• 융합신호처리학회논문지
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• 제21권3호
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• pp.142-147
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• 2020

사물인터넷(IoT)은 개인, 공공, 산업 등 국가 사회 현안 해결의 수단으로 활용 가치가 있으며, 특히, 헬스케어산업에 사물인터넷 기술을 적용되고 있다. 사물인터넷 기반 헬스케어 서비스를 위해서는 신뢰성 및 보안성 보장이 중요하며, IoT 헬스케어 디바이스에 적합한 통신 프로토콜, 무선 송수신 기법, 신뢰성 기반 메시지 전달 등의 필요성이 요구된다. 본 논문에서는 oneM2M 기반 헬스케어 서비스 적용 모델을 제안하고 헬스케어 서비스에 적용하기 위해 체온, 가속도 센서를 통해 체온 및 활동량에 대한 상태를 측정하여 oneM2M을 기반으로 개발된 Mobius 플랫폼으로 전달하도록 시스템을 설계하고 구현하였다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제6권10호
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• pp.77-94
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• 2000

The purpose of this thesis is to lay groundwork for the development of emergency care system in metropolitan area. It compares the performance and outcome of the current system with foreign counterparts and investigates the changing aspects of future medical environment. Emergency medical system can be divided into two parts of both pre-hospital care, which refers to the emergency measures taken before arriving at a hospital, and hospital care that is given within a hospital. Pre-hospital care includes on-the-spot expedients, information system and delivery system, whereas hospital care is related to the classification and specialization of medical care facilities. This research focuses on the evaluation of the performance of a rescue party, which is part of pre-historical care system. As a result, it provides valuable material for the development of the emergency medical system in Seoul.

• 한국병원경영학회지
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• 제8권1호
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• pp.64-80
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• 2003

The separation policy of prescription and drug dispensing which has been implemented since the 1st of July, 2000, has brought about great changes in patients flow within the healthcare delivery system. The changes in the patients flow, in turn, resulted in the change in the distribution of financial resources among the participating entities in the healthcare delivery system: pharmacies, clinics, small hospitals, general hospitals, and teaching hospitals. The purpose of this study is to shed some light in the change in the financial performance of teaching hospitals under the separation policy that has created environmental changes such as the decrease in the number of out patients visits, the increase in the capital expenditures, the rapid increase in labor costs and so on. For the purpose, this study has compared and analyzed the balance sheets, the income statements and other operational data of three teaching hospitals located in D area. The data include two periods: before(year 1999) and after(year 2001) the implementation of the separation policy. The analysis was conducted with an emphasis on the changes in the financial ratios such as liquidity, turnover ratio, performance ratio. and capitalization ratio. The results show that the financial performances of the hospitals under study were weaker than before the implementation of the separation policy, and that, while the operating expenses have increased remarkably, there was no tendency to corresponding increase in revenue. And the result of analysis of other operational indicators also show that the performance of the hospitals is getting worse. Based on the results, this study has suggested the directions of the healthcare policies. This study suggests to improve the current model of separation of prescription and drug dispensing, to grant subsidies for the training of residents in teaching hospitals, and to lower the rate of patients' out of porket payment in teaching hospitals.

• Journal of Communications and Networks
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• 제16권4호
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• pp.465-474
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• 2014

Wireless sensor network (WSN) is considered to be one of the most important research fields for ubiquitous healthcare (u-healthcare) applications. Healthcare systems combined with WSNs have only been introduced by several pioneering researchers. However, most researchers collect physiological data from medical nodes located at static locations and transmit them within a limited communication range between a base station and the medical nodes. In these healthcare systems, the network link can be easily broken owing to the movement of the object nodes. To overcome this issue, in this study, the fast link exchange minimum cost forwarding (FLE-MCF) routing protocol is proposed. This protocol allows real-time multi-hop communication in a healthcare system based on WSN. The protocol is designed for a multi-hop sensor network to rapidly restore the network link when it is broken. The performance of the proposed FLE-MCF protocol is compared with that of a modified minimum cost forwarding (MMCF) protocol. The FLE-MCF protocol shows a good packet delivery rate from/to a fast moving object in a WSN. The designed wearable platform utilizes an adaptive linear prediction filter to reduce the motion artifacts in the original electrocardiogram (ECG) signal. Two filter algorithms used for baseline drift removal are evaluated to check whether real-time execution is possible on our wearable platform. The experiment results shows that the ECG signal filtered by adaptive linear prediction filter recovers from the distorted ECG signal efficiently.

