• 가정∙방문간호학회지
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• 제23권1호
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• pp.5-15
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• 2016

Purpose: This study was conducted to evaluate health service delivery and attitudes, toward multi-cultural clients amongst community health practitioners (CHPs). Methods: A survey was conducted among 242 CHPs from December 10-22, 2015. The collected data were analyzed using chi-square test, t-test, and ANOVA using SPSS 18.0. Results: General awareness of multi-culturalism varied significantly by CHPs age and language ability. Additionally, utilization of services in accordance with the location of community health centers (CHCs) was significantly higher in rural areas than urban areas CHCs in post-partum maternal & neonate care giver service (in maternal child health), management of health educational programs and management of physical exercise (in implementing healthy life style) and networking resources in & outside of CHCs (in management of chronic disease). Conclusion: CHPs deliver health-care services to multi-cultural clients, but have not received sufficient training or education to serve these clients effectively. CHPs who received multi-cultural and foreign language training had more positive experiences with multi-cultural clients. This supports the needs for developing educational programs to enhance multi-cultural understanding amongst CHPs.

• 보건행정학회지
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• 제6권1호
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• pp.29-58
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• 1996

This study was conducted to identify the factors that affect the output of health conters. An analystical model employed in this study was developed by modifying 'input-output model' and 'organizational behavior model'. Data were collected form two source; the 1995 report of thealth center which was submitted to the Ministry of Health and Welfare and a mail survey questionary of officers at health center, including 66 directors and 1,768 staffs of the health centers in southern region. The major findings are as follows: That analysis has identified the factors associated with dependent variables: medical services provided by the health center and health program performance(HPP). The number of primary medical facilities was negatively associated with health center performance while the number of staffs, job satisfaction, and professional background of health center directors were positively associated. These independent variables accounted for 40.1% of the variance of dependent variables. The variance of HPP was significantly explained by the number of health subcenter and primary health post, priority level of public health program by hief executive officers(CEOs) and legislator. A significant relationship was found between leadership types of health center directors and the performance of maternal and child health program. Considering these results, the authors suggested that the role in medical care service of health center in the should be rearranged at local level because medical care service of the health center is competing with primary medical facilities in the same region. It is also suggested that educational efforts be made to improve leadership of the health center directors and concern with public health program by the CEOs and legislators of local governments.

• 보건행정학회지
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• 제8권2호
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• pp.125-148
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• 1998

Accurate vital statistics are essential for a national health planning and evaluation. Among various vital statistics, birth and death rates, and infant and matemal mortality rates together with the causes of death are the very basic ones for above purposes as well as for the maternal and child health management. These statistics are based on the birth and death reports. It is required by law to report every birth and death within one month after its occurrence. However, in case of a neonatal death occurring prior to the birth report, most of the birth and death are not reported. Thus accurate infant and maternal mortality rates are not available yet in Korea. The main objective of this study is to develop a birth and infant death reporting system via computer network. We designed a new birth report form based on the current form and data from the analysis of medical record forms of 14 hospitals. A new form is basically addition of essential medical information to the current birth report form. Since a revision of the rules and regulations related wtih the birth report is necessary to use a new form, we kept the current from intact to make it acceptable to the government office for a field trial. We also developed computer programs for data input for birth and death reports at a medical faciltiy, data processing for production of maternal and child health indices at a health center, and management of maternal and child health services including immunization and postantal care at health center. The birth certificate and birth report can be printed out at a medical facility. The computer packages were programmed by Borland Delphi 3.0 and can be run under Windows 95 system. We proposed a new birth and death reporting system via computer network after a field trial for data input, transmission, and processing. The medical and demographic data o birth and death at medical facilities will be sent to health centers directly via computer network. The health center will retain the medical data for analysis and forward only the data for birth and death reports required by current regulations to the Dong, Up, or Myun Office. Once the birth or death is reported via computer network to the Dong Office, then the Dong Office will notify the baby's mother of the birth report and request to submit the baby's name by mail. When the baby's name its submitted. the Dong Office will forward the birth reports to the Common Court and Statistics Agency in the same way as the current system, Upon the completion of birth registration of the Common Court, the court will issue the birth certificate to mother which will be used in lieu of the family record. The advantages of proposed birth and death reporting system via computer network ar as follows ; I) The accuracy, timing, and completeness of reporting will be improved and more accurate maternal and child health indices can be obtained, ii) The maternal and child health services of health center will be obtained, iii) Epidemiologic data for pregnancy and birth can be obtained, iv) Manpower for birth and death reporting will be saved.

