전자식 의무기록과 의무기록의 질 향상

부유경,Bu, Yu-Gyeong 한국의료질향상학회 1997 한국의료질향상학회지 Vol.4 No.1

퇴원환자 표준자료세트를 활용한 질병 데이타베이스 구축 및 인터넷 검색체계 개발에 관한 연구

부유경 대한의료정보학회 2002 Healthcare Informatics Research Vol.8 No.3

체형지수와 체질량지수가 자살행동에 미치는 영향

부유경(Yoo-Kyung Boo) 한국산학기술학회 2018 한국산학기술학회논문지 Vol.19 No.9

본 연구의 목적은 자살에 영향을 미칠 수 있는 일반적 특성들과 동시에 체질량지수(Body Mass Index, BMI)를 통제함으로써 체형지수(A Body Shape Index, ABSI)가 자살생각과 자살시도와 어떠한 관련성이 있는지에 대해 알아보는 것이다. 2013년부터 2015년까지 질병관리본부의 제 6기 국민건강영양조사 자료를 이용하였으며, 자살행동에 영향을 미칠 수 있는 변수들에 대한 정보가 없는 자들을 대상에서 제외한 총 13,155명을 대상으로 카이제곱검정과 다변량 로지스틱회귀분석을 실시하였다. 분석 결과는 BMI에서 ‘비만’에 해당하는 자들이 BMI에서 ‘표준’에 해당하는 자들보다 자살생각과 자살시도가 높았고, ABSI에서는 Q3에 해당하는 그룹이 Q1에 해당하는 그룹에 비해 자살생각이 높았다. 자살시도는 ABSI에서 Q3에 해당하는 그룹이 Q1 그룹에 비해 3.623배(95% CI 1.027-12.772) 높았으며 유의한 결과를 보였다. 본 연구의 결과는 BMI와 비교하여 ABSI가 높이 나타나면 단순히 자살생각보다는 자살시도라는 더욱 극단적인 선택을 할 수 있음을 의미하는 것으로 우리 사회는 ABSI가 높은 자에 대해 사회적인 관심과 적절한 관리를 할 수 있도록 해야 할 것이다. The purpose of this study was to determine the association of the Body Shape Index (ABSI) with suicide ideation and suicide attempts by controlling the body mass index (BMI), as well as general characteristics that may affect suicide . The study has used The Sixth Korea National Health and Nutrition Examination Survey conducted by the Korea Centers for Disease Control and Prevention from 2013 to 2015. A total of 13,155 participants were studied, excluding those who had no information on variables that could affect suicidal ideations and suicidal attempts. The chi-squared test and the multivariate logistic regression analysis were performed. The results of the analysis showed that those who had obesity in BMI were more likely to commit suicide and suicide than those who were in ’standard’ in BMI. In ABSI, Q3 group was more likely to commit suicide than Q1 group . The number of suicide attempt was significantly higher in the group with Q3 in ABSI than in Q1 group (3.623 times (95% CI 1.027-12.772)). The results of this study suggest that a higher ABSI compared to BMI means that it is possible to make a more extreme choice of suicide attempt rather than suicide ideation.

Perception of Privacy and Sensitivity of Personal Information among University Students

Yoo-Kyung Boo(부유경),Jin-Won Noh(노진원),Yun-Mi Kim(김유미),Sung-Soo Kim(김성수),Young-Ah Rha(나영아) 한국조리학회 2015 한국조리학회지 Vol.21 No.5

단국대학교병원 EHR 기반 MOA CDM 구축을 위한 용어 매핑 사례와 시사점

노미정,부유경,송시현,박지환 한국병원경영학회 2024 병원경영학회지 Vol.29 No.1

Purposes: The Common Data Model(CDM) is very important for multi-institutional research. There are various domestic and international CDM construction cases to actively utilize it. In order to construct a CDM, different terms from each institution must be mapped to standard terms. Therefore, we intend to derive the importance and major issues of terminology mapping and propose a solution in CDM construction. Methodology/Approach: This study conducted terminology mapping between Electronic Health Record(EHR) and MOA CDM for constructing Medical Record Observation & Assessment for Drug Safety(MOA) CDM at Dankook University Hospital in 2022. In the process of terminology mapping, a CDM standard terminology process and method were developed and terminology mapping was performed by applying this. The constructions of CDM mapping terms proceeded in the order of diagnosis, drug, measurement, and treatment_procedure. Findings: We developed mapping guideline for CDM construction and used this for mapping. A total of 670,993 EHR data from Dankook University Hospital(January 1, 2013 to December 31, 2021) were mapped. In the case of diagnosis terminology, 19,413 were completely mapped. Drug terminology mapped 92.1% of 2,795. Measurement terminology mapped 94.5% of 7,254 cases. Treatment and procedure were mapped to 2,181 cases, which are the number of mapping targets. Practical Implications: This study found the importance of constructing MOA CDM for drug side effect monitoring and developed terminology mapping guideline. Our results would be useful for all future researchers who are conducting terminology mapping when constructing CDM.

