• 제목/요약/키워드: Primary survey

검색결과 1,675건 처리시간 0.026초

일부 농촌지역의 일차의료이용실태와 그 관련요인에 관한 연구 (A Study on Status of Utilization and The Related Factors of Primary Medical Care in a Rural Area)

  • 위자형
    • 농촌의학ㆍ지역보건
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    • 제20권2호
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    • pp.157-168
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    • 1995
  • This study was carried out, through analyzing the annual reports(year of 1973-1993) on health status of Su Dong-Myun, and specific survey data of 332 households(Su Dong-Myun 209, Byul Nae-Myun 123), located in Nam Yang Ju-Si, Kyung Gi-Do, from July 20 to July 31, 1995, to find out more effective means for primary medical care in a rural area. The results were as fellows : 1. Number of population in Su Dong-Myun was 5,419 in 1973, 4,591(the lowest) in 1987 and 5,707 in 1995. In the composition rate of population, "0-14" of age group showed markedly decreasing tendency from 43.1% in 1975, to 19.1% in 1995, however "65 and over" markedly in creasing tendency form 5.3% in 1975 to 9.8% in 1995. 2. Annual utilization rate per 1,000 inhabitants in Su Dong-Myun showed markedly increasing tendency from 1973 to 1977 such as 343 in 1973, 540 in 1975, 900 in 1977. However, since 1979, the rate showed rapidly decreasing tendency, such as 846 in 1979, 519 in 1985, 190 in 1991 and 1993. 3. The morbid household rate per year was 53.6% of respondents and the rate per 15 days was 48.2%. In disease classification rate of morbid household per year, Arthralgia & Neuralgia was the highest rate(33.9%) and gastro-intestinal disorder(19.3%), Cough(11,9%), Hypertension(7.8%), Accident(3.2%) in next order. 4. In the utilizing facilities for Primary Medical Care, Medical facilities was showed the highest rate(58.1% of respondents) and Pharmacy and Drug Shp(33.1%), Tradition Method(4.0%) in next order. In the Medical facilities, General private clinic was showed the highest rate(34.3%) and specific private Clinic(22.3%), Hospital(19.0%), Health (Sub)center(16.3%), Nurse practitioner (3.3%), Oriental hospital and clinic(2.7%) in next order. 5. Experience rate, utilizing health subcenter was 51.8% of the respondents, and it was 55.0% in Su Dong-Myun and 46.3% in Byul Nae-Myun. In utilization times of health subcenter, times-rate showed next orders such as 1-2 times/6months(31.6%), 1-2 times/year (22.1%), 1-2 times/months(19.2%), 1-2 times/3months(15.6%). 6. In objectives, visiting Health Subcenter, Medical Care was the highest rate(59.8% of the respondents) and health control(23.3%) was in next order. In Medical Care, Primary Care by general physician was higher rate(51.1%) almost all. In the Health control, Immunization too was high rate(18.0%) in health control activities. 7. The reasons rate, utilizing health subcenter showed next order, such as distance to Medical facilities(33.0% of the respondents), Medical Cost(28.1%), Simple process of consultation (10.8%), Effectiveness of cure(7.6%), Function of primary medical care(7.0%) and Attitude of physician(6.5%). 8. In the affecting factors to utilization of primary medical facilities, medical needs was showed the highest rate(29.5% of the respondents) and medical cost(15.4%), distance to medical facilities(14.2%), traffic vehicle(14.2%) and farm work(6.9%) in next order. 9. In the priority between 'daily farm work,' and 'primary medical care', only 46.4% of respondents answered that primary health care is more important than the daily farm work The 22.6% of respondents answered 'daily farm work', and the 12.3% answered 'the equal of the both'. 10. In the criterion of medical facilities choice, medical knowledge and technical quality was showed the highest rate(56.3%), distance or time to medical facilities(10.9%), sincerity and kindness of physician(9.4%), medical cost(8.7%) and traffic vehicle(6.5%) in next order 11. In the advise for improvement of health subcenter function, the 36.1% of respondents answered that 'enforcement of medical personnel and equipment' was required, and then 'improved medical technology'(25.5%), 'good attitude of physician'(14.9%), 'improved medical system'(13.3%), 'enforced drug'(6.7%) in next order. 12. The study on affecting factors to utilization of primary medical facilities was very difficult subject to systematize the analyzed results, due to a prejudice of protocol planner, surveyer and respondent, and variety and overlapping of subject matter.

