• The Korean Journal of Health Service Management
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• v.10 no.3
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• pp.223-234
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• 2016

Objectives : The purpose of this study was to investigate accident cases involving electronic assistive devices, to determine how these accidents can be avoided and to devise preventative instructions for the handicapped who use these devices. Methods : This study was carried out from July 20 to October 3, 2015. A consent-based survey was conducted via mail and mobile phones targeting 700 electronic assistive device users, of which questionnaires from 290 users were collected and used in the analysis. Results : Accidents involving electronic assistive devices were investigated, especially the causes of the accidents and accident prevention education, as well as the status of the electronic assistive devices. The most common accident types were collision and falling, and it was found that the victims of the accidents usually suffered severe injury to their lower limbs. Most users used electronic assistive devices every day but rarely wore a safety belt because of discomfort. There were more incidents of collision and falling for older aged handicapped users, and the injury rate to the lower limbs was highest in handicapped elderly aged 50 years or older. Conclusions : In order to prevent accidents with electronic assistive devices in the future, a or management organizations must prepare specific safety guidelines and manage these accidents.

• The Korean Journal of Health Service Management
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• v.10 no.3
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• pp.51-61
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• 2016

Objectives : The purpose of this study was to find factors influencing compliance with the national cancer screening program in middle-aged men. Methods : The data were collected from July 28, to October 31, 2015. Total subjects were 615 middle-aged men living in Busan. Results : The Rate of compliance with the NCSP(National Cancer Screening Program) for middle-aged men was 52.2%. There were significant differences in the compliance with the NCSP for the following barrier of exam(${\chi}^2=7.327$, p=.007), self-efficacy(${\chi}^2=23.074$, p<.001), age(${\chi}^2=38.823$, p<.001), marital status(${\chi}^2=19.012$, p<.001), cancer diagnosis in family(${\chi}^2=7.615$, p=.006), smoking(${\chi}^2=9.012$, p=.011), drinking(${\chi}^2=7.073$, p=.008), exercise(${\chi}^2=14.615$, <.001). Factors influencing the rate of compliance for the NCSP in middle-aged men were self-efficacy, age, marital status, exercise, and cancer diagnosis in family. Conclusion: To increase the rate of compliance to the NCSP in middle-aged men it is necessary to elevate the self-efficacy. Additional more positive support needed in men who are younger have no cancer diagnosis in their family are smokers and not m married encourage and improvve paticipation in the examination.

• The Korean Journal of Health Service Management
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• v.10 no.3
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• pp.85-97
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• 2016

Objectives : In this study, the awareness of hospice and the perceptions on the need for visiting palliative care and what constitutes a good death of the citizens of Busan were investigated. The purpose of this study was to develop a hospice system based on the needs of the citizenry of Busan by seeking solutions for current hospice strategies. Methods : One thousand Busan citizens from 20 to 80 years of age were surveyed in this study. Results : Busan citizens defined a good death as spending less than one month of time in the actual process of dying at home between the ages of 80-89 years. They knew about hospice a little and were aware of its necessity. They also knew about the necessity of visiting palliative care and were interested in receiving it when appropriate but did not know much about it. Conclusions : First, there is a large difference between Busan citizens' expectations on what constitutes a good death and what a good death really is. Second, Hospice palliative care should be provided to the community. Third, the older the patient is, the more palliative care visits are necessary. Fourth, 40s and 50s must make preparations for hospice palliative care in their future.

• The Korean Journal of Health Service Management
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• v.7 no.2
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• pp.179-190
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• 2013

This study evaluated the interest of parents of elementary school children on the examination with their memory of results, their consistency and their compliance with results sheets to improve effects of School dental health management project. This study recruited 1,334 second-, third-, fifth- and sixth-grade students at two elementary schools located in Daegu metropolitan city performing School Dental Examination Project in 2008 and investigated whether the students visited dental hospitals following results of the examination, how the parents remembered the results and how their memory was same with real results based on results of the examination, the parents' memory of results. The parents of second- and third-grade students showed good memory of malocclusion and number of Caries and higher consistency for dental caries. The parents of fifth- and sixth-grade students showed good memory of dental caries. Visiting rates of dental hospitals accordance with grade were 75.7% due to dental caries in second- and third-grade students and 60.5% due to malocclusion in fifth- and sixth-grade students. Among students with abnormal results of the examination, 77.1% of the children with dental caries of parents having same memory with real results visited the hospitals while 52.7% of those of parents having different memory with them did.

• The Korean Journal of Health Service Management
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• v.7 no.2
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• pp.81-91
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• 2013

This study was conducted on industrial workers to develop an integrated health promotion program on chronic disease and oral health, and to provide basic data for an effective management plan by conducting comparison analysis of periodontal health status based on the findings of hypertension and diabetes disease, and by understanding of influencing factors on periodontal health status. And the study was conducted on 4,600 workers in certain areas from March 22, 2010 to June 18, 2010. The results of the study indicates significant difference by having high plaque and gingivitis ratio in the people who had the findings of hypertension and having high plaque ratio in the people who had the findings of diabetes disease. Regarding the influences on periodontal health status, gender, age, whether the subject visited a dental hospital, whether the subject had scaling treatment, smoking, and hypertension had influenced gingivitis. And gender, age, whether the subject visited a dental hospital, whether the subject had scaling treatment, smoking, and hypertension had influenced plaque. And the aforementioned 2 groups had statistically significant difference, and the conclusion is established that metabolic syndrome which is measured during the health exam of workers is an important disease potentially threatening the health of workers and also highly related to oral health.

