• The Korean Society of Law and Medicine
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• v.14 no.1
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• pp.355-401
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• 2013

The first legislation for terminal health-care decision was California's Natural Death Act (NDA) of 1976 that permitted any adult person to execute a directive directing the withholding or withdrawal of life-sustaining procedures. Advance directive legislation has subsequently progressed on a state-by-state basis. By 1992, all 50 states, as well as the District of Columbia, had passed legislation to legalize some form of advance directive. This state legislation, however, has resulted in an often fragmented, incomplete, and sometimes inconsistent set of rules. Statutes enacted within a state often conflict and conflicts between statutes of different states are common. In an increasingly mobile society where an advance health-care directive given in one state must frequently be implemented in another, there is a need for greater uniformity. In 1993, the Uniform Law Commissioners approved the Uniform Health-Care Decisions Act (UHCDA) in order to bring order to the existing chaos. Unfortunately, the Commissioners waited too long to act. By the time the UHCDA was approved, nearly all states had passed legislation governing advance directives. Consequently, the UHCDA has achieved only a limited success, picking up but one or two enactments a year. The UHCDA is currently in effect in around 10 states: Alabama, Alaska, California, Delaware, Hawaii, Kansas, Maine, Mississippi, New Mexico, Tennessee, Wyoming. In these states the previous laws related to the subjects have been all repealed. The overall objective of the UHCDA is to encourage the making and enforcement of advance health care directives including living will or individual instruction, power of health-care attorney and to provide a means for making health care decisions for those who have failed to plan. The U. S. House of Representatives in 1991 enacted the Patient Self-Determination Act (PSDA). The Act stipulates that all hospitals receiving Medicaid or Medicare reimbursement must ascertain whether patients have or wish to have advance directives. The Patient Self- Determination Act does not create or legalize advance directives; rather it validates their existence in each of the states. Now in America, terminal health-care decision or advance directive for health care is common and universal system. The problem, however, is how to let more people use these good tools to make their lives more beautiful and honorable.

• Journal of the Institute of Electronics and Information Engineers
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• v.51 no.1
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• pp.233-240
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• 2014

According to the recent increasing trend of the ages, numbers of patients with chronic diseases are increasing and issues for health care are importantly emerged. In this thesis the research implements U-health care system for health care of patients with chronic diseases. The suggested system for health care of patients with chronic diseases composes bio measurement system, mobile gateway and medical information management server, and bio-signals are composed with modules such as electrocardiogram, blood pressure, blood sugar, oxygen saturation if configured as client. Blood sugar check was considered and implemented to be chosen the ways to transmit through bio measurement system or through gateway. Suggested bio measurement system and mobile gateway are transmitted through Bluetooth. The transmitted biodata is searched by observing health check through mobile gateway, by transmitting through network server, and by using client. By implementing bio signal observation system of patients with chronic diseases, present health check is available by monitoring measured bio data, and various bio signals are transmitted in the mobile environment.

• Journal of Families and Better Life
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• v.20 no.4
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• pp.13-26
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• 2002

The purpose of this study was to understand the adult day care as a place for the elders and adults and to develop an initial understanding of the programs and their participants for adult day care for the cognitively-impaired in the U.S.A. The data was collected from 13 Adult Day Care Centers(ADC), and 318 participants from six Adult Day Care Centers from 2001 to 2002 by personal interview and the documents about the participants and their family and caregivers. Participants used ADC program average 8.15 hours In weekdays, 3 days per week. ADC programs provided primarily lunch and snack, transportation, personal care, professional health care, occupational.speech physical therapies, rehabilitation, and respite care. Participants'caregivers were mainly daughters and wives. It is the hope of this study to provide design and care professionals with a first draft of a ″sense-making″template by which they may understand adult day care in a systemic manner and engage in meaningful results as to what this place type could and should be.

• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.10 no.2
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• pp.123-128
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• 2010

ularly, a points of view Health-care system, it can reduce costs and efforts in order to management of patients. However, Health-care system keep a level of service for person and extends of hospital inner parts system. Although the rate of an addict grow by alcoholic but it is difficult to manage and diagnosis because of patient data gathering. Therefore in this thesis, it is proposed to patient data gathering and monitering method in u-zone. It can collect patient data by pulse, temperature and acceleration sensor and it can diagnosis correct based on emotion change data.

