• The Korean Journal of Health Service Management
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• v.5 no.3
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• pp.13-23
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• 2011

This paper investigated the operating environment for the representative of each agency and the facility workers on the basis of analytical result of recognition changes of the operating environment changes under the operating the long-term care insurance. It was described plans to take positive effect on the operating as follows. The first, on the result of regression analysis, the service administrative range takes the biggest effect on the general recognition of executing the long-term care insurance off and on. The affirmative recognition of the service administrative range had the general recognition on the system be positive effect. But the operator of facility asserts that the care manager's professionalism related quality of service be strengthened. The second, on the result of regression analysis, in the financial accounting administrative it is revealed the more positive recognition it is, the more positive effects it has. From the difference verification of an operation size from operation subject, the small operation size and personal facility recognize the long term care insurance positively. On the other side the facilities where the operation size is big recognize the system negatively. The long-term care facility should rearrange a support program newly and the government needs to promote the donation activity, because it is needed to reduce the financial burden of facilities.

• The Korean Journal of Health Service Management
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• v.6 no.2
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• pp.111-119
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• 2012

The purpose of the study were to investigate the effect of the neuro-feedback program which improves brain function and stress reduction effect. The research design is one group pretest-posttest survey. 121 nursing students of a college in the Busan region took part in the study. Training involving the neuro-feedback program was conducted twice a week, 30 minutes per session, for a total of 10 weeks. The collected data was encoded and analyzed using SPSS 12.0 Version. The brain function and stress levels of the subjects were analyzed through the before-and-after results of the training were analyzed using a paired t-test. The results of the study showed that the BQ and SQ were enhanced as a result of the neuro-feedback. In particular, there were significant increases in the SRQ, ATQ, ACQ, and EQ of the BQ. SQ is correlated with the prevalence rate and resistance to disease, meaning not only psychological anxiety, uneasiness and excitement, but also physical anxiety and response to disease. Based on the study, by using the neuro-feedback training as a program for stress reduction, it is expected that nursing students will receive less stress from internal and external factors, and their ability to cope with stress will be enhanced.

• The Korean Journal of Health Service Management
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• v.5 no.3
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• pp.145-155
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• 2011

This study is Dental Hygiene Department of G University for comprehensive dental hygiene control and treatment weekly for four weeks from September 16 to October 20, 2010, excluding those who visited for ambulatory treatment of systemic diseases. For the 90 subjects, we performed oral examination, measured Simplified Oral Hygiene Index (S-OHI), Modified Patient Hygiene Performance (PHP-M), and O' Leary Index, and applied comprehensive dental hygiene control. First, as to the change of OHI according to age, the index in the 1st measurement was 3.43 in those under 35 and 3.17 in those aged 35 or older, so it was higher in the younger group, but in the 2nd measurement it was 1.89 in those under 35 and 2.14 in those aged 35 or older, and in the 3rd measurement it was 1.22 in those aged 35 or older, so it was higher in the older group. Second, as to the change of PHP-M according to age, the index in the 1st measurement was 50.35 in those under 35 and 43.16 in those aged 35 or older, soit was higher in the younger group, but in the 2nd measurement it was 31.97 in those under 35 and 28.88 in those aged 35 or older, and in the 3rd measurement it was 21.31 in those aged 35 or older, so it was higher in the older group.

• The Korean Journal of Health Service Management
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• v.6 no.2
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• pp.81-89
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• 2012

This research, which was conducted for student at department of dental hygiene, intended to measure the level of self-efficacy and consciousness on the use of radiation, knowledge and attitude on radiation safety management and got the following conclusions. This study was performed from May 8 to July 7, 2011 for 326 students who study at Department of Dental Hygiene of a three-year course in Busan areas. The result of as follows; 1. As a result of comparing the average of a sense of self-efficacy according to the characteristics of those surveyed, a statistically significant difference(p<0.01)(p<0.001) was found according to grade point average, subjective health condition. 2. As a result of comparing the average level of consciousness about radiation use according to the characteristics of those surveyed, a statistically meaningful difference(p<0.05)(p<0.01) was found according to grade, grade point average. 3. As a result of conducting a correlation analysis among self-efficacy, consciousness on the use of radiation, knowledge and attitude on RSM, the correlation of self-efficacy and consciousness, knowledge, and attitude was r=0.108, 0.203, 0.231 respectively, all of which was a plus correlation(p<0.01). we believe that a variety of programs should be offered to be capable of enhancing knowledge and attitude on RSM, self-efficacy.

