• Proceedings of the Korea Contents Association Conference
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• 2017.05a
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• pp.33-34
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• 2017

In 2015, Ministry of Health and Welfare of Korea announced a research and development plan of using Korean healthcare data to support decision making, reduce cost and enhance a better treatment. This project relies on the adoption of BigData technology such as Apache Hadoop, Apache Spark to store and process HealthCare Data from various institution. Here we present an approach a design and implementation of OLAP server in Korean HealthCare BigData platform. This approach is used to establish a basis for promoting personalized healthcare research for decision making, forecasting disease and developing customized diagnosis and treatment.

• Journal of The Korea Institute of Healthcare Architecture
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• v.6 no.11
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• pp.59-70
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• 2000

Nowadays, according as hospitals are not only large and sprawling, but also they are continually being remodeled and expanded, their architectural spaces are becoming more complex. In the face of the development of the medical technology and the present focus of administrators who have showed much interests on reducing health care cost, the human need of patients and visitors is often forgotten. Recently, wayfinding and healing environment is proposed as a general concept in the hospital architecture. The purpose of this study is to find out the design guideline for hospital, focusing on the characteristics of wayfinding at the general hospital outpatient department.

• Journal of The Korea Institute of Healthcare Architecture
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• v.6 no.11
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• pp.47-57
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• 2000

In western countries, the community care for the elderly people has developed, because of heavy cost and isolation problem in the society of institutional care basis. Since 1980, 'home care for the elderly' has introduced in korea. One of them is 'Multipurpose senior center'. However it has built without rational space programming and architectural planning analysis. Therefor, this study is to establish the function and space programming of multipurpose senior center.

• Journal of The Korea Institute of Healthcare Architecture
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• v.7 no.1
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• pp.85-92
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• 2001

Facing the aging society in Korea, the necessity of the facility for the elderly is arising as a substitute to cut down the cost and to provide suitable and skillful medical services for the aged and chronical. Among there, health care facilities for the elderly with dementia are considered a essential facility. Therefore, it is necessary to prepare the guidelines for planning and design of the facility. On the bases of survey and analysis, the basic data for planning and design the hospital for the elderly with dementia has been proposed.

• Journal of The Korea Institute of Healthcare Architecture
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• v.3 no.4
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• pp.17-26
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• 1997

The construction of the health care facilities in terms of medical institutional source cost much and affect on management of another sources like staffs for the health care delivery systems and the medical service. For it is hard to change the physical component of the facilities, the reasonability and the efficiency of the facilities should be the major considering point. Consequently, the purpose of this study is to represent the basic data for determining the size and type of corridor space in ward by investigating the design pattern of existing facilities and analyzing several model according to corridor type.

• Korean Journal of Clinical Pharmacy
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• v.20 no.3
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• pp.268-277
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• 2010

This study was conducted to analyze the cost-utility of ramosetron monotherapy, trimebutine monotherapy and trimebutine+loperamide combination therapy in male diarrhea-predominant patients with irritable bowel syndrome (IBS) in Korean healthcare setting. We constructed a decision-analytical model to estimate both total costs for each state of health and outcomes such as IBS-symptoms improvement for 3 and 6 months time horizon. Base analysis found that for ramosetron treatment with the price of KW910 for 5 ${\mu}g$ tablet, incremental cost effectiveness ratios (ICERs, cost per quality-adjusted life day) were KW85,000 and KW62,000 for 3 months and 6 months, respectively, compared with trimebutine. But ramosetron was a dominant strategy when compared with trimebutine+loperamide for both 3 months and 6 months. Sensitivity analyses showed robust results for drug acquisition costs till ramosetron price of KW950/tablet. In conclusion, ramosetron was a cost-effective regimen compared with trimebutine or trimebutine+loperamide from the societal perspective.

• Journal of the Institute of Electronics Engineers of Korea TC
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• v.48 no.2
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• pp.36-42
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• 2011

The current healthcare information systems field to meet the growing demand for healthcare for a variety of building systems and operation, and subsequent information on the budget continues to increase, but the current system, although the association link between the various systems made does not, with organizations with information about each of the standardization and real-time network status data do not consist of various materials, such as insufficient to provide real-time issues have been raised. This paper proposes a Integrated information system on Healthcare based on JXTA to solve problems mentioned above. Until now, in a network environment for data storage and management is the most widely used server-intensive structure, while an increase in users and traffic difficulties in data management and communications services to handle the growing number of servers increase faster than information associated with the cost savings, P2P model in terms of efficient data management has emerged as a new solution. Therefore this paper designs a platform for Integrated information system on Healthcare based on JXTA as a method to integrate health information data and services, and then proves that the new information system on healthcare based on JXTA is the suitable model.

