• Journal of Korean Public Health Nursing
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• v.24 no.1
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• pp.61-70
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• 2010

Purpose: This study analyzed outcomes of a Telecare case management service pilot project for Korean Medicaid Program Clients in Seoul. Outcome data for provided services and medical aid cost data were analyzed. Methods: Case management services were delivered by 10 medical aid managers. The period of the project was from July to December 2007. Results: The total number of the objects was 9714, representing 43.4% of the total medical aid clients in the area. The average number of consults was 2.58. Consults were most frequently via letter and telephone, with in- person visits being least common. Of the total, 213 cases were referred to community services, 87.8% were transacted successfully. The medical expenditure was less than that from January-June, 2007. Conclusion: Telecare service via mail or telephone allows contact with many clients in a short time which can enable the discover and monitoring of high risk clients. This can be accomplished at a cost savings to the Korean Medicaid Program.

• Journal of Digital Convergence
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• v.11 no.9
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• pp.255-265
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• 2013

The purpose of this study was to identify the variation factors of hypertension medication rate between regions and to use them as a basic data for establishment of hypertension management business plan which is customized by region. The data were collected from community health survey, National Statistics Office and National Health Insurance Corporation, and were analyzed using the geographically weighted regression. As the result of analysis, the factors that influenced the hypertension medication rate between regions were subjective recognition rate of health level, the rate of medical aid client and the number of health facility per one hundred thousand of population. According to the geographically weighted regression, the total of 230 regional regression models composed of major variables which affected the hypertension medication rate were calculated. However, this study has several limitations that the explanatory power of model is not high and others. Therefore, a follow-up study which is based on the actual data of compliance with hypertension medication will be necessary.

• 대한예방의학회:학술대회논문집
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• 2005.10a
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• pp.292-292
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• 2005

• Journal of agricultural medicine and community health
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• v.43 no.2
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• pp.63-73
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• 2018

Objectives: The purpose of this study was to review the disaster preparation and response programs and the status of disaster preparation in public health center. Methods: In depth interview was performed in September 2017 using 5 open questions to the persons who are in charge of disaster response services in 5 public health centers of different levels in Korea. The questions included general characteristics of public health center, disaster programs and future issues. The research hired a quality method. Results: In general, the persons in charge recognized the cooperative agency of local government in disaster management. There were no disaster preparation programs developed by the public health centers. Most of the preparation were passive activities such as emergency support, crisis management on communicable disease and quarantine, participation in biological disaster response training, and education etc. The persons in charge emphasized necessity of disaster preparation programs. Conclusions: Disaster preparation and responsiveness is an evolving issue in public health centers in Korea. Medical support system and communicable disease management system are being set up in the national level. A comprehensive system covering health management, nutritional support, mental health, environment management of shelter, and volunteers supports on public health center level needs to be developed along with a easy-to-follow manual.

• Research in Community and Public Health Nursing
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• v.24 no.2
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• pp.135-142
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• 2013

Purpose: The purpose of this study is to explore influencing factors which contribute to the suicidal ideation in community residents who have ever experienced suicidal attempts. Methods: The subjects of this study were a total of 165 local residents with some experiences of suicidal attempts in B City and K Province. The data were collected from May 1st to October 30th, 2012 and self-report questionnaires including Suicidal Ideation Inventory, Self-Esteem Inventory, Depression, Family and Social Support Inventory were used as a measurement tool. The data were analyzed using t-test, ANOVA, Pearson correlation coefficients, multiple regression with the SPSS/WIN 18.0 program. Results: The average score of suicidal ideation in the local residents with experiences of suicidal attempts was $12.7{\pm}6.25$. Predicted factors on suicidal ideation in the local residents with experiences of suicide attempts included self-esteem, depression and physical illness, and the suicidal ideation has a variance explanation power of 54%. Conclusion: The development and application of intervention programs, which can help to increase self-esteem levels and decrease depression levels among community residents with experiences of suicidal attempts, are first needed. Furthermore, nursing services of customized self-management for people with physical disabilities are needed on the basis of their own physical problems.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.4
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• pp.2244-2255
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• 2014

This study aimed to compare smoking, drinking, dietary management, personal hygiene, and oral care between immigrant women in urban and rural areas and to determine predictors of the overall health behaviors. With the standardized questionnaire used for community health survey data collection was performed in 128 immigrant women from November 2011 to October 2012. Rural women performed significantly higher numbers of health behaviors than urban women and residential district, education, employment status, and perceived difficulties related to cultural adaptation significantly predicted health behaviors in immigrant women. Immigrant women in urban areas may be highly vulnerable in maintaining health behaviors compared with rural women and cultural barriers may hinder positive health behavior maintenance. Therefore, careful considerations at individual, community, and environmental levels are needed when assessing immigrant women's health behaviors and designing culturally relevant interventions to improve health status.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.8 no.1
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• pp.155-161
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• 1998

