• Journal of Preventive Medicine and Public Health
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• 제48권6호
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• pp.265-270
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• 2015

The recent Middle East respiratory syndrome coronavirus (MERS-CoV) outbreak has originated from a failure in the national quarantine system in the Republic of Korea as most basic role of protecting the safety and lives of its citizens. Furthermore, a number of the Korean healthcare system's weaknesses seem to have been completely exposed. The MERS-CoV outbreak can be considered a typical public health crisis in that the public was not only greatly terrorized by the actual fear of the disease, but also experienced a great impact to their daily lives, all in a short period of time. Preparedness for and an appropriate response to a public health crisis require comprehensive systematic public healthcare measures to address risks comprehensively with an all-hazards approach. Consequently, discussion regarding establishment of post-MERS-CoV improvement measures must focus on the total reform of the national quarantine system and strengthening of the public health infrastructure. In addition, the Korea Centers for Disease Control and Prevention must implement specific strategies of action including taking on the role of "control tower" in a public health emergency, training of Field Epidemic Intelligence Service officers, establishment of collaborative governance between central and local governments for infection prevention and control, strengthening the roles and capabilities of community-based public hospitals, and development of nationwide crisis communication methods.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제10권3호
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• pp.1229-1248
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• 2016

With the feature of convenience and low cost, remote healthcare monitoring (RHM) has been extensively used in modern disease management to improve the quality of life. Due to the privacy of health data, it is of great importance to implement RHM based on a secure and dependable network. However, the network connectivity of existing RHM systems is unreliable in disaster area because of the unforeseeable damage to the communication infrastructure. To design a secure RHM system in disaster area, this paper presents a Secure VANET-Assisted Remote Healthcare Monitoring System (SVC) by utilizing the unique "store-carry-forward" transmission mode of vehicular ad hoc network (VANET). To improve the network performance, the VANET in SVC is designed to be a two-level network consisting of two kinds of vehicles. Specially, an innovative two-level key management model by mixing certificate-based cryptography and ID-based cryptography is customized to manage the trust of vehicles. In addition, the strong privacy of the health information including context privacy is taken into account in our scheme by combining searchable public-key encryption and broadcast techniques. Finally, comprehensive security and performance analysis demonstrate the scheme is secure and efficient.

• 산업공학
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• 제20권2호
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• pp.177-185
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• 2007

e-Business in healthcare sector has been called e-Health, which is evolving into u-Health with advances of ubiquitous technologies. Seamless information sharing among health organizations is being discussed in many nations including USA, UK, Australia and Korea. Efforts for establishing the electronic health record (EHR) system and a nation-wide information sharing environment are called NHII (National Health Information Infrastructure) initiatives. With the advent of u-Health and progress of health information systems, information security issues in healthcare sector have become a very significant problem. In this paper, we analyze several issues on health information security occurring in u-Health environment and develop an information security standard for protecting health information. It is expected that the standard proposed in this work could be established as a national standard after sufficient reviews by information security experts, stakeholders in healthcare sector, and health professionals. Health organizations can establish comprehensive information security systems and protect health information more effectively using the standard. The result of this paper also contributes to relieving worries about privacy and security of individually identifiable health information brought by NHII implementation and u-Health systems.

• 한국의료질향상학회지
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• 제29권2호
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• pp.32-46
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• 2023

Purpose: Fire response education is critical for healthcare providers working in hospitals to ensure a safe environment for patients and staff. However, a comprehensive review that thoroughly examines the contents, methodologies, and outcomes of fire response education in hospitals is currently lacking. Methods: We conducted a scoping review by adhering to the framework proposed by Arksey and O'Malley. We searched five electronic databases for literature published after 1990, using the key categories of "hospitals," "fires," and "education." As a result, we identified 15 relevant articles that met our inclusion criteria for the review. Results: Of the 15 articles, 12 had adopted a quasi-experimental design and the remaining 3 had employed a true experimental design. The majority of these studies (11 out of 15) were conducted in the United States, with 4 studies forming committees or teams dedicated to education. Simulation methods were used in 13 studies, while 2 studies had employed a combination of methods. All studies focused on first-response procedures based on RACE (Rescue, Alarm, Contain, Extinguish/Evacuation). Outcome measures included the learners' overall experience, performance in the educational settings, and performance in the field, with all studies reporting positive results following the educational interventions. Conclusion: Our review highlights the importance of multi-professional and multi-departmental educational strategies based on institutional-level initiatives for healthcare providers to create a safe hospital environment.

• 한국IT서비스학회지
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• 제23권3호
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• pp.39-54
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• 2024

This study explores the barriers to using health and medical data in research and development (R&D) within the healthcare industry and suggests ways to enhance data utilization. As artificial intelligence technology drives transformative changes across industries, there is an increased demand for robust health and medical data, highlighting its critical economic value and utility in fostering innovation. Using qualitative analysis through Grounded Theory, the study involves ten R&D professionals from healthcare industry, including both medical centers and corporations, using surveys and in-depth interviews to gather diverse experiences and perspectives on the challenges and opportunities in health and medical data use. Key findings point to legislative, regulatory, and data quality and integration issues, as well as complexities in patient data access and usage. Technological limitations and inadequate data governance frameworks also emerge as significant obstacles. Recommendations focus on improving regulatory frameworks, enhancing data standardization and quality, and fostering stronger partnerships between data custodians and users. The study concludes that overcoming these obstacles requires a comprehensive strategy involving legislative changes, improved technological infrastructure, and increased stakeholder collaboration. Implementing these recommendations could greatly enhance health and medical data utilization in R&D, significantly advancing medical science and patient care services.

