• 보건행정학회지
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• 제21권3호
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• pp.397-413
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• 2011

Purpose: The purpose of this study is to examine the relationship between the income level and the healthcare utilization by health insurance type in all cancer patients in year 2005. Methods: The target population was cancer patients with health insurance who used healthcare as a diagnosis code (C00-C97) from January 1 to December 31 of 2005. The Korea Central Cancer Registry Center's Cancer Patient Registry Data, the list of cancer patients of the National Health Insurance Corporation, and the claim data of the Health Insurance Review & Assessment Service were used. The I was the wealthiest, followed by II, III, IV. The V was the poorest in this study. For the analysis, the $x^2$-test, ANOVA (and Kruskal-Wallis test), and regression were used. Results: Outpatient and hospitalization medical expenses, and outpatient visit days of cancer patients with self-employed health insurance were highest in I (p<.001, respectively), and the hospitalization days were the highest in II (p<.001, respectively). Outpatient and hospitalization medical expenses, and outpatient visit and hospitalization days of cancer patients with occupational health insurance were the highest in I (p<.001, respectively). Outpatient and hospitalization medical expenses, and outpatient visit and hospitalization days in cancer patients were higher in I compared to V, and higher in II and III, IV compared to V (p<.001, respectively). Conclusion: Supporting plan for cancer patients' outpatient healthcare utilization are necessary. Moreover, we should make specialized strategy for low income cancer patients with self-employed health insurance when we develop quality improvement policy for inpatient service.

• Asian Pacific Journal of Cancer Prevention
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• 제16권2호
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• pp.395-400
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• 2015

Both Japan and Korea provide population-based screening programs. However, screening rates are much higher in Korea than in Japan. To clarify the possible factors explaining the differences between these two countries, we analyzed the current status of the cancer screening and background healthcare systems. Population-based cancer screening in Korea is coordinated well with social health insurance under a unified insurer system. In Japan, there are over 3,000 insurers and coordinating a comprehensive strategy for cancer screening promotion has been very difficult. The public healthcare system also has influence over cancer screening. In Korea, public healthcare does not cover a wide range of services. Almost free cancer screening and subsidization for medical cost for cancers detected in population-screening provides high incentive to participation. In Japan, on the other hand, a larger coverage of medical services, low co-payment, and a lenient medical audit enables people to have cancer screening under public health insurance as well as the broad range of cancer screening. The implementation of evidence-based cancer screening programs may be largely dependent on the background healthcare system. It is important to understand the impacts of each healthcare system as a whole and to match the characteristics of a particular health system when designing an efficient cancer screening system.

• 한국융합학회논문지
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• 제13권4호
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• pp.25-37
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• 2022

현재 코로나 확산과 더불어 데이터 3법 시행으로 디지털 헬스케어 산업이 성장할 수 있도록 산업체 및 정부가 많은 노력을 하고 있다. 하지만, 이러한 노력에도 불구하고 의료분야 관련 법률의 개정과 안전한 의료 데이터 전송 방안이 필요하다는 주장이 지속적으로 제기되고 있다. 본 논문에서는 우리나라의 데이터 3법과 헬스케어와 관련된 법제도를 짚어본다. 법 제도적 및 기술적 측면에서 전략을 비교하여 법 제도적 이슈를 도출하고 기술적 측면에서의 전략적 방향성을 파악하여 시사점을 도출한다. 이를 기반으로 우리나라의 디지털 헬스케어 산업에 적합한 법 제도적인 전략을 제시하고, 안전한 비식별처리 및 데이터 전송 등의 기술적 방안의 개선 방향을 제안한다. 이러한 다각적인 관점으로 분석하고 접근한 본 연구는 디지털 헬스케어 산업뿐만 아니라 다양한 융합산업 확산에 기여할 수 있을 것으로 사료된다.

