As the business environment of medical recorder changes from a paper-based environment to a computer-based environment, the medical recorder has to change Health Information Manager. The most important thing of the role change for HIM is the development of college curriculum. For the development of curriculum, I invested on the situation of HIM. To invest on the situation of HIM, I invested as follows; The first content of invest is job analysis of medical recorder. The second content of invest is curriculum contents in Korea, America. The third content of invest is survey on the medical recorder. I analyzed curriculum contents of 9 colleges in America. Also 22 colleges in Korea were analyzed for this study. Also I analyzed survey contents of 263 medical recorders. I have adapted AHIMA define of HIM as follows; Health information professionals collect, integrate, and analyze primary and secondary healthcare data; disseminate information; and manage information resources related to research, planning, provision, and evaluation of healthcare services. As the base of invests, I proposed curriculum on the base of invested contents. As the proposed curriculum is not official curriculum, we have to continuously study the content of curriculum.
Americas ; Commerce ; Curriculum* ; Delivery of Health Care ; Korea ; Medical Records

We performed this study to show that it is possible to identify underlying causes of de ath not identif ied by issued death certificates by mapping and adding information from National Database(DB) such as health insurance DB or KUHDDS(Korea Uniform Hospital Discharge Data Sets) with death certificates. We collected 2,986 death certificates issued at Cheonan, Asan provinces and 458 death certificates issued at 3 general hospitals at Chenoan city. Mapping of death certificate data with health insurance DB was possible in 77.4%(Cheonan, Asan provinces) and 87.3%(3 general hospitals at Cheonan city) of cases. Rate of underlying causes of death identified from records on death certificates before mapping was 64.4% and 68.3% each. After mapping and adding information from health insurance DB, the rate increased to 79.8% and 79.2% each. This work was done by skilled medical record officers. We also selected death certificates which recorded the causes of deaths as old age, cardiopulmonary arrest, or nonspecific symptoms. The possibility was shown that old age, ca rdiopulmonary a rrest, and nonspecific symptoms can be corrected by information from mapped health insurance DB and KUHDDS. With these results, we discussed some cause of incorrect recording practices. And we suggested simple but practical method to improve the correctness of death certificates; there is a possibility that comparing death certificates with KUHDDS before it is issued, where available, can improve the quality of death certificate.
Cause of Death* ; Chungcheongnam-do ; Death Certificates* ; Heart Arrest* ; Hospitals, General ; Insurance, Health ; Medical Records

This study was designed to identify the factors relating to the retrieval of medical information from the Internet by patients at a general hospital in Seoul. A questionnaire survey was carried out for 440 inpatients and outpatients who visited the general hospital by 20 educated nurses between 24 and 25 October, 2002. The collected data were analyzed to evaluate the relationship between socioeconomic characteristics and Internet use, and opinions about medical information on the Internet and Internet use, by t-tests or chi-square tests. A logistic regression analysis was applied to find models explaining the factors affecting Internet use and the search for medical on the Internet. According to our logistic regression analysis, the younger, better educated, higher income, and singles showed a higher Odds ratio for Internet use. Age, education period, income and confidence level of the Internet contents were statistically significant in the search for medical information on the Internet(p< 0.05). The results showed the customers characteristics, needs, and problems with using the Internet in medical area on the customer s views. These results would be useful for building marketing strategies using the Internet as a way of servicing and communicating with the patients.
Education ; Hospitals, General* ; Humans ; Information Storage and Retrieval* ; Inpatients ; Internet ; Logistic Models ; Marketing ; Odds Ratio ; Outpatients ; Surveys and Questionnaires ; Seoul*

This study was carried out to investigate the characteristics of contents and utilization for cancer information that is serviced on the internet in the form of Q&A and FAQ. A total of 947 cases (340 in Q&A and 607 in FAQ) were collected from August 20th to November 20th, 2001. Data were analyzed with descriptive statistical methods regarding the type of service, contents, and cancer included in the contents. The prevalent pattern of cancer information service was FAQ, and the distribution of contents and kind of cancer that were serviced differed depending on their service pattern and resources. The contents for prevention and screening, general understanding of cancer, and rehabilitation appeared more often in FAQ than in Q&A and were also more frequent in cancer specialized websites than any others. This pattern may be because FAQ and cancer specialized websites have a view of contents provider. Clinical symptoms and diagnosis were the contents provided more frequently in Q&A than in FAQ. Additionally, information on breast cancer was the most frequently asked question in regard to major cancer in Korea. However, information on hematopoietic system was the most frequently asked in Q&A. From the results of this study, it is clear that cancer-related information varies according to the cancer types, service patterns, and website characteristics. However, the fundamental difference depends on whether the contents are created in terms of the information user or not. This study demonstrated that there is a difference between users and developers in the requested information regarding available cancer-related. It is therefore necessary to establish a basic plan for appropriate cancer information services according to the needs of the users.
Breast Neoplasms ; Diagnosis ; Hematopoietic System ; Information Services ; Internet* ; Korea ; Mass Screening ; Rehabilitation

