Development of a Cyber Medical Training System by using Internet MPEG Technology / 대한의료정보학회지

The purpose of the present study is to develop a CRM system for patients with diabetes mellitus. The subjects were outpatients who visited a university hospital from March, 1997 thru February, 2003. The distributions of outpatients, types of disease, revenues, exemption of designated doctor's fee, and no-show rate were obtained for each department by utilizing the OCS database. Quantitative and Qualitative data were collected from the diabetes patients chosen based on the distribution. The goals of applying the CRM are not to provide diabetes patients with general medical services, but to provide individually-tailored medical services by utilizing the information obtained from the departments of moment of truth(MOT) effectively and integrating the management of work process and human resources. For an effective application of the CRM, it needs to be performed to support the strategic objectives and incorporate management strategies that are appropriate for internal and external environments. That modeling for diabetes patients includes campaign activities, customer management process, and the functions of predicting and diagnosing the patients and managing the medical services of MOT departments and referral system.

Development and Experimental Application of an Emergency Patient Information Delivery System Using a PDA / 대한의료정보학회지

This study developed, and applied, a portable emergency medical information system, enabling patient-related information to be efficiently shared with the hospital information system, via a PDA, while an emergency patient was being taken to the emergency room. The system consisted of an emergency patient`s server for monitoring the condition of the emergency patients registered in an emergency room, in real time, and a PDA terminal that delivers patient and emergency ac tivity information to a se rver through a wireless connection. Within the emergency room of G hospital a DB server was in charge of the stored information to de liver information the patients' conditions, emergency treatments, and activities, with 119 emergency medical system personnel being responsible for the information storage space, via a PDA. In addition, the member of personnel in charge of an emergency room can check the registrations of the 119 EMS personnel through a user's application, that enablings real-time checks of the fir st-aid patients being registerted in the information storage space. In conclusion, the development and experimental application of the emergency patient information delivery system demonstrated that a PDA can be used in an emergency medical environment. Modification to the interface, for a convenient input into a PDA, and an increase in its usability, through the training and continuous studies of the users, will help to make qualitative improvements to this emergency medical service.

Occupational Cancer Surveillance System Using Data Linkage Analysis in Korea / 한국역학회지

To develop the occupational cancer surveillance system in Korea, data linkage analysis was performed on the subjects of Health-monitoring-pocketbook (the list of subjects who were exposed to selected occupational carcinogens) and the retired workers of a cokes manufacturing factory using the Korean medical insurance data, Korean death certificate data and Korean cancer registry data. Study subjects comprised the 822 retired subjects and the 3101 present-post subjects of Health-monitoring-pocketbook and the 182 retired workers of a cokes manufacturing factory. The incidence of cancer of these study subjects was ascertained by linkage of Korean medical insurance data of year 1995-6, Korean death certificate data of year 1992-8 and Korean cancer registry data of year 1993-5. In the study subjects, Eighty seven percent were males and mean age was 39.3+/-8.9 year-old, Average work duration was 8.0+/-5.5 years. Chrome, asbestos and cokes were the most frequent exposed agents. In the study subjects, total 13 cancer cases were ascertained by data linkage analysis. In the ascertained cancer cases, 8 cases were male and 5 cases were female, and 7 cases were aged 40-49 yr, 5 cases were aged 50-59 yr and 1 cases were aged 30-39 yr. The commonest exposure agent in the ascertained cancer cases was asbestos and cokes. By the site of cancer, 3 stomach cancer cases, 2 hematopoietic cancer cases and 2 biliary tract cancer cases were ascertained. The occupational cancer surveillance system using data linkage analysis on the workers exposed to hazardous agents was the most feasible and efficient method in Korea. And to do this, establishment of occupational history information in several disease registry database is needed with the effort of estimating the proper size of workers exposed hazardous agents.