• Title/Summary/Keyword: e-Health Services

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A Design of Access Control Method for Security Enhance based Smart Device (스마트 디바이스 기반의 보안성 강화를 위한 접근제어 기법 설계)

  • Park, Jungoh
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.14 no.3
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    • pp.11-20
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    • 2018
  • Smart devices refer to various devices and control equipment such as health care devices, imaging devices, motor devices and wearable devices that use wireless network communication (e.g., Wi-fi, Bluetooth, LTE). Commercial services using such devices are found in a wide range of fields, including home networks, health care and medical services, entertainment and toys. Studies on smart devices have also been actively undertaken by academia and industry alike, as the penetration rate of smartphones grew and the technological progress made with the fourth industrial revolution bring about great convenience for users. While services offered through smart devices come with convenience, there is also various security threats that can lead to financial loss or even a loss of life in the case of terrorist attacks. As attacks that are committed through smart devices tend to pick up where attacks based on wireless internet left off, more research is needed on related security topics. As such, this paper seeks to design an access control method for reinforced security for smart devices. After registering and authenticating the smart device from the user's smart phone and service provider, a safe communication protocol is designed. Then to secure the integrity and confidentiality of the communication data, a management process such as for device renewal or cancellation is designed. Safety and security of the existing systems against attacks are also evaluated. In doing so, an improved efficiency by approximately 44% compared to the encryption processing speed of the existing system was verified.

A Study on the Direction of Funeral service focused on Thick Data Analysis (Thick데이터 분석에 기반한 장례서비스 방향성 연구)

  • Ahn, Jinho;Lee, Jeungsun
    • Journal of Service Research and Studies
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    • v.10 no.1
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    • pp.85-96
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    • 2020
  • In Asia, where the aging population is growing rapidly, as the funeral service industry develops and the market grows. The economic value and interest of funeral services is increasing. However, Korea's funeral services are being developed in a biased direction, focusing only on funeral services, after death. Compared to the case of advanced funeral services in the United States, the United Kingdom, and Japan, not only the funeral but also the care of the deceased's family and acquaintances around us are developing. It is appropriate to use a method based on ethnography and User eXperience. For this purpose, the method of collecting and analyzing the ethnography and user experience data of actual resident and visitor was deduced in persona method in the next ten years, and funeral service centered on resident and visitor. In this study, qualitative data centered on the future direction of funeral services, focusing on the resident (family) and the guest who are the principals of services from the perspective of service science. It is difficult to derive meaningful results from the process of collecting, processing, and interpreting big data in general, and in this case, the data analysis method is based on ethnography and user eXperience.) Is appropriate. For this purpose, the method of collecting and analyzing the ethnography and user experience data of the actual resident and the visitor was deduced in the persona method in detail after 10 years. In addition, the future direction of funeral services centered on residence and visitor was presented.

Impact of the Outpatient Prescription Incentive Program on Reduction of Pharmaceutical Costs of Clinics in South Korea

  • Kwon, Seong Hee;Han, Kyu-Tae;Park, Sohee;Moon, Ki Tae;Park, Eun-Cheol
    • Health Policy and Management
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    • v.27 no.3
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    • pp.247-255
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    • 2017
  • Background: South Korea has experienced problems with excessive pharmaceutical expenditures. In 2010, the South Korean government introduced an outpatient prescription incentive program to effectively manage pharmaceutical expenditures. Therefore, we examined the relationship between the outpatient prescription incentive program and pharmaceutical expenditures. Methods: We used data from the Korean National Health Insurance claims database, which included medical claims filed for 22,732 clinics from 2011-2014 to evaluate associated pharmaceutical expenditures. We performed multiple regression analysis and Poisson regression analysis using generalized estimating equation models to examine the associations between outpatient prescription incentives and the outcome variables. Results: The data used in this study consisted of 123,392 cases from 22,372 clinics (average 5.4 periods follow-up). Clinics that had received outpatient prescription incentives in the last period had better cost saving and Outpatient Prescribing Costliness Index (OPCI) (received: proportion of cost saving, ${\beta}=6.8179$; p-value < 0.0001; OPCI, ${\beta}=-0.0227$; p-value < 0.0001; reference = non-received). Moreover, these clinics had higher risk in the provision of outpatient prescription incentive (relative risk, 2.772; 95% confidence interval, 2.720 to 2.824). The associations were higher in clinics that had separate prescribing and dispensing programs, or had professional staff. Conclusion: The introduction of an outpatient prescription incentive program for clinics effectively managed problems with rapid increases of pharmaceutical expenditures in South Korea. However, the pharmaceutical expenditures still increased in spite of the positive impact of the outpatient prescription incentive program. Therefore, healthcare professionals and health policy makers should develop more effective alternatives (i.e., for clinics without separate prescribing and dispensing programs) based on our results.

