Recent progress in medical informatics enable to use various medical regardless of time or place, to make a diagnostic and therapeutic plan, with increasing need about health of general population. There are many homepages on the web, which provide medical common senses, hospital information. and medical counseling on the web. Virtual Hospital, which is comprehensive medical information system on the web, has medical counseling program with various health information such as self-diagnosis, first-aid treatment information, drug information, Q and A, and so on. The aim of this study is to examine the content and purpose of medical counseling on the web. The subjects consisted of 277 counsels which visited 'Medical Counseling' in the Virtual Hospital for December 1996 through May 1997. Many questioners wanted to consult about their symptoms, to know prevention and treatment strategies, and to know specific medical knowledge. The most common questions are as follows: general and unspecified, digestive, musculoskeletal, and skin problems. These findings suggest medical counseling may be used to supplement the lack of direct medical Interviews with doctors.
Computer Communication Networks ; Counseling* ; Information Systems ; Internet* ; Medical Informatics ; Skin

Recently the changes in medical informatics enabled us to use medical information whenever we want and wherever we are. However, there are few information supporting systems on the web in occupational health field. So we have tried to make an occupational health information system (OHIS) based on the Internet and to provide occupational information to occupational health personnel. There were two steps for developing OHIS. First, we analyzed user's needs and existing information systems and then developed contents of our OHIS. Second, we constructed web server under the environment of Windows user, using operating system of windows NT 4.0 and web browsers of Netscape Navigator. Many users in worksites wanted information through the Internet. The contents of OHS which they wanted were information related to health education of workers, health counselling, news, and so on. The contents of OHIS which we forwarded were occupational health service, information about organization of occupational health, book references and journals, link-sites related to occupational health. In the future, this Interned-based OHIS will be an useful site offering a lot of information to occupational health personnel.
Health Education ; Health Information Systems* ; Information Systems ; Internet* ; Medical Informatics ; Occupational Health ; Occupational Health Services ; Occupations* ; Web Browser ; Workplace

This quasi-experimental study was conducted to explore what kind of impact a Web-based educational program can have on nursing students and how nursing students react to this educational program. A Web-based computer assisted instruction for maternity nursing practice was developed by researchers using Instruction System Design model and serviced far nursing students on the WWW. To study educational effect of this program on nursing students 30 senior students at a school of nursing were selected. They were assigned into experimental and control groups based on their maternity nursing practice schedule. The effect of the Web-based CAI was measured and compared between two groups using Achievement score, attitude toward learning experience and attitude toward computer and internet. There were significant differences between two groups in achievement and attitude scores. And students in the experimental group showed positive response to the Web-based CAI program. These results suggest that Web-based CAI can be used as a new teaching tool for maternity nursing practice as well as other nursing courses. Comments on program improvement and operational issues were collected from students. These will be used for program improvement in future.
Appointments and Schedules ; Computer-Assisted Instruction ; Humans ; Infant, Newborn ; Internet ; Learning ; Maternal-Child Nursing* ; Nursing* ; Pregnancy ; Students, Nursing

Distance teaming has been the tuning point for accomplishing adult teaming in nursing education. This study was conducted to demonstrate the effectiveness of the distance learning courseware with the RN-BSN students at Yonsei university, College of Nursing. The distance learning courseware was developed cooperatively by content experts, instructional designers. programmers and graphic designers. The course subject, 'Growth and Development' was made by a computerized instructional module using the internet. The programming developed with the virtual school developing support system of Samsung SDS based on the Web Sever and Oracle DB through the Internet. The instructional courseware was developed after taking into consideration the learners' levels of competencies and knowledge and utilized the integrate information through the multimedia, mainly via screens in the computer network. The students learned about the growth and development of infants to adolescents through the interaction with peers as well as instructors using many functional keys on the internet. The effects of learning were evaluated as their satisfaction of this distance learning courseware by 60 RN-BSN students. The student's responses have been very positive. The distance learning courseware for RN-BSN students developed at Yonsei University's Collage of Nursing is an available and interactive method used a Multimedia Instructional Design through the Internet.
Adolescent ; Adult ; Education, Distance* ; Education, Nursing ; Growth and Development ; Humans ; Infant ; Internet* ; Learning ; Multimedia ; Nursing*

The telemedicine is emerging as a new way of medical practice. It will provide more cooperative activity between hospitals and more comfortable access for disabled patients home. We developed a telemedicine system which is aimed to be run on the broadband-intergrated services digital network (B-ISDN). The multimedia database is adjusted to those information about patients that is directly relevant to a doctor's diagnosis. The user interface is designed to help doctors to communicate easily. The key elements of telemedicine systems were designed for user friendly interface and We implemented the pilot system to confirm the usefulness of the system.
Diagnosis ; Humans ; Multimedia ; Telemedicine*

We developed the system that enables patients to be treated at home during their daily life through digital telemetry and public communication line. In this study, video conference based remote examination and wireless telemetry were integrated together to form a remote monitoring homecare system, and underwent the validation. Test ECG signals were transmitted wirelessly unhindering the person's movement in one floor of our building, and the stability was assessed. The signal were transmitted to remote host via ISDN, with the patient's voice and moving image. To control the system and manage files remotely, the interactive model was devised for this study.
Electrocardiography ; Humans ; Telemetry* ; Voice