In this study, quality of tobacco cessation information provided through Internet web sites was evaluated in terms of clarity of objectives, suitability, accuracy, reliability and usability. This study limited to those internet web sites developed and delivered by Korean public health service organizations or their related institutions or associations. This study analyzed 8 internet web sites and evaluation criteria developed by Chung, Yong Chul and Park, Hyeoun Ae (2000) were used. Study results indicated that objectives of those sites were not described or not clear; the types of audiences of those sites were not evident; Sources of the information were not clearly documented; sponsored institutions or organizations were not clearly identified; authors/editors credentials were not clearly stated. The development of guidelines for standardized health information on Internet web sites is necessary.
Internet* ; Korea* ; Tobacco Use Cessation* ; Tobacco* ; United States Public Health Service

Data collection is a major problem in large scale clinical studies, especially muticenter and international trials. Data collection by mailing is too slow and expensive. Furthermore, difficulty in understanding handwritten notes from many investigators could result in potential errors in data entry. We developed web-based data collection system for patterns of care study of radiation oncology to collect data nation-widely and efficiently. We introduced drop-down box, check box, and radio button in data entry form for rapid, convenient and correct data entry. Our system also checks blank item, logical errors and other validity of data in real time. For security, we committed the server to the care of Korea Internet Data Center, implemented secure socket layer for communication between web server and clients, and established two remote backup systems. Participating investigators are satisfied with this system and we are collecting data efficiently. We think that web-based data collection system should be considered in any large scale clinical studies.
Data Collection* ; Humans ; Internet ; Korea ; Logic ; Postal Service ; Radiation Oncology* ; Research Personnel

The Objectives of this study are to evaluate the user satisfaction and actual data input time through an enterprise ICNP-based electronic nursing record system using the controlled vocabulary in a secondary care hospital (BSNUH). Study design is a formative evaluation using the QUIS (Questionnaire user interaction satisfaction) self-reported in a secondary care hospital operating EMR(electronic medical record) system in Korea. Participants were two hundred fifty nurses in BSNUH. All of them were registered nurses participated in day-to-day nursing care during study periods. Participants were asked to fill in the SNCEQ(The Staggers Nursing Computer Experience Questionnaire) and QUIS(Questionnaire for User Interaction Satisfaction). Also requested were the data input time(sec) required for entry of approximately 20 times of nursing documentation tasks and the number of standardized precoordinated phrases used for documenting routine nursing records. The mean score of user satisfaction was 4.56 (SD 1.25) and the mean time of data input and the average number of precoordinated phrases used in nurses notes was 2.25min and 3.7 respectively.
Korea ; Nursing Care ; Nursing Records* ; Nursing* ; Secondary Care ; Vocabulary, Controlled

Recently, Wireless internet market has reached to the induction and growth stage by rapid development of Mobile service by fusion of Internet and wireless technology of communications. This paper improved the problem of a result report system of the donation of blood inspection which is delivered to the mail currently. We can confirm the result of the blood inspection to the execution. The user uses cellular phone taking the security of the individual into account. We used ASP language with WML and developed in this paper, Database used MS-SQL2000 Servr and Web server used a host server which offers Mnuri.
Cellular Phone ; Internet ; Postal Service ; Viperidae ; Wireless Technology

Using a high bandwidth cellular communication network is appropriate to implement a high-quality mobile emergency telemedicine system. In Korea, the commercial service of CDMA2000 1X-EVDO has been providing since 2002. In this paper, we designed the system that transfers the biological signal and the video information of a patient simultaneously based on this CDMA2000 1X-EVDO network environment. In CDMA2000 1X-EVDO, the maximum speed of its reverse link can be observed within 153.6Kbps. Before the system design, several field tests had been performed using commercial CDMA2000 1X-EVDO reverse link with the UDP data segments. The test had been taken under several velocity and tunnel areas of Seoul. With the test result we implemented an efficient emergency telemedicine system fitted to the features of CDMA2000 1X-EVDO reverse link using UDP packets. Additional header information is added to the UDP packet data. With the header information the emergency system can transmits the ECG signal prior to the video data and controls the transmission error. The designed system has the ability to transmit both the biological signals and MPEG4 video of 640x480 spatial resolution at the same time. We set up the ambulance with this system and test it on the road.
Ambulances ; Electrocardiography ; Emergencies* ; Humans ; Korea ; Seoul ; Telemedicine* ; Uridine Diphosphate

With recent explosive growth of bulky biological data available, there are great needs of developing rapid autonomous algorithms in bioinformatics. In result, there has be en a great deal of attempts to apply various data mining techniques and learning algorithms to various fields of bioinformatics and a good example of this trend is the promoter and motif search area to which NN (Neural Network), HMM (Hidden Markov Model), and clustering algorithms have been applied and several good public software programs are available. Learning algorithms explore a part of big learning space effectively by their own biases. Thus, in many occasions, different learning algorithms have radically different results especially when the target concept is uncertain or stochastically defined and/or the background knowledge of the problem is limited. In this case, it is useful to apply a hybrid learning approach which two or more mutually compensative algorithms (e.g. a low false positive algorithm and a low false negative algorithm) are effectively combined. In this paper, we report a series of experiments with a hybrid learning approach in promoter prediction problem. Three available public software systems are tested and two of them (McPromoter and PROMOTER SCAN) are hierarchically combined and tested. The result shows that the hybrid learning model in this problem is quite plausible (better than any of the two base systems in accuracy and low false alarms) and many other learning algorithms could be more useful in this approach than being applied independently.
Machine Learning* ; Bias (Epidemiology) ; Computational Biology ; Data Mining ; Learning