• Title/Summary/Keyword: 보건 의료서비스

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Study of the Factors Determining Life Satisfaction of Local Residents in Chungbuk Province (지역주민의 생활 만족도에 영향을 미치는 결정요인 연구 -충청북도를 대상으로-)

  • Cho, Taek-Hee;Bae, Min-Ki
    • The Journal of the Korea Contents Association
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    • v.17 no.5
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    • pp.591-601
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    • 2017
  • The purpose of this research was to identify the effects of factors determining life satisfaction (LS) of local residents in chungbuk province. After reviewing the literature, this research selected and developed the 9 categories and specific indicators of LS. This research had obtained data through a face to face investigation using questionnaire, which surveyed 1,619 residents at 11 local governments in chungbuk province. This research analyzed the data using descriptive statistical methods and multiple linear regression method. This research found that 1) the level of overall LS had 4.433 points out of 7, the level of residential environment satisfaction had highest point (4.911), but the level of leisure culture satisfaction had lowest point (4.155), 2) in multiple regression analysis, The effect of income and consumption level on LS was highest. The degree of labor and life-social services was important factor to increase LS. The results of this study were expected to provide many implications for implementing policies to improve LS in the country and local governments.

Healthy Japan 21 objectives and strategies (일본건강증진 사업의 목표 및 추진전략: Healthy Japan 21)

  • Hoshi, Tanji
    • Proceedings of The Korean Society of Health Promotion Conference
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    • 2005.09a
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    • pp.55-88
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    • 2005
  • Healthy Japan 21의 목적은 삶의 질을 향상시킴은 물론 노동가능 인구집단의 유병률을 줄이고 건강수명을 연장시키기 위하여, 21세기 모든 일본인들이 더욱 건강하고 행복한 삶을 향유할 수 있도록 국가사업을 활성화하는 것이다. 구체적 목적은 조기사망을 예방하고 건강생활을 향상하는 것으로, Healthy Japan 21의 전략적 기획과정에서 건강수명의 연장을 실현하기 위하여 2010년까지 달성되어야 하는 구체적인 목적들이 또한 제시되었다. 조기사망을 감소시키기 위하여 사고, 암, 자살, 심장병 감소의 중요성을 인식하고 9개의 주요 목표로 영양, 신체활동, 휴식과 이완, 금연, 절주, 구강보건, 당뇨병 예방, 심혈관계질환 예방, 암 예방을 설정하였다. 흡연, 알콜, 식사 그리고 운동과 같은 생활양식은 스트레스, 비만, 고혈압과 같은 위험요인 및 질병관리와 관련이 있으며, 위험요인은 암, 심장병, 구강질환의 발생과 밀접한 관련을 갖는다. 따라서 질병의 발생을 예방하기 위해서는 건강증진과 일차예방이 강조되어야 한다. 일차예방에 중점을 두기 위해서 우리는 전통적인 질병관리의 중점사항인 정기적인 건강검진을 통해 질병 조기발견을 노력을 게을리 하지 말아야 할 것이다. 아울러 의료비 감소, 병상에 있는 사람들의 감소, 사회세의 감소도 또한 달성되어야 하는 사업의 결과로 설정되어 있다. 가장 최근의 Healthy Japan 2000(1998-99)의 평가에 따르면 목표들의 15%가 달성되었거나 초과 달성된 것으로 나타났다. 이 중 아동과 청소년의 사망률의 경우, 1-14세 아동의 사망률은 1987년부터 26%가 감소되어 2000년도 목표인 인구 100,000명단 28명의 사망을 초과 달성한 것으로 평가되었다. Healthy Japan 21의 두 가지 주요 전략은 일반 인구집단을 위한 전략과 고위험 집단을 대상으로 하는 전략으로 구성된다. 개인의 건강한 생활양식으로의 변화를 포함한 우리의 건강증진 노력은 사람 중심으로 개인의 선택을 기반으로 하고 있다. 이러한 노력을 지원하기 위하여, 각 개인이 정보를 갖은 상태에서 올바른 선택을 할 수 있도록 적당량의 올바른 정보를 제공하는 것이 필수적이다. 이와 같은 일본의 건강증진계획은 2000년 3월에 Healthy Japan 21이 설립되었으며, 2000-2002년 사이 모든 현이 자신의 사업계획을 설정하였으며, 2001-2005년에는 약 반수 정도의 지방자치단체들이 자신들의 사업계획을 확정하였다. 건강증진을 이루는 중요한 수단은 파트너 쉽에 있다. 정부조직 뿐 아니라 건강보험회사, 보건의료서비스 제공자, 교육단체, 대중매체, 사기업, 봉사단체 등을 포함한 건강분야의 조직들은 자신들의 전문적 기술들을 한데 모아 서로 협력하여야 한다. 또 하나의 중요한 수단은 건강 지지적인 환경이다. 개인의 건강증진 노력을 체계화함으로써 지지적인 환경을 조성할 수 있다. Healthy Japan 21에 대한 평가는 2005년에 중간평가가, 2010에 최종평가가 있을 예정이다. 평가결과들은 이후에 진행될 사업의 향상을 위한 기준으로 활용될 예정이다.

