• 제목/요약/키워드: Access to Health Care

검색결과 333건 처리시간 0.028초

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.

간호기기 개발수요 조사연구 (A Study on the Demand for Equipent Development in Nursing)

  • 장순복;김의숙;황애란;강규숙;서미혜
    • 대한간호
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    • 제35권2호
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    • pp.71-91
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    • 1996
  • The objectives of thes study were to identify the need for equipment development in nursing, and to determine the priorities for that development. The study was descriptive study done between March 2 and May 30, 1995, in which the subjects, including 421 patients, 223 family members, and 198 nurses from neurosurgery, orthopedic, rehabilitation medicine, internal medicine and intensive care units of nine general hospitals in Seoul, completed a questionnarie developed by the research team. The questionnaire consisted of 35 open and closed questions. Data was analyzed using frequencies and percentages. The results ware summarized as follows: 1) The average age of the nurses was 27.9 years, 48% of the patients were between 20 and 40 years of age, and 17% were over 60. The average lingth of experience for the nurse subjects was four years five months with 36.9%. having over five years experience. The most frequent diagnoses of patients were spinal disc(35.9%), internal medicine disease(26.0%), cerebral vascular accident(16.6%) and spinal cord injury(10%) 2) Many of the nurses(96.4%) reported deficiencies with existing equipment and 96.5% of the nurses, but only 79.8% of the patients, nurses' time. Further, 82.3% of the nurses and 75.8% of the patients felt that the development of new equipment would lead to a decrease in the cost of nursing care. 3) Nurses felt that the greatest areas of inconvenience were patient feeding(71.7%), hygiene(71.2%), caring for a patient confined to bed(70.7%), patient clothing(67.2%), mobility transfers(63.5%) and urinary elimination(52.0%). However, patients and family members listed the following as being the most inconvenient: urinary elimination(58.7%), Hygiene(50.5), feeding(48.4%), mobility transfers(47.1%) and bed care(45.2%). 4) Generally the nurses listed more inconveniences and patients and family members listed more demands for the development of equipment. These included utensils with large handles, and regulators for tube feedings; mattresses that provide for automatic position change and massage, which have patient controlled levers and a place for bed pan insertion; automatic lifts or transfer from bed to wheelchair; equipment to facilitate washing and oral hygiene as well as equipment that will allow patients with spinal cord injuries easy access to showers; a bed pan/urinal for women that is comfortable and effective from which urine can be measured and disposed of easily; disposable dressing sets and tracheostomy care sets and a convenient way of measuring changes in wound size; a safe delivery system for oxygen, a variety of mask sizes and better control of humidity, tracheal material than at present, as well as a communication system for patients with tracheostomies; clothing that will allow access to various parts of the body for treament or assessment without patients having to remove all of their clothing; and finally a system that will allow the patient to control lighting, telephones and pagers. Priority areas for equipment development reported by the nurses were, urinary elimination(58. 7%), hygiene(50.5%), feeding(48.4%), mobility transfers(47..1%), bowel elimination(40.8%). Those reported by the patients family members were feeding(71.7%), hygiene(70.0%), bedcare(70.7%), clothing(67.2%), mobility transfers(63.6%), urinary elimination(52.9%) and bowel elimination(50.5%) Altogether, nurses, patients and family members listed the following as priorities; clothing (178), bed care(144), urinary elimination(92), environment(81), hygiene(70). Further, a health professional forum listed urinary elimination, oxygen delivery, medication delivery, mobility transfers, bed care and hygiene in that order as priority areas. From this study it can be concluded that the first need is to develop equipment that will address the problems of urinary elimination. To do (l)This nurses who are interested in equipment development should organize an equipment development team to provide a forum for discussion and production of equipment for nursing.

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소비자와 제공자가 자각하는 간호서비스와 측정도구에 관한 연구 (A Study of the Nursing Service Perceived by Consumers and Providers, and the Tool that Measures Nursing Service)

  • 이미애
    • 대한간호학회지
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    • 제33권6호
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    • pp.772-783
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    • 2003
  • Purpose: This study was performed to measure the nursing service perceived value by consumer and providers, and to investigate the relationship among nursing service, general satisfaction and hospital revisiting intent, and to examinate the tools that measures nursing service's reliability, construct validity and usefulness. Method: The questionnaire was developed and distributed to 300 patients and 210 nurses at three general hospitals. For data analysis, SPSS/PC program was used. Result: The nursing service perceived value by providers is higher than that by consumers. There are distinctive difference in the expectation, and importance and performance values of the nursing service perceived. In examination of the relationship among nursing service, general satisfaction and hospital revisiting intent, nursing service has a deep relationship with general satisfaction, but doesn't have relationship with hospital revisiting intent. The tool that measures nursing service has a good reliability and construct validity. In analysis on the usefulness between the tools, SERVPERF tool is more useful than SERVQUAL tool. conclusion: The nursing service perceived value by consumer is different that by providers, and the tool that measures nursing service has a good reliability and construct validity. The SERVPERF tool is more useful than SERVQUAL tool.