This study reviewed on the occupational health status of female workers in China, where the half of female population are workers in occupational settings and realizes the importance of occupational health among them, to establish the occupational health management system in Korea as Korean female workers have been increasing for the last few decades. Results of the study were as follows. 1. The proportion of female workers in total workers have increased from 7.5% in 1949 up to 37.6% in 1990. As for the distribution of female workers by industry, manufacturing part has the highest proportion of female workers in total and out of total female workers, the rank was health social welfare (53.2%), community personal service(45.4%) and agriculture forestry fishing(44.1%). 2. The system of occupational health management for female workers was related to superior organization well by administrative district & work place and professionals were distributed to one per ten thousand persons or more, depending on each region's conditions. 3. The regulations of occupational health management for female workers are defined in a variety of fields. Considering the physiological characteristics of female workers, government has tried to minimize the loss due to menstruation, pregnancy, delivery and lactation and has let them have vacations, guaranteeing the health facilities at the same time. Also government has defined the scope of prohibited work to protect legal right of them.

• Journal of Home Health Care Nursing
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• v.12 no.1
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• pp.117-135
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• 2005

Purpose: Expecting a new system of nursing security for elderly in operation in 2007, a substantial expansion of nursing facilities for elderly and quality management of those facilities are imperative now. Therefore. specific quality management measures or schemes which could be used for the operation of small-scale nursing homes are in urgent need. The purpose of this study was to develop a Quality Management Index(QMI) to guide Nursing Home management. Method: This study developed a QMI for small-scale nursing homes, which focused on quality management in structural dimensions such as environment, staffs, local community network, atmosphere, and quality management in process dimensions such as nursing, communication, resident satisfaction. The QMI developed in this study is based on extensive review of literature and the actual experiences of nursing home operation. It consists of 7 dimensions, 39 components and 148 indexes, which have been verified by three times validity tests of experts group. Then the QMI was used to evaluate the quality management levels of nursing homes in Korea. Result: In sum, after analyzing all nursing homes in Korea operated by nurses, this study found that there were significant differences of quality management level among facilities in several dimensions such as environment, staffs, local community connections, communication. In dimensions such as nursing, atmosphere, resident satisfaction, however, little differences of quality management level among facilities were reported. It is considered that this result has to do with several factors like the size of facilities, operation expenses, operation forms, the disposition of professional human resources, and philosophy and management policy of the owners. As far as generalization is concerned, however, it needs to be noted here that the sample size for this study is not statistically big enough to generalize the results. Conclusion: Having Developed a QMI for small-scale nursing home with 7 dimensions, 39 components and 148 indexes, this study is expected to be used in developing more elaborated quality evaluation tools for nursing homes, and also function as a practical guide of quality management for those who are opening and managing nursing homes. I hope this quality index could lead to further development of a standardized quality management index, and eventually contribute to quality improvement of nursing homes.

• Journal of Digital Convergence
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• v.13 no.11
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• pp.231-239
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• 2015

This study aimed to identify factors that influence the quality of life of 509 community residents in a city in Gyeonggi Province. The study collected data on general characteristics, the incidence of depression, mental health status and quality of life through a structured questionnaire, and the data was analyzed used the SPSS20.0 statistical program. First, quality of life-related to the general characteristics of the research subjects revealed statistically relevant differences regarding gender, age, academic background, marital status, monthly income and stress status. Second, there were relevant differences among detailed factors related to depression and mental health status, overall mental health, social maladjustment and anxiety/depression, and these revealed correlations. Third, the factors that influenced the quality of life were age, stress levels, anxiety/depression of mental health level and the explanation of antecedent variables stood at 47.8%. The result is expected to be the fundamental data to facilitate the application of the program and lead to successful interventions to improve the quality of life of residents.

• Research in Community and Public Health Nursing
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• v.13 no.2
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• pp.332-342
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• 2002

Purpose: The purpose of this study was to assess the level of activities of daily living (ADL) in a group of community dwelling elderly. Methods: The subjects were 100 low-income elderly registered in a public health center. The data were analyzed using the SPSS/PC program. Results: The results were as follows: 1. The basic ADLs of the subjects were scored at 7 levels, and the mean score was 6.24 out of 7 points. The subjects did not necessarily require help from others, but might have needed more times or instrumental assists to perform ADLs. The lowest ADL score was reported on walking up to the stairs (5.05), for which the subjects did not need physical assistance, but needed a certain degree of supervision. The highest score was reported on self eating (6.74), followed by bowel management (6.60). 2. The mean IADL score of the subjects was 1.77 out of 4 points. indicating that the subjects were very independent in performing IADLs, without help from others. 3. In relation to general characteristics, the level of ADLs of the subjects was significantly different by age (F=6.65, P=.000), main activities (F=6.36, P=.001), perceived health status (P=4.66, P=.012), educational background (F=4.64, P=.03), marital status(F=4.62, P=.005), and major household income (F=4.15, P=.002). 4. The subjects' level of IADLs in relation to their general characteristics was significantly different by perceived health status (F=8.08, P=.001), major activities (F=7.33, P=.000), age (F=6.18, P=.000), family context (F=3.53, P=.018), religion (F=3.10, P=.019), marital status(F=2.62, P=.055), and major household income (F=2.31, P=.049).