• Journal of Korean society of Dental Hygiene
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• v.15 no.6
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• pp.1053-1061
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• 2015

Objectives: The purpose of the study is to investigate the influencing factors of community scaling rate using community health survey data. Methods: The data were extracted from 2013 Community Health Survey, Ministry of education, Korea Dental Association, Statistics Korea, Health Insurance Review and Assessment Service, and Ministry of the Interior. The resource factors of independent variables were analysed by Geographical Information System(GIS) using Map Wizard for Excel 17.0. The data were analyzed by descriptive analysis, pearson correlation and multiple linear regression analysis(p<0.05). Results: Seocho-gu in Seoul had the highest annual scaling rate(55.5%) and Goheung-gun had the lowest rate(11%) showing 44.5 percent gap. The influencing factors of scaling included the number of dental hygienists(r=0.316), dentists(r=0.332), dental hospitals(r=0.470), high school graduation rate(r=0.757) and equivalence scales household income(r=0.764)(p<0.05). Multiple linear regression analysis showed that community scaling rate was closely associated with community education level and monthly income(p<0.05). Conclusions: Community scaling rate was closely related to the community education and income level. It is necessary to provide the equal distribution of the oral health service to the community society.

• Journal of Convergence for Information Technology
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• v.11 no.8
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• pp.176-184
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• 2021

The purpose of this study was to investigate the effects of home modification in the community care project on the fall risk environment and the health condition in elderly people aged 65 and over. HOME FAST and WHODAS-K 2.0 were used to evaluate, and it was conducted as a group pre-post experimental study. As a result of implementing the home modification service based on the assessment, the fall risk level showed a statistically significant decrease (p<.01), and in the case of health condition, mobility (p<.01) and social participation (p<.05) was confirmed that it was statistically significantly improved in the domain, showing a positive change in the overall health condition (p<.05). In the future, research using a comprehensive home assessment is needed for more subjects. and a process of selecting subjects prior, expansion of professional manpower infrastructure to providing a quality service is required.

• Research in Community and Public Health Nursing
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• v.25 no.2
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• pp.85-96
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• 2014

Purpose: This study was performed to identify job competencies and needs for job education perceived by new community health practitioners. Methods: This study used a qualitative research design. Eight new community health practitioners participated in this study. Data were collected through in-depth interviews and analyzed using content analysis. Results: Five job competencies were identified in this study, including primary care, public health management, interpersonal relationship, teaching and counseling, and leadership. The contents of job education that they needed were management of major symptoms and chronic diseases, understanding and prescription of medications, emergency responses and care, management of endemic diseases, planning and management of public health programs, writing official documentsand computer works, and leadership training. The learning methods they preferred were connecting theory and practice, situation- or case-based learning, skill- or practice-based learning, and increased opportunities of clinical practice. Conclusion: The findings of this study provided the direction of job education for new community health practitioners. Job education for new community health practitioners needs to consider the job competencies and educational needs identified in this study.

• Journal of Ecology and Environment
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• v.38 no.3
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• pp.307-318
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• 2015

The objectives of this study were to identify multi-level stressors from blood biomarkers to community-level bioindicators and diagnose the stream ecosystem health in polluted streams. Blood chemistry such as total protein ($T_{Pro}$), blood urea nitrogen ($B_{UN}$), total cholesterol ($T_{Cho}$) and $A_{lb}$umin ($A_{lb}$) were analyzed from sentinel fish tissues; the functions of kidney, gill and liver were significantly decreased in the impacted zone ($I_z$), compared to the control zone ($C_z$). Histopathological analysis showed that fish liver tissues were normal in the $C_z$. Fish liver tissues in the $I_z$, however, showed large cell necrosis and degeneration and also had moderate lobular inflammation and inflammatory cell infiltration of lymphocytic histocytes. Species biotic index (SBI) at species level and stream health assessment (SHA) at community level indicated that chemical impacts were evident in the $I_z$ (ecological health; poor - very poor), and this was matched with the blood tissue analysis and histopathological analysis. The impairments of the streams were supported by water chemistry analysis (nitrogen, phosphorus). Tolerance guild analysis and trophic guild analysis of fish were showed significant differences (P < 0.01) between $C_z$ and $I_z$. Overall, multiple parameter analysis from biomarker level (blood tissues) to bioindicator level (community health) showed significantly greater impacts in the $I_z$ than $C_z$. This approach may be effective as a monitoring tool in identifying the multilateral and forthcoming problems related to chemical pollution and habitat degradation of stream ecosystems.

• Journal of Community Nutrition
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• v.8 no.1
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• pp.38-43
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• 2006

There were numerous evidences that subjective health evaluation was a powerful indicator for morbidity and mortality in many countries. Since self-rated health (SRH) was a reasonable health measure, identifying predictors for SRH would be beneficial for assessment of overall health, monitoring health status, and development of health promotion programs. Health risks, health behavior, socioeconomic characteristics and social capital were potential indicators for SRH. We examined association. between SRH and indicators such as health risk factors, subjective living condition, income, education level and dietary variety score. Total 4,262 subjects, aged between 20 and 69 years old, were selected from KNHANES 2001; those who completed health examination, nutrition survey, and provided their socioeconomic information. Results of logistic regression showed that it was likely to have better SRH for those who were younger, male and have higher education, higher income, better living condition, no metabolic syndrome and higher dietary variety.

