척수손상장애인의 라이프케어 서비스를 위한 ICT기반 의료 협진 서비스디자인 연구

As the quality of life has improved recently, many people are enjoying various leisure activities. However, as the population of leisure activities increases, various accidents can lead to spinal cord injury disorder. For this reason, the population of spinal cord injury disorder is bound to increase. This can lead to increased demand in terms of health care. Depending on the degree of spinal injury, spinal cord injury patients with difficulties in going out and outpatient care can lead to increased use of visiting medical services. For this reason, the Ministry of Health and Welfare is conducting continuous research to increase the volume of services. However, current visit medical services are poorly structured in terms of diversification and quality improvement. Most of the preceding studies were focused on fragmentary satisfaction and desire rescuers for users. In this study, we examined stakeholder requirements at the Define level of 4D process for designing ICT visiting medical services. 4 service providers and 14 service demanders were surveyed. The interview methodology was used to derive specific problems and requirements for the survey subjects. First, a theoretical examination was conducted for spinal cord injury disorder and ICT visiting medical services. Second, a case study was conducted on ICT visiting medical services conducted at home and abroad. As a result, stakeholders related to ICT visiting medical services were identified and the status of the service and major implications were derived. Third, in-depth interview and focus group interview were conducted to 4 ICT visiting medical service personnel and 14 spinal cord injury disabled. As a result, six main implications were derived. First, the burden of the task is due to both outpatient and remote care. Second, the reliability of indirect telemedicine was low. There were no communication channels in the service. There was a problem with sharing major information because there were no communication channels. Fourth, there was a problem with biometric equipment and data compatibility with ICT medical systems. Inefficient medical services were provided because of incompatibility between devices and systems. Fifth, there was a need to establish ICT monitoring system for preventive services for multiple patients, medical record services, and visiting calendar services. Sixth, it is service segmentation considering spinal injury disorder of various characteristics. Six implications from this study in the future will be used to establish improvements in ICT visiting medical service design. It will also be used to improve systems that support medical services.