• 제목/요약/키워드: health information services

검색결과 1,337건 처리시간 0.024초

접경지역의 지속가능한 보전과 이용을 위한 생태계 건강성 지수 적용 및 평가 (Application and assessment of ecosystem health index for sustainable conservation and use of border areas)

  • 김정인;고하정;권혁수
    • 한국환경복원기술학회지
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    • 제26권6호
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    • pp.117-133
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    • 2023
  • This study assessed the ecological health of border areas using the ecological health index and suggested Indicators for maintaining and promoting ecological values. We analyzed the change trends, pressures, and resilience of ecosystems and services in border areas, and identified their current status and sustainability. The main findings were: (1) ecological assets and ecosystem services in border areas could be compared through ecosystem health assessment; (2) it can be used to set priorities for management and conservation by identifying the relative importance and vulnerability of ecosystems and ecosystem services in each border area; and (3) the index presented in this study can be judged to have explanatory power for the characteristics of border areas and ecosystem health when compared to previous studies. Limitations of this study include the lack of literature and statistical data at the local government level and the resulting limited application of evaluation methods, which limited direct regional comparisons. To overcome the research limitations, further studies are needed, such as establishing ecological information in border areas, mapping and assessment of ecosystem services, and developing and applying assessments that reflect the opinions and participation of various stakeholders. This study was the first attempt to assess the health of ecosystems and ecosystem services in border areas and provided an important baseline for future changes in border areas. In the future, it will be helpful in national and local government policies and ecological assetecosystem management by supplementing insufficient information and presenting clear goals.

원격의료서비스 수용요인의 구조적 관계 실증연구 (Structural Relationships Among Factors to Adoption of Telehealth Service)

  • 김성수;류시원
    • Asia pacific journal of information systems
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    • 제21권3호
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    • pp.71-96
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    • 2011
  • Within the traditional medical delivery system, patients residing in medically vulnerable areas, those with body movement difficulties, and nursing facility residents have had limited access to good healthcare services. However, Information and Communication Technology (ICT) provides us with a convenient and useful means of overcoming distance and time constraints. ICT is integrated with biomedical science and technology in a way that offers a new high-quality medical service. As a result, rapid technological advancement is expected to play a pivotal role bringing about innovation in a wide range of medical service areas, such as medical management, testing, diagnosis, and treatment; offering new and improved healthcare services; and effecting dramatic changes in current medical services. The increase in aging population and chronic diseases has caused an increase in medical expenses. In response to the increasing demand for efficient healthcare services, a telehealth service based on ICT is being emphasized on a global level. Telehealth services have been implemented especially in pilot projects and system development and technological research. With the service about to be implemented in earnest, it is necessary to study its overall acceptance by consumers, which is expected to contribute to the development and activation of a variety of services. In this sense, the study aims at positively examining the structural relationship among the acceptance factors for telehealth services based on the Technology Acceptance Model (TAM). Data were collected by showing audiovisual material on telehealth services to online panels and requesting them to respond to a structured questionnaire sheet, which is known as the information acceleration method. Among the 1,165 adult respondents, 608 valid samples were finally chosen, while the remaining were excluded because of incomplete answers or allotted time overrun. In order to test the reliability and validity of the assessment scale items, we carried out reliability and factor analyses, and in order to explore the causal relation among potential variables, we conducted a structural equation modeling analysis using AMOS 7.0 and SPSS 17.0. The research outcomes are as follows. First, service quality, innovativeness of medical technology, and social influence were shown to affect perceived ease of use and perceived usefulness of the telehealth service, which was statistically significant, and the two factors had a positive impact on willingness to accept the telehealth service. In addition, social influence had a direct, significant effect on intention to use, which is paralleled by the TAM used in previous research on technology acceptance. This shows that the research model proposed in the study effectively explains the acceptance of the telehealth service. Second, the research model reveals that information privacy concerns had a insignificant impact on perceived ease of use of the telehealth service. From this, it can be gathered that the concerns over information protection and security are reduced further due to advancements in information technology compared to the initial period in the information technology industry, and thus the improvement in quality of medical services appeared to ensure that information privacy concerns did not act as a prohibiting factor in the acceptance of the telehealth service. Thus, if other factors have an enormous impact on ease of use and usefulness, concerns over these results in the initial period of technology acceptance may become irrelevant. However, it is clear that users' information privacy concerns, as other studies have revealed, is a major factor affecting technology acceptance. Thus, caution must be exercised while interpreting the result, and further study is required on the issue. Numerous information technologies with outstanding performance and innovativeness often attract few consumers. A revised bill for those urgently in need of telehealth services is about to be approved in the national assembly. As telemedicine is implemented between doctors and patients, a wide range of systems that will improve the quality of healthcare services will be designed. In this sense, the study on the consumer acceptance of telehealth services is meaningful and offers strong academic evidence. Based on the implications, it can be expected to contribute to the activation of telehealth services. Further study is needed to assess the acceptance factors for telehealth services, such as motivation to remain healthy, health care involvement, knowledge on health, and control of health-related behavior, in order to develop unique services according to the categorization of customers based on health factors. In addition, further study may focus on various theoretical cognitive behavior models other than the TAM, such as the health belief model.