A Study on ICD-11 through Mapping to KCD-8 - Focusing on the Circulatory and Respiratory System -

이현경,부유경 한국웰빙융합학회 2023 웰빙융합연구 Vol.6 No.3

Purpose: This research aims to facilitate a smooth transition from KCD-8 to ICD-11 through the study of ICD-11. Research design, data and methodology: Skilled Health Information Managers (HIMs) in Korea performed manual mapping and conducted a study of the code structure of ICD-11 chapters 11 and 12. Results: When comparing the granularity between ICD-11 and KCD-8, 58.1% of ICD-11 codes showed higher granularity, and 38.6% had similar granularity. The granularity of the circulatory system was higher than that of the respiratory system. When comparing the KCD-8 codes mapped by ICD-11 with the total 924 KCD-8 codes, it was found that about 50% of KCD-8 codes were not mapped to ICD-11. This means that 50% of diseases in the KCD-8 do not have individual codes as they did in ICD-11. Conclusions: ICD-11 demonstrated high granularity, indicating its effectiveness in describing cutting-edge medical technology in modern society. However, we also observed that some diseases were removed from KCD-8, while others were added to ICD-11. To ensure smooth statistics transition from KCD-8 to ICD-11, especially for leading domestic diseases, integrated management, including the preparation of KCD-9 reflecting ICD-11 and ICD-11 training, will be necessary through the analysis of new codes and the removal of codes.

퇴원손상심층조사자료를 이용한 노인 입원 환자의 운수사고 유형과 사망 사이의 연관성

류한준,강선희,부유경 한국산학기술학회 2020 한국산학기술학회논문지 Vol.21 No.7

This study analyzed the association between the type of transport accident and the associated mortality of elderly inpatients. The findings will contribute to the development and establishment of a systematic and effective policy according to the type of transport accident to reduce the mortality of inpatients. The data on elderly inpatients with transport accidents was extracted from the 2013-2017 Korean National Hospital Discharge In-depth Survey dataset. The data was analyzed by descriptive statistics analysis, chi-square tests and multiple logistic regression analysis. After adjustment for sociodemographic, disease, injury and policy factors, the elderly inpatient deaths due to transport accidents were significantly higher for pedestrian accidents (OR: 2.522 95%, CI: 1.291-4.972), bicycle/cart accidents (OR: 2.809, 95% CI: 1.328-5.942) and motorcycle accidents (OR: 2.330, 95% CI: 1.226-4.819) rather than that for car accidents. Likewise, elderly inpatients have a higher risk of death from other types of transport accidents than those caused by car accidents. However, Korean policies related to transport accidents of elderly inpatients are concentrated on car accidents. Effective policy is needed according to the characteristics of each type of transport accident to reduce the transport accident mortality of elderly inpatients. 본 연구의 목적은 노인 운수사고 입원 환자의 운수사고 유형과 사망 사이의 연관성을 분석하여, 노인 운수사고 입원 및 사망 환자를 줄이기 위한 운수사고 유형에 따른 체계적이고 효과적인 정책 개발 및 수립에 기여하기 위함이다. 본 연구의 방법은 2013-2017년의 질병관리본부 퇴원손상심층조사 데이터세트 중 운수사고를 입은 노인 입원환자를 추출하여 기술통계분석, 카이제곱검정과 다중 로지스틱 회귀분석을 실시하였다. 인구사회학적, 의료기관, 의료이용 특성을 보정한 상태에서 분석한 결과 운수사고로 인한 노인의 입원 사망은 승용차 사고에 비하여 보행자 사고(OR : 2.522 95% CI 1.291-4.927), 자전거/카트 사고(OR : 2.809 95% CI 1.328-5.942), 오토바이 사고(OR : 2.330 95% CI 1.126-4.819)로 인한 사망이 각각 통계적으로 유의하게 높았다. 이와 같이 노인의 경우 승용차 사고로 인한 사망에 비하여 다른 유형의 운수사고로 인한 사망의 위험이 높지만, 우리나라 노인의 운수사고 관련 정책은 승용차 사고에 집중되어 있다. 따라서 증가하는 노인 집단의 운수사고 사망자를 줄이기 위하여 노인 집단의 운수사고 유형별 특성에 따른 효과적인 정책적 고려가 필요할 것으로 사료된다.

