Currently, we have seen sudden increase of demand for emergency medical services by reason for high-speed economic development increase of traffics, etc. in this society. Consequently the government enforced & operated emergency medical system in 1991 as a link of more positive countermeasure against it, but many problem; still remain in reality. In particular, the regional emergency medical center designated by the Ministry of Health and Welfare falls short of our expectations for its essential role by the reason of such as insufficiency in professional manpower and institutions concerned in small-scale hospital, matters with transportation system, preference of large hospital, etc. Therefore, this study was conducted grasp for the actual conditions of emergency medical system based upon literature research & the preceding studies and interview research the motive of coming hospital, satisfaction & understand to the subject of 150 persons of patients and their guardians who used regional emergency center of Pusan National University Hospital, thereby examining & analysing the cause of emergency room overcrowding by non-emergency cases, one of the problem; enumerated from preceding studies. The main result of this study is as follows. First the actual condition of non-emergency patients coming hospital for examining overcrowding of emergency medical center showed that, of the patients who used the emergency medical center, non-emergency patients accounted for 49.3%, which acted as the main cause of delaying medical care for emergency cases, cases of which medical person or first-aid man decided to come hospital accounted for 36.1 %, thereby suggesting essential need for re-education & wide public information to even the professional manpower besides patients & guardians for their using emergency medical system. Second, as the result of researching patient acknowledgement with reference to their using emergency medical center, the rate of their giving right answer is no more than 60%, which means that non-emergency cases' using as such is due to the shortage of their knowledge of the said emergency medical center, which suggests us that wider P.R for emergency medical system to common people who may be one of the patients of it at any time is still in need. Third, the result of researching for finding out a future remedy of emergency medical system showed that the users who know well of the way of using emergency medical center had relatively high satisfaction of it, ones who have lesser knowledge of it lower satisfaction and users who feel in need of emergency specialized manpower feel the necessity of public information of emergency medical information center(1339) at the same time. The finding of examining the subject of study, in conclusion, showed that the degree of the patients & their guardians' understanding of emergency medical system is lower and the medical persons concerned also had no distinct difference in their understanding of it from the common people's, which suggests us for extensive enforcement of systematic education and public information in aspect of the government via various media for the purpose of effective operation of emergency medical center.
Background: Primary health care (PHC) plays a major role to ensure the basic right and equal distribution of the essential health care services. This study presents comparative analyses of PHC in Korea and Uzbekistan, discusses the existing scenario and the challenges, and provides recommendations. Methods: This study reviewed secondary data from Korea's National Statistical Information Service and the State Committee of the Republic of Uzbekistan on Statistic, regulatory legislation, research reports, and policy papers by research and international institutions. We focus on comparing input and outcome health data, PHC structure, and health expenditure. Results: Overall health status of the population in Korea is better than in Uzbekistan; both countries achieved more than 95% immunization coverage. The reforms implemented in both countries provide initial health care service delivery. However, there are several challenges such as the distribution of the staff between urban and rural areas and interest of the graduates on specialization rather than working in PHC system. Conclusion: PHC plays an important role in the provision of medical services to the population, addressing both health and social problems; it is the best tool for achieving universal coverage for basic health needs of the population. The community health practitioners in Korea and nurses in Uzbekistan plays main role in universal coverage through providing essential health care services. Continuous reform of the PHC system should be directed to strengthen the capacity of the PHC staff in health promotion knowledge and activities as well as to encourage population to improve their own health.
Background: The coronavirus disease 2019 (COVID-19) pandemic has led to socio-economic issues, highlighting the importance of strengthening health systems for future infectious diseases. This study aims to analyze the relationship between health system preparedness, response levels, and COVID-19 fatality rates across 194 countries. Methods: This study examined various indicators of national health system preparedness and response, including health service delivery, health workforce, health information systems, essential medicines and health products, health financing, and leadership and governance. Results: A correlation was found between the health system and the COVID-19 case fatality rate (CFR). Further examination of specific indicators within health service delivery, health workforce, health information systems, health financing, and leadership/governance showed significant correlations with the CFR. Multiple regression analysis, considering aging and urbanization rates, identified reproductive/maternal/newborn and child health, infectious diseases, nursing and midwifery personnel density, birth registration coverage, and out-of-pocket health expenditure as significant factors affecting the CFR. Conclusion: Countries with strong health system indicators experience lower case fatality rate from COVID-19. Strengthening access to essential health services, increasing healthcare personnel and resources, ensuring reliable health information, and bolstering overall health systems are crucial for preparedness against future infectious diseases.
