• Journal of Korean Academy of Nursing
• /
• v.32 no.6
• /
• pp.855-866
• /
• 2002

The purpose of study is to develop a home nursing care project model suitable for Korea's heath care system and policy directions for expansion and establishment of home nursing care. Method: The first, status of home nursing care program in medical institution and public health center was evaluated respectively in view of structure, process and performance. And then, issues of the program were analyzed in view of accessibility, safety, and sufficient supply. The second, demand projection of home nursing care according to income level and technical level of service that is needed to the subject was tried. In addition, the level of supply for home nursing care at present was estimated. The third, home nursing care program in advanced countries (Japan and U.S.A.) was examined. Result and Conclusion: Community-based home nursing care program is developed into public-operation model and private-operation model from above the sub-subject result. Functional network for referral system among related institutions is built up to meet various needs, regardless of accessibility to distance and economy. And prior settlements and policy directions for expansion and establishment of home nursing care are suggested.

• Quality Improvement in Health Care
• /
• v.12 no.2
• /
• pp.75-83
• /
• 2006

Background : Utilization review has been adopted as a vehicle for cost and utilization control of health care services. Its role was further stressed and expanded through the establishment of Health Insurance Review Agency in 2001. This article is to introduce concept, activities, and effect of utilization review based on the experiences of U.S. and to suggest important characteristics for ideal utilization review activities at the national level in Korea. Method : Twenty-five articles related with utilization review were reviewed after being selected through web site search through Med Line and Richis. Result : Utilization review was introduced mainly for health care expenditure control either by insurer, provider or the third parties under the pressure of increasing health care cost. It's activities can be categorized to prospective, concurrent and retrospective review according to the time of service provision. Based on most of studies, utilization review has been effective in controling rising health care cost and utilization. However it's effectiveness assumes a reimbursement structure of managed care like capitation payment. More worse, it is still unknown it's effectiveness on quality of care. Conclusion : Utilization review should be employed to increase the cost effectiveness of medical care by optimizing quality and patient's outcomes while also attempting to reduce the use of resources. So, it should consider outcomes before expenditures, check for both under and over-use, and construct an structure in which consumption is reduced equitably. Aggressive adoption of utilization review in Korean health care setting with fee-for-service reimbursement structure might not be a cost-effective approach before adoption of prospective payment system such as D.R.G. and capitation.

• The Journal of the Korea Contents Association
• /
• v.10 no.10
• /
• pp.54-67
• /
• 2010

Applying the conventional machine-learning method which has been frequently used in health-care area has several fundamental problems for modern U-health service analysis. First of all, we are still lack of application examples of the traditional method for our modern U-health environment because of its short term history of U-health study. Second, it is difficult to apply the machine-learning method to our U-health service environment which requires real-time management of disease because the method spends a lot of time in the process of learning. Third, we cannot implement a personalized U-health diagnosis system using the conventional method because there is no way to assign weights on the disease-related variables although various kinds of machine-learning schemes have been proposed. In this paper, a novel diagnosis scheme PCADP is proposed to overcome the problems mentioned above. PCADP scheme is a personalized diagnosis method and it makes the bio-data analysis just a 'process' in the U-health service system. In addition, we offer a semantics modeling of the U-health ontology framework in order to describe U-health data and service specifications as meaningful representations based on this PCADP. The PCADP scheme is a kind of statistical diagnosis method which has characteristics of flexible structure, real-time processing, continuous improvement, and easy monitoring of decision process. Upto the best of authors' knowledge, the PCADP scheme and ontology framework proposed in this paper reveals one of the best characteristics of flexible structure, real-time processing, continuous improvement, and easy monitoring among recently developed U-health schemes.

• Journal of Families and Better Life
• /
• v.21 no.6
• /
• pp.81-95
• /
• 2003

While Korean traditional culture considers it necessary that children support their parents, a new trend of silver support is expanding by the recent social change, the increase of women's working, and the reluctance to support the old people. However, the number of silver welfare facilities in Korea is short for the demand with limited selections of them. Based on the situation, the following results of the study what kind of policies Korea service for the old people in the USA where early stepped into the aging society: 1. provide specific and proper social-supporting service and facilities with charge or free for the old people to be able to select one of them, according to economic, physical and psychological situation of the old people; rather to prepare service and facilities for all the old people. 2. increasing community service support for the home-staying old people 3. the development of support program for the family of the old 4. the improvement of housing environment for the home-staying senior 5. prepare the housing alternatives for the senior would be home-like environment.