Implementation of Wearable Sensor Glove using Pulse-wave Sensor, Conducting Fabric and Embedded System (맥파 측정 센서와 전도성 섬유, 임베디드 시스템 기반의 웨어러블 센서 글러브 구현)

  • Lee, Young-Bum;Lee, Byung-Woo;Lee, Myoung-Ho
    • Journal of Institute of Control, Robotics and Systems
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    • v.13 no.3
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    • pp.205-209
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    • 2007
  • Today, there are research trends about the wearable sensor device that measures various bio-signals and provides healthcare services to user using e-Health technology. This study describes the wearable sensor glove using pulse-wave sensor, conducting fabric and embedded system. This wearable sensor glove is based on the pulse-wave measurement system which is able to measure the pulse wave signal in much use of oriental medicine on the basis of a research trend of e-Health system.

Introduce and Promote the Home-based Hospice and Palliative Care (가정호스피스·완화의료 제도 도입을 위한 국민 인식도 조사)

  • Choi, Jung-Kyu;Tae, Yoon-Hee;Choi, Young-Soon
    • Journal of Hospice and Palliative Care
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    • v.18 no.3
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    • pp.219-226
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    • 2015
  • Purpose: This study was conducted to understand public perception of home-based hospice and identify related factors. Methods: Between August 19, 2014 and August 30, 2014, data were collected using an E-mail questionnaire that was filled by 1,500 adults who were over 20 years of age. Data were analyzed using descriptive statistics, ${\chi}^2$-test and logistic regression. Results: Among the respondents, 15.9% were aware of home-based hospice care, and 61.3% were willing to receive home-based hospice care. The factors that influenced the participants' willingness to use home-based hospice services included residential district, religion and private health insurance. Respondents who lived in Seoul (OR: 1.56, 95% CI: 1.04~2.33), Gwangju/Jeolla province (OR: 2.02, 95% CI: 1.23~3.32), Busan/Ulsan/South Gyeongsang province (OR: 1.81, 95% CI: 1.17~2.82) were more well-aware of home-based hospice care than those who lived in Incheon/Gyeonggi province. The faithful were more informed about the services than those without non-faithful participants (Roman Catholics (OR: 2.03, 95% CI: 1.30~3.17), Protestants (OR: 1.76, 95% CI: 1.22~2.53). Participants who had a private health insurance plan knew more about the services than those without one (OR: 1.45, 95% CI: 1.03~2.04). Conclusion: First, it is necessary to improve perception of the public and healthcare providers regarding home-based hospice care. The government should review a measure to institutionalize operation of a palliative care team at hospitals and community home-based hospice care centers.

Does Market Competition Reduce Hospital Charges & LOS for the Degenerative Lumbar Spinal Disease?: A Two-point Cross Sectional Study (병원시장 경쟁이 퇴행성 요추질환 환자의 진료비 및 재원일수에 미치는 영향)

  • Lee, Joo Eun;Park, Eun-Cheol;Lee, Sang Gyu;Kim, Tae Hyun
    • Korea Journal of Hospital Management
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    • v.22 no.4
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    • pp.33-49
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    • 2017
  • Background: Health care utilizations and costs of the patients with degenerative lumbar spine disease in Korea increased dramatically. We analyzed whether hospital market competition is associated with charges and length of stay for patients with degenerative lumbar spine disease. Methods: We used Medical claims data of 2002 and 2010 from the nationwide representative sample of National Health Insurance Service of Korea. The study subjects were inpatients with degenerative lumbar spine disease (N=24,768) in 2002 and 2010. We employed a multilevel linear mixed model that included patient- and hospital-level variables in hierarchical data. Results: Higher hospital competition was associated with lower charges (${\beta}=57.5$, p<.0001 in 2002; ${\beta}=353.7$, p<.0001 in 2010) and shorter length of stay (${\beta}=0.3$, p<.0001 in 2002; ${\beta}=0.9$, p<.0001 in 2010) in both 2002 and 2010. Compared to 2002, the magnitude of such association became greater in 2010. However, subgroup analyses show that the influence of competition on charges and length of stay differed by hospital size. Conclusions: This study showed that hospital market structure (e.g., hospital competition) affects hospital efficiency (i.e., hospital charges and length of stay). It is necessary to continue to monitor how changing market structure influences hospital outcomes, including more detailed outcomes such as patient satisfaction.

