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A Study on the Status of Morbidity and Medicare in a Korean Rural Area - Area under Sam-Wha Medicare Insurance Union - (일부(一部) 농촌지역(農村地域) 주민(住民)의 이병(罹病) 및 진료실태(診療實態)에 관한 조사(調査) - 충남(忠南) 서산군(瑞山郡) 삼화의료보험조합(三和醫療保險組合) 대상지역(對象地域)-)

  • Kim, Joo-Ja;Lee, Jung-Ja;Park, Hee-Sook;Nam, Taik-Sung
    • Journal of agricultural medicine and community health
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    • v.4 no.1
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    • pp.20-30
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    • 1979
  • To investigate the status of morbidity and medicare utilization during last 8 months from 1 st Oct. 1977 to 31th May, 1978 in the area under Sam-Wha Medicare Insurance Union, a study was carried out through analyzing the medicare records of patients who are enrolled. For the study, 3 doctors and one nurse were mobilized and the results are as follows: 1) The total number of the Medicare insurance Union members in the study area were 5,735 composed of 3,000 males(52.3%) and 2,735 females(47.7%). 2) The total number of patients were 1,405 composed of 783 males (55. 0%) and 622 females(45. 0%) and the incidence rate per 1,000 population was 245.0 of total(261.0 in males and 227.4 in females). 3) Five major diseases with 52, 7% of total patients were acute upper respiratory infection(20.7%), peptic ulcer(12.2%), bronchitis(5.5%), injuries(5.2%) and dental problems(5.1%). 4) The order of the incidence rate of age group per 1,000 population was the year group on 0-4(342.6), 25-44(312.7), 45-64(307.0), 65 and over(240.3), 15-24(178.8) and 5-14(164.8). 5) Of the 1,405 total patients, the out-patients were 1,661(96.9%) and the in-patients were 44(3.1%) and the ratio wae 30.9 : 1.0. 6) Among the out-patients 96.7% of them were cared in primary medicare facilities, 1.0,% in secondary care, and 2.3% in tertiary care. And among the in-patients 50. 5% of them were cared in primary medicare facilities, 4. 5% in secondary care, 45. 5% in tertiary care. 7) Duration of medicare was concentrated within a week in 84. 3% of total patients.

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Survey on Children Toothbrushing Teaching Guidance with Child Care Center Teachers (일부 보육교사의 유아 칫솔질 지도에 관한 실태조사)

  • Choi, Yong-Keum;Kim, Hee-Kyoung;Kim, Eun-Ju
    • Journal of dental hygiene science
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    • v.11 no.4
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    • pp.319-324
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    • 2011
  • This study aimed to investigate the current situation of toothbrushing guidance with child care teachers in day care facilities caring and managing infants and young children and to grasp problems neglected in using toothpaste and guiding toothbrushing to provide basic data for measures to cope with them. This study included 165 child care teachers or teachers of the kindergartens who agreed with its purpose. By excluding 10 questionnaires with omitted or conflicting answers, 156 ones were finally analyzed in this study. The correlation between education about oral health and toothbrushing guidance, the subjects with and without the experience of the education did not show any significant difference in time to encourage toothbrushing, behaviors of toothbrushing guidance, guidance on prevention of toothpaste intake and perception of an appropriate amount of toothpaste (p>0.05) while perception of the importance of oral health was significantly related with the education on oral health (p<0.05). Therefore, education system for specialists in oral health to offer a specific and systemic education and oral health education programs for child care teacher, are considered to be necessary.

Convergence Evaluation of Indoor Air Measurement in Medical Institution (의료기관 실내공기 측정의 융합적 평가)

  • Lee, Yu-Hee;Choi, Yu-Jin;Choi, Jung-OK
    • Journal of the Korea Convergence Society
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    • v.8 no.1
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    • pp.71-76
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    • 2017
  • The purpose of this study was to investigate the indoor air quality of medical institutions and to present the detailed management plan by analyzing the actual situation of management and analyzing the difference according to the place in a convergent. ($PM_{10}$), carbon dioxide ($CO_2$), formaldehyde (HCHO), total aerobic bacteria (TAB) and carbon monoxide (CO) were investigated in 153 hospitals in Busan. As a result, The overall output average did not exceed the maintenance criteria, but the maximum values for each item were 91% for $PM_{10}$, 97% for $CO_2$, 96% for HCHO, and 99% for bioaesol. And It is confirmed that this is very close to the standard. In addition, the results of each place showed different values according to each feature, but there was no significant difference in the results of five measurements. In conclusion, Indoor air in medical institution considering the characteristics should be performed systematic and detailed management of ventilation facilities and energy problems.

