• 한국산업보건학회지
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• 제32권3호
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• pp.231-241
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• 2022

Objectives: The purpose of this study is to evaluate the input status of exposure-related information in the working environment monitoring database (WEMD) and special health examination database (SHED) for the construction of a national exposure surveillance system. Methods: The industrial and process code input status of WEMD and SHED for 21 carcinogens from 2014 to 2016 was compared. Data from workers who performed both work environment monitoring and special health examinations in 2019 and 2020 were extracted and the actual status of input of industrial and process codes was analyzed. We also investigated the cause of input errors through a focus group interview with 12 data input specialists. Results: As a result of analyzing WMED and SHED for 21 carcinogens, the five-digit industrial code matching rate was low at 53.5% and the process code matching rate was 19% or less. Among the data that simultaneously conducted work environment monitoring and special health examination in 2019 and 2020, the process code matching rate was very low at 18.1% and 5.2%, respectively. The main causes of exposure-related data input errors were the difference between the WEMD and SHED process code input systems from 2020, the number of standard process and job codes being too large, and the inefficiency of the standard code search system. Conclusions: In order to use WEMD and SHED as a national surveillance system, it is necessary to simplify the number of standard code input codes and improve the search system efficiency.

• 한국산학기술학회논문지
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• 제20권12호
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• pp.167-175
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• 2019

최근 건강검진센터는 병원의 보조시설에서 핵심적이고 독립적인 의료시설로 위상이 높아지고 있다. 그러나 검진센터를 비롯한 의료시설들은 공간 및 인간간의 관계가 주체가 되는 가변적 특성으로 인하여 개선이 쉽지 않다. 이에 검진센터의 문제점과 및 개선방법을 발견하기 위하여 보행자 기반 이산사건시뮬레이션 분석프로그램을 개발하고자 하였다. 프로그램은 5가지 평가지표와 수검자 밀도를 분석할 수 있도록 구축하였으며, 시뮬레이션을 통해 소요시간, 수용능력, 검사항목별 대기열 규모를 분석하여 문제점을 도출하였다. 제안된 평가방법을 통해 검사시간이 길어지는 가장 큰 원인은 대기열의 증가와 집중에 의한 장시간 대기자의 발생으로 밝혀졌다. 적정한 서비스 재배분으로 대기열을 분산시켜 검사시간을 크게 단축시킬 수 있었으며 조정안의 검증 결과, 수검인원 18% 증가, 1인당 수검시간 15% 단축, 이동거리 5.5% 단축의 효과를 정량적으로 계산해 낼 수 있었다. 또한 히트맵 분석과 병행한 공간 재배치 계획으로 복도의 교차부에 집중되었던 과밀현상을 해소할 수 있었으며, 이는 통행자와 대기자간의 혼잡을 줄이는 긍정적 효과를 가져올 것이다. 본 연구는 분석프로그램을 구축하기 위한 기초적 성격을 가진 알고리즘 중심의 검토연구이지만, 이러한 복잡계 시뮬레이션 분석방법론은 운영 중인 시스템을 중단시키지 않으면서도 저비용의 최적 대안을 도출하는 도구로서 충분한 활용가치를 가질 수 있을 것으로 기대하고 있다.

• 서비스연구
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• 제9권4호
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• pp.63-80
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• 2019

본 연구는 종합검진센터의 물리적 환경이 의료서비스가치와 의료서비스만족도를 매개변수로 하여 전환장벽에 미치는 영향 연구를 통해 종합건강검진센터의 경쟁력을 제고할 수 있는 전략적 시사점을 제시하는 것이다. 이러한 연구목적을 달성하기 위해 종합검진센터에서 건강검진을 받은 고객을 대상으로 총 324부의 설문조사를 실시하여 분석하였다. 가설검정 및 인과관계를 확인하기 위해 공분산구조분석을 하였다. 연구결과 물리적 환경이 의료서비스가치 및 의료서비스만족도에 유의한 영향을 미치는 것으로 나타났다. 의료서비스가치도 의료서비스만족도에 유의한 영향을 미치는 것으로 나타났다. 의료서비스가치는 전환장벽에 영향을 미치는 것으로 나타났지만 의료서비스만족도는 전환장벽에 영향을 미치지 못했다. 연구의 시사점으로는 물리적 환경이 의료서비스가치 및 의료서비스만족도에 유의한 영향을 미치는 것으로 나타났으므로 종합검진센터의 현대화를 통한 정확한 검진과 오진을 최소화할 수 있는 최신 의료장비를 갖추어야 한다. 또한 의료서비스가치가 전환장벽에 유의한 영향을 미치는 것으로 나타났으므로, 의료서비스가치를 제고할 수 있는 방안을 구축해야 한다. 경쟁 업체보다 차별화된 검진항목과 비용우위를 통해 지속가능한 고객유지 및 신규고객 창출을 도모해야 한다. 종합검진서비스와 함께 의료커뮤니케이션의 강화, 의료복합문화공간과 같은 서비스가치 향상을 위해 노력함과 동시에 우수 인력배치 및 끊임없는 교육을 통해 고객 우선의 종합검진센터 조직문화를 구축해야 한다.