International Journal of Knowledge Content Development & Technology
/
v.5
no.1
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pp.49-68
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2015
Given a query (a health question), retrieval of relevant frequently asked questions (FAQs) is essential as the FAQs provide both reliable and readable information to healthcare consumers. The retrieval requires the estimation of the semantic similarity between the query and each FAQ. The similarity estimation is challenging as semantic structures of Chinese healthcare FAQs are quite different from those of the FAQs in other domains. In this paper, we propose a conceptual model for Chinese healthcare FAQs, and based on the conceptual model, present a technique ECA that estimates conceptual similarities between FAQs. Empirical evaluation shows that ECA can help various kinds of retrievers to rank relevant FAQs significantly higher. We also make ECA online to provide services for FAQ retrievers.
It is essential to investigate the structure and the main characteristics of BSN (Bio-Sensor Network) platform in built smart healthcare environment while designing healthy housing facilities. For this study, WSN (Wireless Sensor Network) data transmission technologies have been employed with medical sensors, and optimal medical devices would provide various Web 2.0 services by connecting to the WiBro network. The BSN platform normally recognizes in surroundings of WBAN (Wireless Body Area Network) or WPAN (Wireless Personal Area Network), and it is possible to manage sensor nodes by utilizing SOAP (Simple Object Access Protocol) and REST (REpresentational State Transfer). In addition, the feature of SNMP (Simple Network Management Protocol) for mobile gateway is also included for being adapted to huge network structure. Finally, BSN platform will play a role as important clues for developing personal WSN service models for smart healthy housing properties.
Purpose: This research is intended to investigate the EMT students' Knowledge, attitude and behavior and then identify the predictors of the EMT students' attitude. Method: The purpose of study was to examine EMT students' knowledge and attitude toward the elderly using a survey of 286. the instruments in this study were palmore's FAQI(1998) and the 20 item semantic differential scale developed by sanders et al. (1984). Results: The results of this study were as follows : 1. The measuring of respondents' knowledge of the elderly revealed they scored an average of 10.17(${\pm}3.30$) of the full score 25. It also said their success rate to choose the answer on the elderly was 39.59%. 2. Attitudes toward the elderly weren't significantly different EMT students. 3. EMT students educational level and religion were found to impact their attitudes toward the elderly. 4. The feelings from their previous co-living experience with the elderly were significant factors. EMT students attitudes toward the elderly had an significant effect on co-living experience and the feelings in education programs toward the elderly. Conclusion : A well-designed program is essential to change the attitudes toward elderly because The feelings in education programs for the elderly are very important. with more knowledge of the elderly, the attitudes toward the elderly is expected to be more positive. Therefore, it is necessary to improve the enough knowledge of the elderly.
In providing general medical treatments, the medical service contract between the patient and the doctor is the mutually responsible onerous contract. However, the nature of the mutually assumed contract standings of the patient and the doctor has been changing since the implementation of the national health insurance program. For instance, besides the cases of beyond excessive medical charges and medical negligence, if the doctor charged for his/her medical treatments violating the post-treatment/nursing cover criteria, the overpaid medical charge, regardless of being collected with the patient's consent, has to be refunded back to the patient. Medically needed aspects, treatment results, and unfair benefits favoring the patient are not at all taken into consideration in the health insurance scheme. This makes it easier for patients to get refunds for their share of the medical payments by involving the Health Insurance Review & Assessment Service or the National Health Insurance Corporation, without engaging in civil law suits (for reimbursement claim) against doctors. In other words, the doctor's responsibility to provide medical treatments and the patient's responsibility to pay for the medical treatment provided within the contractual realm are being demolished by the administrational arbitration of the National Health Insurance system. The basic rights of medical service providers, and the patient's right to choose are as important constitutional rights, as the National Health Insurance program, which is essential in the social welfare system. Furthermore, the development of the medical fields should not be prevented by the National Health Insurance system. If the medical treatment services can be divided into necessary treatments, general treatments, and high quality treatments, the National Health Insurance is supposed to guarantee the necessary and general treatments to provide medical treatments equally to all the insured with limited financial resources. However, for the high quality treatments, it is recommended that they should not be interfered by the National Health Insurance system, and that they should be left to the private contract between the patient and the doctor.
