• 제목/요약/키워드: Access to Health Care

검색결과 330건 처리시간 0.052초

Improvement of the Trauma Care Process by Implementation of a Computerized Physician Order Entry-Based Trauma Team Approach

  • Lee, Ji-hwan;Lee, Jin-hee;You, Je-sung;Chung, Sung-phil;Kim, Hyun-jong;Cho, Jun-ho;Kim, Min-joung;Chung, Hyun-soo
    • 한국의료질향상학회지
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    • 제21권2호
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    • pp.12-24
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    • 2015
  • Purpose: The need for the rapid evaluation and treatment of emergency department patients with major trauma is essential. A computerized physician order entry (CPOE) system can improve communication and provide immediate access to information with the goal of reducing ED time delays. The aim of this study was to report on the operation of a trauma CPOE program and demonstrate its usefulness by comparing time intervals from ED arrival to various evaluation steps before and after implementation of the program. Methods: This was a before-and-after observational study from a single emergency department at an academic center. The CPOE program was implemented for 6 months and compared with the data collected from the pre-CPOE implementation period. The efficacy of the program was assessed by comparing the time difference before and after CPOE implementation based on the following factors: total boarding time in ED, door-to-disposition decision time, door-to-blood-test report time, door-to-X-ray time, door-to-CT time, and door-to-transfusion time. Results: Over a period of 6 months, the CPOE was activated for a total of 17 patients. Total boarding time was reduced significantly after implementation [median, 641.5 minutes (IQR, 367.3-859.3) versus289.0 minutes (IQR, 140.0-508.0) for pre-CPOE vs. post-CPOE, respectively, p< 0.05). Time intervals for all evaluation steps were reduced after implementation of the program. The improvements in the door-to-blood-test and door-to-CT times were both statistically significant. Conclusion: This study demonstrated that a standard CPOE system can be successfully implemented and can reduce ED time delays in managing trauma patients.

만성 질병환자를 위한 CDSS를 적용한 PHR 시스템 (CDSS enabled PHR system for chronic disease patients)

  • 마크불 후세인;와자하트 알리 칸;무하마드 아프잘;탁디르 알리;이승룡
    • 한국정보처리학회:학술대회논문집
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    • 한국정보처리학회 2012년도 추계학술발표대회
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    • pp.1321-1322
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    • 2012
  • With the advance of Information Technology (IT) and dynamic requirements, diverse application services have been provided for end users. With huge volume of these services and information, users are required to acquire customized services that provide personalized information and decision at particular extent of time. The case is more appealing in healthcare, where patients wish to have access to their medical record where they have control and provided with recommendation on the medical information. PHR (Personal Health Record) is most prevailing initiative that gives secure access on patient record at anytime and anywhere. PHR should also incorporate decision support to help patients in self-management of their diseases. Available PHR system incorporates basic recommendations based on patient routine data. We have proposed decision support service called "Smart CDSS" that provides recommendations on PHR data for diabetic patients. Smart CDSS follows HL7 vMR (Virtual Medical Record) to help in integration with diverse application including PHR. PHR shares patient data with Smart CDSS through standard interfaces that pass through Adaptability Engine (AE). AE transforms the PHR CCR/CCD (Continuity of Care Record/Document) into standard HL7 vMR format. Smart CDSS produces recommendation on PHR datasets based on diabetic knowledge base represented in shareable HL7 Arden Syntax format. The Smart CDSS service is deployed on public cloud over MS Azure environment and PHR is maintaining on private cloud. The system has been evaluated for recommendation for 100 diabetic patients from Saint's Mary Hospital. The recommendations were compared with physicians' guidelines which complement the self-management of the patient.

한방의료기관 이용환자의 추나 이용실태 - 21개 한방병의원 전자의무기록 자료를 이용하여 - (Usage Report of Chuna Manual Therapy in Patients Visiting Korean Medical Institutions -Using Electronic Medical Records(EMR) of 21 Korean Medicine Hospitals and Clinics -)

  • 김민영;하인혁;이진호;김종호;정보영
    • 대한한의학회지
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    • 제40권1호
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    • pp.86-98
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    • 2019
  • Objectives: This study analyzes the electronic medical record (EMR) data of the spine specialist oriental hospital and clinic in various regions, and reports the actual number and used cases of Chuna therapy. Methods: 2,470,772 data was extracted retrospectively from electronic medical records of all inpatients and outpatients who were treated chuna therapy at 21 Korean medicine hospitals and clinics from January 1, 2018 to December 31, 2018. The characteristics of medical treatment using chuna therapy reflect the minimum, maximum and average values of the number of hospitalized patients, length of hospitalization, frequency of hospitalization, number of outpatients, frequency of treatment and frequency of visit. Diseases were classified in the proportion of Chuna treatment according to the KCD, 7th edition. The chuna and blindness charts were derived accordingly from illness and disease of each part of the body. Results: During the study period, a total 1,342,022 inpatients and outpatients visited the study sites. The male proportion was a little higher than the females' (male: 53.7%, female: 46.3%). According to age, the 30s and 40s were more than half the total(30s: 33.0% and 40s: 20.1%). Chuna therapy was treated to more outpatients than hospitalized patients (outpatient: 83.6%, hospitalization: 16.4%), and most treatments were related to musculoskeletal illness(99.06%). Conclusions: As a result of this study, 1,342,389 chuna therapy was performed in 21 hospitals for one year. As highly demanded by the public, we look forward to ensuring national health care options and medical access when health insurance for chuna therapy is applied beginning March 2019.