• 보건교육건강증진학회지
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• 제8권2호
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• pp.24-33
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• 1991

This study was conducted to assess to the knowledge and educational needs of pregnant women relating to antepartum, delivery, postpartum periods, and to identify the variables which influenced their knowledge and educational needs. The study subjects were 282 postpartum women who had delivered fullterm normal babies without any complications. Data were collected from women those who were not more than two days after delivery at general hospitals, 3 maternal child health care centers and 4 midwife's offices in Pusan using questionnaire method from Feb. 1. 1991 to Mar. 20. 1991. The results of this study are as follows 1. Relating to the antepartum period, the knowledge about the time when the sex of fetus was fixed was low, and relating to delivery, the knowledge about the method reducing labor pain was low. 2. Relating to the antepartum period, the educational needs about child rearing was high, and relating to delivery, the educational needs about newborn baby were high. Relating to the postpartum period, the educational needs about emergency care of new born baby were high. 3. There were statistically significant differences in total educational needs by educational level(P<.01), duration of marriage (P<.01), and number of pregnancy(P<.05). 4. There were positive correlation between the total knowledge and educational level and negative correlations between the total knowledge and duration of marriage and age.

• 대한간호학회지
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• 제7권2호
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• pp.43-59
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• 1977

The Community Health Service considers the family as a service unit and places the emphasis of its service on the health problems and the nursing needs of the family rather than the individual. From the conceptual point of view that tile community health service is both health maintenance and health promotion of the family, the community health nurse should have a knowledge of the growth and development of the family and be responsible for the comprehensive support of normal family development. The community health nurse often is in a position to make a real contribution to normal family development. In order to investigate the relationship between the areas of nursing need and family development, the following objectives were established 1. To discover the general characteristics of the study population by the stage of family development. 2. To discover specific nursing needs in relation to the family developmental stage, and to determine the intensity of the nursing needs and the ability of the family to cope with these needs. 3. To discover overall family health nursing problems in relation to the family developmental stage and determine the intensity of the nursing need and the problem solving ability of family. Definitions : The family developmental stages as classified by Dually were used stage 1. Married couples(without children) stage 2. Childbearing Families (oldest child birth to 30 months of age) stage 3. Families with preschool children (oldest child 2½-to 6 years) stage 4. Families with schoolchildren (oldest child 6 to 13 years). stage 5. Families with teenagers (oldest child 13 to 20 years) stage 6. Families as launching centers (first child gone to last child′s leaving home). stage 7. Middle- aged parents (empty nest to retirement) stage 8. Aging family member (retirement to death of both spouses) The areas of nursing need were defined as those used in the study, "A Comprehensive Study about Health and Nursing Need and a Social Diagram of the Community", by tile Nursing research Institute and Center for population. and Family Planning, July 1974. The study population defiled and selected were 260 nuclear families ill two myron of Kang Hwa Island. Percent, mean value and F- test were utilized in tile statistical analysis of the study result. Findings : 1. General characteristics of the study population by tile family developmental stage ; 1)The study population was distributed by the family developmental stage as follows : stage 1 : 3 families stage 2 : 13 families stage 3 : 24 families stage 4 : 41 families stage 5 : 50 families stage 6 : 106 families stage 7 : 13 families stage 8 : 10 families 2) Most families had 4 or 5 members except for those in stage, 1, 7, and 8. 3) The parents′ present age was older in the higher developmental stage and their age at marriage was also younger in the higher developmental stages. 4) The educational level of parents was primarily less than elementary school irrespective of the developmental stage. 5) More than half of parents′ occupations were listed as laborers irrespective of the developmental stage, 6) More than half of the parents were atheists irrespective of the developmental stage. 7) The higher the developmental stage(from stage 2 to stage 6 ), the wider the distribution of children′s ages. 8) More than half of the families were of middle or lower socio-economic level. 2. Problems in specific areas of nursing need by family developmental stage, the intensity of nursing need and the problem solving ability of the family : 1) As a whole, many problems, irrespective of the developmental stage, occurred in tile areas of Housing and Sanitation, Eating Patterns, Housekeeping, Preventive Measures and Dental care. Problems occurring ill particular stages included the following ; stage 1 : Prevention of Accident stage 2 : Preventive Vaccination, Family Planning. stage 3 : Preventive Vaccination, Maternal Health, Family Planning, Health of Infant and Preschooler. stage 4, 5 : Preventive Vaccination, Family Planning, Health of School Children. stage 6 : Preventive Vaccination, Health of School Children. 2) The intensity of the nursing need in the area of Acute and Chronic Diseases was generally of moderate degree or above irrespective of the developmental stages except for stage 1. Other areas of need listed as moderate or above were found in the following stages: stage 1 : Maternal Health stage 3 . Horsing and Sanitation, Prevention of Accident. stage 4 . Housing and Sanitation. stage 5 : Housing and Sanitation, Diagnostic and Medical Care. stage 6 : Diagnostic and Medical care stage 7 : Diagnostic and Medical Care, Housekeeping. stage 8 : Housing and Sanitation, Prevention of Accident, Diagnostic and Medical Care, Dental Care, Eating Patterns, Housekeeping. 3) Areas of need with moderate problem solving ability or less were as follows : stage 1 : Diagnostic and Medical Care, Maternal Health. stage 2 : Prevention of Accident, Acute and Chronic Disease, Dental Care. stage 3 : Housing and Sanitation, Acute and Chronic Disease, Diagnostic and Medical Care, Preventive Measure, Dental Care, Maternal Health, Health of Infant and preschooler, Eating Patterns. stage 4 : Housing and Sanitation, Prevention of Accident, Diagnostic and Medical Care, Preventive Measure, Dental Care, Maternal Health, Health of New Born, Health of Infant and Preschooler, Health of school Children, Eating Patterns, Housekeeping. stage 5 . Housing and Sanitation, Prevention of Accident, Acute and Chronic Disease, Diagnostic and Medical Care, Preventive Measure, Dental Care, Preventive Vaccination, Maternal Health, Eating Patterns. stage 7, 8 : Housing and Sanitation, Prevention of Accident, Acute and Chronic Disease, Diagnostic and Medical Care, Preventive Measures, Dental Care, Preventive Vaccination, Eating Patterns , Housekeeping. Problem occurrence, the degree of nursing need and the degree of problem solving ability 1 nursing need areas for the family as a whole were as follows : 1) The higher the stages(except stage 1 ), the lower the rate of problem occurrence. 2) The higher the stage becomes, the lower the intensity of the nursing need becomes. 3) The higher the stages (except stages 7 and 8), the higher. the problem solving ability. Conclusions ; 1) When the nursing care plan for the family is drawn up, depending upon the stage of family development, higher priority should be give to nursing need areas ① at which problems were shown to occur ② where the nursing need is shown to be above moderate degree and ③ where the problem solving ability was shown to be of moderate degree. 2) The priority of the nursing service should be Placed ① not on those families in the high developmental stage but on those families in the low developmental stage ② and on those areas of need shown in stages 7 and 8 where the degree nursing need was high and the ability to cope low.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제21권2호
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• pp.55-65
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• 2015

