• KSII Transactions on Internet and Information Systems (TIIS)
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• v.13 no.8
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• pp.4270-4284
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• 2019

This study presents a reference model (RM) and the architecture of a cognitive health advisor (CHA) that integrates information with ambient intelligence. By controlling the information using the CHA platform, the reference model can provide various ambient intelligent solutions to a user. Herein, a novel approach to a CHA RM based on evolutional cyber-physical systems is proposed. The objective of the CHA RM is to improve personal health by managing data integration from many devices as well as conduct a new feedback cycle, which includes training and consulting to improve quality of life. The RM can provide an overview of the basis for implementing concrete software architectures. The proposed RM provides a standardized clarification for developers and service designers in the design and implementation process. The CHA RM provides a new approach to developing a digital healthcare model that includes integrated systems, subsystems, and components. New features for chatbots and feedback functions set the position of the conversational interface system to improve human health by integrating information, analytics, and decisions and feedback as an advisor on the CHA platform.

• KSII Transactions on Internet and Information Systems (TIIS)
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• v.5 no.11
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• pp.2016-2034
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• 2011

Ubiquitous Healthcare (u-Healthcare) is the intelligent delivery of healthcare services to users anytime and anywhere. To provide robust healthcare services, recognition of patient daily life activities is required. Context information in combination with user real-time daily life activities can help in the provision of more personalized services, service suggestions, and changes in system behavior based on user profile for better healthcare services. In this paper, we focus on the intelligent manipulation of activities using the Context-aware Activity Manipulation Engine (CAME) core of the Human Activity Recognition Engine (HARE). The activities are recognized using video-based, wearable sensor-based, and location-based activity recognition engines. An ontology-based activity fusion with subject profile information for personalized system response is achieved. CAME receives real-time low level activities and infers higher level activities, situation analysis, personalized service suggestions, and makes appropriate decisions. A two-phase filtering technique is applied for intelligent processing of information (represented in ontology) and making appropriate decisions based on rules (incorporating expert knowledge). The experimental results for intelligent processing of activity information showed relatively better accuracy. Moreover, CAME is extended with activity filters and T-Box inference that resulted in better accuracy and response time in comparison to initial results of CAME.

• The Journal of Society for e-Business Studies
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• v.24 no.1
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• pp.17-27
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• 2019

With the occurrence of the 4th Industrial Revolution, environmental change is happening in the healthcare industry as overall flow of Industry heads to ICT-based business environment. Healthcare Industry, which has the characteristic of public goods, is requiring a reliability and continuity of healthcare industry, however, the introduction of security is being delayed due to the problem of compatibility and extendability of existing system. Accordingly, in this research, we have built a section and role for stakeholders to be concerned in order to induce, analyze and introduce a needed security technology for rapidly building a security system in a smart healthcare environment. We have suggested a possibility of extendability regarding a multi-dimensional effort of stakeholders for establishing a healthcare security system.

• The KIPS Transactions:PartD
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• v.12D no.6 s.102
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• pp.905-914
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• 2005

This paper suggests a healthcare home service system based on the distributed object group framework that can not only provide healthcare application services using the information obtained from the physical healthcare sensors and devices, and but also monitor and control these services remotely. The distributed object group framework supports the object group service, the interaction service between object groups and the real-time service in order to execute the healthcare application. Here object group means the unit of logical grouped objects or healthcare sensors and devices for a service. Our suggested system consists of 3 layers. The first layer presents the physical sensors and devices for healthcare, as a physical layer. The second layer lays the distributed object group framework, and the third layer, the upper's one, implements healthcare applications based on lower layers. With healthcare applications providing for this system, we implemented the location tracking service, the health information service and the titrating environment service. Also the integrated executing results of these services can be monitored and controlled via remote desktop systems or PDAs.

• Journal of Korean Academy of Nursing Administration
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• v.23 no.2
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• pp.111-117
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• 2017

Getting evidence in to practice tends to focus on strategies, theories and studies that aim to close the gap between research knowledge and clinical practice. The evidence to practice gap is more about systems than individual clinician decision making. The absence of evidence for administration and management in the organization of healthcare is persistent. Teaching nurses and providing evidence as the solution to evidence-based healthcare is no longer axiomatic. Previous studies have concluded that unit level strategies integrate multi-professional teams with organizational needs and priorities. This 'best fit' approach that characterizes how healthcare is structured and delivered. The published literature shows that increased readiness for change is aligned with integrated approaches informed by conceptual models. The Joanna Briggs Collaboration is the largest global collaboration to integrate evidence within a theory informed model that brings together academic centres, hospitals and health systems for evidence synthesis, transfer and implementation. The best approaches to implementation are tailored to local culture and context, benchmark against international evidence, combine a theory informed model and stakeholder perspectives to improve the structure and processes of health care policy and practice.

