• Title/Summary/Keyword: Healthcare Program

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Evaluation of the Knowledge, Behavior and Health Beliefs of Individuals over 50 Regarding Colorectal Cancer Screening

  • Tastan, Sevinc;Andsoy, Isil Isik;Iyigun, Emine
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.9
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    • pp.5157-5163
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    • 2013
  • The aim of the study was to evaluate of the knowledge, behavior and health beliefs of individuals over 50 regarding colorectal cancer screening, with a descriptive and cross-sectional design at Karabuk Life and Health Center in Turkey. A total of 160 people meeting set criteria were included in the study. The questionnaire consisted of two parts. The first part was composed of questions on characteristics of participants and the second part of questions derived from the Champion's Health Belief Model Scale. Only 15.0% of participants (n=24) had undergone a fecal occult blood test (FOBT), 11.3% (n=18) had had colonoscopy and 4.4% (n=7) had had sigmoidoscopy. Some 90.6% of the participants had low levels of risk awareness about the colorectal cancer. It was found that the average point of severity subscale of participants over 65 is higher than that of participants under 65 (p<0.05). In conclusion, because of the many barriers and health beliefs for the colorectal cancer screening program, the rate of participation in screening programs is not sufficient. Healthcare providers have important responsibilities for increasing rate of attendance in colorectal cancer screening programs.

A Study of the Nursing Service Quality and Gap Perceived by Consumers (소비자가 지각하는 간호서비스 질과 괴리에 관한 연구)

  • 이미애
    • Journal of Korean Academy of Nursing
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    • v.34 no.2
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    • pp.225-234
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    • 2004
  • Purpose: The purpose of this study was to develop a tool that measures the quality of nursing service, to measure the quality of nursing service perceived by consumers, and to identify the gaps between ideal and actual nursing services. Method: A questionnaire was developed and distributed to 300 people who had been hospitalized in one of six general hospitals with quality of nursing services in five provincial cities in Korea. For data analysis, the SPSS/WIN(ver 10.0) program was used. Result: The 20 attributes included in the instrument of quality of nursing service is abstracted into 2 factors: tangibility and intangibility. In quality analysis, 15 of 20 attributes are minus scores, meaning that those nursing services are perceived as generally low. However among the minus scores' attributes, only two attributes are significant statistically. Gaps between importance and performance of the nursing service exists in 19 among 20 attributes. Conclusion: Nursing service quality (performance-expectation) needs to be improved, and Gaps (importance-performance) reduced. In addition, a tool measuring nursing service quality has to be developed so nurses can deal successfully with the quality and gaps of nursing service perceived by consumers.

Analysis of Health Promoting Schools: Focusing on Small-sized Elementary School in Rural Area (건강증진모델학교 분석: 읍면 지역 소규모 초등학교를 중심으로)

  • Kim, Miju
    • Journal of the Korean Society of School Health
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    • v.28 no.2
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    • pp.67-78
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    • 2015
  • The purpose of the study was to present a model of WHO Health Promoting School easily applicable to small-sized schools in rural areas. Methods: The study analyzed data of 11 small-sized schools in rural areas selected from 85 health promoting schools, an initiative led by the Ministry of Education from 2012 to 2014. Results: Through the analysis, the study found out the operation process of health promoting schools consists of five stages: system development, needs survey & survey on current status, school health policy development, program development & execution, and evaluation. In addition, the study was able to discover three key factors in operating health promoting schools: connection with curriculum, connection with community, and consensus among members. While it turned out the schools were following operation manuals faithfully, the biggest problem with operation was that the stages of needs survey, priority setting, and core task development were not closely coordinated. Conclusion: Although the model suggested in the study fails to reflect the characteristics of small-sized schools in rural areas, it is close to a universal model which could serve as a guideline when regular schools adopt the system of health promoting schools.

