Evaluation of CDSS for Drug Prescriptions Based on Success Measures.

OBJECTIVE: The Clinical Decision Support System (CDSS) for drug prescriptions was developed by integrating the computerized physician order entry (CPOE) system to support doctors and pharmacists in making correct decisions on prescribing drugs in line with the prescription guidelines by the Health Insurance Review Agency (HIRA). The objective of this study was to evaluate the performance of the CDSS with respect to system quality, information quality, and user satisfaction in reducing prescription errors. METHODS: The study was based on survey data from 38 hospitals that were using the CDSS for drug prescriptions. To identify factors influencing the performance of CDSS, multiple linear regression and chi-square analyses were performed. RESULTS: Regression analysis showed that the variables for system quality and information quality significantly influenced the overall system performance. Specifically, ease of understanding the results and terminology assystem quality measures significantly influenced user satisfaction. Furthermore, based on chi-square analysis, two independent variables (ease of understanding results and decision support functions) were statistically significant with respect to all four dependent variables (information satisfaction, system satisfaction, willingness to recommend to other hospitals, and drug safety). CONCLUSION: Based on this study, users should be educated to improve their understanding of the system,and system and information quality should be continuously monitored to improve user satisfactionope

Medico-Historical Study on Diabetes Mellitus

The author has made a review as to the improvement of the knowledge on Diabetes Mellitus based on the Korean classical literatures on medicine. Hyang·Yak-Ku-Kub-Bang(JOO~;J&f.2;1i), the oldest medical book published in 13th century (the reign of King Kojong of Koryu Dynasty), shows,as the symptoms of So-Kal(mm, thirsty sensation) polyuria and decrease of body weight. In Hyang-Yak-Chib-Sung-Bang(JllJl~~gl(;1i), published in 1433(the reign of King Sejong of Lee Dynasty) is added sweetness of urine to the above-mentioned symptoms of So-Kal, But. in Tong-Ui-Bo-KamOIHi.it), the most outstanding medical book in Korean classical medicine published in 1613(the reign of King Kwanghai of Lee Dynasty), the descriptions on the symptoms of So-Kal are far more close to those of Diabetes Mellitus of modern medicine, compared with the descriptions in Hyang-Yak-Ku-Kub-Bang and Hyang-Yak-Chib-SungBang. The author. for this reason, chose Tong-Ui-Bo-Kam to look into the knowledge on Diabetes Mellitus that bears Korean classical medicine and to make a critique on it in the view point of modern medicine. The conclusions thus obtained are as following. 1) The etiology of So-Kal that thirsty is attributed to heat and excess of positive spirit is but a very primitive one_ 3) So-Kal bears much resemblance in its symptoms Mellituswith those of Diabetes Mellitus. 3) The fact that they recognized sweet urine in So-Kal makes us feel if they used the urine test in the diagnosis. 4) It's remarkable that they indicated furuncle and loss of eyesight as the complications of So-Kat though these are but a part of the whole complications of Diabetes Mellitus confirmed in modern medicine. 5) There are. for the treatment of So-Kat many prescriptions enumerated. single or compound form. However. the author thinks that we have to expect for the further pharmacological researches on the medicinal plants included therein before we can tell their efficiency