• Journal of the FoodService Safety
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• v.3 no.2
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• pp.45-48
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• 2022

• Journal of Home Health Care Nursing
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• v.26 no.1
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• pp.5-18
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• 2019

Purpose: Frailty is associated with an increased risk of adverse health outcomes. We aimed to review the relationships between frailty and health outcomes in community-dwelling Korean elderly individuals. Methods: Whittemore and Knafls' framework for conducting integrative reviews was used. PubMed, Cumulative Index to Nursing and Allied Health Literature, and six Korean databases were searched. For analysis, the study included articles written in English and Korean published between January 1960 and June 2018. Of the total 1,488 studies found in the databases, we analyzed 15 studies that met the quality of the evaluation criteria. Results: The prevalence of frailty in Korean elderly individuals ranged from 6.5% to 11.7% when divided into three levels of frailty. The health outcomes assessed in relation to frailty were divided into five domains: quality of life, physical health, psychosocial health, health behavior, and health care quality. Frailty was negatively associated with all five domains. Conclusions: Our study suggested that nurses should be aware of the limitations in the physical and cognitive functions of frail elderly individuals and provide tailored interventions for Korean elderly individuals. Furthermore, a large-scale study is needed to develop the Korean model of the frailty assessment tool and to verify the conceptual model of this study.

• Journal of Preventive Medicine and Public Health
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• v.54 no.1
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• pp.17-21
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• 2021

In 2020, the coronavirus disease 2019 (COVID-19) pandemic has caused unprecedented disruptions to global health systems. The Korea has taken full-fledged actions against this novel infectious disease, swiftly implementing a testing-tracing-treatment strategy. New obligations have therefore been given to the Health Insurance Review and Assessment Service (HIRA) to devote the utmost effort towards tackling this global health crisis. Thanks to the universal national health insurance and state-of-the-art information communications technology (ICT) of the Korea, HIRA has conducted far-reaching countermeasures to detect and treat cases early, prevent the spread of COVID-19, respond quickly to surging demand for the healthcare services, and translate evidence into policy. Three main factors have enabled HIRA to undertake pandemic control preemptively and systematically: nationwide data aggregated from all healthcare providers and patients, pre-existing ICT network systems, and real-time data exchanges. HIRA has maximized the use of data and pre-existing network systems to conduct rapid and responsive measures in a centralized way, both of which have been the most critical tactics and strategies used by the Korean healthcare system. In the face of new obligations, our promise is to strive for a more responsive and resilient health system during this prolonged crisis.

• Research in Community and Public Health Nursing
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• v.23 no.2
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• pp.179-188
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• 2012

Purpose: This study aimed to describe the cultural competence among community health practitioners (CHPs). Methods: A cross-sectional descriptive study design was used with a convenience sample of 257 CHPs. Data collection was conducted with a structured questionnaire, including Cultural Competence Assessment. Data were analyzed by t-test and ANOVA with the SPSS/WIN 17.0 program. Results: Most participants reported a moderate level of cultural competence (M=3.0,SD=0.41). Scores for culturally competent behaviors were high (M=3.4, SD=0.48) and cultural knowledge scores were low (M=2.6, SD=0.54). Those CHPs who were living with their family, were working in rural area, and had more opportunities to contact with multicultural patients and experience abroad showed significantly higher cultural competence. Conclusion: The findings support the need for future education and training to enhance CHPs' cultural competence.

• Journal of Korean Public Health Nursing
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• v.11 no.2
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• pp.141-151
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• 1997

As concerns about dementia patients increase gradually in society, the nursing of them becomes more and more important. For intervening in dementia patients effectively, the most fundamental thing is to understand their characteristics and to increase the ability of assessing them. The assessment data supply us with the foundations of Nursing diagnosis and nursing plan. The reaseons why the assessment data are especially important to dementia patients are as follows; First, dementia patients have great differences among them in intellectual, physical ability. And their condition varies from time to time. Second, the intervention without planning results in the deficiency of consistence, and it rather embarrasses and makes dementia patients uneasy. Third, nursing of dementia patients requires participation of multi-disciplinary team because of characteristics of that disease. The development of an unitary assessment tool is essential for all members of the team to have close relations between them and care for dementia patients. Fully understanding the importance of assessment data, this study investigate the content to be included in the assessment before developing assessment tools to be used in community. It points out that the assessment should include the informations about patients, their family, and main care-giver. And it sets up items that can supply with detailed information on each person. In the future it is necessary to transform the contents of this study to more concrete items and develope the assessment tools for dementia patients. And recording paper for follow up should be supplemented to check any changes in family caring for dementia patients and describe the changes in detail. To make assessment tools is one of the fundamental works in controlling dementia patients. Therefore the official assessment tools should be provided as soon as possible. This study aimed at presenting the guiding principles for developing that assessment tools.