• Title/Summary/Keyword: 환자 관리

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Development of an Efficient Management Program for the Home-based Cancer Patient Management Project of Public Health Centers (보건소 재가 암환자 관리사업의 효율적 관리 방안 개발)

  • Cho, Hyun;Son, Joo-Young;Heo, Jeom-Do;Jin, Eun-Hee
    • Journal of Hospice and Palliative Care
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    • v.10 no.3
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    • pp.128-136
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    • 2007
  • Purpose: The purpose of this study is to investigate the current state of the home-based cancer patient management project of public health centers throughout the country. The results of the investigation is employed to identify obstacles to the execution of the program and, finally, to develop an efficient management program of home-based cancer patients. Methods: Data on the home-based cancer patient management project were collected and analyzed through visiting interviews or telephone interviews with 225 public health centers throughout the country for six months from July to December, 2006. Results: Obstacles to the present execution of the home-based cancer patient management project were identified. Some of them are : (1) patients' low trust in cancer patient management by local health centers, (2) absence of programs customized to local communities, (3) lack of personnel and vehicles for home-based cancer patient management, (4) lack of education program for personnel in charge of home-based cancer patient management, (5) problems in public health doctors, weak connection to private medical institutions, (6) absence of medical institutions and hospice facilities for cancer patients, and (7) non-standardized volunteer workers, so on. Considering all these problems, some effective management methods are proposed. The basic concept is to keep the autonomy and variety of the local helath centers. And based on this concept, three models of (1) public health center controlled model, (2) medical institutions and hospice facilities-entrusted model and (3) medical institutions and hospice facilities-cooperative model are developed. Conclusion: By adopting an adequate model among proposed three models, the public health centers are expected to achieve an efficient utilization of material resources and manpower. In addition, by inventing their own programs that are proper for the local societies, they can improve the home-based cancer patient management.

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A Mobile Image Capture System based on Streaming for Dental Disease Management (구강 질환 관리를 위한 스트리밍 기반 모바일 촬영 시스템)

  • You, Eun-Jae;Lee, Hyoun-Sup;Kim, Jin-Deog
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2018.10a
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    • pp.103-104
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    • 2018
  • 치과의 모든 정보뿐만 아니라, 공급 사슬관리, 고객의 정보까지 포함하여 통합적으로 관리해야 하므로 특정한 기능을 수행하는 기술개발의 범위보다는 환자의 구강 정보의 원활한 처리를 위한 서버 구축 및 영상의 질 및 촬영의 용이함을 위한 실시간 스트리밍 기술이 필요하다. 영상정보 판독을 통해 치주염의 위험을 보고 환자들의 치과 방문을 유도하는 것이 치료 적기를 놓치지 않기 위해 반드시 필요하다. 이 논문에서는 구강 질환 예방 및 관리를 위한 스트리밍 기반 모바일 촬영 시스템을 제안한다. 특히 환자 자신이 구강 내의 이미지를 클라이언트 앱을 통해 환부를 직접 확인해 가며 조절하여 촬영가능하도록 스트리밍 기법을 제시하며, 이 과정에서 프레임의 버퍼링 및 딜레이 현상을 사용자의 개입없이 자동 조절하는 기능을 제안한다.

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Health Status and Self-management Barriers in People with Diabetes -A Comparison by Medicaid Beneficiary Status- (성인당뇨병환자의 건강수준 및 질병관리장애요인 -의료급여환자와 건강보험환자의 비교-)

  • Rhee, Chaie-Won
    • Korean Journal of Social Welfare
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    • v.60 no.4
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    • pp.231-251
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    • 2008
  • Academic interest has been drastically increased for the health disparities due to socioeconomic factors. For those who have a chronic illness such as diabetes, various psychosocial barriers related to illness management might affect and aggravate this disparity. This study focused on illness management barriers experienced by people with diabetes, and examined the differences by their Medicaid beneficiary status. The between group differences in illness management barriers, family support and health status were examined as well as the association between illness management barriers and health status. The sample of this study consists of 144 community dwelling adults who have diabetes, recruited from an outpatient diabetes clinic and a community welfare center. Medicaid beneficiaries reported poorer health status, and experienced more illness management barriers compared to their counterparts. Statistically significant differences were observed in barriers due to mental health, financial status, and lack of support. The between group difference in health status remained significant after controlling for the effect of demographic characteristics and illness related factors. Social work practitioners working with this population should address these illness management barriers to reduce socioeconomic health disparity.

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Influence of Safety Culture Perception, Safety Control and Safety Management Activities as Perceived for Nurses in Nursing Home (융복합의 장기요양시설 간호사의 환자안전문화인식과 안전통제감이 안전관리활동에 미치는 영향)

  • Seo, Young-Sook;Do, Eun-Su
    • Journal of Digital Convergence
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    • v.13 no.9
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    • pp.303-311
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    • 2015
  • This study has been done to identify the effect of safety culture perception, safety control and safety management activities as perceived by nursing home nurses. A total of 146 cases recruited safety culture perception, safety control and safety management activities. Data were analyzed using the SPSS/WIN 21.0 Program. The factor that had the most impact on safety management activities were safety culture perception (${\beta}=.40$, p<.001), safety control (${\beta}=.27$, p=.002), experience of safety education (${\beta}=.19$, p=.015), age (${\beta}=.19$, p=.027). The regression model explained 34.5% of the variances(F=5.51, p<.001). The study finding suggests that to develop the program with achievement of safety management activities for nurses of the nursing home.