• The Korean Journal of Health Service Management
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• v.6 no.2
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• pp.35-44
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• 2012

This study was carried out to identify how a middle-aged woman's consciousness of the death and self-esteem was affected by whether the hospice volunteer's experience exist or not. As a form of descriptive research, this study, which is based on a structured questionnaire intended for the 191 middle aged women doing volunteer work at the non-profit women's organization, had been conducted twice from May 10, 2010, to May 21, 2010. The results of my research work is followed ; First, a middle-aged woman's consciousness of the death and self-esteem showed significant differences depending on whether the hospice volunteer's experience exist or not. Experienced hospice volunteer group showed a lower consciousness of the death and a higher self-esteem compared to non-experienced hospice volunteer group's case. Second, in case that the results show a high self-esteem, the consciousness of death reach at the low stage. Especially, the experienced hospice volunteer group showed an opposite correlation compared to non-experienced group. Third, Anyone's consciousness of death appeared at a low level when she had a religion and higher education background. Anyone's self-esteem oriented sense appeared at low level when she didn't have religion but rather appeared at high level when the health status of the targeted group was in a good shape. As a result, the hospice volunteer activities can be assumed to increase the middle-aged woman's self-esteem, therefore, turn the consciousness of death into a positive attitude.

• The Korean Journal of Health Service Management
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• v.6 no.2
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• pp.25-34
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• 2012

The purpose of this research is to evaluate the degree of transactions of the electronic commerce in the hospitals. We created well-organized questionnaire to achieve this goal. we did telephone interviews with the hospitals, and then we reached out to the hospitals by e-mail and postal mail. We interviewed 311 hospitals, and 104 hospitals participated in this study. We conducted cross tabulations. The results are following : Among the subjects, male was 77.9%(81) and female was 22.1%(23). 51.0% of the hospitals used electronic commerce in their work purpose. The proportion of the hospitals that started their electronic commerce before 2000 years was 30.2% and after 2000 years was 69.8%. In the major electronic commerce service providers, 30.4% of the hospitals had their contract with auction, 18.4% of the hospitals had their contract with public procurement services. which is running by Korean government, and 11.8% were with EZmedicom and 10.8% were working with Carecamp. Through electronic commerce, the most high usage was office supplies 41.0% and the send area was medical supplies 11.2%. The results of this study suggest that electronic commerce in health care field is a very new area compared to other industries. There may be lots of barriers in the aspects of a way of working and norms of health care field. Electronic commerce system and contracts with their electronic commerce service providing partners.

• The Korean Journal of Health Service Management
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• v.6 no.2
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• pp.219-234
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• 2012

Mental health service facilities implement an effort to meet the increased mental health demands. However, no specific 'mental health expert education program' have been offered yet. This study aimed to develop of the expert education programs which are general programs(GP), and specific programs(SP) for the management of mental health prevention in 3 kinds of facilities, psychosocial rehabilitation centers, homeless facilities, and domestic violence counselling facilities. Data were gathered from the service providers by structured questionnaire, and experts related with mental health by delphi study. We surveyed the management status and present expert programs. Consequently, domains of the education programs were extracted. As results, we identified the type of provider's job & demands for education. Thus, we gained the informations for developing the expert education programs in mental health facilities. GP were composed by 3 domains and 9 programs, and SP were composed by 3 programs each facilities. This study should be helpful in expanding the government educational operations related with mental health prevention areas. Eventually, community mental health will be promoted and socio-economic burdens by mental health problems will be lessened. In addition, it will be a basic evidence for developing specialized programs in a mental health prevention system foundation.