• The Korean Journal of Health Service Management
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• v.7 no.2
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• pp.23-35
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• 2013

A study of the factors influencing the quality of life and social support of people suffering with mental disabilities, who use mental health centers. The purpose of the study includes the general characteristics of subjects, characteristics of the mental health center, the mean score of social support and quality of life of people living with mental disabilities. The 132 questionnaires were administered by meeting directly with subjects and personal visits. 112 Questionnaires were returned(85% response rate). Data was collected from mentally disabled patients in Chungnam Mental Health Center. difference in quality of life by using t-test, one way ANOVA table, the relationship between social support, quality of life by pearson correlation coefficients, and relevant factors affecting quality of life by multiple regression with the SPSS 19.0 program. This study revealed that the group that participated regularly in the day time rehabilitation program showed better social support and positive attitude to a better quality of life than the other group that participated irregularly. This result is directly proportional to the participation frequency to the program during the recent 3-month duration. Another correlation with religion was found in the study due to the fact that a buddhist group showed positive significance in quality of life than non-religious groups. The results show positive correlation between the improvement of the quality of life of patients living with mental disabilities and the social support they receive.

• The Korean Journal of Health Service Management
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• v.7 no.2
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• pp.11-21
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• 2013

The purpose of this study was to examine the relationship between school life stress, self-esteem and health promoting behaviors(HPB) of specialized high school students. Data were collected by questionnaires from 337 specialized high school students. Data were analyzed using descriptive statistics, Pearson's correlation coefficient, and multiple regression analysis. The results are as follows. The mean scores of male in HPB and self-esteem, were higher than that of female, however the mean score of female in school life stress was higher than that of male. The gender(p<.001), grade(p<.05), and health status(p<.001) affected the HPB significantly. The school life stress showed a significantly negative correlation with HPB, but the self-esteem showed a significantly positive correlation with HPB. Result of multiple regression analysis showed that the two factors, that were school life stress and self-esteem, affected the HPB significantly(p<.001) and made a 48% prediction. In conclusion, this study suggests that school life stress and self-esteem are significant influencing factors on HPB among specialized high school students. The effective HPB program and systematic health education are needed to increase the HPB of specialized high school student.

• The Korean Journal of Health Service Management
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• v.6 no.1
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• pp.195-203
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• 2012

The purpose of this study was to identify clinical practice (clinical training education) and satisfaction depend on university hospital availability according to a survey with 850 healthcare-affiliated students. The collected data were analyzed with the SPSS17.0 program. The result was shown statistically significant difference depends on gender, major departments and satisfaction of college life. In addition, there were significant differences in satisfaction of clinical training education in the environmental aspects of practice depending on whether affiliated hospital or not. There were no significant correlation found between degree of satisfaction of clinical training education and the need for affiliated hospital (r = .204, p <.01). As a result, Attached to the university hospital can be helpful to healthcare-affiliated students on environmental and educational aspects of clinical training education. Therefore, the effective and practical training programs using university-affiliated hospitals are surely needed to develop and to apply the active support.

• The Korean Journal of Health Service Management
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• v.6 no.1
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• pp.185-193
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• 2012

This study is to observe the effect of oral health of elderly on overall health status and social activity to provide basic data for oral health improvement program for the elderly and development of related policies. The survey was conducted from July 25th to July 29th, 2011, and used 145 copies for this research analysis. As a result of correlation analysis, it is observed that all of 4 sub factors of Geriatric Oral Health Assessment Index have significant static correlation with overall health status of elderly and social activity also has significant static correlation with oral health. As a result of regression analysis, the functional limitation out of sub factors showed significant positive effect on health status and psychological effect has significant positive effect on social activity. Based on the above result, it is observed that, at the time of rapidly entering to an aging society, the life quality related to oral health of elderly which is part of overall health and overall health status and social activity areas that are recognized by the elderly have significant correlation. And, it is important to understand the factors of oral health affecting health status and social activity. Based on the result of this study, more researches on the development of oral health program and development of assessment tool that can be easily employed should be made.

• The Korean Journal of Health Service Management
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• v.5 no.4
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• pp.177-192
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• 2011

The arguments exist that private health insurance(PHI) policy holders tend to use the health care services more than non-policy holders due to their little out-of-pocket spending, resulting in the adverse effects on the finances of National Health Insurance. This study aims to increase the objective understanding of the issue and to draw a direction of further research, by reviewing the articles, reports and statistics which examined the effects of purchasing PHI policies on health care utilization. Significant differences in healthcare utilization, except for the very partial increase of utilization in outpatient settings, have been not found. The similar trends of the results have existed in a few previous studies which tried to control the endogeneity of medical use and health insurance with latent variables which affect the decision on medical use and health insurance. However, we can not exclude the potential change of healthcare utilization patterns because the portion of the insured of indemnity PHI is becoming rapidly larger in the market. For further research, we should try to obtain the objective information of subjects' past medical history, health status, health related behavior, and income affecting purchase of PHI and utilization of healthcare services. And the efforts of controlling the endogeneity of medical use and health insurance with latent variables which affect the decision on medical use and health insurance, are very considerable.