공공도서관 사서대상 소비자건강정보(CHI) 관련 교육전후의 인식변화 연구 (A Study on the Effectiveness of CHI-Related Education for Public Librarians)

  • 노영희
    • 정보관리연구
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    • 제43권4호
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    • pp.1-29
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    • 2012
  • 헬스리터러시(Health Literacy)는 적절한 건강진단을 위한 기본적인 건강정보 및 서비스를 획득하고 처리하고 이해할 수 있는 능력으로서, 사서들은 이용자뿐만 아니라 자신들의 헬스리터러시도 향상시켜야 한다. 이에 본 연구에서는 국내 공공도서관 사서에게 적합한 건강정보활용교육 프로그램 개발에 기여하고자 건강관련 교육프로그램을 개발하고 이를 사서교육에 적용하였으며, 그 효과를 측정하고 개선사항도 발견하였다. 그 결과, 공공도서관 사서의 CHI(Consumer Health Information) 관련 용어에 대한 친숙도 증가, 교육후 이용자에 대한 교육증가 및 내용의 다양화, CHI관련 서비스를 수행하기 위해 활용하는 정보원의 다양화 및 전문화, 참고서비스에 걸리는 시간 절감 및 전문지식 부족의 한계에 대한 부담 감소 등의 부분에서 효과가 있었던 것으로 나타났다. 그러나 본 연구는 사서대상 CHI관련 교육과 관련하여 국내에서 최초로 수행된 연구로 교육강사 및 주제의 다양성, 방법론 부분에서 많은 한계가 있었으며, 향후 보다 발전된 CHI관련 교육 프로그램의 개발이 요구된다고 할 수 있다.

혼합설계방법을 사용한 한국거주 외국인의 의료서비스 이용만족도 비교연구 (A Comparison Study using Mixed Methods on Foreign Residents' Satisfaction with Korean Health Care Services)

  • 김금순;안정원;김진아;김희정
    • 대한간호학회지
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    • 제44권1호
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    • pp.86-96
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    • 2014
  • Purpose: This study was conducted to examine and compare satisfaction with Korean health care services for Americans, Chinese and Russians who resided in Korea. Methods: A questionnaire was distributed to 252 participants (81 Americans, 89 Chinese, 82 Russians). Three focus group interviews were subsequently conducted in order to obtain a greater understanding of participants' experience and perspectives. Results: The average satisfaction score was 3.09, with Americans and Russians showing significantly higher scores than Chinese. Overall, participants reported higher satisfaction in 'Facility', 'Quality of care' and 'Nursing services' as opposed to 'Information/education'. 'Care with cultural respect' as well as communication related services. Data from the focus group interviews were categorized into 12 sub-categories, 7 categories and 2 themes. The two themes were common experience and contrasting experience. Common experience included 4 categories, 'Quality of care', 'Hospital facility and health care system', 'Language barrier' and 'Information and education'. Contrasting experience included 3 categories, 'Medical cost', 'Health care personnel' and 'Accessibility'. Conclusion: Results of this study provide basic knowledge on foreign residents' satisfaction and experience with Korean health care services. Further research is needed with foreigners from different cultural backgrounds. Administrative and educational efforts are required to improve communication skills and cultural competency.

