• Title/Summary/Keyword: Accessibility of healthcare

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Assessment of Needs and Accessibility Towards Health Insurance Claims Data (연구를 위한 건강보험 청구자료 요구 및 이용 요인분석)

  • Lee, Jung-A;Oh, Ju-Hwan;Moon, Sang-Jun;Lim, Jun-Tae;Lee, Jin-Seok;Lee, Jin-Yong;Kim, Yoon
    • Health Policy and Management
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    • v.21 no.1
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    • pp.77-92
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    • 2011
  • Objectives : This study examined the health policy researchers' needs and their accessibility towards health insurance claim datasets according to their academic capacity. Methods : An online questionnaire to capture relevant proxy variables for academic needs, accessibility, and research capacity was constructed based on previous studies. The survey was delivered to active health policy researchers through three major scholarly associations in South Korea. Seven-hundred and one scholars responded while the survey as open for 12 days (starting on December 20th, 2010). Descriptive statistics and logistic regression analysis were carried out. Results : Regardless of the definition for operational needs, the prevalent needs of survey respondents were not met with the current provision of claim data. Greater research capacity was shown to be correlated with increased demand for claim data along with a positive correlation between attempts to obtain claim datasets and research capacity. A greater research capacity, however, was not necessarily correlated with better accessibility to the claim data. Conclusions : The substantial unmet need for claim data among the healthcare policy research community calls for establishing proactive institutions which could systematically prepare and make available public datasets and provide call-in services to facilitate proper handling of data.

Healthcare System using Pegged Blockchain considering Scalability and Data Privacy

  • Azizan, Akmal;Pham, Quoc-Viet;Han, Suk Young;Kim, Jung Eon;Kim, Hoon;Park, Junseok;Hwang, Won-Joo
    • Journal of Korea Multimedia Society
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    • v.22 no.5
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    • pp.613-625
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    • 2019
  • The rise of the Internet of Things (IoT) devices have greatly influenced many industries and one of them is healthcare where wearable devices started to track all your daily activities for better health monitoring accuracy and even down to tracking daily food intake in some cases. With the amounts of data that are being tracked and shared between from these devices, questions were raised on how to uphold user's data privacy when data is shared between these IoT devices and third party. With the blockchain platforms started to mature since its inception, the technology can be implemented according to a variety of use case scenarios. In this paper, we present a system architecture based on the healthcare system and IoT network by leveraging on multiple blockchain networks as the medium in between that should enable users to have direct authority on data accessibility of their shared data. We provide proof of concept implementation and highlight the results from our testing to show how the efficiency and scalability of the healthcare system improved without having a significant impact on the performance of the Electronic Medical Record (EMR) that mostly affected by the previous solution since these solutions directly connected to a public blockchain network and which resulted in significant delays and high cost of operation when a large amount of data or complicated functions are involved.

Unmet healthcare needs and related factors according to gender differences in single-person households (일인 가구의 성별에 따른 미충족 의료현황과 관련 요인)

  • Chae, Hyun Ju;Kim, Mijong
    • Women's Health Nursing
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    • v.26 no.1
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    • pp.93-103
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    • 2020
  • Purpose: This study was conducted to identify unmet healthcare needs among man and woman one-person households and to explore related factors by gender. Methods: Data were drawn from the 2017 Korea National Health and Nutrition Examination Survey. The final sample consisted of 820 one-person households. The statistical analysis, conducted in SPSS version 20.1, included complex sampling analysis; descriptive statistics, the chi-square test, and logistic regression. Results: The demographic and socioeconomic characteristics of women in one-person households were significantly different from those of men in one-person households. Women in single-person households were mainly in their 70s or older and married, and they tended to have a low education level, low income, and no formal occupation. Unmet healthcare needs were experienced by 17.3% of women in one-person households and 13.5% of men in one-person households, which was not a statistically significant difference (χ2=2.17, p=.139). Factors related to unmet healthcare needs were subjective health status and unmet dental care needs in single-person-household men. By contrast, having experienced impairment within the past year, stress, and unmet dental care needs were factors related to unmet healthcare needs in single-person-household women. Conclusion: As one-person households become increasingly common, more attention needs to be paid to them and our understanding of them needs to be improved. Women in one-person households, in particular, are especially vulnerable, as they experience more unmet healthcare needs.

A Study on Regional Differences in Healthcare in Korea: Using Position Value for Relative Comparison Index (한국 지역 간 보건의료수준의 상대적 위치 비교 연구: Position Value for Relative Comparison Index를 활용하여)

  • Youn, Hin-Moi;Yun, Choa;Kang, Soo Hyun;Kwon, Junhyun;Lee, Hyeon Ji;Park, Eun-Cheol;Jang, Sung-In
    • Health Policy and Management
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    • v.31 no.4
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    • pp.491-507
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    • 2021
  • Background: This study aims to measure regional healthcare differences in Korea, and define relatively underserved areas. Methods: We employed position value for relative comparison index (PARC) to measure the healthcare status of 250 areas using 137 indicators in five following domains: healthcare demand, supply, accessibility, service utilization, and outcome. We performed a sensitivity analysis using t-SNE (t-distributed stochastic neighboring embedding). Results: Based on PARC values, 83 areas were defined as relatively underserved areas, 49 of which were categorized as moderate and 34 as severe. The provincial regions with the most underserved areas were Gyeongbuk (16 areas), Gangwon (13), Jeonnam (13), and Gyeongnam (12). Conclusion: This study suggests a relative comparison approach to define relatively underserved areas in healthcare. Further studies incorporating various perspectives and methods are required for policy implications.

