 시스템 개발에 투신하고 있지만 전통적인 의료시스템에 따른 대부분의 진료의사결정이 단일 분류기(classifier)에 기반하고 있어 만족스런 성능을 보여주지 못하고 있는 것이 현실이다. 따라서 이 논문은 앙상블 전략을 활용하여 의사들이 노인환자들의 흉통을 더 정확하고 빠르게 진단하는데 있어 도움을 줄 수 있게 하였다. 의사결정나무, 인공신경망, SVM 모델을 결합한 앙상블 기법을 실제 응급실에서 수집한 응급실 자료에 적용하였고, 그 결과 단일 분류기를 사용하는 것에 비해 월등히 향상된 진단 성과를 보이는 것을 관찰 할 수 있었다.

• Journal of Digital Convergence
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• v.11 no.9
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• pp.289-299
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• 2013

The aim of this study was to enhance the NHI claims data-based tuberculosis classification rule of KCDC(Korea centers for disease control & prevention) for an effective TB surveillance system. 8,118 cases, 10% samples of 81,199 TB cases from NHI claims data during 2009, were subject to the Medical Record Survey about whether they are real TB patients. The final study population was 7,132 cases whose medical records were surveyed. The decision tree model was evaluated as the most superior TB patients detection model. This model required the main independent variables of age, the number of anti-tuberculosis drugs, types of medical institution, tuberculosis tests, prescription days, types of TB. This model had sensitivity of 90.6%, PPV of 96.1%, and correct classification rate of 93.8%, which was better than KCDC's TB detection model with two or more NHI claims for TB and TB drugs(sensitivity of 82.6%, PPV of 95%, and correct classification rate of 80%).

• Journal of agricultural medicine and community health
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• v.36 no.4
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• pp.238-250
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• 2011

Objectives: This study was performed to investigate the service needs of the beneficiaries who had enrolled in home-based management programs for cancer patients. Methods: From March to May 2009, 676 cancer patients who were registered in home-based cancer patient management programs were selected as subjects for this study. The data were collected using a questionnaire along with a face-to-face interview performed by officers in charge of the home-based care programs of 47 regional health centers. Fifteen patients were excluded due to incomplete data, leaving 661 subjects who were ultimately enrolled in the study. Results: The mean age of subjects was $64.0{\pm}2.5$ years, and males comprised 45.1% (298/661) of the sample. The results of factor analysis for service needs showed that there were five main categories and Cronbach's alpha ranged from 0.593 to 0.890 for each factor. The service needs categories in order of importance were social support, information and education, psychological problems, physical symptoms and household chores. The service needs scores were significantly different when subjects were stratified by age, habitation, religion and disease classification. When we divided the subjects into complete remission, under treatment and terminally ill groups, the needs scores of the terminally ill patient group were significantly higher than those of the other groups (p<0.001). Conclusions: Service provision based on patient and beneficiary needs could be an effective intervention to reduce the economic burden of cancer management and to improve the quality of life of cancer patients receiving home-based care. Therefore, it is recommended that individual cancer patient care programs be developed and administered according to patient age, habitation and disease severity.

• Journal of the Korea Convergence Society
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• v.13 no.2
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• pp.341-348
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• 2022

The study was aimed to identify the educational needs for gerontological nursing using the nursing diagnosis classification of hospital nurses. A cross-sectional survey was conducted on 245 nurses who had experience caring for older patients within 1-year at two nurse web cafes. As a result of the study, 43 nursing diagnoses were classified into 6 areas: acute care, daily life care, education and counseling, environment and resource management, health promotion, and geriatric disease management. Nursing educational needs differed according to the age, sex, marital status, education level, size of the hospital, and working experience of the nurse. In order to effectively perform nursing care for the elderly and geriatric patients, it may be necessary to investigate the needs of continuous education and develop a detailed education program.

• The Journal of the Korea Contents Association
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• v.19 no.6
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• pp.461-470
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• 2019

In diabetes mellitus, renal disease is a common complication, characterized by increased urinary albumin excretion and reduced eGFR. According to KDIGO CKD stage classification, Korean characteristics were analyzed according to urinary albumin and eGFR using the National Health and Nutrition Examination Survey VI raw data. According to KDIGO classification, diabetic patients were classified as Low risk 72.0%, Moderate risk 19.3%, High risk 5.6% and Very high risk 3.0%. Low risk decreased from 74.7% to 52.2%, and moderate to very high risk increased from 25.4% to 47.8% as the duration of diabetes mellitus was prolonged. The risk factors were CKD stage 1 (HR 2.064) to stage 4 (HR 11.049), the highest risk of hypertension. The incidence of renal disease was elevated according to duration of hypertension and HR 0.42 of kidney disease was decreased in the group maintaining proper blood pressure. In the hypertensive patients, the group administered with target blood pressure had a reduction of the kidney disease by 42% than the group with the hypertension. Therefore, controlling and managing hypertension to target blood pressure is important for the prevention of kidney disease.

• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.10 no.3
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• pp.131-137
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• 2010

UMSN (Ubiquitous Medical Sensor Network) is being used in u-Healthcare system of various medical facilities to identify objects and get information from sensors in real-time. RFID using radio frequency determines objects using Reader, which reads Tags attached to patients. However, there is a security vulnerability wherein Tag send its ID to illegal Reader because Tags always response to Readers request regarding of its Tag ID. In this paper, we propose Tag ID Classification Scheme to reduce Back-end Server traffic that caused by requests to authenticate between Readers and Tags that are attached to medical devices, patients, and sensors; To reduce security threats like eavesdropping and spoofing that sometimes occurred during authentication procedure. The proposed scheme specifies the patient category as a group based on patients Tag ID string. Only allowed Reader can perform authentication procedure with Back-end Server. As a result, we can reduce Back-end Server traffic and security threats.

• Journal of Hospice and Palliative Care
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• v.2 no.1
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• pp.7-15
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• 1999

This survey was designed to evaluate knowledge and attitudes of physicians and nurses toward cancer pain management in South Korea and to compare physicians' knowledge and attitudes with nurses' Ninety-nine physicians and 152 nurses working at four major institutions in South Korea were included for the study. With the 30 items of the knowledge with true and false answers about cancer pain such as pain assessment(6 items), pharmacokinetics of opioids(8 items), analgesics classification(11 items), and drug administration(5 items), total score of knowledge answered by physicians was 21.40, which was not significantly higher than 20.87 answered by nurses. Rates of the correct answer were more than 70% in both physicians and nurses. Physicians were more knowledgeable in pharmacokinetics and analgesics classification than nurses, while nurses higher only in pain assessment than physicians. Since physicians and nurses could not effectively manage the cancer pain because of inappropriate knowledge, it is important to provide intensive education to physicians and nurses about cancer pain management.

• The Journal of the Korea Contents Association
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• v.16 no.10
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• pp.196-205
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• 2016

The purpose of this study is to identify factors influencing treatment result in patients with Tuberculosis by patient characteristic, admission and disease characteristic, and hospital characteristic from 2006 to 2012. Survey data was using Korean national hospital discharge in-depth survey data produced by KCDC(Korea Center for Disease Control and Prevention). Study subjects were 8,305 inpatients with TB(A15.0~A19.9) and analyzed frequency, chi-square test, and logistic regression by using SPSS 20(Statistical Package for the Science). The results of this study show that influencing factors of treatment result were ages (20-39, 40-64, and over 65 years), type of insurance(medical aid), disease code (A16, A17, A18, A19), LOS (31-90, and 91-180 days), beds of hospital (300-499, 500-999, over 1,000 beds) and hospital district (non-metropolitan). These findings implied that it is necessary to support successful prevention and management for high risk TB groups and to build middle and long-term policies as well as short -term policy.

• Journal of the Society of Disaster Information
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• v.18 no.4
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• pp.839-846
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• 2022

Purpose: To secure the safety of firefighters who are dispatched to emergency activities for patients with suspected infectious diseases during an epidemic, and to identify the current status of suspected infectious disease patients by region based on the information collected at the site, and manage firefighting infectious diseases that can be controlled and supported I want to develop a system. Method: Develop a smartphone app that can classify suspected infectious disease patients to check whether an infectious disease is suspected, and develop a disposable NFC tag for patient identification to prevent infection from suspected infectious disease patients. Develop a management system that collects and analyzes data related to emergency patients with suspected infectious disease input from the field and provides them to relevant business personnel to evaluate whether the transport of emergency patients with suspected infectious disease is improved. Result: As a result of the experiment, it was possible to determine whether an infectious disease was suspected through the algorithm implemented in the smartphone app, and the retransfer rate was significantly reduced by transferring to an appropriate hospital. Conclusion: Through this study, the possibility of improving emergency medical services by applying ICT technology to emergency medical services was confirmed. It is expected that the safety of paramedics will be actively secured.