• 제목/요약/키워드: Healthcare Delivery System

검색결과 132건 처리시간 0.028초

서비스 디자인 관점에서 본 스마트 헬스케어의 선행 조건 : 고령자 경험 사례를 중심으로 (Prerequisites on Smart Healthcare in the Perspective of Service Design : Focusing on the Elderly Experience Case)

  • 김호다;주애란
    • Journal of Information Technology Applications and Management
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    • 제28권3호
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    • pp.49-58
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    • 2021
  • Due to the increasing interest in wellness aroused by the aging population and the pursuing feature of active old age, Korean elderly set importance on long life with their healthy condition. Following the change in the paradigm of the medical delivery system from hospital-oriented, treatment-oriented to personal-centered and self-care, Service design application of Smart Healthcare for the elderly became valuable. Smart Healthcare is a healthcare service provided through the fusion of ICT technologies including mobile/wearable devices, IoT, big data, and information technology, and it is utilized to prevent diseases managing abundant health information and living habits. As a methodology for delivering such Smart Healthcare to the elderly, Service design can be adopted. Therefore, this study would like to present the perquisites of Smart Healthcare design for the elderly through analyzing the results from in-depth interview methods between the elderly and medical staff. As a result of this study, guidelines for Service design application of health vulnerability management for the elderly utilizing smart phones were presented. Therefore, this study presented four prerequisites composed of 'high level of supplementation and ethical decision making', 'improvement of inequality in accessibility and experience', 'resolving problems in policy implementation' and 'user-friendliness' for the Smart Healthcare service design for the elderly. Overall, Service design is expected to play an innovative role in improving the quality of life for the elderly through the process of collecting and delivering information on Smart Healthcare centered on the experience of the elderly.

노인요양보장체계의 효율화에 대한 소고 (Reviewing Efficiency Strategy of Long-term Care System)

  • 신의철;임금자;이은환;이윤환
    • 보건행정학회지
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    • 제21권1호
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    • pp.115-131
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    • 2011
  • Several common issues are encountered by countries - Germany, Japan, and the United States - that adopted long-term care (LTC) system. First, the demand for LTC and its associated costs have steeply risen following the implementation of the LTC policy. Second, ensuring the quality of services have been difficult. Third, the coordination of services among providers and between LTC and medical care has been inadequate. Learning from their experience, we suggest ways to improve the LTC system in Korea. The basic approach aims for efficiency over equity in the system. This would require promoting provider competition and consumer choice. We propose several policy options according to the major stakeholders. For consumers, cash benefits at fixed rates and personal savings accounts are feasible options to self-contain the demand and cost of services. On the insurer's side, creating an environment of multiple insurers will engender competition, leading to cost savings and quality care. For providers, delivery of quality services through competition, cost-containment through capitated reimbursements, and coordination of services through integrated delivery system can be achieved. From the assessors' perspective, establishing an information system to monitor the activities of insurers and providers would be important, empowering consumers with information to choose cost-effective service providers. In summary, the suggested approach would provide cost-effective LTC services by guaranteeing consumer choice and promoting major stakeholder accountability. Further studies are needed to test the feasibility of this model in ensuring quality LTC in Korea.

우리나라 의학의 현실과 미래: 교육, 연구, 진료를 중심으로 (The Current and Future State of Academic Medicine in Korea: Education, Research, and Patient Care)

  • 정대철
    • 의학교육논단
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    • 제21권2호
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    • pp.73-79
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    • 2019
  • Academic medicine is built from a foundation of education, research, and patient care. Since good patient care results from the application of medical research and continuous education, these three components cannot be separated for medical development to occur. In Korea, many obstacles hinder the achievement of academic medicine, such as an inefficient medical delivery system, limitations of primary care, low insurance prices, and no long-term health care plan. Medical education has changed to outcome-based education, but presented temporal integration status. Governance of healthcare research is not centralized, and Korea is awarded relatively fewer grants than other countries. Medical professors have reached a burnout state due to patient care responsibilities in addition to research and education duties. Many medical systems, including the medical delivery system and insurance problems, may contribute to distrust between doctors and patients. The government is not involved in a long-term health care policy. The multitude of factors mentioned here are hindering the achievement of academic medicine in Korea.

자동차 안전벨트 부품 제조공정에서의 효율적 공정품질정보 분석 모형 (An Efficient Analysis Model for Process Quality Information in Manufacturing Process of Automobile Safety Belt Parts)

  • 공명달
    • 대한설비관리학회지
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    • 제23권4호
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    • pp.29-38
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    • 2018
  • Through process quality information, the time required for process quality analysis has been drastically shortened, the process defect rate has been reduced, and the manufacturing lead time has been shortened and the on-time delivery rate has been improved. Therefore, The purpose of this study is to develop a quality information analysis system model that effectively shortens the time required for process quality analysis in automobile safety belt parts manufacturing process. As a result of experiments on communication operation between manufacturing execution system (MES) quality server, injection machine control computer, injection machine programmable logic controller (PLC) and terminal, in analyzing quality information, the conventional handwriting input method took an average of 20 minutes, but the new multi-network method took about 2 minutes on average. In addition, the process defect rate was reduced by 13% and the manufacturing lead time was shortened from 28 hours to 20 hours. The delivery compliance rate improved from 96 to 99%.

