35 research outputs found

    Analysis on the Types of e-Business of the Healthcare Information Provision Service on the Interne

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    Objective: To define the healthcare information industry in order to propose a developmental direction for the industry, classify and analyze the healthcare information industry business models, and propose strategic guidelines for development of the healthcare information industry. Methods: A survey was conducted to investigate the private companies that provide healthcare information. For in-depth investigation of the study subjects, they were categorized based on their means of service provision. Open colloquium participation requests were extended to the representative companies, and five opencolloquiums were held. Additional data were obtained through a structured questionnaire investigating the problems and complaints, followed by a discussion on strategies and future plans. Results: Through a review of previous research on internet business model classification, four major model classification systems were chosen and the healthcare information business models were classified. Based on the composite opinions derived from the participating companies, policy guidelines were proposed. Conclusion: It is important to cooperate with experts from each field under governmental supervision and help the general public appreciate the value of healthcare information, thereby achieving the industrialization and development of the health information provision business.OAIID:oai:osos.snu.ac.kr:snu2009-01/102/0000028528/6SEQ:6PERF_CD:SNU2009-01EVAL_ITEM_CD:102USER_ID:0000028528ADJUST_YN:NEMP_ID:A076124DEPT_CD:811CITE_RATE:0FILENAME:29 Analysis of the Types of e-Business of the Healthcare Information.pdfDEPT_NM:๊ฐ„ํ˜ธํ•™๊ณผEMAIL:[email protected]_YN:NCONFIRM:

    Change in Grafted Secondary Alveolar Bone in Patients with UCLP and UCLA : A Three-Dimensional Computed Tomography Study

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    Objective: To evaluate changes in the grafted bone after secondary alveolar bone graft (ABG) with iliac bone using 3-dimensional computed tomography (3D-CT). Materials and Methods: The sample consisted of 10 patients with unilateral cleft lip and palate (UCLP) and 5 patients with unilateral cleft lip and alveolus (UCLA) (mean age 10 years). 3DCT data (Sensation 10, Siemens, Munchen, Germany), which was obtained 1 month before (T0), 3 months after (T1), and 12 months (T2) after ABG, were used to measure the height, labiolingual thickness (LLT), and volume of the grafted bone using V-Works 4.0 program (Cybermed Inc, Seoul, Korea). All of the UCLA patients showed the lingual process in the cleft area at T0, but the UCLP did not. Results: During T1โ€“T2, there was a significant decrease in height of the upper part of the grafted bone; however, volumes of both the upper and lower parts were decreased. Unilateral cleft type and presence of ULI in the cleft area did not affect the change in height and volume of the grafted bone. The resorption amount (RA) was significantly larger in the lower part than in the upper part, while the resorption rate (RR) exhibited an opposite result. In addition, there was significantly more RA in the labial side in UCLA than UCLP (P .05). There was no correlation between the initial cleft width and changes in height, LLT, and volume of the grafted bone. Conclusion: Overpacking and/or excessive condensation of the grafted bone is not necessary in UCLA with the lingual process because of the greater chance of resorption on the labial side of the grafted bone

    Development of Implementation Strategies for u-Health Services Based on the Healthcare Professionals' Experiences

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    Objectives: The study develops strategies for implementing ubiquitous healthcare (u-health) based on previous experiences of the healthcare professionals. Materials and Methods: Qualitative content analysis, one of qualitative research methods, was used on in-depth interviews conducted between July 21 and October 4, 2009, with 11 healthcare professionals including medical doctors and community healthcare specialist nurses who have previously provided u-health services. Results: Four primary subjects were addressed: (1) subjective experiences on the usability, (2) the expectations, (3) the business prospects, and (4) the prerequisites for the success of u-health market. Conclusion: Based on the results of this study, desirable u-health services from the perspective of healthcare professionals were proposed.This is a copy of an article published in the TELEMEDICINE JOURNAL AND E-HEALTH ยฉ [2011] [copyright Mary Ann Liebert, Inc.]; TELEMEDICINE JOURNAL AND E-HEALTH is available online at: http://online.liebertpub.com.OAIID:oai:osos.snu.ac.kr:snu2011-01/102/0000028528/1SEQ:1PERF_CD:SNU2011-01EVAL_ITEM_CD:102USER_ID:0000028528ADJUST_YN:YEMP_ID:A076124DEPT_CD:811CITE_RATE:1.297FILENAME:Development of Implementation Strategies for u-Health Services Based on the.pdfDEPT_NM:๊ฐ„ํ˜ธํ•™๊ณผEMAIL:[email protected]_YN:YCONFIRM:

    ์ผ์ธก์„ฑ ๊ตฌ์ˆœ์—ด ํ™˜์ž์—์„œ 3์ฐจ์› ์ˆ˜์น˜์‚ฌ์ง„์ธก๋Ÿ‰ ์Šค์บ”๊ณผ ์ง์ ‘๊ณ„์ธก ๋ฐฉ๋ฒ•์˜ ๋น„๊ต