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파킨슨병 환자를 대상으로 한 태극권 요법 -임상 연구 경험을 통해 본 문제점과 개선 방안- (Tai-Chi for Patients with Parkinson's Disease -the problem and improvement demand of clinical study experience-)

  • 황의형;이재혁;이상재;허광호;조현우
    • 대한예방한의학회지
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    • 제16권2호
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    • pp.17-30
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    • 2012
  • Objectives : This study was to analyse the reasons for the early termination of our clinical trials that were to know the influences of Tai-chi on non-motor symptoms of Parkinson's disease. Methods : We stopped the primary study of Tai-chi to observe the changes of non-motor symptoms of Parkinson's disease. So we carried out the survey to our participants of clinical trials. We conducted the survey about the patient's characteristics of usual exercise, experience of Tai-chi, appropriate time allocation, difficulties of proceeding the program and patient's opinion for the improvement of education. And the 4 questions about the contributiveness of Tai-chi for the Parkinson's disease, usability of supplied references, difficulties and time allocation of education were using the questionaries form of 5-point scale(Likert scale). Results : The results of survey showed that the benefits of Tai-chi program for the improvement of symptoms was $3.15{\pm}0.89$ and difficulty of lecture was $3.76{\pm}1.09$. 41% of participants answered that the motions of the Tai-chi is difficult to follow and 17% of participants felt the imbalance during the motion of Tai-chi. Conclusions : Participants replied that the Tai-chi is hard for the patients of Parkinson's disease and the time for the education was too short to keep doing exercise. Thus we have plan to educate the patients of Parkinson's disease with Tai-chi program consists of easier motion by developing ourselves or searching previous studies.

Correlates of Digit Bias in Self-reporting of Cigarette per Day (CPD) Frequency: Results from Global Adult Tobacco Survey (GATS), India and its Implications

  • Jena, Pratap Kumar;Kishore, Jugal;Jahnavi, G.
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권6호
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    • pp.3865-3869
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    • 2013
  • Background: Cigarette per day (CPD) use is a key smoking behaviour indicator. It reflects smoking intensity which is directly proportional to the occurrence of tobacco induced cancers. Self reported CPD assessment in surveys may suffer from digit bias and under reporting. Estimates from such surveys could influence the policy decision for tobacco control efforts. In this context, this study aimed at identifying underlying factors of digit bias and its implications for Global Adult Tobacco Surveillance. Materials or Methods: Daily manufactured cigarette users CPD frequencies from Global Adult Tobacco Survey (GATS) - India data were analyzed. Adapted Whipple Index was estimated to assess digit bias and data quality of reported CPD frequency. Digit bias was quantified by considering reporting of '0' or '5' as the terminal digits in the CPD frequency. The factors influencing it were identified by bivariate and logistic regression analysis. Results: The mean and mode of CPD frequency was 6.7 and 10 respectively. Around 14.5%, 15.1% and 15.2% of daily smokers had reported their CPD frequency as 2, 5 and 10 respectively. Modified Whipple index was estimated to be 226.3 indicating poor data quality. Digit bias was observed in 38% of the daily smokers. Heavy smoking, urban residence, North, South, North- East region of India, less than primary, secondary or higher educated and fourth asset index quintile group were significantly associated with digit bias. Discussion: The present study highlighted poor quality of CPD frequency data in the GATS-India survey and need for its improvement. Modeling of digit preference and smoothing of the CPD frequency data is required to improve quality of data. Marketing of 10 cigarette sticks per pack may influence CPD frequency reporting, but this needs further examination. Exploring alternative methods to reduce digit bias in cross sectional surveys should be given priority.

