• 한국정보통신학회논문지
• /
• 제14권11호
• /
• pp.2521-2526
• /
• 2010

예방정보 기록은 지역사회의 예방접종률을 파악하고, 예방접종의 효과를 모니터링 할 수 있으며, 또한 예방접종 사고시 원인조사의 근거로 사용할 수 있다. 따라서 예방접종 기록을 보다 효율적으로 관리하고 민간 및 공공기관에서 실시한 예방접종 정보가 통합적으로 관리할 수 있는 시스템의 개발이 필요하게 되었다. 이에 정부에서는 예방접종 기록 등록 전산화 사업을 추진하여 2009년 예방접종 등록 시스템 개발사업을 완료하였다. 예방접종 정보시스템의 사용자의 편의성 효율성을 고려한 다양한 사용자의 요구사항이 증가되고 있다. 이에 본 논문에서는 최근 스마트폰 보급확산 및 사용자 증가에 따라 예방접종 정보에 대한 사용자 편의성 및 접근성을 강화하고, 시간과 공간의 제약 없이 다양한 예방접종 정보를 활용할 수 있도록 스마트폰을 활용한 모바일 서비스를 설계 및 구현하였다.

• 한국정보통신학회:학술대회논문집
• /
• 한국해양정보통신학회 2010년도 추계학술대회
• /
• pp.681-684
• /
• 2010

예방정보기록은 지역사회의 예방접종률을 파악하고, 예방접종의 효과를 모니터링 할 수 있으며, 또한 예방접종 사고시원인조사의 근거로 사용할 수 있다. 따라서 예방접종 기록을 보다 효율적으로 관리하고 민간 및 공공기관에서 실시한 예방접종 정보가 통합적으로 관리할 수 있는 시스템의 개발이 필요하게 되었다. 이에 정부에서는 예방접종 기록 등록 전산화 사업을 추진하여 2009년 예방접종 등록 시스템 개발 사업을 완료하였다. 예방접종 정보시스템의 사용자의 편의성 효율성을 고려한 다양한 사용자의 요구사항이 증가되고 있다. 이에 본 논문에서는 최근 스마트폰 보급 확산 및 사용자 증가에 따라 예방접종 정보에 대한 사용자 편의성 및 접근성을 강화하고, 시간과 공간의 제약 없이 다양한 예방접종 정보를 활용할 수 있도록 스마트폰을 활용한 모바일 서비스를 설계 및 구현하였다.

• 지역사회간호학회지
• /
• 제15권1호
• /
• pp.76-83
• /
• 2004

Purpose: This study was aimed at investigating the relationship between retention of the maternal child health handbook, awareness of DPT additional immunization and DPT additional immunization, and to provide basic information to enhance the DPT additional immunization rate. Method: The study subjects were 312 women whose children were between four and six years old, and residing in six provinces of Gyungsangnam do. Data was collected with a 10 item questionnaire by interviews from July 1st to 30th, 2003, and analyzed with descriptive statistics and X2 test at a significance level of 0.05, by two tailed test. Results: The awareness of DPT additional immunization was significantly higher in the women who retained the maternal child health handbook, than their counterparts. The rate of DPT additional immunization was significantly higher in the women who were aware of the DPT additional immunization or who retained the maternal child health handbook, than their counterpart. Conclusion: The DPT additional immunization rate was related to retention of the maternal child health handbook and awareness of DPT additional immunization. Therefore it is recommended that measures be developed and taken to increase the retention rate of the maternal child health handbook and awareness of DPT additional immunization, to enhance the rate of DPT additional immunization.

• 한국보건간호학회지
• /
• 제22권1호
• /
• pp.121-130
• /
• 2008

Purpose: Immunization is one of the simplest and most effective approaches for protecting the health of children from preventable infectious disease. This study assessed the immunization statuses of children presenting to childcare centers in Korea and compared the sociodemographic factors of children with age-appropriate immunization for DTaP4 with those with delayed immunization for DTaP4. Method: A national mail survey was used to collect data on the children's immunization history and sociodemographic information. A total of 248 mothers returned completed questionnaires for their children. Results: The overall immunization coverage for HepB, a series of DTaP and polio and varicella was above 95%. However, the percentage of age-appropriate immunizations of vaccines ranged from 45.3% to 69.0% depending on the vaccines. Only the age of the child was a significant factor for delayed immunization for DTaP4. Conclusion: To fully protect children from vaccine-preventable disease, childcare providers can playa role in monitoring the immunization statuses of children in their care centers to ensure that they all receive all childhood immunizations on time.

• KSII Transactions on Internet and Information Systems (TIIS)
• /
• 제9권4호
• /
• pp.1392-1403
• /
• 2015

The rapid development of both communication traffic and increasing optical network sizes has increased energy consumption. Traditional algorithms and strategies don't apply to controlling the expanded network. Immunization algorithms originated from the complex system theory are feasible for large-scale systems based on a scale-free network model. This paper proposes the immunization strategy for complex systems which includes random and targeted immunizations to solve energy consumption issues and uses traffic to judge the energy savings from the node immunization. The simulation results verify the effectiveness of the proposed strategy. Furthermore, this paper provides a possibility for saving energy with optical transmission networks.

