• Title/Summary/Keyword: Accessibility of healthcare

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Customized healthcare service platform connecting EMR system (병원 내 EMR 시스템 연동을 통한 맞춤형 헬스케어 서비스 시스템 개발)

  • Gwak, Dae-Hun;Kim, Seok-Il;Yun, Seo-Won;Seong, Kyeong-Hwa;Jung, Joong-Hwa;Koh, Seok-Joo
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2018.05a
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    • pp.690-692
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    • 2018
  • Recently, university hospitals have problems as patient datas grows. And it is difficult that medical staffs check patients living on their prescription. Patients don't often remember their prescription, and don't know how to apply the prescription to their life. To solve these problems, To solve these problems, it is customized healthcare service platform using MQTT push notification. It is provided in form of a web application having good accessibility that. Based on doctor's prescription, the patients take notifications that is the timing of medication, medical appointments, and other prescription informations. The results can be entered into the web application. The healthcare professionals can check that the patients are following their prescription well. In this paper, we provide the above functions via the web application and a RESTful API server platform, and notification function can be efficiently performed by MQTT Broker. So we checked the customized healthcare service can be effectively provide.

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Changes in Healthcare Utilizations of Cancer Patients since the Launch of KTX (KTX 도입 이후 암환자의 의료이용 변화)

  • Kim, Jin-Hyun;Lee, Jae-Hee;Lee, Jin-Hee
    • Journal of the Korean Society for Railway
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    • v.13 no.2
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    • pp.236-243
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    • 2010
  • We examine the change in healthcare utilization pattern of cancer patients since the launch of KTX in 2004. It is found that during the year of 2004 and 2005 the rapid increase in the ratio of cancer patients' healthcare utilizations for the tertiary hospitals in Seoul to the total healthcare utilizations has accompanied the rapid decrease in the corresponding ratio for the tertiary hospitals in the local metropolitan areas under the influence of KTX while the corresponding ratio for the tertiary hospitals in the local cities with little influence of KTX on them has exhibited mild change. Since healthcare consumers' choice of hospitals can be characterized by "foot voting" action in the healthcare service market in Korea, such a phenomenon may have strong implication that the introduction of KTX may have affected substantially the inter-area healthcare utilization pattern by cancer patients by reducing various sorts of long-distance travel costs. Therefore, considering the potential contribution of KTX to the increase of cancer patients' accessibility to hospitals with higher qualities, support policies such as fare discount for low-income cancer patients in local areas may need to be taken into consideration where the well-designed fare discount program for low-income cancer patients may increase utilizations of KTX by lowincome cancer patients without incurring additional costs to running of KTX.

A Study on Influence Factors of Mobile Healthcare Service Using Structural Equation Modeling (구조방정식을 이용한 모바일 헬스케어 서비스에 대한 사용의도 영향요인 연구)

  • Lee, OK-Hee;Ham, Seung-Woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.3
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    • pp.418-427
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    • 2017
  • The purpose of this study is to investigate the factors influencing the intention to use mobile healthcare services based on smartphones. Data collection was conducted from March 10, 2014 to April 8, 2005. The collected data were analyzed by SPSS WIN 23.0 and AMOS 18.0 using Path analysis and Structural equation modeling analysis. The results showed that service quality and innovativeness, which are external variables, had a statistically significant effect on perceived usefulness, and these two factors had a positive effect on the intention to use mobile healthcare services. Usefulness also has a significant effect on perceived usefulness, and content characteristics and cost rationality have a significant effect on usability. The usefulness of the service also directly affects the intention to use mobile health care services, and various factors affect their effective use. In response to the recent rise in medical expenses, mobile healthcare using smartphones has emerged and there is a need to develop awareness of the various attempts by companies to develop such apps. The government should also make effort to improve accessibility to healthcare services by introducing suitable policies. It is expected that future studies will be continuously conducted to confirm the development of differentiated services for mobile healthcare subjects and their intention to use them.

