• 제목/요약/키워드: Accessibility of healthcare

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Online resources for information on shoulder arthroplasty: an assessment of quality and readability

  • Mohamad Y. Fares;Jaspal Singh;Amar S. Vadhera;Jonathan Koa;Peter Boufadel;Joseph A. Abboud
    • Clinics in Shoulder and Elbow
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    • v.26 no.3
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    • pp.238-244
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    • 2023
  • Background: Many patients use online resources to educate themselves on surgical procedures and make well-informed healthcare decisions. The aim of our study was to evaluate the quality and readability of online resources exploring shoulder arthroplasty. Methods: An internet search pertaining to shoulder arthroplasty (partial, anatomic, and reverse) was conducted using the three most popular online search engines. The top 25 results generated from each term in each search engine were included. Webpages were excluded if they were duplicates, advertised by search engines, subpages of other pages, required payments or subscription, or were irrelevant to our scope. Webpages were classified into different source categories. Quality of information was assessed by HONcode certification, Journal of the American Medical Association (JAMA) criteria, and DISCERN benchmark criteria. Webpage readability was assessed using the Flesch reading ease score (FRES). Results: Our final dataset included 125 web pages. Academic sources were the most common with 45 web pages (36.0%) followed by physician/private practice with 39 web pages (31.2%). The mean JAMA and DISCERN scores for all web pages were 1.96±1.31 and 51.4±10.7, respectively. The total mean FRES score was 44.0±11.0. Only nine web pages (7.2%) were HONcode certified. Websites specified for healthcare professionals had the highest JAMA and DISCERN scores with means of 2.92±0.90 and 57.96±8.91, respectively (P<0.001). HONcode-certified webpages had higher quality and readability scores than other web pages. Conclusions: Web-based patient resources for shoulder arthroplasty information did not show high-quality scores and easy readability. When presenting medical information, sources should maintain a balance between readability and quality and should seek HONcode certification as it helps establish the reliability and accessibility of the presented information. Level of evidence: IV.

A study on improvement of house space considering the indoor life characteristics and living type for disabled (장애인의 실내 생활 특성 및 주거유형을 고려한 주거 공간별 개선 방안에 관한 연구)

  • Kim, In-Soon;Lee, Kyoo-Il;An, Sung-Joon;Lee, Young-Hwan
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.17 no.4
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    • pp.39-47
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    • 2011
  • Population ageing and the disabled population is increasing. so disabled population and elderly people in the physical environment for Barrier-Free recently has been getting attention. according to a recent welfare paradigm shift of life support promoting for the housing remodeling. but basic remodeling made of simple living environment improvement and facilities installation for the type of disability customised housing remodeling. efficient housing remodeling plan for remodeling before and after through change the safety accidents occurred ratio. living environment for the improvement of housing and reconstruction for the benefit of comprehensively considering for disability subject in Indoor living type and the type of disability, housing type etc. and personalize house was remodeling for corresponding each space problem for identify obstacles and living types. as a result satisfaction changes & safety accident rate changes as follow. first, have complained that there was a in to residents environment furniture for reconstruction of the former housing remodeling needs survey. 80.2% of total for the percentage of households with high needs remodeling. second, The survey did not meet the 29 furniture as after the construction for died about recipient & up sticks & long absence. this leave out after the safety accident Corporation about 101 housing in the 88% of households did not happen. as a result, the lower the ratio of safety accidents occurring very revealed. third, grasp the meaning for indoor living type. showed that each approach(83%), front porch(90%), kitchen, living room(91%), bedroom(93%), toilet(92%) for each space remodeling satisfaction flow through customized housing remodeling.

A Study on the Architectural Planning for the Housing of the Elderly to consider their Daily Life Patterns in Japan (일본 고령자 집합주택 거주자의 생활패턴을 고려한 건축계획 연구)

  • Kim, Dong-Sook;Kim, Seok-Jun;Park, Sun-Ha;Kazuoki, Ohara
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.15 no.3
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    • pp.41-50
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    • 2009
  • Studies about architectural planning for elderly residences have been carried out to examine various factors including the unit plan, site planning, and size planning. However, no studies have been undertaken that focus on the residents' daily life patterns. This study offers the design guidelines to support the daily life patterns of the elderly through the planning of elderly housing. For this study, elderly residents in Tokyo, Yokohama etc. in Japan were interviewed and surveyed. The results indicate that the changes to the daily life patterns of the residents living in elderly housing are the reduction of household, the increase of free time, and the change of social relationships. The elderly want to utilize their free time and focus on their social relationships. However, the elderly residences that we surveyed pay no consideration to social spaces and programs for their residents except for the cafeteria. To support the daily life patterns of the elderly, elderly housing should set a high value on the location, shared spaces, and unit plans of the residences in order to consider the personal diversity of the residents. Accessibility to public transportation systems and facilities should to be considered in the initial location planning. The revitalization of the public spaces should to be considered during the architectural planning stage. Considerations of personal taste during the unit planning stage are also necessary.