• 대한예방한의학회지
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• 제21권3호
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• pp.65-73
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• 2017

Objectives : The purpose of this study is to investigate on the Korean and Western medicine clinic quality to use IPA matrix and to establish a Korean medicine service management strategy. Methods : In order to achieve the research purpose, medical consumers who visited 3 Korean and Western medicine clinics were surveyed. frequency analysis, paired t-test were used for the statistical analysis, and the mean of each variable was used for IPA analysis. Results : The major results of analysis are as follows: It was confirmed that the skill and the kindness of the human resources were important in both the Korean medicine clinic and the Western medicine clinic. And it was confirmed the difference of the satisfaction rate and IPA between the Korean medicine clinic and the Western medicine clinic. Especially Medical devices and equipment, Easy booking, reception, payment procedure were different in IPA analysis. Conclusions : We confirmed the similarities and differences between Korean medicine clinics and Western medicine clinics in terms of importance, satisfaction, and IPA. On the basis of these results, Korean Medicine clinic could arrange a management strategy in consideration of consumers' choice attribute.

• 간호행정학회지
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• 제15권2호
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• pp.244-254
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• 2009

Purpose: This research was conducted to explore the experience of using Internet to solve health problems and to develope a grounded theory. Method: There were 15 subjects in their 30s who had experience using Internet to solve health problems for themselves and their families. Results: 114 concepts, 31 subcategories, and 9 categories were derived from the analysis by using approaches by Strauss & Corbin. Central phenomenon was "Primary healthcare information" and the core category was "Selecting ways to solve health problems". The participants' experiences were conceptualized into two perspectives: reliability of the information and tendency of preference among the sites. Conclusion: All of the processes found on Internet that solved health problems required the assistance of a health professional such as a nurse. It was judged that there are some differences in the degree of usage regarding health-related information, which was primarily in accordance with the confidence and attitude of the user with respect to Internet information. We presented a strategy that could operate with professionals and nonprofessionals. Therefore, we can be satisfied by the fact that this study suggests a complimentary nursing strategy to the healthcare on Internet.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제15권2호
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• pp.3-11
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• 2009

This study purports to investigate the status quo of the aged and disabled-friendly system in public health centers through the questionnaire survey and field interview. Data were collected from a total of 101 public health centers. The survey results revealed that the aged and disabled-friendly system in public health centers were not sufficient for meeting the needs of the elderly and disabled people. Based upon the study results, the following suggestions can be made to establish the aged and the disabled-friendly system in public health centers. The results of the study will make a contribution to establishing a good system for the aged and the disabled persons. In detail, they will be able to provide useful information for evaluating the status quo of the aged and the disabled-friendly system in many institutions. In addition, The results could be used as a practical strategy for improving the quality of the facilities for the aged and the disabled. In conclusion, the strategy and evaluation tool developed in the study will provide a good guide for establishing the aged and the disabled-friendly system in any institutions.

• Journal of Smart Tourism
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• 제2권1호
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• pp.21-31
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• 2022

This review paper aims at providing a systematic analysis of articles published in various journals and related to the uses and business applications of big data. The goal is to provide a holistic picture of the place of big data in the tourism industry. The reviewed articles have been selected for the period 2013-2020 and have been classified into 8 broad categories namely business strategy and firm performance; banking and finance; healthcare; hospitality; networks and telecommunications; urbanism and infrastructures; law and legal regulations; and government. While the categories are reflective of components of tourism industries and infrastructures, the meta-analysis is organized around 3 broad themes: preferred research contexts, conceptual developments, and methods used to research big data business applications. Main findings revealed that firm performance and healthcare remain popular contexts of research in the big data realm, but also demonstrated a prominence of qualitative methods over mixed and quantitative methods for the period 2013-2020. Scholars have also investigated topics involving the notions of competitive advantage, supply chain management, smart cities, but also ethics and privacy issues as related to the use of big data.