유흥업소 종업원에 대한 사회의학적 조사 (Socio-medical Survey on the Entertainment Workers in Jeonju Area)

  • 유영준
    • Journal of Preventive Medicine and Public Health
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    • 제7권1호
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    • pp.147-152
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    • 1974
  • The author has conducted survey on the socio-medical status of the 157 entertainers (male:25, female:132) in Jeonju area, during 1 to 15 July 1974. As results of this survey, following conclusions were obtained. 1. The age distribution was revealed the peak in the age group of 20 to 24 years with 44.5 per cent. Average age of male entertainers was 28.0 years and female entertainer with 23.9 years. 2. By the educational background of the entertainers, the greatest proportion or 45.9 per cent was middle school, 28.7 per cent in primary school. 3. Most of the entertainers had no their parents, father or mother while the ones who had parents were 21.0 per cent. 4. The average age of menerache of the female entertainers was $14.2{\pm}0.87$ years. 5. Regarding the marital status of the entertainers, the unmarried were 81.5 per cent and present status of marriage, 79.3 per cent were seperated. 6. The average of the first marriage was 24.4 years in male, and 22.6 years in female. 7. Regarding the working duration of the entertainers, 79.1 per cent worked less than 1 year. 8. Regarding the sex experiences before marriage, 76.0 per cent of the male and 91.7 per cent of the female reported had such experiences. 9. Induced abortions were found to have been experienced 88.6 per cent of the female entertainers. 10. Point prevalence rate for gonorrhea including non-specific urethritis of the entertainers were found 16.0 per cent of the male and 17.4 per cent of the female.

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보건소등록결핵환자(保健所登錄結核患者)에 대(對)한 사회의학적(社會醫學的) 조사연구(調査硏究) (A Follow-up Survey on the Socio-medical Status of the Drop-out Cases of Tuberculosis in Jeonju Health Center)

  • 김종순
    • Journal of Preventive Medicine and Public Health
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    • 제7권1호
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    • pp.123-130
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    • 1974
  • A socio-medical survey was carried out on 1,108 cases of pulmonary tuberculosis who had registered and 220 cases unregistered at Jeonju health center in 1973, during from June 1 to July 31, 1974. As the results of this survey, the following conclusions were obtained. 1. Of the total 1,108 cases of pulmonary tuberculosis there were 708 new cases, while remaining 400 were old cases and rate of registration was 4.0 per thousand person. 2. The highest rate of registration of the newly diagnosed pulmonary tuberculosis could be found in bacteriological examination while 54.4 per cent in X-ray examination. 3. As for the educational status of the tuberculosis patients, primary school graduates contituted the greatest proportion or 64.6 per cent, middle school graduates 13.6 per cent, high school graduates 6.8 per cent and collge graduates only 0.7 per cent. 4. By age group of the cases, at age of 20 to 29 years occupied 23.6 per cent (262 out of 1,108 cases), 17.9 per cent at age of 40 to 49 years. 5. The greatest proportion or 38.4 per cent of the cases had no occupation. 6. The living standard of the patient's household, low class constituted 60.6 per cent of the total households. 7. By distribution of residential area, farming area was 5.0 per thousand person, 4.0 in downtwon and suburban areas. 8. The greatest proportion or 70.0 per cent of positive cases in X-ray examination was unregistered in August, 63.6 per cent in July 1973. 9. 220 out of 1,108 cases(19.9%) were unregistered pulmonary tuberculosis in X-ray and bacteriological examinations. 10. For age groups of unregistered caes, most prevalent age group was 30 to 39. 11. Regarding on the cases of unregistration, 'indifference for disease' occupied highest rate with 31.9 percent' and 'private secret' with 15.7 per cent. 12. Of the total 457 cases drop-outed, there were 78 complete heald cases while remaining 207 inactive.

