• The Journal of the Convergence on Culture Technology
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• v.8 no.3
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• pp.405-413
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• 2022

Since the COVID-19 outbreak, the active utilization of new health care service utilizing the ICT technology and data science such as telemedicine, smart hospital, AI dignosis has been increasingly found. In this study we examined the business model of Amazon healthcare which leads disruptive innovation in U.S. health care industry with the introduction of hybrid model of telemedicin, in-person care and customer-centric online drug delivery, home-use diagnostic kit, characterized by the integrated model combining medical care, drug delivery and the use of diagnostic kit. We showed using the multiproduct competition model that the synergy effect between the Amazon's original business areas and the healthcare business area causes the active market penetration and the increase in the customer value from utilization of the Amazon care. Using Hotelling's spatial competition model, we also showed that the competition in the health care market can be greater when consumer's choice of health care providers are available in telemedicine platform. In the long, run the issue of competition being weakened due to the exit of less competent healthcare providers may arise, to which the policymakers in the charge of fair competition in health care industry should pay attention.

• Quality Improvement in Health Care
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• v.28 no.1
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• pp.45-54
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• 2022

Purpose: The study aims to identify the theme list and priority criteria of patient safety theme reports in South Korea. Methods: The survey was conducted twice, and the importance of each criterion and theme was measured on a nine-point scale using the Delphi technique by a panel of 19 patient safety experts. The criteria included severity, universality, preventability, and organizational-social impact. Descriptive statistics such as frequency, percentage, mean, standard deviation, median, and interval quartile range were used to analyze the data. Results: The parameters were assigned a weighted average of 35% for severity, 20% for universality, 30% for preventability, and 15% for organizational-social impact, respectively. The final top three rankings were surgery safety, blood transfusion safety, and medication safety. In addition to expert opinion, for the theme that is selected based on the priority ranking, one to five sub-topics can be derived from the theme based on the priority ranking, societal demands, or the yearly priority list of patient safety incidents. Conclusion: It is recommended that the official patient safety center distribute the report in the form of a summary that can be utilized nationwide at medical institutions, government institutions, and other places. Updates, as well as accumulated theme reports, will serve as the baseline data for the proposal of the system and for the policy designed to implement and improve institutions' safety practices as a standard of domestic patient safety practice guidelines.

• The Journal of the Convergence on Culture Technology
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• v.8 no.3
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• pp.15-23
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• 2022

This study is a non-equivalent control group quasi-experimental design to test the effectiveness of educational programs on human tissue donation for nursing students to change the perception of human tissue donation. The subjects of the study were 75 nursing students located in U city, 38 in the experimental group and 37 in the control group. The data were analyzed using SPSS/WIN 23.0. The average age was 22.39±0.75 years old, women 84.2% and there was no difference in general characteristics and prior data between the two groups. Knowledge (F=-8.921, p<).001, Attitude (F=-5.414, p<).001, perception of death (F=-3.075, p=).004) showed a significant difference, and the educational intervention of nursing students developed to promote human tissue donation showed a positive effect on human tissue donation. When programs to be applied to educational institutions that train not only medical personnel but also experts in other fields must be developed, the establishment and stability of the human tissue donation culture will be solidified. It is also suggested that health care campaigns and education in public educational institutions should be conducted together.

• The Journal of the Convergence on Culture Technology
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• v.8 no.6
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• pp.107-119
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• 2022

This study was a descriptive research study to identify the effects of related knowledge to COVID-19, infection control performance, and job stress in emergency department nurses due to COVID-19 on nursing performance, to improve emergency department nurses' ability to cope with emerging infectious diseases and to prepare basic data for effective nursing work. This study was collected data from August, 10 until September, 10, 2021, for 165 emergency department nurses in 26 hospitals, which were located in G province and designated as regional emergency medical institutions, and total 150 copies were finally analyzed. Data were analyzed using descriptive statistics, t-test, ANOVA, correlation, and multiple regression. As a result of analyzing the variables affecting the subject's nursing job performance by multiple regression using the hierarchical selection method, the higher the infection control performance and the higher the job stress, the more higher the nursing job performance, and the explanatory power was 18.4%. The study results showed that infection control performance, job stress, and non-shift work had an effect on nursing performance. It was thought that various plans to protect them, reduced tasks to efficiently perform and the nursing ability to cope with emerging infectious disease should be prepared to improve and reduce the job stress of emergency department nurses.

• Health Policy and Management
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• v.33 no.1
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• pp.3-18
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• 2023

Background: A chronic disease management program including patient education, recall and remind service, and reduction of out-of-pocket payment was implemented in Korea through a chronic care model. This study aimed to assess the effect of a community-based intervention program for improving medication adherence of patients with diabetes mellitus in rural areas of Korea. Methods: We applied a non-equivalent control group design using Korean National Health Insurance Big Data. Hongcheon County has been continuously adopting this program since 2012 as an intervention region. Hoengseong County did not adopt such program. It was used as a control region. Subjects were a cohort of patients with diabetes mellitus aged more than 65 years but less than 85 years among residents for 11 years from 2010 to 2020. After 1:1 matching, there were 368 subjects in the intervention region and 368 in the control region. Indirect indicators were analyzed using the difference-in-difference regression according to Andersen's medical use model. Results: The increasing percent point of diabetic patients who continuously received insurance benefits for more than 240 days from 2010 to 2014 and from 2010 to 2020 were 2.6%p and 2.7%p in the intervention region and 3.0%p and 3.9%p in the control region, respectively. The number of dispensations per prescription of diabetic patient in the intervention region increased by approximately 4.61% by month compared to that in the control region. Conclusion: The intervention program encouraged older people with diabetes mellitus to receive continuous care for overcoming the rule of halves in the community. More research is needed to determine whether further improvement in the continuity of comprehensive care can prevent the progression of cardiovascular diseases.