중국 GMO 법률 운영체계 및 관리정책의 문제에 관한 연구 (A Study on GMO Legal System and the Problems of its Management in China)

  • 유예리
    • 무역상무연구
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    • 제39권
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    • pp.345-366
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    • 2008
  • The paper analyzes GMO legal system and the problems of its management in China and their suggestions to Korea. GMO has been arising as a principal alternative of grain while grain prices continue to climb. Although there has been concerns about GMO imported from China, it is true that we have not studied on China's legal system and the problems of its management in China. The paper believes that when Chinese government does not manage GMO primarily, we have a high possibility that China's GMO food will access to Korean market at any time, and threaten our health and safety. Hence, it is highly time to analyze how legally China treats GMO and what the problems of its management are. The paper found out problems of China's GMO management in three ways. Firstly, GMO legal system of China is confused and it has limitation of effectiveness. China has no regulations like "a law" to regulate GMO and regulations which exists now are not easy to apply in substance. Secondly, China has no administrative strictness to manage GMO. For example, the regulation which ministry of agriculture in China promulgated in March of 2002 started to use partially since 2003, 7. Thirdly, China, as a nation that administration superiors to, market does not do its roll to control GMO. It relates to the low concerns and care of Chines people about GMO. The paper shows suggestions and countermeasures according to problems of China's GMO management.

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배치 트래픽 특성을 고려한 IEEE 802.15.4 비경합구간 성능 모델링 및 평가 (Performance Modeling and Evaluation of IEEE 802.15.4 Collision Free Period for Batch Traffic)

  • 김태석;최덕현
    • 한국콘텐츠학회논문지
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    • 제16권11호
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    • pp.83-90
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    • 2016
  • 본 논문에서는 저전력 통신 기술인 IEEE 802.15.4 MAC (Media Access Control) 프로토콜에서 지원하는 Collision Free Period(CFP)에서의 전송 성능 분석을 수행한다. 분석을 위해 CFP의 서비스 타겟인 주기적 트래픽을 고려하고 Quality of Service 요구사항에 따라 MAC 계층에 전달되는 패킷전달 형태를 batch와 non-batch로 구분하여 throughput, delay, energy 측면에서 성능을 분석한다. 도출된 분석 결과를 토대로 Pedometer, ECG, EMG와 같이 주기적인 트래픽을 생성하는 헬스케어 애플리케이션에 대해 Collision Avoidance Period(CAP)에서의 전송과 성능 비교를 수행한다. 성능 평가를 통해 헬스케어와 같이 주기적이며 time-critical 트래픽을 생성하는 애플리케이션은 CFP 전송이 에너지 효율적이며 대역폭 요구 사항이 큰 애플리케이션에서는 CAP 대비 최대 46%의 에너지가 절감됨을 확인하였다.

IOT Intelligent Watering Sensor For Indoor Plant

  • Hana, Mujlid;Haneen Daifallah, Alghamdi;Hind Abdulaziz, Alkharashi;Marah Awadh, Alkhaldi
    • International Journal of Computer Science & Network Security
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    • 제22권12호
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    • pp.171-177
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    • 2022
  • The number of people who own indoor plants is growing today, but as a result of their busy lifestyles-such as work or travel-as well as a lack of enthusiasm in caring for their plants, their plants wither. The use of an irrigation control system with a surveillance camera can assist such folks in taking care of their plants. Such a device can assist in remotely watering plants at predetermined times and checking on the health of the plants. The proprietors would be able to live comfortably without feeling bad thanks to this change. Internet access is required for this technology in order to monitor the plants and control the watering through apps. A sensor is installed in the soil to monitor soil humidity and send data to the microcontroller for irrigation, allowing the owner to schedule irrigation as they see fit and keep an eye on their plants all day. With the use of a remote irrigation control system, the plants will grow properly and be irrigated with the proper amount of water, and the owners will be so glad and delighted to watch their plants. Knowing the time and quantity of water are vital parts of the plant growth.

메디컬 그리드 장치를 위한 안전한 모바일 헬스케어 시스템에 관한 연구 (A Study of The Secure Mobile Healthcare System for Medical Grid Devices)

  • 최규석
    • 한국인터넷방송통신학회논문지
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    • 제8권6호
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    • pp.89-95
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    • 2008
  • 분산 컴퓨팅 환경에서 모바일 서로게이트 시스템은 보안상의 문제로 인하여 널리 사용되고 있지 못하고 있다. 현재 가장 널리 사용되고 있는 그리드 미들웨어인 글로버스에서도 모바일 단말기를 인증하는 방법이 제공되고 있지 않아 그리드의 강력한 컴퓨팅 능력을 모바일 클라이언트까지 확장하는 것을 어렵게 하는 중요한 요인이 되고 있다. 본 논문에서는 PDA와 같이 컴퓨팅 파워가 미약한 모바일 단말기기와 그리드 호스트 간의 인터페이스 역할을 하는 게이트웨이를 두고 모바일 클라이언트가 이동 중 그리드 서비스를 이용할 수 있도록 하는 안전한 모바일 그리드서비스 프레임워크를 설계 구현하였다. 아울러, 이를 구현하여 ECG 신호처리를 위한 헬스케어 시스템에 적용하였다. 이 시스템은 이동 환경에서 환자의 생체 신호를 그리드 컴퓨팅으로 분석하여 원격에 있는 의료진이 진단할 수 있는 모바일 헬스케어에 활용가능하다.