• 센서학회지
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• 제32권6호
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• pp.352-356
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• 2023

The integration of bioelectronic devices with the skin is a promising strategy for personalized healthcare monitoring and diagnostics. On-skin bioelectrodes hold great potential for the real-time tracking of physiological parameters. However, persistent challenges of stability and reliability have instigated exploration beyond conventional noble metals. This study focuses on the ionic passivation and oxidation dynamics of copper-based on-skin thin-film bioelectrodes. Through parylene chemical vapor deposition, we harness a controlled thin film of parylene insulation to counter the intrinsic susceptibility of copper to oxidation in the ionic environment. The results represent the relationship among the parylene insulation thickness, copper oxidation, and electrode impedance over temporal intervals. Comparative analyses indicate that the short-term stability of the copper electrode is comparable to that of the gold electrode. Therefore, we propose a cost-effective strategy for fabricating copper-based on-skin bioelectrodes by introducing enhanced ionic stability within a discernible operational timeframe. This study enriches our understanding of on-skin bioelectronics and affordable material choices for practical use in wearable healthcare devices.

• 대한한의학회지
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• 제45권1호
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• pp.257-270
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• 2024

Objectives: Korea has a unique history of being both a recipient and a donor of Official Development Assistance (ODA), and the international community expects Korea to contribute to the development of developing countries by utilizing this experience. Traditional Korean medicine (TKM) seeks to contribute to global health, however the concept of ODA has been unclear and there has been no clear strategy and sustainable initiatives. Methods: This study examines the concept of ODA and its application in global health, including business objectives, scale, evaluation principles, and development strategies. Additionally, we reviewed the current status of Traditional Korean medicine globalization projects and conducted a SWOT analysis of the internal and external environment of the TKM sector. Based on these findings, we redefined the concept of ODA for TKM and proposed suggestions for its development. Results: The current study identified key ideas for TKM ODA. It should prioritize the improvement of primary healthcare in recipient countries, aligning with the international evaluation criteria of the SDGs. Secondly, TKM's 70 years of experience can be leveraged to enhance both the competence and economic benefits of recipient countries' medical systems. Based on these concepts, a TKM ODA development model was proposed, comprising two core visions, three development strategies and goals, and six core values. Conclusion: This study systematically examined the TKM in global health and suggested sustainable development strategies for TKM ODA. Through its expansion, TKM could contribute to the advancement of global traditional medicine and its overall engagement in healthcare.

• Pediatric Infection and Vaccine
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• 제26권3호
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• pp.170-178
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• 2019

목적: 인플루엔자 예방접종은 인플루엔자 감염을 예방하고 병원 내 전파를 차단할 수 있는 가장 효과적인 방법이다. 본 연구자들은 국내 병원내 직원들의 인플루엔자 예방 접종률의 현황 및 접종률과 연관된 인자들을 살펴보고자 하였다. 방법: 2017-2018 인플루엔자 시즌 전, 경기도 고양시 내 3개 종합 병원의 인플루엔자 예방접종 캠페인 대상인 병원 직원들이 연구에 포함되었다. 연구대상자의 인구학적인 특성 및 직업적 특성을 후향적으로 수집하였다. 결과: 총 7,180명의 병원내 직원 중 6,994명(97%)이 연구에 포함되었으며 전체 예방 접종률은 85%였다. 의료직종 중에서는 간호직군이 92%로 가장 높았고, 의료기술직군(88%), 의사직군(84%), 비의료직군(79%) 순이었다(P<0.001). 비의료직군에서의 접종률은 환자와의 접촉 정도에 비해 서로 상이하였으며, 환자와 접촉이 빈번한 비의료직군의 접종률은 90%로 덜 빈번한 비의료직군의 73%보다 유의하게 높았다(P<0.001). 결론: 2017-2018 인플루엔자 시즌 병원내 직원의 예방접종률은 85%이었다. 이는 기존의 병원내 직원 대상으로 자발적인 예방접종을 진행하는 여러 국가들의 보고들과 비교했을 때 높은 편에 속한다. 병원내 직원의 특성에 따라 예방 접종률은 서로 상이하며, 병원내 직원의 예방접종률을 보다 높이기 위해서는 이러한 요인들을 포함한 다각적인 접근을 고려해야 한다.