Purpose: Korea is increasing in the demand for medical services due to rapid economic growth and population aging in modern society. Thus, the importance has been emphasized for the health promotion in the community and the publicity and substantiality of public health centers. However, the environment is insufficient, compared to required functions and developed services as a urban public health center. The purpose of this study is to analysis the plane type and area composition of public health centers in Busan and to identify the property of their spatial configuration Methods: Eight public health centers in Busan, were classified, which had been selected as a medical tourism city. Subsequently, space requirements were analyzed, facilities were typed, vertical, horizontal spaces were reviewed, and area ratios by business function were calculated. Results: A review of the property of spatial configuration and an analysis of the area ratio revealed the three findings. 1)The horizontal analysis found various types: a single type, a multi-type, a radial type, and a circular type, 2)The vertical analysis showed that since a care function (general practice), and a task function (maternal and child health) were concentrated in lower level spaces, the lobby and core were closed located for providing quick medical services. 3)The analysis of the area ratio in public health centers in terms of their function indicated that each public health center' programs had the greatest influence on the area. Implications: This study attempted to present spatial structural problems and improvements for city public health center by identifying their state and classify their functions and types and by calculating the ratio of their area configuration according to the spatial composition. It was thus aimed to presenting implications in establish public functions and roles by activating business through in connection with the number of municipalities in many ways, such as regional health. medical welfare, etc. to improve the health of local residents, and by providing differentiated programs in accordance with local characteristics.