• 한국방사선학회논문지
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• 제17권6호
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• pp.865-872
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• 2023

본 연구에서는 디지털 일반촬영 시스템에서 흉부 전·후방향 검사 시 검사복이 영상에 영향을 미치는지를 확인하고 검사복으로 사용하기에 적절한 원단을 분석하고자 하였다. 서울 소재 3차 의료기관 다섯 곳에서 사용 중인 검사복을 수집하였고 모달, 텐셀, 면, 레이온 원단을 이용하였다. 원단의 선택은 촉감, 흡수성, 신축성, 구김성이 우수한 원단으로 보고된 연구를 참고하였다. 의료기관 다섯 곳 검사복과 네 개의 원단을 1겹에서 8겹까지 겹치도록 배열한 팬텀을 제작한 후 디지털 일반촬영 시스템에서 흉부 전·후방향 조건으로 검사하였다. 검사한 영상은 1차 프로파일 분석, 2차 신호강도 평균값 분석, 3차 현미경 분석하였다. 결과적으로 총 아홉 가지 재료 모두 원단의 겹침이 증가할수록 영상에 미치는 영향이 증가하는 것을 확인하였고 1차, 2차, 3차 분석 모두에서 영상에 미치는 정도가 가장 적은 것은 모달 원단이었다. 결론적으로 디지털 장치의 해상력이 증가할수록 검사복이 영상에 미치는 영향이 증가할 것이며 이에 따라 적정 검사복 재질을 찾는 연구에 지속적인 관심이 필요하다.

• 한국학교ㆍ지역보건교육학회지
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• 제11권1호
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• pp.57-66
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• 2010

Objectives: The purpose of this study was to examine health behavior and disease of children and adolescents. Method: Data was taken from the Korean National Health and Nutrition Examination Survey. The SPSS 12.0 program was used for statistical analysis of data collected. Results: For the past one year, 57% of study group had oral examinations, 43.9% of them were vaccinated against influenza, and 16.9% tried to control body weight. Many children and adolescents (37.7%) had diseases, and 16% were diagnosed chicken pox. Of the subjects who were over 10 years old 35.9% had low high density lipid. The difference of sickness status between children and adolescents was significant ($x^2$=8.376, P=.015). The differences between children and adolescents in subjective health status, oral examination, vaccination of influenza, subjective physical change, body weight change and weight control efforts in the past one year were significant. The differences between children and adolescents in diagnosis of sinusitis, pneumonia and low HDL were statistically significant. Conclusions: The children and adolescents have different characters in health perimeters and these factors should be considered in order to improve the health status of children and adolescents.

• International Journal of Contents
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• 제13권3호
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• pp.49-58
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• 2017

This is a descriptive research study that classified Korean adults with obesity into those with Metabolically Healthy Obesity and those with Metabolically Unhealthy Obesity based on the data from the fifth and sixth South Korea's National Health and Nutrition Examination Surveys, designed due to the development of information and communication technology, to examine the impacts of obese adults' health behavior factors and mental health factors on their metabolic state. With respect to data analysis, the collected data were analyzed by complex sample statistics. The results of this study can be summarized as follows: Men who were smoking at the time of the survey had a 1.29 times higher probability of inclusion in the MUO group than in the MHO group. Women who had a high stress cognition rate had a 1.02 times higher probability of inclusion in the MUO group than in the MHO group. This study is significant as it provides the basic data for establishing strategies of nursing intervention for the promotion of obese adults' health, and it suggests that it is necessary to develop a program for the promotion of obese adults' health based on these results.

