• 제목/요약/키워드: Health Management Service

검색결과 3,232건 처리시간 0.032초

보건기관 이용 현황 및 만족도와 관련 요인 -'2010지역사회건강조사' 자료를 이용하여- (Related Factors on Health Service Utilization and Satisfaction of Health Center Clients -Using '2010 Community Health Survey'-)

  • 김혜숙;박영희
    • 보건의료산업학회지
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    • 제7권3호
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    • pp.95-109
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    • 2013
  • The objective of this study is to assess the utilization and satisfactions about public health centers in Korea. For the analysis, the study utilize the nationwide data of 229,229 person on '2010 Community Health Survey' of Ministry of Health & Welfare. The statistical methodology used in the study is ${\chi}^2$, ANOVA, logistic regression model and multiple regression model. This study have four major findings. First, the significant affecting socio-demographic factors in utilizing public health center were gender, age, region, national basic living secured, married, income, education, job, state of health, chronic disease, unmet medical needs and utilization reason. Second, the most serviced category of health center user was vaccination both city and rural area and the next was certificate, primary care, health screening, other use, the mother and child in city area, primary care, health screening, certificate, home visiting health in rural area. Third, the significant affecting socio-demographic factors in satisfaction degree on health center service were age, region, national basic living secured, income, education, job, state of health, utilization degree and reason. Fourth, the most satisfied service of health service center was home visiting health in city area and mental health service in rural area and the next was nutritive control and the lowest satisfied service was user of certificate. The utilization and satisfaction on health center service were identified as different with residental area and user's characteristics. The politic effort are needed to support socially disadvantaged class and to narrow regional gap.

우리나라 방문건강관리사업의 과거, 현재와 미래 (Past, Present, and Future of Home Visiting Healthcare Services based on Public Health Centers in Korea)

  • 이건아;양숙자;우은효
    • 한국보건간호학회지
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    • 제32권1호
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    • pp.5-18
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    • 2018
  • Purpose: We present improvements to the Korean home visiting healthcare service based on analysis of Korean home visiting healthcare services considering recent sociodemographic changes and demands for healthcare services. Methods: This is a review study in which the results are derived through a literature review and data analysis. We collected data through a search of electronic databases, Google Scholar, and governmental websites. Results: Changes in Korean home visiting healthcare services are classified into four stages: 'introduction (1990-2000)', 'pilot project (2003-2006)', 'nationwide expansion (2007-2012)', 'various types (2013-2018)'. Korean home visiting healthcare service based on public health centers has achieved outcomes such as improved health behavior and health management, increased health management ability, and establishment of comprehensive healthcare infrastructure. Conclusion: In the future, the demand for home visiting healthcare service will increase steadily because of deepening social polarization, rapid aging of the population, and increases in chronic diseases. To improve health management and health equity, we suggest that Korean home visiting healthcare service will expand to all the people as a core public health service. It is necessary to establish a management team for various types of home visiting healthcare service in the public health center.

인천지역 중소규모 사업장들의 보건관리대행제도에 대한 인식 및 태도 (Perception and Attitude toward Group Health Management and Service System for Small and Medium Industries in Inchon)

  • 박종연;노재훈;김규상;이경종;문영한
    • Journal of Preventive Medicine and Public Health
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    • 제26권1호
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    • pp.86-95
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    • 1993
  • To investigate perception and attitude toward Group Health Management and Service System for Small and Medium Industries, a survey using self-administered questionnaire was conducted to a part of industries in Inchon, at October 1992. Major dependent variables were perception, attitude, and practice related with Group Health Management and Service System; these variables were measured by 3-point Likert like scale consisted of 7, 5, and 5 items, respectively. Data were collected in 149 industries,72.7% out of 205. Perception nab slightly high, 1.25; attitude was some positive, 1.46; and practice was some passive,0.94. Major determinants of perception, attitude, and practice were sex and age of industry's health manager; perception influenced upon attitude, and perception and attitude had positive effect upon practice. To activate Group Health Management and Service System, it is necessary to develop education and promotion programs for industry's health managers of small and medium industries.