Position Value for Relative Comparison of Healthcare Status of Korea in 2017 (2017년 한국 보건의료의 상대적 위치와 추이: 경제협력개발기구 국가와 비교)

  • Lee, Hyeon Ji;Oh, Sarah Soyeon;Park, Eun-Cheol
    • Health Policy and Management
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    • v.30 no.1
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    • pp.131-138
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    • 2020
  • The purpose of this study was to compare the health status of South Korea with those of Organization for Economic Cooperation and Development (OECD) countries and examine the trends. Position vAlue for Relative Comparison (PARC) was used as a gauge for comparison, and five sectors of the health care system were measured: demand, supply, accessibility, quality, and cost. The Mann-Kendall test was used as a statistical analysis method to examine trend of PARC values obtained from 2000 to recent years. According to the results, the demand, supply, accessibility, and quality sectors were higher than the OECD average, while the cost was lower than the average. However, there is a recent trend of sharp increases in health care costs. Some indicators: health employment, quality of primary care and mental health care were lower than the OECD average, and health determinants showed a worsening trend. Therefore, policy-makers need to take this into account and make efforts for sustainable health care.

A Study on the Optimal Accessibility and Location of the Comprehensive Support Institution for Senior Citizens (노인중심 종합지원기관의 적정 접근성 및 입지에 관한 연구)

  • Kim, Mi-ran;Lee, Kyung Hoon
    • Journal of the Architectural Institute of Korea Planning & Design
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    • v.36 no.3
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    • pp.21-30
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    • 2020
  • This study explores institutions that provide comprehensive services to senior citizens, including welfare, healthcare, and housing support. These institutions can be defined as centers that offer continual care and carry out policies related to senior citizens. In such institutions, senior citizens have access to information about aging and senior services. First, this study reviewed prior research on senior comprehensive support institutions and their accessibility, and the data led to several findings about the needs of the senior citizens and the proper locations of senior comprehensive support institutions. And this study used surveys to gather information on senior citizens' perceptions of services at such institutions. The survey results indicated that the elderly agreed with the priorities of comprehensive support institutions, and that it would be more convenient to visit such institutions if there were more than one per Dong (administrative district of Seoul). In response to these results, the ideal radius of each administrative district in the metropolitan area of Korea was investigated. Finally, the study also discussed the adequacy of this distance in comparison to that of current institutions in Japan. Combining these results, the study concludes that comprehensive support institutions for the citizens should be created and suggests appropriate distances and locations of such institutions.

Health Education Strategies for Adoption of Moderate Drinking Habits among Rural Residents (농촌주민의 적정음주를 위한 보건교육 전략)

  • 김미혜;정문희
    • Korean Journal of Health Education and Promotion
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    • v.20 no.3
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    • pp.171-188
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    • 2003
  • This study, based on stages of behavioral change, was aimed at suggesting strategies for the adoption of moderate drinking habits for community-based health education designed to help rural people. An interview survey was conducted during the period from March 4 to April 5, 2002 by sampling 467 rural people living in 6 villages covered by a public healthcare clinic. The results of this study can be summarized as follows; 1. The perceived non-moderate drinkers were less prepared for behavioral change. 2. The heavier drinking habits were ‘drinking alone’, ‘meals accompanied by drinking’ and ‘drinking twice or more at a time’. The agricultural off-season and the custom of brewing liquor at home were negative environmental factors for moderate drinking. 3. The predisposing factors affecting moderate drinking were recognition of health, expectation of the drinking effect, etiquette encouraging overdrinking and control of drinking. The reinforcing factors were stress from ordinary life and perception of being loved. The enabling factor was accessibility to the public healthcare clinic. 4. Rural residents are less motivated to participate in health education for moderate drinking. Based on the above findings, health education strategies for each stage can be suggested as follows: 1) Pre-contemplation stage: improvement of perception, motivation, sharing of experiences, and reawakening. 2) Contemplation/preparation stag e: measurement of value, departure from the inertia against a change, formation of a habit, and reinforcement of the behavior. 3) Action/maintenance stage: creation of a social atmosphere, encouragement of participation, change of life style, and improvement of environment.

Factors affecting the number of emergency room visits in a public hospital in Korea (일개 공공병원 응급실 방문건수 관련 요인)

  • Byung-Keun Yang;Jae-Hwan Oh;Kwang-Soo Lee
    • Korea Journal of Hospital Management
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    • v.28 no.3
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    • pp.39-46
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    • 2023
  • Purpose: Korean medical services are not balanced across regions and social classes. To prevent mortality gaps, Korea must distribute its medical resources more efficiently. Patient factors affecting emergency room visits serve as basic data for determining best practices for public healthcare distribution. Methods: The data included 18 473 visits by 14 949 de-identified patients who visited a public emergency room over one year. The dependent variable was the number of emergency room visits. A Poisson regression was conducted with the independent variables, comprising sociodemographic, socioeconomic, and spatial accessibility factors and patient characteristics. Results: Older men with higher Korean Triage and Acuity Scale scores visited more frequently. Greater patient-hospital distance decreased visits; however, the presence of a hospital within 1 km of a patient's residence did not affect the number of visits. The use of 119 services was negatively correlated with the number of visits. Visits increased with more medical benefits. Conclusions: Patient age, distance to hospital, use of 119 services, and medical benefits should be considered when planning or managing public hospitals in Korea.