A Strategy Toward Reconstructing the Healthcare System of a Unified Korea

  • Lee, Yo Han;Yoon, Seok-Jun;Kim, Seok Hyang;Shin, Hyun-Woung;Lee, Jin Yong;Kim, Beomsoo;Kim, Young Ae;Yoon, Jangho;Shin, Young Seok
    • Journal of Preventive Medicine and Public Health
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    • 제46권3호
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    • pp.134-138
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    • 2013
  • This road map aims to establish a stable and integrated healthcare system for the Korean Peninsula by improving health conditions and building a foundation for healthcare in North Korea through a series of effective healthcare programs. With a basic time frame extending from the present in stages towards unification, the roadmap is composed of four successive phases. The first and second phases, each expected to last five years, respectively, focus on disease treatment and nutritional treatment. These phases would thereby safeguard the health of the most vulnerable populations in North Korea, while fulfilling the basic health needs of other groups by modernizing existing medical facilities. Based on the gains of the first two phases, the third phase, for ten years, would prepare for unification of the Koreas by promoting the health of all the North Korean people and improving basic infrastructural elements such as health workforce capacity and medical institutions. The fourth phase, assuming that unification will take place, provides fundamental principles and directions for establishing an integrated healthcare system across the Korean Peninsula. We are hoping to increase the consistency of the program and overcome several existing concerns of the current program with this roadmap.

Bluetooth기반의 센서네트워크를 이용한 효율적인 심전도 측정시스템 설계 (Design of an Efficient Electrocardiogram Measurement System based on Bluetooth Network using Sensor Network)

  • 김선재;오원욱;이창수;민병묵;오해석
    • 정보처리학회논문지C
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    • 제16C권6호
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    • pp.699-706
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    • 2009
  • 유비쿼터스 컴퓨팅 기술의 발전과 IT-BT-NT를 포함한 기술간 컨버전스 경향은 유비쿼터스 헬스케어(u-Healthcare)의 실현을 가속화하고 있다. u-Healthcare 시스템은 센서 네트워크로부터 수집된 대량의 생체신호를 신속히 처리 분석하여 의료진에게 전달함으로써 시간과 장소에 관계없이 환자에게 적절한 의료 서비스를 제공할 수 있다. 기존의 u-Healthcare 시스템은 지그비(Zigbee) 프로토콜을 사용하여 센서 노드가 수집한 데이터를 전부 전송함으로써 베이스 노드의 처리 부담이 컸으며 센서 노드의 통신 빈도수가 많았다. 본 논문에서는 지그비 프로토콜 대신 블루투스(Bluetooth)를 사용하여 생명과 직접적 연관이 있는 생체신호 전달에 있어 보다 뛰어난 전송속도를 제공하며 유비쿼터스 환경에서 다양하게 사용되는 모바일 기기들에 효율적으로 적용시킬 수 있는 u-Healthcare 시스템을 설계하였다. 또한 미리 정의된 이벤트에 속하는 데이터만 선별하여 베이스 노드로 전송하는 EEF(Embedded Event Filtering) 기법을 적용하여 통신 빈도수와 처리 비용을 줄였다. 시뮬레이션 결과를 통해 기존의 심전도 측정시스템보다 효율적인 시스템임을 확인하였다.

Antimicrobial Effect of Supercritical Robinia pseudo-acacia Leaf Extracts and Its Transdermal Delivery System with Cell Penetrating Peptide

  • Heo, Soo Hyeon;Park, Su In;Lee, Jinseo;Kim, Miok;Shin, Moon Sam
    • International Journal of Advanced Culture Technology
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    • 제8권1호
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    • pp.226-235
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    • 2020
  • In this paper, we present to evaluate physiological activity of Robinia pseudo-acacia leaf and its skin penetration using liposome and cell penetrating peptide. After extraction with Robinia pseudo-acacia leaf using the distilled water and supercritical, various physiological activities were examined. In antioxidants experiments, the total concentration of polyphenol compounds was determined to be 56.88 mg/g in hydrothermal extract, 45.07 mg/g in supercritical extract. The DPPH radical scavenging ability at 1,000 ㎍/mL was 33.97% in supercritical extract. The scavenging effect on SOD experiment at 500 ㎍/mL was 76.41% in supercritical extract. In the antimicrobial experiments, the hydrothermal extract had no effect, but supercritical extract represented maximum clear zone of 14.00 mm in Staphylococcus aureus strain. Liposome containing the RSE (Robinia pseudo-acacia leaf supercritical extract) reduced particle size and stabilized zeta potential. In the epidermal permeability experiment, it was confirmed that the permeation of liposome containing the RSE and cell penetrating peptides was remarkable.