• Proceedings of the Korea Information Processing Society Conference
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• 2011.04a
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• pp.414-415
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• 2011

Due to heterogeneity in Data and Processes, healthcare systems are facing the challenge of interoperability. This heterogeneity results in different healthcare workflows of each individual organization. The compatibility of these heterogeneous workflows is possible when standards are followed. HL7 is one of the standards that is used for communicating medical data between healthcare systems. Its newer version V3 is providing semantic interoperability which is lacking in V2. The interoperability in HL7 V3 is only limited to data level and process level interoperability needs to be catered. The process level interoperability is achieved only when heterogeneous workflows are aligned. These workflows are very complex in nature due to continuous change in medical data resulting in problems related to maintenance and degree of automation. Semantic technologies plays important role in resolving the above mentioned problems. This research work is based on the integration of semantic technology in HL7 V3 standard to achieve semantic process interoperability. Web Service Modeling Framework (WSMF) is used for incorporating semantics in HL7 V3 processes and achieves seamless communication. Interaction Ontology represents the process artifacts of HL7 V3 and helps in achieving automation.

• Quality Improvement in Health Care
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• v.19 no.2
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• pp.14-34
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• 2013

Objectives: The purpose of this study is to provide comprehensive information of qualification systems of developed countries needed to establish our national system for QI(Quality improvement) specialists. Methods: All articles related to any applicable domestic or foreign countries' laws, operational status, and detailed programs for professional qualification system of QI were reviewed. Result: In the United States, a non-profit organization, Healthcare Quality Certification Commission (HQCC) has set the policies, procedures and standards in the field of health care quality. And qualification system of CPHQ (certified professional in healthcare quality) has been operated in order to authenticate the qualifications in the field of quality management. IBQH(international Board for quality in healthcare), a qualification system of experts in the United Kingdom, was designed to assist the qualification of professionals to improve the quality of healthcare. In addition, Health Research Center of Feinberg School of Medicine in Northwestern University has been operating Master's and doctoral degree programs in the field of the quality of care and patient safety and IHI (institute for healthcare improvement) open school was operating a professional training course related to the quality of care and patient safety. Conclusion: Quantity and complexity of information of the quality of care and patient safety have been increased. For reform of the health care system, a special training course of the expertise and leadership are needed. So far, there is no national professional certification courses in our nation. Therefore essential job skill should be acquired individually. For systematic and effective quality improvement activities, the educational and certification system with professional development model are needed.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.2
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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.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.11
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• pp.5698-5706
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• 2013

This study presents research into the patterns that affect the understanding and acceptance of healthcare management systems as part of a healthcare information technology infrastructure targeted at university students. The participants were 623 university students in D city and K province. This study employed a descriptive and correlational cross-sectional survey and made use of the ubiquitous healthcare management services measurement scale. 48.5% of respondents had accessed healthcare-related information on the Internet. Among the independent variables of general characteristics related to perceived susceptibility was found to have adj $R^2$ of 11% while the other dependent factors reported much lower between 0.5 to 4.7%. Female respondents, medical-related majors, self-efficacy, and intention to use had significant positive effects while health beliefs and concern had a significant negative effect on the intentional acceptance of healthcare information technology systems.

• Journal of The Korea Institute of Healthcare Architecture
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• v.11 no.3
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• pp.7-17
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• 2005

The purpose of this study is to evaluate the performances of 5 hospitals which have some different management systems and how are the differences in performance and what do they mean in aspects of architectural planning, if they exist. All of hospitals are located in M city, Jeonnam Province. Data sources are each hospital's patient-statistics and profit & loss statements. Management systems of surveyed hospitals consist in 2 inpatient-based, 1 outpatient-focused and 2 hospitals, not showing any characteristics. Time ranges for survey are 5 years from 1999 through 2003.