• 한국병원경영학회지
• /
• 제28권2호
• /
• pp.44-65
• /
• 2023

Purposes: As super-aging population and low fertility rates are threatening the sustainability of the National Health Insurance funds, enhancing the efficiency of hospital management is paramount. In the past, studies analyzing the efficiencies of hospitals primarily made inter-hospital comparisons, but it is important to assess hospitals' internal efficiency and develop improvement measures in order to attain practical improvements in hospital efficiencies. The purpose of this study is to analyze the efficiencies of specialists by medical specialty in a hospital in order to provide foundational data for efficient hospital management. Methodology/Approach: We used the activity-based costing (ABC) data and hospital statistical data from one tertiary hospital in Seoul to analyze the efficiency of specialists by medical specialty. Efficiency was analyzed and compared among specialists using the data envelopment analysis developed by Charnes, Cooper, and Rhodes (DEA-CCR) model and the slacks-based measure (SBM) models. The input variables were labor cost, material cost, and operational expenses, and the output variables were the number of outpatients, number of inpatients, outpatient revenue, and inpatient revenue. Findings: First, there was a marked deviation in efficiency across specialists. Second, there was a marked deviation in efficiency across medical specialties. Third, there was little difference in efficiency according to the specialist's sex, age, and job position. Fourth, the SBM model produced more conservative results and better explained efficiency parameters than the CCR model. Practical Implications: The efficiency of a specialist was more influenced by their medical specialty than their personal characteristics, namely sex, age, and job position. Therefore, Further research is needed to analyze the efficiencies of each subspecialty and identify factors that contribute to the variations in efficiencies across medical specialties, such as clinical practices and fee structures.

• 대한임상독성학회지
• /
• 제19권1호
• /
• pp.1-7
• /
• 2021

Purpose: The purpose of this study was to conduct a systematic review to investigate the socio-economic benefits of the poison control center (PCC) and to assess whether telephone counseling at the poison control center affects the frequency of emergency room visits, hospitalization, and length of stay of patients with acute poisoning. Methods: The authors conducted a medical literature search of the PubMed, EMBASE, and Cochrane Library databases. Two reviewers evaluated the abstracts for eligibility, extracted the data, and assessed the study quality using a standardized tool. Key results such as the cost-benefit ratio, hospital stay days, unnecessary emergency room visits or hospitalizations, and reduced hospital charges were extracted from the studies. When meta-analysis was possible, it was performed using RevMan software (RevMan version 5.4). Results: Among 299 non-duplicated studies, 19 were relevant to the study questions. The cost-benefit ratios of PCC showed a wide range from 0.76 to 36 (average 6.8) according to the level of the medical expense of each country and whether the study included intentional poisoning. PCC reduced unnecessary visits to healthcare facilities. PCC consultation shortened the length of hospital stay by 1.82 (95% CI, 1.07-2.57) days. Conclusion: The systematic review and meta-analysis support the hypothesis that the PCC operation is cost-beneficial. However, when implementing the PCC concept in Korea in the future, it is necessary to prepare an institutional framework to ensure a costeffective model.

• 동아시아식생활학회지
• /
• 제18권4호
• /
• pp.428-435
• /
• 2008

This study was conducted to provide the information necessary for the development of native local foods associated with the "2008 World Insect Festival in Hampyeong" and to contribute to the efforts to market the festival as tourist attraction and increase the income of the local community. To assess the local foods and restaurants, we investigated the principal products, inclination for sightseeing and recognition of the "Butterfly festival" by distributing questionnaires to local restaurant operators, employees and general tourists. The result was as follows: 1. The general tourists chose scenery as the most important factor in a sightseeing tour, followed by food, lodging, and transportation. 2. The tourists enjoyed eating native local foods, and they indicated that the taste was important. 3. Regarding the cost of food, 53.6% of the respondents answer that 10 to 20 thousand won was a resonable price, and they also reported wanting to eat seafood in Hampyeong. Thus the Menu of seafood to be served at the Hampyeong festival needs to be developed first followed by that of the healthy food. This result showed that individuals prefer fish to meat and healthy food to high-calorie foods.

