• Title/Summary/Keyword: Healthcare Services

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A Lifelog Common Data Reference Model for the Healthcare Ecosystem (디지털 헬스케어 생태계 활성화를 위한 라이프로그 공통데이터 참조모델)

  • Lee, Young-joo;Ko, Yoon-seok
    • Knowledge Management Research
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    • v.19 no.4
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    • pp.149-170
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    • 2018
  • Healthcare lifelog, a personal record relating to disease treatment and healthcare, plays an important role in healthcare paradigm shifts in which medical and information technology converge. Healthcare services based on various healthcare lifelogs are being launched domestically by both large corporations and small and medium enterprises, however, they are being built on an individual platform that is dependent on each company. Therefore, the terms of lifelog data are different as well as the measurement specifications are not uniform. This study proposes a reference model for minimum common data required for sharing and utilization of healthcare lifelog. Literature study and expert survey derived 3 domain, 17 essential items, and 51 sub-items. The model provides definition, measurement data format, measurement method, and precautions for each detailed measurement item, and provides necessary guidelines for data and service design and construction for healthcare service. This study has its significance as a basic research supporting the activation of ecosystem by ensuring interoperability of data between heterogeneous healthcare devices linked to digital healthcare platform.

Copayment Policy Effects on Healthcare Spending and Utilization by Korean Lung Cancer Patients at End of Life: A Retrospective Cohort Design 2003-2012

  • Kim, Sun Jung;Han, Kyu-Tae;Park, Eun-Cheol;Park, Sohee;Kim, Tae Hyun
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.13
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    • pp.5265-5270
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    • 2014
  • Background: In Korea, the National Health Insurance program has initiated various copayment policies over a decade in order to alleviate patient financial burden. This study investigated healthcare spending and utilization in the last 12 months of life among patients who died with lung cancer by various copayment policy windows. Materials and Methods: We performed a retrospective cohort study using nationwide lung cancer health insurance claims data from 2002 to 2012. We used descriptive and multivariate methods to compare spending measured by total costs, payer costs, copayments, and utilization (measured by length of stay or outpatient days). Using 1,4417,380 individual health insurance claims (inpatients: 673,122, outpatients: 744,258), we obtained aggregated healthcare spending and utilization of 155,273 individual patient (131,494 inpatient and 103,855 outpatient) records. Results: National spending and utilization is growing, with a significant portion of inpatient healthcare spending and utilization occurring during the end-of-life period. Specifically, inpatients were more likely to have more spending and utilization as they got close to death. As coverage expanded, copayments decreased, but overall costs increased due to increased utilization. The trends were the same in both inpatient and outpatient services. Multivariate analysis confirmed the associations. Conclusions: We found evidence of the higher end of life healthcare spending and utilizations in lung cancer patients occurring as coverage expanded. The practice pattern within a hospital might be influenced by coverage policies. Health policy makers should consider initiating various health policies since these influence the long-term outcomes of service performance and overall healthcare spending and utilization.

H-DISS: Development of Integrated Management System for Healthcare Documents using Web Services and HL7 (H-DISS: 웹서비스와 HL7을 이용한 헬스케어 문서 통합 관리 시스템 개발)

  • Yoo, Jae-Kyu;Song, Eun-Ha;Jeong, Young-Sik;Han, Sung-Kook
    • Journal of Internet Computing and Services
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    • v.9 no.1
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    • pp.91-101
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    • 2008
  • Recently, as the technology has been blended with IT, BT or NT and technology in each field has been developed progressively with the people's needs for a healthy and abundance life. In the medical service field as well, related technologies such as medical equipment, medical information system, or medical business application have come to be diversified and advanced. However, most of these medical technologies are being developed independently without an interaction with other medical institutions or related companies, which causes many problems in the integration or interchangeability of them. This paper is intended to solve the problems generated during a direct information sharing between the functional interfaces of the present healthcare information sharing system. This paper develops a repository between the interfaces, which can save all the healthcare information from the institutions, and convert and publish it in various forms of document. In other words, recently HL7 protocol has been used for sharing the healthcare information in order to save the information in XML format, and develops the H-DISS(Healthcare-Documents Integrated Sharing System), a repository to manage and publish the saved document.