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Analysis of Local Community Spaces Bringing Empty Homes back into Use - Focused on Empty Home Utilization Project of Nam-Gu, Incheon (빈집을 활용한 지역사회 거점공간 분석 - 인천시 남구 공가활용사업을 중심으로)

  • Park, Hae-sun;Eun, Nan-Soon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.23 no.4
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    • pp.55-65
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    • 2017
  • Purpose: This study is to identify the implications and improvement solutions to plan the local community spaces bringing empty homes back into use that fit for regional characteristics, by analyzing the Empty Home Utilization Project implemented in Nam-gu, Incheon. Methods: Among 20 homes sponsored by the Project, five homes being currently operated were analyzed in depth, and features of exterior and interior spaces, and operational characteristics of the subject homes having been renovated through the project sponsorship were examined. Results: A plan is being established to systematically manage deserted or empty homes by assigning classification to each home in Nam-gu, Incheon and they are being utilized as a community space, a place of business or a cultural art space. Most of the physical improvements only included minor repairs such as redoing interior finish, as no major renovation was implemented including layout change and wall removing. Absence of major changes including improvement of house structure resulted in problems regarding accessibility and safety. Also, there was a limit to utilize the spaces only with support on physical improvement cost for empty homes, and it was identified that positive support for renovation should be conducted in accordance with its uses for the purpose. Implications: To complete the Empty Home Utilization Project successfully, it is most critical to reflect the resident opinions and demands, and discover local operators. Furthermore, for sustainable operation of local community space, additional plans for support would be required including financial support and training local leaders, consulting support for operation, encouraging community participation, and connecting with neighbor community.

A Study on Universal Design Applicability of Rooms in Accommodation Facilities - Through the survey of awareness and the investigation of current room status (숙박시설의 객실에 대한 유니버설디자인 적용 가능성 연구 - 인식조사와 객실 현황 및 실태조사를 통하여)

  • Ryu, Sang-Oh;Kim, In-Soon;An, Sung-Joon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.23 no.2
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    • pp.37-46
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    • 2017
  • Purpose: Recently accomodations are required to apply universal designs to all the types of rooms in order to increase accessibility to everyone. Especially universal designs are considered as one of the important methods to help disabled users utilizing accomodations with minimizing difficulties. The current research attempted to apply universal designs to ordinary rooms for promoting usage of rooms in accomodations. Methods: The field study were executed about all the types of rooms and shared spaces in 42 accomodations in 14 cities, Also, the managers working in the studied accomodations were asked to answer the online survey about awareness in universal design. Results: In many cases, ordinary rooms are partially renovated for the disabled with adding some convenient facilities. This raises negative recognition for the rooms specially designed for the disabled as well as absence of needs for universal designed rooms. Meanwhile, universal designed rooms have been required not only for the ordinary but also for the disabled. Implications: Regarding adopting universal design to rooms in accomodations, it should be reviewed throughout all the processes from designing to planning.

Issues Facing the National Health Insurance System in Korea and Their Solutions (우리나라 공공의료의 쟁점과 해결책)

  • Lee, Eun Hye
    • Korean Medical Education Review
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    • v.24 no.1
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    • pp.10-17
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    • 2022
  • South Korea is not a wasteland of publicly funded health care-instead, it has a good medical social security system known as the national health insurance (NHI). The NHI of Korea has three unique features; (1) low premiums, low insurance fees, and low coverage; (2) obligatory designation of medical institutions; (3) and allowance of non-benefit services. These features have made hospitals and doctors interested in profit-seeking. However, the commercialization of medical institutions has taken place in both private- and public-established sectors. A basic problem of commercialization is the co-existence of the obligatory designation of medical institutions and non-benefit services. The problem became worse in the Kim Dae-Jung government because it officially permitted non-benefit services. Since 2000, the Korean government has consistently pursued benefit extension policies, but the coverage rates of the NHI have stagnated. In addition, premiums and current medical expenses have markedly increased because policy-makers have emphasized accessibility to the NHI, while ignoring important principles of medical social security such as a needs-based approach and patient-referral system. In order to resolve the commercialization problem, the obligatory designation of medical institutions to the NHI should be changed to a contract system, and non-benefit services should be prohibited at NHI institutions. We must re-establish the patient-referral system via a needs-based approach. We also need to build a primary healthcare system and public health policies. We should make a long-term plan for healthcare reform.