In the complexity and diversity of modem society, there is an urgent need for an information system which can systematically collect, manage and analyze data. The purpose of this paper is to find the relationship between traits of medical and non-medical staffs with indicators of computer-related effectiveness. In order to fulfill this purpose, dependent and independent variables are extracted from previous findings, and hypotheses are formulated. To test these hypotheses we carried out field research. The sample size which we studied is 203 employees of a general hospital in Taegu. Some of the meaningful findings of this study are as follows: The educational level has a positive relationship with computer usage time. And the attitude about computers has a positive relationship with degrees of satisfaction. Nurses' group especially has the most positive relationship with degrees of satisfaction, and physicians' group, resident doctors' group, pharmacologists' group, non-medicals' group(administrative etc.) are ranked in order of satisfaction.
Daegu ; Empirical Research* ; Hospitals, General ; Information Systems ; Modems ; Sample Size

The purpose of this research was to develop an information system for diagnostic tests regarding their purpose, method. and notification, and to provide people in the field with easy access to information by using CD-ROM title or data communication. The Joint Application Design Method which is popular in developing information systems was used. First the user requirements for the target system were gathered and analyzed through a survey of patient and nurses in a number of hospitals. Thus. the functions which were to be included were analyzed in details. A list containing all the required tests and their content was defined to be used as the database in the system. Focusing on making the searching procedure easy to use. the researchers defined the input and the output of the system to have for a user-friendly user interface. Searching functions using not only, a name of the test category or a test name itself, but also a disease name were added. Furthermore, the function of maintaining an updated database in an efficient way was also included. This system is useful in that it provides an efficient and effective way to search for any necessary information about diagnostic tests and an easy way to keep the updated database. Based on user and system requirement analysis. user-friendly interface. and the well-defined database. all of which were designed and implemented in this research. it is expected that an Internet-based diagnostic test information system can be developed in a near future.
Access to Information ; CD-ROM ; Diagnostic Tests, Routine* ; Humans ; Information Management ; Information Systems* ; Joints

Usually LIS(Laboratory Information System) depend on OCS(Order Communication System) of HIS(Hospital Information System). So, both systems are constructed simultaneously. But it needs high cost and has potential of failure. So, we designed one combined laboratory request slip and isolated LIS(sever: Power Mac 7200, eight clients: LC 475, connected by Ethernet) operating with own order input system before HIS construction. we analyzed the efficiency during early 9 weeks (from Aug. 17 to Oct. 17 in 1995) and later 4 weeks (March in 1996). Daily input amount of request changed stably in the later period(maximum: 552. mean: 410.0) than the early period(maximum: 604. mean: 341.6). Peak time was between 9 a.m. and 10 a.m.(maximum: 127. slip/hour). In the later period, 64.2% the requests for in-patients were completed until 10 a.m. and the request for out-patients distributed more evenly. Majority of problems occurred, were delayed(25.5% in the early, 61.1% in the later period) or missed specimen(31.9% in the early, 22.9% in the later). Total number (26,309) of used requests was less than half of the calculated number(57,621) of previous laboratory slips.
Clinical Laboratory Information Systems* ; Humans ; Outpatients

Order communication system(OCS) could change involved users' work pattern profoundly. Also adaptation to OCS and satisfaction with it influence the efficiency of management in hospital. This study applied self-administered questionnaire and individual interview to evaluate changes of users' work pattern, adaptation and satisfaction after the introduction of OCS. The survey measured the experience of computer use, user's evaluation on OCS education, degree of usage, change of work patterns, relation with co-workers or other departments, user's adaptation and satisfaction of physicians, nurses and pharmacists who worked in two university hospitals in Seoul that had introduced OCS. The major findings of this study were as follows; 1. Changes of users' work patterns were different between two hospitals. In a hospital major business time to issue and confirm order was decreased but in another hospital increased . 2. Relations of doctors with nurses were also different between two hospital. Frequency of contacts in a hospital was increased and doctor-nurse relationship grew worse, while in another hospital decreased and grew better. These situations were observed on the relationship with other departments, such as pharmacy and admission/discharge service. 3. There were no significant variables that explained user's adaptation, but again there was a difference between hospitals. 4. User's satisfaction was significantly affected by hospital and job catergories classified. Level of satisfaction of a hospital was higher than that of another, and highest in pharmacists, and the next was nurses and doctors in order. 5. There was o difference in satisfaction level by the type of hardwares, operations and accuracy between hospitals, but was difference by the contents of information, convenience of use and timeliness between hospital. The hospital factor consistently influenced users' work pattern, adaptation, and satisfaction. It implied that, if OCS was designed familiarly and conveniently for users, users' resistance will not trouble the implementation of OCS.
Commerce ; Education ; Hospitals, University ; Humans ; Pharmacists ; Pharmacy ; Surveys and Questionnaires ; Seoul