• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2021년도 춘계학술대회
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• pp.641-643
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• 2021

사물 인터넷 (IoT)은 모든 시장과 산업을 연결시켜 다양한 서비스와 서비스 제공 업체를 위한 새로운 비즈니스 모델을 가능하게 한다. 의료 사물 인터넷 (IoMT)은 의료 발전을 가속화 할뿐만 아니라 보다 인간적인 접근 방식으로 치료를 가능하게 한다. 또한 데이터를 통해 치료 방법과 정밀 의료의 질을 개선 및 적시에 진료를 받을 수 있도록 하며 간소화된 워크플로우를 통해 의료기관의 운영 생산성을 향상시킨다. 하지만 의료분야는 사람의 건강과 생명에 직접적인 영향을 주기 때문에 무엇보다 보안성 확보가 이슈가 되고 있으며 이를 악용하려는 해커들에게 표적이 되고 있다. 따라서 본 연구에서는 의료분야의 IoMT 기술과 보안의 위협요소 및 대응방안을 분석한다.

• 한국병원경영학회지
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• 제28권4호
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• pp.73-89
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• 2023

Purposes: The purpose of this study was to empirically analyze the effect of the attitude of medical staff providing medical services on the treatment satisfaction of the patients who experienced outpatient care at the hospitals and clinics. In particular, it was verified whether the courtesy of the medical staff to the outpatients has moderated the effect of the medical staff's explanation on the treatment satisfaction. Methodology: After controlling the socio-demographic factors of the outpatients with their treatment and waiting time, multiple regression analyses were conducted to figure out the effect of the attitude of the medical staff on the treatment satisfaction. And the covariance analyses were adopted to verify the moderating effect of the variables of the medical staff. Findings: At both hospitals and clinics, all attitudes of medical staff such as the way they explain to and communicate with the patients, and their courtesy showed positive effects on treatment satisfaction. Among them, the courtesy of the medical staff was the most influential variable on the satisfaction of the treatment, and it only had the control power over the effect of the way they explain on the treatment satisfaction. Practical Implication: Among the medical staff's attitudes toward patients at hospital or clinic level, the courtesy of doctors and nurses is an important factor in improving treatment satisfaction. In particular, if the level of their courtesy is low among the medical services rendered at the clinics, the satisfaction level will decrease even if the level of explanation of the medical staff is high. Therefore, in terms of hospital management, treatment satisfaction can be improved when doctors and nurses provide medical services to visitors with polite, humble and friendly manner in explaining to and communicating with the patients.

• 인터넷정보학회논문지
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• 제18권6호
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• pp.75-84
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• 2017

As there has been growing interests in PHR-based personalized health management project, various institutions recently explore safe methods of recording personal medical and health information. In particular, innovative medical solution can be realized when medical researchers and medical service institutes can generally get access to patient data. As EMR data is extremely sensitive, there has been no progress in clinical information exchange. Moreover, patients cannot get access to their own health data and exchange it with researchers or service institutions. It can be operated in terms of technology, yet policy environment are affected by state laws as well as Privacy and Security Policy. Blockchain technology-independent, in transaction, and under test-is introduced in the medical industry in order to settle these problems. In other words, medical organizations can grant preliminary approval on patient information exchange by using the safely encrypted and distributed Blockchain ledger and can be managed independently and completely by individuals. More apparently, medical researchers can gain access to information, thereby contributing to the scientific advance in rare diseases or minor groups in the world. In this paper, we focused on how to manage personal medical information and its protective use and proposes medical treatment exchange system for patients based on a permissioned Blockchain network for the safe PHR operation. Trusted Model for Sharing Medical Data (TMSMD), that is proposed model, is based on exchanging information as patients rely on hospitals as well as among hospitals. And introduce medical treatment exchange system for patients based on a permissioned Blockchain network. This system is a model that encrypts and records patients' medical information by using this permissioned Blockchain and further enhances the security due to its restricted counterfeit. This provides service to share medical information uploaded on the permissioned Blockchain to approved users through role-based access control. In addition, this paper presents methods with smart contracts if medical institutions request patient information complying with domestic laws by using the distributed Blockchain ledger and eventually granting preliminary approval for sharing information. This service will provide an independent information transaction and the Blockchain technology under test will be adopted in the medical industry.