A Scheme for DID and EMR Integrated System based on Hyperledger Indy (Hyperledger Indy 기반의 DID와 EMR 통합 시스템 기법)

  • Jiyong Yang;Hyosang Eom;Keun-Ho Lee
    • Journal of Internet of Things and Convergence
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    • v.10 no.1
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    • pp.47-52
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    • 2024
  • The efficiency and quality of healthcare services rely heavily on the secure protection and transparent management of individuals' medical information, which is becoming increasingly important in the digital age. To address this issue, we propose a distributed identity management (DID) and electronic medical record (EMR) integration system based on Hyperledger Indy, which aims to ensure the ownership of medical information to individuals and increase the accessibility and utilization of medical information. The system will allow individuals to manage their own medical information and share it transparently when necessary, which will improve the efficiency of healthcare services. In addition, the system will securely protect and transparently manage medical information, increasing the transparency of medical services and strengthening individuals' control over their medical information. Thus, the system will contribute significantly to improving the quality of medical services, protecting individuals' medical information, and improving the efficiency of medical services.

Research Trend Analysis of Health Literacy on Female Marriage Immigrants in Korea (국내 결혼이주여성 대상 건강문해력 연구 동향)

  • An, Jisook
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.4
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    • pp.613-620
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    • 2020
  • This study aimed to investigate the current state and trends of health literacy research conducted on female marriage immigrant in South Korea over the past 10 years. A total of 107 related studies were searched through the web database, and 10 of them that met the inclusion criteria were finally analyzed. Most of the studies conducted in the healthcare fields such as nursing. Of the 9 studies were descriptive study, and there were no intervention studies. Most of studies involving women from main country of origin such as Vietnam, China, and the Philippines, and many studies conducted convenience sampling of less than 200 subjects from some regions for reasons such as accessibility. As a tool for measuring health literacy, KHLAT was most frequently used. For future research, collaborative research with healthcare fields and other fields through interdisciplinary interaction is necessary, and a circumstance in which field workers actively participate in research should be prepared. In addition, further studies including larger sample and community-based intervention improve health literacy are needed. Finally, efforts to improve the methodological consistency in the application of health literacy tools and to develop standardized instruments are required.

A Study on Improvement of Rural Housing Space by Analysing of Barrier the Space Organization - Focused on Housing in Taebaeksi - (농촌주택 공간구성에 따른 장애요소분석 및 개선대안에 관한 연구 - 강원도 태백시 주택을 중심으로 -)

  • An, Sung-Joon;Kim, In-Soon;Lee, Kyoo-Il
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.20 no.4
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    • pp.17-25
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    • 2014
  • Purpose: Generally, rural housing in Korea have had target of people who are in good physical health rather than the disabled. Therefore, it is difficult to offer high quality residential environment for the elderly and the disabled. The purpose of this study is to propose the ways to promote ease and safety in the rural housing. Methods: This study evaluates the accidents, improvement factors, satisfactions, complaints by space of 153 rural housing in Taebaeksi. Results: This study divides the a rural house into 7 sectors : a passage to entrance, an entrance hall, a livingroom, a bedroom, a bathroom, a kitchen, and utility room. this study propose the following plan that rural housing to be barrier free space. First, in passage to entrance of the house, people with disabilities should not experience difficulties in walking, so installing ramps to remove the stepped slope grade without slip so that the floor finish should be. Second, entrance hall need more space to change and keep wheelchair. Third, switches and handle should be installed various height and form depend on the behavior of residents. Forth, install a drain to make no changes in level of bathroom. Implications: This research could be the basic data to renovate the rural housing.

Planning Factor of the Housing for the Disabled and Aged based on the Inclusive Housing (포괄적 주택개념에 기초한 장애인 및 노인주거 계획요소)

  • Kim, Mingyeong;Nam, Younok
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.17 no.4
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    • pp.57-68
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    • 2011
  • The purpose of this study is to provide the planning factors of housing for the disabled and elderly based on the inclusive housing design as sustainable neighborhood. The goal of inclusive design is to make buildings and communities more livable for all type of people. Inclusive design should embrace other good design goals and reinforce them, not work against them. To carry out this purpose, we should proceed in the following way: First, we deducted the four design factors (the basic, recommendable, adaptable, and residential factors) by reviewing the characteristics of inclusive housing concepts. Second, we analyzed the related foreign design standards and guidelines such as the ICC/ANSI A117.1 Type C Units (the United States, 2009), Lifetime Standard (the United Kingdom, 2010), and Livable Housing Design Guideline (the Australian, 2010) through four design factors based on inclusive design concepts. Finally, we suggested the housing design factors for the disabled and the elderly in Korea. To conclude, we can make the followings: It is important basic factor that the bedroom and bathroom layout closed to each other. Also, the bedroom has the proper height of light switches, outlets, and windows. The recommendable factors take into consideration stairs and ramp, if existent. The adaptable factors are closely related to domestic housing culture as well as residential factors. Proceeding from this fact, the livability for people with disabilities and older requires accessibility and adaptability that take into account public and efficiency considering the current trend of housing development and urban planning.