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국제연구협력정보 DB 구축을 위한 메타데이터 개발에 관한 연구 (A Study on Metadata Development for Establishing International Research Cooperation Information Database)

  • 노영희
    • 한국비블리아학회지
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    • 제29권2호
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    • pp.5-34
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    • 2018
  • 본 연구에서는 국제연구협력관련 모든 정보유형을 발굴하고 각 유형별로 정보를 수집하여 데이터베이스로 구축하고자 하였다. 이를 위해 연구진이 메타데이터를 일차적으로 개발하고 메타데이터 전문가들과의 논의과정을 거쳐 1차적으로 메타데이터를 개발하였으며, 이에 대해 국제연구협력 관련 전문가들을 대상으로 설문조사를 수행하였다. 뿐만 아니라 각 정보원 유형별 메타필드에 데이터를 수집하여 입력하였으며, 메타필드별로 실제 데이터가 존재하는지 등의 과정을 거쳐 메타필드를 검증하였다. 본 연구에서 설계한 DB 유형은 국제연구협력정보원 DB, 국제연구협력 사업 DB, 국제연구협력 전문가 DB, 국제연구협력 기관 DB, 국제기구 DB, 기타 DB 등이며, 이에 대해 설문조사를 수행하고 실제 데이터를 입력하여 필드를 검증한 결과, 설문조사 결과와 필드별 데이터 입력률은 상당히 높은 일치율을 보였다. 다만 국제기구 데이터 필드만은 이용자의 높은 중요도 평가에도 불구하고 10%이하의 데이터 입력률을 보이는 필드가 25% 정도 있는 것으로 확인되었다.

다차원척도법을 이용한 중학교 보건교육 교과영역 구축 및 속성 분석 (Health Education Curriculum Constructs and Dimensional Properties for Korean Middle School Students in Multidimensional Scaling Analysis)

  • 박경옥
    • 한국학교ㆍ지역보건교육학회지
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    • 제7권
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    • pp.1-17
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    • 2006
  • Background: School is a primary health education setting for adolescents and the continuous support should be provided to renew school health education curriculum correspondent to cultural changes in Korean society. Objectives: This study was conducted to identify the principals and teachers' health education needs for their students and to analyze their conceptual map for health education curriculum at school. Methods: The sample size of the preliminary study was 321 of the teachers in elementary, middle, and high school, and that of the main study was 355 middle school principals and teachers over the country. The self-administered mailing survey was conducted to collect the available health education topics in the preliminary study, to identify the factor structure of the health education topics and to analyze the conceptual properties on health education with exploratory factor analysis and multidimensional scaling analysis in SPSS 12.0. Results: A total of 21 health education topics were collected from the preliminary survey and 31 topics were, comprehensively, generated for the main survey. In exploratory factor analysis, seven factors were generated in 1.0 or greater Eigen value standard. The seven factors were 'life health promotion,' 'disease prevention and drug control,' 'bulling and aggression prevention,' 'injury and sexual harassment prevention,' human-efficacy and regulation,' 'health protection for adolescence,' and 'alcohol and tobacco control.' The educational need scores were the highest in 'human-efficacy and regulation' and 'injury and sexual harassment prevention.' The two-dimensional cooperates were generated for the 31 health education topics and the two dimensional properties which divided the conceptual space were 'health-safety' for one and 'public/environmental-individual/personal' for the other. That is, middle school principals and teachers primarily, understand the health education curriculum in the sense of 'health vs. safety' and 'public/environmental vs individual/personal.' Conclusions: Health education curriculum and textbook should be developed based on teachers' needs and conditions for health education in school fields. The field-based health education programs or textbook would make more possible problem-solving health education for youth in real school fields.

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경북(慶北) 의성군(義城郡)에 있어서의 간흡충감염(肝吸虫感染) 실태조사(實態調査) (Epidemiological Survey on Clonorchis sinensis in Eui - Seong Gun, Kyungpook Province)

