• Asian Pacific Journal of Cancer Prevention
• /
• v.16 no.6
• /
• pp.2465-2472
• /
• 2015

Background: The Quality Audit (BQA) program of the Breast Surgeons of Australia and New Zealand (NZ) collects data on early female breast cancer and its treatment. BQA data covered approximately half all early breast cancers diagnosed in NZ during roll-out of the BQA program in 1998-2010. Coverage increased progressively to about 80% by 2008. This is the biggest NZ breast cancer database outside the NZ Cancer Registry and it includes cancer and clinical management data not collected by the Registry. We used these BQA data to compare socio-demographic and cancer characteristics and survivals by ethnicity. Materials and Methods: BQA data for 1998-2010 diagnoses were linked to NZ death records using the National Health Index (NHI) for linking. Live cases were followed up to December $31^{st}$ 2010. Socio-demographic and invasive cancer characteristics and disease-specific survivals were compared by ethnicity. Results: Five-year survivals were 87% for Maori, 84% for Pacific, 91% for other NZ cases and 90% overall. This compared with the 86% survival reported for all female breast cases covered by the NZ Cancer Registry which also included more advanced stages. Patterns of survival by clinical risk factors accorded with patterns expected from the scientific literature. Compared with Other cases, Maori and Pacific women were younger, came from more deprived areas, and had larger cancers with more ductal and fewer lobular histology types. Their cancers were also less likely to have a triple negative phenotype. More of the Pacific women had vascular invasion. Maori women were more likely to reside in areas more remote from regional cancer centres, whereas Pacific women generally lived closer to these centres than Other NZ cases. Conclusions: NZ BQA data indicate previously unreported differences in breast cancer biology by ethnicity. Maori and Pacific women had reduced breast cancer survival compared with Other NZ women, after adjusting for socio-demographic and cancer characteristics. The potential contributions to survival differences of variations in service access, timeliness and quality of care, need to be examined, along with effects of comorbidity and biological factors.

• Journal of Digital Convergence
• /
• v.13 no.4
• /
• pp.227-233
• /
• 2015

The recent health care is growing rapidly want to receive offers users a variety of medical services, can be exploited easily exposed to a third party information on the role of the patient's hospital staff (doctors, nurses, pharmacists, etc.) depending on the patient clearly may have to be classified. In this paper, in order to ensure safe use by third parties in the health care environment, classify the attributes of patient information and patient privacy protection technique using hierarchical multi-property rights proposed to classify information according to the role of patient hospital officials The. Hospital patients and to prevent the proposed method is represented by a mathematical model, the information (the data consumer, time, sensor, an object, duty, and the delegation circumstances, and so on) the privacy attribute of a patient from being exploited illegally patient information from a third party the prevention of the leakage of the privacy information of the patient in synchronization with the attribute information between the parties.

• Journal of Digital Convergence
• /
• v.13 no.4
• /
• pp.25-38
• /
• 2015

In case of current South Korea, the rapid graying is in the progress. Because of it, the increase of elders who live alone causes variety of social, economic and national problems. Especially in the modern city, the health care, safety and maintenance of pleasant and joyful life of elders who live alone are being a big social issue. Even though practical services have been tried at the whole of government approach, the detailed alternatives are insufficient to improve the daily life support and service to approach the information. This research suggests the "ELA Service Model" which actively improves the easy access to information and corresponds to condition and circumstance of elders for providing the ICT-base Elderly Living alone care service. It is a step self-life support service based on fundamental desire of elders which resolves the problem and contributes to establish the active and balanced policy to the elderly.

