• Journal of the Korea Institute of Information and Communication Engineering
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• v.19 no.10
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• pp.2473-2480
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• 2015

In telemedicaine, people can make their health checked at anywhere from temporal and spatial constraints and It's environment can provide continuous health information regardless of the location of customers through PCs and smart phones. In addition, personal health information collected utilizing the BYOD(bring your own device) is the most important factor data security and guaranteed personal privacy because it's directly connected to the individual's health and life. In this paper, we provide a signature of the private key encryption system and method for providing the security of personal health information data collected utilizing the BYOD. Against replay attacks and man-in-the-middle attacks on security issues that are emerging as a smart environmental health was used as the timestamp and signature methods. Proposed method provides encryption overhead, while a communication was lower compared to the pre-encrypted with a mean 1.499mJ 1.212mJ shown by simulation to respond quickly in an emergency situation to be about 59%.

• Health Policy and Management
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• v.7 no.2
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• pp.65-88
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• 1997

In Korea, telemedicine is still under the beginning stage, but we expect that the developing 'Information Highway' will make this technology more common place and more easily used in coming soon. Currently, three hospitals are providing telemedicine services with their subsidiary hospitals which are far away from their remote place. However, the fee schedule of telemedicine services are not well-settled down, of course not reimbursed through current health insurance system. This study aims to develop new payment system for medical services provided through telemedicaine system. To design appropriate fee schedule for telemedicine services, we, first, review the current insurance payment system and telemedicine system both in domestic and foreign countries focusing on its payment system. A framework of telemedicine payment system is proposed in following steps based on information we acquired from this stage. Second. We decide the span of cost items which should be covered by telemedicine payment scheme. In hear, we suggest payment method for telemedicine services should be designed as dual structure which are telemedicine fee that should be reimbursed through payment scheme and any costs related to capital investment that should not be covered by payment system. Which is, payment system for telemedicine services should cover only service-related costs and any costs related to capital investment should be generated through third party such as government, health insurance association, etc. Finally, we suggest new fee schedules for telemedicine services. The key issues on developing telemedicine fee schedules are related with the determination of appropriate additional rate($\alpha$). The reasonable additional rate($\alpha$) must determine through careful evaluation of any additional efforts(e. g. : additional work hours which are related to providing telemedicine services). This study shows the process of how to determine appropriate additional rate($\alpha$).