  • 임한종;이준상;최종욱;송오달;송선대;김명세
    • 농촌의학ㆍ지역보건
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    • 제3권1호
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    • pp.35-41
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    • 1978
  • Clonorchiasis sinensis is the most important endemic disease in In Korea, and this disease has been known to be one of public health concern in mary areas of southern part of Korea. This survey was undertaken to evaluate the status of clonorchiasis in Eui-Seong Gun, Kyungpook Province from March 1974 to August 1974. A total number of 3,771(male 2,037. female 1,734) consisting of 2,948 primary school children, 774 middle school students, 49 high school students were examined by the intradermal test with clonorchis antigen. In order to detect clonorchis egg, the stool examinations were undertaken on the residents in Bong Yang Myun. And, the intensity of the clonorchis infection was estimated by the Stoll's egg count. The following results were obtained in this survey; 1. As a whole, 6.0 per cent of the examiners showed positive reaction by the intradermal test (male 8.0%, female 3.6%). 2. Among 249 residents in Bong Yang Myun, the prevalence rate of clonorchis eggs was shown as 45.8 per cent. 3. The mean E. P. G. in Bong Yang Myun 114 inhabitants was 2,197. 4. The degree of the intensity of clonorchis infection by E. P. G. counts was distributed to the light (50.9%) medium (43.9%) and heavy infection groups(5.3%).

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국가중요시설의 물리적 보안 요인 분석 - 항만보안을 중심으로 - (A Study on Physical Security factors of National Major Facilities - Focussed on Port Security -)

  • 이민형;이정훈
    • 융합보안논문지
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    • 제15권6_2호
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    • pp.45-53
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    • 2015
  • 국가중요시설로서 항만보안에 특화된 물리적 보안요인이 선행적으로 제시되어야 그에 적합한 보안활동이 이루어질 수 있다고 볼 수 있다. 물리적 보안의 개념적 특성에 따라 항만시설 내에서의 그러한 요인이 어떠한가에 대한 이론적 기초자료가 제시되어야 함에도 불구하고 그러한 선행연구는 미비하며, 그에 따라 항만시설의 물리적 보안 요인에 대한 탐색적 연구가 이루어져야 한다. 이를 위한 연구방법으로서 본 연구에서는 델파이 기법을 통하여 전문가 패널의 의견을 수렴하여 이에 대한 필요성과 적합성을 평가하고자 하였다. 3차에 걸친 델파이 조사 분석결과를 살펴보면 제1차 개방형 설문 조사에서 전체 패널들의 의견을 수합한 결과 총 168개 중 응답 빈도수가 2이상인 중복응답 87개만 수렴하여 중복된 항목을 제거 및 수정하여 총 19개의 물리적 보안 요소가 도출되었다. 이를 토대로 제2차 필요성 및 제3차 적합성에 대한 델파이 조사를 통하여 기술통계분석과 내용타당도 분석 결과 3개 영역 12개 요인이 최종 선정되었다.

한의 암 증상 완화에 대한 한의사 대상 설문 조사 (A Survey on Korean Medicine Doctors for Cancer Symptoms Care in Korean Medicine Treatments)

  • 류한성;이지영;오혜경;윤성우
    • 대한암한의학회지
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    • 제22권1호
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    • pp.23-35
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    • 2017
  • Backgrounds: The demand of complementary and alternative medicine (CAM) including Korean Medicine (KM) is increasing worldwide. But cancer patients (CP) still have a difficulty in gathering CAM information or communicating with their doctors, and clinical status in cancer care is unclear in the field of KM in Korea especially. The aim of this study is to examine clinical status of KM for cancer symptom care by KM doctors in medical service institutions. Methods: Total forty nine KM doctors completed the site survey questionnaire. The questionnaire items were to list chief symptom complaints of CP treated with KM and effective KM therapies. Results: The majority of the respondents were general physicians without KM specialist board (67.4%) who have 10-20 years clinical experience with CP (55.1%). Primary cancer lesion, diagnostic status, and treatment period were not different in KM clinical service institutions. In chief symptom complaints of CP treated with KM, gastrointestinal (32.9%), musculoskeletal (19.9%), circulatory & respiratory (16.2%), psychiatric (14.1%), urinary (5.8%) symptoms were in turn. In effective KM therapies assessed by KM doctors, xerostomia (45.7%) and cancer-related fatigue (44.8%) were more effective with herbal treatments. Peripheral neuropathy (43.4%), depression, insomnia (38.2%), and cancer pain (31.9%) were preferred to treat using acupuncture. Conclusion: The CP treated with KM used evenly KM medical service institutions regardless of hospital size, and there will be further survey for CP treated KM in the future.