• 대한간호학회지
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• 제18권2호
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• pp.153-161
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• 1988

The purpose of this study was to analyze the level of the services provision of community health practitioners (CHP) and to find out the influence factors on the services provision of CHP. In this study the dependent variables were the level of community health services(CHS), maternal and child health services(MCH), family planning services(FPS), primary care services(PCS) and the ratios of preventive health services(PHS). And independent variables were predisposing, community demographic and task factors. For this analysis, atepwise regression was used. Data collected for the study on reorganization of health centers organization in 1985 was partly used. The findings of this study can be summarized as follows : First, total variance of independent variables for CHS, MCH, FPS, PCS and PHS are shown 62.5 percent, 58.3 percent, 41.8 percent, 17 percent and 61.9 percent respectively. Second, the most important variables which explain CHS, MCH, FPS, PCS and PHS was ratios of household contacted ($R^2$＝0.289), marital status ($R^2$＝0.177), marital status($R^2$＝0.167), ratios of household contacted($R^2$＝0.119) and management of preventive health services($R^2$＝=0.203) respectively. The independent varivbles used in this analysis presented that the explnining for the provision of preventive health service are more influenced than primary care services. In summary this analysis suggests that the level of preventive health services provision of CHP is low and the provision of primary care services compared with preventive health services are occurred independentely. In the future, the strategies for active preventive services by CHP must to be strengthened.

• Journal of Preventive Medicine and Public Health
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• 제37권1호
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• pp.88-98
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• 2004

Objectives : The 3rd community health plan let health centers select and promote core projects considering budget and manpower. This study analyzed the content and selection processes of core projects, using the nationwide 3rd community health plans, to give relevant information on health center policies. Methods : Classification criteria for content analysis of core projects were established and verified through a literature review and by specialist discussions. Fifty plans were selected by stratified proportional random sampling for regional characteristics. And coding criteria standardized through coding repetition and discussion, by 2 persons (k>0.7). Using stratified proportional random sampling for 16 cities and provinces, regional characteristics, 117 plans were selected, and the contents of the core project selection processes and program contents analyzed. Results : The survey was used by 59.8 % of samples as a core project decision-making method. The partici- pants included 98.6, 81.4, 40 and 38.6% of the health staffs, residents, medical institutions, and administrators, respectively. Discussion was used by 15.4% of samples. The participants were health staffs by 100% as a great. The ranking of the frequencies of the selected core projects were, in order; chronic disease control, health promotion, elderly health, maternal-child health, and oral health at 16.4, 14.8, 14.3, 12.7 and 11.9%, respectively. Analyses on the chronic disease control and elderly health contents showed the diversity of object disease, high rates of visitors on patient detection programs, high rates of unclear target populations, and the provision of medical exams and treatments as the main services, with high variations in business per-formance. The national health budgets for health centers in 2003 were about 910 and 240 million won for chronic disease control and elderly health, respectively, which were less than for the other five priority core projects. Conclusions : The chronic disease control and elderly health at the health centers were not standardized for object disease, patient detection program, target population, service provision, and national support budget was insufficient. Thus it is necessary to develop standard guidelines, and increase financial support, for chronic disease control and elderly health

• Journal of Nutrition and Health
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• 제55권1호
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• pp.141-154
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• 2022

본 연구는 어머니의 종합적 식사지도와 유아의 식생활 실천과의 관련성을 알아보기 위해 실시되었다. 서울과 경기 지역의 어린이집과 유치원에 재학 중인 만 3세부터 만 5세의 유아의 어머니 227명을 대상으로 CFPQ를 이용하여 어머니의 식사지도 내용을 조사하였으며, 유아의 영양지수 (NQ-P)를 측정하여 식생활 실천 정도를 평가하였다. 유아의 영양지수 중 균형 요인은 어머니의 종합적 식사지도의 모델링, 체중조절을 위한 섭취제한, 균형 및 다양성 권장, 음식강요 및 식사준비 참여와 양의 상관관계를 나타내었다. 유아의 영양지수의 절제 요인은 어머니의 종합적 식사지도의 모니터링, 모델링, 영양정보 전달, 균형 및 다양성 권장, 건강한 식생활 환경, 식사준비 참여와 양의 상관관계를, 정서조절, 음식보상, 아동통제와는 음의 상관관계를 나타내었다. 유아의 영양지수 환경 요인은 어머니의 종합적 식사지도 중 모니터링, 모델링, 영양정보 제공, 균형 및 다양성 권장, 건강한 식생활 환경, 식사준비 참여와 양의 상관관계를 보였으며, 정서조절과는 음의 상관관계가 나타났다. 유아의 식생활 실천정도를 나타내는 지표인 영양지수 각 요인에 대한 어머니의 종합적 식사지도의 영향을 평가하기 위해 다중회귀분석을 실시한 결과, 영양지수 중 균형 요인을 양의 방향으로 유의하게 예측가능한 식사지도 항목은 체중조절을 위한 음식섭취제한, 음식강요, 식사준비 참여였다. 어머니의 식사지도 항목 중 영양지수 절제 요인에 대한 양적 연관성이 있는 요인은 균형 및 다양성 권장, 건강한 식생활 환경이었으며, 음적으로 연관성이 있는 요인은 음식보상, 아동통제였다. 또한 영양지수 환경 요인과 양적 연관성이 있는 어머니의 식사지도 항목은 모니터링, 건강한 식생활 환경이었다. 따라서 어머니는 자녀에게 모니터링, 모델링, 영양정보 전달, 균형 및 다양성 권장, 건강한 식생활 환경, 식사준비 참여와 같은 식사 지도를 실천하고, 정서조절, 음식으로 보상, 아동통제, 음식강요 와 같은 부정적인 식사지도 방법을 지양해야 할 것이다.

