• Title/Summary/Keyword: Preventive consulting

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Structural Relationships among Health Concern, Health Practice and Health Status of the Disabled (장애인의 건강관심도, 건강실천행위 그리고 건강수준간의 구조분석)

  • Chun, Byung-Yeol;Kam, Sin;Yeh, Min-Hae;Kang, Yun-Sik;Kim, Keon-Yeop;Son, Jae-Hee;Lee, Young-Suk;Park, Ki-Soo
    • Journal of Preventive Medicine and Public Health
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    • v.32 no.3
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    • pp.276-288
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    • 1999
  • Objectives: This study was performed to determine the relationships among health concern, health practice and health status of the disabled. Methods: A self-administered questionnaire survey was carried out for 1,662 disabled persons in Taegu city from April to July, 1997. Results: Health concern had a significant and positive relationship with health practice(p<0.05) and health practice also had a significant and positive relationship with self-rated health status(p<0.05) in men and women. To determine the structural model of the Health concern, health practice, health status and sociodemographic variables, the covariance structural analysis was used. In men, age, economic status, medical security type, educational level and type of disability had significant direct effects on Health concern(T>2.0). Educational level and type of disability had significant direct effects on health practice(T>2.0). And Economic status, medical security type and job status had significant direct effects on health status(T>2.0). In women, economic status and educational level had significant direct effects on Health concern(T>2.0). However there was no variable which had a significant direct effect on health practice. Job status had a significant direct effect or health status(T>2.0). In men and women, health practice was significantly increased with increasing health concern and the more health practice, the higher health status(T>2.0). Conclusions: It is recommended that the institutional approach which improve the economic status of the disabled with understanding their behavior and attitude should be established to increase health status, in addition, the health policy for encouraging the disabled, such as health education, consulting and health promotion program, should be done.

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A Case Study on The Improvement of Dental Clinic Preventive Service Using User-Centered Service Design (사용자 중심 서비스디자인을 활용한 치과예방서비스 개선 사례연구)

  • Shin, Kwangsub;Choi, Hyunchul;Kwon, Sang Ji;Yoon, Chiho
    • Korea Journal of Hospital Management
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    • v.26 no.3
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    • pp.28-42
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    • 2021
  • Purposes: The objective of this study is to analyze service design process of dental clinic preventive service by using 'Double Diamond Design Process' which is user-centered for improving dental clinic management efficiency. Methodology: We examine case study that dental clinic preventive service of local dental clinic. Following the double diamond design four steps(①discover, ②define, ③develop, ④deliver), we use suitable analytic tools in each steps. In discover step, we perform observation and desk research. Next, in define step, affinity diagram, user persona, and user journey map are performed. We then make service blueprint in develop step. Finally, in deliver step, virtual scenario and confirm some outputs which are based on results of former steps are suggested. Findings: As a result of this study, waiting and consulting phases turn out that these phases are in the most trouble than others. Users(patients) have lots of complain and dissatisfaction in these phases. These touch-points will have to be modified Practical Implication: After checking this study result, it could suggest improvement schemes. To apply these, we try to make some scenarios, and finally realize some outputs. Service design has arisen to strengthen the competitiveness by reflecting user's experience and needs. Especially, service design is not typical, it is so flexible that can apply to various situation and objects. We hope that result of this study is made good use for dental clinics in need.

Application and Evaluation of a Web-based Education Program on Blood-borne Infection Control for Nurses (간호사를 위한 웹기반 혈액매개 감염관리 프로그램의 적용 및 평가)

  • Choi, Jeong-Sil;Kim, Keum-Soon
    • Journal of Korean Academy of Nursing
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    • v.39 no.2
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    • pp.298-309
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    • 2009
  • Purpose: To develop a web-based program on blood-borne infection control and to examine the effect of the newly developed program on perceived threat of diseases, knowledge, preventive health behaviors for blood-borne infections, and incidence rates of accidental needle sticks and other sharp object injuries in nurses. Methods: The program was developed through the processes of analysis, design, development, implementation, and evaluation. The research design involved a nonequivalent control group for pretest and posttest experiments. The setting was a 745-bed general hospital located in Korea. Results: The program was designed and developed after consulting previous studies. After development of the program was completed, it was evaluated and revised by a panel of experts. The total score for perceived threat of diseases, knowledge, preventive health behaviors in the experimental group was significantly higher compared to the control group (p<.05). The incidence rates for needle sticks and other sharp object injuries in the experimental group were significantly lower compared to the control group (p<.05). Conclusion: Application of a Web-based, blood-borne infection control program is effective, and can be expanded to other healthcare workers who also have a high risk of blood-borne infections.