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A Study on Factors Influencing User's Intention for Quality of Medical Information Use on the Web (웹 의료정보 품질이 사용의도에 영향을 미치는 요인)

  • Jeon, Jin-Hwan;Kim, Jong-Ki
    • Journal of Information Technology Services
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    • v.9 no.4
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    • pp.57-70
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    • 2010
  • Nowadays, medical services can be performed through online. This entails a lot of human resources and different healthcare information. The rapid changes in the healthcare environment through web should be accounted so that the information would be maximally useful. However, medical information acquired online is not regulated; it is not favorable to users because it creates doubts to its reliability and benefits. This study focuses on the online medical information. It gives help to the users through its accessibility" comprehensiveness, continuity and efficiency. An empirical analysis of research model using PLS(partial least squares) shows that the quality of medical information influences the reliability and benefit of the related medical information. If users recognize medical information to be reliable and beneficial, their intention to use the medical information becomes strong.

An Efficient Hospital Service Model of Hierarchical Property information classified Bioinformatics information of Patient (환자의 바이오인포매스틱 정보를 속성수에 따라 계층적으로 분류한 효율적인 의료서비스 모델)

  • Seo, In-Kyu;Lee, Sang Ho
    • Journal of Convergence Society for SMB
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    • v.5 no.4
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    • pp.17-23
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    • 2015
  • Due to the development of information and communication technology as health care service is popular variety utilizing bioinformatics patient information services are being provided to the patient. In particular, the healthcare utilizing bioinformatics information, and change in a variety of healthcare trends. However, healthcare services using bioinformatics information of the patient and the complexity of the disease, new diseases (SARS, AIDS, etc .) due to the emergence of increasing health care costs and health promotion services provided to patients may not be smooth. In this paper, we propose a model for low-cost health services and medical care of patients bioinformatics fast access to information. The proposed model can be so big a bioinformatics data formation by the patient's patient information anytime / anywhere providing medical services in the home or the nearest hospital for their own disease management. In particular, the proposed model of health care services is characterized improve work efficiency, reducing the burden on hospitals by passing a medical illness to easily analyze patient information.

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Comparison of Occupational Health Providers' Perception on Workers' Health Promotion Program by Business Types: Focusing on Need, Necessity, Performance, Barriers, and Effectiveness of Program (보건관리자가 인지한 근로자 건강증진 프로그램 수행 실태에 관한 업종별 비교: 요구도, 필요도, 수행도, 장애도 및 운영효과를 중심으로)

  • Kim, Young-Im;Lee, Bokim
    • Korean Journal of Occupational Health Nursing
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    • v.25 no.1
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    • pp.29-40
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    • 2016
  • Purpose: The purposes of this study were to examine the differences in need, necessity, performance, barriers, and effectiveness of workers' health promotion program and to determine the influencing factors in effectiveness of workers' health promotion program by business types. Methods: Subjects were participants of an education held by Korean association of occupational health nurses and a survey was self-reported. Survey items were developed by researchers through literature review. It included general characteristics of occupational health providers and worksites, need, necessity, performance, barriers and effectiveness of workers' health promotion (WHP) program. The total number of worksites was 168, manufacturing/construction was 76 (45.2%), other services were 52 (31.0%), and healthcare services were 40 (23.8%). We used ${\chi}^2test$, ANOVA test, correlation analysis, and multiple regression analysis. Results: There were differences in need, necessity and performance of WHP by business types. In healthcare services, WHP had statistically significant effectiveness to reduce turnover rates. And the influencing factors of WHP's effectiveness were workers' need in manufacturing/construction, health provider's career in other services, and perceived necessity in healthcare services. Conclusion: Based on this result, we propose differentiated strategies depending on the business types for effective workers' health promotion program.

