• Korean Journal of Clinical Pharmacy
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• v.21 no.2
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• pp.138-144
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• 2011

In order to minimize such adverse drug reactions, governments and international organs have been on the watch for them. Also in South Korea, a system has been established in order that adverse drug reactions may be reported to Korea Food and Drug Administration(KFDA). This study is to analyze drugs to cause adverse reactions, the adverse reactions and patients concerned on the authority of the data of Korea FDA, which is expected to be the preliminary data on preventable adverse reactions. This study was conducted on the 74,037 cases of adverse drug reactions reported to Korea FDA between January 2007 and June 2010. Fentanyl, iopromide and tramadol caused adverse reactions with high frequencies. Oseltamivir showed a high frequency between 2009 and 2010 due to the influence of the new influenza A. Also, OTC drugs accounted for approximately 5% of the adverse reactions. In 2009, adverse drug reactions remarkably increased (2,106 cases; 10.1%) in infants and children due to the new influenza-A(H1N1). The patients aged between 31 and 64 accounted for approximately 55% during the given period. There was no significant intergender difference. In relation to regions, the adverse reactions most frequently occurred in the gastrointestinal system and the integumentary system for three and half years. In addition to anticancer drugs and immunosuppressive drugs that are known to cause adverse reactions frequently, not a few of OTC drugs and external preparations caused such reactions. In particular, the drugs containing specific ingredients caused adverse reactions more frequently than others from 2007 until the first half of 2010. It is advisable for prescribers to acquaint themselves with such adverse reactions and to prescribe drugs other than them. They also have need to sensibly cope with adverse drug reactions just in case they have no substitute drugs. In addition, patients also need to be trained to understand possible adverse reactions in order that they can sensibly accommodate them or choose healthcare services. The results of this study are expected to be helpful to minimize adverse drug reactions.

• The Journal of Information Technology
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• v.4 no.1
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• pp.125-139
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• 2001

EDI(Electronic Data Interchange) works by providing a collection of standard message formats and element dictionary in a simple way for businesses to exchange data via any electronic messaging service. Open-edi is electronic data interchange among autonomous parties using public standards and aiming towards interoperability over time, business sectors, information technology and data types. The number of Internet services using XML/EDI has grown rapidly since it is easily expansible and exchangeable. To use this service, the client does not have to install EDI S/W but only needs internet browser. Consequently, it became much easier and faster to handle the trading process in an office. eBusiness SML (extensible markup language) electronic data interchange. eXedi is the service that realizes B2B of XML/EDI. eXedi can be used easily in small and medium sized companies. Companies in any place can access to eXedi using the existing Internet connection. XML/EDI provides a standard framework to exchange different types of data -- for example, an invoice, healthcare claim, project status -- so that the information be it in a transaction, exchanged via an Application Program Interface (API), web automation, database portal, catalog, a workflow document or message can be searched, decoded, manipulated, and displayed consistently and correctly by first implementing EDI dictionaries and extending our vocabulary via on-line repositories to include our business language, rules and objects.

• Journal of KIISE
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• v.44 no.4
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• pp.374-382
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• 2017

As the walking exercise is emphasized in personalized healthcare, numerous services demand walking information. Along with the propagation of smartphones nowadays, many step-counter applications have been released. But these applications are error-prone to abnormal movements such as simple shaking or vibrations; also, different step counts are shown when the phone is positioned in different locations of the body. In this paper, the proposed method accurately counts the steps regardless of the smartphone position by using an accelerometer and a proximity sensor. A threshold is set on each of the six positions to minimize the error of undetection and over-detection, and the cut-off section is set to eliminate any noise. The test results show that the six position type were successfully identified, and through a comparison experiment with the existing application, the proposed technique was verified as superior in terms of accuracy.

• The Journal of the Korea Contents Association
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• v.11 no.4
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• pp.101-111
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• 2011

Due to recent development in wireless communication technologies and mobile information devices, the services on ubiquitous computing technology without time and place restriction have been spotlighted. Moreover, the interest of the Wireless Sensor Networks (WSNs) and context-awareness technologies have largely been escalating and their technologies utilization is active in the various applications such as healthcare, farm management and so on. However, the direct adaption of the existing context-awareness technique to the WSN technology has several drawbacks as follows. First, such systems waste precious energy of sensor nodes, due to unnecessary data transmissions. Secondly, since the existing work was designed to support only specific applications, it is required to implement a new context-awareness application for a specific purpose. Therefore, we, in this paper, propose a new real-time monitoring system based on context-awareness in WSNs. Our system not only enhances energy efficiency by reducing data transmissions by doing context-awareness on a sensor node, but also is scalable in terms of supporting new context-awareness functionalities through modularization.