• 한국인터넷방송통신학회논문지
• /
• 제15권4호
• /
• pp.153-159
• /
• 2015

정보기술과 헬스케어의 발전으로 건강데이터를 효율적으로 관리하여 다양한 의료 서비스를 제공받을 수 있게 되었다. 환자나 건강인들이 자신이 받은 의료 서비스로부터 발급받은 건강데이터를 축적하면 자신의 건강상태를 추적할 수 있어 효율적인 건강관리가 가능해지고 의료 비용도 줄일 수 있는 장점이 있다. 본 논문에서는 개인이 다양한 기관으로부터 발급받은 건강데이터를 클라우드 스토리지에 저장하여 자신의 건강상태를 관리할 수 있는 건강데이터 중계프레임워크를 설계한다. 건강데이터 중계프레임워크가 클라우드 스토리지에 액세스할 수 있는 인증을 효율적으로 하기위해 OAuth2 인증 프로토콜을 적용한다. 제안된 건강데이터 중계 프레임워크는 클라우드 스토리지에 축적된 건강데이터를 이용하여 다양한 건강 서비스를 개발하는데 효과적으로 사용될 수 있다.

• Journal of Information Technology Applications and Management
• /
• 제12권4호
• /
• pp.93-104
• /
• 2005

Recently, RFID/USN is one of fundamental technologies in information and communications networks. Low-Rate WPAN, IEEE802.15.4 is a low-cost communication network that allows wireless connectivity in applications with limited Power and relaxed throughput requirements. Its applications are building automation, personal healthcare, industrial control, consumer electronics, and so on. Some applications require location information. Of course location awareness is useful to improve usability of data Low-Rate WPAN Is regarded as a key specification of the sensor network with the characteristics of wireless communication, computing, energy scavenging, self-networking, and etc. Unfortunately ZigBee alliance propose a lot of applications based on location aware technologies, but the specification and low-rate WPAN devices don't support anything about location-based services. RSSI ( Received Signal Strength indication) is for energy detection to associate, channel selection, and etc. RSSI is used to find the location of a potable device in WLAN. In this paper we studied indoor location awareness using vector matching of RSSI in low-Rate wireless PAN. We analyzed the characteristics of RSSI according to distance and experimented location awareness. We implemented sensor nodes with different shapes and configured the sensor network for the location awareness with 4 fixed nodes and a mobile node. We try to contribute developing location awareness method using RSSI in 3-dimension space.

• 대한간호학회지
• /
• 제32권3호
• /
• pp.344-354
• /
• 2002

This study is a fact-finding research to understand the status of visiting nursing services operated by health centers in Korea and it aims to provide basic information for policy development on operation and management of visiting nursing services in health centers. Method: This study investigates the results of visiting nursing services in 242 health centers from Jan. 10 through Dec. 30, 2000, where 3,106 visiting nurses were employed by the public work program. Result: In 2000, 129,401 new household as service recipients was identified and that was 0.9% of Koreas total households (15,137,000), and 5.8% of low income households (2,242,000). The highest high risk group was dementia patients(aver. 55.2/1,000 person). Average number of households visited by visiting nurse were 4.5 households per day and the first-visited houses per visiting nurse were 1.1 households per day. The re-visiting rate was 71.3%. Total 4,059,130 service items were provided and assessment ranked the highest with 33.7%. The satisfaction level of clients on the nurses was an average of 3.17 points in the scale of 4 and the nursing service was a 2.60 points in a scale of 3. Conclusion: Visiting nursing service should continue to provide comprehensive healthcare services in cost-effective ways while cooperating with others