전국 의료기관 가정간호이용 및 가정간호비용 (Current Status of Costs and Utilizations of Hospital Based Home Health Nursing Care in Korea)

  • 유호신
    • 대한간호학회지
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    • 제36권7호
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    • pp.1193-1203
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    • 2006
  • Purpose: The purpose of this study was to describe the current status of utilization and costs of home health nursing care by the levels of medical institutes in Korea. Method: A secondary analysis of existing data was used from the national electronic data information(EDI) of 148 home health agencies for 6 months from May to Oct 2005 in total. Result: The 148 agencies had multiple services in cerebral infaction, essential hypertension, sequoia of cerebrovascular disease, type 2 diabetes mellitus, etc.. The highest 10 rankings of 76 categories of home health nursing services were composed of 96.4% of the total services, such as simple treatment, inflammatory treatment, urethra & bladder irrigation, inserting indwelling catheter etc., in that order. The highest 20 rankings of 226 categories of home examination services were composed of 77.0% of the total home examination services. In addition, the average cost of home health care per visit was 46,088 Won (${\fallingdotseq}$ 48 $, 1 $=960 Won). The costs ranged from 74,523 Won (${\fallingdotseq}$78 $, loss of chronic kidney function, N18) to 32,270 Won (${\fallingdotseq}$34 $, other cerebrovascular diseases, 167). Conclusion: Results suggest that client characteristics of hospital based HHNC are not different from community based HHNC or visiting nursing services for elderly. The national results will contribute to baseline data used to establish a policy for the home health nursing care system and education.

한국 장기요양 방문간호의 정책적 함의와 일본 방문간호의 시사점 (Policy Implications for Home-Visit Nursing(HVN) of the Korean Long Term Care Insurance through the implications of the Japanese HVN)

  • 유호신
    • 한국보건간호학회지
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    • 제29권3호
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    • pp.403-411
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    • 2015
  • Due to lack of an information system regarding the status of using home-visit nursing (HVN), it has barriers of providing improvement of the HVN for management of elderly health care in Korea. The twofold aims of the current review are to expose the existing agendas for HVN and to suggest the political implications for HVN of Korea based on the transition process and revised HVN system of Japan. This review suggests that an information evaluation system has to precede for HVN services in detail. And, the service provided per manpower should be assessed by separating the code of manpower (registered nurse, nurse aide, dental hygienist) as well as securing detailed and precise information on the HVN services. The other suggestion, development of a community-based home health care nursing model in order to provide necessary services for long-term health insurance beneficiaries. In addition, a master plan for health care for elderly should be established at the national level in order to establish an effective home health nursing delivery system.

보건분야 연구자들의 정보이용행태에 관한 연구 -광주, 전남 응급구조과 및 전남대학교 간호과학 연구소- (The study of information seeking behavior by health fields researchers)

  • 김미선
    • 한국응급구조학회지
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    • 제3권1호
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    • pp.77-90
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    • 1999
  • This study focuses on investigating and analyzing overall information use behavior of the health fields researchers. Questionaries were 116 researchers in there nursing university or college and EMT college. Four areas were tested on the basis of the purpose that there would exist unique characteristics in the information seeking behavior of health fields researchers. The findings of the study shows that health fields researchers prefer monographs and journals; they tend to use current materials; the first information source for their research activities is the cited references in the book or journal article; they are likely to delegate literature searching to the librarian, but they tend to conduct direct searching in online setting; in general, they react positively for the rapid change in information environment caused by recent development of information technology. It is emphasized that to design an efficient information system and provide an effective information service in the health science related library or information center, it is essential to consider the major characteristics and attributes of health fields researchers in terms of their information use behavior.