• Clinical and Experimental Pediatrics
• /
• 제55권1호
• /
• pp.1-5
• /
• 2012

The need for evidence-based decision making in immunization programs has increased due to the presence of multiple health priorities, limited human resources, expensive vaccines, and limited funds. Countries should establish a group of national experts to advise their Ministries of Health. So far, many nations have formed their own National Immunization Technical Advisory Groups (NITAGs). In the Republic of Korea, the Korea Expert Committee on Immunization Practices (KECIP), established by law in the early 1990s, has made many important technical recommendations to contribute to the decline in vaccine preventable diseases and currently functions as a NITAG. It includes 13 core members and 2 non-core members, including a chairperson. Core members usually come from affiliated organizations in internal medicine, pediatrics, obstetrics, microbiology, preventive medicine, nursing and a representative from a consumer group, all of whom serve two year terms. Non-core members comprise two government officials belonging to the Korea Centers for Disease Control and Prevention (KCDC) and the Korea Food and Drug Administration. Meetings are held as needed, but at least twice a year, and sub-committees are formed as a resource for gathering, analyzing, and preparing information for the KECIP meetings. Once the sub-committees or the KCDC review the available data, the KECIP members discuss each issue in depth and develop recommendations, usually by a consensus in the meeting. The KECIP publishes national guidelines and immunization schedules that are updated regularly. KECIP's role is essentially consultative and the implementation of their recommendations may depend on the budget or current laws.

• 농촌의학ㆍ지역보건
• /
• 제29권1호
• /
• pp.65-75
• /
• 2004

현재 보건소를 중심으로 이루어지고 있는 예방접종 등록사업은 향후 전국의 민간의료기관에 확산 적용되어 공공보건의료기관과 민간의료기관이 상호 연계되고 데이터가 통합, 운영됨으로써 국가예방접종사업이 완성될 수 있다. 따라서 민간의료기관에 기반한 예방접종 사업의 정보화 추진에서의 발생할 수 있는 문제점들을 예측하고 이를 해결할 수 있는 성공전략을 개발하는 것은 매우 중요하다. 그 중에서도 민간의료기관이 Non-chart system의 예방접종 모듈을 분석하여 예방접종 전산화를 위한 기본적인 문제점과 개선방안을 도출하고 공공보건의료기관과의 통합적 연계운영을 위한 기초자료를 제공하는 것은 예방접종전산등 곡사업의 핵심사업과제중의 하나이다. 예방접종 정보관련 프로그램을 평가하기 위하여 현재 민간의료기관(내과, 소아과, 산부인과 및 가정의학과)에서 주로 사용하고 있는 4개 보험청구 및 진료기록관리 프로그램인 Non-chart system과 현재 보건소에서 사용하고 있는 예방접종등록정보 프로그램인 (주)포스테이터의 보건소정보시스템과 (주)미드컴퓨터의 예방접종등록시스템 두가지를 대상으로 하였다. 분석의 표준은 현재 보건소에서 사용하고 있는 예방접종 관련 소프트웨어를 중심으로 하여 민간의료기관의 예방접종관련 프로그램 및 관련 모듈을 분석하였다. 모듈의 분석은 보건소정보시스템 및 예방접종 등록 프로그램을 기본으로 하여 예방접종 업무의 흐름과 활용 및 기능에 따라 분석하였다. 접수 및 신상등록에 있어서 기본적인 자료의 입력내용이 민간의료기관의 내용을 기준으로 보완됨이 바람직할 것으로 보여지는 데 특히 추후 검색과 리마인드(reminder) 및 리콜(Recall)기능의 이용을 대비하여 E-mail주소 등 개인신원의 내용을 충분히 파악할 필요가 있다고 판단된다. 예방접종 예진부분은 모든 프로그램에서 누락되어 있는데 필수적인 예진표의 내용을 반드시 포함시킬 필요가 있다. 개인의 접종기록 및 검색은 개인별 접종표 화면이 출력과 필수적인 접종내역란이 구성으로 접종표 형식이 단순화되어 사용하기에 편리하게 구성되어야 할 것이다. 접종대상 및 실적보고 서식 출력은 법령에 따라 Non-chart system을 이용한 자동화된 전산처리가 가능하여야 하며 자동화된 출력서식의 모듈이 제공되어야한다. 예방접종 증명서 발급기능은 2005년 이후부터 초등학교 입학시 예방접종증명서 제출 의무화가 예정되어 있으므로 예방접종 증명서의 발급기능이 추가되어야 한다. 접종자료의 전송기능으로는 의료보험의 EDI 청구를 위한 전송기능을 이용한 기능이 추가되어야하며 추후 예방접종 자료의 DB변환과 더불어 전송될 수 있는 기능이 추가되어야 한다. 리마인드(Reminder) 및 리콜(Recall)기능은 예방접종 등록사업의 필수적인 부분이며, E-mail을 통한 방법, 전화 또는 편지를 발송하는 방법 등이 추가되어야한다. 백신의 등록 및 재고관리 기능은 다양한 제약회사의 백신생산 및 백신의 효율적인 공금과 유효기간내 접종 등 관리와 견제되므로 백신등록 추가기능이 필요하며 아울러 연령별, 용량별, 백신종류별 등으로 구분되어 기록될 필요가 없었다.