• KIPS Transactions on Computer and Communication Systems
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• v.12 no.2
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• pp.77-84
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• 2023

Dengue virus transmission is a viral infection disease between humans and Aedes mosquitoes. Dengue is ubiquitous throughout the tropics and subtropical zones, where 1/3 of the global population live. The weather in Korea is also changing to subtropical weather, resulting in increased vulnerable Korean population to dengue virus transmission. It is important to control and prevent the dengue risk with track-recording & monitoring system. It is also required to have the control system to treat and monitor dengue patients with various cases such as regions, ages, genders according to the track-record of the disease. In this paper, we developed a Dengue Control & Prevention System, which can monitor and control dengue outbreaks in real-time with in-vitro diagnostic devices. Dengue Control & Prevention System is composed of in-vitro diagnostic device, which is a fluorescent immunoassay, and real-time monitoring system. In the future, we expect that our Dengue Control & Prevention System can be upgraded to have various disease information from Korea Disease Control and Prevention Agency for government policies and diseases control in Korea.

• The Journal of the Convergence on Culture Technology
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• v.9 no.5
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• pp.269-273
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• 2023

After participating in the Second Boer War in 1899, the Australian Army participated in world wars such as World War I, World War II, the Korean War, and the Vietnam War. To overcome the decline in the social recognition of soldiers and the continuous shortage of troops caused by the protracted war, the status and role of female personnel were expanded. The use of female manpower, which started as medical support during the Second Boer War, expanded to combat support missions such as communications, maintenance, driving, secret document management, and radar surveillance during World War II. After the Vietnam War, the Chiefs of Staff of the Australian Army, Navy and Air Force established a committee to expand women's participation in the military, improved service conditions for female personnel and supplemented regulations so that they were treated as soldiers, not women, and reached a turning point in expanding the role of female personnel in the Australian military. As a result, all combat positions, including special forces, were opened to women in 2014, and a plan was established to increase the proportion of women in each service by 2030. As a result, all combat positions, including special forces, were opened to women in 2014, and the Australian Armed Forces set a plan to increase the proportion of women by 2030. Like the Australian military, South Korea is also experiencing a demographic cliff and shortage of troops due to the continuing low birthrate problem. Through the history and current state of the use of female personnel in the Australian military, we would like to draw implications for the direction our military should go.

• The Journal of the Convergence on Culture Technology
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• v.9 no.6
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• pp.355-363
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• 2023

The purpose of this study was attempted to confirm the relationship between medical workers' knowledge of the elderly, burn out, job satisfaction and awareness of elder abuse. The study was conducted on 371 doctors, nurses, and nurse's aides working at eight health centers, 15 nursing hospitals, and 30 university hospital institutions. Looking at the relationships between variables, this study found that knowledge of the elderly was a significant positive correlation with awareness of elder abuse(r=.14, p<.01), and burn out was a significant negetive correlation with job satisfaction(r=-.55, p<.01) and awareness of elder abuse(r=-.10, p<.05). Job satisfaction was a significant positive correlation with awareness of elder abuse(r=.13, p<.01). Awareness of elder abuse was a significant positive correlation with knowledge of the elderly(r=.14, p<.01) and was a significant negetive correlation with burn out(r=-.10, p<.05). As a result of this study, it is expected that Hospital workers can have a positive perception and attitude toward the elderly by reducing their burnout and improving their job satisfaction.

• The Journal of the Convergence on Culture Technology
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• v.9 no.6
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• pp.861-866
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• 2023

Individuals with visual impairments face difficulties in accessing accurate information about medical services and medications, making it challenging for them to ensure proper medication intake. While there are healthcare laws addressing this issue, there is a lack of standardized solutions, and not all over-the-counter medications are covered. Therefore, we have undertaken the design of a mobile application that utilizes image recognition technology, barcode scanning, and QR code recognition to provide guidance on how to take over-the-counter medications, filling the existing gaps in the knowledge of visually impaired individuals. Currently available applications for individuals with visual impairments allow them to access information about medications. However, they still require the user to remember which specific medication they are taking, posing a significant challenge. In this research, we are optimizing the camera capture environment, user interface (UI), and user experience (UX) screens for image recognition, ensuring greater accessibility and convenience for visually impaired individuals. By implementing the findings from our research into the application, we aim to assist visually impaired individuals in acquiring the correct methods for taking over-the-counter medications.

• The Journal of the Convergence on Culture Technology
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• v.9 no.5
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• pp.941-949
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• 2023

In this paper, the purpose of this qualitative research was to explore the communication experiences of nursing students during their clinical practice in the context of the COVID-19 pandemic among 4th grade nursing students. Data collection involved collecting reflective journals from 87 4th grade nursing college students who participated in clinical practice from December 19, 2022, to February 10, 2023. Participants were asked to freely write about their experiences following their clinical practice. The reflective journals were analyzed using Thematic Analysis by Braun & Clarke. In the context of the COVID-19 pandemic, the research findings have yielded 142 meaningful statements, 30 provisional themes, 9 sub-themes, and 4 central themes regarding the communication experiences of nursing college students during their clinical practice. The four central themes identified are as follows: "A mask that became a language barrier", "Broken Communication", "Fear that the quality of nursing care will decline", "Body and mind overcoming difficulties." In conclusion, this study has facilitated an understanding of the communication experiences of nursing college students during clinical practice in the context of the COVID-19 pandemic. Additionally, this research can serve as foundational information for improving ineffective communication due to the use of various medical equipment required in infectious disease situations and for developing practical strategies in nursing education under infectious disease conditions.