• Journal of Digital Convergence
• /
• v.18 no.12
• /
• pp.445-457
• /
• 2020

The purpose of this study is to analyze various issues that may arise from the recent deregulation of telemedicine implemented by the government, propose initiative preparations for the implementation of telemedicine policies, and suggest implications for the basic conditions and direction of the deregulation of telemedicine. Recently, deregulation policy cases in telemedicine include that designation of a special zone for regulatory freedom in Gangwon Province, allowing physician-patient telemedicine and telephone counseling and prescription cases in the COVID-19 crisis. There are four main issues that could arise with the deregulation of telemedicine: safety, effectiveness, differences in access to health care and the economic industry, and legal responsibility. As a initiative preparation, this study proposed a pilot project for telemedicine and enhanced support for face-to-face care complementary tools, vitalizing remote co-operation, policy model that do not disrupt the medical delivery system, and legal maintenance. In conclusion, as a suggestion of basic premise and direction in the implementation of telemedicine deregulation, the implementation of initiative measures to address issues concerning telemedicine, the review and regulation of conditions to be considered in the implementation of telemedicine, and the establishment of a close communication and cooperative sturcture with medical providers.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
• /
• 2013.10a
• /
• pp.177-180
• /
• 2013

The number of people with a disability registered in the Korea's Ministry of Health and Welfare is more than 2.5 million in 2010, and approximately 2.51 million as of late 2012. In consideration of potential disabilities led by aging which is in fast progress in Korea, the number of people with a disability will further increase. It is necessary to study the method of enabling people with a disability to easily access facilities and of using facilities for people with a disability, in order to comply with the Disability Discrimination Act (DDA) which is enforced in Korea. In this study, a smartphone recently used more and more is used to develop a smartphone which can recognize locations, voice and the QR code for enabling people with a disability to recognize them. The developed smartphone for people with a disability is connected to a database established as a facility for people with a disability, and to the navigation system in the wheelchair accessible call taxis, to enable the disability database to be used. This study will contribute to observing the Disability Discrimination Act of Korea, and improving the national welfare system by enhancing the disability care services.

• Journal of dental hygiene science
• /
• v.4 no.3
• /
• pp.91-95
• /
• 2004

This study aims to analyze realities of oral health and related factors, and establish Structural Equation Modeling. The subjects of study were 9,340 elderly over age 65 who took the health examination(the first) for the local insured which National Health Insurance Corporation carried out in the survey area mentioned below from January 2002 to December 2002. The areas surveyed were 4 big cities including Seongbuk-ku, Seoul, 5 medium cities including Wonjusi, Gangwon-do, and 5 Counties including Yeong deok County, Kyeongbuk. Considering location and the scale of population, firstly, big unit areas(metropolitan city, province) were selected according to convenience, secondly, low unit areas(city, county, district) were selected randomly. The subjects were the elderly who took all tests including an oral examination and filled in the questionnaire. Major results from analysis are as follows: 1. Review of Composition Conception Validity As a result of analyzing composition conception validity of SEM including posture test, urine test, blood test, habits of eating, drinking and smoking, oral symptoms, and oral health status, using fit index such as GFI, CFI, TLI, and RMSEA, all were within fit range and composition conception validity was recognized. 2. As a result of analyzing SEM to find the relationship between each factor and oral health status, it was confirmed that all factors except urine test affected oral health status and the synthetic SEM to explain it could be established. In result, we could verify that the elderly of rural areas who had lesser experience of visiting a clinic and oral prophylaxis had a higher rate of caries, missing teeth, and denture need, and drinking and smoking negatively affected the rate of caries, periodontal, and missing teeth. Also, periodontal diseases were observed from 43.2% of the total elderly and much from the lower age. Most of oral disease can be prevented by right oral health behavior. Therefore through oral health professionals from each district public health center of the nation, oral health education for the elderly about right eating habits and oral health care should be carried out systematically and policy change to increase access to dental service is required lest that visiting a dental clinic should be impossible or oral health behaviors such as oral prophylaxis and denture wearing should be neglected by economic, geographical barriers. Also, to establish SEM to explain the relationship between oral health status and systemic health, more accurate test methods and effective index development should be preceded. Because items developed by National Health Insurance Corporation applied to this study without alteration, structuring a model had the uppermost limit. Continual study seems to be needed.

• International Commerce and Information Review
• /
• v.16 no.3
• /
• pp.307-329
• /
• 2014

Medical tourism involves patients intentionally leaving their home country to access non-emergency health care services abroad. Growth in the popularity of this practice has resulted in a significant amount of attention being given to it from researchers, policy-makers, and the media. Yet, there has been little effort to systematically synthesize what is known about the effects of this phenomenon and key choice factors. This study seeks to figure out, using conjoint analysis, what factors Chinese medical tourists place importance on maximizing utility when selecting their destination and propose selection attributes that can lure medical tourists to Korea. Results showed that, of destination attributes, medical technology competitiveness proved be the most important and of lower levels, international accreditation proved to have the highest utility. This article presents the findings of valuable insights to medical institutions, travel agencies and related firms in their marketing activities.