Coordinators' Roles and Activation Plans for East-West Collaborative Medical Practices (한.양방협진 코디네이터의 현황 및 발전방안)

  • Jeong, Ihn-Sook;Shin, Byung-Cheul;Lee, Won-Chul
    • Journal of Society of Preventive Korean Medicine
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    • v.14 no.1
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    • pp.13-24
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    • 2010
  • Objectives : This study aimed to investigate the current job-related characteristics coordinators in East-West Collaborative Medical Practices(EWCMP) and to develop activation plans for them. Method : The participants were 51 personnel who were supporting EWCMP in the 28 institutions. Data were collected with self-administered questionnaires and analyzed with descriptive statistics. Results : The major role of the participants was educating and consulting patients(74.5%) and followed by supporting collaborating physician(70.6%). They assumed to be helpful to make the patients easy to use EWCMP(98%) and to give patients full information what they asked(96%). However, participants responded lack of adequate educational programs and role ambiguity as chief complaints(91.7%). They showed relatively high level of job importance(78.7points on 100points) and job satisfaction(72.8points on 100points). Coordinators were expected to have bachelor and more than 8 years clinical career, and communication skill. Conclusions : Coordinators have played key roles in giving information for the patients and coordinating EWCMP. However their roles and job description was not clear, and educational programs was insufficient as required. Therefore, it is needed to clarify their roles and job description and establish professional educational programs for supporting coordinators.

Effects of Dietary Approaches to Stop Hypertension Program on Blood Pressure among the Pre-hypertension Group in the Community (지역사회 주민의 고혈압 예방 식이프로그램의 효과 평가)

  • Jo, Heui-Sug;Shim, Jeong-Ha;Jeong, Heon-Jae;Hwang, Moon-Sun;Lee, Hye-Jean;Kim, Myung-Hee
    • Journal of agricultural medicine and community health
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    • v.31 no.3
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    • pp.237-244
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    • 2006
  • Objectives: DASH (dietary approaches to stop hypertension) diet are recommended as first-line therapy for prevention of hypertension individuals with high normal blood pressure. We studied the effects of DASH program on blood pressure among the pre-hypertension group. Methods: To determine the impact of dietary patterns on the control of hypertension we studied the subgroup of 141 participants with systolic blood pressure of 120 to 139 mm Hg or diastolic BP of 80 to 89mmHg, body mass index(BMI) ${\geq}25kg/m^3$ or waist to hip ratio(WHR) ${\geq}0.95$(for man). 0.85(for woman) enrolled in DASH program. Participants were received of education and consulting about DASH every week for 8 weeks. Results: The level of diet to prevention of hypertension and compliance of DASH increased after education. Also, The DASH program significantly reduced systolic BP (from $136.03{\pm}12.40mmHg$ to $126.09{\pm}11.25mmHg$, p< .01) and diastolic BP (from $81.80{\pm}6.32mmHg$ to $76.44{\pm}10.61mmHg$, p< .01). Conclusion: The DASH program effectively lowers BP and may be useful in achieving prevention of hypertension.

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Exploration of an Area with High Concentrations of Particulate Matter and Biomonitoring Survey of Volatile Organic Compounds among the Residents (부산 내 미세먼지 고농도 지역 탐색 및 체내 휘발성유기화합물 바이오모니터링 조사)

  • Hyunji Ju;Seungho Lee;Jae-Hee Min;Yong-Sik Hwang;Young-Seoub Hong
    • Journal of Environmental Health Sciences
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    • v.49 no.6
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    • pp.344-352
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    • 2023
  • Background: With its developed port and related industries, the concentration of fine dust is high in Busan compared to other cities in South Korea. Many studies have reported the health effects of fine dust, but there has been a lack of information regarding concentrations of volatile organic compounds among those who exposed to high levels of fine dust. Objectives: This study aimed to define an area with high concentrations of particulate matter and perform biomonitoring surveys among the residents of the area. Methods: Air quality data was collected and the mean level of each district in Busan was derived. We then defined the area with the highest concentrations of PM10 as a target site. Urine samples were collected from the 400 participants and analyzed for VOCs metabolites - trans,trans-Muconic Acid (t,t-MA) and N-AcetylS-(benzyl)-L-cysteine (BMA). Interviews were conducted by trained investigators to examine demographic information. The levels of t,t-MA and BMA were compared with representative South Korean population data (Korean National Environmental Health Survey). The association of the VOC metabolites and fine dust were analyzed by general linear regression analysis. Results: The mean of PM10 in the target site was 42.50 ㎍/m3 from 2018 to 2020. Among the 400 participants in the target site, 74.8% were female and the average age of the participants was 66 years. The geometric mean of t,t-MA was 71.15 ㎍/g creatinine and the BMA was 7.00 ㎍/g creatinine among the residents. The levels were higher than the geometric mean from the 4th KoNEHS. The levels of t,t-MA showed significance in BMI, smoking status, and household income. BMA showed significance in gender and age. Conclusions: Compared to the general population of South Korea, the target site's residents had higher biomonitoring levels. Based on this study, continuous screening for high risk areas, including the target site, and biomonitoring of the residents are required.