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ZigBee 기반의 무선 뇌 자극기와 네트워크를 이용한 원격 뇌졸중 회복 시스템의 개발 (A Development of Remote Medical Treatment System for Stroke Recovery using ZigBee-based Wireless Brain Stimulator and Internet)

  • 윤효정;유문호;김정자;김남균;양윤석
    • 전기학회논문지
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    • 제57권3호
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    • pp.514-517
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    • 2008
  • Ubiquitous healthcare (U-healthcare) system is one of potential applications of embedded system. Conventional U-healthcare systems are used in health monitoring or chronic disease care based on measuring and transmission of various vital signs. However, future U-healthcare system can be of benefit to more people such as stroke patients which have limited activity by providing them proper medical care as well as continuous monitoring. Recently, an electric brain stimulation treatments have been found to be a better way compared to conventional ones and many are interested in using the method toward the treatment of stroke. In this study, we proposed a remote medical treatment system using ZigBee-based wireless electric brain stimulator that can help them to get a treatment without visiting their doctors. The developed remote medical treatment system connects the doctors to the brain stimulator implanted in the patients via the internet and ZigBee communication built in the brain stimulator. Also, the system receive personal information of the connected patients and cumulate the total records of electric stimulation therapy in a database. Doctors can easily access the information for better treatment planning with the help of graphical visualization tools and management software. The developed remote medical treatment system can extend their coverage to outdoors being networked with hand-held devices through ZigBee.

일부 선진국 치과위생사의 교육제도, 자격인증제도 및 업무범위 (Education, certification system and extent of duty in dental hygienists of developed countries)

  • 남용옥;유자혜
    • 한국치위생학회지
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    • 제14권4호
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    • pp.453-462
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    • 2014
  • Objectives : The purpose of the study is to investigate the education, certification system, and extent of duty of dental hygienist between Korea and five developed countries including United States, Canada, England, Australia, and Japan. Methods : Internet based access to five developed countries was made and the analysis was done for the definition of occupation, main duties, similar occupations, education policy, job descriptions, license certification system, standards of duty, Q & A management, current status of obtaining certification, and scope of work. Results : United States has a two-year associate degree(AS) and a four-year bachelor degree(BS). Canada has two to three years degree and a two-year course is accepted in england and Australia. In the meanwhile, Korea and Japan have two-year and four-year educational courses. The duty of dental hygienists includes the prevention education for dental health and continuing dental health care. Most of the dental hygienists in Korea and Japan play the assistant roles for the dental surgeons. United States has national board examinations including written examinations, practical examinations, and computer assisted examination. Written and practical examinations are also conducted in Korea. England and Australia have the recognized educational organizations for qualification. Conclusions : Problem based and problem solving skills are the most important in dental hygienist education in Korea. The training of highly competent dental hygienists must be done for the improvement of dental hygiene in Korea in the near future.

정신건강증진을 위한 노후 불량주거지역 환경개선사업의 실천과 한계 - 동해시 새뜰마을 사업 지역을 중심으로 - (Practice and Limitations of the Environment Improvement Project in the Delinquent Residential Areas for Promoting Mental Health - Focusing on the Area of Saeddeul Maeul Project in Donghae City -)

  • 이상수;박훈
    • 한국농촌건축학회논문집
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    • 제21권3호
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    • pp.49-60
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    • 2019
  • This study is on the practice and limitation of the environment improvement project in the delinquent residential areas implemented as part of the urban restoration project that this study was carried out with the subject of the Saeddeul Village Project in Balhan Dongmunsan District of Donghae City that is implemented as part of resident-participating urban rehabilitation that has emerged as a socially important issue. In particular, at a time the issues of increasing senior population and poverty resulted thereof have surfaced in the society that this study has taken a look at the characteristics in the planning and practice process in the Saeddeul Village Project area for the purpose of improving the mental health. In the planning process and practice process, those human-care project and resident competency strengthening projects, together with physical environment improvement, are implemented, and the contents implemented by respective project are purported to establish the community identity through voluntary participation of local residents together with the environment improvement of the villages on the basis of resident participation as well as leading the economic independence by the village with its own discretion. However, the limitations in the practice process and exposure of problems that may be experienced in the field have made difficulties in such approach and provokes the difficulties of project performance depending on the conflicts in community constituents. Under such a relationship, it is required to have the endeavors to facilitate the community and solution of issued, and this study presents the need of access for revitalizing the regional welfare system.