Self-rated Health and Health Service Utilization of Chronic disease Patients (만성질환자별 주관적 건강상태와 의료시설 이용행태)

  • Park, Eun-Ju
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.9 no.4
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    • pp.404-413
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    • 2016
  • This study, based on the assumption that self-rated health status affects the use of health care utilization, aims to comprehend self-rated health status, as well as the differences in medical facility use depending on self-rated health status, and analyze according to chronic diseases to use it as the basis of a practical guide development for chronic disease patients' use of medical facilities. Used representative Korean Longitudinal Study of Ageing data to analyze 7,486 participants. There is a difference in Chronic disease patients' use of health care utilization depending on self-rated health, and this difference was the most apparent in Oriental healthcare service and dental treatment use. This study was unable to control all confounding variables affecting medical service use, so we want this studied to be used to assist future studies.

The Classification of the Service Quality Elements in the Hospital Using the Kano Model (Kano 모형을 이용한 병원의 서비스 품질 요소의 분류 - 인천, 경기남부지역 대학병원을 중심 -)

  • Oh, Byeoung-Kwan;Choi, Hwang-Gyu
    • Korea Journal of Hospital Management
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    • v.14 no.4
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    • pp.88-102
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    • 2009
  • This study aims at providing necessary informations to decide what services would be conducted preferentially in the hospital by limited resources. So this study revalued the customer's perception about the qualities of the hospital services by the Kano Model and examined the customer satisfaction coefficients suggested by Timko. The researcher conducted a survey from the patients of the 4 university hospitals in Incheon and southern Gyeonggi Province In 2008. The results of this study can be summarized as follows; It was found that the total 31 items are could be classified into 7 attractive quality elements, 22 one-dimensional quality elements and 2 indifferent quality elements, while the natural quality element wasn't found. The highest score element of the customer's satisfaction coefficients was identified as easy parking(0.69) and the lowest score item was the offer of the hospital newsletter and information about medical care(0.47). When the hospital service was not sufficient to the customer, the highest score element of the customer's dissatisfaction coefficients was proved the convenient ward and facilities(-0.75) and the lowest score item was the buses running to the entrance of the hospital(-0.32). Also it was found that the attractive quality elements appraised by the preceding study were revalued the one-dimensional quality elements. The reason was because the customer's expectation on the services was changed high, as time went by.

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Convergencial Neighborhood Environment Factors related to Walking Days - Centered on Age 20s to 30s Female in Metro Busan (걷기 일 수 관련 융복합적 근린환경 요인 - 부산광역시 20~30대 여성을 중심으로)

  • Kim, Myung-Gwan;Lee, Eun-Ju
    • Journal of the Korea Convergence Society
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    • v.8 no.8
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    • pp.299-305
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    • 2017
  • This study, using the data of the community health survey, chose 2,162 as research objects. To examine convergent neighborhood environmental factors related with walking days of women in their 20s and 30s in Busan city, this study conducted multiple regression analysis. The analysis found out that, the larger the picnic area is, the larger the number of sports facilities is, the larger the number of walking days of those women gets. It was also found out that students walk more often than those who do not work. The older women are, and the larger commercial areas are, the smaller the number of their walking days. Accordingly, it is necessary to design programs suitable to residents in different areas by collecting opinions of residents and testing priorities, necessity, and effectiveness.

Population-related factors affecting the regional distribution of medical institutions in Korea (지역별 요양기관의 분포에 영향을 미치는 인구관련 요인)

  • Lee, Sunkyoung;Cho, Eunseong;Yoon, Seok-Jun
    • Korea Journal of Hospital Management
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    • v.18 no.2
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    • pp.15-32
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    • 2013
  • Few public health researchers have paid research attention to the location of medical institutions in Korea. Previous studies were published in geography journals, and relied on limited data in terms of geographic regions and the type of medical institutions. This study utilized nationwide data covering 8 types of medical institutions. We obtained data from Health Insurance Review and Assessment Service and National Population and Housing Census. The correlation coefficients of resident, daytime, university-graduate population, and the population of different age groups (fewer than 15, 15~64, 65 or more) were compared to understand their relative association with the location of medical institutions. Medical clinic, dental clinic, oriental medical clinic, and pharmacy, all of which are almost completely operated by private sector, showed strong positive correlation with population. Hospital-level medical institutions, which are operated by both public and private sector, had moderate positive correlation. Daytime population and university-graduate population, rather than resident population, were more correlated with the location of medical clinics. The correlation coefficients of the population of 15~64 age group and the location of medical institutions were greater than that of other age groups. The results showed that daytime and university-graduate population are more important than resident population to explain the location of medicalrelated facilities. The results also suggests that the population of age groups (especially, 15~64) might be one of important influence factors in the location of medical institutions.