Modeling Human Exposure Levels to Airborne Volatile Organic Compounds by the Hebei Spirit Oil Spill

  • Kim, Jong-Ho;Kwak, Byoung-Kyu;Ha, Min-A;Cheong, Hae-Kwan;Yi, Jong-Heop
    • Environmental Analysis Health and Toxicology
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    • v.27
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    • pp.8.1-8.10
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    • 2012
  • Objectives: The goal was to model and quantify the atmospheric concentrations of volatile organic compounds (VOCs) as the result of the Hebei Spirit oil spill, and to predict whether the exposure levels were abnormally high or not. Methods: We developed a model for calculating the airborne concentration of VOCs that are produced in an oil spill accident. The model was applied to a practical situation, namely the Hebei Spirit oil spill. The accuracy of the model was verified by comparing the results with previous observation data. The concentrations were compared with the currently used air quality standards. Results: Evaporation was found to be 10- to 1,000-fold higher than the emissions produced from a surrounding industrial complex. The modeled concentrations for benzene failed to meet current labor environmental standards, and the concentration of benzene, toluene, orthometa- para-xylene were higher than the values specified by air quality standards and guideline values on the ocean. The concentrations of total VOCs were much higher than indoor environmental criteria for the entire Taean area for a few days. Conclusions: The extent of airborne exposure was clearly not the same as that for normal conditions.

Development of Sport Socialization Model through the Collaboration of Local Community and College (지역사회와 대학의 연계를 통한 스포츠사회화 모형 개발)

  • Yeom, Doo-Seoung
    • Journal of Wellness
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    • v.7 no.4
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    • pp.43-52
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    • 2012
  • The purpose of this study was to examine the necessity of collaboration between local community and college, and to develop a sport socialization model through the collaboration of local community and college. It's basically meant to create a leisure culture easily accessible to local residents and to suggest some of the right directions for the symbiotic development of local communities and colleges. As for data collection, a data research analysis was implemented by consulting relevant literature and reports, and a content analysis was additionally carried out. The findings of the study were as follows: A sport socialization model was presented to represent the mutual relationship between local community and college by preparing sport socialization programs(a youth sport program and a dementia-preventive exercise program) that were respectively of circulatory relationship type and of reciprocal type. Sport intervention through the collaboration of local community and college(a youth sport program and a dementia-preventive exercise program) serves to accelerate socialization into sport, which leads, in turn, to socialization via sport and then is followed by desocialization from sport.

Current Status and Reform Tasks in Life Cycle Management of Korean Health Technology for the Fourth Industrial Revolution Era (4차 산업혁명 시대의 대한민국 의료기술 전주기 관리현황 및 단계별 개혁과제)

  • Kim, Arim;Kim, Eun-Jung;Yoon, Seok-Jun
    • Health Policy and Management
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    • v.30 no.3
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    • pp.270-276
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    • 2020
  • Entering the fourth industrial revolution era, health technology is rapidly developing and the people's needs for medical services are gradually increasing. Establishing a life cycle management of health technology has emerged as a new policy agenda to cope with these changes. However, the management of health technology have been conducted without continuity and with several problems pointed out. Therefore, we suggest the reform agendas by stages to establish system for a life cycle management of health technology in the fourth industrial revolution era as follows. In the stage of development, it is important not only to provide research funding, but also consulting by professional about whole cycle of health technologies. In the phase of market entry, there are needs for enhance the system that would expand the early adoption for innovative technology and increase its effectiveness. After the spread of health technology to clinical settings, a reassessment and post management system should be established that have an institutional framework with strong price adjustment and exit mechanism. Furthermore, we hope that discussions will be brisk in macro perspective on the balancing of development in healthcare industry, health of people and national health insurance finance.

A Study on Effectiveness of Healthcare Campaign According to Types of Media - Focused on Printed Media and Video (매체 유형에 따른 헬스케어 커뮤니케이션 캠페인 효과 분석 - 인쇄물과 영상 미디어 중심으로 -)

  • Bae, Soonhan;Lee, Jisoo;Choi, Jaeyoung
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.16 no.4
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    • pp.123-132
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    • 2020
  • With increasing social interest in health and health promotion, the government and many organizations are conducting various health campaigns for the public. The public health campaign is aimed at protecting the people from the dangers of disease and contributing to a healthy life and also help establishing a healthy attitude and changing behavior as well. In addition, many researches have been carried out in order to enhance the advertising effect of campaigns aimed at forming preventive attitudes and to verify it by applying many theories. However, as a result, there is a significant lack of research regarding analysis of differences in the effectiveness of the campaign by media. This study is to analyze the effect of health campaign by the type of media which published health campaign advertisements that can affect prevention attitude. To meet the purpose of this study, The 15 print media were to examine the impact of media characteristics and types on participation in campaigns for health campaigns. Through this, we will present the role of the media as an efficient channel to encourage the formation and participation of the health attitude of campaign advertisements, and present significant implications in the selection of optimal media and the execution of campaign budgets.