한국보건행정학회 30주년 기념 특별호 (Special Issue for the 30th Anniversary of the Korean Academy of Health Policy and Management)

  • 박은철
    • 보건행정학회지
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    • 제28권3호
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    • pp.195-196
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    • 2018
  • The Korean Academy of Health Policy and Management (KAHPM) has shown remarkable achievements in the field of health policy and management in Korea for the last 30 years. The KAHPM consists of experts in various fields of health policy and management, and has been the leading academic discussion forum for health policy agendas of interest to the public. Health Policy and Management (HPM), the official journal of the KAHPM, published the first issue of volume 1 in October, 1991 and is publishing the second issue of volume 28 as of 2018. Currently, it is one of Korea' main journals in the field of health policy and management. HPM has published a special issue in commemoration of the 30th anniversary of the KAHPM. The HPM invited authors, including former presidents of the KAHPM and current board members, to write about main issues in health policy and management. Although the HPM tried to set up an invited author on all subjects in the health policy and management field, 19 papers are published, that completed the peer review process by August, 2018. The authors of the special issue of the 30th anniversary of the KAHPM include six former presidents, a senior professor, and 12 board members. The subjects of this issue are reform of the healthcare delivery system, health insurance and medical policy, reform of health system governance, the role of National Health Insurance Service (NHIS), the Korea Institute for Health and Social Affairs (KIHASA) and the National Evidence-based healthcare Collaborating Agency (NECA), ethical aspects of health policy change, regional disparities of healthcare, healthcare accreditation, new healthcare technology evaluation system, globalization of the healthcare industry, the epidemiological investigator system, the quarantine system, safety and disaster, and official development assistance. There are some remaining topics to deal with for the KAHPM: aged society, anti-smoking, non-infectious disease, suicide, healthcare resources, emergency medical care, out-of-pocket money, medical fee payment system, medical aid system, long-term care insurance, industrial accident compensation insurance, community-centered health welfare system, and central government and local government of health. The HPM will continue to publish review articles on the main topics in health policy and management. This is because the KAHPM, which has been the leading academic society of Korea's health policy and management for the last 30 years, feels responsible for continuing its mission for the next 30 years.

앱인벤터를 이용한 물리치료 어플리케이션 개발 -원격 물리치료 구현을 위한 사전연구- (Physical Therapy Application Development Using the App Inventor -Preliminary Research for the Realization of Tele-Physical Therapy-)

  • 이민형;김종순
    • PNF and Movement
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    • 제18권3호
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    • pp.365-373
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    • 2020
  • Purpose: The COVID-19 pandemic has changed how healthcare is delivered worldwide and has affected the environment of the healthcare. Physical therapy in traditional healthcare systems can be difficult in unusual circumstances, such as the COVID-19 pandemic. Tele-physical therapy, defined as "the delivery of the physical therapy at a distance using electronic information and telecommunication technologies," will be a solution for this healthcare crisis. Thus, in this study, we proposed a mobile application for tele-physical therapy. Methods: This study used the Chrome Browser version 83.0.4 based on the Windows 10 64Bit operating system to use the App Inventor. To operate the mobile application, we used the Samsung Galaxy Note 9. The design of the mobile application was based on the review of a system used in the physical therapy department. Results: The graphical user interface (GUI) of the mobile application was displayed on three screens: selecting a painful joint (1st screen of the GUI); selecting a painful movement of the joint (2nd screen of the GUI); a self-manual therapy method and movie (3rd screen of the GUI). The proposed mobile application showed the stable repeatability of the self-manual therapy movie. Conclusion: The results of this study demonstrated that the proposed mobile application using the App Inventor for android will be able to create easy to use and reliable tele-physical therapy.

효율적인 의료전달체계 확보를 위한 요인 분석 (Analysis of Factors that will Ensure Effective Health Care Delivery System)

  • 이현실;김미선;오진용;이승윤;정동진;이태로
    • 디지털융복합연구
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    • 제10권6호
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    • pp.303-310
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    • 2012
  • 본 연구는 의료수요자(환자)들을 대상으로 의료기관별 역할 인지, 낯선 질환 발병 시 이용 의료기관, 질병의 경 중증 인식 등에 관한 분석을 통하여 효율적인 의료전달체계를 위한 요인들을 파악하였다. 서울 소재 일반인 400명을 대상으로 2011년 4월 25일부터 5월 18일까지 14일간 자기기입방식(self-administration)을 통한 설문조사를 실시하였다. 성별, 연령, 교육수준 별로 차이가 있는지 분석했고, 분석방법은 빈도분석, 카이제곱검정, t-test를 실시하였다. 의료기관별 역활 인지 및 낯선 질병 발병 시 방문하는 의료기관에 관한 분석결과는 둘 다 성별에 따라 유의한 차이가 없는 것으로 나타났지만, 연령과 교육정도에 대한 검증결과는 유의한 차이를 보였다. 질병의 경 중증에 대한 인식을 분석한 결과는 경증은 성별과 연령에서 유의한 차이가 있었고, 중증은 연령과 교육정도에서 매우 유의한 차이가 있는 것으로 나타났다. 지속가능하고 효과적인 의료체계의 확보를 위해 1차 의료기관의 활성화 및 의료기관별 기능과 경 중증 질병 분류 기준에 대한 맞춤형 교육과 홍보가 필요하다.