3개 대학병원의 주 진단 코딩사례 평가

서순원,김광환,부유경,서진숙,서정돈,윤석준,이영성,이무식,정희웅 한국의료QA학회 2002 한국의료질향상학회지 Vol.9 No.1

Background : Coding of principal diagnosis is essential component for producing reliable health statistics. We performed this study to evaluate the current practice of principal diagnoses determination and coding, and to give some basic data to improve coding of principal diagnosis. Method : Nineteen medical record administrators(MRAs) of 3 university hospitals participated in coding principal Dx. From August 1, 2001 to August 31, 2001. From each hospital, 10 medical records of patients with high frequency disease were selected randomly. Each 10 medical records were grouped into three(A,B,C). Then, these 30 medical records were given to each MRAs for coding. At the same time questionnaire was given to each of them. Questions were to prove how they decide and code the principal diagnosis among many current diagnoses ; how they decide and code the principal diagnosis when day see irrelevant diagnosis recorded as the principal diagnosis in medical record, when only tentative diagnoses were recorded without final diagnosis, and when different diagnoses were recorded in different sheets of same record. Agreement of coding among 3 hospitals were compared and survey results were analysed with SAS 6.12. Results : Agreement of coding was found in medical records 5-6 of each 10 medical records. Causes of disagreement were as follows. Difference of clinician’s opinion from each hospital; mixed use of guideline from KCD-3 and guideline from DRG; difference in 4th digit classification according to the absence of pathology report in the medical record; difference of abbreviations among hospitals. 57.9% of decided principal diagnosis after consulting to KCD-3 guideline. When there were difficulties in determining the principal diagnosis, 42.1% of MRAs decided principal diagnosis after discussion with the physician, 26.3% after discussion with fellow MRAs. Conclusion : There were differences in coding among hospitals. To minimize the difference, we suggest the development of disease-specific guidelines for coding in addition to the current general guideline such as KCD-3. To do this, Coding Clinic which can produce guidelines is needed.

제 2형 당뇨병 근로자의 혈당조절에 영향을 주는 생활습관요인: 2016~2020 국민건강영양조사 자료를 이용하여

김희주,황지은,부유경 한국산학기술학회 2023 한국산학기술학회논문지 Vol.24 No.6

성인 유병인구 중 근로자에서 과중한 업무, 스트레스 등으로 인해 당뇨병 유병률이 증가하고 있고, 당뇨병 자가관리에 어려움을 겪고 있다. 본 연구는 근로자별 혈당조절에 영향을 미치는 요인들을 파악하여 당뇨병 합병증의 예방과혈당관리에 관한 기초자료를 제공하고자 시행되었다. 2016년부터 2020년까지의 국민건강영양조사자료를 활용하여 제2형 당뇨병을 가진 근로자 1,237명을 기반으로 혈당조절에 영향을 주는 요인을 살펴보고자 복합표본 교차분석, 로지스틱 회귀분석을 실시하였다. 연구결과, 육체적 근로자의 혈당조절에 영향을 미치는 요인은 연령, 가구소득, 흡연, 수면, 고혈압 동반, 당뇨병 치료 유무가 관련이 있고, 비육체적 근로자에서는 고콜레스테롤 유병만 관련 있는 것으로 나타났다. 당뇨병 유병률이 지속적으로 증가하고 있고, 그로 인한 합병증으로 사회경제적 비용과 건강보험 재정에 부담이 되고 있으므로 근로자별 삶의 질을 높이기 위해서는 근로자의 특성에 맞는 혈당조절 교육 프로그램의 개발이 필요하다.

융복합조사자료를 활용한 수면시간과 악력 간 관련성 연구

장세균,김재현,부유경 한국디지털정책학회 2019 디지털융복합연구 Vol.17 No.12

The purpose of this study was to investigate the relationship between sleep duration and muscle strength in Korean adults aged 19 years and older. The cross-sectional analysis was conducted using the 2016 National Health and Nutrition Examination Survey data and Chi square test and multiple regression analysis were used. As a result of the analysis, the grip strength of those with more than weekday average sleep duration of 9 hours was found to be -1.267kg compared with those with weekday average sleep duration of 7 hours. The grip strength of those with more than weekend average sleep duration of 9 hours was found to be -0.879kg compared with those with weekend average sleep duration of 7 hours. In model simultaneously adjusting for both the average weekday and weekend average sleep duration, weekday average sleep duration of 9 hours was found to be -1.034kg compared with those with weekday average sleep duration of 7 hours. Therefore, careful observation will be required in light of the fact that both sleep duration and grip strength can predict future health conditions. 본 연구는 한국의 19세 이상 성인에게서 주중 및 주말 평균 수면시간에 따른 악력의 관련성을 파악하기 위하여 수행되었다. 2016 국민건강영양조사를 이용하여, 총 4,707명 성인을 대상으로 카이제곱 검정 및 다중회귀분석을 실시하였다. 분석결과 주중 하루 평균 수면시간이 7시간인 군에 비해 9시간 이상인 군의 악력의 차이는 통계적으로 유의하게 낮았다. 주말 하루 평균 수면시간이 9시간 이상에서도 7시간 군보다 유의하게 낮은 것으로 나타났다. 50세 이상의 경우 주중 평균 하루 수면시간이 7시간 군에 비해 9시간 이상 군의 악력이 통계적으로 유의하게 낮았다. 본 연구에서는 수면시간이 길수록 악력이 감소되는 것과 50세 미만보다 50세 이상에서 악력 감소와 관련하여 더 강한 통계적 유의성을 관찰하였다. 근력의 감소는 개인의 질병을 예측할 수 있는 강력한 인자이며 악력은 이러한 근력을 측정할 수 있는 가장 단순한 지표로써 관련성에 대한 면밀한 후속연구가 필요함을 시사한다.