(A) study on the perception of the surveillance system for chronic diseases

보건정보관리학과/석사[한글] 국내에서도 만성병의 유병율 및 만성병으로 인한 사망비중이 지속적으로 높아지고 있으며, 이러한 만성병 증가의 문제는 의료비증가, 요구의료수준의 증가, 노령인구의 증가 등 사회경제적으로 많은 관심을 유발하고 있다. 따라서 효율적인 국가 만성병감시체계의 필요성이 중요한 문제로 대두되고 있어, 이에 본 연구에서 만성병의 체계적 관리와 정책수립 및 만성병 등록시스템 구축을 위한 예비단계로서 임상의 및 일반인들의 의견을 수렴하여 국가중점관리 만성병의 우선순위 등을 결정하고, 각 질환별 적합한 감시체계 설계 및 실시방안에 관한 자료를 제시하였다. 우선관리 필요 1순위 만성병을 의사들은, 고혈압, 간질환, 당뇨병, 중풍(뇌혈관질환), 심장병 등으로, 일반인들은 심장병, 당뇨병, 소화성궤양, 위염, 고혈압으로 답하였으며 우선순위 결정요인중 가장 중요한 것으로 의사들은 사회적 비용지출과다, 일반인들은 유병율을 선택하였다. 고혈압, 간질환, 당뇨병, 중풍(뇌혈관질환), 심장병등 우선관리필요 만성병의 질환별 감시체계로 적합한 것은 능동적 자료수집에 의한 등록사업이 선택되었고, 자발적 등록과 외적 인센티브가 결합된 형태의 C S방식의 등록프로그램을 사용한 진행방법이 가장 적합한 것으로 선택되었다. 만성병감시체계의 활성화를 위해 필요한 요소로 의사들은 ‘환자관리 및 진료에 유용한 등록프로그램’과 ‘정부차원의 feedback''을 선택하였고, 문제점으로 지적된 사항은 시간이 없고 번거로움, 판별기준 및 입력사항 모호 등이었다. 또한 만성병감시체계의 활성화를 통한 기대효과로는 질병의 발생률, 유병율 등의 역학관련 정보의 획득 가능성과 정보의 공유 등이었다. 본 연구는 만성병의 체계적 관리와 정책수립 및 만성병 등록시스템 구축을 위한 기초연구로 우선관리 필요 만성병의 순위, 우선순위 결정요인, 질환별 감시체계의 종류, 등록사업의 방법 및 활성화 방안 등에 대해 의사들 및 일반인들의 실제 의견을 수렴한 것으로 향후 효율적 국가만성병 감시체계구축에 필요한 정책결정시 유용한 기초 자료로 활용될 수 있으리라 생각된다. [영문]Recently the need of effective government controlled surveillance system of chronic disease becomes very high due to the rapid increase of aged population and healthcare cost. The purpose of this study, as an initial stage of building the systemic registry and policy formation of chronic disease, was to collect the data on chronic disease and the understanding of medical doctors and general people. The results of this study were the priority of disease, the factors of priority, registry type by disease, activated campaign of registry and method of registry development based on the opinions of users, clinic doctors and general people. Clinic doctors gave priority by hypertension, liver disease and diabetes mellitus while the general public gave heart disease, diabetes mellitus, digestive ulcers and hypertension. High healthcare cost was the number one factor of priority for the doctors and they prefer in order to collect the data actively by using C/S type of program with some incentives. This study can be used for the future decision of designing government registry system and policy of chronic disease management.ope

마이크로파 발진기의 위상잡음 해석 및 최적화에 관한 연구

학위논문(석사)--서울대학교 대학원 :전기공학부,2000.Maste

A Study on the Emergency Treatments in Korean Classical Medicine -Particularly on Revised Synopsis of Emergency Treatments-

In olden days of Korea the government published, as a kind of public -healths activity, medical books for those living in rural secluded areas where no medical man was available. In the medical books thus published are included seven kinds of handbooks on emergency treatments. Most of them, however, have been lost or are now in the custody of the Japanese authorities. As to "Revised Synopsis of Emergency Treatments," we are fortunate to have found the 1st and 6th volume in Korea out of the whole 8 volumes and to be able to survey, though roughly, what was the emergency treatments in those days. The 1st volume consists of the general table of con. tents and the treatments on apolpexic crisis, sudden interrupion of respiration, high fever and so on which endanger human life. In the 6th volume are lined up the treatments in cases that men swallowed foreign bodies or are sticken by them and that men are bitten by wild or domestic beasts and others. Looking around the general contents, in this handbook are mostly described on medical, surgical, gynetocological and pediatric diseases and a little bit on E. N.T., ophthalmological and dental diseases, all of which are those customarily seen in our daily lives. For the treatments were applied mostly the simple remedies which were easily obtainable. The treatments. for apoplexic crisis, sudden interuption of respiration, high fever are unreasonable and miscellaneous. However,. in cases of drawning and trauma they knew through experiences the treatments and drugs which seem to be comparatively effective