Chronic Disease Management using Smart Mobile Device (스마트 모바일 기기를 이용한 만성질환 관리)

  • Kim, Gui-Jung;Han, Jung-Soo
    • Journal of Digital Convergence
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    • v.12 no.4
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    • pp.335-342
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    • 2014
  • According to the recent trends in the growing elderly population, the chronically ill have increased. Thus the importance of the health care issues for them has emerged. In this paper, we want to implement a chronic disease management system using smart mobile devices. Proposed chronic disease management system is consisted of the biometric sensor, smart mobile devices, the patient management server, patient management DB, and patient symptoms analysis agent. The biometric sensor detects a biological information. Smart mobile devices receive the patient information from the sensor and transmit the information to the patient management server. The patient management server, patient management DB, and patient symptoms agent analysis agent analyze to process data delivered through a wireless communication network. Bio-signals includes modules of ECG, blood pressure, blood sugar and PPG. We are able to determine the current health status by monitoring measured biometric data through chronically ill health management system. We will focus on the individual service to be appropriate for a patient group in a mobile environment.

Development of Self-management Instrument for Pre-dialysis Patients with Chronic Kidney Disease (투석전 만성신장병 환자의 자가관리 도구 개발)

  • Lee, Suk Jeong;Kim, Sisook
    • The Journal of the Korea Contents Association
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    • v.14 no.7
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    • pp.367-375
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    • 2014
  • This study aimed to develop a valid and reliable self-management instrument for pre-dialysis patients with chronic kidney disease (CKD). A total of 143 patients with CKD recruited from a medical center completed the questionnaire. The dimension and items of self-management were composed by literature review. The items of self-management was evaluated using exploratory factor analysis and measures of reliability. Five factors were extracted and labelled adherence to treatment regimen and partnership, diet adherence, problem solving, health behavior, and pursuit of psycho-social health. The five factors accounted for 51.1% of total variance. Each factors showed acceptable internal reliability with Cronbach's alpha from 0.64-0.79. The developed self-management instrument can be useful in self control of their disease for patients with CKD, and both evaluating patients' self-management and developing intervention program for health care professionals.

Implementation of PDA Based Personal Asthma Management System for Effective Management of Asthmatic (천식환자의 효과적인 관리를 위한 PDA 기반 개인용 천식관리 시스템 구현)

  • Park, Jong-Cheon;Hwang, Dong-Guk;Lee, Woo-Ram;Kwon, Kyo-Hyun;Jun, Byung-Min
    • Proceedings of the Korea Contents Association Conference
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    • 2006.05a
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    • pp.156-159
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    • 2006
  • Self management of chronic asthma is of great importance, since the disease could lead the patient into an emergent situation. In the present study, we describe design and implementation of a personal digital assistant(PDA) based asthma management system for personal application including symptom and medication to prevent from the potential exacerbation of the disease. The software program was written by the Visual C++ tool in the mobile computing environment and Object Store was applied for data management. User friendly GUI environment was provided for the patient to input his/her daily condition and self treatment such as medication for successful management. The input screen design substituted for keyboard input to a mouse in order to easy to select an item and minimize the keyboard input. The implementation results of this system., Real-time data collection and process were possible and be able to have been carried effectively out a continuous symptom, a medication of asthma patients, risk management.

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The Relationship between Neuropathic Pain and Glycemic Control, Self Management in Type II Diabetes Mellitus Patients (당뇨환자의 신경병증 통증과 혈당조절정도 및 자가관리간의 관계)

  • Seo, Yeong-Mi;Choi, Won-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.4
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    • pp.1774-1780
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    • 2013
  • The purpose of this study was to investigate the relationship between diabetic neuropathy, and glycemic control, self-management in type 2 diabetes mellitus(DM) patients. This was a cross sectional descriptive study and data were collected between May 10 and 31, 2011 using a questionnaire and medical record. The participants were 108 with DM who were treated at the endocrine medical outpatient department. The data were analyzed Pearson's correlation with SPSS WIN program. The mean scores of neuropathic pain and self-management were $9.3{\pm}1.4$(Range 0-14.64) and $5.40{\pm}0.76$(Range 1-7), respectively. There were 33.3% of the patients whose HbA1c levels are higher than 7.5%. Neuropathic pain was positively correlated with glycemic control(r=.18, p=.035), and was negatively correlated with self-management(r=-.19, p=.023).

A Study on Awareness Levels of Personal Information Protection in Health Care Workers (개인정보 보호에 대한 의료기관 종사자들의 인식수준에 관한 연구)

  • Hong, Ju-Youn;Kim, Hwan-Hui
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.8
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    • pp.647-659
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    • 2019
  • The purpose of this study was to examine the relationship between the awareness of health care workers on the protection of patient health information and their practice of it in an attempt to provide some information on the policy setting of health care institutions about medical information protection. As a result, the awareness of the health care workers on the protection of patient health information and their practice of it were both the best in the communication area, followed by the patient health information management area and the area of direct contact with health information. As for the variables linked to their awareness and practice of patient health information protection, the type of the health care institutions, job satisfaction, religion and the departments in which they worked were significantly related. To determine what factors affected the patient health information management area, a multiple regression analysis was carried out by selecting the area of direct contact with patient health information and the communication area as independent variables and by selecting the patient health information management area as a dependent variable. And it's found that the patient health information management area became better when the area of direct contact with the information and the communication area were better.

의사와 환자와의 법률관계

  • Lee, Jun-Sang
    • 건강소식
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    • v.16 no.10 s.167
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    • pp.38-42
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    • 1992
  • 의사와 치료를 원하는 환자사이의 관계를 흔히 진료계약으로 설명한다. 의료법 등의 법률에 위반되지 않으면서 환자의 진료에 최선을 다해야 하는 진료계약에 대해 알아본다.

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