간호인력 배치 시스템 (A Nurse Scheduling Support System)

  • 최용선;박정호;박현애;조현;한혜라
    • 간호행정학회지
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    • 제2권2호
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    • pp.73-83
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    • 1996
  • Scheduling for nursing personnel involves many factors and requirements. Therefore, manual scheduling requires much time and effort to produce an adequate schedule. This paper introduces a PC based nurse scheduling support system which was developed in Microsoft Access 2.0, an easy to use data base management tool. First step of this system is to determine necessary number of nursing personnel by medical law or by patient classification. Current Korean medical law stipulates that number of patients attended by a nurse is 2.5 for hospitalization. In addition, necessary nursing personnel by patient classification was determined four nurses for seven patients in this system based on the authors' preliminary study. And the second step is to assign daily duty type for each nurse at every nursing unit automatically. The introduced system fully utilizes the GUI environment of Microsoft Windows and even makes the computer-novice nurses feel comfortable in using the system. This system can help nursing administrators improve nurse scheduling in a way of quick and easy schedule generation for the future, and allow nurses more time for patient care.

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진료기록과 오픈노트(Open Notes)에 대한 병원 종사자들의 인식과 태도 (Hospital Workers' Awareness and Attitude Towards Medical Records and OpenNotes)

  • 최주희;설희윤;김성수
    • 한국콘텐츠학회논문지
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    • 제20권12호
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    • pp.635-645
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    • 2020
  • 오픈노트는 환자-의사 간 온라인 진료기록 공유라고 정의할 수 있으며, 환자가 자신의 진료기록에 언제든 접근할 수 있도록 허용한 시도이다. 진료기록의 확장으로써 오픈노트 도입의 필요성을 확인하기 위해, 본 연구는 의료서비스의 일부를 담당하는 병원 종사자를 대상으로 진료기록과 오픈노트에 대한 인식과 태도를 조사하였다. 연구 결과 자신의 진료기록을 읽어보는 것은 건강상태를 이해하는데 도움이 되며, 병원 종사자들은 오픈노트의 유용성에 대체로 동의하였고 참여의향이 있는 것으로 나타났다. 한편 대상자들은 진료기록이 위·변조될 가능성이 있다고 인식하였다. 결론적으로 환자가 자신의 진료기록을 자유롭게 읽어보도록 허용함으로써 건강상태를 이해하고 자가건강관리를 향상시킬 수 있으며, 진료기록에 대한 불필요한 오해와 불신을 해소할 수도 있다. 오픈노트의 건강상의 효용성 뿐 만 아니라 의사에 대한 신뢰에 미치는 영향을 생각할 때, 실험적 검증을 위한 오픈노트 시범사업을 제언한다.

중소 종합병원 입원환자와 간호사의 간호서비스에 대한 기대와 지각, 질 평가와 만족도 차이 (The Differences in Quality Perceptions, Expectations, Evaluation, and Satisfaction for Nursing Service between Patients and Nurses: Small-medium Sized General Hospitals)

  • 김정희;이인숙
    • 대한간호학회지
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    • 제34권7호
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    • pp.1243-1254
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    • 2004
  • Purpose: This study was performed to give direction to quality improvement strategies of nursing services by comparing the differences in quality perceptions and satisfaction for nursing services between patients and nurses in small-medium sized general hospitals with 200 beds. Method: The subjects, who were 150 inpatients and 162 nurses of 4 general hospitals in a community, answered a self-report questionnaire with a SERVQUAL scale. Result: There were differences between patients' and nurses' expectations and perceptions of nursing service and satisfaction. In the service expectation, the highest factor was 'the responsiveness', and in the perceived performance, the highest was the 'assurance'. In addition, overall patients' perceptions on nursing services showed higher than nurses'. There were positive correlations among the expectations and perceptions on nursing service, and satisfaction. The correlation between perception and satisfaction was higher than the correlation between expectations and satisfaction. Conclusion: To improve the nursing service quality at small-medium hospitals, strengthening the 'assurance' factor and improving the nursing service support system is needed. Also, this study on nurses' perceived nursing service at small-medium sized hospitals should be duplicated.

