• Health Policy and Management
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• v.21 no.1
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• pp.115-131
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• 2011

Several common issues are encountered by countries - Germany, Japan, and the United States - that adopted long-term care (LTC) system. First, the demand for LTC and its associated costs have steeply risen following the implementation of the LTC policy. Second, ensuring the quality of services have been difficult. Third, the coordination of services among providers and between LTC and medical care has been inadequate. Learning from their experience, we suggest ways to improve the LTC system in Korea. The basic approach aims for efficiency over equity in the system. This would require promoting provider competition and consumer choice. We propose several policy options according to the major stakeholders. For consumers, cash benefits at fixed rates and personal savings accounts are feasible options to self-contain the demand and cost of services. On the insurer's side, creating an environment of multiple insurers will engender competition, leading to cost savings and quality care. For providers, delivery of quality services through competition, cost-containment through capitated reimbursements, and coordination of services through integrated delivery system can be achieved. From the assessors' perspective, establishing an information system to monitor the activities of insurers and providers would be important, empowering consumers with information to choose cost-effective service providers. In summary, the suggested approach would provide cost-effective LTC services by guaranteeing consumer choice and promoting major stakeholder accountability. Further studies are needed to test the feasibility of this model in ensuring quality LTC in Korea.

• International journal of advanced smart convergence
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• v.5 no.1
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• pp.1-7
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• 2016

Recently, introduced a cloud computing technology to the IT industry, smart phones, it has become possible connection between mobility terminal such as a tablet PC. For dissemination and popularization of movable wireless terminal, the same operation have focused on a viable mobile cloud in various terminal. Also, it evolved Wireless Sensor Network(WSN) technology, utilizing a Body Sensor Network(BSN), which research is underway to build large Ubiquitous Sensor Network(USN). BSN is based on large-scale sensor networks, it integrates the state information of the patient's body, it has been the need to build a managed system. Also, by transferring the acquired sensor information to HIS(Hospital Information System), there is a need to frequently monitor the condition of the patient. Therefore, In this paper, possible sensor information exchange between terminals in a mobile cloud environment, by integrating the data obtained by the body sensor HIS and interoperable data DBaaS (DataBase as a Service) it will provide a base of mBodyCloud System. Therefore, to provide an integrated protocol to include the sensor data to a standard HL7(Health Level7) medical information data.

• Journal of Home Health Care Nursing
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• v.25 no.2
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• pp.127-138
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• 2018

Purpose: This study aimed to provide an overview of the present status of start-up literacy. Methods: The study selected literature from KoreaMed, RISS (Research Information Sharing Service), KISS (Korean studies Information Service System), KISTI (Korea Institute of Science and Technology Information), Ovid-MEDLINE (Medical Literature Analysis and Retrieval System Online), Embase, and Cochrane Library DB. Start-up curricula were collected from the homepage of nursing schools in Korea and the USA. Their contents were searched using Massive Open Online Course (MOOC) platforms; KOCW, K-MOOC, and Coursera. Results: Fifteen articles were selected through a systematic literature review. The main themes of nursing start-up were "driver," "barrier," "required competency," and "importance of education." The courses contained business planning, finance, marketing, leadership, and entrepreneurship. The main contents of MOOCs were similar. Conclusion: The results indicate the necessity to develop multi-scope nursing start-up education programs. Nursing start-up models integrated with appropriate business knowledge and skills in health care settings are needed. This study can be used as a guideline to design start-up education programs in nursing.

• Research in Community and Public Health Nursing
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• v.20 no.2
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• pp.243-250
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• 2009

Purpose: This is a qualitative study to identify dimensions of long-term care hospital care quality that provide high-level medical services for long-term care patients in Korea. Methods: Service consumers and providers were interviewed, and collected data were analyzed into thesis, type and dimension. The focus group method was applied to two provider groups and individual interview was applied to two persons who had experienced a long-term care hospital. Results: The results of analyzing the consumers and providers was integrated into 8 dimensions: physical environment, staff, clinical care and nursing, multiplicity of activity program, atmosphere, interaction with family, nutrition, and quality improvement system. Conclusion: The dimensions of long-term care hospital care quality from this study can be used as a basis of quality indicators. Quantitative studies to test these dimensions are required for establishing quality management systems.

• Journal of Digital Convergence
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• v.19 no.7
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• pp.419-426
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• 2021

With the development of the information and communication technology, the smart hospital has become a new trend in a healthcare industry. This study reviewed the concept, key technologies, applications, and future challenges of a smart hospital, and the user-centered strategies for designing a smart hospital. In smart hospitals, digitally enabled clinical staff will be able to produce better patient outcomes by delivering a more integrated patient-centered care with an efficient manner in connected facilities systems. However, to promote a successful patient-centered smart hospital environment in the future, various obstacles regarding cost, technology, security, and standards should be overcome. It is also necessary for patients and medical personnel to be involved as service users.