TMO based Active Model for u-Healthcare (u-헬스케어를 위한 TMO기반의 액티브 모델)

  • Yoon, Young-Min;Jeong, Chang-Won;Joo, Su-Chong
    • Journal of KIISE:Computing Practices and Letters
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    • v.13 no.5
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    • pp.282-292
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    • 2007
  • In this paper, we propose the active model based on the distributed object group framework which provides adaptive information sharing service to support it to various Healthcare home service. And we applied it to Healthcare home service. This proposed model provides information that collected from physical environment of the home network and sensors for healthcare service according to situation of the user. We uses information of the healthcare information database which was constructed previously, and we uses TMO scheme for to solve each other different periodic qualify. We uses information of the healthcare information database which was constructed previously, and we uses TMO scheme for to solve each other different periodic quality. Specialty, We wrote about interaction of various Healthcare Home services for adaptive information services, and wrote about u-healthcare framework based on DOGF. Finally, we apply active model to healthcare monitoring service, and we showed its result and performance evaluation.

Economies of Scale and Scope in Hospitals (병원의 규모와 범위의 경제)

  • Ham, U-Sang
    • Health Policy and Management
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    • v.18 no.1
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    • pp.21-42
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    • 2008
  • This study investigates economies of scale, cost complementarity and economies of scope for healthcare organizations using econometric approaches. The economies of scale appear to exist in each service provided by a hospital such as inpatient treatment services, outpatient treatment services, and other patient treatment services, respectively. When we test all services in aggregate level, it also indicates that the healthcare industry on average exhibits the economies of scale of 6 percent, which implies that scaling up hospital sizes will bring substantial cost savings to them Evidence shows that cost complementarity exists between outpatient services and other services for patients and, i.e., these other services for patients experience the reduction in marginal costs as the outputs of the outpatient services increase. For the economies of scope, they are present in most service areas; aggregate level services, outpatient services, and other services for patients, respectively. Inpatient treatment services, however, do not show any evidence of the economies of scope. Results show that the economies of scope are achieved by the general hospital type that provides all service areas such as inpatient treatments, outpatient treatments, and other services for patients. The existence of the economies of scope provides the rationale for extending the existing line of business in a hospital into more diverse areas of services where its benefit comes in the form of cost savings. In sum, it overall provides evidence that the M&As in this industry are encouraged to achieve cost reductions from the economies of scale and scope by changing the size and the output mix.

Proposed oath and ethics code for emergency medical technicians (응급구조사 선서 및 윤리강령의 제안)

  • Kim, Hyo-Sik;Uhm, Tai-Hwan
    • The Korean Journal of Emergency Medical Services
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    • v.21 no.1
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    • pp.7-15
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    • 2017
  • Purpose: The purpose of our study was to introduce an oath and ethics code for emergency medical technicians (EMTs). Methods: The proposed oath and ethics code for the EMTs was evaluated using a modified Delphi technique. This oath and ethics code was presented at Korean association of emergency medical technician conference and was revised by experts in emergency medical services. Results: We examined the ethics codes for other allied healthcare professionals regarding the topics of human rights, health promotion, acting as an advocate, ethics, cooperation, observance, human rights, right to know, self-determination, confidentiality, and professionalism. These elements are reflected in our proposed oath and ethics code for EMTs. Conclusion: The proposed oath and ethics code would raise the professional status of EMTs.

The Urgent Need to Establish the Plan for Development of Health and Medical Services (보건의료발전계획 수립의 시급한 필요성)

  • Park, Eun-Cheol
    • Health Policy and Management
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    • v.29 no.3
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    • pp.245-247
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    • 2019
  • Although 19 years have passed since the enforcement of the Framework Act on Health and Medical Services, the Plans for Development of Health and Medical Services has not been established. This Plan is a 5-year basic long-term plan that covers the whole of health and medical services. This Plan should point to the direction of 30 long-term plans of healthcare, and this Plan should serve as a combination and coordination of 30 long-term plans and 22 related laws. The United States, the United Kingdom, and Japan have established long-term healthcare plans (4-, 10-, and 20-year plans, respectively). The long-term health plan of the United States has been approached bottom-up, those of the United Kingdom and Japan have been approached top-down. The rapid environmental changes that Korea is and will be experiencing emphasize urgently the need for establishing the Plan for Development of Health and Medical Services.