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Assisted Outpatient Treatment and Crisis Intervention in USA and their Implications for Korea (미국의 외래치료명령제도 및 위기대응과 국내적 시사점)

  • Park, Inhwan;Han, Meekyung
    • The Korean Society of Law and Medicine
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    • v.19 no.1
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    • pp.23-80
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    • 2018
  • Since the 1960s, the United States' (U.S.) deinstitutionalization policy has reinstated people with mental illness into communities. Unfortunately, when untreated, some people with psychiatric disorders become homeless, and some commit serious crimes during a psychological crisis. Assisted Outpatient Treatment (AOT), also known as Kendra's Law in New York and Laura's Law in California, provides treatment, services and support to people with mental illness in the community. AOT has repeatedly been found effective and is recognized as an evidence-based practice. The response to the mental health crisis (crisis intervention) in the U.S. has also been successful in preventing worsening mental illness and related criminality and other issues. This paper provides an opportunity to create a platform from which to learn how to successfully apply the AOT and crisis intervention of the U.S. to South Korea within the cultural and societal context when establishing social services for people with mental illness in South Korea's communities.

Impacts of Health Insurance Coverage Expansion on Health Care Utilization and Health Status (건강보험 보장성 확대가 의료이용 및 건강수준에 미치는 영향)

  • Bae, Ji-Young
    • Korean Journal of Social Welfare Studies
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    • v.41 no.2
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    • pp.35-65
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    • 2010
  • The purpose of this study is to identify the relationship between health insurance and health by evaluating the impacts of health insurance coverage expansion on health care utilization and health status. To analyze the causal relationship between health insurance and health, this study employed a "difference-in-difference method" that could compare changes in health care utilization and health status across groups in health insurance coverage expansion in 2005. The researcher predicted that the expansion of health insurance coverage would be an exogenous source of variation in the prices of health service use. First, the difference-in-differences estimator between 'illness group' and 'non-illness group' revealed that the increase in coverage of inpatient care services would result from the increases in the stay of length of 'non-illness group' rather than that of 'illness group'. However, the difference-in-differences estimator between 'serious illness group' and 'chronic illness group' identified that the policy change that focuses on expansion of the coverage for 'serious illness' effects on the increases in health care utilization and promotion of health status. In summary, the changes of health insurance coverage focusing on serious illness and inpatient care have positive effects on health care utilization and health status of serious illness group. But, 'non-illness groups' with acute illness receive more benefits from the policy change than 'illness group' with chronic illness.

