• Title/Summary/Keyword: 농촌의료

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A study on Satisfaction with Treatment in Medically vulnerable areas based on DRM (DRM기반 의료취약지 진료만족도 조사 연구)

  • Kyeung-Hwa Lee
    • Journal of the Health Care and Life Science
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    • v.9 no.2
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    • pp.213-220
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    • 2021
  • A policy is needed to provide appropriate medical services to rural residents living in medically vulnerable areas and to resolve imbalances in health and medical resources through this. In general, a survey method is used to secure medical services to the residents, and a security policy is needed to distribute and collect the questionnaire type and personal information between the investigator and the participant as digital contents. The proposed thesis introduces DRM (Digital Rights Management) technology as a way to safely manage the questionnaire type of the investigator and the personal information of the participants, and improves the problem that the existing License Server issues, renews, and cancels licenses to all domains. In order to do this, it provides convenience to the DRM-based survey policy that only DMs bundled with the family domain performs license management after the certificate is issued.

Vulnerable Analysis of Emergency Medical Facilities based on Accessibility to Emergency Room and 119 Emergency Center (응급실과 119 안전센터의 접근성을 고려한 응급의료 취약지 분석)

  • Jeon, Jeongbae;Park, Meejeong;Jang, Dodam;Lim, Changsu;Kim, Eunja
    • Journal of Korean Society of Rural Planning
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    • v.24 no.4
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    • pp.147-155
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    • 2018
  • The purpose of this study was to identify vulnerable area of emergency medical care. In the existing method, the emergency medical vulnerable area is set as an area that can not reach the emergency room within 30 minutes. In this study, we set up an area that can not reach within 30 minutes including the accessibility of 119 emergency center. To accomplish this, we obtained information on emergency room and 119 emergency center through Open API and constructed road network using digital map to perform accessibility analysis. As a result, 509 emergency room are located nationwide, 78.0% of them are concentrated in the region, 1,820 emergency center are located, and 61.0% of them are located in rural areas. The average access time from the center of the village to the emergency room was analyzed as 15.3 minutes, and the average access time considering the 119 emergency center was 21.8 minutes, 6.5 minutes more. As a result of considering the accessibility of 119 emergency center, vulnerable areas increased by 2.5 times, vulnerable population increased by 2.0 times, and calculating emergency medical care vulnerable areas, which account for more than 30% of the urban unit population, it was analyzed that it increased from 17 to 34 cities As a further study, it will be necessary to continuously monitor and research the real-time traffic information, medical personnel, medical field, and ambulance information to reflect the reality and to diagnose emergency medical care in the future.

Revitalizing Plan for Public Using Building through Current Status Survey in Rural Residential Area (농촌주거지역의 실태조사를 통한 공동이용건축물의 재생방안)

  • Park, Jun-Mo;Kim, Ok-Kyue
    • Journal of the Korea Institute of Building Construction
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    • v.15 no.1
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    • pp.53-64
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    • 2015
  • A demand of public using building in rural residential area changes over times. With the changes, the function and the scale of the public using building are also changed, the building is more influences on people in rural area. However, the most of facilities have been focused on the agricultural productions, and thus the facilities of health care, culture, and daylife supporting were not enough comparing to the facilities in urban area. This study surveys the facility and grasps the current status and problem of 37 rural residential area. In addition, three different revitalizing plans of public using building as a current availability and plan for use are suggested. A new community center where is expected that the public usage is increased should be managed intensively regarding an air conditioning, and waterproofing work, while an old community center and the warehouse where are expected that the public usage is decreased, but have locational advantage should be used as a rural life experience facilities and a accommodations with remodeling unless the safety matter A parking lots are considered that the availability is gradually increased and needed for public while it is difficult to get a new available site because of the ownership. Therefore, it is national decision to secure the site by removing the discarded facilities.