• The Journal of the Korea Contents Association
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• v.11 no.4
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• pp.263-272
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• 2011

The purpose of this study is suggesting proper management methods for the national health expenditures by considering advanced countries and analysing the problems of national health expenditures management in korea. The majors results of the research are as follows. First, most advanced countries is integrating the management of national health expenditures about health insurance, workmen's accident compensation insurance and auto insurance etc, and medical prices and benefit standards are same regardless of insurance type. Second, national health expenditures has been managing separately by national health systems in korea, and there are many problems like the differences medical expenditure review and payment, medical prices and benefit standards etc. Although same symptoms and disease, there is great difference in health service utilization. Hereafter, management system of national health expenditures must be integrated, and must change same medical prices and benefit standards.

• Journal of the Institute of Electronics and Information Engineers
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• v.50 no.12
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• pp.292-305
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• 2013

EPCglobal has proposed the EPC Sensor Network to efficiently integrate and interoperate the RFID and WSN technologies based on the international standard EPCglobal Network. However, it can not deal with the sensor data without EPS. Also, it does not provide enough management function for the sensor data only. This study proposes USN management system that can deal with these weaknesses of EPC Sensor Network. Not only that, it is suitable for the medical environment properly. In the medical environment, it is important for the medical information to be integrated and interconnected via the standard for medical data. This proposed USN management system is based on SIP-HL 7 and can send RFID and WSN data based on SIP(Session Initiation Protocol). It can be interconnected with the existing hospital information system and exchange the information. Also it can design and materialize SIP Interface based on HL7 that allows the medical information to be exchanged and sent.

• The Journal of Internal Korean Medicine
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• v.40 no.4
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• pp.612-628
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• 2019

Objective: The aim of this review was to investigate clinical studies on Korean medical treatments for dysmenorrhea. Method: Using the keywords "dysmenorrhea," "Korean medical treatment," "acupuncture," and "herbal medicine," searches were conducted using domestic databases, including the National Discovery for Science Leaders (NDSL), the Research Information Sharing Service(RISS), and the Oriental Medicine Advanced Searching Integrated System (OASIS). The keywords were combined in various ways, instead of being searched individually. Papers that did not cover clinical studies or were not matched with the subject, absent of the abstract and text, were excluded. Results: Using the above searching method, 20 studies were found. Of these, 15 were in the form of case reports and five were in the form of randomized controlled trials. Acupuncture, herb medicine, pharmacopuncture, moxibustion, and cupping were used as treatments for dysmenorrhea. All of these studies reported that the Korean medical treatment was effective. Conclusion: According to the results, Korean medical treatments can provide an effective treatment for dysmenorrhea. However, more clinical studies on dysmenorrhea should be conducted for further clinical applications.

• Journal of Korean Academy of Nursing
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• v.44 no.1
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• pp.1-12
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• 2014

Purpose: This study was done to explore and understand acculturation focusing on reproductive health of immigrant women. Methods: For the research sixteen immigrant women were selected by snowball sampling. Qualitative data were accumulated by in-depth interviews and private document collection. Raw data was analyzed following Mandelbaum's conceptual framework. Results: The dimensions of immigrant women consisted of existence: emerging from the new environment in which it was hard to communicate and to get acquainted with others, reproduction: in the absence of learning and experience, reproductive health crisis, parenting: unmanageable burden. Turnings of life involved 'Inconvenience in one's eyes, vent for conflict and tension: pregnancy', 'strange medical care: accoucheur, rapid medical service', 'pain of morning sickness: poor maternal nutrition', 'manifestation of protective instinct for life'. In adaptations, content was as follows. 1) Standing alone as a Korean housewife, 2) Becoming aware of Korean maternal instinct: thirst for education supporting, 3) Rediscovery of family: growing maternal sense of existence. Conclusion: The results of this study show the acculturation process and the meaning of events related to reproductive health in current lives and can contribute to an integrated understanding of married immigrant women in Korean culture.

• The Korean Nurse
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• v.32 no.1
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• pp.47-60
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• 1993

This study was performed to develop the conceptual framework of the nursing productivity. The study efforts were made (1) to define the concept the nursing productivity, (2) to identify the elements of the productivity, and (3) to determine the relationship among the elements. With the aim, the study employed a descriptive analysis by way of reviewing various references related w the subject. The nursing productivity consists of such elements as the nursing efficiency and Lhe nursing effectiveness which are complememary Lo each other. The nursing efficiency is the quantative input/output ratio, while the nursing effectiveness represents the integrated outcome of sch sub-elements as the degree of accomplishing nursing goals, the quality of nursing service, consumer's satisfaction, and the degree of improvement of nurse's attitude toward the quality care. The nursing prodiccivity can be estimated by summing up the nursing efficiency and the effectiveness. By employing the system theory model, the elements of the nursing producTivity consist of three elements; the input, the process, and the output. By the process elements, the system inputs are transformed to the system outputs nursing efficiency and nursing effecitveness which are input 1.0 the system, in turn, through feedback mechanism(Figure 4).