Predictors of Turnover Intention among Non-regular workers in University Hospitals (대학병원 비정규직의 이직의도에 미치는 영향)

  • Yang, Jong-Hyun
    • Journal of Digital Convergence
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    • v.17 no.10
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    • pp.293-300
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    • 2019
  • The purpose of this study was to analyze turnover intention among non-regular workers in university hospitals. The data was 292 non-regular workers in 7 university hospitals from December 1 to December 31, 2017. ANOVA, t-test were used for analysis of difference by general characteristics, and multiple regression analysis was performed to analyze the effect on turnover intention. The results of the study are as follows. Unjust working environment, employment instability, discrimination experience were found to have a positive(+) effect on turnover intention. Job satisfaction, age, employment type had a significant negative(-) effect on turnover intention. In particular, high discrimination experience of non-regular workers, who occupy a large part of the hospitals in the increasingly competitive medical market, and high turnover intention can be a negative impact on good medical service and hospital management. The government should establish policies for non-regular workers and hospitals need practical changes in welfare, wages and working environment for non-regular workers.

The Effect of Health Behavior Practice and Jab Characteristics on Periodontal Disease of Employees (근로자의 건강행위실천과 직업특성이 치주질환에 미치는 영향)

  • Lee, Byung-Ho
    • Journal of the Korea Convergence Society
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    • v.9 no.11
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    • pp.145-152
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    • 2018
  • The purpose of this study was to reveal association between health behavior practice and jab characteristics on periodontal disease of employees. The analysis was conducted on 1,737 of above the age of nineteen in employees by using raw data from the 2015 National Health and Nutrition Survey. The data were analyzed using SPSS for windows version 24.0. Smoking, BMI and aerobic exercise in health behavior practice had statistically significant difference. Occupation, work status and regular work in jab characteristics had statistically significant difference. In conclusion, business owners need active management to health behavior practice their employees and the government needs to resolve the polarization of medical services through the development of oral health care policies for low-income people.

Patient satisfaction and recommendation intention at spine and joint hospital (척추·관절 전문병원의 환자 만족도와 추천 의향)

  • Park, Young A;Lee, Jung A
    • Journal of Digital Convergence
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    • v.19 no.2
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    • pp.307-314
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    • 2021
  • This study was to analyze the satisfaction and intention to recommend a hospital for spinal and joint patients. Using a structured questionnaire at a spinal and joint hospital in Seoul in 2019, and the relationship between demographic and social characteristics and patient satisfaction, factors influencing hospital satisfaction, and recommendation intention were analyzed. In outpatients, hospital satisfaction was higher in neatness and cleanliness of staff, kindness and facility environment comfort, and hospital satisfaction was low in questions related to waiting time. In inpatients, women's satisfaction was higher in the nursing and hospital environment areas. The correlation analysis between the satisfaction and the willing to recommend, there was a positive correlation. In the sub-analysis, hospital satisfaction was higher in the group that responded with respect and courtesy, listening, satisfaction of the nurse, hospital cleanliness and safety. This study is can be used to improve the quality of hospital care services in related hospitals.

Diagnostic Methods of Respiratory Virus Infections and Infection Control (호흡기 바이러스 감염의 진단법과 감염관리)

  • Park, Chang-Eun
    • Korean Journal of Clinical Laboratory Science
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    • v.53 no.1
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    • pp.11-18
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    • 2021
  • Respiratory viruses (RVs) cause infections in hospital environments through direct contact with infected visitors. In infection control, it causes major problems of acquired infections in hospitals by respiratory viruses. The surveillance data derived from clinical laboratories are often used to properly allocate medical resources to hospitals and communities for treatment, consumables, and diagnostic product purchases in the institutions and public health sectors that provide health care. An early diagnosis is essential in infection with respiratory viruses, and methods that can be used in diagnostic methods using respiratory samples include virus culture, molecular diagnosis, and analysis. A microchip provides a new strategy for developing a more diverse and powerful technology called point-of-care testing. The importance of the respiratory system should be applied strictly to the infection control guidelines to ensure the occupational health and safety of health care workers. Evidence of clinical efficacy, including this study, is challenging the long-standing paradigm for infection propagation. Additional assistance will be needed for frequent tests to detect respiratory viruses in inpatients who have begun to show new respiratory symptoms indicating infections requiring efforts to control the infection.