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    Background: In cleft lip patients, the necessity of a thorough preoperative analysis of facial deformities before reconstruction is unquestioned. The surgical plan of cleft lip patient is based on the information gained from our preoperative anthropometric evaluation. A variety of commercially available three-dimensional (3D) surface imaging systems are currently introduced to us in plastic surgery for these use. However, few studies have been published on the soft tissue morphology of unrepaired cleft infants described by these 3D surface imaging systems.Methods: The purpose of this study is to determine the accuracy of facial anthropometric measurements obtained through digital 3D photogrammetry and to compare with direct anthropometry for measurement in unilateral cleft lip patients. We compared our patients with three measurements of dimension made on both sides: heminasal width, labial height, and transverse lip length.Results: The preoperative measurements were not significantly different in both side of labial height and left side of heminasal width. Statistically significant differences were found on both side of transverse lip length and right side of heminasal width. Although the half of preoperative measurements were significantly different, trends of results showed average results were comparable.Conclusion: This is the first study in Korea to simultaneously compare digital 3D photogrammetry with traditional direct anthropometry in unilateral cleft lip patients. We desire this study could contribute the methodological choice of the many researchers for proper surgical planning in cleft lip reconstruction field.OAIID:oai:osos.snu.ac.kr:snu2013-01/102/0000004298/10SEQ:10PERF_CD:SNU2013-01EVAL_ITEM_CD:102USER_ID:0000004298ADJUST_YN:YEMP_ID:A072100DEPT_CD:852FILENAME:๊น€์„ํ™”-3d-nose-2013.pdfDEPT_NM:์น˜์˜๊ณผํ•™๊ณผSCOPUS_YN:NCONFIRM:

    Physicians' perception of the effects of Internet health information on the doctor-patient relationship

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    The objective of the study was to determine physician's perception of the effects of health information on the internet on doctor-patient relationship. Online questionnaire with 25 items were sent to the Korean physicians' e-mail, and 493 replied. Eight-nine percent of the Korean physicians reported they had experiences of patients discussing the Internet health information. They perceived that Internet health information may enhance the patients' knowledge about their health. However, they perceived that Internet health information may have variety of negative effects such as; heightening the cost of health care by adopting the inappropriate health service utilisation (56.2%); making the patients over-concerned about their health (74.5%); damaging the time efficiency of the visit (60.9%). The physicians deemed that those informations were not relevant to the patients' health condition (42.7%), and even were not correct (39.0%). Physicians' perception of the Internet health information is both positive and negative, and they perceive the overall effects on doctor-patient relationship as neutral. More physicians think the discussion could be the hindrance on the efficient time management during their visits. However, more physicians have positive perception of the effects on the quality of care and patient outcomes which is promising.OAIID:oai:osos.snu.ac.kr:snu2009-01/102/0000028528/9SEQ:9PERF_CD:SNU2009-01EVAL_ITEM_CD:102USER_ID:0000028528ADJUST_YN:YEMP_ID:A076124DEPT_CD:811CITE_RATE:0FILENAME:27 Physicians' perception of the effects of Internet health information.pdfDEPT_NM:๊ฐ„ํ˜ธํ•™๊ณผEMAIL:[email protected]_YN:NCONFIRM:

    Characteristic ocular findings in patients with craniofacial cleft

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    PURPOSE: To identify the characteristic ocular findings in patients with craniofacial cleft (CFC). METHODS: Ophthalmologic examination was performed for a 16-year-old girl with no. 3 CFC and a 3-year-old boy with no. 5 CFC. RESULTS: Exotropia was found in the 3-year-old boy with no. 5 CFC involving the lateral orbit, and esotropia in the 16-year-old girl with craniofacial cleft no. 3 involving the medial orbit. Hypotropia, lower eyelid coloboma, amblyopia and an absence of stereopsis were common to both patients. Visual acuity was improved from hand motion to 20/30 by means of occlusion therapy for amblyopia in the 3-year-old boy. Strabismus surgery resulted in exophoria of 8 prism diopters (PD) in the 3-year-old boy and left esotropia of 8 PD in the 16-year-old girl. CONCLUSIONS: Amblyopia, hypotropia, esotropia (no. 3) and exotropia (no. 5) should be verified in cases of CFC nos. 3 and 5. Ophthalmologic examination and early intervention for amblyopia may be mandatory for patients with CFC involving the orbit

    Code development of the national hemovigilance system and expansion strategies for hospital blood banks

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    Objectives : The aims of this study were to develop reportable event codes that are applicable to the national hemovigilance systems for hospital blood banks, and to present expansion strategies for the blood banks. Materials and Methods : The data were obtained from a literature review and expert consultation, followed by adding to and revising the established hemovigilance code system and guidelines to develop reportable event codes for hospital blood banks. The Medical Error Reporting System-Transfusion Medicine developed in the US and other codes of reportable events were added to the Korean version of the Biologic Products Deviation Report (BPDR) developed by the Korean Red Cross Blood Safety Administration, then using these codes, mapping work was conducted. We deduced outcomes suitable for practice, referred to the results of the advisory councils, and conducted a survey with experts and blood banks practitioners. Results : We developed reportable event codes that were applicable to hospital blood banks and could cover blood safety - from blood product safety to blood transfusion safety - and also presented expansion strategies for hospital blood banks. Conclusion : It was necessary to add 10 major categories to the blood transfusion safety stage and 97 reportable event codes to the blood safety stage. Contextualized solutions were presented on 9 categories of expansion strategies of hemovigilance system for the hospital blood banks
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