Comparable Influencing Factors for Quality of Health-Life in Osteoarthritis Patients in Urban and Rural Areas (도시와 농촌의 골관절염 환자의 건강관련 삶의 질에 영향을 미치는 융합적 요인 비교)

  • Song, Hye Young;Park, Min Hee
    • Journal of the Korea Convergence Society
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    • v.8 no.6
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    • pp.311-323
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    • 2017
  • The purpose of this study is to compare factors influencing the quality of life of osteoarthritis patients in urban and rural areas. The data were derived from the sixth Korea national health and nutrition examination survey in 2014 and analyzed using the IBM SPSS Statistics version 21.0 software package considering complex samples analysis. The subjects of study were 599 adults with osteoarthritis over 50 years. The results of the study show that the factors affecting the urban patients' quality of life are healthcare coverage types, knee joint pain, knee ankylosis, hip joint pain, low back pain, limited activities, and subjective health status. The rural patients' quality of life are influenced by knee joint pain, limited activities, and alcohol consumptions. Therefore, the government should create differentiating strategies and approaches, including community rehabilitation programs, to improve the quality of life of urban and rural patients with osteoarthritis.

Changes in Work Activities of Community Health Practitioners by Time Period (보건진료원 업무활동의 변화과정 : 문헌사료를 중심으로)

  • Kim, Ok
    • Journal of Korean Academy of Rural Health Nursing
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    • v.8 no.1
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    • pp.25-32
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    • 2013
  • Purpose: The purpose of this study was to investigate the changing process of work activities of community health practitioners in medically vulnerable areas. Methods: For the study an historical research method was used, based on literature data and collected literature data related to the work of community health practitioners from 1940 to 2013. Results: There were 45 records according to the literature data about the work activities of the practitioners. Analysis of the process of work activities by time period was based on the historical records: first, the introduction period (1940~1980) saw the "community health practitioners begin their work activities"; second, the development period (1981~1997) involved "provision of comprehensive health and medical service"; third, the stagnation period (1998~2005) characterized by "attempts at new role changes in a crisis"; fourth, the expansion period (2006~2011) "focused on the work of health promotion"; and finally, the stable period (2012~the present) observed "work activities of community health practitioners recognized." Conclusion: Results showed five topics in the process of work activities of community health practitioners by time period. The results offer basic data to investigate work activities of these practitioners and enable discussions about the future of community healthcare.

A Study on Medical Discourse of Oriental Medicine and Health Functional Foods - Focusing on the Consumption Discourse Analysis of Homegrown Agricultural Products - (한약과 건강기능식품의 의료담론 분석 - 농촌생산물의 소비담론을 중심으로 -)

  • Lee, Seong-O
    • Journal of Agricultural Extension & Community Development
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    • v.22 no.4
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    • pp.465-479
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    • 2015
  • The purpose of this study is to explains consumers' medical discourse embedded in the consumption of oriental medicine and health functional foods. Despite the fact that both of oriental medicine and western medicine is legally accepted, people tend to recognize that accurate diagnosis is possible only in the latter. As the discourse that oriental medicine, compared with western medicine, has an auxiliary position is widely spreaded, the rivalry between herbal medicine and health functional foods come to be formed. And it led to a close correlation between the decrease of herbal medicine consumption and the growth of health supplement market. Herbal medicine is compared to red ginseng, one of the representative health supplement. Negative notion such as using an Asian herb from China and side effect of hepatotoxicity influences herbal medicine consumption. This study argues two conclusion. First, the correlation between the consumption of herbal medicine and that of health functional foods results from the discourse of scientific reconstruction, standardization, and commercialization all of which come from globalization discourse. Second, medical discourse embedded in these commodity, in the end, has impact on agricultural production.