• 한국학교ㆍ지역보건교육학회지
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• 제14권3호
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• pp.67-76
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• 2013

Objectives: This study was intended to provide the base of developing countries' Health Partnership Strategy by investigating the Paraguay's awareness level of health and analyzing the actual state. Methods: The data was collected from 11 government employees, 20 hospital staffs, 26 local residents on Asunci$\acute{o} $n, Paraguay in February, 2012. The method of the study was the questionnaires consisting of 62 questions including 7 questions of general features, 3 questions of awareness on maternal health care, child health care, planned parenthood program, 52 questions of awareness on health. The questionnaires was translated into Spanish which is local language in Paraguay. Results: The results of this study are summarized as follows; 1) The most important awareness on maternal healthcare, child healthcare, planned parenthood program was providing child health care. 2) The most important awareness to prevent non-health behavior was sufficient nutrition. The most important awareness to reduce the rate of chronic disease was diabetes. The most important awareness to eradicate communicable disease was HIV/AIDS. 3) The most important awareness to provide healthcare service was vaccination. 4) The most important awareness on healthcare delivery system was policy. The most important awareness on health education was student's health education. 5) The most important awareness to strength healthcare capacity was developing domestic economy. Conclusion: The results of this study suggest that awareness levels on health are high against low health behavior status in Paraguay. But awareness on health can lead to health behavior by healthcare system. Therefore, it has to induce the healthcare network and system by injecting public health funds, infrastructure, human resources on prevention of disease and healthcare management.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제28권3호
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• pp.47-54
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• 2022

Purpose: This study presents the analysis on space usage of delivery departments in regional public hospitals. The results intention is to achieve improvement of the delivery environment for the mothers and newborns regarding exposure prevention and efficient infection control. The purpose of this study is to provide fundamental data for architectural plans and guidelines for the delivery department. Method: The investigation and analysis were based on research papers, legal systems, public medical statistical data, and the architectural floor plan drawing. For research, 20 regional public hospitals with an operating delivery room were excluded. Regarding data accessibility, 15 regional public hospitals were selected. Results: To overcome the increased vulnerability of the delivery department, the research results of basic data is provided for the establishment to address urgent needs and rapid response. Thus, the research results are as follows: Firstly, the delivery department needs to respond promptly according to the type of patients. For example, in a case of emergency surgery, a connected circulation plan with the related departments is needed. Secondly, for the environment of the delivery area, alleviating anxiety is imperative for pregnant patients and guardians, labor, childbirth, and recovery. Therefore, these needs must be addressed for treatment space and circulation. Lastly, the delivery department is classified into three areas for analysis: access area, treatment area, and support area. In most of the delivery departments of the 15 selected hospitals, there is no space for the access and support area except for the labor and delivery rooms in the treatment area. For the access area, a waiting area, changing room for pregnant women and guardians, and a storage space for contaminated linens are required for infection prevention, safety, and efficiency. For the treatment area, childbirth processes and circulation should have space reserved for labor, delivery, recovery, examination, and treatment. In preparation for an emergency during childbirth, emergency response measures and supporting space needs to be established. For the support area, circulation and rooms are to be designed for medical staff support, activity space, storage and transportation of equipment, and urgent medical treatment. Implications: Along with the low fertility rate and the decrease of medical institutions that operate delivery departments, for the purpose of establishing a public medical service system and a healthy medical environment for mothers and newborns, the researched information demonstrates basic data on space plan of delivery departments in regional public hospitals.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제7권1호
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• pp.69-76
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• 2001

It is generally said that primary health care is the base of health delivery system. But in Korea, the primary care have not performed its roles well. To resolve these problems, the government has elaborate some policy measures. One of them is 'Attending Hospital System'. The purposes of this study are to understand Attending Hospital System and to anticipate the change of general hospital and clinic by this regulation.