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′아동건강관리 프로그램′ 모형개발을 위한 연구 - 북제주군 모자보건선도보건사업을 중심으로 - (A Study for the Model Development of ′Child Health Management Program′)

  • 강희경
    • Child Health Nursing Research
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    • 제6권1호
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    • pp.103-111
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    • 2000
  • The aim of the study is to analyze and evaluate the Child Health Management Service that was promoted as a part of Mother-Child Health Guidance Project by the Public Health Center of BukCheju-gun in 1999, to reflect the problems needed to be improved, and, thus, to present the integral program model for the Child Health Management Service that guides childhood health, regarded as the foundation of that of the adulthood period, to the optimum level. The common results of the evaluation of the Child Health Management Service of BukCheju-gun public health center are as below: 1. In the aspect of public information, the existing simple material and method of public information was not effective. 2. The opportunities for the necessary training and education to develop the persons concerned and their ability for the Child Health Management were not enough.3. The environment under which the service, aimed to promote Child's health, was carried out was not clearly divided from that of the services related with the prevention and treatment of disease. And the service environment for the child health was threatening to the clients.4. Still, the actual result was pursued more than the quality management, while carrying out the project. With the reflection of the above result, the research has presented the program model of Child Health Management Program for the next. The main concept of the model is, through the establishment of the network for information offerings and effective convergence of a variety of opinions for the community around the Public Health Center and for the correct evaluation of the project and the reflection of the result from it, to achieve the ultimate goal of the optimal growth and development of the childhood by expanding the support necessary for carrying out Child Health Management Program more effectively.

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보건의료산업학회지의 연구동향 분석(2007~2018) (Analysis of Research Trends in the Korean Journal of Health Service Management (2007-2018))

  • 배성권;조경원;류지혜;김성민;이규희
    • 보건의료산업학회지
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    • 제13권4호
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    • pp.1-8
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    • 2019
  • Objectives: This study is prepared to understand the past of the KJHSM (Korean Journal of Health Service Management), to analyze the papers in the KJHSM, to identify the research trends during 2007~2018, and to help the future development of research. Methods: The data for the objectives was collected major KCI index and key words of the articles in KCI web site. Results: The KJHSM has good performaces that KCI IF(2 year) is 0.98, Centrality Index(3 Year) is 1.188, Immediacy index is 0.19, and Self Citation Rate(2 Year) is 25.81. Conclusions: In order to improve the academic quantity and quality in the KSHSM, we will need the vision to corporate and participate through more good research results and performance with desirable ethic value.

대전지역 대학병원의 서비스 품질이 전반적인 병원 서비스 만족에 미치는 영향 (The Effect of Service Qualities with University Hospitals in Daejeon on their Overall Service Satisfaction)

  • 서정교;장서경
    • 보건의료산업학회지
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    • 제7권4호
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    • pp.93-103
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    • 2013
  • The study investigated the major factors in regards to the effects of service qualities with university hospitals in Daejeon on their overall service satisfaction. In regards to service qualities, the hypothesis was verified through multiple regression analysis in terms of professionalism, kindness, credibility, and facilities/environment. As a result, all professionalism(0.462), kindness(0.142), credibility(0.258) and facilities/environment(0.184) showed positive effects on their overall service satisfaction level. In particular, professionalism showed the greatest effect by 0.462. As patients' and caretakers' desire to service quality becomes diversified, the analysis result is considered to help the future medical service management at university hospitals by analyzing the major factors which affect the service quality and by finding the methods to increase the service satisfaction.

유헬스 플랫폼 기반의 상황정보를 활용한 건강관리 서비스 모델 (U-Health Platform based Health Management Service Model using Context Information)