Analysis of Dental Care Clinic Visits and Causes of Tooth Injuries by Age and Sex (외상에 의한 치아손상의 연령 및 성별에 따른 의료이용분석)

  • Kim, Young-Hee;Bea, Sang-Sook
    • The Korean Journal of Health Service Management
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    • v.14 no.1
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    • pp.67-78
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    • 2020
  • Objectives: Using data from the 1styear of the 7th National Health and Nutrition Survey, this study administered a questionnaire to patients with oral damage and examined the type of medical care used based on the nature of the injury, further characterized by age group and sex. Methods: Of the 8,150 respondents, this study selected those who participated in the health survey and oral exam survey, excluding surveys with missing values, and set 7,681 people as the research participants. This study used SPSS Windows version 23.0(SPSS Inc. IL, USA) as the statistics program and applied the chi-square test (p) based on a complex sample and logistic regression analysis. Results: In the analysis of the type of tooth damage, there was a significant difference (p<.001) in the number of male patients who were injured due to exercise, violence, and safety accidents compared to females. However, there was no significant difference in their type of medical security and whether or not they visited a dental clinic. The patients with private insurance showed relatively high use for tooth extraction and oral surgery (p<.001). Conclusions: The best way to prevent tooth damage is to prevent the accident. For sports or exercises which may cause tooth damage, protective gear, such as a mouthpiece, should be used to prevent tooth damage.

A New Method for Unconstrained Pulse Arrival Time (PAT) Measurement on a Chair

  • Kim Ko-Keun;Chee Young-Joon;Lim Yong-Gyu;Choi Jin-Wook;Park Kwang-Suk
    • Journal of Biomedical Engineering Research
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    • v.27 no.3
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    • pp.83-88
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    • 2006
  • A new method of measuring pulse arrival time (PAT), which is usually used for the estimation of systolic blood pressure, in an unconstrained manner using a chair, is proposed. The capacitive-coupled ECG (CC-ECG) measurement system and the air cushion with balancing tubes system were used for unconstrained PAT measurement. Firstly, the correlation between the standard PAT (S-PAT) from the photoplethysmography (PPG) and the PAT measured in an unconstrained manner (U-PAT) was evaluated. It was observed that U-PAT, which is the time delay from the R-peak of ECG to the steepest decent point of air cushion pressure wave, is significantly correlated with the S-PAT. Secondly, systolic blood pressure (SBP) measured by the radial tonometer is compared to the U-PAT. The ten-beat averaged U-PAT removed respiration effects and demonstrated a high intra-subject correlation with SBP in all participants. Finally, the tonometry SBP was estimated from these U-PAT values for one participant intermittently during half a day.

Nurses' Perception of Accreditation, Awareness and Performance of Infection Control in an Accredited Healthcare System (간호사의 의료기관인증제 인식, 감염관리 인지도 및 수행도)

  • Hong, Moon-Hee;Park, Ju-Young
    • Journal of Korean Academy of Nursing Administration
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    • v.22 no.2
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    • pp.167-177
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    • 2016
  • Purpose: This study was conducted to provide basic data necessary to develop a program to improve infection control by examining nurses' perception of accreditation and by identifying its relationship with awareness and performance of infection control. Methods: This cross-sectional study was performed using questionnaires. Data were collected from 210 nurses who were working at one hospital between May 14 and May 19, 2015. Data were analyzed using SPAW. Results: The mean score for nurses' perception of accreditation was 3.10 points out of 5 points. Score for awareness of infection control was $4.63{\pm}0.39$ points and for performance of infection control, $4.39{\pm}0.39$ points. There were significant positive correlation among perception of accreditation, awareness of infection control, and performance of infection control. In the regression analysis, performance of infection control was influenced by awareness of infection control which accounted for 42.6% of the variance. It also showed additional improvement of 1.4% of the variance by when perception of accreditation was added. Conclusion: The result of this study show that nurses' perception of accreditation is relatively positive and that performance of infection control is highly enhanced according to nurses' positive recognition of accreditation as well as attaching importance to accreditation.

Impact of Professional Autonomy and Nursing Work Environment on Clinical Decision Making of Clinical Nurses (임상간호사의 전문직 자율성과 간호업무환경이 임상적 의사결정능력에 미치는 영향)