• 보건의료산업학회지
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• 제5권4호
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• pp.1-13
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• 2011

The purpose of this study is to analyze the medical care utilization behavior of patients to whom treatment (surgery) is recommended after they are diagnosed with abnormal findings on health screening and factors affecting the selection of the medical institute for treatment. The data was collected from 291 patients who need treatment or surgery, according to the abnormal findings on the additional examination such as cardiac CT, brain MRI, Gastroscopy and Colonoscopy since four diseases are suspected among of 2,752 people who receive health screening. The results are as follows. First, the most common disease of patients who have abnormal findings by the diagnosis through the results of first testing is colon disease based on through the additional examination. The most common disease of patients who will get treatment (surgery) based on final diagnosis by a doctor who determines the result of health screening on the basis of diagnosis from the first testing is cardiovascular disease. Second, in terms of diseases, patients with cardiovascular disease select the medical institute where they get the health screenings as a place for treatment. Patients with cerebrovascular disease select another medical institute for treatment. Finally, the affective factors of selectivity treatment facility on health screening satisfaction were human, facility, health screening and revisit factors.

• 보건교육건강증진학회지
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• 제33권2호
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• pp.47-55
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• 2016

Objectives: We investigated whether the rate of depressive symptom is higher among family members of asthmatic patient compared to people who had no asthmatic family member. Methods: This study used data from the fourth and fifth Korea National Health and Nutrition Examination Survey (2007-2012). In this cross-sectional study, 15,987 men (mean age 46.4) and 20,906 women (mean age 47.4) were included. To compare the rate of depressive symptoms in individuals who had a family member with asthma and those who did not have, we analyzed data using survey logistic regression. Results: Diagnosed depression was reported by 3.0% of the study population, by 4.2% of asthmatic patient's family member, and by 3.0% of individuals who did not have a family member with asthma. Family members of asthmatic patient increased odds of diagnosed depression compared with those who did not had an asthmatic family member (odds ratio = 1.56, p = 0.008). Conclusions: To prevent depression among family members of asthmatic patient, health education for entire family of asthmatic patient need to be considered. Also, government and policy makers should give more attention to caregivers who had a family member with asthma.

• 한국치위생학회지
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• 제15권3호
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• pp.411-416
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• 2015

Objectives: The purpose of this study is to identify oral health status and oral health care needs of elderly patients in long-term care hospital. Methods: Oral health examination was carried out by a dentist and questionnaire was completed by direct individual interview by a dental hygienist for 245 elderly patients in seven long-term care hospitals in Daegu from March 12 to April 16, 2011. Results: Those who need dental care were 188(76.7%) and was done by oral health examination by a dentist. 93 patients(38.0%) wanted dental care and 63 patients(25.3%) need dental care. The most important dental service in the elderly patients was denture and prosthetic service. As demand for denture and prosthetic service exceeds the supply, but only 35.9 percent of the elderly received the dental care service by the estimation of the caregivers. Conclusions: It will be necessary to establish the customized dental care service for the elderly patients in long term care hospitals. The oral health education for the caregivers is very important and the continuing education program must be implemented in the future.

• 보건교육건강증진학회지
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• 제31권5호
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• pp.45-58
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• 2014

Objective: The purpose of this study was to analysis the determinants and trend of suicidal ideation the elderly in Korea. Methods: This study participants were selected the elderly over the age of 55 from the Korea National Health and Nutrition Examination Survey in 2001(n=1,122), 2005(n=2,098), and 2010(n=2,402). Statistical analysis methods used in this study were $x^2$-test, logistic regression analysis and other basic statistics such frequency, percentage using SPSS version 21.0. Results: In 2001, the influencing factors of suicidal ideation was spouses, subjective health status and stress recognition. In 2005, the influencing factors of suicidal ideation were spouses, subjective health status, chronic disease amount, activity limitation, depression experience and stress recognition. In 2010, the influencing factors of suicidal ideation were elderly, education level, subjective health status, activity limitation, depression experience and stress recognition. Conclusions: The health education considering the characteristics of each elderly group should be developed and applied to prevent adults' suicidal ideation because the factors influencing suicidal ideation were revealed differently between the elderly group.