• 보건행정학회지
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• 제27권2호
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• pp.128-138
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• 2017

Background: The purpose of this study is to analyze the effects of differential coinsurance policy on prescription drug coverage of outpatients by types of medical institutions. Methods: In this study, we used a sample cohort database of the National Health Insurance Service and frequency analysis and marginal logistic regression model using generalized estimating equation were used for statistical analysis. Results: The summary on the major research is followed. First, about 16% of patients who used only tertiary or general hospital due to 52 ambulatory care sensitive conditions before policy implementation moved to hospitals and clinics. However, about 57% of them still use tertiary or general hospital. Second, the factors influencing the utilization of hospitals and clinics after the implementation of the policy were gender, age, and income level. As a result, the policy is effective to reduce the medical use of outpatient mental patients in tertiary or general hospital, but the effect is not significant. Conclusion: Therefore, in order to achieve the purpose of the policy for establishing the health care delivery system, it is necessary to adjust the co-payment so as to feel the burden on the co-payment when the outpatient for 52 ambulatory care sensitive conditions is used at the tertiary or general hospital.

• 한국병원경영학회지
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• 제12권4호
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• pp.1-21
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• 2007

The relaxation of the regulation in selection of medical institution allows patients to use their own judgement in choosing proper institution for their diseases. Since the change of the regulation, there should have been many changes in medical institution selection behavior. The analysis of the change in disease specific selection pattern is critical because there be an optimal selection criteria that ensure the efficient and effective utilization of medical resources. This study analysis the institution selection factors by comparing the choice among the cases of acute diseases, the cases of chronic diseases, inpatient services, outpatient services, and emergency medical service. The comparisons performed in terms of size, class and other characteristics of medical institutions. For the study the nationally surveyed database was used and the data were analyzed using logistic regression procedure. The results indicates that the primary care facilities were not properly utilized. This study speculates that the reason for the undesirable pattern of utilization is that the roles of primary care facilities in the healthcare delivery system was not clearly defined. Based on the results, the medical policy implications are discussed.

• 한국멀티미디어학회논문지
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• 제12권11호
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• pp.1680-1691
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• 2009

건강의 질을 높이고 효율적인 건강전달체계를 마련하기 위해서, 전자건강기록시스템은 건강서비스를 제공하는 의료기관에서 중요하다. 그러나 국내 의료기관에서 현재 운용되는 시스템은 데이터 검색 및 처리를 위해서 분산 환경의 독립적인 소프트웨어 인터페이스를 사용하고 있다. 이로 인해, 새로운 시스템과의 연계시 각각의 인터페이스 모듈을 구입하거나 개발하는데 추가적인 비용 및 복잡성이 증가되고 있다. 이러한 문제를 해결하기 위해서 본 연구에서는 가정간호서비스를 서비스지향아키텍처기반으로 구현 한 후 평가를 수행하였다. 서비스 시나리오를 근간으로 프로세스 모델링과 비즈니스 요구사항을 정의하였으며, 서비스 설계를 위해서 다섯 가지의 검증 항목을 기준으로 17개의 후보 서비스를 도출하였다. 최종 서비스 도출을 위해 서비스리트머스테스트(service litmus test) 기법을 사용하여 7개의 서비스를 선정하였다. SOA 기반의 정보시스템은 비즈니스 프로세스 개선으로 환자 대기시간을 단축하는 효과가 있었다. 결론적으로, 병원정보 시스템이 소비자의 다양한 요구사항에 유연하게 대응하기 위해서는 상호운용성, 재사용성, 유지보수 등이 탁월한 SOA 기술적용을 고려하여야 한다.