• Journal of Yeungnam Medical Science
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• 제12권2호
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• pp.347-365
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• 1995

도시 보건소 직원의 보건소 업무에 대한 인식 및 태도를 파악하기 위하여 대구직할시 7개 보건소 직원 310명을 대상으로 1994년 8월 15일부터 9월 30일까지 설문조사를 실시하여 252명(회수율 81.3%)의 자료를 분석하여 다음과 같은 결과를 얻었다. 조사대상은 남자가 95명(37.3%), 여자가 157명(62.3%)이고, 60.3%가 대졸이상자였다. 현재 근무부서의 시설이 보건사업을 수행하는데 적합하다고 한 의견이 28.6%, 적합하지 않다가 51.1%였고, 보유 기자재가 사업수행에 적합하다가 19.4%, 적합하지 않다가 39.0%였으며, 보건소의 인력수가 적정하다가 28.6%, 적합하지 않다가 44.8%였다. 근무부서의 예산이 보건사업 수행에 적합하다고 한 의견이 13.1%, 적합하지 않다가 38.5%였다. 지방자치제 실시후 사업내용이 바뀌어야 한다고 한 의견이 51.9%, 지방자치제의 실시가 자신의 근무부서의 업무에 도움이 된다고 한 의견이 25.4%, 도움되지 않는다가 24.6%였다. 지방자치제 실시에 따라 보건소의 조직과 기능이 개선되어야 한다는 의견은 78.6%였다. 사업 목표량의 설정이 해당 부서나 지역의 실정에 비추어 맞게 책정되어 있다는 의견이 11.1%, '그렇지 않다'가 43.3%였다. 업무 수행을 위한 전문적인 지식이나 기술에 대한 교육을 더 받아야 한다고 한 의견이 57.5%, 더 받을 필요없다가 20.6%였고, 자신의 업무수행에 자율성이 있다고 생각하는 견해가 35.7%, 자율성이 없다가 25.8%였으며, 현재 하고 일에 만족한다가 39.3%, 만족하지 못한다가 16.3%였다. 보건소의 인사관리에 대해서는 11.5% 합리적이라고 하였고, 47.3%가 불합리적 이라고 하였으며, 보건소가 주민들로부터 신뢰를 받고 있다는 의견이 41.3%, '그렇지 않다'는 의견이 13.1%였다. 보건소에서 지역주민에게 제공하는 서비스 중에서 잘 시행되고 있는 사업은 결핵관리, 일반진료, 모자보건사업의 순이었으며, 부족한 사업은 보건교육, 치과진료, 위생, 통합보건사업의 순이었다. 향후 보건소에서 주민에게 제공해야 할 서비스로는 노인보건사업, 가정의료사업, 재활보건사업, 당뇨병관리, 고혈압관리, 학교보건사업, 정신보건사업의 순으로 지적하였다. 보건소 근무자들은 시설, 기자재, 인력, 예산, 인사관리, 사업목표량의 설정 및 평가, 인사관리 등에 대해서는 부정적인 의견이 많았으며, 업무수행을 위한 보수교육, 지방자치제 실시를 통한 업무의 변화, 업무의 자율성, 업무의 만족도 면에서는 대체로 긍정적인 의견을 가진 것으로 나타났다.