• 융합보안논문지
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• 제12권3호
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• pp.107-113
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• 2012

최근 데이터 통신기술의 급속한 발전은 초고속 전송 네트워크의 대중화를 가져왔으며 이는 통신 기술의 발달로 인해 기존에 오프라인에서 직접 행해지던 여러 가지 서비스를 원격지에서 온라인으로 수행 가능하도록 하는 기반이 되고 있다. 이러한 통신기술은 의료분야에도 적용 또는 응용되고 있는데 대표적으로 병원의 진료예약을 들 수 있다. 그러나 진료예약의 경우 대부분 환자 또는 환자의 보호자가 직접 해당병원에 방문하거나, 전화접수를 통해서만 이루어지고 있다. 또한 진료를 받고 줄을 서서 진료비용을 납부해야만 하며 병원의 진료비용을 납부한 환자가 다시 의사로부터 종이처방전을 발급받아 근처 약국에 가서 줄을 서서 처방약을 받아야한다. 본 논문에서는 최근 대중화되어 있는 스마트폰을 이용하여 환자가 진료접수 및 진료비용 수납 등의 진료절차를 진행할 때 별도의 시간소모 없이 신속하고 편리하게 진행할 수 있고 종이 없는 처방전을 받을 수 있는 스마트 진료 시스템을 제안한다. 또한 의료데이터가 인터넷을 통해 전송될 때 환자의 의료정보가 유출되지 않도록 하는 보안대책에 대해 논의한다.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제16권7호
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• pp.2209-2224
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• 2022

The Internet of Things (IoT) is being used in a wide variety of fields due to the recent 4th industrial revolution. In particular, research is being conducted that combines IoT with the medical field such as telemedicine. Among them, the field of shock detection is a big issue in the medical field because the causes of shock are diverse, treatments are very complex, and require a high level of medical knowledge and experience. The transmission of infectious diseases is common when treating critically ill patients, especially patients with shock. Thus, to effectively care for shock patients, we propose an architecture that continuously monitors the patient's condition, and automatically recommends a drug injection treatment according to the patient's shock condition. The patient's hemodynamic information is continuously monitored, and the patient's shock generation information is recorded periodically. With the recorded patient information, the patient's condition is determined and automatically injected with necessary medication. The medical team can find out whether the patient's condition has improved by checking the recorded information through web applications. The study can help relieve the shortage of medical personnel and help prevent transmission of infectious disease in medical staff. We look forward to playing a role in helping medical staff by making recommendations for the diagnosis and treatment of complex and difficult shocks.

• 대한가정학회지
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• 제44권11호
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• pp.133-148
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• 2006

This study takes an effort to suggest solutions for medical service consumers' sovereignty. Specifically, consumer evaluation, information seeking level, and affecting factors on information seeking level were explored in terms of medical service. In present study, medical information included medical institution and doctors, prescription, diseases, medical treatment and medical expense. Medical service consumers' information seeking is identified as consumers' own efforts to acquire medical information through various sources. The analysis results suggested that consumers' information seeking level is even lower, while their evaluation level is somewhat low. Moreover, the result for information seeking level by consumer characteristics implied that people who have high education, high economic status, medical knowledge, and high attitudes for consumer right are active information seekers. Finally, consumer attitudes for right appeared most influential factor on information seeking level, implying direction for medical service consumer education.

• 대한방사선기술학회지:방사선기술과학
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• 제28권3호
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• pp.193-201
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• 2005

최근의 정보통신기술(ICT)은 관련기술과의 융합으로 모든 시스템을 통합하는 형태로 발전하고 있다. 이런 시대의 흐름과 마찬가지로 의료산업은 근래에 많은 발전 및 응용에 관한 연구가 활발히 진행되고 있다. 의료정보시스템도 의료 IT의 정보시스템들이 통합되는 방향으로 급변하게 진화해가고 있으며, 앞으로도 그 가속도는 더 할 전망이다. 특히 유비쿼터스 환경에서의 의료정보산업은 최근에 큰 전환기를 맞고 있다. 특히 정부의 정보통신부 IT839 전략으로 핵심기술 및 신규 서비스로 다양한 응용서비스 시범사업과 관련 요소기술 개발이 활발히 진행되고 있다. 따라서 본 논문에서는 의료정보시스템의 최근 동향을 업계 및 시스템적으로 분석하고, 유비쿼터스 컴퓨팅 환경에서의 미래의 통합의료정보시스템의 응용에 대한 발전 방향을 제시하고자 한다. 그리고 국가 주도의 산업성장으로서 유비쿼터스 환경의 구축을 위한 병원 응용 시스템 구축을 제시하며, USN(Ubiquitous Sensor Network) 환경의 IT응용 서비스가 실용화하고 있는 실정에서 통합의료정보를 위한 환자 진료의 서비스 강화를 도모하도록 통합의료정보시스템을 제안 및 설계하였다. 그리고 병원의 실제 EMR, HIS, PACS의 호환을 위한 솔루션을 제시하였다.