• 한국IT서비스학회:학술대회논문집
• /
• 2008.05a
• /
• pp.500-502
• /
• 2008

최근 노인 인구의 급증으로 고령화 사회가 빠르게 진행되면서 노인들을 위한 체계적이고 신속한 의료 환경이 요구되고 있다. 또한 의료비의 상승과 관련 인력의 부족으로 언제 어디서나 진료 가능한 대체 시스템의 요구가 증가하고 있다. 이러한 요구에 의하여 유비쿼터스 컴퓨팅과 네트워크를 활용하여 새로운 건강 관리 서비스의 개발이 진행 중이며 특히, 이를 이용한 건강관리 시스템에 대한 관심과 개발이 증가하고 있다. 본 논문에서는 가속도센서(Accelerometer)를 이용하여 노인들을 위한 U-SilverCare 시스템을 설계 및 구현한다.

• The Journal of Korean Society for School & Community Health Education
• /
• v.12 no.2
• /
• pp.113-127
• /
• 2011

Background: University health services have provided comprehensive medical care, counseling, health promotion, and public health services to their students and several other local institutions. To their faculty and staff, university health care centers have served occupational health services and employee assistant program. Purpose: We performed this study to review the health promotion services on two kinds of health care center with different style of university formate. Methods: We tried to collect the data by literature review and interview with executive and provider at health care center in University of California at Berkeley and San Jose State University. Results: Our results were as followed. First, students could use the medical services just as they would their regular doctor's office and urgent care center. Second, the health promotion unit offered programs and services for keeping students healthy and safe, including many opportunities for students to get involved in shaping the public health of the campus. Third, the health promotion recommendation offered from ACHA was useful guideline to improve health status of their member in university campus. Finally, the student satisfaction surveys were used for evaluation and quality improvement. Conclusions: The systematic approach to improve health status of students, faculty and staff can use to maintain a state of optimum health among the diverse student community in support of academic excellence. Coupled with health promotion and public health programs, university health service have to reach all segments of the healthy campus community. To achieve study goals in university, the health care center contributes to promote accountability and responsibility for the health and well being of the members in their campus.

• The Journal of Korean Institute of Communications and Information Sciences
• /
• v.35 no.12B
• /
• pp.1199-1210
• /
• 2010

In recent years opportunistic computing has gained popularity in Ad-hoc network research area and it is highly required to research for actual services and related requirements. In this paper we summarized a virtual opportunistic service that is named "Children Care System" and proposed an Ad-hoc communication node (uMobile) that is connected with cellular phone and a sensor node (uClo) which is embedding into clothes. uMobile can support cellular phone communication and Ad-hoc communication and uClo can be embedded into clothes and recognize the user status using multiple sensors. In this paper we implemented the location awareness and user status awareness services using uMobile and uClo. We also tested them in indoor situation and showed the result. We expect that our research can play a significant role to inspire another various opportunistic computing services.

• The Journal of the Institute of Internet, Broadcasting and Communication
• /
• v.11 no.6
• /
• pp.107-118
• /
• 2011

This paper shows a u-Health management system in user's Life environment, which is different from previous ones by enterprises. It's designed for users(citizens) and service provider(especially providing medical service). This paper is discussing on the proof on the service model being operated near the Tancheon stream in the city of Sung-nam. To maximize users' satisfaction, this service has been designed on four disciplines(so easy, so simple, well-customized, funny feedback) in the viewpoint for users. Its algorithm has 4 levels which are measurement, prescription, monitoring and feedback. In the system. there are HCBs(health check boothes) checking out status and assessment of users, customized health prescription customized a health management service prescription engine, exercise programs customized on exercise equipments near the stream and monitoring system.

• Journal of Digital Convergence
• /
• v.13 no.8
• /
• pp.315-320
• /
• 2015

User Authentication in Online service is essential for accurate and safe service. For this user authentication, One Time Password(OTP) is frequently used. To satisfy one-time-use characteristic of OTP, Offset information to generate OTP or final OTP value get generated through OTP generator or security card which could be lost. In this study, OTP generation method that bypasses OTP generator or security card by using health information collected from u-Health care system is proposed. Suggestion is that health information collected through wearable devices get utilized to offset information that are applied in OTP generations. OTP generated using suggested methods showed similar results than current OTP generation methods in the collision resistance test which tests how often it generate same authentication numbers, this implies that new proposed method can be applied to various on-line services.

• The Journal of Korea Institute of Information, Electronics, and Communication Technology
• /
• v.2 no.4
• /
• pp.73-80
• /
• 2009

In this paper, we implemented the integrated gateway for health care and home network system based on PLC(Power Line Communication) and Zigbee. The designed system is consists of sensors, integrated gateway, Zigbee module and PLC modem. The integrated gateway will transmit the data which is collected by health care sensors to health care control system and control an appliance for comfortable environment to medical facilities. The implemented gateway can support various health care and home network service.