• The Korean Journal of Health Service Management
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• v.5 no.3
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• pp.25-39
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• 2011

본 연구는 병원 근로자들의 직무스트레스와 소진의 관계에 미치는 펀 리더십과 근로자 놀이성의 조절효과를 규명함으로써 향후 병원조직의 효과적인 인적자원관리에 필요한 기초자료를 제공하고자 하였다. 연구자료는 부산지역 2개 병원에 근무하는 근로자(의사 제외)를 대상으로 구조화된 자기기입식 설문지를 통하여 수집하였으며 총 230부의 설문지를 배부하여 이 중 207부의 설문을 회수하였다. 설문 문항에는 응답자의 일반적 특성, 직무스트레스 특성, 펀 리더십, 근로자 놀이성, 소진 등을 측정하는 항목들이 포함되었다. 자료 분석을 위해 SPSS WIN 18.0을 이용하여 빈도분석, 신뢰도분석, 상관관계분석과 조절회귀분석 등을 수행하였다. 주요 결과를 요약하면 다음과 같다. 첫째, 직무스트레스와 소진의 관계에서 펀 리더십은 직접 효과는 물론 조절효과도 유의하게 나타나지 않았다. 둘째, 직무스트레스와 소진의 관계에서 근로자 놀이성은 소진에 직접적인 효과를 주는 변수임과 동시에, 낮은 유의수준(p=0.053)에서지만 직무스트레스와의 상호작용을 통해 소진을 감소시키는 조절효과가 있는 것으로 나타났다. 본 연구는 병원 근로자의 업무 수행과 관련해 비교적 관심을 받지 못했던 펀 리더십이나 근로자 놀이성 등과 같은 성격적 특성이 소진을 감소시키는 유효한 조절변수가 될 수 있음을 검증해 보았다는 점에 그 의의가 있으며, 다만 후속 연구를 통해 추가적인 검증이 필요할 것으로 판단된다.

• The Korean Journal of Health Service Management
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• v.6 no.2
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• pp.211-217
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• 2012

To identify health behavior of Peptic ulcer patients among all employees in Korea and examine relevant factors to present basic data for improving Korean adult employees' health conditions and quality of living, 3,515 employees aged 20 to 69 were sampled from the group that responded to the question concerning the presence of Peptic ulcer in the fourth Korea National Health and Nutrition Examination Survey for the third year (2009). After logistic regression analysis was carried out to see the effects of working conditions, harmful factors, shift work, stress perception, and experience of depression on the presence of Peptic ulcer, it was found that unsafe or unpleasant working conditions led to higher risk of getting Peptic ulcer, that flexible workers were more likely to get Peptic ulcer, and that depression or stress perception exerted almost no effect on Peptic ulcer. With the increase in the number of flexible workers, increasingly more interest is taken in the effects of shift work on health; occupational Peptic ulcer tends to become chronic as compared with the condition in the general population and reappear even after recovery in many cases; therefore, it is necessary to take special management measures by estimating the number of those at a risk of getting Peptic ulcer and by finding out its risk factors.

• The Korean Journal of Health Service Management
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• v.8 no.1
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• pp.151-164
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• 2014

This study was conducted to investigate the effect of timing of surgery on outcomes of spine operated patients for lumbar herniated intervertebral disc. The research design was cohort study and based on the data of claims for the medical expenses of health insurance. 21,475 cases who had primary spine surgery between January 1, and December 31, 2003, observed to conservative treatment period in the past two years from preoperative primary diagnosis to timing of primary surgery. According to one and five year follow up monitoring, the probability of occurrence of reoperation was not statistically significant with preoperative duration of symptom. Also one year follow up, the probability of occurrence of complication, was not statistically significant with preoperative duration of symptom. But five year follow up, groups who had one to two month preoperative duration of symptom decreased complication rate than less than a month(95%CI:0.594-0.927). Thus, from the onset of symptoms of back pain before primary surgery with enough and adequate time observation is required. Also, medical consumers or providers to choose surgery in determining prudence is required.