  • Lee, Yongsoon;Gang, Moonhee;Jung, Mi Sook
    • Korean Journal of Occupational Health Nursing
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    • v.22 no.4
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    • pp.285-294
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    • 2013
  • Purpose: This study aimed to explore professional autonomy, nursing work environment, and clinical decision making ability and to determine predictors of clinical decision making ability among clinical nurses. Methods: A cross-sectional design was used in this study and 263 clinical nurses were selected from advanced-level hospitals with over 500 beds located in D metropolitan city. Independent t-test, ANOVA, Pearson's correlation coefficients and hierarchical multiple regression analyses were done with the SPSS/WIN 20.0 program. Results: Clinical nurses reported moderate levels of professional autonomy, nursing work environment and clinical decision making ability. Marital status, professional autonomy and nursing work environment accounted for 25% of variance in clinical decision making ability required in various clinical settings. Importantly, being married, higher level of professional autonomy, and greater satisfaction with work environment were significantly associated with better decision making ability. Conclusion: Findings indicate that improving the quality of decision making in the healthcare settings requires awareness of the multiple effects of individual, occupational and environmental features. Nurses' ability to make effective clinical decisions may rely on personal characteristics, the degree of autonomy in their job, and nurses' satisfaction with their work environment.

Comparison of Health Behaviors, Disease Prevalence between One-person women and Multiple households women in Korea (우리나라 여성 1인가구와 다인가구 여성의 건강행태 및 질병이환율 비교 : 2013년 지역사회 건강조사를 중심으로)

  • Kim, Eun-gyeong;Park, Sook-kyoung
    • Journal of Korean Public Health Nursing
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    • v.30 no.3
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    • pp.483-494
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    • 2016
  • Purpose: This study compared health behaviors and disease prevalence between one-person women and multiple-household women in Korea. Methods: This study used the 2013 data from the Korean Community Health Survey (KCHS). A total of 89,807 women, aged 19-64 years were included in this study. The data was analyzed using descriptive statistics and Chi-square test. Moreover, statistical processing was performed using the SPSS 21.0. Results: Among adult women, one-person households women was 6.2%. One-person household women were older than multiple-households women, and multiple-households women were less likely to exercise regularly. And disease prevalence was higher in one-person household women than in multiple-household women. Conclusion: Residence characteristics should be considered in developing a public health program to reduce or increase modifiable health behaviors and disease prevalence. The findings from this study suggest that policies to improve the support for healthcare of one-person household women is necessary.

Services Innovation : Research Framework and Research Issues (서비스 혁신 연구 : 프레임워크와 연구이슈)

  • Kim, Kwang-Jae;Hong, Yoo-S.;Shin, Dong-Min;Cho, Nam-Wook;Jung, Jae-Yoon;Lee, Yeon-Hee;Park, Ha-Young;Hong, Jung-Wan;Kang, Wan-Mo;Shin, Ha-Yong
    • Journal of Korean Institute of Industrial Engineers
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    • v.35 no.4
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    • pp.226-247
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    • 2009
  • The competitiveness of the service sector is driven by its productivity. Services innovation is essential to enhancing service productivity. This paper first presents a framework for services innovation. The framework consists of three main phases of a service lifecycle (namely, service development, service operation, and service improvement), which are supported by IT infrastructure and service R&D management functions. This paper then identifies major research issues that should be investigated in the near future. The current issues of three representative service industries (namely, healthcare service, telecommunications service, and financial service) are also discussed.

Research on the Construction of Oriental Medicine Treatment Vitalization for Foreign Patients (외국인 환자 대상 한방진료 활성화 구축 연구 - A 한방병원 종사자 대상 포커스그룹인터뷰(FGI)를 중심으로 -)

  • Cho, Hyong-Won;Choi, Byung-Hee;Park, Hyun-Kyung;Kim, Jae-Hie;Yu, Jun-Sang
    • Journal of Society of Preventive Korean Medicine
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    • v.16 no.3
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    • pp.75-87
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    • 2012
  • Objectives : This study was performed to investigate the knowledge on contacting experiences to foreign patients, the equipments and requirements to make the vitalization method for the oriental medical tourism for foreign patients. Methods : We adopted the focusing group interviews on the oriental medical doctors, nurses and personnels who had the experiences to deal with the oriental medical tourism. Results : For 3 parts, translation into each country's language in program, hospital information, treatment information and homepage should be done and consideration into each country's culture is very important part to know medical tourism patients and prepare the adequate products, and lastly the translater or medical coordinator plays a very important role to connect the hospital personnels with medical tourism patients. Conclusions : Translation in to each country's language concerning medical tourism material and understanding on one's country's culture and a medical coordinator are very important constituents for a successful medical tourism.