Community Health Practitioners' Perception of Barriers to Research Utilization, Current Status and the Competence in Evidence based Practice (보건진료전담공무원의 간호연구 활용의 장애요인 및 근거기반실무 활동과 역량)

  • Song, Yeon Yi;So, Ae Young;Kim, Jin Soon
    • Journal of Korean Academy of Rural Health Nursing
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    • v.12 no.2
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    • pp.29-44
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    • 2017
  • Purpose: The purpose of this study was to identify community health practitioners' (CHP) perception of barriers to research utilization, current status and competence in evidence-based practice (EBP). Methods: From all over the country, 126 CHP completed an e-mail survey. Results: The items with the highest barrier scores were that it is difficult to understand articles written in English and physicians will not cooperate with implementation. There were statistically significant differences in the scores for attitude toward EBP and knowledge in EBP by education level and nursing academic society membership status. When faced with a problem, the nurses usually use related regulations or asked a colleague for advice. Conclusion: Results indicate an awareness of the necessity of applying EBP, need to improve readiness to use EBP voluntarily and actively, and need to search for various factors that are barriers to research utilization. There is a need to develop and apply EBP training/education programs to find new evidence that might actually support previous practice for which nurses lack confidence. Guidelines that consider CHP task characteristics and barrier factors to research utilization should be developed.

Case Report on a Community Health Practitioner's Health Survey (보건진료소의 관할 지역 건강조사 사례)

  • Choi, Youngmi;Chin, Youngran
    • Journal of Korean Academy of Rural Health Nursing
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    • v.14 no.2
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    • pp.47-53
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    • 2019
  • Purpose: This case study was done to describe the health survey conducted by a community health practitioner. Methods: The community health survey was carried out from April 16 to May 31, 2018 with face to face interviews done by 48 trained senior nursing students. Results: Compared with other regions, rates for chronic disease prevalence, chewing discomfort, falls, and depression were higher than those of the relevant district/the relevant city, and the whole country. It is encouraging that the treatment rate for hypertension, diabetes, and hyperlipidemia, and walking practice rate were higher than those other regions. Those who participated in village events had low stress, and those who participated in health promotion programs had a higher quality of life. Conclusion: The community health practitioner in the public health center post needs to operate health promotion programs continuously. Programs including chronic disease management, fall prevention, depression control, and oral health management should be emphasized, and ways to increase social participation, including participation in village events should be developed.

A Study on the Architectural Characteristics of the Health Care Center Branch in Rural Area Ik-san city (농촌지역 보건지소 건축의 특성에 관한 연구 - 익산시 보건소 관할 지소를 중심으로 -)

  • Lee, Dong-Suk;Kim, Eun-Young;Youn, Chung-Yeul
    • Journal of the Korean Institute of Rural Architecture
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    • v.19 no.4
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    • pp.9-16
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    • 2017
  • There are an increasing number of healthcare facilaties, especially branch offices, in rural areas to serve the aging population living there. However, there has been a gradual decline in the ratios of recognition, satisfaction and utilization by people who live in the regions. A significant reason of declining the ratios should be the population decline, but the most of population hierarchy shows the groups of elderly people over 60. This result appears to be limited to visit the public health centers. According to the result of population hierarchy, a branch office of public health center has been re-established as a complex welfare facility which can be fulfilled in the functions of basic medical supports and cultural supports. This research is focused on collecting the meaningful information of the status of physical facilities and utilization with 15branch offices of public health care centers in the rural regions near the city of Ik-San city. In addition, this research has a purpose of getting fundamental data for future architectural plans of the branch offices in rural regions with the results about the status of facility operation systems and users' needs.

Rural Elderly Women′s Health and Health Care Practices (농촌여성노인의 건강 및 의료서비스 이용실태 - 경기도 노인시범마을을 중심으로 -)

  • 노자경;한경혜;최은숙
    • Korean Journal of Rural Living Science
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    • v.5 no.2
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    • pp.171-184
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    • 1994
  • This study intends to provide basic informations on the rural elderly women's health status and health care practices which can be utilized for the welfare policies. Participants in this study are 133 elderly women over 60 who are lived in rural area. For the data analysis, Frequency, Correlation, Crosstabs, Oneway-Anova and LSD test are used. Physical health status is slightly lower than psychological health status and they are related to respondent's age, coresidence type, subjective economic status, subjective health status, participation in farming and health care type. Eighty-two percent of (he respondents perceived their health condition as poor and Neuralgia is the most frequent health problem. Women's health care practices are passive and somewhat restricted by age, educational status, coresidence type, necessary time to medical institution, and health status.

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