• 센서학회지
• /
• 제19권1호
• /
• pp.17-24
• /
• 2010

This paper describes a real time reliable monitoring method and analysis system using wrist type oximeter for ubiquitous healthcare service based on IEEE 802.15.4 standard. Photoplethysmograph(PPG) is simple and cost effective technique to measure blood volume change. In order to obtain and monitor physiological body signals continuously, a small size and low power consumption wrist type oximeter is designed for the measurement of oxygen saturation of a patient unobtrusively. The measured data is transferred to a central PC or server computer by using wireless sensor nodes in wireless sensor network for storage and analysis purposes. LabVIEW server program is designed to monitor stress indicator from heart rate variability(HRV) and process the measured PPG to accelerated plethysmograph(APG) by appling second order derivatives in server PC. These experimental results demonstrate that APG can precisely describe the features of an individual's PPG and be used as estimation of vascular elasticity for blood circulation.

• 제어로봇시스템학회:학술대회논문집
• /
• 제어로봇시스템학회 2005년도 ICCAS
• /
• pp.1606-1611
• /
• 2005

The goal of this paper is to develop a self localization of mobile robot using UHF RFID landmark. We present landmark, a location sensing archetype system that uses UHF Radio Frequency Identification (UHF RFID) technology for locating objects inside buildings. The major advantage of landmark is that it improves the overall accuracy of locating objects by utilizing the concept of reference tags. Based on experimental analysis, we demonstrate that passive UHF RFID is a viable and cost-effective candidate for indoor location sensing. We conduct a series of experiments to evaluate performance of the positioning of the landmark System. In the standard setup, we place RF Reader which has two antennas and 25 tags in our lab. This research uses the assumption-based coordinates (ABC) algorithm[3] for determining the localization of robot. Also, we show how Radio Frequency Identification (UHF RFID) can be used in robot-assisted indoor navigation for the visually impaired. The experiments illustrate that passive UHF RFID tags can act as reliable landmark that trigger local navigation behaviors to achieve global navigation objectives.

• 제어로봇시스템학회:학술대회논문집
• /
• 제어로봇시스템학회 2005년도 ICCAS
• /
• pp.2451-2454
• /
• 2005

In recent years, the importance of the characterization of fall for a fracture prevention system keeps increasing since fracture from a fall can lead to serious health problems. Fall is one of the major sources which increase morbidity in elderly people. In terms of the cost and the influence to the quality of life, the most serious injury with hip fractures is caused by falls. The traditional methods in characterizing fall patterns have been mainly by the epidemiological surveys. With surveys, the exact data of fall patterns can not been acquired. In this paper, we measured and analyzed with the parameters related to fall pattern such as velocities and accelerations during the motion of falls using 3D motion capture program. We acquired the parameters of the fall pattern of intentional and unexpected fall. The result showed that the variation of velocity and acceleration during fall was very important in characterizing fall pattern, which of vital importance for the development of a fracture prevention system and for the safety of the elderly.

• 한국병원경영학회지
• /
• 제17권4호
• /
• pp.21-31
• /
• 2012

This is a case study of Gangnam S University Hospital applying a par level transfer system for reagent materials. The purpose of this study is evaluated on the cutting down on inventory expenses and medical service revenue in the point of resource based view. The data was acquired through the financial statement of Gangnam S Hospital for the fiscal year 2008, 2009, 2010 and 2011, and compared with the Korea health industry statistics index for hospital accounts based on the materials in Korea Health Industry Development Institute. The results of the study are as follows. Medical reagent materials expenditure cut down as 305 million won through 2009 fiscal year. Medical profits for the Gangnam S University hospital's income statement in 2011 show well over acquired 3.37 billion won through the enlarged diagnostic test numbers. In conclusion, Gangnam S University Hospital health statistics's index shows very high profits. The results of this study have some limitations in terms of generalization as only one hospital in Seoul. Further studies with relationship inventory performance and enlarged reagent materials are expected in this area.