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Information Searching Behavior of Health Care Consumers by Types of Medical Institutions (의료소비자들의 의료기관 종별 정보탐색 행태에 관한 연구)

  • Lee, Sun-Hee;Cho, Woo-Hyun;Chae, Yoo-Mi
    • Korea Journal of Hospital Management
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    • v.8 no.1
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    • pp.95-111
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    • 2003
  • The purpose of this study was to evaluate the information searching behavior of consumer by type of medical institution. A questionnaire survey was conducted of 1,507 persons who were selected through a multi-stage stratified area cluster sampling in nationwide level, excluding Jeju-Do. Personal survey was conducted through door-to door survey from 27 July to 10 August 1999. The main results of this research was as following; 1. The proportion of information searching of respondents ranged from 91.5-95.2%. Even though the proportion of user in university hospital was slightly high, there was not significant statistically by type of medical institution. In terms of information source, personal informer was most common information source in all type of medical institution. Public informers were more frequently used in university hospital visitors and professional informer in general and university hospital visitors. 2. Comparing to searching intensity, user informer and professional informer's influences were more powerful, but not statistically significant. In analysis of unit influence for information source, written informer or public informer was more powerful in clinic visitor, professional informer and written informer in university hospital visitor. 3. Information which consumer want to know mostly were about on special potential and career of physician. The clinic visitor wanted to know about institutional location and kindness of medical personnel. The university hospital visitor also wanted to know about facilities and convenience of process. Comparing to institution selection criteria of consumers at 1991, quality related criteria were recognized more importantly in outpatient and dental services. But in case of inpatient services, convenience factor was recognized more importantly. In conclusion, the effort for specific marketing plan by type of medical institution should be needed. And more concern on information searching behavior of consumer will be needed.

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A Study on Health Behavior and Utilization of Health Service of Residents in Low-Income Areas (일부 도시 영세 지역 주민의 건강행위와 보건 의료 이용에 관한 연구)

  • Chung, Yeon-Kang;Han, Seung-Eui
    • Research in Community and Public Health Nursing
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    • v.5 no.1
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    • pp.30-52
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    • 1994
  • The purpose of this study is to look into the health behavior and utilization of health service, and the factors which have influence on both of them. In order to research them, it visited home and interviewed selecting randomly 300 subjects who can understand the purpose of this study, want to participate and are possible to interview. Questionnaries survey was administered during the period from April.6 to May.12. 1993. Collected materials analysis were dealt with a method of SPSS PC Program and used percentage. Mean, SD. t-test, $X^2-test$, Pearson's Correlation Coefficient, Multiple Regression and One-way ANOVA for hypothesis verification. The results of this study are as follows. 1. The hypothesis is that there will be a significant difference in performance degree of health behavior by general characteristics(sex, age, educational background, occupation, religion) of subjects. According to the results, it turned out that sex(P=.035), educational background(P=.0432), and occupation(P=.440) appeared to be a significant difference as P<.05. 2. The hypothesis that the more interesting degree on health of subjects have, the better they performance for health behavior was supported (r=.2552, P<.001). 3. The hypothesis that the healthier subjects are, the better they performance for health behavior was supported(r=.5262, P<.001). The highest correlation was seen between the healthier subjects and health behavior. According to the results of multiple regression analysis with interesting degree on health and healthier subjects as dependent variables, it turned out that R2 was 35% and had a significant difference. 4. The hypothesis is that there will be a difference in the utilization of health service by general characteristics(sex, age, educational background, occupation, religion). According to. the results, it showed that educational background (dental clinic), religion(pharmacy) had an influence on the frequency of utilization of facilities (P<.05).

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Socioeconomic Equity in Regional Distribution of Health Care Resources in Korea (지역의 경제수준에 따른 의료자원 분포의 형평성 분석)

  • Jeon, Bo-Young;Choi, Su-Min;Kim, Chang-Yup
    • Health Policy and Management
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    • v.22 no.1
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    • pp.85-108
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    • 2012
  • One of the ways to achieve the principle of equal access for equal needs, availability and geographical accessibility of health care resources regardless of resident sites is important. The purpose of this paper is to measure socioeconomic inequities in distribution of health care resources among regions in the Republic of Korea (hereafter Korea). Data were extracted from regional statistics of National Health Insurance, Community Health Survey, Korea Social Science Data Archive, and Korean Statistical Information Services at the same period of 2009. The dependent variables were the number of health workforce and health care facilities in each region. The proxy indicator of regional socioeconomic status was local tax per person. To identify whether inequalities among regions, we examined the concentration index(CI) and indirectly standardized CI by controlling each region's demographics and need factors. Total observations were 232 districts in nationwide, and we analyzed separately Seoul(25 districts) and non-Seoul areas(207 districts). The standardized CI values of health care resources were positive(favoring the rich region) across the nation in almost all kinds of resources. Especially the number of specialist, dentist, dental clinics, clinics, oriental medical clinics, pharmacists, and pharmacies were statistically significantly favoring the rich region. But the CI for the number of long-term care hospitals, public health centers were negative(favoring the poor region). The tendency of CI presenting positive values were increased in Seoul area. But in the case of non-Seoul, the CI indexes were nearly zero. The results suggest that except the Seoul area, little regional socioeconomic-related inequalities were observed in the distribution of health care resources in Korea.