• Health Policy and Management
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• v.28 no.3
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• pp.240-250
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• 2018

By the end of 2017, in a world of 7.6 billion people, there were inequalities in healthcare indices both within and between nations, and this gap continues to increase. Therefore, this study aims to understand the current status of regional inequalities in healthcare indices and to find an action plan to tackle regional health inequality through a geo-economic review in Korea. Since 2008, there was great inequality in life expectancy and healthy life expectancy by region in not only metropolitan cities but also districts in Korea. While the community health statistics from 2008-2017 show a continuous increase of inequality during the last 10 years in most healthcare indices related to noncommunicable diseases (except for some, like smoking), the inequality has doubled in 254 districts. Furthermore, health inequality intensified as the gap between urban (metropolitan cities) and rural regions (counties) for rates of obesity (self-reported), sufficient walking practices, and healthy lifestyle practices increased from twofold to fivefold. However, regionalism and uneven development are natural consequences of the spatial perspective caused by state-lead developmentalism as Korea has fixed the accumulation strategy as its model for growth with the background of export-led industrialization in the 1960s and heavy and chemical industrialization in the 1970s, although the Constitution of the Republic of Korea recognizes the legal value of balanced development within the regions by specifying "the balanced development of the state" or "ensuring the balanced development of all regions." In addition, the danger of a 30% decline or extinction of local government nationwide is expected by 2040 as we face not only a decline in general and ageing populations but also the era of the demographic cliff. Thus, the government should continuously operate the "Special Committee on Regional Balanced Development" with a government-wide effort until 2030 to prevent disparities in the health conditions of local residents, which is the responsibility of the nation in terms of strengthening governance. To address the regional inequalities of rural and urban regions, it is necessary to re-adjust the basic subsidy and cost-sharing rates with local governments of current national subsidies based mainly on population scale, financial independence of local government, or distribution of healthcare resources and healthcare indices (showing high inequalities) overall.

• Journal of Society of Preventive Korean Medicine
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• v.14 no.2
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• pp.43-56
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• 2010

Objectives : This study aimed to investigate the attitude of healthcare consumers toward the East-West Collaborative Medical Practices(hereafter EWCMP). Method : The participants were 245 healthcare consumers who visited outpatient clinic of an university hospital, and attended at an emergency rescue educational program held by an emergency medical center, Busan. Data were collected by interviewing or self-reporting with questionnaires and analyzed with descriptive statistics and $X^2$ test with SPSS win 14.0. Results : 53.1 percent of 245 participants has heard, 13.9 percent has ever used, and 82.4 percent wanted to use EWCMP in the future. For participants who has used EWCMP, the decision to use it was made by themselves(58.8%), 26.5% of them was satisfied with EWCMP, and 79.4% showed the intention to introduce EWCMP to others. The use of EWCMP was significantly different by gender($X^2$=4.702, p=0.030) and having job or not($X^2$=14.305, p<0.001). Preferred type of EWCMP was to use both medical and Korean medical treatment at the same time(42.4%). Musculoskeletal disease(51.0%) and circulatory disease(51.0%) were expected to be the most effective when the EWCMP applied to them. Utilization of EWCMP was expected to be effective in disease treatment(88.2%), diagnosis(83.3%), and prevention(75.1%), and to increase medical cost(66.1%). Intention to use of EWCMP was not significantly different by demographic characteristics. Conclusion : Considering low proportion of utilization of and positive attitude toward the EWCMP among general populations, it is needed to introduce or advertise EWCMP to them.

• Journal of Gastric Cancer
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• v.18 no.1
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• pp.82-89
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• 2018

Purpose: Early detection of gastric cancer is important to improve prognosis. Early detection enables local treatment, such as endoscopic submucosal dissection (ESD). Therefore, we investigated whether early detection of gastric cancer could reduce healthcare costs by comparison according to stage and treatment modalities. Materials and Methods: Medical care costs were investigated according to tumor stage and initial treatment modality in 1,188 patients newly diagnosed with gastric cancer at 7 medical institutions from December 2011 to June 2012. Total medical care costs during the first-year after diagnosis (total first-year costs) were examined, including the costs of initial treatment, post-initial treatment, and inpatient and outpatient visits. Results: Stage I (75.3%) was the most common cancer stage. ESD was the second most common treatment following surgery. Total first-year costs increased significantly from stages I to IV. The costs of initial treatment and post-initial treatment were lowest in patients with stage I cancer. Among patients with stage I cancer, total first-year costs were significantly lower when treated by ESD; in particular, initial ESD treatment costs were much lower than others. Conclusions: The cost of healthcare has increased significantly with increasing cancer stages. ESD can greatly reduce medical care costs of gastric cancer. Thus, early detection of gastric cancer is important to reduce healthcare costs.