• 보건행정학회지
• /
• 제13권2호
• /
• pp.67-84
• /
• 2003

Immunization has been one of the most effective measures preventing from infectious diseases. However, children routine vaccination rate of Korea was 68.2% and it was not higher than expected. Korean government revised the School Health Law for every primary school children to submit the vaccination certificate record from 2005. It is quite important national Infectious disease prevention policy to keep the immunizations rate high and monitor the immunizations rate continuously. To do this, National Institute of Health introduced the National Immunization Registry(NIR) Program at 2000. Objective : The aims of this study was to evaluate the Immunization Registry program which has been implementing since 2000 at the Public Health Centers(PHC). Methods : The mail survey was done from November 2001 to January 2002. 169 (69%) Public Health Centers among 244 PHC were responded. Results : The respondents of PHC sud the Immunization Registry(IR) program had reduced the workload (18.5%). 69.2% said they inputted the immunization data into the IR program after the shots were given. 86.5% said they hadn´t checked or retrieved the children lists who had missed the scheduled immunization. Only 17.2% said the speed of internet for the R program was good. It showed that 20% of respondents hadn´t written down documents, records on immunization any more. Even there were a lot of negative results, the respondents of PHC thought that the IR program was effective. They especially agreed that the IR program could make the job accurate (81.5%), convenient (71.3%), and reduced the chances of making mistakes (71.3%), increase the service quality (78.5%). And they were well adapting the job process of the IR (79.63%). Bivariate analysis showed that the software program was the important determinants of IR success. The only Bit Computer software program has been evaluated to be less satisfactory than the Integrated (Posdata operating system + Bit software) program. Other variables, such as age, duration of present job, and location of PHC (metropolitan, small city, rural area) were not significantly related. Conclusion : It seemed that the success of NIR might depend on the software program. Because Integrated program, which has been developed from 1994, include not only the general operating and management program for PHC but also IR program. It was natural to prefer Integrated program to Bit software program. So we can suggest that it is essential for the NIR to be successful that not only the immunization software program but also hardware equipments and public health information system should be further improved.

• 한국정보통신학회논문지
• /
• 제19권5호
• /
• pp.1151-1156
• /
• 2015

예방접종등록 정보시스템에 구축되어 있는 접종등록자료의 정확성, 중복성, 등록률 등을 분석하였다. 이를 통해 접종데이터 미등록 현황, 중복데이터, 누락데이터, 오류데이터 현황을 파악하였다. 또한 예방접종 등록 정보시스템의 접종등록자료의 품질 개선을 위한 품질관리 오류기준안을 마련하여 데이터베이스 품질관리체계 수립을 제안한다.

• 보건행정학회지
• /
• 제18권3호
• /
• pp.58-89
• /
• 2008

The purpose of this study was to evaluate comparatively the content of the Expanded National Immunization Program according to the provision method between 2005 and 2006 in Korea. We assessed the impact of the mutually exclusive vaccination policy using the result reports of the 2005 and 2006 Demonstration Project and the related references by the content analysis. The public health centers paid vaccination fees to the private clinic and hospital in the 2005 Demonstration Project in Daegu metropolitan city and Gunpo city. But, the public health centers directly supplied free vaccination services to the children in the 2006 Demonstration Project in Gangneung city, Yangsan city, and Yeongi-gun. The total budgets of 2005 and 2006 Demonstration Project were 6.57 billion won and 0.65 billion won, respectively. The computerized registration rates and timeliness rates of administration of each vaccination had improved all in the 5 Demonstration Project regions. However, the computerized registration rates of most vaccination in Gunpo city were higher than those in the 2006 Demonstration Project regions except hepatitis B. Especially, the computerized registration rate of BCG was 48.3%, but the BCG coverage rate by the follow-up telephone survey was 99.8% in Daegu metropolitan city. The community parents in all the regions were satisfied because of expanding financial and geographical access to immunization coverage. In conclusions, from the aspect of the main outcomes, the implementation of two different financial immunization aids appears to be widely accepted among these parents and to have had an impact on vaccination coverage. In the future, the government must try to enact that the national immunization policy including under-immunised or incompletely immunised groups would be achieved by the affordable method of the public-private dynamics.