A Study on the Characteristic of Staircase for Barrier-Free Architectural Environment (무장애 건축 환경을 위한 계단의 설계특성에 관한 연구)

  • Seong, Ki-Chang
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.10 no.2
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    • pp.125-133
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    • 2004
  • Safety, accessibility and distinguishment as the concept of architectural planning and design are demanded in staircases due to increase of the old aged people and disabled people's enlarged social participation. In this research is tried to provide the importance of vertical walking function at the design for the staircases. For this reason, structural elements of the staircases are studied in the ergonomic aspect for barrier-free environment and a comparative study is made on the regulations of the staircases in the inside and outside of the country in disabled & aged people's view. Based on this study, the quality of the staircases in public facilities and Apartments is analyzed. As the result, it has been proved that the vertical walking function of the staircases is the most fundamental characteristic of the staircases design before everything else.

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A Study on Convenience Facilities of the Physically Disabled in the Public Buildings - Focused on municipal buildings in Jeonbuk Province - (공공업무시설의 장애인편의시설 실태조사에 관한 연구 - 전라북도 자치단체청사를 중심으로 -)

  • Park, Chang-Sun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.11 no.3
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    • pp.41-49
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    • 2005
  • The purpose of this study is to analysis of convenience facilities for disabled in the municipal buildings. The physically disabled based on comparative analysis of disabilities code in Korea. For this objective, the code and guideline were analysed, and based on the analysis the checklist was developed for field observation. Convenience facilities ought to consider various aspects like size, and spatial composition of facilities, safety factors. and the present conveniences facility regulation. The research was conducted for municipal buildings located in Jeonbuk province. The procedures for research was made to investigate the finding of architectural related code and faculty standards. The results of investigation should be complemented and clarified guidelines in terms of accessibility and convenience which in detail. If the disabled would be convenient to use municipal buildings facilities, there should be no difficulties. As a result, convenience facilities for disabled in the municipal buildings has been improved that the design concept for the disabled person in general architectural planning.

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A Basic Study on the Architectural Planning of Outdoor Space for the Elderly with Dementia (치매요양시설의 옥외공간 조성에 관한 기초연구)

  • Jeon, Sung-Min;Kwon, Soon-Jung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.13 no.1
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    • pp.61-71
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    • 2007
  • The Outdoor space is an essential element among healing environments for older people. The purpose of this study is to identify outdoor design issues which can improve the health conditions of the elderly living in nursing home. At first, the design principles of outdoor space for the mentally ill have been collected from the literature survey. Secondary, outdoor design requirements for the care program in nursing homes have been explored. Thirdly, good design elements have been collected from 6 nursing homes which have good outdoor space. Finally, Basic design principles of outdoor space of nursing homes in which older people with dementia live have been proposed by analysis and synthesis on the three stages before. As a result of this study, 6 dimensions in architectural planning of outdoor space for nursing homes have been presented : safety environment, various sensual stimulation, social interactions, support physical ability, accessibility, meditation.

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A study on the space organizing features for the wards of the specialized dementia hospital - focused on the public living space - (치매전문요양병원 병동부의 공간구성 특성에 관한 연구 - 공용생활공간을 중심으로 -)

  • Joo, Hyun-Don;Park, Jae-Seung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.13 no.1
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    • pp.53-60
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    • 2007
  • As the population of the elderly increases drastically year by year in Korea, this phenomenon is being a serious problem because of the increasing speed not having been showed ever all over the world. This thesis would propose the space organizing features for well-organized dementia hospital focused on the public living space. The way arranging each function is very important because values of the physical and functional accessibility have a wide range of value as each type of facility. Moreover, if the arranged function unit is the same as the territory of the space, it could be a good guideline on architectural planning.

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A Study on the Analyzation of Handicapped Facility in Residential outside Area (공동주택단지 옥외공간의 장애인 편의시설 실태분석에 관한 연구)

  • Park, Kwang-Jae;Seong, Ki-Chang
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.11 no.2
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    • pp.45-54
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    • 2005
  • The purpose of this paper is to analyze the handicapped facility in residential outside area, to found how to improve the law in analyzing the residential area and to suggest consideration factor in design phase. To concentrate the study, the objects of case study are selected carefully, also case study method is selected as well as objects. After observing the summary of objects, the checklist is made accordance with the improvement law of facility. The checklist has the general and detail factor about outdoor residential area, and the detail factor is based on the improvement law of facility and is used to examine and analyze.

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A Study on the Architectural Planning of the Disabled Rehabilitation Facilities with the Independent Living Paradigm (자립생활 패러다임에 의한 장애인종합복지관의 건축계획 연구)

  • Seong, Ki-Chang
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.13 no.4
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    • pp.37-46
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    • 2007
  • The rehabilitation facilities for disabled people keeps going to grow with social changes that disabled people are dramatically increasing. This paper try to provide basic concept of the architectural planning for the disabled rehabilitation facilities. To accomplish this purpose this study has analyzed the behavior pattern of user with disabilities. This study has introduced the problem of using space in the rehabilitation and welfare facilities for the disabled and the architectural concept for resolve it. The architectural planning concept appears by barrier-free accessibility, safety for mobility and use, amenity integrated the spatial cognition and flexible structural system.

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