• Journal of Preventive Medicine and Public Health
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• v.39 no.5
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• pp.397-403
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• 2006

Objectives: We estimated the asthma-related health care utilization and costs in Korea from the insurer's and societal perspective. Methods: We extracted the insurance claims records from the Korea National Health Insurance claims database for determining the health care services provided to patients with asthma in 2003. Patients were defined as having asthma if they had ${\geq}$2 medical claims with diagnosis of asthma and they had been prescribed anti-asthma medicines, Annual claims records were aggeregated for each patient to produce patient-specific information on the total utilization and costs. The total asthma-related cost was the sum of the direct healthcare costs, the transportation costs for visits to health care providers and the patient's or caregivers' costs for the time spent on hospital or outpatient visits. Results: A total of 699,603people were identified as asthma patients, yielding an asthma prevalence of 1.47%. Each asthma patient had 7.56 outpatient visits, 0.01 ED visits and 0.02 admissions per year to treat asthma. The per-capita insurance-covered costs increased with age, from 128,276 Won for children aged 1 to 14 years to 270,729 Won for those aged 75 or older. The total cost in the nation varied from 121,865 million to 174,949 million Won depending on the perspectives. From a societal perspective, direct health care costs accounted for 84.9%, transportation costs for 15.1 % and time costs for 9.2% of the total costs. Conclusions: Hospitalizations and ED visits represented only a small portion of the asthma-related costs. Most of the societal burden was attributed to direct medical expenditures, with outpatient visits and medications emerging as the single largest cost components.

• Journal of Preventive Medicine and Public Health
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• v.50 no.6
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• pp.393-400
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• 2017

Objectives: To relieve the financial burden faced by households, the Korean National Health Insurance (NHI) system introduced a "copayment ceiling," which evolved into a differential ceiling in 2009, with the copayment ceiling depending on patients' income. This study aimed to examine the effect of the differential copayment ceiling on financial protection and healthcare utilization, particularly focusing on whether its effects varied across different income groups. Methods: This study obtained data from the Korea Health Panel. The number of households included in the analysis was 6555 in 2008, 5859 in 2009, 5539 in 2010, and 5372 in 2011. To assess the effects of the differential copayment ceiling on utilization, out-of-pocket (OOP) payments, and catastrophic payments, various random-effects models were applied. Utilization was measured as treatment days, while catastrophic payments were defined as OOP payments exceeding 10% of household income. Among the right-hand side variables were the interaction terms of the new policy with income levels, as well as a set of household characteristics. Results: The differential copayment ceiling contributed to increased utilization regardless of income levels both in all patients and in cancer patients. However, the new policy did not seem to reduce significantly the incidence of catastrophic payments among cancer patients, and even increased the incidence among all patients. Conclusions: The limited effect of the differential ceiling can be attributed to a high proportion of direct payments for services not covered by the NHI, as well as the relatively small number of households benefiting from the differential ceilings; these considerations warrant a better policy design.

• The Journal of the Korea Contents Association
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• v.16 no.10
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• pp.411-419
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• 2016

This study tried to find the relationship between household income level and medical expense to household income ratio. For data analysis, it used 2010 and 2011 yearly data beta version of Korea Health Panel, co-managed by Korea Institute for Health and Social Affairs and National Health Insurance Corporation. To find out how the effect of independent variable changes in 2010 and 2011, the interaction effect between year and independent variable was examined, and separating the factors that showed interaction effect into each year, linear regression analysis was conducted using generalized estimating equations method. As a result of reviewing the factors that were related to medical expense to household income ratio among the people who used medical services, it was found that the higher the household income level, the lower the medical expense. It indicates that policy measures are needed to lessen the medical burden of low-income families.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.16
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• pp.6669-6671
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• 2014

Background: We here examined the awareness of female health employees (doctors, nurses, midwives) working in primary health care service about cervical cancer and its risk factors. Additionally attitude and behavior for gynecologic examination and pap smear screening wwere researched. Materials and Methods: This cross-sectional, descriptive study con cerned female health employees working at primary health care services in two southern cities of Turkey, over a four month period in 2013. Participants were recently or previously sexually active research was explained and verbal informed consent was obtained face to face. The questionnaire consisted of two parts; socio-demographic characteristics and level of knowledge about cervical cancer and its risk factors. Results: The average age of the participants (midwives 43.7%, n=143; nurses 40.4%, n=132; doctors 6.4%, n=21; emergency medical technicians and others, 9.5%, n=31; total, n=327) was $30.9{\pm}6.41$ years. 64.2% (n=210) were working in Diyarbakir and 35.8% (n=117) in Batman. A large proportion reported low knowledge and inadequate screening practice Conclusions: Health employees should be better informed about the importance of screening for cancers, given their preventive roles for the general population.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.6
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• pp.3865-3871
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• 2014

The U-health service provides medical services with patients anytime or anywhere and is defined as the service that combines information and communication technology with health and medical service. However, it causes some troubles, such as the disclosure of patients' medical information or data spills (personal information extrusion). Moreover, it has the weak point of the security threats associated with data based on existing wire-wireless systems because it conducts data transmission and reception through the network. Therefore, this paper suggests a safe personal information management system by designing integrated certification schema that will help compensate for the weaknesses of the U-health service. In the proposal, the protocols for user information, certification between medical institution and users, data communication encryption & decryption, and user information disuse were designed by applying the ID-Based Encryption, and analyzed such existing systems and PKI Based-based communication process, securely and safely.

• Journal of Information Technology and Architecture
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• v.11 no.1
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• pp.45-52
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• 2014

Recently, more and more hospitals have become interested in the innovation of healthcare services and processes through IT convergence based on RFID, NFC, smart devices and so on. This paper presents a case of process innovation by implementing a smart health checkup system using these advanced information technologies. The existing inefficient health checkup process based on the paper chart and manual work has been innovated using the advanced information and communication technologies. The newly developed smart health checkup system has been used successfully in a tertiary university hospital named Samsung Medical Center since April 2013. The contributions of the system include improvement of service quality, enhancement of customer satisfaction, reduction in workload of staffs, improvement of work accuracy, and accordingly reinforcement of the competitiveness of the hospital.