• The Journal of the Korea Contents Association
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• v.11 no.7
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• pp.21-29
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• 2011

U-health care services have been attracted to effectively solve some problems in promoting health and preparing aging society. Although the recent U-health care services have been developed to treat diseases, it requires environment information related to health for preventing fundamental diseases and for promoting health. In this study, a U-health environment service that reflects context recognition information is proposed. The proposed service draws environment information using local weather and healthcare information in users' residential areas. In the context recognition based U-health environment services, various services are provided to users not only health, living weather based menu, and exercise services but user location based warning messages for dangerous regions and remote emergency services. That is, based on such context recognition, some events that are to be occurred to users are detected and then it will provide proper services. Thus, it improves the satisfaction of U-health services and its service qualities.

• Health Policy and Management
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• v.6 no.1
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• pp.1-28
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• 1996

The paper analyzes OECD health systems from the perspective of historical institutionalism. Criticizing the dependence of Korea's national health program on Pacific countries such as Japan and the U.S., it suggests that European experiences of national health programs can be a model of the Korean health system in the future. Based on an inquiry into Italian and British cases of national health systems, the author emphasizes (1) the role of local governemts in national health programs, and (2) the integration of a national health program with public health programs.

• Proceedings of the Korean Information Science Society Conference
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• 2007.06d
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• pp.401-405
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• 2007

유비쿼터스 컴퓨팅 시대의 도래와 삶의 질 향상을 위한 개개인의 건강 유지와 증진에 대한 욕구는 유비쿼터스 라이프캐어(u-LifeCare)산업의 발전을 촉진시키고 있다. 본 논문에서는 기존 헬스캐어(HealthCare) 시스템에 관련된 연구들의 문제점을 분석하고 이를 해결하기위한 새로운 u-LifeCare 서비스 시스템의 구조를 제안한다. 기존 헬스캐어 시스템의 구조는 대부분 중앙집중형 Client/Server의 구조를 가진다. 이런 구조는 서비스 제공을 위한 모든 처리와 Data가 중앙 서버에 집중되므로 서버의 오버헤드 현상을 발생 시킬 수 있으며 이는 사용자에 대한 서비스 응답시간(Response time)을 증대시키고 심할 경우 서버다운 현상을 초래 할 수 있다. 제안하는 구조에서는 Surrogate를 동적으로 발견하고 Computing resource로 이용함으로써 이러한 문제점들을 해결하고 효율적인 서비스를 제공할 수 있다.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.12 no.3
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• pp.1427-1438
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• 2011

Currently, efforts towards pursuit of standardization of u-Health technology and for development of our own source technologies and functions in Korea are being made continuously. Accordingly, base technologies in the area of u-Health software as well as trends in and standards of u-Health software market were investigated, and this Study aims to develop reliable evaluation model for u-Health software. For this purpose, characteristics and service types of u-Health software were examined, and u-Health technological trend and standards were analyzed. On the basis of these preliminary research, reliable evaluation model for u-Health software was developed.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.3
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• pp.1213-1220
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• 2013

The purpose of this study was to identify the effect of the Smart Care ubiquitous healthcare service on hypertension management. Fifty one patients with inadequately controlled blood pressure (Systolic Blood Pressure ${\geq}$ 140 mmHg despite prescribed antihypertensive medication) from 4 local clinics participated in this study. Remote biometric monitoring and healthcare consultation via videophone was provided to the participants during 24 week - Smart Care service. The average number of blood pressure monitoring and the average day of remote consult using Smart Care Service system was 121 and 14.8 per participant. As a result of analyzing change in blood pressure during 24 weeks, there was a significant difference in blood pressure between baseline and 24 weeks. Systolic blood pressures of 86.3% participants were dropped within a normal range at 24 week. Smart Care u-health service could be effective in reducing blood pressure.

• Journal of Korea Society of Digital Industry and Information Management
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• v.6 no.3
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• pp.91-101
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• 2010

By using the U-Healthcare environment, it is possible to receive the health care services anywhere anytime. However, since the user's personal information can be easily exposed in the U-Healthcare environment, it is necessary to strengthen the security system. This thesis proposes the technique which can be used to protect the personal medical records at hospital safely, in order to avoid the exposure of the user's personal information which can occur due to the frequent usage of the electronic chart according to the computerization process of medical records. In the proposed system, the following two strategies are used: i) In order to reduce the amount of the system load, it is necessary to apply the partial encryption process for electronic charts. ii) Regarding the user's authentication process for each patient, the authentication number for each electronic chart, which is in the encrypted form, is transmitted through the patient's mobile device by the National Health Insurance Corporation, when the patient register his or her application at hospital. Regarding the modern health care services, it is important to protect the user's personal information. The proposed technique will be an important method of protecting the user's information.