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주요 국가의 의료기관 신임제도 비교연구 - 미국, 영국, 캐나다, 호주, 한국을 중심으로 - (A Comparative Study on Hospital Accreditation Programme -United States of America, United Kingdom, Canada, Australia, Republic of Korea)

  • 신영수;이신호;김수경;이영성
    • 한국의료질향상학회지
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    • 제1권1호
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    • pp.66-94
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    • 1994
  • Hospital Accreditation Programme(HAP) has been introduced in many countries in the world for these recent years. This article reviews the HAP in the aspects of the organization, survey and evaluation process, evaluation criteria, and its impact to the hospital quality improvement. The nations included in this study are USA, UK, Canada, Australia, and Korea. To carry out this comparative study, the authors have reviewed articles and accreditation manuals having been issued in many countries. An expert panel of medical doctor, nurse, pharmacist, administrator, and specialist in health facilities formulated a study framework. The results of this study enhance understanding about hospital accreditation activities according to each nation's health care system. In recent years, the Korean government has launched the plan to improve the quality of health services by strengthening the hospital accreditation programme. This study results can provide useful information in development and implementation of the national hospital accreditation programme in Korea.

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Validity of a new information and communication technology platform for oral health care of persons with disabilities

  • Lee, Jae-Young;Paik, Hye Ran;Kim, Young-Jae;Jin, Bo-Hyoung
    • 한국치위생학회지
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    • 제21권3호
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    • pp.211-225
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    • 2021
  • Objectives: To validate the role of a new information and communication technology platform that we created for the betterment of the oral health of persons with disabilities and for providing appropriate health care services. Methods: A Delphi survey was conducted among 16 people in various professions, including academia, government agencies, and dentistry, to evaluate the validity of the information and communication technology platform. Moreover, platform satisfaction was evaluated using a user experience questionnaire among 200 people, including persons with disabilities, parents, and public institutions. Results: Experts in consensus indicated a high validity for the categories of service provider (CV=0.29, CVR=0.69), service target (CV=0.29, CVR=0.38), service contests (CV=0.27, CVR=0.63), and financial support (CV=0.30, CVR=0.63) in our information and communication technology platform. In addition, information from questionnaires on user experience and communication technology satisfaction analysis showed that both users and providers were highly satisfied with the platform. Conclusions: The provision of oral health services based on the new information and communication technology platform has numerous advantages, in addition to providing adequate oral health care for the disabled. Furthermore, the social safety net for improved oral health may be further strengthened.

척추질환자의 의료기관 정보탐색행태와 탐색성과 (Information Searching Behavior for Medical Institutions of Spine Patients and Searching Outcomes)

  • 정태영;정기택;김용민
    • 보건행정학회지
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    • 제23권3호
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    • pp.266-280
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    • 2013
  • Background: Information asymmetry between physicians and patients is one of the most unique characteristics of health care. But as consumerism spreads in health care sector, health care consumers are searching comparative information about quality and cost of providers from many information sources. Providing comparative information to health care consumers not only makes consumers choose hospital rationally, but also invigorates the health care market by providers' competition. However there are few studies regarding information searching behavior of health care consumers, then this study is carried out. Methods: The purpose of this study is to understand the information searching behavior of health care consumers based on their characteristics and the types of medical institutions. For this purpose, 313 spinal patients' data of 11 medical institutions (university hospital, spine specialized hospital, clinic) located in Seoul were collected by self-administered surveys. Results: The results of this study are as follows: 1) t-test/analysis of variance analysis showed that according to various characteristics of health care consumers and the types of medical institutions, the level of information searching of each source and the amount of information searching and searching outcomes are statistically different. 2) Regression analysis showed that influence on searching outcomes are statistically different according to the level of information searching of each source and searching content and the amount of information searching has positive effects on searching outcomes. Conclusion: The significance of this study is to provide empirical basis for establishment of health care policy reflecting information needs and preference of health care consumers.