Cho Heon Yeong's 'Tongsokanuihagwollon' is an introductory and essential book on Traditional Korean Medicine(TKM), and now we can nearly take it as classic. It contains almost whole contents of TKM : physiology, pathology, herbology, meridian & acupoint, internal medicine, diagnostics, formula science, etc. He wanted to help people get TKM services easily on their own through this book. In the first chapter following the introduction, he inserted Yin-Yang theory, and his lecture on Yin-Yang theory continues for 88 pages, taking 17% of the whole book. Yin-Yang theory chapter is composed of 14 parts which tells about concept, definition and meaning of Yin-Yang, change of Yin-Yang according to time, season, constitution, body region, meridian, herb, etc. Last part refers to disharmony & dysfunction of Yin-Yang in body, so he showed both theoretical and clinical view of Yin-Yang theory. He wrote some quotations from the book 'Complete Works of Jingyue(景岳全書)', 'Huangdi's Internal Classic(黃帝內徑)', 'Introduction to Medicine(醫學入門)', etc. He tried to explain easily about Yin-Yang theory with modern but rough language of science. He seemed to already know clearly that without modern science TKM cannot progress and will soon be overwhelmed by western medicine, and acted his own way to spread spirit of TKM in the period of rapid change & conflict between two civilizations.
Background: Iron is an essential element for women of reproductive age, especially in the period before and during the pregnancy. This study investigates the consumption of iron to prevent iron deficiency anemia among pregnant women visiting Neyshabur healthcare centers based on the theory of planned behavior. Methods: In this experimental study, data were collected through a questionnaire survey. It included 160 pregnant women who were receiving maternity services at twelve healthcare centers in the city of Neyshabur in Iran between 2015 and 2017. The participants' demographic and anthropometric characteristics, Using the theory of planned behavior, and blood lab examination results, including ferritin levels were measured and the data were analyzed using IBM SPSS ver. 22.0 (IBM Corp., Armonk, NY, USA). Results: The average scores of knowledge, attitude, perceived behavioral control, subjective norms, and intention categories for the intervention group were meaningfully increased after the participants received education on iron supplementation (P<0.05). However, these changes were not found to be significant in the control group (P>0.05). No statistically significant difference was obtained in the subjective norms category between the two groups after the education intervention (P=0.92). Conclusion: Based on the experimental effects of education encouraging iron supplementation in pregnant women, it is suggested that workshops promoting iron supplementation should be conducted in health centers with the aim of preventing widespread iron deficiency anemia.
Journal of the Korean BIBLIA Society for library and Information Science
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v.20
no.3
/
pp.97-114
/
2009
The roles and services of a library have historically been influenced and developed by the change of information technologies. The ubiquitous technologies have been widely studied for medical area, construction, commerce, broadcasting, telecommunication and so on. The ubiquitous technologies have extended to the roles and services in a library. The development of ubiquitous IT, the roles and functions of a library and information center should be changed. To adjust evolving environment, this study focuses on concept and definition of ubiquitous computing and networks. Especially, with requirements and essential technologies which can be a technological infrastructure for ubiquitous life, library services and roles in ubiquitous life are discussed by literature review, case analysis and expert interview. With the results, this study proposes that library services and roles in ubiquitous life should be considered in two ways which are network and physical spaces. Also, roles of a library in ubiquitous life will be extended to culture and education center including traditional information center. To perform those roles and services, a library should develop various service programs relating culture and education such as personalized service and educational program.
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