Investigating Occupational Therapy Students' Awareness of Developmental Rehabilitation Services and the Accreditation of Sensory Developmental Rehabilitation Service Providers (작업치료 전공 학생들의 발달재활서비스 및 감각발달재활서비스 제공인력 자격인정에 대한 인식도 조사)

  • Sung, La-Yun;Chang, Moon-Young
    • The Journal of Korean Academy of Sensory Integration
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    • v.21 no.2
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    • pp.35-44
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    • 2023
  • Objective : This study sought to explore occupational therapy students' awareness of Developmental Rehabilitation Services (DRSs) and the certification of Sensory Developmental Rehabilitation Service Providers (SDRSPs). Moreover, it also aimed to examine the differences in students' awareness based on general characteristics. The findings were intended to provide a foundation for research on sensory developmental rehabilitation. Methods : An online survey was conducted among 199 occupational therapy students nationwide from October 4 to November 5, 2022. Frequency analysis was used to assess the general characteristics and additional items. Both descriptive statistics and frequency analysis were employed to assess the students' awareness of DRSs and SDRSP certification. Any differences in the students' awareness based on their general characteristics were examined using t-tests and an analysis of variance. Results : The students' awareness of DRSs was moderate (4.50 ± 2.40), while their awareness of SDRSP certification was also moderate (4.22 ± 2.55). The awareness of DRSs varied significantly based on the students' academic year and child-related practice experience. Similarly, the awareness of SDRSP certification differed significantly based on the students' academic program, academic year, recognition by the related department, and child-related practice experience. Conclusion : The occupational therapy students expressed a strong intention to provide DRSs and become certified as SDRSPs. However, their awareness levels were moderate. These findings emphasize the importance of educational efforts and the provision of relevant information about DRSs and SDRSP certification in universities to foster the development of competent SDRSPs.

The Utilization Pattern of a Rural Health Subcenter among Suburban Farmhouse Members (일 도시근교 농가구원의 보건지소 이용양상)

  • Sohn, Seok-Joon;Kwon, Sun-Seok;Kim, Sang-Won;Byun, Ju-Nam;Nam, Hae-Sung;Son, Myung-Ho
    • Journal of agricultural medicine and community health
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    • v.24 no.1
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    • pp.65-77
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    • 1999
  • In order to estimate the utilization pattern of a rural health subcenter, and to identify the recognition for it among the farmhouse members in a suburban area, a questionnaire survey was carried out for objects of 696 population. The results observed were as follows: The annual utilization rate of rural health subcenter for a basic health service unit was 25.0 per 100 persons, and annual mean visiting times was 0.22 times. And the most frequent disease by annual health subcenter utilization illness was musculoskeletal disease(30.6%), and the next was respiratory disease(14.1%), gastrointestinal disease(13.9%) by order. Favorite reason for community health subcenter utilization were near distance from living place(49.6%), lower disease severity(18.9%) and lower medical cost(18.1%) by order. But disfavoring reasons for it were absence of specialist(20.2%), non effective treatment(19.2%) and insufficient equipment(14.7%) by order. And insufficient items about community health subcenter utilization were restriction of treatment limit(40.7%), lower reliance(22.5%) and difficulty in traffic(13.4%) by order. The results of logistic regression analysis suggested that statistically significant factors in health subcenter utilization was educational level. The desirable works for the health subcenter in a suburban area were disease control of elderly and disease preventing service. These results suggested that to increase the utilization of rural health subcenter in a suburban area and to promote the accessibility of rural residents to primary health care, there must be considered public relation about health subcenter, improvement of medical quality and change of priority about health subcenter's works.

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