  • 김재권;김종훈;박동균;이영호
    • 디지털융복합연구
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    • 제10권8호
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    • pp.185-192
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    • 2012
  • 전 세계적으로 인구 고령화와 만성질환의 증가로 건강관리에 대한 관심이 높아지고 ICT기술의 발달로 인하여 유헬스 서비스가 증가하고 있다. 기존의 유헬스 서비스는 상담을 통한 서비스나 건강정보의 모니터링만을 제공하여 심혈관질환등의 만성질환자를 예방하거나 관리하는 것에는 한계가 있다. 본 논문에서는 유헬스 플랫폼 기반의 상황정보를 활용한 건강관리 서비스 모델를 제안한다. 제안하는 서비스 모델은 유헬스 플랫폼 환경에서 임상정보 및 날씨 등의 상황 정보를 활용하여 건강 모니터링 및 운동, 식이 서비스를 제공한다. 제공하는 서비스는 외부콘텐츠 제공자의 DB를 사용하는 전문적인 서비스이다. 또한, 의사는 모니터링 서비스를 이용하여 질환자에게 권고정보를 제공할 수 있다. 제안하는 서비스 모델은 서비스 대상자에게 유헬스 플랫폼 환경에서 상황정보를 활용한 효과적인 서비스를 제공하여 만성질환자의 건강증진에 기여할 것으로 기대된다.

Effectiveness of Community-based Case Management for Patients with Hypertension

  • Yun, Soon-Nyoung;Lee, In-Sook;Kim, Jin Hyun;Ko, Young
    • 지역사회간호학회지
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    • 제25권3호
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    • pp.159-169
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    • 2014
  • Purpose: The purpose of this study was to evaluate the effectiveness of case management for patients with hypertension on their health status and medical service utilization. Methods: This study was a secondary analysis of data collected for a larger study of chronic disease management in 2008 using the National Health Insurance Corporation database. A total of 12,944 patients who received case management for hypertension were included in this analysis. The subjects of case management were classified into subgroups, namely, over-use, under-use, and non-use groups according to the amount of medical service utilization. To compare the medical service utilization, a control group was selected randomly. The data were analyzed through descriptive statistics, McNemar test, and ANOVA. Results: All the subgroups displayed significant differences in blood pressure, self-management, social support, and their characteristics of medical service utilization. The total medical expense of the under-use and non-use groups increased after case management. However, there was no decrease in the medical expense of the over-use group. Conclusion: This finding suggests that there is a need to re-examine why patients overuse medical services and to supplement specific strategies for encouraging appropriate medical service utilization, and enhancing case management efforts for the over-use group.

공공의료서비스 제공의 공평성이 주관적 건강행복에 미치는 영향: 공공의료서비스 질의 매개효과 (Effects of Public Health Service Impartiality on Subjective Health Happiness: Mediated Effect of Public Health Service Quality)

  • 문승민
    • 보건행정학회지
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    • 제29권3호
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    • pp.323-331
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    • 2019
  • Background: The purpose of this study is to analyze the effect of impartiality in providing public health services on subjective health happiness and the mediated effects of public health service quality. Based on this, this study intends to present policy implications to improve public health services. Methods: The research method is multiple linear regression analysis. The analysis of the mediating effects is performed by Baron & Kenny's test, Sobel-Goodman's test, and Bootstrap. Results: The impartiality of public health services and the quality of public health services are shown to have a statistically significant effect on subjective health happiness. Quality of public health service appears to be mediating the relationship between impartiality in providing public health care and subjective health happiness. Conclusion: To promote people's subjective health happiness, it is necessary to secure impartiality in providing public health services in the first place and improve the quality of public health services.

학교보건 증진을 위한 데이터베이스의 개발 및 관리 (Development and Management of Database for School Health Improvement)

  • 정혜명
    • 한국보건간호학회지
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    • 제18권1호
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    • pp.154-166
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    • 2004
  • The purpose of this study was to design and implementation of database for school health activity. This database system was designed stand-alone application for college school health center without a hospital affiliation and the database system was made of relational database management system, Microsoft access 2000 to be made GUI (Graphic user interface) type design and made up 7 tables: patients. symptoms. departments, income and outgo. medical cures. and medicine. The construction of this database system was patient management. code management. medicine management. and statistics management. The results of the database system were as follows; 1) This database system could be used for college school health center. 2) This database system could be made correct statistic data. 3) This database system could be managed income and outgo. 4) This database system could be changed for the better activity of community health service. 5) This database system could be simply attired administrative system. This database system will be used for students and employees to protect and promote health to measure for health level and quality of health service. In conclusion. this database system can be applied for unit health center to manage the college school health activity and advanced data management can be applied for health profession to do quality improvement. cost containment. management information system. and decision support system.

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