• The Korean Journal of Community Living Science
• /
• v.26 no.2
• /
• pp.387-403
• /
• 2015

This study examines the relationships between grandparenting roles, elderly generativity, and depressive symptoms. Data were collected from 129 grandmothers who helped raise grandchildren attending daycare centers. Grandparenting roles were assessed as generational transferers, caretakers, emotional supporters, and educators. Elderly generativity and depressive symptoms were evaluated based on the Loyola Generativity Scale and CES-D (Center for Epidemiological Studies on Depression Scale), respectively. Data were analyzed using t-test, ANOVA, and regression analysis methods. According to the results, grandmothers were most likely to play a role as caretakers, and there were differences across factors correlated with grandparenting roles. More specifically, daily hours spent on grandparenting and years of grandparenting were related to the caretaker role, and a high level of education was related to the educator role. Poor health was correlated with the generational initiator role. According to correlation and regression analyses, grandmothers who had access to more economic resources and who served as educators, emotional supporters, or generation initiators were more likely to show generativity. In addition, the higher the generativity, the less likely the depressive symptom was. These results have important implications for developing programs that can help grandparents raise preschool-aged grandchildren and suggest some interesting avenues for future research.

• Korea Journal of Hospital Management
• /
• v.4 no.2
• /
• pp.106-130
• /
• 1999

The main objective of this paper is to perform an empirical analysis on the relationship between various marketing activities and financial performance of Korean hospitals. A survey was conducted through structured questionnaire for 495 hospitals, and data from 218 hospitals were utilized in the final anaylsis.(response rate: 44%) Survey items include general characteristics of the hospitals(size, type, location), degree of competition, financial performance. marketing organization! budget, and level of various marketing activities in service development, access improvement, promotion, and pricing. We examine descriptive statistics of the response scores on marketing activities to evaluate the current status of marketing management of Korean hospitals, compare the results across hospital size, type and location, and perform regression analysis to investigate the relaionship between marketing and financial performance. Major findings are as follows: 1) About 46% of the responding hospitals have marketing departments although they are named as 'planning' or 'PR' departments, and the marketing budget on average represents 1.74% of the total expenditures. 2) Average level of marketing activities is calculated to be about 3.32 on 5-point scale, meaning that Korean hospitals implement their marketing programs 'somewhat actively'; however, the scores on the areas of marketing plannning and strategy are relatively low. 3) Large hospitals tend to be more active in marketing than small hospitals, and public hospitals' activities in marketing are not lower compared to private hospitals. 4) Level of overall marketing activities is positively related with financial performance measured by various finacial indicators except for profitability, implying that marketing is successful in revenue generation but needs to be more cost-effective. Also, when the marketing variables are separately included in the regression, no significant relationship is found, which means that various marketing activities are more effective when they are collectively implemented.

• Journal of the Korea Convergence Society
• /
• v.6 no.4
• /
• pp.243-248
• /
• 2015

U-Healthcare is a convergence service with medical care and IT which enables to examine, manage and maintain the patient's health any time and any place. For communication conducted in U-Healthcare service, the transmission methods are used that patient's medical checkup analysis results or emergency data are transmitted to hospital server using wireless communication method. At this moment when the attacker who executes the malicious access makes DRDoS(Distributed Reflection DoS) attack to U-Healthcare devices or BS(Base Station), various damages occur that contextual information of urgent patients are not transmitted to hospital server. In order to deal with this problem, this study suggests DRDoS attack scenario and countermeasures against DRDoS and converges with Big Data which could process large amount of packets. When the attacker attacks U-Healthcare devices or BS(Base Station), DB is interconnected and the attack is prevented if it is coincident. This study analyzes the attack method that could occur in U-Healthcare devices or BS which are remote medical service and suggests countermeasures against the security threat using Big Data.