• 농촌의학ㆍ지역보건
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• 제14권1호
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• pp.16-29
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• 1989

The general objective of this study is to grasp the treatment expenses of common diseases by character of medical care institutions. The specific objective is to find out the treatment expenses for selected common diseases by type of medical care institutions and also by level of symptom. A record review method was employed to obtain required information for the analysis of expenses. A total of 40,000 cases treated by 85 medical care institutions were selected by the study team during the period 22 June to 14 July 1988. The 85 medical care institutions were sampled by stratified proportionate random sampling method. The major findings obtained from the information collected by the study team are as follows ; 1) Treatment expenses were composed of physical examination, medication, injection anesthesia, rehabilitation surgical intervention, lab test, X-ray and diagnosis. The highest expenses was for medication, accounted for 36.7% of the total: 13.9%, injection; Lab, tests respectively: 10.5%, physical examination : 8.6% surgical intervention; 7.9% admission : 6.3%, X-ray and diagnosis: 1.5%, rehabilitation. 2) Treatment expenses per case of common diseases were quite different from not only type of medical care institutions, such as university hospital, general hospital, hospital and clinic, but also from level of symptom. 3) Treatment expenses per case for the aged were higher than that of the young. The treatment cases for over 60 years of age accounted for 19.4% of the total, however the proportion of treatment expenses accounted for 23.8% of the total. 4) Duration of treatment and visits for same diseases varied from type of medical cara institutions. Based on these study findings, the following further research should be conducted: (1) Establishment of health care delivery system. (2) Feasibility of the development of health care programme for the aged. (3) Strengthening for primary health care approach.

• 대한의용생체공학회:의공학회지
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• 제28권5호
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• pp.657-664
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• 2007

Stroke patients need regular medical treatments and rehabilitation training from their doctors. However, severe aftereffects caused by stroke allow them minimum activities, which make it difficult for them to visit doctor. Recently, electric brain stimulation treatment has been found to be better way compared to conventional ones and many are interested in using this method for the treatment of stroke. In this study, we have developed a remote medical treatment system using wireless electric brain stimulator that can help the stroke patients to get a treatment without visiting their doctors. The developed remote medical treatment system connects the doctors to the brain stimulator implanted in the patients via the internet and ZigBee communication built in the brain stimulator. Also, the system receives personal information of the connected patients and cumulates the total records of electric stimulation therapy in a database. Doctors can easily access the information for better treatment planning with the help of graphical visualization tools and management software. The developed remote medical treatment system can be applied to the electric stimulation treatments for other brain diseases with a minor change.

• 한국전자통신학회논문지
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• 제8권12호
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• pp.1959-1970
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• 2013

본 연구는 환자 간접 접촉군인 병원행정관리자와 환자 직접 접촉군인 작업치료사의 환자 의료정보 보호행동 실천도를 알아보기 위해 시도되었다. 담당직무별로 비교해 보았을 때는 환자의료정보 보호 관리 감독에 대한 정기적인 교육은 병원행정관리자($3.16{\pm}1.037$)보다는 작업치료사($3.17{\pm}1.129$)가 잘 받고 있었음에도 불구하고, 환자 직접 접촉군인 작업치료사($3.52{\pm}.809$)가 환자 간접 접촉군인 병원행정관리자($3.92{\pm}.724$)보다 의료정보 보호행동 실천도는 낮게 나타났다. 작업치료사는 환자와 많은 대화 및 소통을 하는 동안 항상 의료정보 누설의 위험성에 노출되어 있으면서도, 대부분의 항목에서 의료정보 보호에 관한 관심이 비교적 적고 그 내용에 대해 거의 인지하지 못하는 것으로 나타났다. 이에 각 직업군별 맞춤형 교육시스템을 마련하고, 의료정보 보호에 관한 질 관리 활동을 정기적으로 실행하면서 지속적인 홍보와 교육을 하고, 본인들의 수준을 점검하고, 그러한 활동을 통하여 의료정보 보호에 관한 인식을 고취 시킬 필요가 있다고 제언하는 바이다.