영국의 노인공동생활주택에 대한 검토 (Review of Communal Housing for the Elderly in the UK)

  • 홍형옥
    • 가정과삶의질연구
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    • 제19권4호
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    • pp.49-68
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    • 2001
  • The purpose of this study was 1) to review communal housing in the UK, 2) to consider the policy implications for elderly communal housing in Korea. The research methods used were 1) literature review about communal housing and related policy in the UK 2) field survey in the UK 3) interpretative suggestion for the proper policy implication to develope communal housing for the elderly in Korea. Sheltered housing in the UK had been developed as communal housing for the elderly with special needs since the 1970s. The type of sheltered housing were category 1 and category 2. Very sheltered housing with more facilities and meal services was added in 1980s. Sheltered housing was evaluated as the most humanistic solution for older people in the UK in 1980s. Because of the policy of moving institutional care to community care, sheltered housing became less in demand because of more options for older people including being able to stay in their own home. So new completion of sheltered housing by registered social landlords reduced saliently. Sheltered housing already totalled over half million units in which 5% of all elderly over 65 still lived and a small quantity of private sector for sale schemes emerged in the 1990s. The reason why the residents moved to sheltered housing was for sociable, secure, and manageable living arrangements. In general the residents were satisfied with these characteristics but dissatisfied with the service charge and quality of meals, especially in category 2.5 schemes. The degree of utilisation of communal spaces and facilities depended on the wardens ability and enthusiasm. Evaluation of sheltered housing indicated several problems such as wardens duty as a \"good neighbour\" ; difficult-to-let problems with poor location or individual units of bedsittiing type with shared bathroom ; and the under use of communal spaces and facilities. Some ideas to solve these problems were suggested by researchers through expanding wardens duty as a professional, opening the scheme to the public, improving interior standards, and accepting non-elderly applicants who need support. Some researchers insisted continuing development of sheltered housing, but higher standards must be considered for the minority who want to live in communal living arrangement. Recently, enhanced sheltered housing with greater involvement of relatives and with tied up policy in registration and funding suggested as an alternative for residential care. In conclusion, the rights of choice for older people should be policy support for special needs housing. Elderly communal housing, especially a model similar to sheltered housing category 2 with at least 1 meal a day might be recommended for a Korean Model. For special needs housing development either for rent or for sale, participation of the public sector and long term and low interest financial support for the private sector must be developed in Korea. Providing a system for scheme managers to train and retrain must be encouraged. The professional ability of the scheme manager to plan and to deliver services might be the most important factor for the success of elderly communal housing projects in Korea. In addition the expansion of a public health care service, the development of leisure programs in Senior Citizens Centre, home helper both for the elderly in communal housing and the elderly in mainstream housing of the community as well. Providing of elderly communal housing through the modified general Construction Act rather than the present Elderly Welfare Act might be more helpful to encourage the access of general people in Korea. in Korea.

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Modern Management Technologies in the System of Ensuring the Security in the Context of Socio-Economic Development and the Digital Economy

  • Panchenko, Vladimir;Dombrovska, Svitlana;Samchyk, Maksym;Mykhailyk, Nataliia;Chabaniuk, Odarka
    • International Journal of Computer Science & Network Security
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    • 제22권3호
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    • pp.213-219
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    • 2022
  • The main purpose of the study is to determine the main aspects of the introduction of modern management technologies into the security system in the context of socio-economic development and digitalization of the economy. Socio-economic development and a high level of security include growth in income, labor productivity, production volumes, increased competitiveness, changes in the institutional environment, consciousness, activity, social security, the quality of the education system, healthcare, etc. Despite the root cause of economic development, it is not an end in itself, but a tool for ensuring social development. Gaining access for citizens to education, health care, observance of the principles of equality and justice, ensuring protection are directly dependent on the level of economic well-being, the level of economic potential of the country or regions. The research methodology involved the use of both theoretical and practical methods. As a result of the study, the key elements of the introduction of modern management technologies into the security system in the context of socio-economic development and digitalization of the economy were identified.