• ETRI Journal
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• 제36권5호
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• pp.730-740
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• 2014

The rapid increase in the number of patients with chronic diseases is an important public healthcare issue in many countries, which accelerates many studies on a healthcare system that can, whenever and wherever, extract and process patient data. A patient with a chronic disease conducts self-management in an out-of-hospital environment, particularly in an at-home environment, so it is important to provide integrated and personalized healthcare services for effective care. To help provide effective care for chronic disease patients, we propose a service flow and a new cloud-based personalized healthcare system architecture supporting both at-home and at-hospital environments. The system considers the different characteristics of at-hospital and at-home environments, and it provides various chronic disease care services. A prototype implementation and a predicted cost model are provided to show the effectiveness of the system. The proposed personalized healthcare system can support cost-effective disease care in an at-hospital environment and personalized self-management of chronic disease in an at-home environment.

• 산업경영시스템학회지
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• 제30권4호
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• pp.21-29
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• 2007

We derive priority decision making on healthcare service technology standardization in the home network through the decision support process with industry professionals. We configured a research group with 4 industrial areas including Industry, Academic, Research Institution and Medical Institution. And we also applied AHP methodology for the priority decision making. The research group decides an evaluation criteria which are consisted of marketability, technology, ripple effect, strategy for national policies in order to make a priority for healthcare service on a home network. And it is also decided 7 fields and 24 sub-fields, technically. In order to make a priority for the standardization, we use an AHP methodology, that is more objective and feasible, as a decision tool. After two-phase survey that consists of paper survey and face to face meeting, we get a conclusion that home healthcare content is at the top and then wireless home network follows it.

• 기본간호학회지
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• 제18권1호
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• pp.116-129
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• 2011

Purpose: The purpose of this study was to develop a computer decision making support system that enables nurses to utilize the computer in selecting the best decision for pain management for patients with dementia institutionalized in nursing homes. Methods: To formulate the protocol for the management of patients' pain, the researcher analyzed content of interviews with 30 nurses in three nursing homes and an expert group. A decision support computer program was formalized based on existing protocols. To evaluate the effectiveness and applicability of the system, analysis of data on patient pain management and nurse satisfaction with the system were done after the formalized decision support computer program was complete. Results: The decision support computer program for pain management for institutionalized patients with dementia was finalized after adjustments following the evaluation. Nurse satisfaction with the program was moderate. It also provided opportunity to reassess thinking about pain and pain management. Conclusions: The results indicate that this program provides nurses with useful knowledge for pain management in institutionalized patients with dementia and aids in decision making in nursing practice in nursing home.

• 한국정보통신학회논문지
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• 제16권9호
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• pp.1970-1976
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• 2012

현재 홈 헬스케어시스템은 의료기기와의 통합을 위한 표준화 기술이 미비한 상황이며 특히, 다양한 개인의료기기들의 호환성 제공과 시스템 간 상호 운용성 확보를 위한 보다 구체적인 솔루션이 필요하다. 본 논문에서는 핵심기술 요소인 ISO/IEEE 11073, HL7 표준 적용을 통하여 스마트 게이트웨이 기반 모바일 헬스케어시스템을 설계 및 구현하고자 한다. 이를 위해, 심박측정계, 산소포화도 측정계, 심전도 측정계 등을 헬스케어 의료기기로 구성하였다. 아울러, 본 논문에서는 Android 4.x Bluetooth HDP(Health Device Profile)를 기반으로 continua health alliance 표준의 의료기기 연결성을 제공하며, 스마트폰 환경에서 의료기기를 통해 얻어진 데이터를 HL7 표준을 기반으로 사용자와 의료인에게 제공하여 사용자의 건강 평가/관리를 위한 진단지원시스템을 가능하게 하는 헬스케어시스템을 구현하고자한다.

• Journal of Hospice and Palliative Care
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• 제20권1호
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• pp.8-17
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• 2017

종합적인 보건시스템을 지원하기 위한 완화의료정책의 개발과 강화가 세계적으로 강조되고 있다. 우리나라에서는 암정복 10개년 계획과 국가암관리종합계획의 기틀 하에 암정책의 일환으로, 호스피스완화의료정책이 시행되어왔고, 2003년 암관리법(Cancer Control Act)을 제정하여 법적 근거를 마련하였으며, 최근 호스피스 완화 의료 및 임종과정에 있는 환자의 연명의료결정에 관한 법을 제정하여 시행할 예정이다. 호스피스완화의료정책의 대상은 최근 관련법의 제정에 따라, 말기암환자에서 암(Cancer), 후천성면역결핍증(Acquired immune deficiency syndrome, AIDS), 만성 폐쇄성 호흡기질환(Chronic Obstructive Pulmonary Disease, COPD), 만성간경화(Chronic Liver Disease/Live Cirrhosis) 등으로 확대되었고, 급여체계는 2015년에 모든 의료기관에 일당 정액수가와 행위별 수가의 복합지불방식으로 완화의료 건강보험제도가 시행되었다. 전달체계관련 건강보험제도는 입원형과 자문형, 그리고 가정형으로 구분되고, 완화의료전문기관의 지정 평가 지원제도가 운영되고 있으며, 재원체계는 건강보험기금과 국가지원금으로 조달되고 있다. 호스피스 완화의료 관련법의 시행에 앞서, 정책대상의 사회적 합의가 요구되며, 낮은 급여체계의 현실화, 민관협력을 통한 호스피스완화의료 표준설정과 전문요원양성, 질 관리 및 평가체계정립, 그리고 장기요양보험과 호스피스기금 등을 활용한 안정적인 재정체계를 마련해야 할 것이다.