• Safety and Health at Work
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• 제15권3호
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• pp.368-372
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• 2024

Occupational use of cleaning products can cause asthma in healthcare workers but the cleaning agents responsible are not yet known. This study aimed to identify respiratory and other hazards in cleaning products on the National Health Service (NHS) supply chain online catalogue and used in the NHS. Information on cleaning products, their composition, and H-statements that identified hazard characteristics of chemical substances in them was obtained from chemical safety data sheets (SDSs). Furthermore, a quantitative structure-activity relationship model and a published asthmagen list were used to identify potential additional respiratory hazards. 473 cleaning products and 229 substances were identified. SDSs reported only 4 respiratory sensitizers but an additional 51 were suggested by the other 2 methods. In contrast, 25 respiratory irritants were identified using SDSs and only one from the asthmagen list. This comprehensive overview of cleaning agents' hazards has potential use in future risk assessment and epidemiological studies.

• 가정∙방문간호학회지
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• 제26권1호
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• pp.81-90
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• 2019

Purpose: In accordance with changes in the healthcare environment, it is necessary to understand managerial cost accounting for nurses. This study aimed to develop educational components of managerial cost accounting for nurses. Methods: This study is comprised of a comprehensive literature review, nominal group technique using focus group interview, audit by an expert group, and priority analysis. Results: The comprehensive literature review identified 15 educational components of managerial cost accounting. In the nominal group technique, the participants finally agreed on eight educational components of managerial cost accounting for nurses. The average content validity index of these components was 0.99. "Activity-based costing" scored the highest for relative importance (15.7%). Conclusions: These results can be used to develop an education program to strengthen nurses' managerial cost accounting competencies. Furthermore, it will be helpful to use a basis for the development of cost management curricula for nursing students and on-the-job training courses of nurse managers and executives.

• 비만대사연구학술지
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• 제1권2호
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• pp.47-52
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• 2022

Digital therapeutics (DTx) are emerging as a novel solution to improve lifestyle and prevent non-communicable diseases. Obesity is a complex, multi-factorial, chronic condition that requires patient-centered lifestyle modification. DTx, such as mobile applications and wearables, may offer easily accessible, efficient, and personalized care in the field of obesity and metabolic diseases. Yet, there is controversy over its clinical usefulness. This review will provide a comprehensive overview of DTx, including its potential role and current limitation in obesity care, based on recent literature.

• 한국융합학회논문지
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• 제6권6호
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• pp.247-253
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• 2015

본 연구에서는 한국과 일본의 암검진 사업의 수검율에 영향을 주는 정책적 요인에 대한 융합연구를 통해 분석하였다. 그 결과는 첫째로 국민건강보험제도의 보험자가 단일보험자일 경우 통합적인 암검진 사업이 가능하기 때문에 검진율에 영향을 미칠 것으로 분석되었다. 둘째로 암과 같은 중증질병에 걸렸을 때 예상되는 의료비 부담이 높으면 경제적 인센티브가 작동하게 되어 검진율에 영향을 미칠 것으로 분석되었다. 일본의 경우에는 건강보험에서 보장하지 않는 비급여항목이 거의 없고 본인부담상한제 등이 잘 정비되어 있어 중증질환이라도 의료비부담이 낮기 때문에 암검진의 수검율이 개선되지 않는 측면이 있다. 일본은 건강보험제도의 보장성 강화가 암검진에 대한 경제적 인센티브를 약화시키는 정책적 요인으로 작용한 것으로 나타났다.

• Asian Pacific Journal of Cancer Prevention
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• 제13권4호
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• pp.1105-1109
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• 2012

Breast cancer is the second most common cancer in women in India and the disease burden is increasing annually. The lack of awareness initiatives, structured screening, and affordable treatment facilities continue to result in poor survival. We present a breast cancer survival scenario, in urban population in India, where standardised care is distributed equitably and free of charge through an employees' healthcare scheme. We studied 99 patients who were treated at our hospital during the period 2005 to 2010 and our follow-up rates were 95.95%. Patients received evidence-based standardised care in line with the tertiary cancer centre in Mumbai. One-, three- and five-year survival rates were calculated using Kaplan-Meier method. Socio-demographic, reproductive and tumor factors, relevant to survival, were analysed. Mortality hazard ratios (HR) were calculated using Cox proportional hazard method. Survival in this series was compared to that in registries across India and discrepancies were discussed. Patients mean age was 56 years, mean tumor size was 3.2 cms, 85% of the tumors belonged to T1 and T2 stages, and 45% of the patients belonged to the composite stages I and IIA. Overall 5-year survival was 74.9%. Patients who presented with large-sized tumors (HR 3.06; 95% CI 0.4-9.0), higher composite stage (HR 1.91; 0.55-6.58) and undergone mastectomy (HR 2.94; 0.63-13.62) had a higher risk of mortality than women who had higher levels of education (HR 0.25; 0.05-1.16), although none of these results reached the significant statistical level. We observed 25% better survival compared to other Indian populations. Our results are comparable to those from the European Union and North America, owing to early presentation, equitable access to standardised free healthcare and complete follow-up ensured under the scheme. This emphasises that equitable and affordable delivery of standardised healthcare can translate into early presentation and better survival in India.