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A Study on the Planning Concept of Elderly Housing in Aged society (고령사회에 대응한 고령자주택의 계획개념에 관한 연구)

  • Han, Kyun;Kwon, SoonJung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.19 no.2
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    • pp.7-17
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    • 2013
  • Purpose: This basic research tries to provide planning concept of elderly housing which can cope with the needs of the aged society. Methods: This study has been conducted mainly by literature investigation research. Previous researches include Universal and Barrier-Free Design, Elderly Housing Standards, Elderly Welfare Act and other related acts, various papers related to elderly housing, and so on. To set up the Planning concept of elderly housing, elements or indices of previous studies have been comparatively analysed. Results: Elderly housing has been divided into individual type, group type and facility type according to the residents' health and operation system of the housing. This paper focuses on the individual type among three categories. Seven concepts of the elderly housing have been derived as the outcome of this research - Safety, Accessibility, Amenity, Distinguishment, Adaptability, Convenience, and Sociality. Implications: This concept will provide the planning direction on the construction and renovation for Elderly Housing in the future.

Perceived Service Quality among Outpatients Visiting Hospitals and Clinics and Their Willingness to Re-utilize the Same Medical Institutions

  • Jung, Min-Soo;Lee, Keon-Hyung;Choi, Man-Kyu
    • Journal of Preventive Medicine and Public Health
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    • v.42 no.3
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    • pp.151-159
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    • 2009
  • Objectives : This study was to determine how the perception and the satisfaction of outpatients who utilized clinics and hospitals are structurally related with their willingness to utilize the same institution in the future. Methods : Three hundred and ten responses (via convenient sampling) were collected from 5 hospitals and 20 clinics located in Seoul listed in the "Korea National Hospital Directory 2005". Service quality was utilized as the satisfaction measurement tool. For analysis, we used a structural equation modeling method. Results : The determining factors for general satisfaction with medical services are as follows: medical staff, reasonability of payment, comfort and accessibility. Such results may involve increased competition in the medical market and increased demands for quality medical services, which drive the patients to visit hospitals on their own on the basis of changed determining factors for satisfaction. Conclusions : The structural equation model showed that the satisfaction of outpatients with the quality of medical services is influenced by a few sub-dimensional satisfaction factors. Among these sub-dimensional satisfaction factors, the satisfaction with medical staff and payment were determined to exert a significant effect on overall satisfaction with the quality of medical services. The structural relationship in which overall satisfaction perceived by patients significantly influences their willingness to use the same institution in the future was also verified.

A Study on the Aged and Disabled-Friendly Public Health Centers (보건소의 노인 및 장애인 친화적 시설 실태 및 개선방안 연구)

  • Seo, Young-Joon;Kim, Yeon-Hee;Shin, Min-Kyung;Chio, Dae-Bong;Kang, Shin-Hee;Kwon, Soon-Jung;Jeong, Seung-Won
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.15 no.2
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    • pp.3-11
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    • 2009
  • This study purports to investigate the status quo of the aged and disabled-friendly system in public health centers through the questionnaire survey and field interview. Data were collected from a total of 101 public health centers. The survey results revealed that the aged and disabled-friendly system in public health centers were not sufficient for meeting the needs of the elderly and disabled people. Based upon the study results, the following suggestions can be made to establish the aged and the disabled-friendly system in public health centers. The results of the study will make a contribution to establishing a good system for the aged and the disabled persons. In detail, they will be able to provide useful information for evaluating the status quo of the aged and the disabled-friendly system in many institutions. In addition, The results could be used as a practical strategy for improving the quality of the facilities for the aged and the disabled. In conclusion, the strategy and evaluation tool developed in the study will provide a good guide for establishing the aged and the disabled-friendly system in any institutions.

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