The review of municipal solid waste management in Nigeria: the current trends

  • Iorhemen, Oliver T.;Alfa, Meshach I.;Onoja, Sam B.
    • Advances in environmental research
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    • v.5 no.4
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    • pp.237-249
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    • 2016
  • The management of municipal solid waste (MSW) is essential for every community; and, it is currently a major challenge in Nigeria. This paper provides an overview of the current MSW management trends in Nigeria and proposes new sustainable MSW management systems. Across Nigerian cities, MSW management is characterized by inefficient collection and transportation to disposal sites. Collection services do not reach some unplanned areas and slums due to poor street network. Even some planned areas are not reached by collection services. The informal sector contributes to waste collection, resource recovery and recycling; however, their activities are not recognized by the governments. Markets exist for recovered materials but more efforts need to be geared towards intensive recovery of materials and expansion of these markets. Despite the high proportion of putrescible matter in MSW, the only form of treatment commonly used currently is open burning for volume reduction. The high organic fraction presents a great opportunity for composting and anaerobic digestion. Ultimate disposal is currently done in open dumpsites. This needs to be upgraded to engineered landfills that are properly sited and adequately operated by well trained personnel. There is an emerging waste stream of concern, electronic-waste (e-waste), that requires urgent sustainable management as e-waste are currently co-disposed with other waste streams or burnt in the open posing detrimental health impacts.

An Examination of the Current Health of University Students and a Systematic Approach to a Healthy Campus (대학생의 건강특성 및 대학건강증진을 위한 체계적 접근방안)

  • Kim, Young-Bok
    • Korean Journal of Health Education and Promotion
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    • v.28 no.5
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    • pp.1-16
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    • 2011
  • Objectives: A healthy campus enables students to pursue their academic goals. This study examines the health in a broad spectrum of university students and suggests a systematic approach to building a healthy university campus. Methods: The Korea National Health and Nutrition Examination Survey (1998-2009) results and the American College Health Association-National College Health Assessment (2000-2011) report were used as bases for this study. Results: The most common health problems were allergies, sinusitis, ear infections, anemia, depression, and stress among both American students and Korean young people in the 19-29 age group. American students were more likely to be overweight, while Korean young people were to become underweight. College students were also less likely to practice healthy behavior(i.e. vaccinations, physical activity, and not smoking). To build a healthy university campus, six areas of health services are suggested: medical care, health education, counseling, immunization, heath promotion, and employee assistance programs (EAP). In addition, universities should develop effective strategies to improve health on campus, such as community partnerships. Conclusions: To make the most of the limited resources requires a systematic approach that focuses on continuous monitoring of health on campus, health surveys, and collaboration between universities and their communities.

Factors related with Health Literacy in Asian Immigrant Women in Korea (결혼이주여성의 건강문해력과 관련요인)

  • An, Jisook;Kim, Hye-Ryun;Yang, Sook Ja
    • Research in Community and Public Health Nursing
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    • v.24 no.4
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    • pp.377-387
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    • 2013
  • Purpose: The purpose of this study is to identify health literacy levels of Asian immigrant women in Korea and factors related with health literacy in them among other sociodemographic characteristics. Methods: Data were drawn from 671 immigrant women who came from China, Vietnam, the Philippines, and other Asian countries (M age=$28.1{\pm}5.89$) using REALM-R, which consisted of 8 medical words and was translated into Korean (score range: 0~8). Data were analyzed using SPSS/WIN 20.0 program for descriptive statistics, t-test, ANOVA, Scheff\acute{e} test and multiple regression. Results: The average score of health literacy was $5.0{\pm}2.61$. Time since immigration, country of origin, education level, and Korean language proficiency significantly predicted levels of health literacy in Asian immigrant women (adjusted R square=.200, p<.001). Conclusion: When health care professionals provide health care services and health education, they should consider levels of health literacy and factors related with health literacy in Asian immigrant women.

The way to achieve Universal Health Coverage: Focusing on the Historical and Cultural Context of Health Care Sector in Vietnam (보편적 건강보장을 향한 노정 : 베트남 보건의료 부문의 역사·문화적 맥락을 중심으로)

  • BEAK, Yong Hun
    • The Southeast Asian review
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    • v.28 no.1
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    • pp.173-218
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    • 2018
  • This study focuses on the healthcare sector in Vietnam which is promoting universal health insurance for the achievement of Universal Health Coverage (UHC) under Sustainable Development Goals (SDGs). The purpose of this study is to examine the characteristics of the reform process of the health care system and the law on health insurance through the historical and cultural contexts and its implications from the perspective of development. Based on the three dimensions of UHC - extension of protection for population, provision of various medical services, and financial protection, the current status of the Vietnam healthcare sector is summarized respectively as follows. First, according to the revised Health Insurance law which came into effect in 2015, the mandatory health insurance premiums are calculated based on household units. Second, there is a medical network that can provide preventive and healthcare services centered on primary health care facilities, for example commune health stations (trạm y $t{\hat{e}}$ $X{\tilde{a}}$). Third, out-of-pocket expenditure is still a large proportion although public spending has increased and private spending has decreased since the enforcement of the health insurance law and various schemes. Vietnam is currently striving towards a universal health care system. The development of institutions and systems should be designed in a way that is appropriate for the members of the society rather than efficiency. This article findings shed light on the role of social values, family culture, and informal institutions.